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COVID-19 service update:


The Cardiac service continues to provide care. Support may be face to face or at home but where possible remote advice will be given. Only urgent home visits are currently being carried out.


We provide specialist care, education and support for adult patients who are registered with a Leeds GP who have the following heart conditions:

  • Diagnosis of a heart attack (myocardial infarction)

  • patients who have had heart bypass surgery or valve replacement

  • patients who have had  percutaneous coronary intervention (PCI), sometimes known as an angioplasty

  • patients with a diagnosis of heart failure

Our service covers two main areas of care: management of heart failure and cardiac rehabilitation. 

Our team of cardiac nurse specialists, physiotherapists, occupational therapists and healthcare support workers aim to provide an excellent cardiac service across Leeds. The team works in partnership with the primary care GP services, and the Leeds Teaching Hospitals Trust. 

The service is provided at home (if the patient is housebound) or in a clinic. The number of contacts offered is based on a patient's individual needs.

We manage patients with heart failure through:

  • Clinics
  • Home visits
  • Telephone consultations
  • Discussion  
  • Organising onward referrals to other appropriate services
  • Access to 1:1 specialist physiotherapy
  • Access to the occupational therapist
  • The ability to contact the service for telephone support and the option to re-refer if symptoms deteriorate
  • Intravenous Diuretic Service
  • Cardiac Activity Programme

We provide support for cardiac rehabilitation through:

  • Clinics
  • Home visits
  • Telephone consultations
  • Supporting patients after discharge from hospital
  • Cardiac Activity Programme
  • Access to an occupational therapist
  • Organising onward referral to other appropriate services
  • Access to 1:1 specialist physiotherapy

Referrals

Most referrals are organised via your GP or directly from the hospital following an admission. Self referrals can be made if you are known to the service. Referrals can also be made via our neighbourhood teams or community matrons. If you have any questions,  please contact the Community Cardiac Service on lchcardiac.service@nhs.net 

Useful Information

Our aim

The Community Cardiac Specialist team offers high quality patient care, respecting individual wishes, beliefs and needs.
This involves working closely with your hospital, family doctor (GP) and other services, as well as your family, carers and friends. We help you maintain and improve your quality of life. We also listen to your views and comments and use them to develop and improve our community cardiac rehabilitation services for all our patients and their families.

How can we help?

We hope you are well on the way to recovery from your recent heart attack or cardiac surgery. We understand this may be an anxious time for you and your family and you may welcome a little support or advice to support your recovery. We are here to help.
We can:

  • advise the safest way to resume physical activity
  • discuss medication issues
  • offer reassurance, advice and support to help you make positive lifestyle changes, such as giving up smoking, changing your diet or becoming more active
  • Provide expert individualised advice regarding modifying your risk factors for heart disease.

You may be interested in joining our exercise and education programme, which is up to six weeks, based at some local sports and leisure centres. We can give you more information when we visit you.

Where do we see patients?

Our first contact with you maybe a visit to your home with your permission, or we may ask you to attend a clinic that is local and convenient to you, which is based within a health centre, for your subsequent contacts. Home visits are only provided to patients who are unable to attend a clinic due to ill health.

Your cardiac rehabilitation choices

Alongside an assessment of suitability by your cardiac nurse, these are the options available to you as part of your cardiac rehabilitation menu.

Your Heart Your Recovery

Booklet provided by The Leeds Teaching Hospital outlining what to expect during your recovery from heart attack.

Your Journey Through Heart Surgery

Booklet provided by The Leeds Teaching Hospital outlining what to expect during your recovery from cardiac surgery.

Community Exercise and Education Programme

A twice weekly exercise programme for up to six weeks held in various leisure centres across the city.

Education Sessions

If you did not want to attend the exercise classes we provide, or they were not appropriate for you, you would be welcome to attend the education sessions instead. These include talks regarding your tablets, physical activity, stress and healthy eating.

What is the aim of the clinic?

