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1. What is the name of your Heart Failure Service?
2. Population served by the Heart Failure Service?
3. What is the service setting?
a) Acute hospital
b) Community hospital
c) Integrated care
d) Primary care
4. Approximate case load of Heart Failure patients seen per week?
5. Number of follow ups in 2021/22?
6. Which populations do you provide the following services for and are you commissioned for these services?
a) Heart Failure with preserved ejection fraction (HFrEF)
b) Heart Failure with reduced ejection fraction (HFpEF)
7. Staff dedicated to Heart Failure:
a) Number of Heart Failure consultants (pa’s)
b) Number of Heart Failure nurses (WTE)
c) Number of Heart Failure Pharmacists (WTE)
8. Which of these (a to g) does your NHS organisation have?
a) Access to open access ECHO
b) Access to Cardiac rehab?
c) HF Multi-Disciplinary Team (MDT)
d) Cardiologist Non-HF specialist
e) Cardiologist HF specialist
f) Cardiology Pharmacist
g) GPwER (previously called GPwSI)
9. Which of the following (h to n) service models do you provide?
h) Acute inpatient
i) HF outpatient
j) Hospital based ambulatory heart failure unit
k) Community based ambulatory heart failure unit
l) Home based service / care
m) Community based clinic
n) Heart Failure virtual ward
10. Do you believe that the current service specification adequately reflects the range and volume of activity your service provides? (Yes / No)

Heart failure services.100622.docx