PCCS Wales Conference –

The ABC(H) of CVD in Wales: an update for primary care

Y ABC(H) o CVD yng Nghymru: diweddariad ar gyfer gofal sylfaenol

President of the Primary Care Cardiovascular Society, GP, GPSI Cardiology, Gloucestershire

Dr Moore studied medicine in Edinburgh before moving to Gloucestershire to work as a GP principal. He has an interest in cardiology and cardiovascular disease, particularly those aspects that are relevant to primary care and contributes regularly to related educational events across the UK. He is President of the primary care cardiovascular society.

Dr Moore was involved in the development of the Primary Care based Gloucestershire Heart Failure service where he continues to work as a GPwSI.

He continues to represent Primary Care in the cardiovascular area at both a local and national level. He has provided cardiovascular clinical support to local commissioning organisations for over ten years and remains actively involved in commissioning local cardiology services chairing the Circulatory Clinical Programme Group for Gloucestershire Clinical Commissioning Group (CCG). He was Clinical Lead for the community based West of England AHSN Stroke Prevention in AF project: Don’t wait to anticoagulate.

Dr Moore previously served on the board of the British Society for Heart Failure and was a member of the NICE Chronic Heart Failure Guideline committee (2018). He currently sits on the National Heart Failure Audit Steering group.

National Clinical Lead, Wales Cardiac Network

Jonathan was born in Pontypridd and was educated at Pontypridd Boys Grammar and Coed-y-lan Comprehensive school. He trained at the Medical College of St Bartholomew’s Hospital qualifying in 1985. His cardiology training was in Bristol and Bath before returning to Cardiff to do research, then as Senior Registrar. In 1999 he was appointed as Senior Lecturer in Cardiology at the Wales Heart Research Institute, and also as part-time NHS cardiologist in Bridgend.

In 2005 he became a full-time NHS consultant in Bridgend. He was lead cardiologist between 2005-15 during which time the department expanded significantly to provide a comprehensive echo service, pacing service and diagnostic cardiac catheter lab. In 2008 he was part of the team that won a NHS Wales award for innovations in cardiology out-patient services. He became Medical Director at Princess of Wales Hospital from 2015 to 2018.

He is the immediate past-President of both the Welsh Cardiovascular Society and the Society of Physicians in Wales. He has worked in the Wales Cardiac Network since the end of 2018.

Familial Hypercholesterolaemia Specialist Nurse

Rob Gingell, has worked as a cardiology nurse since qualifying in 2000. His work as a specialist Familial Hypercholesterolaemia nurse for North Wales started in 2010 - following the launch of the All Wales FH service. Rob has gained MSc Advanced Clinical Nursing Practitioner + Post Graduate Certificate in Genetic Health Care qualifications and received National Awards within his field of practice.

PCCS President Elect (CKD representative), Primary Care GP, Clinical Lead with the National Cardiac Pathways Improvement Programme

Raj’s varied roles have included working as a GP partner since 2004, Clinical Commissioning Director for Bucks CCG in planned care, and now Bucks/Ox/Berks West ICS, Cardiac Lead for the Thames Valley Strategic Clinical Network, primary care cardiology lead for the Oxford Academic Health Science Network and atrial fibrillation champion for NHSIQ Thames Valley. He is also a member of the national expert advisory group for heart failure and heart valve disease and is currently the national primary care workstream co-lead for the Cardiac Pathways Improvement Programme. Raj is CKD lead and president elect for the Primary Care Cardiovascular Society. He is also a medical director for healthy.io.

Raj has worked as a presenter on BBC Radio and is a medical writer, speaker, and advisor. He has written and published over 200 articles and several books including the MIMS consultation guide which won the BMA book of the year award in the category of medicine – 2012. Raj was awarded Tyco GP registrar of the year in 2003, two atrial fibrillation pioneer awards, was a national finalist for GP of the year in 2017 and a national HSJ finalist – 2019 for his work in atrial fibrillation.

