Orkney Health Board

Service commenced

March 2007

Total board population


Urban / rural split

0% / 100%

Specialist HF nurse WTE posts


Further details

(Actual number of staff)2008 - 1 WTE (1 staff)
SIGN ratioNone (2008 1:19,770)
Ave. caseload per postN/A
Individual patients managed by service (average year)N/A
Service provisionN/A
Provision for HF-PEFNo
Administration support per week10 hours available
Providing education to non-specialist staffLimited (on an as required basis, but limited capacity)
Doctor with specialist interest in Heart FailureNone
Cardiac Rehabilitation available/number seenYes - stable patients have access
Access to psychological support referral pathwayAdequate

Notes on current service provision

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 Due to the retirement of the cardiac nurse the workload was such that the community heart failure service was withdrawn.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 in comparison to 2008

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.

Development opportunities

Business case in progress for a new post to support the Cardiac Specialist Nurse role and the Heart Failure Liaison Service