Developing a Heart Failure

and Cardiac Rehabilitation

Service
Karen Robinson
Shropshire Heart Failure/Cardiac
Rehabilitation
Service Co-ordinator
 Aims of Presentation
 To identify rationale for combining Cardiac
Rehabilitation and Heart Failure Services

 Responding to change within the Service

 To provide a brief overview of Shropshire

Heart Failure/Cardiac Rehabilitation Service

 Does the Service fulfil the BACR Standards

(2007)?

 Areas for future development

 Combining of Heart Failure
/Cardiac Rehab Services

In June 2006 Heart Failure and Cardiac

Rehabilitation Services at Shrewsbury
&
Telford Hospital NHS Trust (PRH &
RSH)
combined four small teams into one.
 Identifying the Need for
Change
 Four separate teams across Shropshire
 Not all skills in the department being
utilized
 Referral of patients to both Heart Failure
and Cardiac Rehab Teams
 Duplication of roles
 Differences in cross site working
 Each individual team was small in staff
numbers, combining them resulted in one
large more efficient/effective team .
 Responding to Change

Difficulties
 Change can be threatening
 Accepting rationale for changing
working practice
 Expanding roles within Team
 Reaching consensus
 Responding to Change

Success
 Including all team members
 Valuing staff
 Working together
 Attaining views of
patients/families/carers
 Service
Model Cardiology Medical Team
Heart Failure/Cardiac Rehabilitation Team
Heart Failure
Audit/Evaluation Assessment/Diagnostic Clinic
Validation of Primary Care Heart Inpatient Service
Failure Registers
Home Visit
Coronary Support
Group Patient/Carer
Nurse Led Clinics
Education Programmes

Exercise Programme Beta Blocker Initiation Clinic

(including gym assessments)

Telephone Contact/Support
Co-ordination of Palliative Care

Multidisciplinary Colleagues from

Health & Social Care/Voluntary Sector
 BACR Standards (2007)
 A co-ordinator who has overall responsibility
for the service
 A CR core team of professionally qualified
staff with appropriate skills and
competencies to deliver the Service
 A standardised assessment of individual
patient needs
 Referral and access for targeted patient
population
 Submission of data to National Audit for
Cardiac Rehabilitation
 A CR budget appropriate to meet the full
 Future plans
 Improve links between primary care & our
Service

 Cross site agreements re service provision

 Development of Community Based

Exercises / different methods to deliver
programmes to suit individual patients

 Involvement of patients
 Contact Details
PRH RSH
01952 641222 Ext 01743 261463
4457 (Cardiac Rehab)
(Cardiac Rehab)
01743 261289
01952 271601 (Heart Failure)
(Heart Failure)