NHS priorities

Whether it’s to prepare for the next Pharmacy Quality Scheme deadline, or to increase your confidence in helping people with a learning disability, this section provides topic-specific pages that link to current NHS priorities. This section will support you in keeping your knowledge and skills up to date in order to provide high-quality pharmacy services and be service-ready.

Public health

The public health agenda is embedded in pharmacy, yet topics such as emergency contraception or stop smoking support are as prevalent as ever. As well as our public health workshops, use this section to access a wide range of resources to assure and maintain your competence, all underpinned by the Declaration of Competence system.

CPPE Optimise programmes

Heart failure: Optimising the four pillars

Aim

The purpose of this programme is to increase your knowledge, skills and confidence in supporting people living with heart failure through optimisation of the four pillars of treatment, taking a shared decision-making approach.

Background learning

The Heart failure: Optimising the four pillars Optimise programme assumes you have some prior knowledge of the topic area. If you wish to revise your knowledge, you may find Unit 7 (Heart failure) of our Fundamentals of cardiovascular therapeutics e-course helpful as an optional learning resource. This e-course unit takes around two to three hours.

Small group learning

This workshop involves 20 minutes of preparation for each participant and a 40-minute group session. During the small group learning session, activities will allow learners to test their knowledge, debate controversial topics, make justified clinical decisions and practice communicating with patients and/or other healthcare professionals.

Learner resources

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Facilitator's resources

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Next steps

After the workshop, consider your next steps:

View acknowledgments, references and brand names

Expert and programme contributor
Muhammad Khalid Lodhi, lead pharmacist cardiology and medicine, University Hospitals Plymouth NHS Trust

CPPE programme developer
Rachel Murray, senior learning development pharmacist

Content contributors
Dr Fiona Carr, consultant geriatrician with a specialist interest in heart failure, Sheffield Teaching Hospitals
Trevor Fernandes, NHS patient and public voice partner and member of the National Co-production Advisory Group
Siri Gopalan, diabetes pharmacist, NHS Birmingham and Solihull ICB
Emily Hoodless, senior pharmacy technician, Manchester University NHS Foundation Trust
Jen McCutcheon, early careers workforce lead, Thames Valley Integrated Care Board, and lead clinical pharmacist, South East Oxford Health Alliance Primary Care Network
Bilal Mukhtar, heart failure specialist pharmacist, North East London NHS Foundation Trust
Shannon Nickson, lead pharmacist primary care education (Midlands and East), CPPE and Heart failure education and research pharmacist, Heart Failure Academy
Ciara Richardson, education supervisor, CPPE
Ben Waters, lead cardiac pharmacist, Barts Health NHS Trust
Sarah Winsor, lead heart failure clinic nurse specialist, Leeds Teaching Hospitals

Reviewers
Joanne Bateman, consultant cardiology pharmacist and heart failure service lead, Countess of Chester Hospital NHS Foundation Trust, and lead pharmacist for cardiac network, Cheshire and Mersey Network
Josceline Williams, lead advanced practitioner with Droitwich, Ombersley & The Rurals Primary Care Network

CPPE reviewers
Emma Barnes, regional manager, West Midlands
Michelle Styles, regional manager, London

Piloted by
Diane Mitchell, lead education and training pharmacist for undergraduate teaching, Manchester University NHS Foundation Trust
Kate Oates, lead education and training pharmacist for undergraduate teaching, Manchester University NHS Foundation Trust
Anna Gorman, lead clinical pharmacist, Great Sutton Medical Centre, One Ellesmere Port Primary Care Network

CPPE editor
Lee Swettenham, web development editor

Disclaimer
We have developed this learning programme to support your practice in this topic area. We recommend that you use it in combination with other established reference sources. If you are using it significantly after the date of initial publication, then you should refer to current published evidence. CPPE does not accept responsibility for any errors or omissions.

External websites
CPPE is not responsible for the content of any non-CPPE websites mentioned in this programme or for the accuracy of any information to be found there.

All hyperlinks were accessed on 4 August 2026.

References

  1. British Heart Foundation. Heart failure: a blueprint for change.
  2. Integrated Care Journal. The NHS must break the cycle on heart failure. February 2023.
  3. BMJ Best Practice. Heart failure with reduced ejection fraction. Last reviewed July 2026.
  4. National Institute for Health and Care Excellence. Guideline [NG106]. Chronic heart failure in adults: diagnosis and management. Updated September 2026.
  5. European Society of Cardiology/YouTube. What would you like to say to healthcare professionals about the importance of quality of life? December 2023.
  6. British Society for Heart Failure. Response to the British Geriatrics Society Clinical Guide, ‘Pragmatic prescribing to reduce harm for older people with moderate to severe frailty’. November 2025.
  7. European Society of Cardiology. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. August 2021.