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The introduction of Primary Percutaneous Coronary Intervention (PPCI) has seen a significant growth in the out of hours workload for interventional cardiologists. Very few medical specialties require the immediate return of senior medical staff to hospital on a 24/7 basis, where they are required to perform complex procedures in often very sick patients. This pattern of work is very disruptive to family life and involves regular sleep disturbance. Interventional cardiology risks becoming an unpopular specialty.
There is a perception that the time has come for a review of the working arrangements for consultant interventional cardiologists in the UK. The purpose of this document is to review the traditional arrangements and outline other options that are available under the current NHS consultant contract.