list of the documents
1. ACPICR Standards for Physical Activity and Exercise in the Cardiovascular Population
| ||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 |
2. NICE Commissioning guide (CMG40, 2013) for commissioning cardiac rehabilitation services
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.
NICE Guideline CMG40
3. NICE (CG172, 2013) MI- Secondary prevention: Secondary prevention in primary and secondary care for patients following a myocardial infarction
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
4. Acute and Chronic Heart failure – ESC Practice Guidelines
| ||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
5. Chronic heart failure: Management of chronic heart failure in adults in primary and secondary care
NICE Guideline CG108
6. Joint British Societies’ consensus recommendations for the prevention of cardiovascular disease (JBS3)
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.
7. CVD Outcomes Strategy
| ||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:
- reducing premature mortality rates for CVD by improving prevention, diagnosis and treatment, bringing all services up to the standards of the best
- managing CVD as a single family of diseases and develop a standardised template for community and hospital care
- supporting better identification of families or individuals at high risk of CVD and improve its management in primary care
- improving intelligence, monitoring and research into CVD and publish comparative data on the quality of care provided for patients with CVD.
CVD Outcome Strategy
8. The NHS Five Year Forward View
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.
NHS England » The NHS Five Year Forward View
9. Start Active , Stay Active ( 2011)
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.
Start Active, Stay Active
10. World Health Organisation ( 2010) Global Recommendations on Physical Activity for Health
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
11. World Heart Federation Factsheet (2016) Click here for fact sheet ‘Cardiovascular Diseases in the UK’
12. Public Health England ‘Action on cardiovascular disease: getting serious about preventionCardiovascular 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.
13. National Audit of Cardiac Rehabilitation (NACR) 2016 Annual Report
British Heart Foundation (BHF) National Audit of Cardiac Rehabilitation
The NACR aims to:
- Monitor and support cardiovascular rehabilitation (CR) teams and commissioners in delivering high-quality and effective services, to evidence-based standards, for the benefit of all eligible patients.
- Map the extent of provision and highlight inequalities and insufficiencies in delivery against key service indicators at Strategic Clinical Network, Clinical Commissioning Group, Health Board and Cardiac Network levels for over 320 programmes in the UK.
- Design and implement research to determine the effectiveness of routinely delivered CR services on patient agreed outcomes, cardiovascular disease risk profiles and health and social care utilisation.
- Use audit and research data generated through the NACR to inform:
- NICE clinical guidance and service specification development
- Clinical practice standards from national associations
- NHS healthcare commissioning processes and decision making
- The public and cardiac patient groups about how their local services are performing.
14. Local Health and care planning: menu of preventative interventions
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.