John completes the initial part of his CR programme, consider the computer readings now in terms of his lifestyle issues and clinical assessment.
He will now be referred to community leisure services who will continue to be a support network for him while facilitating lifestyle changes and self management. Further lifestyle goal setting and discussion should be ongoing in the practice and at his follow up appointments.
Date: Week 12
- Chest pain: No
- Dysponea: No
- Palpitations: No
- Ex level: mod walk/cycling
- SWT: 540
- Heart rate: 100
- Still smoking: No
- Referred to leisure services: Yes
- Anxiety: Low
- Depression: Low
- BP: 120/70
- Heart rate: 60
- Heart failure: No
- AF: No
- BMI category: 32
Additional notes:
- SWT test stopped – failure to meet speed requirements
Pulse point
Every cardiac rehabilitation programme should formally audit and evaluate their service. This should include information from individual clinical outcome patient data and data on service performance together with patient satisfaction. This data needs to be in a format that can be shared locally, regionally and nationally. Contributing to scientific publications is also strongly encouraged. The BACPR include the contribution of data to the National Audit for Cardiac Rehabilitation (NACR) as a standard as this plays a key role in influencing and informing national policy.
Service level audit should therefore include the collection of data to meet the following aims:
- Monitor and manage patient progress
- Monitor cardiac rehabilitation service resources
- Evaluate programmes in terms of clinical and patient-reported outcomes
- Benchmarking against local, regional and national standards
- Provide measures of performance and quality for commissioners and providers of cardiac rehabilitation services
- Contribute to the national audit
- Present and share cardiac rehabilitation outcomes in both clinical and patient formats
This information is referenced to British Association for Cardiovascular Prevention and Rehabilitation (BACPR) standards.
Page last reviewed: 27 Jul 2020
