Greater Glasgow and Clyde

View our 2013 report for the Greater Glasgow and Clyde region.

Region overview:

Service commenced

August 1999

Total board population

1,203,870

Urban / rural

98% / 2%

Specialist HF nurse WTE posts

14.62 WTE (17 staff)

Further details:

(Actual number of staff)2008 - 16.3 WTE (20 staff)
SIGN Ratio1:82,344 (2008 1:73,103)
Ave. caseload per post100 (community)
Individual patients managed by service (average year)1300 patients
Service ProvisionHome visits 35% / Clinic Appointments 65%
Provision for HF-PEFNo
Administration support per week129.75 hours (across service)
Providing education to non-specialist staffYes
Doctor with specialist interest in Heart Failure5 Cardiologists
Cardiac Rehabilitation available/number seenNo
Access to psychological support referral pathwayNone

Notes on current service provision

Local enhanced service and diagnostic pathway, recently staggered launch over Board area. This will lead to greater interaction of referrals and discharges between HF service and primary care; efficacy being evaluated. Direct access echo route provided. Despite a reduction in the WTE posts, length of stay and admissions were reduced in 2011. Patient education programme provided by 3 WTE posts.

Funding in comparison to 2008

Substantive funding provided by NHS Greater Glasgow & Clyde. BHF providing 0.5 WTE funding over 2 years for IV Diuretic project.

Challenges

Due to limited rehabilitation resources, currently no class offered to patients with heart failure; MCN acknowledged that this should remain on agenda and as a group remains an aspiration. Increasing time demands from Caring Together palliative project with no increase in WTE posts. Community diuretic programme high demand of time per patient. Ongoing development of Electronic Patient Records impacts on nurse time and restricted ability of the service to provide full Early Supported Discharge [ESD] approach.

Development opportunities

Extending scope of IV diuretic role to provide ESD and day care approach may prove more time and cost efficient. Ongoing review of what can realistically be sustained from palliative care provision. Web based management system under development, which will allow greater flexibility to work between acute and community sites and aims to provide wireless home based/community working options.