Tayside

View our 2013 report for the Tayside region.

Region overview:

Service commenced

May 2004

Total board population

402,641

Urban / rural

76% / 24%

Specialist HF nurse WTE posts

3 WTE (3 staff)

Further details:

(Actual number of staff)2008 - 3 WTE (3 staff)
SIGN Ratio1:134,214 (2008 1:130,546)
Ave. caseload per post90 (community)
Individual patients managed by service (average year)515 patients
Service ProvisionHome visits 70% / Telephone follow-up 30%
Provision for HF-PEFNo
Administration support per week30 hours (across service)
Providing education to non-specialist staffYes – variety; ward/primary care, protected learning time events, Dundee University modules.
Doctor with specialist interest in Heart Failure2 (Clinical Lead for Heart Failure and Heart Failure Specialist Consultant)
Cardiac Rehabilitation available/number seenYes – 25 patients per annum
Access to psychological support referral pathwayNone

Notes on current service provision

Providing home and telephone follow up for patients following discharge from hospital or following clinic review where they have been identified as unstable. This model of delivery supports general heart failure management and rapid response to clinical deterioration, through advancing illness to end of life support. Strong links with the palliative care team provides specialist input and seamless care in the community setting and prevention of readmissions remains a key target.

Funding in comparison to 2008

Core funded by NHS Tayside.

Challenges

Standards for review timelines post discharge are challenging due to both numbers and location and remain under evaluation. The provision of rapid response (in a rural setting), has resulted in improved cross-boundary working and improved liaison across the specialities.

Development opportunities

All three nurses in the team are Independent Prescribers and two have also completed the Palliative Care module (for heart failure) at Glasgow Caledonian University. Recent Royal College of Nursing/Office for Public Management economic analysis of the Tayside service has identified clear financial benefits that may be achieved by organisational investment in the service; this analysis is to be further explored at Cardiology Management level.