N=20 pts with end stage heart failure (NYHA class IV) identified by consultants as outpatients. Age: mean 74 Compare the illness trajectories, needs, and service use of patients with cancer and those with advanced non- malignant disease (heart failure). Setting: Edinburgh and Livingston, Scotland, UK. Chronic Heart Failure Referral and approach to care NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 Study Design Population Research aim Comments Thematic analysis using the techniques of narrative analysis. Selman ; Harding Semi-structured interviews with patints, their carers and HCPs. Thematic analysis using a constant comparison approach. N=20 CHF pts recruited from outpatient clinics and hospital wards. Age: mean 69 Severity NYHA class III-IV (14 class III) N=12 HCP from cardiology and palliative care Formulate guidance and recommendations for improving end- of-life care in chronic heart failure. To generate data on patients and carers preferences regarding future treatment modalities, and to investigate communication between staff, patients and carers on end-of-life issues. Generate recommendations for the appropriate provision of feasible and acceptable information to chronic heart failure patients and their family carers, in line with UK and international policy guidelines. Setting: London, UK. Simmonds ; Glogowska ; Fry Qualitative study using ethnographic methods (in-depth interviews, observation, impromptu interviews, field notes, patient and carer diaries, patient medical records). Pts were followed individually throughout their interactions with healthcare for up to 11 months. In-depth N=31 pts with severe or difficult to manage heart failure and who had an unplanned hospital admission for CHF in the months. Age: mean 72 N=55 HCPs overall Identify critical points on heart failure patient pathways where risk of unplanned admission is increased and identify barriers to the implementation of evidence-based interventions. 