Heart Failure Unfiltered Podcast

Pumping Marvellous, the UK's Heart Failure Charity. Fuelled by patients.

This Podcast has been brought to you by the Pumping Marvellous Foundation the UK's Heart Failure Charity. In our series of Podcasts, talking to people about heart failure, we look beyond the cardiologist and delve into what makes people tick, what’s their “Secret Sauce” the Elixir that drives people to overcome and conquer challenging situations in their life.

  1. Jun 1

    What Will Heart Failure Care Look Like in 2030 — And Are We Ready?

    What does “better” heart failure care actually look like in2030? And more importantly… 👉 Do we have a shared vision to get there?   In this episode of Heart Failure Unfiltered, Nick Hartshorne-Evans the CEO of the Pumping Marvellous Foundation explores the future of heart failure care — from the perspective of patients, clinicians, and the NHS.   💡 What this episode explores: Whether the NHS has a clear, shared vision for heart failurecare What is currently missing from the future conversation How life with heart failure should feel different by 2030 What should become routine — not exceptional — in caredelivery The role of simplicity in designing the future system   🔍 The key questions: Are we moving fast enough to improve outcomes? What happens if nothing changes? What should be simpler by 2030 — and what’s the risk if it isn’t? Who needs to be braver to make change happen?   🎯 What success looks like: Not just better metrics on paper — but real-world change that patients can feel: Earlier recognition Faster, more confident treatment Better coordination across the system Improved quality of life   ⚡ The challenge: If we don’t define the future of heart failure care… Who will?   🔎 Who this is for: NHS commissioners and ICS leaders Cardiologists, GPs, and specialist teams Policymakers and healthcare leaders People living with heart failure and their families   ❤️ About the Pumping Marvellous Foundation Working with patients, communities, and the NHS to shape the future of heart failure care across the UK.

    23 min
  2. May 25

    BEAT to TREAT: Why Delays in Heart Failure Care Are Costing Lives

    When it comes to heart failure, time matters. But where do we lose it? In this episode of Heart Failure Unfiltered, Nick Hartshorne-Evans CEO of the Pumping Marvellous Foundation, explores one of the most critical gaps in NHS cardiovascular care: 👉 The delay between first symptoms, diagnosis, and treatment.   💡 What this episode covers: Why heart failure diagnosis is often delayed The early signs patients notice before the system does Where care gets stuck between diagnosis and action What makes clinicians hesitate — and what helps them movefaster Why knowing what to do isn’t the same as doing it   ⚡ Introducing BEAT to TREAT A model designed to shorten the time between concern andcare. This episode explores: What problem BEAT to TREAT is solving How it accelerates decision-making and treatment initiation Why traditional pathways can slow things down Where speed makes the biggest difference for patients   🔍 The critical questions: Where do we wait when we shouldn’t? Where could we move faster? And what would patients feel first if we got this right?   🎯 The reality: If time is one of the biggest determinants of outcome inheart failure… Why do we still accept delay as part of the pathway?   🔎 Who this is for: GPs, nurses, and Primary Care teams Cardiologists and specialist services NHS commissioners and ICS leaders Anyone involved in improving cardiovascular pathways   ❤️ About the Pumping Marvellous Foundation Working with patients and the NHS to improve heart failure diagnosis, treatment, and outcomes across the UK.

