Standards and Core Components for Cardiovascular Disease Prevention and Rehabilitation

Aynsley Cowie, John P Buckley, Patrick Joseph Doherty, Gillian Furze, Jo Hayward, Sally Hinton, Jennifer Jones, Linda Speck, Hasnain M Dalal, Joseph Mills

Research output: Contribution to journalArticlepeer-review


In 2017, the British Association for Cardiovascular Prevention and
Rehabilitation (BACPR) published its official document detailing standards
and core components for cardiovascular prevention and rehabilitation.
Building on the success of previous editions of this document (published
in 2007 and 2012), the 2017 update aims to further emphasise to
commissioners, clinicians, politicians and the public, the importance of
robust, quality indicators of cardiac rehabilitation (CR) service delivery.
Otherwise, its overall aim remains consistent with the previous
publications – to provide a precedent upon which all effective
cardiovascular prevention and rehabilitation programmes (CPRPs) are
based and a framework for use in assessment of variation in service
delivery quality.
In this 2017 edition, the previously described seven standards and core
components have both been revised to six, with a greater focus on
measurable clinical outcomes, audit and certification. The principles
within the updated document underpin the six-stage pathway of care for
CR, and reflect the extensive evidence base now available within the
field. To help improve current services, close collaboration between
commissioners and CR providers is advocated, with use of the CR costing
tool in financial planning of programmes. The document specifies how
quality assurance can be facilitated through local audit, and advocates
routine upload of individual-level data to the annual British Heart
Foundation (BHF) National Audit of Cardiac Rehabilitation (NACR), and
application for national certification ensuring attainment of a minimum
quality standard. Although developed for the UK, these standards and
core components may be applicable to other countries.
Original languageEnglish
Pages (from-to)1-6
Number of pages6
Publication statusPublished - 30 Jan 2019

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