Grampian

View our 2013 report for the Grampian region.

Region overview:

Service commenced

2004 (break in service 2007-2009)

Total board population

550,620

Urban / rural

64% / 36%

Specialist HF nurse WTE posts

2.65 WTE (4 staff)

Further details:

(Actual number of staff)2008 - 2 WTE (4 staff)
SIGN Ratio1:207,781 (2008 1:264,944)
Ave. caseload per post100 patients (community)
Individual patients managed by service (average year)250 patients
Service ProvisionHome visits 80% / Clinic Appointments 20%
Provision for HF-PEFNo
Administration support per week3 hours (across service)
Providing education to non-specialist staffYes – limited to primary care sessions within Aberdeen City
Doctor with specialist interest in Heart FailureNone
Cardiac Rehabilitation available/number seenNo
Access to psychological support referral pathwayNone

Notes on current service provision

The service has been operating in a fragmented manner with part-time provision in Aberdeen City and South/Central and North Aberdeenshire and there is no consistent management structure from which to develop the service.

Funding in comparison to 2008

Funding is an ongoing issue; currently guaranteed for only a further two years 2012-2014, in both Aberdeen City and Aberdeenshire. Following a service break 2007-2009, service was recommenced through BHF funded period (2009-2011).

Challenges

The inadequate administration support impacts on the service as Specialist Nurses take on the majority of the administration work.

Development opportunities

The nurses have worked hard to resurrect referral pathways following the break in service and are keen to share their knowledge with primary care colleagues and improve sustainability of provision against high caseloads and high demand in a challenging geographical area.