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Community Cardio-Respiratory Physiotherapy Development of Heart Failure (HF) Rehabilitation at BreathingSpace, Rotherham Overview of the Project HF is a complex long-term condition, if left untreated has a poor prognosis. Patients with HF often have: A poor quality of life (QOL) Symptoms of breathlessness and fatigue Increased risk of mortality especially following admission to hospital. NICE guidance for Coronary Heart Disease (2010) recommends that patients be offered a supervised programme of exercise, incorporating education and psychological support. The aim of HF rehabilitation is to: Positively impact on patients QOL Improve symptoms Reduce admission rates to hospital Provide comprehensive disease education and psychological support to patients The overall aim of the project was to establish a HF rehabilitation programme in Rotherham. Leadership Challenges Following Transforming Community Services, it has proved difficult to establish ʻwhoʼs who' in a new organisation Working with Community and Hospital HF teams, who appear to operate very differently Following my maternity leave I will aim to utilise the experiential learning of ʻselfʼ and ʻteamsʼ to support and build my team and drive forwards the HF rehabilitation service Results Increased profile of BreathingSpace as a centre of excellence for cardiorespiratory rehabilitation Process mapping of existing services in both Hospital and Community divisions Physiotherapy team members have gained qualifications in HF management and rehabilitation As a clinical leader I am more aware of my personality type and how it impacts on others. I am aware of how to adapt my traits depending on the situation Increased confidence in identifying and dealing with conflict On my return to work, my team will be ready to pilot a programme of HF rehab and formally submit a business case to ensure HF rehabilitation is commissioned for the patients of Rotherham Contact Information Orla Reddington Therapy Lead for BreathingSpace / Clinical Specialist Physiotherapist [email protected] 01709421700 Ensuring HF rehabilitation is at the heart of services in Rotherham Following my leave, I will need to re establish myself as a clinical leader in a changing NHS and a ʻrevampedʼ BreathingSpace Continue to utilise the academic learning in terms of theories of service improvement to ensure momentum of the project

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The Clinical Leadership Fellowships aim to support the transformation of leadership in the NHS by offering clinical professionals the opportunity to develop leadership skills through a structured learning and experiential programme.This two-day event saw 59 of our 2011 graduating Fellows share reflections and successes of their hard work over the past year. We heard some truly remarkable examples of how the programme enabled clinical professionals to improve and even transform services for patients. We also welcomed 80 new Fellows for the 2012 intake. Joining in the welcome celebrations were Jan Sobieraj, Managing Director of the NHS Leadership Academy, Sir David Nicholson, NHS Chief Executive and Chief Executive of the NHS Commissioning Board Authority, and Anna Soubry MP, new health minister.

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Page 1: OrlaReddington Poster

Community Cardio-Respiratory PhysiotherapyDevelopment of Heart Failure (HF) Rehabilitation at BreathingSpace, Rotherham

Overview of the ProjectHF is a complex long-term condition, if left untreated has a poor prognosis.

Patients with HF often have:

• A poor quality of life (QOL) • Symptoms of breathlessness and fatigue • Increased risk of mortality especially following admission to hospital.

NICE guidance for Coronary Heart Disease (2010) recommends thatpatients be offered a supervised programme of exercise, incorporatingeducation and psychological support.

The aim of HF rehabilitation is to:

• Positively impact on patients QOL• Improve symptoms • Reduce admission rates to hospital • Provide comprehensive disease education and psychological support to

patients

The overall aim of the project was to establish a HF rehabilitationprogramme in Rotherham.

Leadership Challenges• Following Transforming Community Services, it has proved difficult to

establish ʻwhoʼs who' in a new organisation

• Working with Community and Hospital HF teams, who appear to operatevery differently

• Following my maternity leave I will aim to utilise the experiential learningof ʻselfʼ and ʻteamsʼ to support and build my team and drive forwards theHF rehabilitation service

Results• Increased profile of BreathingSpace as a centre of excellence for

cardiorespiratory rehabilitation

• Process mapping of existing services in both Hospital and Communitydivisions

• Physiotherapy team members have gained qualifications in HFmanagement and rehabilitation

• As a clinical leader I am more aware of my personality type and how itimpacts on others. I am aware of how to adapt my traits depending onthe situation

• Increased confidence in identifying and dealing with conflict

• On my return to work, my team will be ready to pilot a programme of HFrehab and formally submit a business case to ensure HF rehabilitation iscommissioned for the patients of Rotherham

Contact InformationOrla Reddington

Therapy Lead forBreathingSpace / ClinicalSpecialist Physiotherapist

[email protected]

01709421700

Ensuring HF rehabilitation is at theheart of services in Rotherham“

• Following my leave, I will need to re establish myself as a clinical leaderin a changing NHS and a ʻrevampedʼ BreathingSpace

• Continue to utilise the academic learning in terms of theories of serviceimprovement to ensure momentum of the project