Who delivers it?
"Coronary Heart Disease (CHD) is a condition that affects your heart. It is estimated that about two million people in the UK are living with coronary heart disease.”
The BCHC Cardiac Service consists of two nurse-led clinical teams; Cardiac Specialist - Heart failure Team and the Cardiac Specialist Rehabilitation Team. The service is supported by an Administration Team.
- The Role of the Community Cardiac Exercise Instructor
- The Role of the Community Cardiac Rehabilitation Nurse
- The Role of the Community Heart Failure Specialist Nurse
- Service Leaflet: Heart Failure
- Service Leaflet Cardiac Rehabilitation
- Useful Links
- Cardiac Education and Exercise Videos: please only engage with the exercise videos once you have been assessed and advised by one of the cardiac specialist nursing team of Birmingham Community Healthcare NHS Trust Cardiac Rehabilitation Team.
- 18+, registered with a GP in East, North, Central, West with a confirmed diagnosis of either HFpEF, HFmEF, and HFrEF.
Housebound patients with clinical signs of heart failure, who are unable to attend for echocardiogram and cardiology assessment, confirm a raised N-terminal pro-B-type natriuretic peptide, please contact the team directly for consideration of supportive advice, limited management plan and symptom control.
Cardiac Specialist Rehabilitation
- 18+, registered with a GP in East, North, Central, West (Phase 2,3,4)
- 18+ former Solihull GP (Phase 3 only)
- Confirmed diagnosis of either: MINOCA, TP-NOCA, N-STEMI, STEMI, ACS, CABG, PCI, Valve Replacement, and Heart Transplant etc.
Please note we are working with BSOL CCG to deliver a city wide service and expand our inclusion criteria.
Where is it delivered?
Patients are offered an appointment in a venue closest to their home; there are 10 clinics and 4 gym facilities across the localities. Home visits will only be offered to housebound patients.
The service offers home visits for house-bound patients; a complex assessment including psycho-social, physical and pharmacological assessment; medication initiation and titration; clinical observations and physical examination, and diagnostics where required.
What does the service do?
The service provides a risk assessed personalised management plan, which can include lifestyle modification, education, cardiac rehabilitation programme, palliative care support and end of life care, as well as referrals to other health and social care support if required.
The service has close links with primary and secondary care. Patients are regularly discussed at multi-disciplinary team meetings clinical advice sought and clinical supervision freely given as required.
Palliative care support and end of life care are an essential part of the service offering with senior staff working in partnership with the patient, their carers, IMT’s and hospice staff and the BCHC Palliative Care Lead.
Once treatment has been optimised and symptoms stabilised patients are discharged back to GP care.