The Inspira Health Primary Care Heart Failure (PCHF) Service is a Consultant-led / GP with Specialist Interest in Cardiology service that provides expert resource to work within GP practices.
The service, which is fully funded, provides a high quality, systematic and seamless pathway to identify, diagnose and treat patients with Heart Failure (HF) with severe Left Ventricular Systolic Dysfunction (LVSD)
Benefits are as follows:
Ensures patients with HF (with LVSD) are optimally managed and treated to improve health outcomes
Ensures practices are compliant with NICE guidelines (e.g. TA314, CG108)
The service is led by a Consultant Cardiologist
Increases clinicians’ knowledge around evidence-based strategies for managing and treating HF and LVSD
Delivers HF QOF indicators to their maximum thresholds
Increases the data quality of the HF and LVSD register
Key results so far:
PCHF patient clinical reviews have found 24% appropriate for complex device therapy and 45% require medicines optimisation
The service installs PRIMIS CHART software and generates MIQUEST queries from the GRASP-HF audit. The queries are then run on the GP Practice clinical system
Phase 2: Patient Medical Records Review (Clinical Audit)
Audit 1 – Assessing the practice HF and LVSD prevalence
Audit 2 – Assessing current management and compliance with NICE guidelines (e.g. TA314 and CG108)
Phase 3: Patient Invitations
Inspira invites all eligible patients to attend a specialist review with a local Consultant at local GP Practice
Phase 4: Consultant Clinic
Cardiologists review patients for consideration for pharmacological and/or interventional therapy in clinic at the practice. Patients will have up to date ECGs arranged prior to seeing Cardiologist. Patients are referred by the Cardiologist if deemed necessary into secondary/tertiary care for device management and/or treatment optimisation
Phase 5: Patient Follow-up
Inspira reviews recommendations and subsequent actions at 3-months, 6-months, 9-months and 12-months post clinic to determine outcomes