BEAT Heart Failure: Why Primary Care Holds the Key

BEAT Heart Failure: Why Primary Care Holds the Key

Is Primary Care under-involved in heart failure — or under-enabled?


In this episode of Heart Failure Unfiltered, Nick Hartshorne-Evans CEO of the Pumping Marvellous Foundation, explores one of the biggest opportunities in NHS cardiovascular care:

👉 Unlocking the power of Primary Care in heart failure management.

We ask the real questions:

What makes heart failure difficult to manage outside secondary care?

Is the barrier knowledge, time, confidence — or system design?

What signals from patients are being missed?

What does it actually mean for Primary Care to “champion” heart failure?

And most importantly:

What would make GPs feel confident — not cautious — aboutmanaging heart failure?

💡 What this episode covers:

The role of Primary Care as the front door of the NHS

Where Primary Care has the biggest impact in the heart failure pathway

Why current system design can hold clinicians back

The practical enablers that could change behaviour at scale

How small changes could unlock major improvements in patient outcomes

🎯 The core challenge:

If heart failure is a long-term condition…

Why is Primary Care still treated as peripheral?

🔎 Who this is for:

GPs, Practice Nurses, and Primary Care teams

NHS commissioners, ICS leaders, and policymakers

Cardiologists and specialist teams

People living with heart failure and their families

❤️ About the Pumping Marvellous Foundation

Working alongside patients and the NHS to improve heartfailure outcomes, experience, and quality of life across the UK.

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Episoder(55)

Heart Failure Unfiltered | We Got Dad Back... But Nothing Went Back to Normal

Heart Failure Unfiltered | We Got Dad Back... But Nothing Went Back to Normal

Getting the diagnosis is only the beginning. So what happens to a family once the crisis passes and heart failure just... stays?In this second episode of a two-part series, Nick Hartshorn-Evans - foun...

2 Sep 38min

Heart Failure Unfiltered | When Heart Failure Came Home

Heart Failure Unfiltered | When Heart Failure Came Home

A heart failure diagnosis doesn't just happen to one person - it happens to the whole family. So why does it so often take a crisis before anyone gets the diagnosis right?In this first episode of a tw...

26 Aug 52min

Heart Failure Unfiltered | Beyond Diagnosis: How BEAT Heart Health Events Deliver Value for the NHS

Heart Failure Unfiltered | Beyond Diagnosis: How BEAT Heart Health Events Deliver Value for the NHS

Finding heart failure early doesn't just save lives - it saves the NHS money, time, and capacity. But why are we still so slow at catching it?In this second episode of a two-part series, Nick is joine...

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Heart Failure Unfiltered | Finding Heart Failure Earlier – Why Timing Changes Everything

Heart Failure Unfiltered | Finding Heart Failure Earlier – Why Timing Changes Everything

A missed cough. An inhaler that didn't work. A night spent drowning in his own home. Gav Redhead's heart failure diagnosis came far too late — and he's not alone.In this first episode of a two-part se...

12 Aug 41min

How the Marvellous Masterclass is Changing Heart Failure Care | Heart Failure Unfiltered

How the Marvellous Masterclass is Changing Heart Failure Care | Heart Failure Unfiltered

What happens when patient voice, professional education, and system change collide in a single room?In this final episode of our four-part series, Nick Hartshorne-Evans and the team at the Pumping Mar...

5 Aug 28min

Heart Failure & Primary Care: The Moments That Matter | Heart Failure Unfiltered

Heart Failure & Primary Care: The Moments That Matter | Heart Failure Unfiltered

What does it actually feel like to be discharged from hospital with heart failure and handed back to a GP who may never have managed the condition before?In this episode of Heart Failure Unfiltered, N...

29 Jul 31min

Why Primary Care Holds the Key to Heart Failure | Heart Failure Unfiltered

Why Primary Care Holds the Key to Heart Failure | Heart Failure Unfiltered

Heart failure affects over a million people in the UK - yet most patients have never once thought to ask: "Could I have heart failure?" In this episode of Heart Failure Unfiltered, recorded live at Li...

22 Jul 41min

Why Being First Across the Line to Detect Heart Failure Matters | Heart Failure Unfiltered

Why Being First Across the Line to Detect Heart Failure Matters | Heart Failure Unfiltered

Heart failure affects over 900,000 people in the UK, yet it remains one of the most underdiagnosed conditions in primary care. Too many patients are only identified after a hospital admission - often ...

15 Jul 23min

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