Professor In the Department of Cardiology

Professor Cockcroft is visiting Professor in the Dept of Advanced Cardiology at Columbia University Medical Centre, New York where he is researching haemodynamics in patients with left ventricular assist devices (LVAD’s) in terms of the vascular complications seen in this group in order to improve their cardiovascular outcomes. He has published over 350 peer-reviewed articles and 3 books in the field of hypertension and cardiovascular disease.

Consultant Cardiologist, Regional Cardiac Centre, Morriston Hospital

Dr Jenkins is the Lead for Heart Failure at the Tertiary Cardiac Centre in Morriston. He trained in Cambridge, Harefield and Hammersmith and moved to Swansea in 2001. His interests are complex heart failure.

Additionally, he runs a regional pulmonary hypertension service in collaboration with the Hammersmith and is also an interventional cardiologists and on a primary PCI rota. He is co-Chair of the All Wales Heart Failure Advisory Group and was the lead author for the Welsh Heart Failure Guidance in March 2001.

Lead Heart Failure Specialist Pharmacist, Hywel Dda University Health Board

Angharad Griffiths (Thomas) is the Lead Heart Failure Pharmacist in Hywel Dda University Health Board. She is responsible for the delivery of the 'One-Stop' diagnostic heart failure clinic and develop clinical initiatives designed to optimise drug therapy in Heart Failure patients.

Angharad received the Masters of Pharmacy degree from Cardiff University in 2009. She then qualified as a pharmacist in 2010 after undergoing a one year training programme at the Royal Glamorgan Hospital. She continued to practice as a hospital Pharmacist at Royal Glamorgan hospital for further 4 years whilst gaining a further qualification 'Diploma in Clinical Pharmacy' in 2012. She later accepted the role as a Specialist Cardiology Pharmacist at Prince Charles Hospital in 2014. During her time at Prince Charles Hospital, she earned the non-medical prescribing qualification and a diploma as a practitioner with a specialist interest in Cardiology (PwSI). Since 2019, she had a key responsibility for the delivery of an innovative Pharmacist-led diagnostic Heart Failure clinic. Evaluation of the clinic has been presented at the British Heart Failure Conference and the European Heart Failure Congress. Findings of the evaluation revealed that Consultant waiting time reduced from 16 to 2 weeks and that patients were fully satisfied with their care. Angharad has a passion for developing services to ensure patients receive the best care.

Advanced Cardiac Physiologist and service lead for community cardiology diagnostics - BCUHB

I originally trained in Westminster London and have worked in cardiology for over 30 years as a clinical Physiologist. Over the past 10 years I have expanded my role by undertaking the MSc in advanced clinical practice and PG dip in practitioners with a specialist interest in cardiology. This has enabled me to develop and expand the community one stop heart failure diagnostic clinics, which has now won local and National awards.

I am accredited with the British Society of Echocardiography (BSE) and am also a national examiner for this society. I was kindly awarded the honour of life time achievement award from the BSE in 2019.

I am an enthusiastic advocate of training and development and have co established courses for focussed Echo in life support in North Wales along with contributing as a chapter author in a book and providing on line training material for the EACVI (European association for cardiovascular imaging) and the Resuscitation council UK.

The development and implementation of the first of its kind diagnostic vehicle is an enormous achievement, this has been transformational for our service and was recognised and won the category in the NHS Wales awards.

GP with Special Interest Cardiology and Echocardiography, North Wales and Powys, GP Partner Corwen

Graham has worked as a GPwSI since 2008 and has been the clinical lead for Community Cardiology in North Wales until the present time. His day job is a GP Partner in South Denbighshire in a rural practice of 4,000 patients. In 2022 Graham was allowed to undertake a 6 month sabbatical which included 2 months working in Lesotho, Southern Africa as well as helping to initiate a Community Cardiology Service in North Powys.

Graham otherwise enjoys family life and sports as well as being a chapel elder.