Discharge referral to cardiac rehabilitation, NHS Ayrshire and Arran

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.