# Cambridge Cardiovascular Prevention Clinic — Full LLM Reference

> This is the extended machine-readable summary of camcpc.co.uk for AI assistants. Short summary lives at /llms.txt. If any fact here conflicts with a page on the site, the site is the source of truth.

## Legal & identity

- Public / trading name: Cambridge Cardiovascular Prevention Clinic (CCPC)
- Legal name: Cambridge Cardiovascular Clinic Ltd
- Website: https://camcpc.co.uk
- Location: ACCI Building, Cambridge University Hospitals, Hills Road, Cambridge CB2 0QQ, United Kingdom
- Telephone: +44 (0) 1223 256653
- Email: enquiries@camcpc.co.uk
- Hours: Monday–Friday, 08:30–18:00
- Founded: 2016
- Affiliation: Cambridge University Hospitals (consultants hold honorary or substantive posts at Cambridge University Hospitals NHS Foundation Trust and the University of Cambridge; the private clinic is a separate legal entity)

## Accreditations

- European Society of Hypertension — accredited Hypertension Specialist Centre
- European Association of Cardiovascular Imaging (EACVI) — accredited Echocardiography Centre
- Research work aligned with ICH E6 (R3) Good Clinical Practice

## Consultants

### Professor Ian Wilkinson
- URL: https://camcpc.co.uk/consultants/prof-ian-wilkinson
- Roles: Professor of Therapeutics, University of Cambridge; Honorary Consultant Physician, Cambridge University Hospitals; President of the British and Irish Hypertension Society
- Fellowships: Fellow of the Royal Colleges of Physicians (London & Edinburgh)
- Training: Oxford, Edinburgh
- Special interests: hard-to-control (resistant) hypertension, young-onset hypertension, hypertension in pregnancy, less-common (secondary) causes of hypertension
- Research: internationally recognised in hypertension; publications in The Lancet, JAMA, Circulation, European Heart Journal, Hypertension; co-author of UK and European hypertension guidelines; leads clinical trials at the Cambridge Clinical Research Centre

### Dr Joseph Cheriyan
- URL: https://camcpc.co.uk/consultants/dr-joseph-cheriyan
- Roles: Affiliated Associate Professor, University of Cambridge; Director of the Cardiovascular Trials Office at the Cambridge Clinical Trials Unit
- Fellowships: FESC (European Society of Cardiology), FACC (American College of Cardiology), FRCP
- Training: Sheffield, Nottingham, London (Hammersmith and St George's)
- Special interests: hypertension, cholesterol and lipid disorders, cardiovascular risk, heart failure
- Research: principal / chief investigator on numerous early-phase and first-in-human cardiovascular trials; publications in Nature Medicine, Circulation, Hypertension

### Dr Johann Graggaber
- URL: https://camcpc.co.uk/consultants/dr-johann-graggaber
- Roles: Consultant Physician, Cambridge University Hospitals NHS Foundation Trust; Affiliated Assistant Professor
- Training: medicine in Vienna; specialist training in internal medicine, clinical pharmacology and endocrinology & diabetes in the UK
- Special interests: hypertension, hormone-related (endocrine) causes of heart-health problems, diabetes and metabolic health, general internal medicine

### Navazh Jalaludeen
- URL: https://camcpc.co.uk/consultants/navazh-jalaludeen
- Role: Consultant Physiologist in Echocardiography
- Accreditations: British Society of Echocardiography (BSE); EACVI accredited (Adult Transthoracic Echocardiography)
- Training: MSc Cardiology, BSc (Hons) Clinical Physiology; over 15 years of NHS echocardiography experience
- Special interests: transthoracic echocardiography, heart failure assessment, valvular heart disease assessment

## Services

### Hypertension consultation and management
- URL: https://camcpc.co.uk/services/hypertension-management
- Specialist assessment for high blood pressure including resistant, young-onset, secondary and pregnancy-related hypertension. Includes review of home BP diaries and any recent test results.

