CR: Developing an Intervention to Improve Acceptance of Referral in HF

Observational study: Inclusion Criteria: * Clinical diagnosis of chronic heart failure confirmed by cardiac imaging. * Current admission for which the primary reason was decompensated heart failure requiring IV diuretics * Referred to the acute trusts heart failure nursing service * Able to give informed consent * Able to communicate in spoken English Exclusion Criteria: * Contraindications to participating in cardiac rehabilitation as detailed in ESC consensus statement e.g. uncontrolled hypertension severe aortic stenosis, unstable angina * Moderate to severe cognitive impairment * Patients with severe dependence prior to index admission (inability to carry out ADL) * Admitted from a nursing home * Resident 'out of area' * Significant co-morbidities that would limit participation in a cardiac rehabilitation programme e.g. neurodegenerative conditions * Previous recruitment onto this study Semi-structured interviews: Purposive sampling Inclusion criteria: * Patients with chronic heart failure who fulfil the criteria for referral to the cardiac rehabilitation service will be eligible to participate in the interviews if they are: * Age 18 years or over * Have a clinical diagnosis of CHF confirmed by cardiac imaging. * Referred to the acute trusts heart failure nursing service and/or cardiac rehabilitation team * Able to give informed consent * Able to communicate in spoken English Exclusion criteria: * Contraindications to participating in cardiac rehabilitation as de…