Cardiac/pulmonary rehabilitation service

Professional information

Why a professional should choose the service

The cardiac/pulmonary rehabilitation service provides a highly skilled team consisting of specialist nurses, specialist physiotherapists, exercise instructors qualified to provide the specialist knowledge required in cardiac/pulmonary rehabilitation.

We have integrated team working with other Trust teams such as the community COPD team, heart failure nurses, community matrons and district nurses.

Pulmonary rehabilitation:

  • Pulmonary rehabilitation has been proven to increase exercise capacity and health status in people with Chronic Obstructive Pulmonary Disease (COPD) who have significant self reported exercise limitation assessed by MRC dyspnoea scale3-5
  • NICE guideline 101 states pulmonary rehabilitation should be offered to people who consider themselves functionally disabled – MRC dyspnoea 3 or above
  • The programme can improve exercise capacity in people with a variety of respiratory conditions other than COPD that affect activities of daily living such as bronchiectasis and interstitial lung disease or COPD MRC dyspnoea 2

Cardiac rehabilitation:

  • Cardiac rehabilitation is recommended in NICE clinical guideline 172 on Myocardial Infarction (MI) – secondary prevention
  • It is beneficial in reducing mortality and morbidity for people following an acute MI and people with coronary heart disease
  • People with stable chronic heart failure are offered a supervised exercise based programme that includes education and psychological support

Support offered

  • 8 to 12 week programme of individualised exercises
  • Group work
  • Education from a variety of health professionals
  • Onward referral
  • Self-care
  • Self-management skills

Outcomes

  • Increase exercise capacity (measured on pre and post programme walk tests)
  • Improved quality of life (measured on pre and post programme quality of life questionnaire)
  • Improvement on anxiety and depression scores (measured pre and post programme on PHQ9 & GAD 7)
  • Recovery
  • Clarification of diagnosis
  • Ability to self-care
  • Discharged back into community after completion of programme
  • Improved engagement with community services
  • Improved physical health
  • Improved functional capacity
  • Relapse prevention
  • Self-management skills

Page last updated on May 24th, 2018

Service delivered in: Barnsley