private patients’ centre

Royal Brompton and

04 mission our 06 reputation our 11 services patient 18 care specialised and service personalised 24 information contact and location 25 policy pricing 2

Royal Brompton & Harefield Patients’ Centre Hospitals Private and Harefield Royal Brompton Welcome to in the very near future. We look forward to welcoming you herein London thoracic conditions. expert diagnosis, treatment and care ofcardiac and people who have benefited from over 160years of leave, you will become part ofa community of first come into contact with us, until the time you from all over the world. Sofrom the moment you Europe. We welcome patients and attract staff lung centre in the UK and among the largest in The hospitals are the largest specialist heart and research work takes place. the environment in which ourcomplex clinical and that contributes to ourworld-class reputation, and people who deliver the clinical expertise and care form a picture ofthe services we provide, the with heart and lung conditions. It will help you important, life-changing work we doforpeople This brochure provides valuable information onthe Hospitals Private Patients’ Centre. A warm welcome to Royal Brompton and Harefield 3

private patients centre They provide specialist care and create and create and care specialist provide They will that knowledge clinical disseminate generations the and today people benefit come. to London, College Imperial with closely Working possible highest the have teams research our to contribution their for rating star five treating and diagnosing of ways new finding disease. lung and heart comfortable safe, a provide we Ultimately, people the for service complete clinically and most. us need who

Over 2,500 people work at our hospitals in hospitals our at work people 2,500 Over Middlesex Harefield, and London Chelsea, airport). Heathrow of north (just It is an ambition that relies on recruiting and recruiting on relies that ambition an is It support and nursing medical, clinical, training tomorrow's are believe we who staff leaders. healthcare Our vision is to maintain and strengthen our strengthen and maintain to is vision Our and national leading the as reputation diagnosis, the for centre international and heart with people of care and treatment conditions. lung

for the benefit of all of benefit the for International leadership International our mission our 4

Royal Brompton & Harefield 5

private patients centre

Many of our private patients travel long travel patients private our of Many will they that confident us, see to distances suited is that environment an in treated be care, patient routine and complex both to medical expert round-the-clock with available. support As a large post-graduate teaching centre we centre teaching post-graduate large a As day, a hours 24 care, best very the offer can support comprehensive of benefit the with Care Intensive rated top as such services an and laboratories specialist on-site Units, 70 undertakes which department Imaging Cardiovascular UK’s the of cent per workload imaging Resonance Magnetic heart). the of scans definition (high Our hospitals Our hope for the future the for hope advances create new create advances research and clinical and research Pioneering treatment, Pioneering our reputation our 6

Royal Brompton & Harefield for their families. our paediatric and adult patients, and support provide expert treatment and advice for all specialists work in close partnership to surgeons, anaesthetists and intensive care surgeons, respiratory physicians, thoracic Our clinical teams of cardiologists, cardiac specialists. over 70 of them are highly qualified nurse for patients with heart and lung illnesses and our nurses are specifically trained in caring way in our specialist field. Supporting them, combined expertise enables us to lead the medical staff from around the globe whose Central to our success is our ability to attract International expertise G G G G hospitals.We have thebenefit of: stop,on-site service uncommon inBritish clinicalsupport facilities offering– one-a Supportingourclinical teams arevital psychology. and dietetics, physiotherapy and clinical Research Units cardiovascular and respiratory Biomedical art medical equipment in our radiology and laboratory services including high-tech imaging, pathology, expert nursing and medical staff hospitals, staffed round the clock by adult intensive care units at both experts support teams including nutrition access to the facilities and state-of-the- specialist diagnostics facilities on site top-rated, state-of-the-art paediatric and 7

