Case Study from The handbook

Discharge referral to cardiac rehabilitation, NHS Ayrshire and Arran

5 September, 2018

In Scotland, within NHS Ayrshire and Arran, all people diagnosed with heart failure (HF) or experiencing exacerbation of the syndrome are seen by the cardiac rehabilitation team in hospital to initiate education sessions as soon as possible.

Upon discharge, people with HF are referred to community-based nursing care, and once they are ready to start cardiac rehabilitation the in-hospital team is contacted and an assessment arranged. Transitional care follows an integrated and multidisciplinary pathway.

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The Heart Failure Policy Network is made possible with financial support from Novartis Pharma, AstraZeneca and Vifor Pharma. The content produced by the Network is non-promotional and not biased to any specific treatment or therapy. All outputs are guided and endorsed by the Network’s members.