Cardiac Physiology Workforce & Service Pressures Survey
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- Austen Barton
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1 Survey Completed by: (Please print name) Job Title: Alan Jennison Contact Contact Tel No: Name of Head of Dept: Alan Jennison Senior Chief Cardiac Physiologist About Your Services: What diagnostic & therapeutic services does your department provide/support? Please tick as many boxes as are applicable. Non-Invasive Diagnostic Test Notes & Comments 1 ECG Y OP only 1A Direct Access ECG e.g. GP sends in patient for n ECG. If you provide direct access ECG who interprets the ECG before it is sent back to the GP? Consultant Cardiologist Registrar Junior Doctor (SHO/FY2) Cardiac Nurse Specialist Cardiac Physiologist Other No interpretation is done 2 Exercise Tolerance Testing y 3 Treadmill/Cycle VO 2 Max Testing n 4 Stress Test + Nuclear Imaging e.g. Thallium, n Mibi, Adenosine Mibi 5 PET Stress Test n 6 24 Hr Holter y 6a Direct Access 24 Hr Holter e.g. GP sends in n patient for 24 Hr Holter. 6b Direct Access 24 Hr Holter Analysis e.g. GP y practice put Holter on patient but it is sent to your department for analysis 7 24 Hr BP Monitoring y 7a Direct Access 24 Hr BP Monitoring e.g. GP sends in patient for 24 Hr BP Monitoring. 7b Direct Access 24 Hr BP Analysis e.g. GP practice put BP monitor on patient but it is sent to your department for analysis 8 Echocardiography y 9 Paediatric Echocardiography y 10 Transoesophageal Echocardiography y 11 Exercise Stress Echo y 12 Dobutamine Stress Echocardiography y 13 Tilt Table Testing n n n 1
2 14 Signal Averaged ECG n 15 Microvolt T Wave Alternans n Invasive Diagnostic Tests & Treatment 16 Cardiac Catheterisation y 16a Cardiac Catheterisation right sided y 17 Cardiac Angioplasty y 17a Primary PCI e.g direct from A&E or Ambulance y 18 Valvuloplasty n 19 Intravasuclar Ultrasound (IVUS) y 20 Electrophysiology studies n 21 3D Cardiac Mapping n 22 Ablation Therapy n 23 Single Chamber Pacing Implants y 24 Dual Chamber Pacing Implants y 25 ICD Implants n 26 BiVentricular ICD Implants n 27 Cardiac Resynchronisation Devices n 28 Implantable loop recorders y Notes & Comments Others Are there other procedures your department and staff are involved with e.g. Stem cell research, or other areas of innovation 2
3 About Your Workforce: Cardiac Physiology In this section I am seeking to understand how many staff you have in post versus your actual funded establishment and hence the number of vacancies you have and whether these vacancies are filled by agency/locum staff or left empty. A4C Grade Band 9 Band 8D Band 8C Band 8B WTE Budgeted Band 8A 1 1 WTE in Post No of vacant posts Filled with agency Band Band Empty Notes Band Funding used for Trainees Band 4 Band 3 Band 3 This section is specifically about your department s skill gaps: How many training posts do you have? 3 Are all your training posts filled? What college do your students attend? How are the student posts funded? e.g. within budget, external sponsorship Are your student posts supernumerary to the workforce? Is your department able to offer regular training for its students or does it tend to be ad-hoc based on service pressures/staffing shortages? Where are your skill gaps and workforce pressure points? e.g. echo, cath lab, EP, device f/up. Please list in order of highest 3 (see above) Sunderland / Leeds / Glasgow Through vacant band 5 posts. no It varies depending on which area of training is being undertaken but a lot of it is ad-hoc 1. Echo 2. Cath lab 3
4 priority hour analysis 4. Pacing How are you attempting to address these staffing issues? Do you have any innovative workforce initiatives Training band 6 in echo. Trainees who are qualifying to support invasive service and release above for training. Recruiting from abroad on short term locum basis with a view to a permanent post. Do you have any demand and capacity pressures in your department e.g. waiting times for echo or EP study? Waiting times for echo are 6 weeks. Huge inpatient pressures for echo If yes, is this due to activity growth? And/or staff shortages? If your department does have waiting time pressures how are these dealt with? e.g. extra sessions undertaken in the evening, at weekends, additional locum staff or outsourcing. Both Occasional evening sessions and locums. Are there any additional comments that you would like to make? The change in the training schemes will have a negative impact. We are located in an isolated area with no other Hospitals in commuting distance, and therefore there is no local skilled workforce. We have recruited our trainees from the local population and sent them on the old style 4 year degree course. We unable to do this now and the chance of recruiting newly qualified trainees is significantly reduced. 4
5 Thank you very much for completing this Information Request/Survey If you are interested in receiving further information about this survey then please tick the box and provide your details. Name: Alan Jennison 5
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