South Wales Cardiac Network Cardiac Rehabilitation Advisory Group

South Wales Cardiac Network Cardiac Rehabilitation Advisory Group Meeting Aneurin Bevan Local Health Board Cardiac Rehabilitation Service Suzanne Indge CNS February 2011

Our Service Manager for Unscheduled Care Cardiology Directorate Cardiologist Consultant Nurse South Gwent/Newport St Woolos Post MI Surgery Angina North Gwent Nevill Hall Post MI Surgery Angina Heart Failure Caerphilly Post MI Surgery Director of Nursing Torfaen/Pontypool County Post MI Surgery Heart failure

Phase 1 l Phase 1 provided at Nevill Hall and Caerphilly Miners using Heart Manual for ACS and angina patients. BHF, “An Everyday Guide to Living with Heart Failure” is used for heart failure patients l Limited Phase 1 provision in Royal Gwent

Phase 2 l All patients are contacted via telephone within 7 days of discharge or referral. l Occupational Therapist in Nevill Hall carries out home visits if needed predominately for heart failure patients or patients with reduced functional capacity. l Nurse led heart failure clinic for review of patients 3 -4 weeks post discharge

Phase 3 l North – 3 programmes per week (8 classes), 1 hospital and 2 community based for heart failure, angina, post MI and surgery l South – 6 programmes per week (11 classes), 5 hospital based for heart failure, angina, post MI and surgery, 1 community based for angina, post MI and surgery. l Walk programme x 2 week in Torfaen

Nurse led services l Clinic review for patients with coronary artery disease and complex needs l Clinic review or home visits for all patients with heart failure, liaison with palliative care

Phase 4 l North – 22 classes across North Gwent part funded by charitable funds l South – 18 classes in Newport area 12 classes in Caerphilly area 17 classes in Torfaen area

Limitations to service l No heart failure programme in St l No angina programme in Caerphilly Miner’s l Inequitable staffing and service provision across Aneurin Bevan Health Board

North Gwent Team MI/ CABG Angina HF Nurse Band 7 1 1 1 Nurse Band 6 1 0. 8 1 Physio Sen I Band 6 0. 53 0. 3 Basic Grade (rotation) Band 6 0. 32 0 0. 2 Physio tech Band 3/ 4 0. 2 0. 16 Occupational Therapist Band 6 0. 05 Dietician Sen I Band 6 0. 1 0. 08 Psychotherapist ad hoc 0. 4 0. 1 0. 05 Pharmacy Band 6 0. 05 0 0 Fitness Instructor band 5 0. 26 0. 2 0. 1 AC III Band 3 0. 47 0. 5 0. 7

Caerphilly Team Caerphilly/ Pontypool MI/CABG Caerphilly MI/CABG HF County Nurse Band 7 0 0 Nurse Band 6 1. 3 0. 8 Physio Sen I Band 6 0. 5 0 0 0. 16 0. 4 Occupational Therapist Band 6 0 0 Dietician Sen I Band 6 0 0 Psychotherapist ad hoc 0 0 Pharmacy Band 6 0 0 Fitness Instructor band 5 0 0 0. 25 0 Basic Grade (rotation) Band 6 Physio tech Band 3/ 4 AC III Band 3

South Gwent Team St Woolos MI/ CABG Angina Nurse Band 7 1 1 Nurse Band 6 1 0 0. 41 0. 56 Basic Grade (rotation) Band 6 0 0 Physio tech Band 3/ 4 0 0 Occupational Therapist Band 6 0 0 Dietician Sen I Band 6 0 0. 01 Psychotherapist ad hoc 0 0 Pharmacy Band 6 0 0 Fitness Instructor band 5 0 0 0. 14 0. 36 Physio Sen I Band 6 AC III Band 3

Significant Successes l Intergrated patient pathway referenced against Peplau nursing model l ICD support group set up across Aneurin Bevan l Charity partnership across Aneurin Bevan l Audit collection across Aneurin Bevan l Patient stories in Caerphilly achieved TV coverage l Expert opinion on NICE board for angina l Chair of AWCRWG

Significant Successes l Chair of SE Cardiac Network Cardiac Rehab Group l Cardiac rehab health professional band 5 job description and specification developed, agenda for change approved and outline for e. KSF developed. Now awaiting sign off. l Parental diuretic nurse BHF bid successful 2010 l BHF heart failure post re-instated in Caerphilly l RCBC award (strategic insight programme) l 2 programmes in North successfully moved into the community

Current Challenges l Introduce and sustain Heart Manual across Aneurin Bevan Health Board l Commence a heart failure rehabilitation programme in Caerphilly l Provide equitable cardiac rehabilitation service across Aneurin Bevan Health Board

Anything Else? Keeping the patients at the centre of our service planning, 3 staff to undertake story works training to provide comprehensive patient stories.