Time after discharge (days) Care in specialist units reduces the likelihood of death in hospital or soon after discharge 20 40 60 80 100 Survival rate (%) Cardiology General medicine Other 200 300 400 Time after discharge (days) Teamwork between cardiologists and other physicians and nurses is essential Emergency department Internal medicine Intensive care Outside hospital Patients and public alike can recognize ‘good care’ Notes A variety of sources show that if patients are looked after by an expert in heart failure, they are very much more likely to survive an emergency admission and to have a better long term outcome. This slide shows data from the UK to illustrate this point. The panel recommends more expert involvement in hospital for patients admitted with heart failure, irrespective of the age of the patient. Reference Cleland J, Dargie H, Hardman S, McDonagh T, Mitchell P. National Heart Failure Audit: April 2011–March 2012. London: National Institute for Cardiovascular Outcomes Research, 2012. Reproduced with permission from National Institute for Cardiovascular Outcomes Research (NICOR), University College London, UK