  • Explain your heart condition
  • Explain and review your medication
  • Review your general health
  • Check your blood pressure, pulse and weight
  • Give healthy living advice that could improve your heart condition
  • Review your medication regime and alter or introduce medication to improve your heart condition (this may take several appointments).

How many appointments will I need?

  • This will vary according to the type of heart condition you have.
  • If you are being followed up because of a heart attack or heart surgery you will usually require one or two appointments.
  • If you are being followed up after an angioplasty or stent and wish to join a heart rehabilitation class you will usually require one appointment.
  • If you are being followed up because of a diagnosis of heart failure you will require more frequent appointments as we will be altering your heart medication. Your follow up may last several months.

What if I am housebound?

Providing care for housebound patients is an important part of our service.
However, you will not be eligible for a home visit if you are able to go out either by taxi, private car, motorised scooter, bus or use the access bus to visit any of the following:

  • GP
  • Shops
  • Relatives
  • Hairdresser / barber
  • Dentist / optician
  • Pension
  • Phlebotomist / nurse
  • Luncheon clubs

In these circumstances you will be requested to attend the heart clinic at your local health centre.

Getting to the clinic

The following may help you:

  • Use public transport.
    Metro 0113 245 7676
    www.wymetro.com
  • Access Bus if appropriate.
    Access Bus 0113 348 1903
  • Leeds Alternative Travel will take you door to door for a small charge.
    0113 386 8880
  • Contact Leeds Directory 0113 391 8333 for information about local travel schemes.
    www.leeds.gov.uk
  • If you receive the high rate mobility component of the Disability Living Allowance or War Pensioner Mobility Supplement you must use this to pay for your transport costs to clinic.

Travel costs

If you are on a low income you may be able to claim for a refund of your travel costs under the Healthcare Travel Costs (HTC) scheme.
To find out if you are eligible and how to claim, visit the NHS Choices website www.nhs.uk or phone 0845 610 1112 to order a paper copy of the travel claim form and eligibility document (HC5, HC11). You can ring the Patient Experience Team in Leeds (number below). Please keep receipts and records of your journeys.

Change in circumstances:
If your situation changes and you are unable to attend your local heart clinic please contact the Cardiac Service. You will need to complete the enclosed mobility questionnaire that should be returned to the cardiac nurse.

What is the Heart Failure Nursing service?

We are a team of specialist nurses with broad nursing experience and specialised cardiac skills. We care for people who have already been diagnosed with heart failure.

The team will:

  • Work closely with you, your GP and your hospital consultant to try and improve your symptoms and quality of life.
  • Plan your care with you to meet your individual needs.
  • Offer support and individualised advice for you and your family.
  • Discuss and review your medication and adjust your doses if necessary.
  • Monitor your condition and blood tests as needed.
  • Refer you to other services where appropriate.

What is heart failure?

Heart failure is a condition where the heart is unable to pump strongly enough to meet the body’s demands for blood and
oxygen.

The main causes of heart failure are:

  • damage to the muscle caused by a heart attack
  • high blood pressure
  • heart valve disease

The main symptoms of heart failure are:

  • shortness of breath
  • swelling of the ankles and feet
  • tiredness

Aim of the service

The Community Cardiac Specialist team offers high quality patient care, respecting individual wishes, beliefs and needs.

The team will help you maintain and improve your quality of life.

They will also listen to your views and comments and use them to develop and improve services for all patients and their families.


Where are patients seen?

Housebound patients are seen at home by arrangement.
The service also runs from local clinics across Leeds.
These are:

  • Armley Moor Health Centre
  • Bramley Clinic
  • Chapeltown Health Centre
  • Kippax Health Centre
  • Kirkstall Health Centre
  • Meanwood Health Centre
  • Morley Health Centre
  • Otley Health Centre
  • Pudsey Health Centre
  • Seacroft Clinic
  • St George’s Centre
  • Wetherby Health Centre
  • Yeadon Health Centre

Frequently Asked Questions

How can diuretics be given?

