Increasing the heart failure nursing workforce: recommendations by the British Society for Heart Failure Nurse Forum

2019 ◽  
Vol 14 (11) ◽  
pp. 1-12 ◽  
Author(s):  
Jayne Masters ◽  
Carys Barton ◽  
Lynda Blue ◽  
Jenny Welstand
Keyword(s):  
Heart Failure ◽  
Patient Outcomes ◽  
Significant Proportion ◽  
British Society ◽  
Timely Manner ◽  
Specialist Nurse ◽  
Heart Failure Patients ◽  
Specialist Nurses ◽  
The Uk ◽  
Improve Patient

There are almost 1 million people diagnosed with heart failure in the UK, and this number continues to rise. It is a common cause of hospitalisation and costs associated with those hospitalisations account for a significant proportion of the NHS budget. Studies have demonstrated that community heart failure specialist nurses improve patient outcomes and reduce the costs associated with hospitalisation. Yet, despite increased prevalence, considerable advances in therapies, and new recommendations from the National Institute for Health and Care Excellence, the recommended number of heart failure specialist nurses per 100 000 has stayed the same. This article will describe the development of community heart failure nursing in the UK, and outline the challenges currently facing heart failure specialist nurses. It makes a number of recommendations that would ensure heart failure patients are able to be seen by a heart failure specialist nurse in a timely manner, help reduce inequalities of care, reduce costs associated with heart failure hospitalisations and help ensure sustainability of heart failure services over the longer term.

47 Knowsley Trigger Tool - A Tool to Aid Identification of Heart Failure Patients Nearing End of Life and Promote Communication Between Heart Failure Specialist Nurses and Primary Care

Heart ◽  
2014 ◽  
Vol 100 (Suppl 3) ◽  
pp. A26-A27 ◽  
Author(s):  
Karen Dickman ◽  
Marjorie Carey ◽  
Archana Rao ◽  
Amanda Worthington ◽  
Linda Hilton ◽  
...  
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
End Of Life ◽  
Trigger Tool ◽  
Heart Failure Patients ◽  
Specialist Nurses

Peer Review of Paediatric Endocrine Services in the UK: A Template for Quality and Service Improvement

2021 ◽  
pp. 1-6
Author(s):  
John Schulga ◽  
Heather Mitchell ◽  
S. Faisal Ahmed ◽  
Assunta Albanese ◽  
Justin Warner ◽  
...  
Keyword(s):  
Peer Review ◽  
National Level ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
British Society ◽  
Service Improvement ◽  
Paediatric Endocrinology ◽  
Test Feasibility ◽  
Specialist Nurses ◽  
The Uk

<b><i>Background:</i></b> Independent peer review of healthcare services can complement existing internal-, institutional-, and national-level regulatory mechanisms aimed at improving quality of healthcare. However, this has not been reported for paediatric endocrinology services in the UK. We aimed to test feasibility and acceptability through a first cycle of a national peer review of paediatric endocrine services. <b><i>Methods:</i></b> Tertiary centres in paediatric endocrinology across the UK were assessed against 54 quality standards, developed by the British Society for Paediatric Endocrinology and Diabetes (BSPED) in five domains of healthcare by a team comprising paediatric endocrinologists and specialist nurses. The evaluation was supported by a self-assessment. A post-peer-review questionnaire was used as feedback. <b><i>Results:</i></b> All 22 centres in the UK underwent independent peer review between 2011 and 2017. Each served a median population of 2.6 million (range 1–8 million) and offered 1,872 (range 779–6,738) outpatient consultations annually. A total of 43 (range 30–49) standards were met in combined evaluation of all centres. Variance of adherence for essential standards ranged from 52 to 97% at individual centres with 90% adherence demonstrated by 32% of centres. Post-review feedback showed 20/22 (95%) validating the utility of the peer review. <b><i>Conclusions:</i></b> The BSPED peer review of all UK centres providing paediatric endocrine services is shown to be feasible and provides a quality benchmark for replication by national services.

