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Rapid access services are now an integral part of outpatient cardiology services
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Rapid access chest pain clinics are currently being developed throughout the country for the management of patients with suspected stable angina with a guaranteed waiting of no more than 2 weeks
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All other cardiology referrals should be seen with a waiting time of no more than 4 weeks
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Priority should be decided by careful screening of referral letter
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Optimal communication with general practitioners is fundamental to the success of cardiology outpatient services
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This must include clear guidelines on the indications for open access investigations, tailored referral and report forms, information on all clinics, and regular educational feedback meetings
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The future way in which clinics must be run requires major reorganisation and provision of adequate medical, nursing, and administrative personnel.
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Adequate IT facilities must be available to underpin an efficient and safe outpatient service.
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