Sign In

Forgot your password?

Password Reset

Structural Intervention Group

The BCIS Structural Working Group was formed in 2017 to meet the demands of the increasing practice of structural cardiac intervention, in particular the exponential growth of TAVI as an intervention for aortic stenosis, which is continuing to grow worldwide. In addition to TAVI, there is now a large number of other structural procedures and techniques (each with several CE marked devices) which need oversight from BCIS as the UK Professional Society.

The group includes representatives from the Heart Rhythm Society, the Society for Cardiac and Thoracic Surgeons, British Congenital Cardiac Association, NICE and NICOR, as well as individuals representing each of the mainstream structural procedures. The purpose of the group is to improve the quality and practice of structural intervention in the UK by developing position statements, guidelines and research/innovation. We aim to improve the quality of structural intervention in the UK and address inequity of provision across the country. To achieve this the group works with other BCIS working groups, Professional Societies, NHS commissioners and regulatory bodies to highlight any problems and provide expert consensus opinion on how to overcome these.



other resources


Daniel Blackman


Jonathan Bryne

Valve for Life Representative

Helen Routledge

CSG Lead

Worcestershire Royal Hospital

CSG Chair
Stroke Thrombectomy Focus Group

Lee Graham

LAOO BHRS Representative

Hannah Patrick

NICE Representative

Enoch Akowuah

SCTS Representative


Suneil Aggarwal

Member Without Portfolio

Liverpool Heart and Chest Hospital

Interventional Cardiologist with a specific interest in Structural and Congenital Heart Disease

Michael Mullen

Member Without Portfolio

Barts Health NHS Trust


Robert Smith

Mitraclip Representative

Harefield Hospital

Dr Smith is an interventional cardiologist with a specialist interest in mitral and tricuspid transcatheter intervention. He leads one of the most experienced structural heart programmes in the UK at the Harefield and The Royal Brompton Hospitals. Aside from structural intervention, he is an experienced coronary and pacing operator.

Joanne Shannon

Non-Surgical Centre Representative

Frimley Park Hospital

Patrick Calvert


Royal Papworth Hospital

Richard Anderson

Wales Commissioning

University Hospital of Wales

Stuart Watkins

Co-opted PFO, PVL and BCCA Representative. Scottish Commissioning Representative

Golden Jubilee National Hospital

Mamta Buch

Co-opted, Clinical Lead for UK Transcatheter Mitral & Tricuspid Intervention Registry

Wythenshawe Hospital

Rajesh Kharbanda

Co-opted, Clinical Lead for UK TAVI Registry

John Radcliffe Hospital


David Hildick-Smith


Brighton & Sussex University Hospitals NHS Trust

Professor Hildick-Smith is a Cardiologist in Brighton with an interest in Clinical Research and Structural Heart Disease

Gerald Clesham

Honorary Secretary

Basildon Hospital

Consultant Cardiologist, Essex Cardiothoracic Centre

Dan McKenzie


Royal United Hospital, Bath