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  1. John G F Cleland1,
  2. Theresa McDonagh2,
  3. Henry J Dargie3
  1. 1Department of Cardiology, Castle Hill Hospital, Hull York Medical School, University of Hull, Kingston-upon-Hull, UK
  2. 2Department of Cardiology, King's College Hospital, Denmark Hill, London, UK
  3. 3The Scottish Advanced Heart Failure Service, Golden Jubilee National Hospital, West Dunbartonshire, UK
  1. Correspondence to Dr John G F Cleland, Department of Cardiology, Hull York Medical School, University of Hull, Castle Hill Hospital, Cottingham, Kingston-upon-Hull HU16 5JQ, UK; j.g.cleland{at}

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The Authors' reply We agree with Dalal and colleagues1 that support for patients with heart failure should be highly integrated across primary and secondary care and hope that the NHS will support this agenda in the coming years. The audit we reported2 was of patients with heart failure coded in the first position at death or discharge from a hospital and therefore naturally focused …

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