2004 (break in service 2007-2009)
64% / 36%
2.65 WTE (4 staff)
|(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.