80% / 20%
3 WTE (4 staff)
|(Actual number of staff)||2008 - 3.2 WTE (4 staff)|
|SIGN Ratio||1:97,795 (2008 1:89,392)|
|Ave. caseload per post||140 (community and hospital)|
|Individual patients managed by service (average year)||300 patients|
|Service Provision||Home visits 20% / Clinic Appointments 80%|
|Provision for HF-PEF||No|
|Administration support per week||30 hours (across service)|
|Providing education to non-specialist staff||Yes – Secondary care: individual and group teaching with staff nurses and healthcare assistants in cardiology wards and clinics; Primary care: create meetings|
|Doctor with specialist interest in Heart Failure||Yes - 1 Consultant|
|Cardiac Rehabilitation available/number seen||Yes - 50 patients per year|
|Access to psychological support referral pathway||Adequate|
Manage patients with LVSD and symptomatic Heart Failure. Referrals received from wards, Cardiology and other clinics, Open Access Echocardiography and General Practice. Actively discharge patients once optimised and stable; liaise with SNAHFS as appropriate.
Core funded by NHS Forth Valley
Only one nurse undertakes outreach visits for Forth Valley. Managing in-patient workload with out-patient clinics and unpredictability of help-line calls all stretches service provision. Increasingly complex patients, particularly those with significant renal dysfunction. Unable to respond to demand to review patients with HF-PEF.
HF nurses, in conjunction with consultants, implement evidence- based medicine in patients admitted with decompensation using the HF bundle and a holistic approach incorporating discharge planning. Access to Day Medicine Unit for patients who require IV diuretics. Provide pre-op assessment and education for patients undergoing implantation of a cardio-defibrillator [ICD].