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It has been suggested that patients with heart failure should have
access to palliative care, but there has been little research into how
it should be provided. Through a series of focus groups Hanratty and
colleagues (p 581) found that consultants and general practitioners supported the idea of non-specialist palliative care for
heart failure. Current organisation of services, the unpredictable
course of heart failure, and relations between different specialities
were identified as the main barriers to adopting a palliative care approach.