Commissioning guides
Published 01 November 2013

Cardiac rehabilitation services

This is an extract from the commissioning guide. The complete commissioning guide is available at www.nice.org.uk/guidance/cmg40

7 Further information

Table 9 summarises national drivers that are relevant to commissioning cardiac rehabilitation services.

Table 9 National policy relating to cardiac rehabilitation

Document

Author

Year

Significance

Clinical Commissioning Groups Outcome Indicator Set

Department of Health

2013

Domains 1, 2, 3 and 4. Cardiac rehabilitation completion is an identified improvement area.

NHS Outcomes Framework 2013 to 2014

Department of Health

2013

Domains 1, 2, 3 and 4.

Improving cardiovascular disease outcomes: strategy

Department of Health

2013

Includes objectives on secondary prevention and access to cardiac rehabilitation.

Quality, innovation prevention and productivity (QIPP)

Department of Health

2011

The workstream on long-term conditions is of particular relevance when commissioning cardiac rehabilitation.

Department of Health's commissioning pack on cardiac rehabilitation

Department of Health

2010

Includes a service specification, and procurement and contracting tools to support the commissioning of cardiac rehabilitation.

Coronary heart disease: national service framework for coronary heart disease - modern standards and service models

Department of Health

2000

Chapter 7 sets out standards and milestones for cardiac rehabilitation.

Additional resources

Commissioners may also find the resources in table 10 useful when commissioning cardiac rehabilitation services.

Table 10 Additional resources for commissioning cardiac rehabilitation

Document or web page

Source

Year

Significance

Chronic heart failure pathway

NICE

2011

Provides a visual representation of NICE guidance on chronic heart failure.

Making the case for cardiac rehabilitation: modelling potential impact on readmissions

NHS Improvement

2013

Models the relationship between the uptake of cardiac rehabilitation and rates of unplanned hospital readmissions at regional and national levels.

NHS Improving Quality: heart

NHS Improving Quality

Various

Part of NHS Improvement's Heart Team, the Cardiac Rehabilitation (CR) workstream aims to support clinicians, commissioners, providers and patients to deliver effective clinical practice through service improvement and redesign.

Cardiac rehabilitation

Supported by the British Heart Foundation

n/a

Provides names and addresses of cardiac rehabilitation services throughout the UK.

Physiotherapy works: cardiac rehabilitation

Chartered Society of Physiotherapy

2011

Demonstrates the cost effectiveness of physiotherapy in cardiac rehabilitation.

Shared learning database

NICE

2011

Examples of how organisations have implemented NICE guidance locally.

Guidance on the referral of patients between physiotherapists and fitness instructors and referral to a physiotherapist or fitness instructor for supervised exercise - referral advice for GPs

Chartered Society of Physiotherapy and Fitness Industry Association

2011

Clarifies the roles of physiotherapists and fitness instructors in delivering supervised exercise-based programmes.

Commissioning of cardiac services – a resource pack from the British Cardiovascular Society

British Cardiovascular Society

2011

Provides a summary of existing standards and guidelines that can be used as a basis for commissioning decisions

Department of Health's commissioning pack on cardiac rehabilitation

Department of Health

2010

Includes a service specification, and procurement and contracting tools to support the commissioning of cardiac rehabilitation.

Standards for physical activity and exercise in the cardiac population

Association of Chartered Physiotherapists In Cardiac Rehabilitation

2009

Aims to standardise the quality and approach taken by exercise professionals when delivering the exercise component of cardiac rehabilitation.

National Infarct Angioplasty Project (NIAP) interim report

Department of Health

2008

NIAP is a feasibility study looking at how far primary angioplasty can be rolled out as the main treatment for heart attack in place of clot-busting drugs.

BACPR education and training

BACPR

Various

Information on training courses for health and exercise professionals in the management of cardiovascular disease across the UK, including BACPR exercise instructor training.

Heart disease and South Asians: delivering the national service framework for coronary heart disease.

British Heart Foundation and Department of Health

2004

Focuses on work which aims to improve services for South Asian people, who are 50% more likely to die prematurely from heart disease than the general population.