private patients centre NHS rating in a in rating to improve our improve to more likely to die of die to likely more equipment in the BRUs the in equipment private outpatient private 'excellent' top performing top four times four leading possible possible In 2010 Royal Brompton opened Hospital Brompton Royal 2010 In State-of-the-art the rated Journal Service Health by study A Our services for children were given the given were children for services Our are Women is Clinic Outpatients Brompton Royal The Healthcare Commission survey, reflecting survey, Commission Healthcare for training and children for facilities our children. with deal who staff the facilities, research new major two Respiratory the and Cardiovascular Such (BRUs). Units Research Biomedical out carry to us enable facilities research groundbreaking of diseases of treatment and understanding lungs. and heart the cardiovascular 3T interventional an includes scanner (CMR) resonance magnetic interventional an to next positioned high- allow will This laboratory. catheter patients of CMR high-field resolution using procedures, interventional undergoing harmful potentially of instead waves radio x-rays. NHS Harefield & Brompton Royal of board exclusive an of one as Trust Foundation 19 of group England. in organisations highest London’s for facility treatment and diagnostic lung-related and heart- with patients conditions. heart disease than of breast cancer. The cancer. breast of than disease heart offers Clinic Risk Heart Brompton Royal to ups check detailed outpatients private disease. heart of stages early the detect G G G G G G 2,200 32,000 heart 2,000 hospitals over 3,200 over treatments outpatient respiratory scanned at just at scanned 1,200 1,200 internationally in the in internationally most highly cited in cited highly most 137,000 centre for cardio- for centre unit for the treatment of treatment the for unit top-ranked top three top provider of complex complex of provider largest the use of primary angioplasty primary of use the two of the top three top the of two . largest

leading

Europe's Europe's Our on-site fetal cardiology service enables service cardiology fetal on-site Our is programme heart artificial Harefield's Our Heart Attack Centre at Harefield has Harefield at Centre Attack Heart Our We are Europe's Europe's are We In 2010/11 our staff performed: performed: staff our 2010/11 In We undertook over over undertook We In the most recent independent guide to guide independent recent most the In We are the the are We angiograms/cardiac catheterisations; angiograms/cardiac over operations; surgery thoracic angioplasties; coronary for respiratory failure; and and failure; respiratory for bypass operations. bypass cystic fibrosis is based at Royal Brompton Royal at based is fibrosis cystic hospital. clinicians to begin caring for babies while babies for caring begin to clinicians are many womb; the in still weeks 12 ground new breaking failure. heart severe of treatment pioneered attacks. heart of treatment the for appointments and supervised nearly nearly supervised and appointments 2010/11. in stays inpatient cardiac/ our and centre research are teams care critical and cardiovascular the in rated England. in publications research health respiratory care in the country and and country the in care respiratory the surgery. thoracic Royal Wales, and England in hospitals were Hospitals Harefield and Brompton as ranked for heart disease. heart for G G G G G G G G G Some useful facts useful Some 8

Royal Brompton & Harefield ‘ the country for cardio-respiratory care in We are the largest centre ’ 9

private patients centre

’

Our consultants are highly are consultants Our

in their respective fields respective their in and all are specialists specialists are all and both children and adults, and children both skilled in the treatment of treatment the in skilled ‘ 10

Royal Brompton & Harefield within the main hospital buildings care in the comfort of private wings patients are able to access specialist heart and lung centre, our private As the UK's leading specialist patient services > Our care includes: > > > > > > > > Private outpatients clinic Comprehensive clinical support Diagnostic services Paediatric services Cardiology Cardiac surgery Thoracic surgery Heart failure and congenital heart disease Respiratory medicine 11

private patients centre Royal Brompton & Harefield

> Respiratory medicine

We welcome patients with around 50 different groups of respiratory diseases to Royal Brompton Hospital each year. Our areas of expertise include Asthma Fibrosing Lung Disease, Occupational and Environmental Lung Disease, Chronic Lung Infection, Acute Respiratory Failure, Cystic Fibrosis, Domiciliary Ventilation and Sleep Disorders. We have an international reputation for the diagnosis and management of lung disease and for our research programmes, the result of over 160 years' experience.

