Understanding advanced heart failure: Information for patients and carers

What Does Advanced Heart Failure Mean?

Heart failure means that the heart isn't pumping blood around the body as well as it should and oxgyen levels may drop and not reach tissues such as lungs and muscles.

When the heart becomes very weak and medication is not controlling symptoms this is called advanced heart failure. At this stage medication should be reviewed regularly to keep symptoms as well controlled as possible.

Symptoms of advanced heart failure:

Please look at the links from the symptoms above for more detail on how to manage these.

Recommended Resources

Pumping marvellous - Heart failure guide

Published 1st April 2026

British Heart Foundation - Heart failure

Published 18th July 2025

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Community palliative care teams

Hillingdon Community Palliative Care Team
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Hillingdon Palliative Care Team (hosted by NHS CNWL) provides specialist advice and visiting to palliative care patients living in Hillingdon. Each GP practice has their own named Clinical Nurse Specialist ( CNS ). A Triage CNS manages calls and referrals each day and they have the option to escalate to consultants if needed.

They can be contacted Monday to Friday 8.00am to 4.30pm excluding bank holidays.

Out of hours phone Michael Sobell Hospice 24 hour Advice Line on 020 3824 1268

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)

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