0% / 100%
2 WTE (3 staff)
|(Actual number of staff)||2008 - 2 WTE (3 staff)|
|SIGN Ratio||1:13,095 (2008 1:13,075)|
|Ave. caseload per post||120 (community)|
|Individual patients managed by service (average year)||240 patients|
|Service Provision||Home visits 30% / Hospital Clinic 40% / Community Clinic 30%|
|Provision for HF-PEF||No|
|Administration support per week||22.5 hours (across service)|
|Providing education to non-specialist staff||No|
|Doctor with specialist interest in Heart Failure||1 GPwSI|
|Cardiac Rehabilitation available/number seen||Yes - 20 patients per annum|
|Access to psychological support referral pathway||None|
Patients are spread unevenly across the island chain with sparse population in remote and rural areas, particularly the southern isles (Uists & Barra). Many patients are in hard to reach remote areas requiring long journeys (including ferries) to home visit or clinic setting.
Substantive funding now in place for 2 WTE posts, following initial BHF funded period. BHF funded Healthcare Assistant pilot (over 2 years) post not continued.
Elderly demographic plus remote/rural setting results in higher than ‘usual’ number of visits required. Cardiac rehabilitation access through Change Fund initiative for 2 years and substantive funding not confirmed from NHS.
We are fortunate to have access to BNP testing (community only) but we may lose this facility as it is being reviewed due to costs. Support from the Scottish National Advanced Heart Failure Service via Tele-link, which is invaluable for the more complex cases.