Our Values: Compassionate | Aspirational | Resourceful | Excellent


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New Heart Failure Day Unit on Whitley Ward opening on July 8th

Our ambulatory day unit on Whitley Ward for patients needing high dose IV diuretics is opening on July 8th and will have the following admission criteria:

  • Robust diagnosis of heart failure now or previously             
  • Heart failure primary and most likely cause for clinical presentation
  • Confirmed cardiac dysfunction sufficient to lead to the heart failure syndrome
  • Chest x ray demonstrating no other acute untreated cause for breathlessness within 7 days of symptom onset if first presentation                                          
  • Patient has agreed  to treatment                                                        
  • Patient / carer able to access and understand info leaflet and self-management guides              
  • Clinically stable to receive care on an out-patient basis                  
  • Home set-up that enables management of day-to-day living on an out-patient basis

Primary care - heart failure diagnosis and when to refer


 Diagnosis of HF in Primary Care


 Open Access ECHO referral form


 Guidelines for HF Registers


 Referral criteria to palliative care for Heart Failure patients


 Referral form for Palliative Care


 Six monthly and Annual Review


 Indications for referral to Cardiology

Treatment and management of heart failure in primary care


Algorithm for Diagnosis of Heart Failure


 HF management in Primary Care


 Titration of ACEIs or AIIAs 


  NYHA Classification of symptoms


  Titration of Beta Blockers


  Recommendations for use of Spironolactone 

Secondary Care




Patients HF diary and management plan


Minimum standards for Information for patients and carers including 
about heart support groups and Expert Patient Programme


 Management of angina algorithm

 Coronary Heart Disease Secondary Prevention


    Royal Berkshire NHS Foundation Trust,
    London Road,
    RG1 5AN
    Email us
    Tel: 0118 322 5111