Primary Care Cardiac Service PLT meetings Carole Twells June 2015

Primary Care Cardiac Service as part of the chest pain pathway Cardiac rehabilitation ACS Following Revascularisation Stable heart failure STABLE ANGINA Post valve surgery, heart transplant, LVAD’s TIA

Stable Angina Referrals to PCCS Newly diagnosed patients can be referred once diagnosis confirmed Any patients with existing stable angina can also be referred if they have had a recent change in their symptoms.

Cardiac Rehabilitation – evidence base There is overwhelming evidence that comprehensive Cardiac Rehabilitation reduces mortality. There is emerging evidence that it is also associated with a reduction in morbidity and a reduction in unplanned readmissions. It improves functional capacity and perceived quality of life and supports early return to work. It aids the development of self management skills Secondary prevention forms an integral part of the service

Cardiac Rehab is Cost Effective Cost to achieve adding 1 year to a patients life PPCI £6,054 – 12,057 PCI £3,845 – 5,889 CABG £3239 – 4,601 Cardiac Rehab £1,957 Aspirin/B-block <£1,000

The 7 core components of Cardiac Rehabilitation Health Behaviour change and education Lifestyle and risk factor management Psychosocial support Medical risk factor management Cardioprotective therapies Long term management Audit and evaluation

Cardiac Rehabilitation - pathway Patients are assessed within 10 working days of referral They will have a case manager who will work with the patient for a minimum of 3 months. Patients are assessed at home and can access a range of options to meet their needs Home based 1-1 support Group classes – Clifton, Bakersfield, Bells Lane Referred into many other sources of support

PCCS - Who are we? A multi-disciplinary team comprising of Community Heart/TIA Nurses Cardiac Physiotherapists Occupational Therapist Assistant Practitioner Heart Failure Specialist Nurses Administrator Volunteer Counsellors Support from secondary care cardiology

How to refer Via Nottingham City Health and Care Point 0300 300 3333 and select option 5 Online via https://accesstoservices.citycare.org.uk Referrals cannot be made directly to the service although we are happy to speak to you about the suitability of any referral you wish to make

How to contact us The service is based at Tel: 0115 88 34733 New Brook House Room 29 385 Alfreton Road Radford Nottingham NG7 5LR Tel: 0115 88 34733