Heart failure review
We are using this secure online system to help assess your heart, complete a medication review if required, and gather some relevant lifestyle information. Your answers will always be seen by the practice team, and you can indicate at the end if you feel further discussion is needed. This will allow the clinical team to monitor the impact of your heart condition and tailor treatment to your symptoms.

YOU NEED: Your recent weight and height.

OPTIONAL: You can submit blood pressure readings, if you have your own machine. Measure your blood pressure in the morning and in the evening, while sitting down. Each time take two readings, 1 minute apart. Continue measurements twice daily for at least 4 days and ideally for 7 days. Please gather all these readings before proceeding with this review. 

Alternatively, you can have your blood pressure measured at your local community pharmacy or in the practice, but please first check if this service is available. You can also enter your resting heart rate (pulse rate).

Your answers will be attached to your medical record but may not be seen immediately. This system should never be used if you are in need of urgent medical attention. In this event, please contact the appropriate services (999 or 111) or the practice as normal.
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Practice Name - OFFICE USE ONLY *
This review is only for patients registered at the practice below. Please do not change under any circumstances
Data Processing Notice
To participate in this online review you must confirm the following by ticking each box. If you are unable to do so please contact the practice
First name *
Surname *
Month of birth *
Day of birth *
Year of birth *
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