Asthma and allergy Fibrosing/diffuse lung disease Expertise: Treatment for difficult asthma, (interstitial lung disease) allergic asthma, corticosteroid resistant asthma, Expertise: Diagnosis and management of all occupational asthma, high-dependency unit for forms of interstitial lung disease such as acute asthma admissions, general allergy, fibrosing lung disease, sarciodosis, lung rhinitis and other nasal problems. problems in rheumatological diseases and Additional information: Responsible for the vasculitis. High resolution CT (computerized development of several widely-used asthma and tomography) used for diagnosis and prognosis. allergy treatments. Around 400 asthma patients Additional information: Trust experts lecture admitted in 2005/2006, many more attended worldwide on the management of diffuse lung outpatient clinics. disease and host international teaching events at Royal Brompton, which has one of the Chronic lung infection largest lung disease patient populations in Expertise: All types of lung infection treated the world (1,700). with special expertise in bronchiectasis, primary ciliary dyskinesia, antibody deficiency, Occupational and environmental allergic bronchopulmonary aspergillus and lung disease mycobacterial infections. Expertise: Occupational asthma, asbestos- Additional information: Over 650 patients related disease, extrinsic allergic alveolitis, treated annually for lung infection. Protocols pneumoconiosis including silicosis and hard developed which are now used internationally. metal disease. Additional information: Worldwide reputation developed after extensive research studies over the past 30 years. Busiest occupational and environmental lung disease service in Europe.

12 intensive care units. internationally, for expert treatment in adult from hospitals around the UK and to manage acute respiratory failure admitted Additional information: Patients with difficult disease) and chest wall conditions. (including congenital defects and motor neurone associated with COPD, neuromuscular conditions chronic and recurrent acute respiratory failure Expertise: Chronic and acute respiratory failure Brompton/lmperial research. reduction surgery, reflect outcomes of this Royal National guidelines on COPD, and on lung volume reduction treatment currently underway. Additional information: Research into lung lung health and coping with breathlessness). (tailored exercise programmes with advice on nutritional advice and pulmonary rehabilitation COPD including medication, vaccination, Expertise: and emphysema) Disease (COPD - chronic bronchitis Chronic Obstructive Pulmonary Particular expertise in treating Comprehensive services to treat condition. Over 1,000 patients currently treated. pioneered major advances in treatment of the Additional information: Trust experts have centre in Europe. patients with cystic fibrosis in the largest Expertise: Cystic Fibrosis (CF) conducted into sleep disordered breathing. obstructive sleep apnoea. Extensive research largest centres for CPAP, treating 3,000 for Additional information: One of the UK's three diagnostic sleep studies. treatment (CPAP) forsleep apnoea following Expertise: Sleep disordered breathing 1,000patients in this programme. home(domiciliary ventilation) with some centre providing respiratory support at Additional information: Largest European dystrophy and curvature of the spine. chest wall conditions such as muscular adults and children with neuromuscular and Expertise: Domiciliary ventilation Respiratory support at home for Comprehensive treatment for Continuous Positive AirwayPressure 13

private patients centre Royal Brompton & Harefield

> Heart failure and congenital heart disease

Our consultant surgeons offer the full range of surgical procedures and have particular expertise in complex cardiac surgery, including transplantation. Our cardiologists treat a wide range of cardiac diseases using both invasive and non-invasive procedures. Royal Brompton has one of the largest adult congenital heart disease units in the country, offering fetal, paediatric and adult services.

Valve repair or replacement Surgical intervention to treat heart failure Expertise: Expertise in valvular surgery includes Expertise: Specialists in heart transplantation aortic valve repair and replacement with a full and implantable mechanical assist devices range of prostheses (mechanical, biological, (Left Ventricular Assist Devices - LVADS, or homografts and autografts).Expertise in aortic “artificial hearts”). valve includes valve pressurisation and ross Additional information: Over 1,200 transplant procedures. Particular expertise in both simple patients attend regular check-ups. Around and complex repair of the mitral valve. 35LVADs fitted each year. Cutting edge research Additional information: Valve replacements supports the programme. undertaken for over 40 years, pioneering techniques are now standard. Ten cardiac Revascularisation (Heart bypass surgery) surgeons specializing in adult cardiac surgery Expertise: Full range of procedures including perform hundreds of valve replacements and on and off-pump Coronary Artery Bypass Grafts repairs annually, and have excellent success rates. (CABG) and robotically assisted keyhole surgery. Hybrid procedures carried out for multivessel disease: keyhole surgery followed by stenting undertaken by cardiologists. Additional information: Over 1,000 heart- bypass operations performed in 2005/2006. High success rates for bypass surgery.