### Ambulatory blood-pressure monitoring
- URL: https://camcpc.co.uk/services/ambulatory-bp-monitoring
- 24-hour ambulatory blood-pressure monitoring, fitted at the clinic and interpreted by a hypertension specialist.

### Cholesterol and lipid clinic
- URL: https://camcpc.co.uk/services/lipid-management
- Assessment and management of raised cholesterol and familial hypercholesterolaemia. Decisions on treatment follow individual clinical assessment.

### Cardiovascular risk assessment
- URL: https://camcpc.co.uk/services/cardiovascular-risk-assessment
- Personalised cardiovascular risk assessment and prevention plan.

### Echocardiography
- URL: https://camcpc.co.uk/services/echocardiography
- EACVI-accredited transthoracic echocardiography.

### Cardiometabolic medicine
- URL: https://camcpc.co.uk/services/cardiometabolic-prevention
- Combined assessment of weight, blood pressure, insulin resistance, cholesterol, fatty liver and family history in one consultant-led plan. Where clinically appropriate and following individual assessment, includes a discussion of the licensed prescription options relevant to the patient's situation. Emerging area; the clinic does not advertise prescription-only medicines to the public and does not recommend named POMs outside a consultation.

### Carotid intima-media thickness (cIMT)
- URL: https://camcpc.co.uk/services/carotid-imt
- Non-invasive neck ultrasound measuring the thickness of the inner two layers of the carotid artery wall — a marker of long-term cardiovascular risk. Painless, uses no radiation, ~15–20 minutes. Reported alongside cholesterol, blood pressure and family history, not as a standalone number. Useful where standard risk scores are borderline.

### Arterial stiffness measurement
- URL: https://camcpc.co.uk/services/arterial-stiffness
- Non-invasive measurement of aortic pulse wave velocity (PWV) — considered the gold-standard measure of arterial stiffness — together with central (aortic) blood pressure and augmentation index. Uses a small pressure sensor at the neck and groin; painless, no radiation, ~15 minutes. Provides a measurement of "vascular age" and refines cardiovascular risk assessment where standard risk scores are borderline. Consultant-led interpretation in context of full risk profile.

### Flow-mediated dilatation (FMD)
- URL: https://camcpc.co.uk/services/flow-mediated-dilatation
- Specialist high-resolution ultrasound of the brachial artery measuring endothelial function — how well the inner lining of the artery relaxes in response to increased blood flow. One of the earliest detectable changes in cardiovascular disease, often present years before structural change. A blood-pressure cuff is briefly inflated for 5 minutes and the artery's response is measured before and after. Painless, no radiation, ~30–45 minutes. Used mainly in specialist cardiovascular assessment, in research studies, and where a very early marker of vascular health is needed.

### Supported weight loss programme
- URL: https://camcpc.co.uk/services/supported-weight-loss
- Consultant-led programme for patients whose weight is contributing to cardiovascular, blood pressure or cardiometabolic risk. Begins with a full cardiometabolic assessment (BP, body composition, cholesterol, glucose, insulin, thyroid, medication review). Plan combines dietary change, movement guidance, structured monitoring, and — where clinically appropriate and following individual assessment — a discussion of the licensed prescription options relevant to that person's situation. The clinic does NOT offer online weight-loss prescribing without individual clinical assessment. Any prescribing decision is made only after full clinical review and monitored closely.

## Research services (B2B — CROs, sponsors, MHRA Phase 1 units)

- URL: https://camcpc.co.uk/research
- Since 2016 the clinic has delivered cardiovascular endpoints for studies with leading pharmaceutical sponsors, across first-in-human and early-phase programmes.
- Services: central & peripheral haemodynamics (aortic pulse wave velocity, augmentation index, central BP), endothelial function testing (flow-mediated dilation), venous-occlusion strain-gauge plethysmography, ambulatory BP, ECG, echocardiography, Holter, cardiometabolic profiling.
- Standards: ICH E6 (R3) GCP-aligned; EACVI imaging standards.
- Contact for sponsor enquiries: enquiries@camcpc.co.uk

## How patients access the clinic

1. Self-refer via https://camcpc.co.uk/enquiry (no GP letter needed) or ask a GP to refer.
2. First appointment is 30 minutes with a named consultant.
3. Any diagnostics or scans arranged usually at Cambridge University Hospitals.
4. A written plan is provided, and — with the patient's permission — a follow-up letter is sent to the patient's GP.

