Over 900,000 people in the UK are living with heart failure, and 3 million have chronic kidney disease (CKD). The prevalence of both of these diseases is rising in part due to increasing obesity and type 2 diabetes, as well as an aging population.  In this podcast Dr Sam Robinson talks to Professor Ahmet Fuat, a GP Partner and immediate past president of the Primary Care Cardiovascular Society, about HFrEF versus HfpEF, the barriers to diagnosing and managing heart failure, and what we can do in Primary Care in regards to prevention.  They then go on to discuss chronic kidney disease, including how this relates to cardiorenal metabolic syndrome, how to prevent acute kidney injury, including sick day rules, and what the future may bring to the management of CKD.