Managing chronic heart failure: learning from best practice


Implementing NICE/NCC-CC guidelines on chronic conditions

Prepared by the Clinical Effectiveness and Evaluation Unit of the Royal College of Physicians, published October 2005

In 2003 the Royal College of Physicians published a comprehensive guideline on the diagnosis and management of chronic heart failure in primary and secondary care, developed by the National Collaborating Centre for Chronic Conditions on behalf of NICE. Since then it has become clear that a great deal of work to improve heart failure services is going on around the country. The Clinical Effectiveness and Evaluation Unit brought together a number of clinicians involved in that work to describe their models of management and discuss what elements make them most effective.

Managing chronic heart failure: learning from best practice presents eleven case studies of heart failure services to provide a snapshot of how they are being organised across Britain. Additional chapters examine the implementations of the NCC-CC guideline, discuss the strengths and weaknesses of the case studies and isolate key lessons for future study.

With its attention to the mechanics of patient care, and its discussion of specific models of practice, Managing chronic heart failure perfectly complements the NCC-CC guidelines and will prove a helpful tool for evaluating and further improving services for heart failure patients. It is available to download as a pdf.


  • Introduction
  • Clinical background
  • Heart failure projects: examples of local management
  • Commentary on the heart failure projects
  • Key lessons for future projects
  • Summary

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