About One Heart

The One Heart CHD Network is a congenital heart disease network supporting cardiac care within the region of London and East of England. Hosted by Great Ormond Street Hospital for Children, the Network prides itself on working collaboratively to streamline pathways of care, support network units to improve services and ensure the highest standard of care is delivered, as close to home as possible. 

Congenital heart disease (CHD) is the term for a range of defects in the heart or surrounding blood vessels that are present from birth. CHD is one of the most common birth defects, affecting up to eight in every 1,000 babies born in the UK. 

With advances in medicine, including earlier diagnosis, improved surgical techniques and advanced treatments, many more babies born with a congenital heart condition are living into adulthood. As a result, adults with congenital heart disease or ‘grown up congenital heart disease’ (GUCH), now outnumber the babies and children with a heart condition.

Aim and Vision

What is Congenital Heart Disease?

Congenital Heart disease is the term for a range of defects in the heart or surrounding blood vessels that are present from birth. CHD is one of the most common birth defects, affecting up to eight in every 1,000 babies born in the UK. With advances in medicine, including earlier diagnosis, improved surgical techniques and advanced treatments, many more babies born with a congenital heart condition are living into adulthood. As a result, adults with congenital heart disease or grown up congenital heart disease’ (GUCH), now outnumber the babies and children with a heart condition.

The One Heart Congenital Heart Disease (CHD) Network officially launched as an Operational Delivery Network in 2019, following the publication of a national service specification and standards for CHD services in 2016.The Network is an NHS England commissioned and funded congenital heart disease operational delivery network supporting fetal, paediatric and adult cardiac care within the region of London and East of England. Hosted by Great Ormond Street Hospital for Children, the Network prides itself on working collaboratively to streamline pathways of care, support network units to improve services and ensuring the highest standard of care is delivered, as close to home as possible.

The Network supports patients, families, clinicians and organisations by providing access to specialist resources, education, and expertise. It helps to deliver improvement programmes; that coordinate patient pathways, built on a foundation of objective data to support best practice, reflective of national and international guidance.

To support the delivery of high quality, safe, and effective services across the Network footprint that are delivered with the latest evidence based models of care and that meet the NHS Service Specifications and other key regional and national performance frameworks and standards deliver services in a

Ensuring work plans are delivered within the financial resources allocated.

To engage with regional, national and international stakeholders in our fields of expertise

To help to develop a highly skilled, highly motivated, multidisciplinary workforce by embedding a culture of continuous education and workforce development throughout our network; facilitated by the development of partnerships with provider educators and HEE/universities

To reduce health inequalities and ensure future services are developed that reflect local population health needs

To promote the GIRFT principle of ‘care closer to home’, ensuring patient pathways align with local systems and are more streamlined for patients/families/carers.

The One Heart CHD Network is focused on:

Meet the team

Dr Victoria Jowett

Clinical Director

Dr Victoria Jowett was appointed as the clinical director of One Heart Network in June 2024. She is a consultant fetal and paediatric cardiologist and clinical lead for the fetal cardiology service at Great Ormond Street Hospital.

At a national level she is president elect of the British Congenital Cardiac Association and a member of the congenital heart disease Clinical Reference Group (CRG). In 2021 she led the working group to produce the British Congenital Cardiac Association national standards in fetal cardiology.

She is passionate about the development of network models to provide optimal lifelong care and a positive patient experience for patients with congenital heart disease. She has a strong interest in education and training, having been training programme director for London Deanery paediatric cardiology from 2017- 2024, she regularly lectures and teaches on courses and is enthusiastic about the development of education and training in the network.

Adrienne Cottam

Lead Nurse

The primary aim of our One Heart Network is to bring together the clinicians, commissioners, patient and parent representatives, and other stakeholders to meet NHS England’s CHD Standards. Whilst there is a small team coordinating the network, our success is dependent on the commitment and energy of all those involved with CHD services across the region and in particular the team of expert clinical nurse specialists I collaborate with at Great Ormond Street Hospital.  I am humbled by the enthusiastic support of stakeholders from clinical, nursing and managerial staff in our One Heart Network. I’m especially grateful to colleagues in our adult congenital cardiology services at St Bartholomew’s hospital. The physical distance between our paediatric and adult sites in central London does not inhibit wonderful collaboration on impactful projects including patient events and particularly work on our ACHD Menopause project for 2023 /2024.

I spent many years nursing all ages of cardiac patients and feel proud of my unique understanding of the lifetime of care our patients and their families undertake with us. I delighted in building trusting relationships with young people and their parents in a secondment to Cardiac Transition, recognising the positive impact in loss to follow up of strong, supportive transparent relationships.

In 2015 I moved away from clinical care and into a new area of work- digital innovation in healthcare. It was a steep learning curve! I persevered and now recognise the absolute value of clinical involvement in developing digital innovation and including patient voice in co designing service enhancement. As a leader in digital innovation, I prioritise modelling a culture of inclusivity and transparency, accepting negative feedback and failure as welcome opportunities to learn.

In the first wave of the global pandemic, I was asked to rapidly develop and implement a national digital referral for adult respiratory ECMO. I feel proud of this very successful project and proud too of the clinicians who allowed short term disruption to service delivery processes during the very worst possible moment to enhance patient information flow and patient safety. I am a passionate advocate of getting the right information to the right people at the right time. I work with great energy to support, design and deliver digital innovation for our Network, with the goal of allowing Network clinicians robust access to CHD patient information, and for patients to manage their own care through family and patient facing apps and virtual ward environments.

The Pandemic gave us the opportunity to rapidly build and deliver a vast co -designed online education programme for Network nurses. In collaboration with the great Ormond Street specialist education team and Network nurse educators we deliver an enormous programme of free online education , pitched at Network clinicians. Feedback has been positive, and we broadened our reach to offer the education nationally. The sea change in education modalities brings opportunities for achieving what I see as the ‘holy grail’ – free specialist Cardiac nursing education at ‘home’.

Kate Plunkett-Reed

Network Director

Kate has been with the Network since 2019, Kate brings over 8 years’ experience as a senior operational and strategic manager in the NHS, together with over 10 years in the private sector, including working for Kraft Foods in Switzerland as part of their change management team. Her NHS experience includes previous experience in paediatrics with operational, surgical and theatres management experience in an acute hospital setting. She has previously managed operational delivery networks in paediatric burns and paediatric major trauma.

Gillian Riley

PECs Echo Training Lead

My career started in adult cardiology but I have worked in the echo department at GOSH for nearly 25 years and in that time I have scanned quite a lot of children and 1 gorilla. I enjoy working in paediatrics and have no intention of going back to the adult world!  Over my time at GOSH I have become increasingly involved in education and training, including helping people as they scan at the bedside, running our echo courses here at the hospital and teaching on the morphology courses at UCL.  I have also supported several PECS through their EACVI exams and the associated logbook. 

I was pleased to be appointed to the post of PECS echo training lead for the One Heart Network in January 2023 and have enjoyed developing  a training programme including regular webinars, half-day training days and visiting several centres around the network to support and help train the different units

North Thames Paediatric Network
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