89% / 11%
4 WTE (4 staff)
|(Actual number of staff)||2008 - 5 WTE (5 staff)|
|SIGN Ratio||1:209,178 (2008 1:200,328)|
|Ave. caseload per post||90 (community)|
|Individual patients managed by service (average year)||310 patients|
|Service Provision||Home visits 40% / Clinic Appointments 60%|
|Provision for HF-PEF||No|
|Administration support per week||16-20 hours (across service)|
|Providing education to non-specialist staff||Limited – on request only via lectures / informal meetings / One long term cardiac conditions module delivered.|
|Doctor with specialist interest in Heart Failure||None|
|Cardiac Rehabilitation available/number seen||Yes - all patients reviewed on referral|
|Access to psychological support referral pathway||Adequate|
The team review patients admitted to hospital in addition to clinic and day hospital referrals. There are a small proportion of GP referrals if they are known to have heart failure due to LVSD and are at risk of admission. The service takes a case management approach due to multiple co- morbidities. The service provides locality clinics in community hospitals and GP surgeries as well as in secondary care outpatient departments. Telephone follow up is also part of the review process.
Core funding via NHS Lothian remains unchanged. BHF funding for heart failure education post finished and no further funding was provided for this post by NHS Lothian.
To continue to deliver an education programme in the absence of a dedicated nurse. To participate in service changes, for example Telehealth/education/ increased acute care focus with no additional staff. To support the Scottish Patient Safety Programme (SPSP) within the hospital whilst primarily delivering a community based service. Caseloads are always at maximum capacity despite regular discharges and referral to community teams.
Currently developing a Telehealth programme in NHS Lothian and NHS 24 for patients with heart failure. Continue to build on success of the heart failure palliative care anticipatory care plan.