If it was still considered that the patient could possibly benefit from palliative care services, they should then be referred for a needs assessment by the palliative care team as they are best placed to determine whether palliative services are required. The committee considered the resources required for this pathway of referral with regards to staff time, but agreed that this was most likely to be current practice and would therefore not have a significant resource impact. Other considerations The committee noted that health care professionals should also follow the related principles and recommendations in the NICE guidelines on Multimorbidity: clinical assessment and management (NG56), Care of dying adults in the last days of life (NG31) and End of life care for adults in the last year of life: service delivery when published (expected publication 2018). Chronic Heart Failure Advanced heart failure and palliative care NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 85.Do not offer long-term home oxygen therapy for advanced heart failure. Be aware that long-term home oxygen therapy may be offered for comorbidities, such as for some people with chronic obstructive pulmonary disease (see section 1.2.5 on oxygen in the NICE guidline on chronic obstructive pulmonary disease in over 16s. [2018] 86.If it is thought that a person may be entering the last 2 to 3 days of life, follow the NICE guideline on care of dying adults in the last days of life. [2018] See NICE s technology appraisal guidance on implantable cardioverter defibrillators and cardiac resynchronisation therapy for arrhythmias and heart failure. 