{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T08:35:54Z","timestamp":1782290154999,"version":"3.54.5"},"reference-count":17,"publisher":"BMJ","issue":"1","funder":[{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","award":["R1680901"],"award-info":[{"award-number":["R1680901"]}],"id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Open Heart"],"accepted":{"date-parts":[[2016,11,1]]},"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess the extent by which programmes meet national minimum standards for the delivery of cardiac rehabilitation (CR) as part of the National Certification Programme for Cardiovascular Rehabilitation (NCP_CR).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The analysis used UK National Audit of Cardiac Rehabilitation (NACR) data extracted and validated for the period 2013\u20132014 set against six NCP_CR measures deemed as important for the delivery of high-quality CR programmes. Each programme that achieved a single minimum standard was given a score of 1. The range of the scoring for meeting the minimum standards is between 1 and 6. The performance of CR programmes was categorised into three groups: high (score of 5\u20136), middle (scores of 3\u20134) and low (scores of 1\u20132). If a programme did not meet any of the six criteria, they were considered to have failed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Data from 170 CR programmes revealed statistically significant differences among UK CR programmes. The principal findings were that, based on NCP_CR criteria, 30.6% were assessed as high performance with 45.9% as mid-level performance programmes, 18.2% were in the lower-level and 5.3% failed to meet any of the minimum criteria.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study shows that high levels of performance is achievable in the era of modern cardiology and that many CR programmes are close to meeting high performance standards. However, substantial variation, below the recommended minimum standards, exists throughout the UK. National certification should be seen as a positive step to ensure that patients, irrespective of where they live, are accessing quality services.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/openhrt-2016-000519","type":"journal-article","created":{"date-parts":[[2017,1,9]],"date-time":"2017-01-09T21:20:22Z","timestamp":1483996822000},"page":"e000519","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":36,"title":["Does cardiac rehabilitation meet minimum standards: an observational study using UK national audit?"],"prefix":"10.1136","volume":"4","author":[{"given":"Patrick","family":"Doherty","sequence":"first","affiliation":[{"name":"Department of Health Sciences, University of York, York, North Yorkshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Salman","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of York, York, North Yorkshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gill","family":"Furze","sequence":"additional","affiliation":[{"name":"Centre for Technology Enabled Health Research, Coventry University, Coventry, West Midlands, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasnain M","family":"Dalal","sequence":"additional","affiliation":[{"name":"University of Exeter Medical School (Truro Campus), Knowledge Spa, Royal Cornwall, Truro, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Harrison","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of York, York, North Yorkshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,1,9]]},"reference":[{"key":"2025081710515046000_4.1.e000519.1","unstructured":"World Health Organization. Global status report on noncommunicable diseases 2014. Geneva: World Health Organization, 2014."},{"key":"2025081710515046000_4.1.e000519.2","unstructured":"Townsend N , Bhatnagar P , Wilkins E , et al . Cardiovascular disease statistics 2015. London: British Heart Foundation, 2015."},{"key":"2025081710515046000_4.1.e000519.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.10.044"},{"key":"2025081710515046000_4.1.e000519.4","unstructured":"NICE. Myocardial infarction: cardiac rehabilitation and prevention of further MI (clinical guideline 172). National Institute for Health and Care Excellence, 2013. https:\/\/www.nice.org.uk\/guidance\/cg172"},{"key":"2025081710515046000_4.1.e000519.5","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw106"},{"key":"2025081710515046000_4.1.e000519.6","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2014-000163"},{"key":"2025081710515046000_4.1.e000519.7","unstructured":"BACPR. BACPR standards and core components for cardiovascular disease prevention and rehabilitation 2012. 2nd edn. British Association for Cardiovascular Prevention and Rehabilitation, 2012. http:\/\/www.bacpr.com\/resources\/46C_BACPR_Standards_and_Core_Components_2012.pdf."},{"key":"2025081710515046000_4.1.e000519.8","unstructured":"NICE. Cardiac rehabilitation services: Commissioning guide, 2013. http:\/\/nice.org.uk (accessed online December 2016)."},{"key":"2025081710515046000_4.1.e000519.9","first-page":"102","article-title":"Development of a UK National Certification Programme for Cardiac Rehabilitation (NCP_CR)","volume":"23","author":"Furze","year":"2016","journal-title":"Br J Cardiol"},{"key":"2025081710515046000_4.1.e000519.10","unstructured":"NACR. The national audit of cardiac rehabilitation annual statistical report 2015. London: British Heart Foundation, 2015. http:\/\/www.cardiacrehabilitation.org.uk\/docs\/BHF_NACR_Report_2015.pdf (accessed online December 2016)."},{"key":"2025081710515046000_4.1.e000519.11","doi-asserted-by":"crossref","first-page":"5000","DOI":"10.1136\/bmj.h5000","article-title":"Cardiac rehabilitation","volume":"351","author":"Dalal","year":"2015","journal-title":"BMJ"},{"key":"2025081710515046000_4.1.e000519.12","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2011-300302"},{"key":"2025081710515046000_4.1.e000519.13","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2013-303705"},{"key":"2025081710515046000_4.1.e000519.14","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2012-301811"},{"key":"2025081710515046000_4.1.e000519.15","doi-asserted-by":"crossref","unstructured":"DH Cardiovascular Disease Team. Cardiovascular disease outcomes strategy. Department of Health, 2013. doi:10.1016\/S0895-4356(01)00360-2","DOI":"10.1016\/S0895-4356(01)00360-2"},{"key":"2025081710515046000_4.1.e000519.16","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2007.127209"},{"key":"2025081710515046000_4.1.e000519.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2006.11.018"}],"container-title":["Open Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/openhrt-2016-000519","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T17:52:00Z","timestamp":1755453120000},"score":1,"resource":{"primary":{"URL":"https:\/\/openheart.bmj.com\/lookup\/doi\/10.1136\/openhrt-2016-000519"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2017,1,9]]},"published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1136\/openhrt-2016-000519"],"URL":"https:\/\/doi.org\/10.1136\/openhrt-2016-000519","relation":{},"ISSN":["2053-3624"],"issn-type":[{"value":"2053-3624","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}