Cardiac Rehab

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Cardiac Rehab

  1. 1. Walsall Cardiac Rehabilitation Trust (Heart Care) <ul><li>12 Portland Street Streetly Community Centre </li></ul><ul><li>Walsall, WS2 8AB Foley Road, Streetly, </li></ul><ul><li>Sutton Coldfield </li></ul><ul><li>Telephone number: </li></ul><ul><li>01922 725050 </li></ul><ul><li>Fax number 01922 659157 </li></ul><ul><li>Email: [email_address] </li></ul><ul><li>www.heartcare.org.uk </li></ul><ul><li>Manager: Suzanne Ursell </li></ul>
  2. 2. History <ul><li>Established since 1981 </li></ul><ul><li>Trust </li></ul><ul><li>Funds raised initially by local Rotary Clubs </li></ul><ul><li>Continual fund-raising </li></ul><ul><li>Ad hoc payments received for projects/bids put forward to Hospital Trust and Metropolitan Borough Council </li></ul><ul><li>Service provided to MI patients only – referral from the local Hospital </li></ul><ul><li>Service development </li></ul>
  3. 3. Present Service Provision <ul><li>Referral process </li></ul><ul><ul><li>Manor Hospital – direct booking </li></ul></ul><ul><ul><ul><li>Cardiac Rehabilitation Nurse </li></ul></ul></ul><ul><ul><ul><li>Heart Failure Nurse Specialist </li></ul></ul></ul><ul><ul><ul><li>Community Cardiac Nurses </li></ul></ul></ul><ul><ul><ul><li>Consultant Cardiologists </li></ul></ul></ul><ul><ul><li>GP Practices </li></ul></ul><ul><ul><li>Tertiary Centres – Heart and Lung Centre, Wolverhampton </li></ul></ul><ul><ul><li>Self </li></ul></ul><ul><ul><li>Private </li></ul></ul>
  4. 4. Who can attend? <ul><li>Heart attack </li></ul><ul><li>Following by pass surgery </li></ul><ul><li>Following cardiological intervention </li></ul><ul><li>Stable Angina </li></ul><ul><li>Heart Failure </li></ul><ul><li>‘ Fit for Surgery’ </li></ul><ul><li>Friends and relatives </li></ul>
  5. 5. What’s included? <ul><li>Initial interview and assessment </li></ul><ul><li>Exercise programme </li></ul><ul><ul><li>8-13 weeks </li></ul></ul><ul><ul><li>Individually designed </li></ul></ul><ul><ul><ul><li>Heart Failure </li></ul></ul></ul><ul><ul><li>Monitoring </li></ul></ul><ul><ul><li>Equipment used </li></ul></ul><ul><ul><li>Reassessment </li></ul></ul><ul><ul><ul><li>Discharge letter </li></ul></ul></ul><ul><ul><ul><li>Exit questionnaire </li></ul></ul></ul>
  6. 6. What’s included continued <ul><li>Educational programme </li></ul><ul><ul><li>Medication </li></ul></ul><ul><ul><li>Exercise </li></ul></ul><ul><ul><li>Healthy Eating – Weight loss support group </li></ul></ul><ul><ul><li>Relaxation/Stress Management </li></ul></ul><ul><ul><li>General information </li></ul></ul><ul><ul><li>CPR </li></ul></ul><ul><ul><li>Specific talks covering: </li></ul></ul><ul><ul><ul><li>Angina </li></ul></ul></ul><ul><ul><ul><li>Fit for Surgery – contact number </li></ul></ul></ul>
  7. 7. What Else? <ul><li>GP Angina Programme </li></ul><ul><ul><li>Referral direct from GP </li></ul></ul><ul><ul><li>Similar referral protocol to After Care </li></ul></ul><ul><ul><li>Initial assessment </li></ul></ul><ul><ul><li>8 weeks </li></ul></ul><ul><ul><li>Referral to Phase IV Community </li></ul></ul><ul><li>After Care Programme </li></ul><ul><li>Support Group </li></ul><ul><li>Expert Patient Programme </li></ul><ul><li>Referral to other agencies </li></ul><ul><ul><li>Quit smoking Team </li></ul></ul><ul><ul><li>Community Cardiac Nurses </li></ul></ul><ul><ul><li>Dietician </li></ul></ul><ul><ul><li>Stress Management Course </li></ul></ul><ul><ul><li>Employment Retention </li></ul></ul><ul><ul><li>Psychology </li></ul></ul>
