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The new Sheffield clinical pathway for heart failure and the GP open access echo service

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The new Sheffield clinical pathway for heart failure and the GP open access echo service

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    1. The new Sheffield clinical pathway for heart failure and the GP open access echo service Laurence O’Toole Consultant Cardiologist

    4. Source Data used for Healthcare Commission Heart Failure Improvement Review

    5. Where Sheffield scored poorly No dedicated HF clinic Long waiting times for echo Prescribing consistent with NICE guidance Referral to specialist services Audit Overall mortality and admission rates

    6. Prescribing consistent with NICE guidance % patients with proven LVSD prescribed ACEi/ARBs national average 85.2% ± 2.7% PCT source data North 79.9% West 80.8% SW 80.9% SE 77.2%

    7. The diagnosis of heart failure

    10. Outcomes from Current Open Access Echo Service

    11. Outcomes from Current Open Access Echo Service

    12. Problems with the Diagnosis of HF in General Practice Symptoms non-specific Broad differential diagnosis Requires access to specialist investigation Difficult to address with time constraints Inertia because of complexity of treatment Patient reluctance to consider investigations

    13. Problems with Echocardiography for GPs Uncertainty about interpretation of technical reports Perception of long waiting times Concerns about overloading the service Inconvenience for patients

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