Service commenced in 2004 (break in service 2007-2009).
309
from 250 in 2012.
66%
from 64% in 2012.
586,380
from 550,620 in 2012.
5.5 WTE (6 staff)
from 2.65 WTE, from 4 staff in 2012.
2012 | 2018 |
---|---|
HFrEF | HFrEF |
HFpEF | HFpEF |
HF post MI | HF post MI |
Valvular HF | Valvular HF |
Congenital HF | Congenital HF |
Palliative Care | General palliative care with referrals to specialist services |
Cardiac Rehabilitation for HF | |
Screening for psychological distress- no direct referrals to psychology |
2012 | 2018 |
---|---|
Home | Home |
Clinic | Clinic |
In-pt education | In-pt education |
In-pt management | In-pt management |
GP surgery | GP surgery (stand alone clinics) |
Virtual | Virtual |
REMINDER
The following details are from our 2012 report and may not reflect the current state of the Grampian Health Board.
(Actual number of staff) | 2008 - 2 WTE (4 staff) |
SIGN Ratio | 1:207,781 (2008 1:264,944) |
Ave. caseload per post | 100 patients (community) |
Individual patients managed by service (average year) | 250 patients |
Service Provision | Home visits 80% / Clinic appointments 20% |
Provision for HF-PEF | No |
Administration support per week | 3 hours (across service) |
Providing education to non-specialist staff | Yes – limited to primary care sessions within Aberdeen City |
Doctor with specialist interest in Heart Failure | None |
Cardiac Rehabilitation available/number seen | No |
Access to psychological support referral pathway | None |
The service has been operating in a fragmented manner with part-time provision in Aberdeen City and South/Central and North Aberdeenshire and there is no consistent management structure from which to develop the service.
Funding is an ongoing issue; currently guaranteed for only a further two years 2012-2014, in both Aberdeen City and Aberdeenshire. Following a service break 2007-2009, service was recommenced through BHF funded period (2009-2011).
The inadequate administration support impacts on the service as Specialist Nurses take on the majority of the administration work.
The nurses have worked hard to resurrect referral pathways following the break in service and are keen to share their knowledge with primary care colleagues and improve sustainability of provision against high caseloads and high demand in a challenging geographical area.