  8. 8. STATISTICS 2005/06 1 0.5% 0 14 3% 10 2.5% 92 22% 68 17% 115 28% 109 27% 409/384 Pts com-pleted 7 1% 2 0.5% 18 3.5% 16 3% 110 21% 69 13% 171 32% 144 26% 537 Pts start 15 1.5% 3 0.5% 19 2% 28 4% 152 19% 105 13% 276 34% 209 26% 807 Total Referral Other Pace HF Valve CABG Fit for Surgery PCI /Angina MI Groups
  9. 9. Funding <ul><li>Part-funded by Walsall Primary Care Trust </li></ul><ul><li>3 year agreement </li></ul><ul><li>Based on number of referrals received </li></ul><ul><li>Subscriptions – after care service </li></ul><ul><li>Fund-raising </li></ul><ul><li>Trusts </li></ul><ul><li>Donations </li></ul>
  10. 10. Cardiac Rehabilitation Services <ul><li>Two independent pathways and structures </li></ul><ul><li>Hospital/Community Service </li></ul><ul><ul><li>Cardiac Rehab Liaison Nurse, Manor Hospital </li></ul></ul><ul><ul><li>Community Cardiac Nurses </li></ul></ul><ul><ul><ul><li>MI patients </li></ul></ul></ul><ul><ul><ul><li>Heart Failure Patients </li></ul></ul></ul><ul><li>Walsall Cardiac Rehabilitation Trust </li></ul><ul><li>Relationship/Responsibility between two pathways </li></ul>
  11. 11. Communication <ul><li>Main flow between Hospital/Community Cardiac Rehabilitation Team and Walsall Cardiac Rehabilitation Trust </li></ul><ul><li>Phases </li></ul><ul><ul><li>Phase 1 – Hospital Team </li></ul></ul><ul><ul><li>Phase 2 – Community Cardiac Nurses </li></ul></ul><ul><ul><li>Phase 3 – Walsall CRT </li></ul></ul><ul><ul><li>Phase 4 – Walsall CRT and Leisure Services </li></ul></ul>
  12. 12. Where we are now Acute Trust Heart Failure Acute Trust New Angina Acute Trust Pre-Revasc. Community Team Phase II Follow-up Heart Care Phase IV Follow-up Acute Trust MI's Tertiary Centres Angioplasties Tertiary Centres CABG's GP Referrals
  13. 13. Networks <ul><li>Network Standard Group </li></ul><ul><ul><li>Clinical Lead </li></ul></ul><ul><ul><li>Service Improvement Facilitator </li></ul></ul><ul><ul><li>Chairman </li></ul></ul><ul><ul><li>Walsall, Dudley and Wolverhampton </li></ul></ul><ul><ul><li>Ad Hoc as necessary – Shropshire, Hereford & Worcester </li></ul></ul>
  14. 14. Aims and Benefits of working as a Network Standard Group <ul><li>To work together to improve patient and carer services across the Black Country </li></ul><ul><ul><ul><li>Not reinventing the wheel </li></ul></ul></ul><ul><ul><ul><li>Shared information </li></ul></ul></ul><ul><ul><ul><li>Shared services/cost effective </li></ul></ul></ul><ul><ul><ul><li>Linked patient pathways/paperwork </li></ul></ul></ul><ul><ul><ul><li>Working with the other NSG groups across pathways </li></ul></ul></ul><ul><ul><ul><li>Establishment of Action plans </li></ul></ul></ul><ul><ul><ul><li>To ensure that the service provision to patients is as standard as possible </li></ul></ul></ul>
  15. 15. West Midlands Standards <ul><li>Benefits of ‘Standards’ approach </li></ul><ul><li>Maintain standards </li></ul><ul><li>Identify:- </li></ul><ul><ul><ul><li>Strengths/weaknesses </li></ul></ul></ul><ul><ul><ul><li>Capacity issues </li></ul></ul></ul><ul><ul><ul><li>Workforce issues </li></ul></ul></ul><ul><ul><ul><li>Finance issues </li></ul></ul></ul><ul><ul><ul><li>Development opportunities </li></ul></ul></ul><ul><li>Relevant at local and network level </li></ul>
  16. 16. Proposed Flowchart for Patient and Carer involvement in patient care and service provision Network Board Clinical Advisory Group Network Standard Groups – AMI, Cardiac Rehabilitation, Heart Failure, Primary Care, Secondary Care, Surgery & Angina Local questionnaires / Discovery Interviews / Feedback from local services Network Patient and Carer Group Local Groups Patient Representative
  17. 17. WHAT NEXT?
  18. 18. Thank you <ul><li>Any questions? </li></ul>

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