Since then has accumulated that has investigated the composition, competencies, needs for support, and the timing of different contributions of members of MDTs over a patient s journey. This question sought to establish the competencies that ought to be present in a MDT to deliver optimal care for patients with heart failure as care of these patients increasingly moves into a community setting. 9.2.2 Review question: What competencies should be present in the multidisciplinary teams involved in the outpatient or community-based care of people with heart failure? For full details see review protocol in Appendix A. Table 97: PICO characteristics of review question Population People with heart failure in a community or outpatient setting that is applicable to UK practice Stratification: Risk status at time of randomisation (high versus lower risk patients) High risk includes: new diagnosis recent decompensation (defined as hospital admission due to HF) severe and/or unresponsive disease (defined as NYHA III/IV) and Chronic Heart Failure Referral and approach to care NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 requiring medicine titration, device implantation or other surgical intervention Intervention / Comparators: Studies comparing MDTs with usual care (regardless of how defined). For a study to be included, there must be a clear description of collaborative working between more than one healthcare profession or discipline. A study involving an intervention delivered by one specified health profession may be included where there is a clear description of multidisciplinary collaboration. The intervention must have included the delivery (on average) of at least two face-to- face meetings. Stratification: Length of intervention delivered in the study three months (short) > three months, six months (mid) > six months (long) Where study length varied due to recruitment dates, average length was used. 