4.5.1 Research recommendations When areas were identified for which good evidence was lacking, the committee considered making recommendations for future research. Decisions about the inclusion of a research recommendation were based on factors such as: the importance to patients or the population national priorities potential impact on the NHS and future NICE guidance ethical and technical feasibility. 4.5.2 Validation process This guidance is subject to a 6-week public consultation and feedback as part of the quality assurance and peer review of the document. All comments received from registered stakeholders are responded to in turn and posted on the NICE website. 4.5.3 Updating the guideline Following publication, and in accordance with the NICE guidelines manual, NICE will undertake a review of whether the evidence base has progressed significantly to alter the guideline recommendations and warrant an update. Healthcare providers need to use clinical judgement, knowledge and expertise when deciding whether it is appropriate to apply guidelines. The recommendations cited here are a guide and may not be appropriate for use in all situations. The decision to adopt any of the recommendations cited Chronic Heart Failure Methods NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 here must be made by practitioners in light of individual patient circumstances, the wishes of the patient, clinical expertise and resources. The National Guideline Centre disclaims any responsibility for damages arising out of the use or non- use of this guideline and the literature used in support of this guideline. The National Guideline Centre was commissioned by the National Institute for Health and Care Excellence to undertake the work on this guideline. Chronic Heart Failure Diagnosing heart failure NICE 2018. All rights reserved. Subject to Notice of rights. 