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Our Heart Failure Services

a picture of a cardiac service
Inpatient service
The inpatient heart failure service at Morriston Hospital is delivered by a team of heart failure specialist nurses, supported by consultant-led, hospital-wide heart failure ward rounds. The inpatient team supports care throughout the  admission and coordinates transition of care to the community service on discharge. 
 
Community service

We call our clinic ‘Heart Function Clinic’, as we aim to improve the functioning of your heart. This may be through improving your symptoms with ‘water tablets’ or optimising evidence based medicines for your heart. Your Cardiologist may have already commenced some of these medicines at your initial appointment with them. 

The nurses will work in partnership with you, helping you to understand your diagnosis, signs and symptoms to monitor your condition.

Often the medications we recommend to protect your heart function and treat symptoms can make you feel ‘under the weather’ in the first instance, this usually improves within a few days, as your body adjusts to the new medicines. Always follow the advice you are given by your Cardiologist/Nurse, as the main aim is to improve your symptoms, quality of life and offer the best evidence based treat-ment for your condition.

If you do experience any concerning symptoms or issues when you have started new medication, please contact your GP if it cannot wait until you attended the nurse-led clinic.

The Community Heart Failure service is a nurse and pharmacist-led service that works collaboratively with primary and secondary care with integrated pathways. It is a step up and step down model of care. The service supports: 
 

Post Discharge – Patients are supported in a timely manner following their hospital discharge with heart failure 

High Priority Clinic – These clinics support decompensated patients in the community that the GP will refer to us who have a conformed diagnosis of heart failure. This clinic also supports patients with a new diagnosis of heart failure through the rapid diagnostic clinic or through the out-patients department. The afternoon clinics we ring fence for those patients who need more frequent monitoring of their heart failure in the community (ie fluid offload, rate control, renal function) 

Community Clinics – These clinics will offer routine up-titration of chronic heart failure evidence based medication. 

Virtual Wards – the community service supports all eight virtual wards within the health board with those patients requiring heart failure home visits. 

Advance Practice Clinic – Support Lokelma monitoring/initiation within the community, supporting those more complex patients within the community (complex fluid off load/heading towards advance care planning, integrated pathways with palliative care, ACT, Secondary Care consultants.

Annual Review service – All those patients correctly coded as having heart failure will be offered an annual review with the service, if their GP practice has signed up to this.

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We welcome correspondence and telephone calls in Welsh or English. Welsh language correspondence will be replied to in Welsh, and this will not lead to a delay. This page is available in Welsh by clicking ‘Cymraeg’ at the top right of this page.