Quality standard

Quality statements

Quality statements

Statement 1 Adults presenting in primary care with suspected heart failure have their N‑terminal pro‑B‑type natriuretic peptide (NT‑proBNP) measured. [new 2023]

Statement 2 Adults with suspected heart failure have specialist assessment and transthoracic echocardiography within 2 weeks of referral if they have a very high N‑terminal pro‑B‑type natriuretic peptide (NT‑proBNP) level, or 6 weeks if they have a high NT‑proBNP level. [2011, updated 2023]

Statement 3 Adults with chronic heart failure who have reduced ejection fraction receive all appropriate medication at target or optimal tolerated doses. [2011, updated 2023]

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. [2016]

Statement 5 Adults with chronic heart failure have a review of their condition at least every 6 months. [2011, updated 2016]

Statement 6 Adults with chronic heart failure receive a personalised programme of cardiac rehabilitation. [2011, updated 2023]

In 2023, this quality standard was updated and statements prioritised in 2011 and 2016 were updated (2011, updated 2023), remained unchanged (2016), or were replaced (new 2023). For more information, see update information.

The previous version of the quality standard for chronic heart failure in adults is available as a pdf.