Fife

View our 2013 report for the Fife region.

Region overview:

Service commenced

August 2004

Total board population

364,945

Urban / rural

79% / 21%

Specialist HF nurse WTE posts

2 WTE (2 staff)

Further details:

(Actual number of staff)2008 * 2 WTE (2 staff)
SIGN Ratio1:182,473 (2008 1:179,429)
Ave. caseload per post70 (community)
Individual patients managed by service (average year)238 patients
Service ProvisionHome visits 80% / Clinic Appointments 20%
Provision for HF-PEFYes – cardiologist referral with management plan in place
Administration support per week9 hours (across service)
Providing education to non-specialist staffYes – 1 hour sessions to GP surgeries raising awareness of service pathway and refresher on heart failure management
Doctor with specialist interest in Heart Failure1 Consultant Cardiologist (specialist interest)
Cardiac Rehabilitation available/number seenLimited - no referral pathway
Access to psychological support referral pathwayInadequate (waiting list of up to 6 months)

Notes on current service provision

In 2010, the service moved from management by the Acute Operating Division to within Primary Care. Service redesign is ongoing to ensure that the service is being utilised to maximum effect. An increase in telephone consultations and developing locality clinics allows us to continue to see patients close to their homes and cuts down time and money (mileage) spent travelling to home visits. By developing closer working relationships and sharing the more stable caseload with the vascular teams in the CHPs, the service can see more patients. A lot of work has been carried out to develop and implement the heart failure care bundle, with MCN support.

Funding in comparison to 2008

Core funded by NHS Fife.

Challenges

Despite increasing demand, we are able to keep a manageable caseload by transferring the care of more stable patients to the vascular services in the CHPs. Our case load number does not reflect the true amount of referrals coming into and being discharged from the service.

Development opportunities

We are opening referrals to other types of heart failure e.g. HF-PEF and inoperable valve problems (if referred by a cardiologist with a management plan). Widening the criteria has not overwhelmed the service and input from the service has reduced hospital admissions and improved the patient’s quality of life. We are participating in a 2 year Telehealth pilot and a multidisciplinary heart failure clinic for both new and existing referrals.