Heart Failure

Published on 1 December 2021

About the project

More than 500,000 people in the UK live with Heart failure (HF). HF is caused by abnormalities in the structure and function of the heart which prevent the heart pumping blood around the body as effectively as it should. The incidence of HF increases steeply with age and the number of patients with HF is expected to rise over the next 20 years due to an ageing population and increasing survival rates following heart attack.

Despite advances in treatment, mortality is high with around 30-40% of patients dying within a year of diagnosis. HF can also have a major impact on quality of life with patients experiencing shortness of breath, fatigue and fluid retention. However, evidence has shown that with evidence-based therapies, input from HF specialists and lifestyle changes many people can have a good quality of life.

Poorly managed heart failure – particularly heart failure with reduced ejection fraction (HFrEF), can result in repeated hospital admissions and is associated with poor prognosis.

Detection can be through diagnostic work up based on symptoms at presentation HFrEF/HFpEF (heart failure with preserved ejection fraction), an echocardiogram or cardiac MRI and the importance of the levels of NT pro-BNP.

Project ambitions

The current project objective are:

  • To improve the detection of patients with heart failure, ensure timely diagnosis (Natriuretic Peptide Tests and echocardiogram) in primary care.
  • To improve the quality of registers in primary care to ensure patients with heart failure are appropriately coded (HFrEF and HFpEF).
  • To ensure that patients with HFrEF receive a 6 monthly review and optimisation of their therapy to prevent avoidable hospital admissions.
  • To ensure that patients with HFpEF receive optimal management of their co-morbidities.

Find out more

Get in touch with a member of the project team below to find out how you can get involved.


Project team

Lesley Devaney

Assistant Programme Manager

Nazish Khan

Cardiovascular Disease Clinical Lead

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