TRIAGE HF Plus Evaluation

The TRIAGE HF Plus Evaluation: What is the workload burden associated with using the Triage HF+ care pathway?

A service evaluation investigating the costs and resources associated with a new clinical pathway called ‘Triage HF Plus’.

The pathway utilises remote monitoring from cardiac devices to identify patients who may be at high risk of hospitalisation due to worsening heart failure in the next 30 days. Patients at high risk are telephoned for assessment, and treatment arranged if required.

In order to decide if this new pathway should be implemented more widely, we need to evaluate the burden and costs of setting up the pathway to the health service. The evaluation is running across Manchester Heart Centre at Manchester Royal Infirmary and Wythenshawe Hospital (both part of Manchester University NHS Foundation Trust), as well as The Pennine Acute Hospitals NHS Trust (part of the Northern Care Alliance NHS Group).

Milestones

  • November 2020: minimum recruitment target 450 participants achieved
  • July 2024: recruited 1000 participants

Updates

December 2020: Change to NHS Digital data sharing

As part of the evaluation, we collect data regarding hospital attendances and admissions from NHS Digital, the national information and technology partner to the health and social care system. In the Patient Information Sheet it states that we will share your NHS number with NHS Digital in order to retrieve information about any NHS hospital attendances/admissions you have had within two years prior, and up to three years after agreeing to take part in the evaluation. In order to make sure we collect the right data about you, we would like to share the following additional information about you with NHS Digital:

  • Your date of birth
  • Your gender
  • Your postcode

Please note all information about you will be treated with the strictest confidence. If you agree for this to happen, you do not need to take any further action. However, if you do not want us to share this additional information with NHS Digital, or you have any additional questions, please contact us (see contact details below) and we can update your preferences.

October 2023: New sites Wigan Royal Albert Edward Infirmary and Royal Bolton Hospital recruit first participants

February 2024: New site Salford Royal recruit first participant

April 2025: Study closed to recruitment

The study is now closed to recruitment. Across six sites in Greater Manchester, 1117 participants have entered the study, and we would like to express our gratitude to everyone involved. We will continue to follow-up existing participants until planned study closure end of September 2025. 

Publications

Ahmed, F. Z., Sammut-Powell, C., Martin, G. P., Callan, P., Cunnington, C., Kahn, M., Kale, M., Weldon, T., Harwood, R., Fullwood, C., Gerritse, B., Lanctin, D., Soken, N., Campbell, N. G., and Taylor, J. K. (2024) Association of a device-based remote management heart failure pathway with outcomes: TriageHF Plus real-world evaluation. ESC Heart Failure, 11: 2637–2647. https://doi.org/10.1002/ehf2.14821. Available online at: https://onlinelibrary.wiley.com/doi/full/10.1002/ehf2.14821

Links

Resources for sites

Download TriageHF™ Plus Clinical Pathway—Principles of Care (pdf) here.

Contact details