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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

Palliative Specialist Community Care
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The Community Specialist Palliative Care team provides specialist palliative and end-of-life care in the community to patients with life-limiting illness for residents in South Camden, North East Westminster and Islington.

Please contact the team between Monday to Sunday 9.00am to 5.00pm and Monday to Sunday 5.00pm to 8.00pm call the switchboard on 020 3456 7890 and ask for air-call palliative care team.

Palliative Specialist Community Care - North Camden
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Palliative Specialist Community Care - North Camden

T. 020 7830 2905

W. https://www.royalfree.nhs.uk/services/palliative-care?q=%2Fservices%2Fservices-a-z%2Fpalliative-care%2F

The Community Specialist Palliative Care team in north Camden provides specialist palliative and end-of-life care in the community to patients with life-limiting illness, as well as offering support to families and carers.

Please contact the team between Monday to Friday 9.00am to 5.00pm. On weekends and bank holidays, call the switchboard on 020 7794 0500 and ask for air-call palliative care team.

St John's Hospice Inpatient unit
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St John's Hospice Inpatient unit

T. 020 7806 4040 / 07725 258767

W. https://www.stjohnshospice.org.uk/our-care/inpatient-care

St. John's Hospice provides inpatient palliative care services to the residents of Brent, Central London and West London.

This is an inpatient unit with 18 beds

Please contact for admissions for advice and Community Specialist Palliative Care.

The office hours are Monday to Friday 8.30am to 4.30pm. Referrals received in the morning are triaged the same afternoon, and those received in the afternoon are triaged the following working day.

If urgent, please follow up the referral by calling us on 020 7806 4040. Out of hours, urgent referrals will be discussed with the consultant on call.

Referral form for clinician use only.

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

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