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BRITISH ASSOCIATION FOR CARDIOVASCULAR PREVENTION AND REHABILITATION
The British Association for Cardiovascular Prevention and Rehabilitation is an affiliated group of the
The Seven Core Components for Cardiovascular Disease
Prevention and Rehabilitation
British Association for Cardiovascular Prevention and Rehabilitation Exercise Professionals Group
SUMMER
LONG-TERM M
AN
AG
EM
EN
T
AU D IT A N D E VA L U AT ION
Psychosocial
health
Life
style
risk
factor
man
ag
ement
therapiesmanagem
ent
Card
ioprotective risk fa
ctor
Medical
Health behaviour
change and education
Core Competences for the Physical Activity and Exercise Component for Cardiovascular Disease Prevention and Rehabilitation Services
Contents
Introduction 1
A guide to using this document 3
The Competences 5
Competency 1: Core knowledge 5
Competency 2: Professional behaviour 8
Competency 3: Communication 12
Competency 4: Prepare, adapt and restore the environment and equipment
14
Competency 5: Preparing the individual for supervised exercise 16
Competency 6: Assessment 18
Competency 7: Physical activity planning and exercise prescription
21
Competency 8: Lead and/or deliver the supervised exercise session
23
Competency 9: Forward planning 26
Competency 10: Managing the unwell individual 28
Competency 11: Educational materials 30
Competency 12: Service planning and management 32
Competency 13: Service evaluation 35
Glossary 37
Acknowledgements 39
References 40
This document is the intellectual property of the British Association for Cardiovascular Prevention and Rehabilitation (BACPR).
Standards and Core Components 2012 (2nd Edition) 1
Introduction
This competency document has been compiled to complement the following:
i. The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) Position Statement 2010 Update: Core competencies for cardiac rehabilitation/secondary prevention professionals .
ii. The British Association for Cardiac Prevention and Rehabilitation (BACPR) Standards and Core Components for Cardiovascular Disease Prevention and Rehabilitation 2012 .
iii. The BACPR-Exercise Professional Group (BACPR-EPG) Position Statement (2012) Essential competences and minimum qualifications required to lead the exercise component in early cardiac rehabilitation.
The BACPR has launched the second edition of the BACPR Standards and Core Components for Cardiovascular Disease Prevention and Rehabilitation (March 2012). The seven core components include Physical Activity and Exercise as part of Lifestyle Risk Factor Management for which staff leading the exercise component of cardiac rehabilitation (CR) should be appropriately qualified, skilled and competent.
The BACPR-EPG has produced a Position Statement which outlines the essential competences and minimum qualifications required to lead the supervised exercise component in early cardiac rehabilitation. Having established the Position Statement, a working party representing the Exercise Professionals of the BACPR has now completed a supporting document which provides a framework that encompasses the knowledge, skills and competences of all professional groups involved in delivery of the exercise and physical activity component within CR. It is envisaged that this document will inform national practice and enable service providers and managers to ensure appropriate governance and safe and effective service delivery. In addition, it can be used as a useful tool to advise employers on standardised recruitment, giving a clear picture of the definition of a suitably qualified practitioner.
Competent health and exercise professionals are essential to the successful delivery of a CR service which meets the needs of the patient whilst promoting high quality CR services. This document provides guidance on the key competences required to ensure the use of best practice standards and guidelines for physical activity and exercise prescription. In total, 13 core competences are outlined, identifying specific knowledge and skills for each core competency and a framework to assess the health professional’s ability to demonstrate their competency. This document also serves as a tool to monitor the need for continuing professional development for the exercise professional and supporting staff to achieve specific competences.
2 British Association for Cardiovascular Prevention and Rehabilitation
BACPR Education coordinates the Specialist Level 4 Exercise Instructor qualification and a range of short courses for health and exercise professionals involved in cardiovascular prevention and rehabilitation. To support potential staff training and professional development needs, the competences are aligned to the BACPR’s Education and Training courses. For further information visit the website: http://www.bacpr.com/education
The working party to develop these competences, representing the Exercise Professionals within CR included:
• Association of Chartered Physiotherapists with a special interest in Cardiac Rehabilitation (ACPICR), who produced ‘Core Competences for the exercise component of Phase III’ in 2005, revised 2008.
• BACPR Exercise Instructor Network (EIN)
• British Association of Sport and Exercise Sciences (BASES)
All three representative organisations agreed to work together to produce one single document outlining the competences required for the physical activity and exercise component of the patient’s journey through cardiac rehabilitation.
Standards and Core Components 2012 (2nd Edition) 3
A guide to using this document
1. As part of the development process for this competency framework various documents were utilised by the working group in the early scoping period. Our thanks have been expressed to the organisations responsible for the development/publishing of these documents which included:
a) ACPICR Competences for the Exercise Component of the Phase III Cardiac Rehabilitation (2008)
b) BACPR EPG Position statement (2012)
c) BACPR Standards and Core Components for CR (2007, 2nd edition 2012)
d) British Association of Sport and Exercise Sciences Accreditation Competency Profile (2009)
e) Core competencies for cardiac rehabilitation/secondary prevention professionals: 2010 update: position statement of the American Association of Cardiovascular and Pulmonary Rehabilitation. J Cardiopulm Rehabil Prev. 31(1):2-10. Hamm LF, Sanderson BK, Ades PA et al. (2011)
f) Position Statement of the AACVPR Core Competencies for CR /secondary prevention professionals (2010)
g) Skills for Health National Occupational Standards
h) Skills Active National Occupational Standards (2010):
i) Level 4 Unit D518
ii) Level 3 Unit D463
iii) Level 3 Unit D464
iv) Other (no specified level): Full suite of Sports and Exercise Science
i) Wellbeing South East Exercise Referral Accreditation System “Recognising Excellence” (2010)
2. Each competency is laid out in a table format so that the responses can be recorded easily and can be completed either electronically or on a hard copy.