The most common way to give diuretics is in tablet form (water tablet).
Sometimes the tablets do not work as well as they should and fluid can build up in your body.
Giving the diuretic by injection can be more effective. There are two ways of doing this:

  1. Intravenously (IV) This is where a fine tube called a cannula is inserted into a vein and the diuretic is given by injection over a period of time (the period of time will depend on the dose given)
  2. Subcutaneously (SC) This is where a small fine tube called a cannula is inserted under the skin and the diuretic is infused over 24 hours. Before a cannula is inserted the procedure will be explained and a sample shown to you first if you choose. This will be done by the nurse visiting you at home.

Do I need to be in hospital or can I be at home for my IV treatment?

This treatment was previously only offered in hospital but is now available as a community treatment for many patients with heart failure.

Do I have to purchase anything?

No. The nurse will arrange and deliver everything needed to give you this treatment (unless you currently have to pay for your medical prescriptions in which case the usual prescription charge will apply). If you are being discharged from hospital on this treatment then a supply of the drug will be sent home with you.

Are there any risks to me if I receive treatment at home?

An allergic reaction to a drug may sometimes occur when a new drug is given, but this is rare (and you may have already safely received this treatment in hospital). You will be given advice about reactions and what to do if one occurs.
You may experience some side effects including dizziness. This is usually due to a drop in your blood pressure and must be reported to your nurse.
Diuretics can sometimes alter your kidney function. You will have regular blood tests at home to monitor this closely.

Can I bathe/shower?

You can still shower and bath so long as the line is kept clean and dry. The cannula should not be immersed in the bath. If the dressing does become wet underneath please tell your nurse when she arrives.

How is the cannula removed when it is no longer needed?

A nurse will remove the cannula. It will come out easily. A dry sterile dressing will be placed over the site if required. This can be removed after 24 hours.

Who will give me my IV medication?

A nurse will come to your home to insert the cannula, prescribe and administer your medication. You may decide that you prefer to have this treatment in hospital which can be arranged if necessary.

What if it does not work?

This will depend on your individual wishes. Your heart failure nurse may recommend that you are admitted to hospital or she may seek advice from the cardiologist. It may be that you are not well enough for any further hospital treatment and that you would prefer to stay at home or possibly the hospice - this would all be discussed with you by your heart failure nurse.

How can I help care for my cannula?

To prevent infection your cannula must be kept clean and dry. A dressing will cover the cannula site. Your cannula will be checked every day by your nurse. The cannula will normally need to be removed after three days and replaced if the treatment is still needed.
You should avoid heavy lifting and excessive movement of your arm to prevent the cannula from becoming dislodged.
Complications with cannulas are rare but please seek advice if you have any of the following problems with your cannula:

  • Pain at the cannula site
  • Redness, swelling or oozing at the cannula site
  • If it becomes dislodged or falls out (in which case cover the site with the clean dressing provided and press firmly to stop any bleeding)

Tel: 0113 843 4200

lchcardiac.service@nhs.net

8:30am - 4:30pm Monday - Friday

Chapeltown Health Centre
Spencer Place
Leeds
LS7 4BB

If you need help for minor accidents or unexpected health problems outside these hours or at any time during the day, including bank holidays, please call 111 (free from landlines and mobile phones).

If you have a complaint, concern, comment or compliment or if you would like to talk to someone outside the service visit the Patient Experience and Engagement page

Service Downloads

Traffic light self-management tool

We are currently reviewing our website to make all content accessible. If you are looking for a download, such as a leaflet or booklet that you can no longer find, please contact the service on the details above.

Useful links

The Pumping Marvellous Foundation is the UK’s patient driven Heart Failure Charity.

The British Heart Foundation is a registered charity providing support and information on a number of cardiac conditions.

Heart Failure Matters provides practical information for patients, families and caregivers. 

Mindwell is the single ‘go-to’ place for up to date information about help with mental health in Leeds.

Carers Leeds supports carers with respite visits, help with finances

Cardiomyopathy - the heart muscle charity

What to do if you need to speak to someone urgently...