Methodology moderate limitations LOW Coherence no or very minor concerns Relevance no or very minor concerns Adequacy serious concerns 3c Information after discharge from HF services Interviews with pt People with heart failure experience being well-informed in HF clinic, but receiving no information after being discharged to primary care, which some took to mean they no longer needed care for their heart failure. Methodology serious limitations VERY LOW Coherence no or very minor concerns Relevance minor concerns Adequacy serious concerns Referral and approach to care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: Table 135: Summary of Evidence for Contact / Access Study design and sample size Findings Quality assessment No of studies contributing to the finding Design Criteria Rating Overall assessment of confidence 4a Access to Routine Care 2 x secondary analysis of pt interviews Interview of HCP Whether wanting continued access, a new referral or a re-referral, people with heart failure found that it took them time and effort, and that the illness itself could make it harder to stand up for themselves. Methodology serious limitations LOW Coherence no or very minor concerns Relevance minor concerns Adequacy minor concerns 4b A Primary Contact Person Interviews with pt People with heart failure expressed a preference for a primary contact person who offered a long-term relationship, openness, trust and appreciation most would choose their GP a key role of whom would be to provide easy access to care, e.g. timely appointments. 