MINUTES OF CARDIAC REHABILITATION MEETING
16th MARCH 2006 12.15 – 13.30
Dr Murphy, Sally Glazier, Peter Ball,Wendy Plant, Steve Luckham, Jo Dwyer, Trevor Hurrell, Margaret Hurrell, John Parsons, Caroline Chalk, Sue Tipper, Debbie Keeping, Lou Beagley.
1. Minutes agreed from previous meeting.
2. Sue Tipper - BHF/ Lottery Funded Home Program
-Sue Tipper is working with Jo Dwyer seeing patients who wish to commence the home program but require further assessment by a physiotherapist.
-9 patients have successfully completed the home program
-patients wishing to commence the home program are increasing gradually.
-PB & TH discussed the possibility of out of hours cardiac rehabilitation, all agreed this is an excellent idea but to perform home visits after daylight hours would not be a safe proposal, phase three aware that in the future this is an aspect that has to be assessed due to patient choice.
3.Feedback on monthly statistics.
-D.K. Home visits have increased for the previous month. The database reflecting the home visit within 7 days may be inaccurate but it is estimated (by nurses) that 95% are seen within the 7-day criteria.
-There still remains no cover for annual leave or sickness.
C.C. Phase three waiting list came down to 3 weeks upon the 6 weeks criteria wait.
-Patients are being made more aware of the importance of informing staff if they are unable to make their phase three session.
J.D. Difficulty in covering phase three sessions, when classes have a high number of dependent patients, so funding used from cardiac rehabilitation donations agreed by J.S, C.C, D.K, S.T.
J.D At present the Bognor classes have less uptake so some patients who would normally attend Chichester may be asked to attend Bognor classes.
D.K Suggested that the managers should be invited to discuss the cover of annual leave and sickness; with the team to see if any ideas and solutions could be made.
C.C Increased discharge rates this month and more patients attending phase 4.
C.M. It was discussed for the necessity of being able to find data that represented cardiac rehabilitation reducing readmission rates, a question will be put on the patient yearly follow up questionnaire asking if they have had a cardiac admission within the previous year.
4. Funding Issues
D.K. At present the PCT and Trust have secured the funding of the BHF Nurses, need to find out how long funding is secured for.
5. Patient Forum
J.D Phase 2 education has stopped due to lack of uptake. JD has been trying to arrange a patient forum date to ask patients who have completed the sessions how valuable they found them and how we can improve them. S.G has offered assistance in providing an expert contact.
6. Phase 3 – 4 transfer protocol
D.K Review of protocol and flow chart. Agreed for changes to be made next time the protocol goes to be reviewed. WP and SL highlighted the need for clarification of enzyme levels and to ensure that we all work within the same guideline of the BACR risk assessment as well as the protocol.
D.K. Discussed current problem with KEVII patients, patients being advised to phone their Cardiologists respective secretary. Patients currently awaiting surgery are now being transferred to Brighton.
T.H. Feedback from the B.H.F conference at Heathrow, excellent day .
J.P. Finalising GP Commissioner groups, looking at expansion of Cardiac rehabilitation for H.Fand Angina patients. Also to commence Pre hab.
NEXT MEETING 25TH MAY 12.15 – 13.30 (ROOM TO BE BOOKED)
Please send items for agenda and apologies to a member of the Cardiac Rehab Team.
19TH JAN 2006
DINNING ROOM CMEC
CARDIAC REHAB MEETING
THURSDAY 1ST DECEMBER 2005-10-31
LUMLEY ROOM – CMEC
v Minutes of last meeting - Jo
v Feedback on monthly statistics- phase 1 and 2 -Debbie/Sue
Phase 3 and 4 -Caroline
v New phase 3 trial session - Sandy
v New phase 3 data collection – Jo
v Christmas fund raising, changes to rehab service over Christmas – Sandy
v Evaluation of smoking cessation service – Debbie/Sue