Commissioning guides
Published 01 November 2013

Cardiac rehabilitation services

This is an extract from the commissioning guide. The complete commissioning guide is available at

2 An integrated approach to commissioning high-quality integrated cardiac rehabilitation

Commissioning cardiac rehabilitation services is fundamental to the wider commissioning strategy for cardiovascular disease and long-term conditions.

Commissioners should consider the whole care pathway for cardiovascular disease and long-term conditions when commissioning cardiac rehabilitation. They should also consider how cardiac rehabilitation services are integrated with primary care, secondary care, tertiary care, and community and voluntary services.

The long-term conditions workstream of the Quality, Innovation, Productivity and Prevention (QIPP) programme advocates a proactive generic management model of care for people with long-term conditions. Commissioners should ensure that people with cardiovascular disease and their carers have appropriate access to specialist, condition-specific information and support when indicated.

Commissioners should work with strategic clinical networks for cardiovascular disease, clinical senates, health and wellbeing boards, local authorities including public health and social care, primary care, acute and secondary care, tertiary care and community services.

Commissioners should ensure joint working across health and social care using the generic long-term conditions model.

Commissioners may wish to work with service providers to carry out baseline assessment and clinical audit using NICE implementation support as follows:

This will enable commissioners to identify where recommendations from NICE clinical guidelines have been implemented and highlight areas for improvement.