0% / 100%
|(Actual number of staff)||2008 - 1 WTE (1 staff)|
|SIGN ratio||None (2008 1:19,770)|
|Ave. caseload per post||N/A|
|Individual patients managed by service (average year)||N/A|
|Provision for HF-PEF||No|
|Administration support per week||10 hours available|
|Providing education to non-specialist staff||Limited (on an as required basis, but limited capacity)|
|Doctor with specialist interest in Heart Failure||None|
|Cardiac Rehabilitation available/number seen||Yes - stable patients have access|
|Access to psychological support referral pathway||Adequate|
The service successfully reduced all cause admissions for patients with heart failure between 2007-10, despite the postholder having to also cover the cardiac specialist nurse role. Due to the retirement of the cardiac nurse the workload was such that the community heart failure service was withdrawn.
Funding was not continued following initial BHF funded period.
There is 1 x WTE Clinical Nurse Specialist, who is a Heart Failure Nurse Practitioner. Advice and inpatient review available on an as required basis, but once they are discharged, there is no capacity for a community caseload. Previous experience has shown that having one post within the service is unsustainable. There is no permanent Echocardiographer post on Orkney with the services relying on a locum for diagnostic echocardiograms.
Business case in progress for a new post to support the Cardiac Specialist Nurse role and the Heart Failure Liaison Service