Surgery for arrythmia Expertise: Different modes of ablation for atrial fibrilation. Additional information: Usually performed with other cardiac procedures: has promising long-term success rates.

14 > Thoracic surgery centre patients private

The Trust is a major centre for lung, chest Cancers of the chest and oesophageal cancers and non-malignant Expertise: Surgical treatment for lung, thoracic surgery, and is the leading provider chestand oesophageal cancers (and non- of complex thoracic surgery in the UK. Our malignant thoracic surgery), including multi-disciplinary teams include surgeons, cryosurgery. Specialists in complex histopathologists, radiologists, specialist thoracic surgery. nurses, palliative care specialists and Additional information: One of the largest oncologists, allowing each patient to have a chest surgery services in the UK – more than 'consensus treatment plan' with immediate 2,300 inpatients cared for each year. Complex access to the best treatment available. surgery for patients with 'inoperable' cancer.

Coronary angioplasty and/or coronary Electrophysiology and cardiac pacing artery stenting (for the treatment of Expertise: Electrophysiology studies performed narrow or blocked arteries) to detect abnormalities of heart rhythm. Radio Expertise: Expertise in single and multivessel frequency ablation to treat electrical angioplasty and stenting. Undertaken in seven malfunctions of the heart through high purpose-built catheter laboratories. powered radio waves. Fitting of pacemakers and Additional information: Over 2,400 coronary implantable cardioverter defibrillators (ICDs). angioplasty procedures performed in Additional information: Around 500 2005/2006. Primary angioplasty service at electrophysiology procedures performed in has fastest "door to 2005/2006, more than any other London procedure" rate in the country. UK's first hospital trust. Over 1,200 admissions for cardiac coronary angioplasty took place at Royal pacing procedures. Brompton in 1980 and the First coronary stent was implanted in 1988. Angiogram/cardiac catheterisation (to detect narrow or blocked arteries) Expertise: Advanced X-ray imaging, including three-dimensional investigation of arteries with biplane angiographic equipment at both hospitals. Additional information: Catheter laboratories among the most advanced in Europe for investigative and invasive procedures. Over 3,000 angiograms performed in 2005/2006 by teams of cardiologists, nurses, radiographers and cardiovascular technicians.

15 Royal Brompton & Harefield

> Paediatric services

Royal Brompton is an internationally recognised centre for the surgical treatment of neonatal and infant congenital heart disease. Our paediatric work covers respiratory medicine, cardiology, fetal cardiology and cardiothoracic surgery. An extensive multi- disciplinary team supports the nursing and medical staff.

Babies and children are cared for in our specialist paediatric unit. This offers play and schoolrooms specially designed to minimise the unease children - and their parents – might feel when staying in a hospital. Our children's intensive care unit is also located here, offering immediate accessibility 24 hours a day.

In the recent national assessment of services for children we achieved an ‘excellent’ rating, and our fetal cardiology service has recently been expanded. We have accommodation for parents located in the floor above the children’s ward and in other parts of the hospital.

