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Postural Tachycardia Syndrome: Health Services

Asked by Ben MaguireLiberal DemocratDepartment of Health and Social CareTabled Answered 5 June 2025UIN 54582

The question

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve the (a) diagnosis, (b) treatment pathways and (c) levels of clinical awareness of Postural Tachycardia Syndrome in the NHS.

Answered by Ashley Dalton

It is the responsibility of local integrated care boards to work with clinicians, service users, and patient groups to develop services and care pathways that are convenient and that meet the needs of patients with postural orthostatic tachycardia syndrome (PoTS).

The National Institute for Health and Care Excellence has published a clinical knowledge summary on the clinical management of blackouts and syncope, that provides advice for clinicians in the United Kingdom on best practice in the assessment and diagnosis of PoTS. This was last updated in November 2023, and is available at the following link:

https://cks.nice.org.uk/topics/blackouts-syncope/diagnosis/assessment/

General practitioners (GPs) are asked to investigate symptoms to ensure that it is not misdiagnosed. Following referral, patients are treated within National Health Service cardiology and neurology services. Where more specialist advice is required, a referral will be made to an appropriate clinician.

To improve awareness of PoTS amongst healthcare professionals, and specifically GPs, the Royal College of General Practitioners provides training on PoTS as part of its Syncope toolkit, which is available at the following link:

https://elearning.rcgp.org.uk/course/view.php?id=500

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