Heart Failure Service

Stockport Heart Failure Service

The service is based at Kingsgate, in the Centre of Stockport. The expanded service consists of heart failure specialist nurses, supported by 2 heart failure consultants, and a GP with an extended role in heart failure.

Patients with proven Left Ventricular Systolic Dysfunction (LVSD) on echocardiogram are seen by the service. In addition to optimising medical management for LVSD the team offer education, support and advice on self-management.

Tel: 0161 204 4669

Patient Advice Line: 0161 204 4670

Email for enquiries: snt-tr.heartfailurestockport@nhs.net

Referrals for suspected heart failure (see diagnosis and referral pathway for more detail):

Referrals for suspected heart failure (see diagnosis and referral pathway for more detail):

  1. If NT-proBNP 400-2000ng/l           – request an echocardiogram and if this demonstrates LVSD refer via the e-referral service to the heart failure team
  2. If NT-pro BNP > 2000ng/l               – refer urgently to heart failure team who will arrange an urgent echocardiogram and review
  3. Patients with known heart failure and proven LVSD on echocardiogram can be referred via the e-referral service to the heart failure team

 Click here for referral forms for echocardiogram, urgent heart failure referral and routine heart failure referral.

Pathways:

Stockport Heart Failure Diagnosis Pathway

Stockport Heart Failure Management Pathway

Heart Failure Clinics:

  • Clinic appointments are offered at Kingsgate, follow ups can also be offered at a monthly satellite clinic held at Woodley health centre run by the specialist nurses
  • Home visits can be arranged for housebound patients only

Stockport Heart Failure Guidelines
The following local guidelines are available to support the implementation of the 2018 NICE guidance on Chronic Heart Failure.

“Think Kidneys” advice on how to manage changes in kidney function and serum potassium during ACEI/ARB/diuretic treatment in primary care

A useful best practice summary to managing electrolyte disturbance:

Heart Failure Rehabilitation

For patients under the care of the service who have undergone assessment and symptom stabilisation referral onto a combined heart failure and pulmonary rehabilitation programme is available.

The programme is delivered by specialist physiotherapists and a cardiac exercise facilitator providing both gym based sessions and educational talks relating to many aspects of living with a long term condition. As well as providing practical guidance the group is also effective in providing peer support and encourages on-going networking and signposting onto lifelong activity.

Practice Educational Sessions
The heart failure team are happy to provide practice educational sessions and support the implementation of local and NICE guidance at educational and training events.

They can be contacted on 0161 204 4669, or via email to mark.white3@nhs.net or helen.oxenforth@nhs.net.

Additional Resources

The following self management plan is for use with individual patients where appropriate:

Deactivation of ICDs in End of Life Care

Please find below the policy and patient booklet for ICD deactivation.  This policy covered both hospital and community.

If you have any queries regarding this please direct them to helen.oxenforth@nhs.net

Updated Operational Policy for the Deactivation/Reactivation of ICD

Patient ICD deactivation booklet – a guide for patients and carers