ISBN: Study design and sample size Finding Quality assessment Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence and FG with professional carers Semi-structured interviews with pt, their carers and HCPs Ethnographic study involving pt and HCPs adequacy Discussion of prognosis 3b. Understanding of prognosis Semi-structured interviews with pt + carers Individual interviews with pt + carers and focus groups with HCPs Individual interviews with pt + carer and interviews or FG with HCPs Secondary analysis of interview transcripts of pt In-depth interviews with pt and following bereavement interviews with informal carers and FG with professional carers Patients described that prognosis was rarely discussed and showed that their understanding of their prognosis was generally poor. Limitations Moderate concerns about methodological limitations MODERATE Coherence Minor concerns about coherence Relevance No or very minor concerns about relevance Adequacy No or very minor concerns about adequacy Discussion of prognosis 3c. Patients concerns Semi-structured interviews with pt + carers Individual interviews with pt + carers and focus groups with Whilst patients desire for more knowledge about their prognosis was highly individual many were worried by the uncertainty of what the future holds. Limitations Moderate concerns about methodological limitations MODERATE Coherence Minor concerns about Referral and approach to care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. 