89% / 11%
3.6 WTE (4 staff)
|(Actual number of staff)||2008 - 3 WTE (4 staff)|
|SIGN Ratio||1:156,244 (2008 1:186,046)|
|Ave. caseload per post||100 (community)|
|Individual patients managed by service (average year)||400 patients|
|Service Provision||Home visits 80% / Clinic Appointments 20%|
|Provision for HF-PEF||No|
|Administration support per week||13 hours (across service)|
|Providing education to non-specialist staff||No - no capacity|
|Doctor with specialist interest in Heart Failure||2 Consultants with interest)|
|Cardiac Rehabilitation available/number seen||Limited (one site) - 3 patients|
|Access to psychological support referral pathway||None|
Challenging area, both geographical and due to large areas of deprivation and multiple co- morbidities with a high incidence of alcohol and drug dependence in young people, all of which results in educational challenges due to lack of insight. Numbers are fairly static despite discharges and deaths and new referrals are regularly received; each site is at optimal capacity. Covering three District General Hospitals can at times result in a lack of cohesive decisions/discussion between consultants.
Core funded by NHS Lanarkshire.
Running at capacity does not allow any additional time to develop sustainability of the service and leads to training issues such as prescribing courses, clinical assessment and proposed rotation of other cardiology nurses. Unable to access clinic at Wishaw General Hospital since service started (no availability in outpatient department), which would improve ability to meet demand.
Three nurse prescribers in Lanarkshire (one pending results).