Case study from Heart failure policy and practice in Europe

Nurse-led support in community settings for people with heart failure in London

17 November, 2020

The Community Heart Failure Service in Barts Health NHS Trust in London is a nurse-led programme that takes referrals from a wide range of healthcare professionals, including hospital physicians, GPs, primary care nurses and community nursing specialists.1 The programme is open to local residents with a confirmed heart failure diagnosis and established care plan.

Under this service, heart failure specialist nurses conduct home visits, community heart failure clinics and/or telephone consultations based on the needs and preferences of the person living with heart failure.1 They provide therapeutic education to support self-care and, in some cases, can prescribe and adjust heart failure medication. They also facilitate access to other key components of heart failure care through close working links with hospital-based heart failure care teams, cardiac rehabilitation specialists, physical and occupational therapists, mental health professionals, social workers, pharmacists and palliative care specialists.1


  1. Barts Health NHS Trust. Community heart failure service. Available from: [Accessed 04/08/20]
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