List of quality statements
Statement 1 Adults with suspected chronic heart failure who have been referred for diagnosis have an echocardiogram and specialist assessment. [2011, updated 2016]
Statement 2 Adults with suspected chronic heart failure and very high levels of serum natriuretic peptides, who have been referred for diagnosis, have an echocardiogram and specialist assessment within 2 weeks. [2011, updated 2016]
Statement 3 Adults with chronic heart failure who have reduced ejection fraction are started on low‑dose angiotensin‑converting enzyme (ACE) inhibitor and beta‑blocker medications that are gradually increased until the target or optimal tolerated doses are reached. [2011, updated 2016]
Statement 4 Adults with chronic heart failure have a review within 2 weeks of any change in the dose or type of their heart failure medication. [new 2016]
Statement 5 Adults with stable chronic heart failure have a review of their condition at least every 6 months. [2011, updated 2016]
Statement 6 Adults with stable chronic heart failure are offered an exercise‑based programme of cardiac rehabilitation. [2011, updated 2016]
Statement 7 (developmental) Adults with chronic heart failure referred to a programme of cardiac rehabilitation are offered sessions during and outside working hours, and the choice of undertaking the programme at home, in the community or in a hospital setting. [new 2016]
In 2016 this quality standard was updated, and statements prioritised in 2011 were updated (2011, updated 2016) or replaced (new 2016). For more information, see update information.
Statements from the 2011 quality standard for stroke in adults that are still supported by the evidence may still be useful at a local level:
People presenting in primary care with suspected heart failure without previous myocardial infarction have their serum natriuretic peptides measured.
People with chronic heart failure are offered personalised information, education, support and opportunities for discussion throughout their care to help them understand their condition and be involved in its management, if they wish.
People with chronic heart failure are cared for by a multidisciplinary heart failure team led by a specialist and consisting of professionals with appropriate competencies from primary and secondary care, and are given a single point of contact for the team.
People admitted to hospital because of heart failure have a personalised management plan that is shared with them, their carer(s) and their GP.
People admitted to hospital because of heart failure receive input to their management plan from a multidisciplinary heart failure team.
People admitted to hospital because of heart failure are discharged only when stable and receive a clinical assessment from a member of the multidisciplinary heart failure team within 2 weeks of discharge.
People with moderate to severe chronic heart failure, and their carer(s), have access to a specialist in heart failure and a palliative care service.
The 2011 quality standard for chronic heart failure is available as a pdf.