Chamber and committees

Under the Heart Disease Task Force oversight, a Short Life Working Group has been supporting the development of a layer of cardiac specific competencies intended to complement the wider Transforming Nursing Roles competencies for Clinical Nurse Specialists.

The Scottish Government is currently working with NHS Education for Scotland to identify a workplan for the next phase of the Transforming Roles Programme. This involves agreeing priority actions and implementing outstanding recommendations from the ‘Transforming Nursing, Midwifery and Health Professions’ Roles: Review of Clinical Nurse Specialist and Nurse Practitioner Roles within Scotland’ publication.

At a time of significant system pressure, this priority setting is to be undertaken as part of wider considerations in collaboration with the Scottish Executive Nurse Directors Group in Spring 2023.

In addition, the Allied Health Professional Education and Workforce Policy Review that considered the actions necessary to deliver a national education and workforce plan for AHPs has now been completed. The recommendations will be published early 2023 and an implementation plan will be developed thereafter.

The National Integrated Workforce Strategy published in 2019 committed to increase the Cardiac Physiologist workforce, thereby increasing capacity to carry out diagnostic testing, by supporting an additional 30 training places on the 4 year BSc course in Clinical Physiology.

Over the next 3-5 years we will also focus on increasing the workforce by promoting recruitment into Scientist Training Programmes and Practitioner BSC Programmes” We have supported 17 new practitioners through the 4 year BSc Course and 13 new Clinical Scientists.

More recently in 2022, the Clinical Physiology Executive Board has scoped and collected data on all physiology science services. The information that has been garnered from this exercise will feed into the wider strategic piece of work in relation to Healthcare Science education and training.

We provide information and resources on the use of Anticipatory Care Plans to professionals, patients, and their families to ensure people get the right care in the right place at the right time. In 2021, Healthcare Improvement Scotland developed the Anticipatory Care Planning Toolkit consisting of a 4-step model, guidance, and resources for health professionals.

NHS Education for Scotland has educational resources for professionals delivering training about shared decision-making and anticipatory care planning (Realistic Conversations).

The Heart Failure Hub has endorsed, and is supporting the dissemination of, Patient and Health Care Professional Cardiac Supportive Palliative Care resources developed by the British Society for Heart Failure - Patient info and HCP resources — British Society For Heart Failure (bsh.org.uk)

In April 2021, Scottish Government commissioned Public Health Scotland to develop and deliver the Scottish Cardiac Audit Programme. This programme will support delivery against the actions in Priority 4 of the Heart Disease Action Plan.

We also commissioned the ALLIANCE to deliver the Heart Disease Lived Experience Network. The Scottish Cardiac Audit Programme has engaged closely with the network to ensure that people with lived experience of heart disease have influenced the development of indicators.

Work to develop agreed pathways is underway and required to complete before gap analysis can be undertaken.

In April 2021, Scottish Government commissioned Public Health Scotland to develop and deliver the Scottish Cardiac Audit Programme. Over 100 clinicians and people with lived experience have been involved in the development of draft indicators for this programme. This includes health care professionals with an interest in specialist services, cardiac rehabilitation and palliative care.

Draft indicators were shared for further feedback in autumn 2022. PHS continue to work to develop the audit programme based on this feedback.

In April 2021, Scottish Government commissioned Public Health Scotland to develop and deliver the Scottish Cardiac Audit Programme. This programme will support delivery of the actions in Priority 4 of the Heart Disease Action Plan (2021). This will include enabling access to heart disease related data and intelligence.

In September, NHS Education for Scotland and the Scottish Government hosted a webinar on ‘Delivering a Person-Centred Approach to Rehabilitation in a Post-COVID era’. The webinar formed part of Scottish Government’s work to raise awareness of the Once for Scotland Person-Centred Approach to Rehabilitation. More than 1,000 people with an interest in rehabilitation took part.

a) The Rehabilitation and Recovery: A Once for Scotland Person-Centred Approach to Rehabilitation in a Post-COVID Era was published in June 2022 and provides a framework to deliver person-centred, innovative and inclusive rehabilitation to all.

The Once for Scotland approach recommends that all individuals should have access to a person-centred assessment, which will provide a better understanding of their rehabilitation needs.

As this work now moves into an implementation phase, rehabilitation services are encouraged to benchmark themselves against the Six Principles of Good Rehabilitation in order to identify gaps in service provision and opportunity for development and innovation.

b)Through the Heart Disease Action Plan funding call in 2021 we provided funding for the development of a self-management resource for people with Heart Failure with Preserved Ejection Fraction.

Through the Heart Disease Action Plan Funding call in 2021, we provided funding for a second NHS board to implement aspects of the OPERA study within its local service provision.

The learning from this will support ongoing work by the Centre for Sustainable Delivery and the Heart Failure Hub to better understand the opportunities for improvements to the Heart Failure diagnostic pathway.