For practices participating in the new Community Cardiology MDT pilot service developed in collaboration with local GP leads please find further referral information below:

The Community Cardiology MDT pilot service launched in summer 2026. As part of our initial review of how the service is working, we would welcome your help to support high-quality referrals and timely triage.  When referring please 

  • Use the ‘FHFT – Community Cardiology MDT – Referral Form’ (found on DXS) rather than the General Cardiology form.  
  • Submit the completed form to the ‘Cardiology – Community MDT’ service on eRS rather than General Cardiology.  
  • Direct familial hypercholesterolaemia requests to ‘Chemical Pathology – Biochemistry – Lipid Management’, available on eRS.  
  • Check the inclusion and exclusion criteria below to ensure the referral is suitable  

Further Referral Details: 

To use the Community Cardiology MDT service, please complete the correct referral form: FHFT – Community Cardiology MDT – Referral Form, available on DXS under Frimley Health and Care / Cardiology Landing Page, as shown in the screenshot below. You can also find it by searching for cardiology, community, MDT or FHC3831. 

DXS referral form box with wording: cardiology community MDT referral form FHC3831

When submitting the referral through eRS, please select the Cardiology – Community MDT service shown in the table below. Please note: We have set up and additional location of Frimley for this service.   

eRS Referral Details 
Speciality   Clinic Types  Service Name  Location on eRS
Cardiology
  • Arrhythmia 
  • Congenital Heart Disease 
  • Heart Failure 
  • Hypertension 
  • Ischaemic Heart Disease 
  • Lipid Management 
  • Valve Disorders 
  • Not otherwise specified  
 Cardiology - Community MDT  Wexham or Frimley

 

Inclusion and exclusion criteria (as detailed on the DXS referral form (exclusion criteria only) and in the eRS Directory of Service (DoS). 

Appropriate (inclusion criteria): Cardiac conditions and abnormalities: 

  • Angina 
  • Arrhythmia 
  • Atrial fibrillation 
  • cardiomyopathy 
  • Congestive cardiac failure 
  • Inherited cardiac abnormality, 
  • Heart failure 
  • Diagnosed heart failure 
  • Heart murmur 
  • Ischaemic heart disease 
  • Palpitations 
  • Pulmonary hypertension 
  • Shortness of breath 
  • Cardiac pathology 
  • Syncope 
  • Valve replacement 
  • Valve stenosis 
  • Valve disease

Inappropriate (exclusion criteria):  

Urgent or acute presentations: 

  • Acute or ongoing chest pain
  • Suspected anginal chest pain → refer to Rapid Access Suspected Angina Clinic  
  • Acute breathlessness requiring same or next day evaluation 
  • High risk syncope or suspected arrhythmogenic collapse (with personal or family history of cardiomyopathy or channelopathy [e.g. long QT syndrome, Brugada], abnormal ECG, history of MI, murmur → refer to cardiology/A+G 
  • Urgent heart failure requiring IV diuresis, admission or rapid assessment 
  • Suspected endocarditis or cardiac infection → refer to acute medical or Cardiology 

Conditions with dedicated pathways: 

  • New diagnosis of heart failure with elevated BNP and clinical symptoms → refer to 2-week or 6-week rapid access HF pathway  
  • Suspected or confirmed POTS/autonomic dysfunction → can contact Cardiology via A+G if symptoms persist despite 1st and 2nd line measures 
  • Known or suspected inherited cardiac conditions (e.g. HCM, LQTS, Brugada) → refer to General Cardiology via eRS 
  • Suspected pulmonary hypertension → If BNP elevated refer to RAHFC; if BNP normal refer to Respiratory 

Other exclusions: 

  • Syncope with: orthostatic, vasovagal, vestibular or epileptiform features/situational syncope (e.g. cough, micturition, defecation)/unsteadiness on the feet 
  • Cases already under active follow-up by secondary care cardiology 
  • Medico-legal or occupational fitness assessments 

For further information on the MDT service and how to get involved please contact:  Dr. Sameer Zaman - Consultant Cardiologist, Imaging | Heart Failure | Lead for Community Cardiology - sameer.zaman3@nhs.net