Fetal cardiology Electrophysiology Expertise: Largest UK fetal cardiology service with Expertise: Largest national referral centre for five specialist fetal cardiologists. Prenatal children with heart rhythm problems: full range of ultrasound scans from as early as 12 weeks. transcatheter and pacing interventions undertaken. Prenatal intervention (e.g. to open heart valves) Additional information: More paediatric undertaken in limited number of cases. electrophysiology procedures undertaken than any Additional information: Continuity of care from other healthcare organisation in the UK. Specialist pregnancy to birth and beyond, with close links to clinics for certain problems, including brugarda obstetrics units. Trust specialists lecture worldwide on syndrome. prenatal screening for heart disease. Specialists also involved in worldwide research projects. Respiratory medicine Expertise: All types of paediatric respiratory Paediatric cardiac surgery and cardiology conditions diagnosed and treated from congenital Expertise: Full range of diagnostic and surgical lung malformation to habit coughs. Specialist interventions and cardiological catheter diagnostic tests including flexible bronchoscopy, interventions (including various types of 'holes in high resolution CT scanning, lung function the heart'). Diagnostic cardiac catheterisation. measurements, sweat testing and exercise capacity Paediatric intensive care unit for medical and post- measurements, sleep studies, gastro-osesophageal- operative care. Paediatric cardiac murmur clinic for reflux and immunology and allergy tests. Services diagnosis and treatment. include non-invasive ventilation and diagnosis and Additional information: Children cared for by treatment of primary ciliary dyskinesia. dedicated paediatric nurses with support from Additional information: Leading centre in Europe cardiac nurse specialists. Paediatric services were for the treatment of paediatric cystic fibrosis, one given the highest possible rating by the UK of a small number of centres to provide domiciliary Government's Healthcare Commission. ventilation support. Specialise in difficult asthma cases and empyema management.

16 the UK and abroad. weaning problems referred from hospitals both in difficult to manage acute respiratory failure and is recognised throughout Europe. Patients with Additional information: our expert nursing and medical staff. intensive care units, staffed 24 hours a day by Expertise: family members, are encouraged to visit. for ouryounger patients. Visitors, usually equipped with the latest technology to care Care unit (PICU) has 20critical care beds respiratory disease. OurPaediatric Intensive cardiological compromise and severe patients with congenital heart disease, cardiothoracic patients, as well as care for and provide postoperative care for comprise a total of38intensive care beds hospitals. The two intensive care units critical care services to patients at both Anaesthesia provides expert anaesthetic and The Department ofCritical Care and Intensive care facilities > Comprehensive clinical support Fully equipped state-of-the-art Expertise of these units diagnostic, treatment and support services. departments offera broad spectrum of clinical psychology, dietetics and pharmacy physiotherapy (rehabilitation and therapies), Our on-site pathology (laboratory medicine), more invasive procedures. patients will now nolonger needother coronary heart disease. As a result, many which have the capacity to diagnose early dedicated cardiac CT and CMR scanners Harefield hospitals have invested in investigated. Both Royal Brompton and revolutionised the way cardiac patients are Investment in imaging technology has Imaging and diagnostics non-invasively. coronary artery blockage scanners used to assess Two state-of-the-art 64 slice heart) undertaken at the Trust. workload (high definition scans of the Cardiovascular Magnetic Resonance imaging Additional information: and fluoroscopy. scans, and Cardiac Magnetic Resonance (CMR) including ultrasound, nuclear medicine, CT Expertise: Full range of imaging services 70% of the UK's 17

private patients centre Royal Brompton & Harefield

personalised service and specialised care 24 hours a day, seven days a week

We undertake over 137,000 outpatient appointments and nearly 32,000 inpatient stays a year: the highest quality care is provided to each and every person who attends our hospitals.

On an annual basis our staff perform: > 3,200 angiograms/cardiac catheterisations > 2,200 thoracic surgery operations > 2,000 coronary angioplasties > 1,200 treatments for respiratory failure > 1,200 heart bypass operations

Our private patients arrive from all over the world confident that they will receive first class, round-the-clock care and treatment.

Care is provided in comfortable surroundings in private wings within the main hospital buildings, 24 hours a day, seven days a week, whatever the circumstances.

As you would expect of an internationally recognised hospital, we ensure that all patients' cultural and religious needs are respected during their stay with us.

