The CHF Quality standard (QS9 2016, statement number 7) identified the need for choice of venues and measures such as providing transport when offering rehabilitation programmes to ensure equality of access for all the heart failure population. This update has added to the 2010 recommendations on rehabilitation while recognising the importance of programmes including a psychological and educational component and that the programme may be incorporated within an existing cardiac rehabilitation programme. The committee also noted the recommendations in the Patient experience in adult NHS services guideline that advocates an individualised approach to healthcare services tailored to patient needs and circumstances. All patients in the trials had HF with reduced ejection fraction (HFREF). However, as the 2010 recommendation to offer cardiac rehabilitation applied to all patients with heart failure, the committee saw no reason to limit the updated recommendation following this evidence review. Chronic Heart Failure Monitoring NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 The update to the heart failure guideline includes topics where new evidence has emerged since the publication in 2010. A review of new evidence published after 2010 was carried out in order to determine whether any changes to current recommendations where likely to be required. The decision on which topics to include in the update of the guideline was made following consultation of the scope. This section includes monitoring using repeated biomarker measurement or imaging, and telemonitoring and self monitoring. Other topics were not within the scope of the update. For more information refer to Appendix R, the 2003 guideline: 1. Clinical review. For more information please refer to Section 8.1 of the 2003 Guideline 22 . 2. Therapeutic drug monitoring of serum digoxin concentrations. 