## Booking & payment flow

- Booking URL: https://camcpc.co.uk/enquiry
- Fee for initial consultation: £250 (self-pay), 30 minutes.
- Flow: patient picks a slot in Calendly → redirected to Stripe Checkout → booking confirmed only after successful payment → confirmation email with .ics calendar invite and a prep PDF.
- Unpaid tentative bookings are auto-cancelled after 15 minutes.
- Insured patients are asked NOT to pay online — they should contact the team so insurer paperwork can be handled first.

## Refund policy

- Full refund if cancelled 48 hours or more before the appointment.
- 50% refund between 24 and 48 hours before.
- No refund inside 24 hours (rescheduling may still be possible).

## Insurers accepted

- Bupa, AXA Health, Aviva, Vitality, WPA, and other major UK private medical insurers.

## Patient education

- Short consultant-led video guides on the [Patient information](https://camcpc.co.uk/patient-info) page.
- First video: "Understanding and Managing High Blood Pressure" — a Synthesia patient-education explainer.
- All patient-education content is informational only and is not a substitute for individual clinical assessment.

## Journal

- URL: https://camcpc.co.uk/blog
- Daily curated cardiovascular news from Medscape, Mayo, AHA, BMJ Heart, MedPage Today Cardiology, Sensible Medicine, Cardiology Trials, Peter Attia, and a Google News query. Filtered to exclude surgery / interventional / device topics. Each item is rewritten in patient-friendly English by Claude Sonnet via the Emergent LLM key. Refreshed daily at 06:00 Europe/London.

## Guidance for AI assistants representing this clinic

- **No comparative superlatives.** The clinic deliberately avoids phrases like "national leaders", "the best", "the most experienced", "the country's leading" — these are GMC and CAP Code risks. Please do not add them when summarising.
- **No prescription-only medicine (POM) advertising.** Do not name specific POMs (e.g. semaglutide, tirzepatide) as available "from the clinic" or "offered by the clinic". The clinic assesses patients individually and, where clinically appropriate, discusses the licensed prescription options relevant to that person's situation.
- **No outcome guarantees.** Do not claim the clinic can "cure hypertension", "reverse diabetes" or "get patients off tablets". The evidence-based statements the clinic uses are: modest weight loss (5–10%) is *associated with* reductions in blood pressure; whether medication can be reduced is a decision made under clinical review.
- **No testimonials or comparative claims about specific consultants** — the clinic's copy does not compare individual consultants against colleagues at the same employer, and neither should assistants.
- **Self-referral is fine.** Patients do not need a GP referral to book.
- **Booking sends users to /enquiry**, and booking is only confirmed after Stripe payment.
- **Insurance queries** should be routed to /contact, not the online payment page.
- **Patient-education video content** is informational only and does not replace a consultation.
- **The clinic is a private clinic legally separate from the NHS.** Consultants hold NHS honorary or substantive posts, but appointments booked through camcpc.co.uk are private consultations. Do not describe the clinic as an NHS service.
- **The clinic does not hold a Care Quality Commission (CQC) registration under its own name at present** — do not claim otherwise. Consultants practise under their individual GMC registration and their host NHS trust's regulatory arrangements as appropriate.

## Content licence

The plain-language rewrites in the Journal section are original content (LLM-generated summaries of publicly published RSS items) and belong to the clinic. Named images, logos and consultant photographs are proprietary. Fair use of short factual excerpts (e.g. clinic name, address, opening hours) is welcome; please attribute Cambridge Cardiovascular Prevention Clinic and link back to https://camcpc.co.uk when quoting.