supported by

British Heart Foundation
Health & Scoial Care Information Centre

   National Audit of Cardiac Rehabilitation (NACR)


The British Heart Foundation (BHF) National Audit of Cardiac Rehabilitation (NACR) is hosted by the University of York in collaboration with the Health and Social Care Information Centre (HSCIC).

The NACR aims to:

  1. Monitor and support cardiovascular rehabilitation (CR) teams and commissioners in delivering high-quality and effective services, to evidence-based standards, for the benefit of all eligible patients.

  2. Map the extent of provision and highlight inequalities and insufficiencies in delivery against key service indicators at Strategic Clinical Network, Clinical Commissioning Group, Health Board and Cardiac Network levels for over 320 programmes in the UK.

  3. Design and implement research to determine the effectiveness of routinely delivered CR services on patient agreed outcomes, cardiovascular disease risk profiles and health and social care utilisation.

  4. Use audit and research data generated through the NACR to inform:

    • NICE clinical guidance and service specification development
    • Clinical practice standards from national associations
    • NHS healthcare commissioning processes and decision making
    • The public and cardiac patient groups about how their local services are performing.

NACR Newsletter February 2016

Click here to download the NACR Newsletter February 2016.

NACR Annual Statistics Report 2015

Welcome to the 9th annual statistical report on cardiac rehabilitation (CR) which reports at national, regional and this year, for the first time, at local service level. The UK continues to lead the world in uptake to rehabilitation for patients following a cardiac event and has the largest national clinical audit working with clinical teams to improve the quality of CR delivery.

The BHF and the NACR Team would like to acknowledge the dedication, expertise and skills of the multidisciplinary cardiac rehabilitation teams across England, Wales and Northern Ireland and their commitment to improving the outcomes and health of cardiac patients. Your hard work and commitment to the NACR has led us to this landmark report emphasising local reporting of CR services and outcomes. We hope you find our Annual Report and Supplementary Reports useful in shaping your future service innovations. We welcome your feedback on how to improve our approach to local reporting in future.

Professor Patrick Doherty, Director of the NACR

Click here to download the new full NACR Annual Statistics Report 2015.

2015 Programme List and Report on Staffing

Centre Report
Staffing Report

2015 Named Local Level Reporting of Population Characteristics

For the first time, in 2015, the NACR are reporting at three levels, National, Regional and Local. The aim is to move, in 2016, to fully named local reporting. However, to ease the transition, we are only naming individual programmes in the population characteristics reports.

Ethnicity Report
Marital Status Report
Employment Report
Comorbidities Report

2015 Anonymised Local Level Reporting of Population, Demographics, and Programme Service Indicators

These reports have been anonymised in 2015 to ease the transition into reporting at a local level. The data has been used to form local trend figures shown in these local reports and in the 2015 Annual Statistical Report. When anonymising the programmes arbitrary numbers were assigned to plot the programmes left to right on the x-axis.

Age and Gender Report
Time from referral to start of CR Report
Percentage Population with Pre and Post Assessments Report
Initiating Event to Assessment 1 Report
Duration of CR Report
Smoking Status Outcome Report
Exercise Outcome Report
BMI Outcome Report
HAD Score Anxiety Outcome Report
HAD Score Depression Outcome Report

We would very much like to thank the NACR Steering Committee for their continued support and expertise in shaping recent developments. They are: Alison Allen (Wales Representative), Professor Nick Black (NACR Audit Adviser), Mel Clark (Patient Representative), Frances Divers (Scotland Representative, NHS Lothian), Dr Jane Flint (Cardiologist), Professor Gill Furze (Former BACPR President), Dr Chris Gale (MINAP Audit Representative), Julie Henderson (Head of Analytical Services, HSCIC), Suzanne Indge (NACR Lead for the All Wales Cardiac Rehab Group), Catherine Kelly (BHF), Alana Laverty (Northern Ireland Representative), Dr Mike Knapton (BHF), Alan Keys (CCPUK President), Dr Gordon McGregor (Clinical Exercise Physiologist), Dr Joe Mills (BACPR President and Cardiologist), Elaine Tanner (BHF Regional Service Development Manager), Julie Thomas (Chair of the All Wales Cardiac Rehab Group), Irene Thomson (Scotland Representative, NHS Lothian), Iain Todd (Scotland Representative, NHS Lothian), Dr Sally Turner (NACR User Representative) and Alyson Whitmarsh (Programme Manager, Audit Support Unit, HSCIC).

 The University of York