The Pumping Marvellous Foundation (PMF) is the UK’s patient led Heart Failure charity. It was founded by a heart failure patient whose experiences whilst rehabilitating have shaped the Foundation’s goals and principles of a patient-centric charity focused on improved patient outcomes. Heart Failure is a progressive condition and has currently no cure. Approximately 75% of heart failure diagnoses are caused by persistent unchecked hypertension or cardiac MI’s (heart attacks). Recently people are managing to survive with better intervention techniques but are coming out the other side with heart failure. It is estimated that in 10 years, from 2012, the cost of managing heart failure in the NHS will increase on top of normal inflation by 50%. Prognosis of heart failure patients is less favourable than most common cancers therefore mortality is significant, acute readmission levels are high and it has been calculated that heart failure admissions equate to over 2% of the total admissions in A&E. The Foundation’s value in these pathways is to promote HOPE to sufferers, promoting self-care and self-education through peer to peer coaching and support. We HOPE to have impact on reducing this ever increasing burden on the Health Economy by getting patients and their families actively managing their condition. The Pumping Marvellous Foundation is an invaluable resource to the health economy.