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UK does not consistently meet recommended standards
failure of care, according to a new survey presented to the British
Cardiovascular Society Conference in Manchester today.
The survey, led by Helena Masters, Nurse Manager, Heart Failure at Novartis, revealed an extremely worrying variation in the care that can be expected from a person with heart failure based on where they live in the UK .
This despite the updated NICE guidelines for chronic heart failure, which provide recommendations on best practices for the diagnosis and management of the disease.
The Directive, published in September 2018, set out provisions for
diagnose and manage chronic heart failure in people 18 years and older
more than. They are designed to improve the diagnosis and treatment of heart disease.
failure, and to extend the duration and quality of life of people with
the condition.
Heart failure occurs when the heart does not pump blood into the body
as well as it should be. This usually happens when the heart muscle has
been damaged, as a result of a heart attack. People with the heart
failure can find everyday tasks like dressing up or climbing
the stairs are exhausting and it is important that they receive a high level of
care to manage their condition.
According to the survey, each service covered a population of about 600,000 people, containing an average of about 1,600 people with heart failure.
Although the survey has anonymized the best performing and underperforming locations, the differences across the country are striking. For example, in a quarter of services, one or two nurses are taking care of people with heart failure. Meanwhile, the best served have more than seven nurses.
The results also show that almost a quarter (24%) of respondents
the services have no administrative support. It means that already
Overworked doctors and nurses need to spend more time dealing with
paperwork instead of supporting patients.
Meanwhile, about one in seven services did not have
consultant or senior physician specializing in heart failure,
highlighting another gap between the recommendations of the NICE Directive and
clinical practice.
The consequences of living with heart failure are not just physical. Past
Studies have shown that there is a link between living with the heart
illness and mental well-being. A previous British Heart Foundation (BHF)
A survey of more than 2,700 people with heart disease found that 68%
have also been affected by their mental, emotional or
psychologically.
Of these, 77% reported anxiety related to their
state. Despite this, 67% of respondents said they did not speak to
anyone from the emotional or psychological impact that this has created. C & # 39;
made even more worrying by the fact that Helena's investigation
Masters have shown that only 15% of heart failure services have a mental disability.
health professional working on their team.
Helena Masters, head nurse at Novartis, who led the survey, said:
"These results show that there is a worrying lack of uniformity in the heart failure services provided in the UK.
"About one in seven of the services surveyed also do not have
Consultant or senior physician specializing in heart failure,
highlighting a worrying deficit between the recommendations of the NICE Directive
and clinical practice.
"With the growing number of patients with heart failure, it is
important that each region of the country has the resources to improve and
improve the quality of life for people living with this debilitating disease
state. There are innovative and effective treatments for the heart
it is therefore vital that patients are diagnosed early and have access
specialized care. "
Professor Metin Avkiran, badociate medical director at BHF, said:
"More than 900,000 people with heart failure live in the
UNITED KINGDOM. It is a long-term condition that often worsens over time. As
In addition to the daily challenges, people with heart failure are more
risk of having a stroke and terminal heart failure is very poor
survival.
"As more and more people can hope to survive a heart attack,
are an increasing number of people at risk of developing heart failure
later in life. We must have the right services in place for physically
and mentally support them.
"The BHF is committed to ensuring that all people living with the heart
Failure gets the right support, no matter where they live. We are
currently finances around 49 million pounds of research on heart failure,
improve the prospects for people with this devastating disease.
"If research will bring new solutions in the future, services
United Kingdom must ensure that they provide appropriate care
guided by current evidence. "
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