Specific information on heart failure issues could be incorporated into broader communication training for chronic or life-limiting conditions. The importance of consistency was discussed. It was agreed that the patient should receive consistent information from all MDT members. The committee recognised that this was closely linked to the separate evidence review on Transition between heart failure care settings and the recommendations developed out of that review. The need for printed leaflets on heart failure to be available within the NHS was unanimously agreed by the committee as patients value the provision of information that they can take away with them to read and absorb in their own time. The committee also acknowledged that patients need to be directed to reliable sources of information outside the NHS for example, British Heart Foundation, Pumping Marvellous, Cardiomyopathy UK. Trade-off between net effects and costs No previously published economic evaluations were identified for this question. The committee considered that overall the recommendations made above in conjunction with the patient experience guideline would improve patient satisfaction and help reduce anxiety about their condition and as a result lead to an improvement in quality of life. The majority of the recommendations made above will not incur any cost as they simply specify what information should be given to patients and the manner in which it should be delivered. However, the committee acknowledged that a couple of the recommendations could have cost implications. Firstly, an extended first consultation will incur an additional cost due to the required extra time from the clinician to fully explain the person s diagnosis and prognosis. 