    28 min
  3. May 18

    Hidden Heart Failure Risk Is Everywhere — Are We Ready to Act? | BEAT HF

    What are BEAT Heart Health Events really showing us? In this episode of Heart Failure Unfiltered, Nick Hartshorne-Evans CEO of the Pumping Marvellous Foundation explores a critical question for the NHS and prevention: 👉 Are we seeing more cardiovascular risk — or simply seeing it sooner?   Across communities, patterns are emerging: Repeating risk factors People discovering risks they didn’t know they had Shifts in age, background, and health profiles Earlier signals that were previously missed But spotting risk is only the first step.   💡 What this episode explores: What BEAT Heart Health Events are revealing about population health Whether we are interpreting real trends — or projectingassumptions How communities are responding to earlier identification of risk What should happen after someone attends a heart health event How to turn insight into action without overwhelming people   🔍 The bigger question: If BEAT events are a mirror… What is the community showing us right now — and are we ready to respond?   ⚡ The BEAT Lens: Simple. Recognisable. Actionable. Making risk visible without making it frightening — and turning awareness into meaningful change.   🎯 Who this is for: Public health leaders and NHS commissioners Primary Care and community healthcare teams Cardiovascular clinicians and prevention specialists People interested in heart health and early risk detection   ❤️ About the Pumping Marvellous Foundation Working with patients, communities, and the NHS to improveheart failure prevention, outcomes, and quality of life.

    24 min
  4. May 11

    BEAT Heart Failure: Why Primary Care Holds the Key

    Is Primary Care under-involved in heart failure — or under-enabled? In this episode of Heart Failure Unfiltered, Nick Hartshorne-Evans CEO of the Pumping Marvellous Foundation, explores one of the biggest opportunities in NHS cardiovascular care: 👉 Unlocking the power of Primary Care in heart failure management. We ask the real questions: What makes heart failure difficult to manage outside secondary care? Is the barrier knowledge, time, confidence — or system design? What signals from patients are being missed? What does it actually mean for Primary Care to “champion” heart failure? And most importantly: What would make GPs feel confident — not cautious — aboutmanaging heart failure?   💡 What this episode covers: The role of Primary Care as the front door of the NHS Where Primary Care has the biggest impact in the heart failure pathway Why current system design can hold clinicians back The practical enablers that could change behaviour at scale How small changes could unlock major improvements in patient outcomes   🎯 The core challenge: If heart failure is a long-term condition… Why is Primary Care still treated as peripheral?   🔎 Who this is for: GPs, Practice Nurses, and Primary Care teams NHS commissioners, ICS leaders, and policymakers Cardiologists and specialist teams People living with heart failure and their families   ❤️ About the Pumping Marvellous Foundation Working alongside patients and the NHS to improve heartfailure outcomes, experience, and quality of life across the UK.

    23 min
  5. Apr 23

    Heart Failure Masterclass | Heart Failure Unfiltered Podcast Ep 3

    Heart Failure in Primary Care: Why Training Is Essential for NHS Outcomes, Admissions & Early Diagnosis   Heart failure training in Primary Care isn’t optional—it’s essential to improving NHS outcomes. In this Heart Failure Unfiltered Masterclass episode from the Pumping Marvellous Foundation, Nick Hartshorne-Evans explores a critical system-level question: 👉 Is investment in Primary Care heart failure education one of the most underused levers for improving cardiovascular outcomes across the NHS? With over 1 million people living with heart failure in the UK—and mortality exceeding many cancers—early recognition still depends heavily on Primary Care knowledge, confidence, and consistency.   🔍 In this episode: Why heart failure training in Primary Care is essential—not optional The role of education in delivering the NHS Long Term Plan cardiovascular priorities How variable knowledge leads to delayed diagnosis and unwarranted variation Why training should be treated as system infrastructure, not just CPD   ⚡ Early diagnosis & treatment Improving access to NT-pro BNP testing Timely referral for echocardiography Rapid initiation of disease-modifying therapy Reducing delays in optimisation of the four pillars of HFrEF treatment   🏥 Reducing admissions & system pressure How earlier diagnosis reduces avoidable hospital admissions The impact of clinician confidence on admission thresholds Supporting safe community-based management Aligning with winter pressures and Same Day Emergency Care priorities   ⚖️ Tackling inequality & variation How delayed diagnosis disproportionately affects deprived communities The role of education in reducing health inequalities Aligning with Core20PLUS5 and population health strategies Reducing unwarranted variation across ICS footprints   🚀 Workforce & system transformation Standardising heart failure education across Primary Care Supporting PCNs through multidisciplinary learning The role of digital decision support tools Embedding refresher training for sustained impact   🔮 Looking to 2030 What happens if every Primary Care clinician is confident in heart failure? Could heart failure mirror the success of early cancer diagnosis programmes? Should education be a core cardiovascular transformation metric?   💡 Primary Care education in heart failure isn’t just a training issue—it’s a system redesign opportunity.

