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Heart Failure

What is Heart Failure?

Heart Failure is a condition where the heart is unable to pump enough oxygen-rich blood, resulting in breathlessness, fatigue and irregular heartbeats. It's the leading cause of hospital admissions in people 65 years or older in the UK (2014).

Discharged HF Patients across England (2009-2011)

  • 6% had unplanned re-admission <7 days 
  • 19.7% were re-admitted 30 days
  • 50% were readmitted <1 year


About the Heart Failure Care Bundle Project

A care bundle was developed to record and encourage: 

  1. Measurement of NTproBNP
  2. Echocardiogram within 48 hours of admission
  3. Referral to a specialist

An intervention was successfully embedded in routine practice at Northwick Park Hospital, LNWH (London Northwest University Healthcare NHS Trust). The 2014-2016 HF Care Bundle project at Northwick Park Hospital has sustained improvements in quality of care. 

Data analysis (after correcting for demographics and comparing with a nearby control site) demonstrates a statistically significant downward trend in mortality, 7-day re-admissions and length of stay.

In 2017:

  • 2,164 patients recruited via A&E
  • 99% received echocardiograms within 48 hours
  • 84% received specialist input against 80% national average