British Heart Foundation

   British Heart Foundation (BHF) National Audit of Cardiac Rehabilitation

NHS Digital


National Certification Programme for CR (NCP_CR)

The NCP_CR is a joint initiative with the BACPR and NACR which uses Key Performance Indicators (KPIs) to certify the quality of CR service delivery. This approach has been updated in 2018 and is now operationalised through NACR with oversight from the NCP_CR Steering Group composed of BACPR, NACR and clinical staff.

Before any programme can be considered to be assessed against NCP_CR Key Performance Indicators they must be entering data into the National Audit for Cardiac Rehabilitation (NACR). The KPIs are based on NCP_CR agreed standards that relate to the BACPR Standards and Core Components (2017) but do not match them. Certification is achieved through meeting all 7 KPIs - the 3 Minimum Standards (1-3) and the 4 Standards based on national averages.

Key performance indicators (KPIs)

Minimum standard 1: MDT

At least three health professions in the CR team who formally and regularly support the CR programme

Minimum standard 2: Patient group

Cardiovascular rehabilitation is offered to all these priority groups: MI, MI+PCI, PCI, CABG, Heart Failure

Minimum standard 3: Duration

Duration of Core CR programme: ? national median of 56 days.

Standard 4: National average for assessment 1

Percent of patients with recorded assessment 1: ? England 80%; Northern Ireland 88%; Wales 68%

Standard 5: National average for CABG wait time

Time from post-discharge referral to start of Core CR programme for CABG: ? national median of England 46 days, Northern Ireland 52 days, Wales 42 days

Standard 6: National average for MI/PCI wait time

Time from post-discharge referral to start of Core CR programme for MI/PCI: ? national median of England 33 days, Northern Ireland 40 days, Wales 26 days

Standard 7: National average for assessment 2

Percent of patients with recorded assessment 2 (end of CR): ? England 57%, Northern Ireland 61%, Wales 43%

* Information on staffing profile and MDT is taken from the NACR annual paper survey sent out each year by NACR team. This information is not available from the electronic NACR database. In order for certification to be validated each CR team must return the NACR annual paper survey form with staffing detail sections completed.

 The University of York