Borders

View our 2013 report for the Borders region.

Region overview:

Service commenced

April 2007

Total board population

112,870

Urban / rural

47% / 53%

Specialist HF nurse WTE posts

1.3 WTE (3 staff)

Further details:

(Actual number of staff)2008 - 2.5 WTE (3 staff)
SIGN Ratio1:86,823 2008 – 1:44,499)
Ave. caseload per post80 (community)
Individual patients managed by service (average year)140 patients
Service ProvisionHome visits 75% / Clinic Appointments 25%
Provision for HF-PEFNo
Administration support per week15 hours (across service)
Providing education to non-specialist staffYes - but only on an ad hoc basis to ward staff, GPs
Doctor with specialist interest in Heart FailureNone
Cardiac Rehabilitation available/number seenNo
Access to psychological support referral pathwayInadequate

Notes on current service provision

Large rural area with significant travel times between patient visits. One Heart Failure Nurse Specialist post and two Cardiac Specialist Nurses, who also provide support to the service with a small heart failure patient caseloads.

Funding in comparison to 2008

In 2008, NHS Borders had 2.5 WTE posts funded by the BHF (no longer funded by BHF). Health Board due to take on BHF funded post. Only 0.8 WTE now funded by NHS Borders but funding not secured and only at present until end March 2013. The Cardiac Specialist Nurses who support service are core funded by NHS Borders, but due to uncertainty of funding with the Heart Failure Specialist post, the service has been unable to develop.

Challenges

Uncertainty in ongoing funding and staff changeover in the cardiac services has been unsettling and has added to overall workload. Unable to provide cover to review patients when staff are on annual leave.

Development opportunities

Unfortunately the heart failure service has been unable to develop as we would have liked it to due to financial constraints and staffing, but we hope to initially develop more formal educational sessions within the community.