Shetland

View our 2013 report for the Shetland region.

Region overview:

Service commenced

June 2005

Total board population

22,400

Urban / rural

0% / 100%

Specialist HF nurse WTE posts

0.5 WTE (1 staff)

Further details:

(Actual number of staff)2008 - 0.3 WTE (1 staff)
SIGN Ratio1:44,800 (2008 1:72,390)
Ave. caseload per post100 (community/hospital)
Individual patients managed by service (average year)120 patients
Service ProvisionHome visits 40% / Clinic Appointments 60%
Provision for HF-PEFNo
Administration support per weekNone
Providing education to non-specialist staffYes – update available to all staff annually
Doctor with specialist interest in Heart FailureYes – Consultant Physician with heart failure interest
Cardiac Rehabilitation available/number seenYes - 20 per annum
Access to psychological support referral pathwayNone

Notes on current service provision

Challenging rural area with one half-time post covering the service.

Funding in comparison to 2008

Core funded by NHS Shetland.

Challenges

Post-holder also has roles within Cardiac Rehabilitation, Rapid Access Chest Pain service, service development and work with the Managed Clinical Network.

Development opportunities

Open access has been established for patients with heart failure within the cardiac rehabilitation service and active management of the end of life for heart failure and palliative care links is in place.