PPCI Cardiac Rehabilitation Services

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PPCI - Cardiac Rehabilitation Services

• Annette Johnson
• Chair of the NECVN Cardiac Rehabilitation
• Steering Group
• 7th October 2009

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Primary PCI One Year On

• Tertiary
• Primary
• Secondary
• Patient Perspective

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Aaagh!!!
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Primary PCI One Year On

• Challenges
• Collaboration
• Communication
• Continuity of care

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Why Cardiac Rehabilitation?

• Research Astin et al 2008 JAN
• Aim- to explore patient experiences
• Method- exploratory study 2006-7
• Findings mismatch between expectations
  reality
• Conclusion greater awareness of heart disease
  as a long term condition

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Why Cardiac Rehabilitation?

• Secondary Prevention
• Repeated surveys in different countries show that
  patients discontinue treatments
• 50 of patients have stopped at least one drug at
  12 months
• Repeated messaging is needed
• re-balance understanding of risk and benefit

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Primary PCI One Year On

• Challenge - Equity of care
• Variation in time spent 20mins- 5hrs
• Standardisation of information
• Communication/Collaboration
• Cardiac Rehabilitation Network Meetings
• Heart Manual/HAD Scores
• Contact time 3 hours

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Primary PCI One Year On

• Challenge - Referral system
• Treat Discharge model
• Quick Turnaround
• Fax/post
• Limited Information
• Communication/Collaboration
• NHS Net
• PCI Specialist Nurse

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Primary PCI One Year On

• Challenge Tertiary centre Funding
• Increase from 20mins-3 hours
• Heart Manual Facilitation/HAD Scores
• Admin
• Early contact
• Introduction of Saturday working
• Communication/Collaboration
• PPCI meetings/Involvement of rehab
• Support Commitment

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Primary PCI One Year On

• Developments/Future plans
• PPCI Network Guidance - echo, cardiac
  rehabilitation and driving advice
• Fast track phase 3
• Patient Hand Held Record
• Service specifications
• Anxiety Depression
• NSTEMI

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Conclusion

• Challenges
• Collaboration
• Communication
• Continuity of care

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Primary PCI One Year On
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Annette JohnsonCardiac Rehabilitation/CTOP
D Services ManagerJCUH01642-854644

• Questions?