Every centre shares the same imaging, the same ITU and the same on-call rota — so escalation is a phone call inside one building, not a transfer across a city.
Four hybrid theatres, a 24-hour primary PCI service and structural heart procedures including TAVI and mitral clip.
Thrombolysis within the door-to-needle target and 24/7 mechanical thrombectomy on site.
Level 1 designation, helipad on the roof, consultant-delivered resuscitation around the clock.
34 level-3 beds, ECMO capability and a dedicated outreach team on every ward.
Two 3T MRI scanners, cardiac CT and interventional radiology reporting inside the hour.
Escalation
Most hospitals can list these six services. What matters is what happens at 03:00 when a patient in one of them deteriorates.
| Scenario | At Nova | Typical elsewhere |
|---|---|---|
| Ward patient deteriorating | Critical care outreach at the bedside within 10 min | Bleep the on-call, wait |
| Stroke needing thrombectomy | Neuro-interventional suite in the same building | Blue-light transfer, 40–90 min lost |
| PCI complication | Cardiac surgeon scrubbed in the adjoining theatre | Emergency transfer to a surgical centre |
| Trauma call with cardiac injury | Trauma and cardiac teams in the same resus bay | Sequential referral |
| Imaging needed out of hours | Consultant radiologist on site, reported in the hour | Remote reporting, next morning |
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