- Project led by University Hospital of North Staffordshire NHS Trust.
- Focused on hospital services for heart failure patients.
- Aimed to reduce demand for inpatient beds for heart failure patients, while also maintaining and improving quality of care and clinical effectiveness.
- Set up a heart failure day clinic to provide specialist clinical care on an outpatient basis, including intravenous diuretics, specialist assessment, monitoring and intensive drug titration, along with self-management advice and psychological support.
The University Hospital of North Staffordshire team established a day clinic for heart failure patients to provide specialist clinical care on an outpatient basis. The aim was to:
- increase patient choice
- reduce inpatient bed demand
- provide care in line with national quality benchmarks
- become clinically and cost effective.
The hospital-based clinic provided patients with care that was previously only available to inpatients, including intravenous diuretics, specialist assessment, monitoring and intensive drug titration. It also offered ongoing self-management advice and psychological support for patients and their carers.
The multidisciplinary heart failure team aimed to treat 260 patients over a 12 month period with an equal split of referrals for admission prevention and reduced length of stay. Issues that the team wanted to explore included the clinical governance considerations involved in moving the clinic to a community setting, and how the clinic could be more closely linked to primary care services to provide a seamless care pathway.
Who was involved
The clinic was set up by a multidisciplinary heart failure team and accepted referrals from primary and secondary care.
- Nine beds removed from acute trust, generating a cost saving of £980,000.
- Financial saving of £365,000 for the health economy based on reduction in admissions and payment of a local tariff for the clinic.
Successes and lessons from the first two rounds of the Health Foundation’s Shine programme: annual awards to test small-scale...
About this programme
This programme ran from 2011 to 2012 and awarded 14 teams with up to £75,000 for projects to find new approaches to deliverin...
You might also like...
This paper explores health care use by the top 5% of users of primary and secondary care services by cost.
The decisions we make about technology today will have implications for the entire social care system, says Lydia Nicholas, f...
The NHS’s new AI lab needs to focus on the needs of patients and the health system, argue Adam Steventon, Sarah Deeny, Josh K...
Health Foundation @HealthFdn
Poverty is bad for the nation's health. @JoBibbyTHF blogged about the links between poverty and health earlier in… https://t.co/yM2Mm147KFFollow us on Twitter
Work with us
We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.View current vacancies
The Q Community
Q is an initiative connecting people with improvement expertise across the UK.Find out more