Priority 12 from the Advanced Heart Failure PSP

UNCERTAINTY: Can the long-term care needs of people with advanced heart failure be better met by closer co-operation between heart failure and palliative care teams? (JLA PSP Priority 12)
Overall ranking 12
JLA question ID 0098/12
Explanatory note

No significant evidence for people with advanced heart failure 


 1. Ann Intern Med. 2008 Jan 15;148(2):147-59. Evidence for improving palliative care at the end of life: a systematic review. Lorenz KA1, Lynn J, Dy SM, Shugarman LR, Wilkinson A, Mularski RA, Morton SC, Hughes RG, Hilton LK, Maglione M, Rhodes SL, Rolon C, Sun VC, Shekelle PG.

Health Research Classification System category  Cardiovascular
Extra information provided by this PSP
Original uncertainty examples What patterns of care enable more people to die in their preferred place? ~ What proportion of patients with HF have been offered access to palliative care to try to improve their quality of life  ~ what is the best model for shared care between heart failure teams and palliative care teams  ~ Why is it so split in the community, with heart failure teams, ACMs, DNs, GPs, & hospice CNSs? ~ how to link palliative care and heart failure services together to provide the best support possible
Submitted by  5 x health professionals
PSP information
PSP unique ID 0098
PSP name Advanced Heart Failure
Total number of uncertainties identified by this PSP. 65  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 13 February 2019