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Community and mental health services for Southampton, Portsmouth and parts of Hampshire and the Isle of Wight.

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Community Heart Failure Team

The Heart Failure Specialist nursing team was formed during 2013 and consists of 3 specialist Heart Failure nurses. Referrals are accepted from all health care professions when a patient has a confirmed diagnosis of left ventricular systolic dysfunction via echocardiogram or similar test. The aim of the service is to help stabilise and optimise the patient’s condition and help them develop self management strategies.
For all other types of Heart Failure, i.e. valve disease with preserved Heart Failure, the referral with a plan of action needs to be made via a Cardiologist.

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Referral criteria

The patient must have a confirmed diagnosis of left ventricular systolic dysfunction

 

Excluded:

  • Heart Failure where the cause is so far undiagnosed
  • Heart Failure secondary to valve disease or hereditary condition, unless referred by the consultant cardiologist
  • Heart Failure secondary to hypertensive disease or isolated right Heart Failure unless referred by the consultant cardiologist 
  • Paediatric patients

Patients with a confirmed diagnosis of left ventricular systolic dysfunction are referred :-

  • On hospital discharge
  • From secondary care clinic
  • From GPs
  • From other Community healthcare professionals

Full service description

As a team, the Heart Failure Nurses provide care by:

 

  • Managing complex drug regimes and encouraging compliance
  • Titration of Heart Failure medication in line with NICE Guidelines
  • Monitoring patient response, bloods and organ function following drug changes
  • Liaising with acute hospital Heart Failure specialists both nurses & consultants to create a “pull” model for early discharge
  • Educating patients and carers to know how to recognise & manage exacerbations thereby avoiding unnecessary admission & taking control of their condition
  • Encouraging lifestyle improvements including, in association with relevant professionals, advice about exercise & diet
  • Utilising tele-monitoring and monitoring vulnerable patients daily via the remote system
  • Tailoring care to individual patient needs and provide individualised care plans
  • Ensuring all Heart Failure patients benefit from flu & pneumococcal immunisation
  • Delivering improved patient & carer experience at the end of life including where appropriate de-activation of intra-cardiac devices in conjunction with appropriate palliative care teams
  • Build on and encourage best practice in primary care by providing education to other healthcare professionals and providing advice when sought
  • Improve the prognosis & quality of life for Heart Failure patients by improving symptoms & slowing their deterioration

Other information & documentation

All patients are provided with:

  • An individualised care-plan
  • A patient held health record
  • A point of contact for the service via the Single point of Access

Contact Information

Jackie Street

0300 300 2012

023 92 340240

Block B, St Mary’s Community Campus, Milton Road, Portsmouth, PO3 6AD

Opening hours

  • Monday: 8:30 am - 5:00 pm
  • Tuesday: 8:30 am - 5:00 pm
  • Wednesday: 8:30 am - 5:00 pm
  • Thursday: 8:30 am - 5:00 pm
  • Friday: 8:30 am - 5:00 pm

Patient Advice and Liaison Service (PALS)

Please visit our services page for specific services and contact details. Alternatively, contact our Patient Advice and Liaison Service by emailing or calling the number below. You can also give us feedback, make a complaint or share a compliment.

pals@solent.nhs.uk

 0800 013 2319

*Lines are open Monday to Friday 8.30am to 5pm

The Freedom of Information (FOI) Act was passed on 30 November 2000. It gives a general right of access to all types of recorded information held by public authorities, with full access granted in January 2005.

The Act sets out exemptions to that right and places certain obligations on public authorities.

Email: InformationGovernanceTeam@solent.nhs.uk

Phone: 0300 123 3919

*Subject to any exemptions which apply, we are obliged to provide the information requested please note that requests for Personal Information is not covered under this Act and should be applied for through the Data Protection Act 1998.

Our administrative and managerial centre is based in Southampton.

While our services can be found around various NHS locations in Southampton and Portsmouth (and surrounding districts), our administrative and managerial centre is based in Southampton at:

Highpoint Venue
Bursledon Road
Southampton
SO19 8BR

If you require a printable version of how to find us including bus times, car access and bike info please download our leaflet. (Copyright of Highpoint Venue).

Central office phone: 0300 123 3390

*Lines open Monday to Friday 9am to 5pm.

If you are a journalist with a media enquiry, please contact the Communications Team at:

communications@solent.nhs.uk 

0300 123 4156 or 02381 031076

The Communications Office is open Monday to Friday 9am to 5pm.