1. Primary Care Cardiac Service
PLT meetings
Carole Twells June 2015

2. 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

3. 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.

4. 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

5. 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

6. 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

7. 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

8. 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

9. How to refer Via Nottingham City Health and Care Point
and select option 5
Online via
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

10. 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: