Lanarkshire

View our 2013 report for the Lanarkshire region.

Region overview:

Service commenced

October 2004

Total board population

562,477

Urban / rural

89% / 11%

Specialist HF nurse WTE posts

3.6 WTE (4 staff)

Further details:

(Actual number of staff)2008 - 3 WTE (4 staff)
SIGN Ratio1:156,244 (2008 1:186,046)
Ave. caseload per post100 (community)
Individual patients managed by service (average year)400 patients
Service ProvisionHome visits 80% / Clinic Appointments 20%
Provision for HF-PEFNo
Administration support per week13 hours (across service)
Providing education to non-specialist staffNo - no capacity
Doctor with specialist interest in Heart Failure2 Consultants with interest)
Cardiac Rehabilitation available/number seenLimited (one site) - 3 patients
Access to psychological support referral pathwayNone

Notes on current service provision

Challenging area, both geographical and due to large areas of deprivation and multiple co- morbidities with a high incidence of alcohol and drug dependence in young people, all of which results in educational challenges due to lack of insight. Numbers are fairly static despite discharges and deaths and new referrals are regularly received; each site is at optimal capacity. Covering three District General Hospitals can at times result in a lack of cohesive decisions/discussion between consultants.

Funding in comparison to 2008

Core funded by NHS Lanarkshire.

Challenges

Running at capacity does not allow any additional time to develop sustainability of the service and leads to training issues such as prescribing courses, clinical assessment and proposed rotation of other cardiology nurses. Unable to access clinic at Wishaw General Hospital since service started (no availability in outpatient department), which would improve ability to meet demand.

Development opportunities

Three nurse prescribers in Lanarkshire (one pending results).