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private patients centre Royal Brompton & Harefield

Our rooms come equipped with a telephone, room safe ‘and television, screening domestic and satellite channels’ 20 requests from local providers when possible. grown. We will bepleased to source particular Much ofourproduce is organic and locally size. treatment and you can select your portion needs as a result ofyour condition or organise meals if you have special dietary individual dietary needs. Ourdieticians will recovery and we will work hard to meet your Food is a really important part ofyour vegetarian, Asian, Halal and Kosher diets. diabetic, weight reducing, healthy eating, our à la carte menu orfrom meals suitable for dedicated kitchens. Patients can select from exclusively forourprivate patients in our Our chefs offera wide choice ofcuisine Catering services available upon request. and a wide variety ofoverseas papers are complimentary newspaper is delivered daily interpreter is available should you needone. A pack of toiletries fortheir stay with us. An pleased to offerourpatients a complimentary domestic and satellite channels. We are also telephone, room safe and television screening bathrooms. They come equipped with a single occupancy rooms with en-suite Our private patients benefit from comfortable Inpatient accommodation additional support. support worker are all based onsite to provide patient radiographer, support nurse and clinical consulting rooms and a dedicated private is responsible forthe daily management ofthe A nursing sister trained in cardiothoracic care facilities. designated play area and baby changing outpatient rooms are equipped with a restful patient lounge. Ourpaediatric treatment room, x-ray facilities, kitchen and a outpatient suite comprising consulting rooms, by ourconsultants in a well-appointed Outpatients Clinic. Private outpatients are seen Royal Brompton environment ofthe attentive care at all times in the relaxing Outpatients can beassured ofthe most Outpatients 21

private patients centre Visiting hours for both adults and children are children and adults for both hours Visiting the with liaise visitors that ask only we flexible; times best the about staff nursing appropriate visit. to be a can hospital to coming that recognise We do will we so for many, time worrying as us with stay your make to can we everything possible. as comfortable as and safe

Visitors to Harefield Hospital's private patient private Hospital's Harefield to Visitors Parkwood at of facilities benefit the have centre house hotel-style friendly, small, a House, or single offering grounds hospital the within rates. reasonable very at rooms double Visitors patient our private hospitals both At arrange can team administration or provide hospital the within accommodation hotels of local number a about information range. price varied a within 22

Royal Brompton & Harefield ‘ times to visit with nursing staff about the best we only ask that visitors liaise Visiting hours are flexible; ’ 23

private patients centre

All enquiries will be treated in the strictest the in treated be will enquiries All will information personal any and confidence Data UK’s the with accordance in held be Act. Protection Harefield Hospital Harefield 857 828 (0)1895 +44 Telephone: [email protected] Email: Royal Brompton Hospital Brompton Royal 8830 7351 (0)20 +44 Telephone: [email protected] Email: If you would like to find out more about Royal about more out find to like would you If visit please Hospitals Harefield and Brompton telephone or www.rbht.nhs.uk/private-patients will who managers centre patients private our detail in requirements your discuss to happy be have. may you questions any answer and and contact information contact and location 24

Royal Brompton & Harefield hospital’s general finances to support research initiatives and improvements. This benefits all patients. All income generate by the provision ofprivate health units within NHS hospitals goes back into the account to besettled directly by them. If you have health insurance with a recognised UK company, we can, in most cases, arrange foryour prices, when compared to a great many comparable private institutions are very competitive. Our pricing policy is based onthe principle that it should besimple, openand fair. We believe our pricing policy 25

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Royal Brompton & Harefield 27

private patients centre Royal Brompton Hospital Harefield Hospital Private Patients’ Centre Private Patients’ Centre Sydney Street Hill End Road London SW3 6NP Harefield, Middlesex UB9 6JH Tel. +44 (0)20 7351 8830 Tel. +44 (0)1895 828 857 Textphone (18001) 020 7351 8830 Textphone (18001) 01895 828 857

Website: www.rbht.nhs.uk/private-patients Website: www.rbht.nhs.uk/private-patients Email: [email protected] Email: [email protected]