Methodology serious limitations LOW Coherence no or very minor concerns Relevance minor concerns Adequacy minor concerns 4b A Primary Contact Person Interviews with pt People with heart failure expressed a preference for a primary contact person who offered a long-term relationship, openness, trust and appreciation most would choose their GP a key role of whom would be to provide easy access to care, e.g. timely appointments. Methodology moderate limitations VERY LOW Coherence no or very minor concerns Relevance serious concerns Adequacy moderate concerns 4c Access to Urgent Care Interviews with pt 65 and under Interviews with pt 60 and over and carer Interviews with HCP For people with heart failure that were under the care of HF clinics and nurses, it was noted that they had easy access to specialist doctors and nurses, who were able to react more quickly than in conventional service models, but could not provide continuity. Methodology moderate limitations LOW Coherence no or very minor concerns Relevance moderate concerns Adequacy moderate concerns Table 136: Summary of Evidence for Role of Specialist HF Services Study design and sample size Findings Quality assessment No of studies contributing to the finding Design Criteria Rating Overall assessment of confidence Referral and approach to care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: Study design and sample size Findings Quality assessment No of studies contributing to the finding Design Criteria Rating Overall assessment of confidence Interviews with HCP Interviews with HCP in HF services Interviews with pt with severe CHF and their care network Expectations of HF services from primary care and pt can differ both from what HF services think primary care and pt want, and from what the service is capable of delivering. 