April 2026 NACR Quarterly Report on Mode of Delivery (rerun July 2026)

Method using July 2026 data download of Oct-Dec 2025 data; patient records were included if they had started Core¹ Rehab within the time period and there was sufficient data - more than 10 starting core rehab - within the named programme. This report assesses recording and provision of CR delivery modes. A menu-based approach driven by patient choice is a key recommendation in the BACPR 2023 Standards and Core Components and an important audit metric.

Results Of 183 programmes with starters, 176 had sufficient data for analysis. Of these 176, 3% had no mode recorded at all, and in total 17% of patients had no mode recorded. Most programmes (150) offered multiple delivery modes, while 20 used a single mode, predominantly Group-based. Over 80% of programmes showed patients receiving either Group-based or Home-based alone, whereas 73% of programmes had patients with Hybrid delivery (both Group- and Home-based). This shows a diverse profile of modes in many services. Delivery patterns for Oct–Dec 2025 show 39% of patients received Group-based CR, 31% Home-based and 27% Hybrid. Hybrid delivery has increased since the first running of this quarterly report topic in 2023, where it was 23%, while Home-based delivery has declined from 40%. A new measure identifies digital delivery (Web Other, App Other or Activate Your Heart). Overall, 6% of patients received a digital component, although 97 of 175 programmes recorded none. Additional data collection is planned to support enhanced reporting in line with the NICE Early Value Assessment of digital CR platforms.

(¹ Throughout this report ‘Core’ refers to Core or Phase 3 records)

(* Patient received group and home-based CR )

(** This mode is where there is an assessment 1 and structured programme initiated, however, patients lead their own programme and are supported, limitedly, by support/contact with the CR team. It also requires an expectation of completion of Assessment 2 )

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