47% / 53%
1.3 WTE (3 staff)
|(Actual number of staff)||2008 - 2.5 WTE (3 staff)|
|SIGN Ratio||1:86,823 2008 – 1:44,499)|
|Ave. caseload per post||80 (community)|
|Individual patients managed by service (average year)||140 patients|
|Service Provision||Home visits 75% / Clinic Appointments 25%|
|Provision for HF-PEF||No|
|Administration support per week||15 hours (across service)|
|Providing education to non-specialist staff||Yes - but only on an ad hoc basis to ward staff, GPs|
|Doctor with specialist interest in Heart Failure||None|
|Cardiac Rehabilitation available/number seen||No|
|Access to psychological support referral pathway||Inadequate|
Large rural area with significant travel times between patient visits. One Heart Failure Nurse Specialist post and two Cardiac Specialist Nurses, who also provide support to the service with a small heart failure patient caseloads.
In 2008, NHS Borders had 2.5 WTE posts funded by the BHF (no longer funded by BHF). Health Board due to take on BHF funded post. Only 0.8 WTE now funded by NHS Borders but funding not secured and only at present until end March 2013. The Cardiac Specialist Nurses who support service are core funded by NHS Borders, but due to uncertainty of funding with the Heart Failure Specialist post, the service has been unable to develop.
Uncertainty in ongoing funding and staff changeover in the cardiac services has been unsettling and has added to overall workload. Unable to provide cover to review patients when staff are on annual leave.
Unfortunately the heart failure service has been unable to develop as we would have liked it to due to financial constraints and staffing, but we hope to initially develop more formal educational sessions within the community.