The finding was descriptive and supported adequately by the richness of data. The overall assessment of confidence was moderate, having been downgraded by one increment due to the combined minor concerns about methodology, coherence and relevance. Review sub-finding 1c: Discharge from HF clinic One study that interviewed people discharged from HF clinics to primary care found that they reported having gone from a situation where they received appointments for follow-up, to one where they were no longer called for review. For some, this felt like they were no longer ill enough to qualify for help. When asked, they expressed a wish to be called to see the GP or nurse once in a while. One patient said: I feel a bit left out, I m not part of the health-care system anymore p291 A different study speaking to HF nurses echoed this, saying that they were aware that people liked being patients in the HF clinic, and that this led to some unhappiness when it came to discharging patients. Regarding HF clinics, one says: I see quite a lot of patients who get discharged, and they hate that. They feel safe someone s interested and they re keeping an eye on me They don t like to lose that. They hate to lose that. P301 294 It is notable that the focussed qualitative review on continuity in CG138 found the finding of Feelings of abandonment (when treatment ends or support not available) , which seems to echo in this specific finding on discharge from HF clinic to primary care. This sub-finding was based on 2 studies 14, 294 . Methodological limitations were rated serious overall. 