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Resources in Cardiovascular Prevention and Rehabilitation
|1.||ACPICR Standards for Physical Activity and Exercise in the Cardiovascular Population|
|2.||NICE Commissioning guide (CMG40, 2013) for commissioning cardiac rehabilitation services|
|3.||NICE (CG172, 2013) MI- Secondary prevention: Secondary prevention in primary and secondary care for patients following a myocardial infarction|
|4.||Acute and Chronic Heart failure – ESC Practice Guidelines|
|5.||Chronic heart failure: Management of chronic heart failure in adults in primary and secondary care|
|6.||Joint British Societies’ consensus recommendations for the prevention of cardiovascular disease (JBS3)|
|7.||CVD Outcomes Strategy|
|8.||The NHS Five Year Forward View|
|9.||Start Active , Stay Active ( 2011)|
|10.||World Health Organisation ( 2010) Global Recommendations on Physical Activity for Health|
|11.||World Heart Federation Factsheet (2016)|
|12.||Public Health England ‘Action on cardiovascular disease: getting serious about prevention|
|13.||National Audit of Cardiac Rehabilitation (NACR) 2016 Annual Report|
|These standards have been developed through a review of the evidence for best practice in cardiac rehabilitation, by a working party of the Association of Chartered Physiotherapists In Cardiac Rehabilitation (ACPICR). The aim is to standardise the quality and approach taken by exercise professionals when delivering the exercise component of CR in order to provide service equity to the widest variety of people with cardiovascular disease (CVD). The Standards have been extensively updated and now include additional more detailed information in several areas of practice |
Cardiac rehabilitation services
Published: 01 November 2013
Clinical commissioning groups (CCGs) are responsible for commissioning cardiac rehabilitation and secondary prevention of myocardial infarction (MI). CCGs should work closely with strategic clinical networks for cardiovascular disease, who together with NHS England area teams are responsible for commissioning cardiovascular surgery. Cardiac rehabilitation is recommended in NICE clinical guideline 172 on myocardial infarction (MI) – secondary prevention as an appropriate intervention for people following a hospital admission for MI.
It offers evidence-based advice on secondary prevention for patients in primary and secondary care after an MI. New and updated recommendations on cardiac rehabilitation, lifestyle changes, drug therapy and communication of diagnosis and advice were included in 2013.
NICE Guideline CG172
|These guidelines make recommendations based upon evidence for established and new diagnostic tests and therapies for heart failure. If implemented, they offer a real opportunity to improve the outcome of patients with this condition. |
ESC Guidelines for Acute and Chronic Heart Failure
The proposals published in the JBS3 report are consensus recommendations, and are a collaborative effort from the British cardiovascular societies who deal with cardiovascular disease prevention. The report was written for GPs and practitioners to help guide their work with patients, in preventing CVD.
The JBS3 risk calculator is a tool to help communicate the risk of CVD and the benefits of interventions, whether they are lifestyle or pharmacological. Although the JBS3 risk calculator is openly available on this website, it has been designed for use by Doctors and Practitioners with their patients.
|It sets out outcomes for people with or at risk of cardiovascular disease (CVD) in line with the NHS and Public Health Outcomes Frameworks. It identifies 10 main actions to improve outcomes.|
The strategy recommends:
CVD Outcome Strategy
The NHS Five Year Forward View was published in 2014 andd sets out a vision for the future of the NHS. It has been developed by the partner organisations that deliver and oversee health and care services including NHS England, Public Health England, Monitor, Health Education England, the Care Quality Commission and the NHS Trust Development Authority. Patient groups, clinicians and independent experts have also provided their advice to create a collective view of how the health service needs to change over the next five years if it is to close the widening gaps in the health of the population, quality of care and the funding of services.
A UK-wide document that presents guidelines on the volume, duration, frequency and type of physical activity required across the lifecourse to achieve general health benefits. It is aimed at the NHS, local authorities and a range of other organisations designing services to promote physical activity. The document is intended for professionals, practitioners and policymakers concerned with formulating and implementing policies and programmes that utilise the promotion of physical activity, sport, exercise and active travel to achieve health gains.
WHO developed the "Global Recommendations on Physical Activity for Health" with the overall aim of providing national and regional level policy makers with guidance on the dose-response relationship between the frequency, duration, intensity, type and total amount of physical activity needed for the prevention of NCDs.
WHO Global Recommendations on Physical Activity for Health
Click here for fact sheet ‘Cardiovascular Diseases in the UK’
Cardiovascular disease: getting serious about prevention
This document aims to highlight the ongoing impact of cardiovascular disease, provide an overview of PHE’s wide-ranging work in relation to cardiovascular disease and underline their key role in providing leadership and support to the NHS and wider partners.
Public Health England's menu of preventative interventions is a good resource for STPs and potentially a good structure for summarising the impact of CR programmes.