Economic One cost-utility analysis found that mid-length intervention MDT clinic dominates (more effective and less costly) usual care in people with heart failure who are high risk. This was assessed as partially applicable with potentially serious limitations. One cost-consequence analysis found that a long intervention MDT clinic was less costly with mixed effects on health outcomes (hospitalisations: RR 0.67, mortality: RR 1.80, quality of life (MLWHFQ) MD 6.60 lower, prescribed ACEi: RR 0.97, prescribed BB: RR 1.62) compared to usual care in people with heart failure that are high risk. This was assessed as partially applicable with potentially serious limitations. One cost-effectiveness analysis found that a long intervention MDT clinic was less costly and more effective (saves 4,042 per death and/or heart failure-related admission avoided; saves 2,155 per all-cause admission avoided) compared to usual care in people with heart failure that are high risk. This was assessed as partially applicable with potentially serious limitations. One economic evaluation found that a long intervention, basic MDT dominates (more effective and less costly) both usual care and a long intervention, intensive MDT in people with heart failure who are high risk. This was assessed as partially applicable with potentially serious limitations. One economic evaluation found that a long intervention, case-management MDT is cost effective (ICER: 3,072 per QALY gained) compared to usual care. This was assessed as partially applicable with potentially serious limitations. 9.2.6 Recommendations and link to evidence Recommendations The core specialist heart failure multidisciplinary team (MDT) should work in collaboration with the primary care team, and should include: a lead physician with a subspecialty interest in heart failure (usually Chronic Heart Failure Referral and approach to care NICE 2018. All rights reserved. Subject to Notice of rights. 