Semi- structured interviews with N= 33 HCP, including GPs (7), HF nurses and geriatricians (8), Explore views of HCP on managing heart failure pt. Part of bigger project around communication in 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 HCP. Coded according to themes, subsequently explored in relation to the literature, using a variation of the constant comparison method. from ten sites, chosen for variety. HF (unpublished). Setting: UK, in multiple sites in North of England Qualitative, using Complex Adaptive System (CAS) theory. Interviews with pt to identify all other people involved in their care, followed by attempts to interview all in these networks. A constant comparison method to improve interview. Used constructivist grounded theory to build an explanatory theory. N= 50 pt networks, including specialist HF services and at least two of the pts carers. Carers included family/informal care, caring professionals and healthcare professionals from both specialist and general services. Some HCP appeared in more than one pt network). Sampled to enrich applicability to palliative care. Age (pt): Not stated Severity: NYHA III-IV Better understand the behaviour of the teams providing heart failure care to those with advanced HF in order to plan how best palliative care services can integrate into these teams. Setting: Five Canadian cities in three provinces. Abbreviations: Pt = people with chronic heart failure, HCP = healthcare professional 9.3.3.4 Qualitative evidence synthesis 9.3.3.4.1 Narrative review findings The review findings were grouped within five overarching findings, as follows: 4. Contact and Access 5. Role of specialist heart failure services Within most findings there were sub-findings relating to (a) challenges/problems, (b) ideas for improvement, and (c) complex transition issues. 