Cardiac Rehab Phase IV

Information for Professionals

Protocols

The protocol developed by The British Association for Cardiac Rehabilitation (BACR) has been adopted to ensure safe and appropriate transition of CHD individuals from Phase III to IV and from primary care to Phase IV. All CHD patients in transition from Phase III to Phase IV will require Phase III information and associated physician's assessment which will include:-

Cardiac event and date
Subsequent complications and/or interventions
Relevant medical history
Cardiac risk stratification
Exercise prescription (with relevant summary of ETT)
Medication
Secondary prevention plan

The patient's consent should be obtained and the Phase III to Phase IV transfer form completed by both the CR professional and the patient. The information sheet should either be given to the patient as a hand held document or (where local protocol permits) forwarded directly to the Phase IV exercise professional.

If the Phase IV professional is satisfied that the patient should be transferred to Phase IV and THERE HAVE BEEN NO NEW EVENTS OR SYMPTOMS in the interim, accept patient for Phase IV exercise.

For patients not transferring from Phase III the CHD GP Exercise Referral Form should be completed and referral accepted if:-

If the clinical assessment is insufficient/incomplete the patient should be referred back to the GP and reviewed by a cardiologist as appropriate.

The full protocol and associated documents are available on the BACR website bacrphaseiv.co.uk

Click on the links below to download the PDF Documents

Protocol

 

PDF

Phase III to IV form

 

PDF

GP form

 

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Debbie Hobbs