Nurse-led clinics can boost quality scores

GPs could improve their quality framework score if they commission specialist nurse clinics for patients with CHD or chronic heart failure (CHF), UK research suggests.

Specialist nurses
Specialist nurses

The scheme could boost the number of CHF patients who receive a proper diagnosis and help CHD patients meet BP, cholesterol and therapeutic targets, said lead researcher and Leicester GP Dr Kamlesh Khunti.

For the study 1,316 patients with CHD or CHF were randomly assigned to attend clinics run by specialist nurses or standard care. The weekly clinics were run by two specialists secondary care nurses who travelled between the 20 Leicester practices attended by the patients.

Nurse intervention included patient assessment, confirmation of diagnosis, management of medicines and home visits. Nurses could refer patients to a secondary care cardiology clinic for echocardiography and assessment by a senior cardiologist.

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