Cardiac rehabilitation workstream
What is cardiac rehabilitation (CR)
According to Patient UK, cardiac rehabilitation is the process by which a person who is suffering from ischaemic heart disease, or who has had a myocardial infarction (MI), is encouraged to achieve their full potential in terms of physical and psychological health.
In order to be successful, cardiac rehabilitation must draw on the skills of many members of the healthcare team and involve a combination of education, psychological support, exercise training and behavioural change.
National priority project
A comprehensive approach to cardiac rehabilitation across South London
The aims of this project were:
- To improve access to cardiac rehab for all groups of cardiac patients
- To reduce inequalities throughout the sector
- To improve uptake by providing a sector-wide service that is responsive to the needs of patients and clinicians
- To ensure providers and commissioners are working together to plan, develop and commission appropriate services for local populations.
One year into the project
In one year, the team has found that work to reduce inequalities in access to CR for different patient groups is progressing well in many areas, including the development of a number of new programmes.
- A successful ICD CR pilot has been rolled out sector-wide
- A new community IHD CR programme has commenced targeted specifically at hard to reach populations
- A new community programme incorporating heart failure rehab has been developed with network support
- A local PCT has agreement to develop a stable angina community CR programme, supported by discovery interviews conducted by network leads.
- National Audit Cardiac Rehabilitation: Annual statistical report (2009) - Aims to show locally and nationally what cardiac rehabilitation services are achieving and where those services are not fully developed and to describe the typical benefits that a patient should expect (2.05MB)
- NICE guidance: Secondary prevention in primary and secondary care for patients following a myocardial infarction (2009)
- NICE guidance: Cardiac rehabilitation commissioning
- Scottish Intercollegiate Guidance Network: Cardiac rehabilitation
- British Association for Cardiac Rehabilitation (BACR) - Aims to promote the practice and philosophy of cardiac rehabilitation and to produce national guidelines for which will improve safety and standards of programmes throughout the UK
- British Heart Foundation cardiac rehabilitation campaign - Working to ensure more people receive life-saving cardiac rehab
- Association of Chartered Physiotherapists in Cardiac Rehabilitation - Promoting best practice in research-based physiotherapy for the rehabiliation of cardiac patients
- Cardiac rehabilitation directory - Supported by the British Heart Foundation
- BACR Phase IV - BACR Exercise Instructor training is aimed at exercise professionals who are looking to develop their knowledge in safe and effective exercise programming for individuals with cardiac disease
- Skills for Health - CHD competences
South London Cardiac Rehab Network Group meeting
13 July 2010
- Heart failure in South London - Alison Basa, SLCSN
- Cardiac rehab and patient experience - Michelle Bull, SLCSN Community cardiac rehab update - Nadia Dallsingh, NHS Wandwsorth
- Exercise risk assessment and exercise training for heart failure patients - Prof Patrick J Doherty, York Hospitals NHS Foundation Trust
- South London Cardiac Rehab Network Group update - Alice Jenner, SLCSN and Don Russell, SLCSN
In May 2009 the SLCSN held a very successful event, Fitter for the Future: Building best practice in cardiac rehabilitation. Attendees ranged in role from cardiologists to commissioners to public health leads.
The event aimed to increase collaboration, communication and understanding of issues related to commissioning and tariff development.
View the presentations from the event.
Currently, many people who might benefit do not receive adequate cardiac rehabilitation