    36 min
  6. Apr 23

    Heart Failure Masterclass | Heart Failure Unfiltered Podcast Ep 2

    Heart Failure Masterclass (Ep 2): Primary Care Diagnosis, Treatment & Why Knowledge Changes Everything   What happens when Primary Care truly understands heart failure? In this Heart Failure Unfiltered Masterclass episode from the Pumping Marvellous Foundation, Nick Hartshorne-Evans explores how knowledge, confidence, and training in Primary Care can transform not just diagnosis—but the entire patient experience. Through real patient stories and frontline clinical insight, this episode shows what changes when clinicians “get it”.   🔍 In this episode: The reality of missed or delayed heart failure diagnosis in Primary Care Why symptoms like breathlessness are often misattributed The emotional impact of repeated consultations without answers How long it can take before heart failure is recognised   ⚡ The power of early recognition When diagnosis finally “clicks” How training improves confidence in NT-proBNP testing and referral Why early identification and referral change outcomes   💊 Medication, confidence & trust What it feels like for patients starting heart failure medication Understanding the four pillars of heart failure treatment How clinician confidence improves adherence and safety Why explaining treatment properly builds trust   💬 The emotional impact of care Feeling dismissed vs feeling understood How knowledge changes the tone of consultations Why confident clinicians reduce patient anxiety    🚀 What needs to happen next? The case for consistent, standardised heart failure training in Primary Care Why education must be ongoing, expected, and embedded How better knowledge leads to earlier diagnosis and improved outcomes   💡 When Primary Care understands heart failure, patients don’t just get treated sooner, ,they feel safer, seen, and supported.

    31 min
  7. Apr 23

    Heart Failure Masterclass | Heart Failure Unfiltered Podcast Ep 1

    Heart Failure in Primary Care: Why Training, Early Diagnosis & GP Confidence Matter | Masterclass Podcast Why is heart failure still being missed in Primary Care—and what can we do about it? In this Heart Failure Unfiltered Masterclass episode from the Pumping Marvellous Foundation, Nick Hartshorne-Evans explores one of the most critical challenges in cardiovascular care: 👉 The role ofPrimary Care training in improving heart failure diagnosis, treatment, and patient outcomes This episode brings together frontline insight to examine how knowledge, confidence, and education directly impact patient lives.   🔍 In this episode: Why heart failure remains difficult to recognise in Primary Care The most common knowledge gaps among GPs and nurses How confident clinicians feel in diagnosing heart failure early The risks to patients when knowledge is inconsistent How training improves consultation behaviour and decision-making   ⚠️ Early diagnosis & treatment The impact of education on time to diagnosis Reducing delays in NT-proBNP testing and echocardiography referral Why early optimisation of medication matters How training can reduce avoidable hospital admissions   💬 The patient perspective What confident clinicians mean to people living with heart failure Improving conversations about prognosis and self-management Reducing patient anxiety through better communication Building trust through knowledge   ⚖️ Equity & variation Tackling unwarranted variation in care Improving recognition of HFpEF and HFrEF Identifying heart failure in women and older adults   🚀 Looking ahead Should heart failure education be mandatory in Primary Care? The role of multidisciplinary learning What the system could look like by 2030 with the right investment 💡 If heart failure mortality exceeds many cancers, why aren’t we investing in Primary Care knowledge with the same urgency?

    25 min

About

This Podcast has been brought to you by the Pumping Marvellous Foundation the UK's Heart Failure Charity. In our series of Podcasts, talking to people about heart failure, we look beyond the cardiologist and delve into what makes people tick, what’s their “Secret Sauce” the Elixir that drives people to overcome and conquer challenging situations in their life.

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