Some people with heart failure wished to be told openly and sensitively about their (poor) prognosis by clinicians, with some wanting to know more accurately when they would die. As some patients reported not having received written information of their heart failure diagnosis, ensuring that information pamphlets are passed on during consultations is vital so that patients can go through them at home in their own time. Patients expressed the desire for information regarding both diagnosis and prognosis to be communicated using lay terms. Family and informal carers wished to be involved in all communications in order to support the patient in their role of family information providers. Carers also asked for more information about what to do in an emergency, how to recognise when signs and symptoms needed urgent attention and how to perform cardiopulmonary resuscitation. The provision of information on access to a telephone advice line or support group was also suggested. Chronic Heart Failure Referral and approach to care NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 Methodological limitations were rated moderate overall. Four studies were rated as moderate limitations: each due to a number of limitations that included some of the following; limitations in context, role of researcher, data analysis, research methods rigour, and/or data richness in some sections relevant to this review. One study was rated as serious limitations due to study aims, role of the researcher, rigour of research methods, data richness and relevance of findings. One study was rated very serious limitations due to the limited information on the background and reflection of the researcher, data collection, data richness, relevance of findings and link to conclusions. Coherence was rated minor concerns overall. 