Sam Haward, Head of Service Development – Long Term Conditions 28 October 2010 (version 1.0)
Latest Issue Date:
22 December 2010 (version no.1.03)
Operational Date:
01 April 2011
Review Date:
01 April 2012
Consultation Process:
The care pathways and accompanying notes have been developed in conjunction with published NICE guidelines and National strategies for the management of LTCs, where available. The pathways were further informed by Map of Medicine and have gone through systematic reviews with clinicians across North Yorkshire, where front-line primary, community and secondary care practitioners were consulted in order to draw on their local expertise
Policy Sponsor:
e.g. Head of Department/Director or Committee
Ratified and Approved by:
Integrated Commissioning Executive (ICE)
Distribution:
All primary, secondary and community care clinicians
Compliance:
Mandatory for all permanent & temporary employees, contractors & sub-contractors of North Yorkshire and York PCT This policy has been subject to a full Equality Impact Assessment
Equality & Diversity Statement:
DATE
AUTHOR
CHANGE RECORD NATURE OF CHANGE
VERSION No
28.10.10
Ernst and Young
New heart failure care pathways
1.0
26.11.10
Ernst and Young
Pathways updated following comments from ICE
1.02
Please note that the intranet version is the only version that is maintained. Any printed copies should, therefore be viewed as ‘uncontrolled’ and as such may not necessarily contain the latest updates and amendments.
Version 1.02
Heart Failure Care Pathway: Patient with Suspected Heart Failure
Patient suffering from breathlessness, fluid retention, fatigue, exercise intolerance
No acute alarm features
Acute alarm features Referral to cardiology or presentation at emergency department Go to hospital management of decompensating patient pathway
Assessment in primary care
Undertake NICE recommended key Investigations
History and examinations
Alternative diagnosis Heart failure suspected – consider prescribing a loop diuretic to manage fluid overload. Do not start ACE inhibitors until confirmed diagnosis unless there has been a previous myocardial infarction
Previous myocardial infarction
Refer urgently for echocardiogram and specialist assessment within two weeks
![2014 RECRUITMENT TO THE POSTS OF ASSISTANT DIRECTOR (ADMINISTRATION AND FINANCE] AND ASSISTANT DIRECTOR [PUBLIC RELATIONS]](https://kipdf.com/img/300x300/2014-recruitment-to-the-posts-of-assistant-directo_5aaff7a91723dd339c803e29.jpg)
