The overall assessment of confidence was low, having been downgraded by two increments due mainly to methodological concerns plus the minor concerns regarding relevance and adequacy. Review sub-finding 4b: A Primary Contact Person People with heart failure felt they would like one professional nominated as their primary contact person. The preferred characteristics of the relationship with their primary contact person were a long-term relationship, characterized by openness, trust, and appreciation p1400 29 . Most would choose their GP as primary contact person, but some felt their cardiologist was more suitable. A key role of the primary contact would be to enable easy access for patients to care, for example timely appointments. This finding is related to finding 2b, where professionals suggested a single person co- ordinating care might improve co-operation. This sub-finding was based on 1 study 29 . Methodological limitations were rated moderate overall as the included paper was limited in detail and reflection. Coherence was rated no or very minor concerns overall as it compliments some of the other related review findings. Relevance was rated serious concerns overall as the study was not from the UK, was originally in German, and had a restrictive definition of heart failure (EF<40%). Chronic Heart Failure Referral and approach to care NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 Adequacy was rated as moderate concerns; although the sub-finding was only reported in one paper, it is well explored in that paper. The overall assessment of confidence was low, having been downgraded by 2 increments due to relevance concerns, and also for methodology and adequacy. 