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The article discusses the summary of the evidence and future direction of palliative care for patients with heart failure in Great Britain. It outlines the barriers in accessing palliative care services including the difficulty of prognostication and inadequacy of discussions about end-of-life care. It mentions the gap in the symptom control evidence other than pain and dyspnoea. It also defines heart failure as a disease with psychological and physical burdens for patients and their families.

The author reflects on the prognostication of palliative treatment for advanced heart failure (HF). He tells that the HF is responsible for morbidity and mortality despite the presence of persistent advances related to the therapeutic strategies which are applicable for the HF. The author further tells that mortality identification in advanced HF reflects towards the obstacle inhibiting discussion concerning the death and appropriate initiation of palliative treatment.