PP186 Telemonitoring With Pacemakers For Patients With Heart Failure

2019 ◽  
Vol 35 (S1) ◽  
pp. 72-72
Author(s):  
Susan Myles ◽  
Ruth Louise Poole ◽  
Karen Facey
Keyword(s):  
Heart Failure ◽  
Patient Outcomes ◽  
Best Practice ◽  
Core Outcome Set ◽  
Outcome Set ◽  
Patients With Heart Failure ◽  
Technical Issues ◽  
Technology Lifecycle ◽  
Multi Stakeholder ◽  
Improve Patient

IntroductionEvidence supporting the use of pacemakers is well established. However, evidence about the optimal use of pacemaker telemonitoring for disease management in heart failure is not. Health Technology Wales (HTW) held a national adoption event to encourage implementation and best practice in use of pacemaker telemonitoring in the National Health Service (NHS) Wales to improve patient outcomes in heart failure.MethodsMulti-stakeholder national adoption workshop using a mixture of expert presentations, case studies and interdisciplinary group and panel discussions to agree key actions to understand the value and promote optimal use of pacemakers for remote disease monitoring in patients with heart failure in Wales.ResultsThe workshop was attended by forty-five senior professionals with an interest in improving care of patients with heart failure. Actions to progress included: providing a centralized Welsh system to support technical issues that arise with telemonitoring; considering interoperability with other NHS Wales systems; encouraging value-based procurement with collection of a core outcome set; agreeing implementation issues with both professionals and patients; audit to understand experience, resource use and outcomes; and sharing manufacturer evidence on the accuracy of telemanagement algorithms. It was suggested that these actions be progressed via an All-Wales multi-stakeholder approach, led by the Welsh Cardiac Network.ConclusionsDeveloping a more agile, lifecycle approach to technology appraisal is currently advocated; recalibrating the focus from technology assessment to technology management across the complete technology lifecycle. HTW will endeavour through regular adoption events to facilitate such a paradigm shift that aims to understand value and optimise use of evidence-based technologies.

scholarly journals The ultrasound neck imaging for tracheostomy study: A study prompting ultrasound screening prior to percutaneous tracheostomy procedures to improve patient outcomes

2017 ◽  
Vol 19 (2) ◽  
pp. 107-113 ◽  
Author(s):  
James Rees ◽  
Yumna Haroon ◽  
Christopher Hogan ◽  
Shibaji Saha ◽  
Sharam Derekshani
Keyword(s):  
Computed Tomography ◽  
Intensive Care ◽  
Patient Outcomes ◽  
Screening Tool ◽  
Percutaneous Tracheostomy ◽  
Ultrasound Screening ◽  
Effective Screening ◽  
Insertion Sites ◽  
The Uk ◽  
Improve Patient

Introduction Percutaneous tracheostomy procedures are commonplace in intensive care units worldwide. Haemorrhagic complications, though potentially fatal, are thought to be under-reported. Ultrasonography use has not established itself in these procedures. This study assesses the prevalence and characteristics of pre-tracheal blood vessels, to aid intensivists on potential procedural hazards. Method A retrospective, observational study was performed in the UK. Computed tomography angiograms from January 2012 to October 2014 were randomly retrieved and analysed for vessel data. Results A total of 343 adult patients were included (mean age: 65 (inter-quartile range 52–79), male: 63%). Forty-one percent of patients demonstrated a vessel overlying percutaneous tracheostomy insertion sites (C6–T1); veins were more common than arteries (69%, p = 0.001). Males were more likely to display veins (78 vs. 53%, p < 0.001). Discussion A substantial proportion of patients exhibited pre-tracheal vessels. Front-of-neck ultrasonography has huge potential to identify these. Based on these data, we believe ultrasonography may be an effective screening tool for percutaneous tracheostomy procedures to reduce complications. Further research is required to study outcomes.

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