Christopher Primus

Cardiologist @BartsHospital & @UCLH #HeartFailure #InfectiveEndocarditis #yescct #PhD. Personal opinions.

[Christopher Primus @primustime]

Delighted to be shortlisted @HSJ_Awards 2025 for STaRT-HF: Structured Titration and Rapid Treatment for #HeartFailure across @NHS_NELondon delivering remote monitoring & individualised care, transforming treatment for people living with HF. Couldn't be prouder of the team!

[Louella Vaughan @DrLKVaughan]

Disappointing from @aliceTTimes!

Full of misapprehension, if not misinformation.

1. The ask has ALWAYS been full pay restoration. Doctors are not worth 30% less than they were in 2008.
1/

https://t.co/aCx9wtu2lL

[Louella Vaughan @DrLKVaughan]

Voting closes MONDAY for the @RCPhysicians elections!

I am running for Vice President for Education and Training.

Fellows and Collegiate Members, exercise your franchise and cast your vote!

[Segun Olusanya (He/Him) [email protected] @iceman_ex]

This headline is ableist trash.

Shame on you @michaelsearles_ for writing such utter nonsense.

Expect a strong written rebuttal in due course.

Dr O Olusanya
Consultant Intensivist, St Bartholomew’s hospital
GMC 6100365

[BCIS-4 Trial @BCIS4Trial]

🚨: St Bartholomew's Hospital have randomised their seventh participant - bringing the study total to 72! 🥳Great teamwork 💪🎉 #BCIS4 @NHSBartsHealth @primustime

[Christopher Primus @primustime]

@DrLKVaughan This drives me mad too. The original assertion was that a CNS should have comparable knowledge in their narrow scope, eg heart failure, as an ST5, ie a gen cardio SpR doing HF work. Never that they had the knowledge/expertise of an ST5 cardiologist. Never equivalence. Nuance key.

[David Warriner @DrDavidWarriner]

Big congrats to @primustime & colleagues on this really interesting paper comparing CTCA and TOE in detection of complications of PVE. #CardioEd #cardiotwitter

@Heart_SCCT @journalCCT

https://t.co/UGzx1ihNqh

[Ortus-iHealth @Ortus_iHealth]

START-HF #HSJAwards2025 shortlist. Pharmacy led, virtual, structured titration, rapid treatment, at scale. Max-tolerated therapy in weeks v mths, mortality reduced, patients feeling better, living longer. @primustime presents https://t.co/TfLT2LpQwv

[Christopher Primus @primustime]

Virtual wards for acute #heartfailure are the aim from @NHSEngland

Are they safe? Are HF teams embedded in patient pathways? What are the barriers for care closer to home?

Complex comorbidity and social care are significant challenges @uclh, but #teamwork works! #BSHAM25

[Christopher Primus @primustime]

Results of 6 months of STaRT-HF: Structured Treatment and Rapid Titration for #heartfailure at #BSHAM25

14 months in, 225 diverse north east London patients, aged 18-92. Meaningful 📈 in cardiac function and 🚨zero🚨HF admissions.

Find out more: https://t.co/51lBrrbIhA

[Ortus-iHealth @Ortus_iHealth]

💡The ATLAS Virtual Ward lets low-risk NSTEMI patients to wait safely at home:
• 1,760 bed days freed
• 0% readmissions
• Inpatient stay cut from 7 → 3 days
🎥 Dr @Bhcintervention describes how https://t.co/jhk9Q7FZ42
#ClinicianVoices #DigitalHealth #Cardiology #NHS

[BCIS-4 Trial @BCIS4Trial]

Breaking 🚨: St Bartholomew's Hospital has just randomised their sixth participant - bringing the study total to 57! 🎉 Great teamwork 👏#ClinicalTrials #BCIS4 @NHSBartsHealth @primustime

[Ortus-iHealth @Ortus_iHealth]

💡Pharmacist-led, digital-first heart failure care
• 92% optimised across all four drug classes in weeks
• 0 30-day readmissions
• 659 outpatient appointments avoided
🎥Dr @primustime describes how it works: https://t.co/TfLT2LpiGX
#ClinicianVoices #HeartFailure #VirtualWards

[Rakesh Uppal @ru_nhs]

Fantastic News for patients. A dedicated, state of the art centre of excellence for Breast Cancer. Amazing contribution ⁦@Barts_Charity⁩ https://t.co/qC71DFExV1

[Christopher Primus @primustime]

@CarysBarton @CardRenalForum This looks right up my street!

[British Society for Heart Failure (old account) @BSHeartFailure]

Each year, 40–60k people in England are diagnosed with high-risk heart failure. Current waits of 7–8 weeks for echo mean 13% are hospitalised before review.

A 2-week pathway could cut this to under 5%, avoiding thousands of admissions and saving trusts and ICBs millions in costs and bed days.

St George’s University Hospitals NHS Foundation Trust, with NHS England, is seeking 5 additional pilot sites to fast-track adoption of the 2- and 6-week HF pathways by March 2026.

Funding of up to £40k is available, with support from NHS-approved transformation teams and HF clinical leaders.

For interested the sites, the EOI online form (https://t.co/UcuwpH4kLT) needs to be submitted by close of business Friday October 17th 2025.

For more information or to submit an EOI please contact [email protected]

[Samuel Watson @samwatson92]

I recently gave an interview to @kingshealth about our recent article on social deprivation and #endocarditis - check it out here: https://t.co/vpEykw4Ae0

@drdworakowski @primustime @JGrapsa

[Christopher Primus @primustime]

An insightful initial 2 days for Cohort 12 at @BH__Academy & @TheKingsFund Aspiring Medical Leaders programme with colleagues across @NHSBartsHealth and @NHSHomerton. Thank you @MrPramodAchan and team for dispatching us enthused, motivated, reflective and curious for next steps!

[Christopher Primus @primustime]

@samwatson92 @drdworakowski @JGrapsa @Dr_Kamatamu @NGFairhurst @_antocannata @ru_nhs @DrNileshPareek Absolutely delighted to see this collaboration between @NHSBartsHealth, @KingsCollegeNHS & @GSTTnhs published today, highlighting the impact of social deprivation in #infectiveendocarditis despite our universal healthcare system. Absolutely a call to action.

[Samuel Watson @samwatson92]

Our first paper from the London Endocarditis Research Network is out today in #EHJQCCO

https://t.co/NV4O4PCimE

Thank you to all of my co-authors! @drdworakowski @primustime @JGrapsa @Dr_Kamatamu @NGFairhurst @_antocannata @ru_nhs @DrNileshPareek

[Ortus-iHealth @Ortus_iHealth]

We’re finalists #HTNAwards2025 Best Use of Digital for Improving Care Pathways 🎉Bart's pharmacy-led Rapid Up Titration Pathway for Heart Failure delivers:
92% med optimisation
0% 30-day re-admissions
100% patient satisfaction
https://t.co/3b5SCs6keK
#VirtualWard #NHS