Primary care network offers extra support for high-risk group with heart failure and social isolation – case study

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This case study shows how the Titan Primary Care Network (PCN) team has helped 37 people in Bedfordshire with heart failure get extra medication reviews, assessment of their social support and assess any issues with isolation or housing.




The PCN identified the group, which had suspected or confirmed heart failure and were at risk of deteriorating due to social vulnerability, using a population health management approach.

Published 2 February 2022.