Clinical scientist led clinic in adult congenital heart disease – how to do it?

The increasing demand for adult congenital heart disease (ACHD) services requires innovative solutions to reduce waiting times and optimise patient care. This paper presents the implementation and development of an ACHD Scientist-led clinic at Guy's and St Thomas' NHS Foundation Trust, providing an alternative, cost-effective, and efficient service model. A comprehensive service audit identified challenges related to patient backlogs, clinic efficiency, and administrative coordination. Subsequent restructuring efforts, including an expanded appointment system, improved referral pathways, and enhanced clinical governance, led to a significant reduction in overdue appointments from 15% to 2%, despite an overall increase in patient numbers. Comparative cost analysis demonstrated that the Clinical Scientist-led model is more cost-effective than the traditional models. Additionally, patient satisfaction surveys and Consultant evaluations confirmed this model's high quality and safety. These findings highlight the potential for broader adoption of Clinical Scientist-led clinics within the ACHD networks to improve accessibility, efficiency, and sustainability of care.