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Cardiac/pulmonary rehabilitation service
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About the service
The cardiac/pulmonary rehabilitation service delivers specialist assessment, planning and care to encourage and support patients through a 6 – 8 week programme of exercise and education, helping them to achieve and maintain optimal physical and psychological health. We offer group based exercise sessions or individual home programmes.
A comprehensive individualised assessment is completed for each patient with a personalised plan of care. This assessment can take place face to face, via telephone or video consultation. Prior to starting the programme, patients will have a pre-programmed exercise assessment. They will also undertake pre and post programme outcomes such as a 6 minute walk test or shuttle walk test, quality of life questionnaires and PHQ 9 & GAD 7 (depression & anxiety scores). The outcomes are shared with the patient after completing the programme and sent to their GP and referrer.
The service meets national guidelines for patients being seen within 90 days for pulmonary rehabilitation and within 10 days of discharge following a heart attack, for cardiac rehabilitation, meaning that there is very rarely a waiting list.
- Pulmonary rehabilitation – information for patients
- Cardiac rehabilitation – Information for patients
The service is delivered from the following venues:
Saint Helen’s Church Community Hall
High Street
Thurnscoe
Rotherham S63 0QZ
The Rockingham Centre
Sheffield Road
Hoyland
Barnsley S74 0PY
Penistone Leisure Centre
Thurlstone Road
Penistone
Sheffield S36 9EF
Barnsley (Long Term Exercise) Heart Support Group
The Old Bakery
116 Midland Road
Royston
Barnsley S71 4QT
Car parking is available at each venue and all have step free access.
Why would someone choose the service?
Facilities provided by the cardiac/pulmonary rehabilitation service include a fully equipped gym and education room for patient use.
Results from our patient and public involvement survey showed:
- 98% said they understand the benefits of exercise.
- 94% felt attending cardiac or pulmonary rehabilitation had helped them manage their condition
- 100% are extremely likely or likely to recommend the service to others and family if they needed similar care or treatment.
- 100% said they had the opportunity to ask questions.
- 100% said car parking was very good or quite good.
Staff you may meet
- Activity co-ordinators are responsible for implementing a range of therapeutic activities. Examples of activities provided include social, recreational, leisure, communication, sensory or educational sessions.
- Administrative staff provide essential support to doctors, nurses and other healthcare professionals. This can be in a variety of different settings, with administrators working as a receptionist in a clinic or a clerk on a ward. They may also be working closely with a consultant as a medical secretary.
- A care navigator provides advice and support to individuals their families or carers during their care. They often make home visits and support hospital discharges. Care navigators can also signpost and refer individuals to the appropriate services or help arrange care based on the individual’s needs.
- Dietitians use the science of food to help people to make good choices about food and lifestyle. Nutrition is an important part of recovery and wellbeing. All service users admitted to a Trust ward have their nutritional state assessed.
- There are more than 60 different specialities that doctors work within the NHS. Each is unique but there are many characteristics which are common. Roles range from working in a hospital to being based in the community as a GP.
- There are many people who work behind the scenes to keep services running and you may meet them in hospital or community settings. They include porters, cleaners, plumbers, electricians, decorators receptionists and secretaries who all work to make sure healthcare settings are kept clean, tidy and safe.
- Registered nurses use evidence based knowledge, and their professional and clinical judgement to assess, plan, implement and evaluate high quality person centred care. The work of registered nurses consists of many specialised and complex interventions to ensure people and their families can improve, maintain or recover health, or experience a dignified death.
- Nursing or healthcare assistants work in hospital or community settings under the guidance of a qualified healthcare professional. They help doctors, nurses and therapists give people the care and treatment they need.
- Occupational therapy is the assessment and treatment of physical and psychiatric conditions using specific, purposeful activity to prevent disability and promote independent function in all aspects of daily life.
- The NHS employs a wide range of clinical staff, it wouldn’t be possible to list them all on this website! All our clinical staff are skilled, dedicated professionals who adhere to high standards of training and work-place practice.
- Physiotherapists help people to improve their range of movement in order to promote health and well being. This can help people to live more independently.
- Adult psychotherapists work with people to assess and treat a range of emotional, social or mental health issues. They help people tackle problems such as behavioural issues, common challenges such as anxiety and depression or more complex or severe issues, such as psychosis or a personality disorder diagnosis.
- Receptionists are the first link for many patients and visitors. They often work on their own or with one or two other receptionists, greeting patients as they arrive and check them in. They might also collect patient notes and ensure that these vital records go to the right healthcare professional. In a clinic, they may make appointments and arrange patient transport.
- Social workers help, support and protect people who are facing difficulties in their lives. They help people to take positive steps to overcome problems and improve their lives. This could involve assessing and reviewing a service user’s situation, building relationships with service users and their families and agreeing what practical support someone needs.
- We have a range of specialist advisors working in our Trust – they give advice on a wide range of different things, depending on what service they work in. So it could be, for example, mental health, stopping smoking, healthy eating or diabetes.
- We have a range of health workers who all have different specialities. This could be in a certain condition, a therapy or the advice they can give you. Our specialists our highly skilled and trained professionals, ready to offer you help and advice whenever you need it.
- Telephonists (also known as switchboard operators) are employed throughout the health service. They may work on a busy switchboard in a hospital or the Trust headquarters. Like receptionists, they are an important first point of contact for patients and their families and are a vital link between a caller and the person who can help.
Useful links
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
Pulmonary rehabilitation service referral form
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
Cardiac rehabilitation service referral form
Support offered
- 6 to 8 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 the community after completion of the programme
- Improved engagement with community services
- Improved physical health
- Improved functional capacity
- Relapse prevention
- Self-management skills
Referrals accepted from:
AHPs, Consultants, GP staff, GPs, Other NHS services
Referral criteria:
Pulmonary:
- Patients with a chronic lung condition e.g. Chronic Obstructive Pulmonary Disease (COPD), bronchiectasis, pulmonary fibrosis, who are consider themselves functionally disabled by their condition – Medical Research Council (MRC) dyspnoea scale (scale for grading the degree of a patient’s breathlessness) three or above
- Patients who have been discharged from hospital following an exacerbation of COPD.
- Patients who are being considered for or awaiting lung transplant
- Patients willing to attend an exercise/education programme. The referrer should have discussed this with the patient prior to a referral being made
Cardiac:
- Patients who have had: Myocardial Infarction (STEMI/ non-STEMI) and Coronary Revasculation (PCI)
- Chronic heart failure if they have limiting symptoms
- Stable angina if they have limiting symptoms
- Post Enhanced External Counterpulsation Therapy (EECP)
- Acute Coronary Syndrome (ACS)
- Post Coronary Artery Bypass Graph (CABG)
- Post implantable cardioverter defibrillator or pacemaker