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Specialist heart failure nursing reduces readmissions

Primary Care Trusts (PCTs) could make significant savings by providing heart failure patients with specialist nursing care, according to an independent report published by the British Heart Foundation (BHF).
Conducted by a team at the University of York, the evaluation found that BHF heart failure specialist nurses (HFSNs) could save PCTs £1,826 per patient, and HFSNs involved in the project were responsible for over £8m of savings.
The close monitoring of patients' symptoms that BHF heart failure nurses were able to provide meant that the number of readmissions to hospital was 35% less than in the previous 12 months.
Professor Peter Weissberg, Medical Director at the BHF, said: "The dramatic difference in patient readmissions was due to the close support BHF heart failure specialist nurses provided. They were able to give advice and reassurance which enabled patients to understand and manage their condition."
Michael Davies, a Cardiac Consultant at the University Hospital of Birmingham, said: "The findings show that their efforts improve many aspects of heart failure management and their cost-effectiveness is clear - they save more money for the NHS than they cost to employ."
The research also found that nurses appeared to have a positive impact on the health-related quality of life of patients. Patients were asked to rate the impact their condition was having on their life. Due to the progressive nature of heart failure, the quality of life for patients typically goes down. However, patients in contact with a BHF HFSN indicated that their condition was having less of an impact on their daily lives 6 and 12 months after monitoring began. 
Heart failure affects about 2% of the population and there are 63,000 new cases each year. The treatment of patients with heart failure costs 1.8% of the NHS budget and accounts for 5% of acute admissions.
The BHF heart failure nurse service was a 3-year programme which supported, developed and monitored 76 nurses across 26 PCTs. Funding for the HFSNs has now expired. However, such was the success of the project that all the PCTs have found alternative funding in order to continue to provide this valuable service to heart failure patients.
Professor Weissberg said: "We have shown how effective specialist support to heart failure patients is, from the perspective of both the patient and health professionals. It is now up to the health services to use this information to commission the best possible care for heart failure patients."

British Heart Foundation