3. Within each competency, there is a series of numbered performance criteria (pc) and columns against which to record:
a) The date the pc is achieved.
b) Whether the pc is essential, desirable or not applicable (E, D, N/A respectively).
c) Comments to identify perhaps, where further professional development is required to achieve the pc or to record specific exemplary areas of performance.
4. At the end of each competency there is a summary table which records:
a) A summary of performance observed: achieved/improvement required with comments/actions as appropriate.
b) Signatures of the reviewee and the reviewer to validate the recorded response and agreed outcomes.
4 British Association for Cardiovascular Prevention and Rehabilitation
5. Evidence to determine success of a staff member to fulfil the criteria can be achieved through various methods, e.g.:
a) Practical observation
b) Verbal communication
c) Questioning
d) In-service training
e) Mandatory training
f) External courses
g) Other resources, e.g. BACPR and ACPICR standards.
6. It is not intended that observation and/or achievement of these competences should be a time consuming exercise. It is therefore recommended that reviewers and reviewees consider this document as a useful tool to monitor performance and subsequent professional development required over a period of time (to be defined internally) rather than a lengthy process that is time consuming and impacts negatively on service delivery.
7. As the document relates to the competences required for delivery of physical activity and exercise provision across the patient’s journey through CR, not all competences will be relevant to each member of staff. Hence, not all 13 competences and relating pc need to be achieved.
8. It is the responsibility of the Manager/Reviewer to determine if the competency or pc is essential, desirable and/or relevant to the member of staff.
9. Each competency is also mapped against BACPR Education and Training courses to identify appropriate training for the reviewee if applicable.
10. The competences can be linked with the NHS Agenda for Change Knowledge and Skills Framework (KSF) and therefore used as evidence for the KSF.
11. The reviewer ideally should be competent in assessing an individual’s ability according to the competences outlined and have a sound understanding of the skills required to deliver safe and effective physical activity and exercise prescription in CR. It is recommended however, that a reviewer holds a relevant assessor qualification to enable objective assessment of the reviewee’s knowledge and ability.
12. After successful completion of the competences, it is recommended that the competences will be reviewed as part of an annual appraisal to ensure competency is maintained, or in response to new published evidence and/or changes to national or local guidance.
Standards and Core Components 2012 (2nd Edition) 5
Com
pete
ncy
1:
Core
know
ledge
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
In r
elat
ion
to p
hysi
cal a
ctiv
ity a
nd e
xerc
ise,
the
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal h
as d
emon
stra
ted
know
ledg
e an
d un
ders
tand
ing
of:
1.1
Car
diov
ascu
lar:
• A
nato
my
• P
hysi
olog
y
1.2
Pro
cess
of a
rter
iosc
lero
sis
and
path
ogen
esis
of
card
iova
scul
ar r
isk
fact
ors.
1.3
Pat
hoph
ysio
logy
of c
ardi
ovas
cula
r co
nditi
ons
and
rela
ted
sign
s an
d sy
mpt
oms.
1.4
Car
diov
ascu
lar
asse
ssm
ents
, dia
gnos
tic
test
s, in
terv
entio
ns a
nd m
edic
al a
nd s
urgi
cal
man
agem
ent.
1.5
Tim
esca
les
for
reco
very
afte
r a
new
car
diac
di
agno
sis
or e
vent
.
1.6
Car
diac
arr
hyth
mia
s (e
.g. c
ompl
ex P
VC
s, a
tria
l fib
rilla
tion,
SV
T) a
nd t
heir
influ
ence
on
phys
ical
ac
tivity
and
sym
ptom
s.
1.7
Ben
efici
al e
ffect
s an
d po
tent
ial r
isks
of p
hysi
cal
activ
ity a
nd e
xerc
ise
on C
VD
.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 1: Core knowledge
6 British Association for Cardiovascular Prevention and Rehabilitation
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
1.8
Phy
siol
ogic
al r
espo
nses
(nor
mal
and
abn
orm
al) t
o ac
ute
exer
cise
and
ada
ptat
ions
to
chro
nic
exer
cise
.
1.9
Ris
k st
ratifi
catio
n ac
cord
ing
to a
sses
smen
t of
the
in
divi
dual
.
1.10
Sub
max
imal
func
tiona
l cap
acity
tes
ting.
1.11
Exe
rcis
e pr
escr
iptio
n m
etho
dolo
gy fo
r ca
rdio
vasc
ular
end
uran
ce e
xerc
ise
and
resi
stan
ce
trai
ning
in p
atie
nts
with
hea
rt d
isea
se.
1.12
Abs
olut
e an
d re
lativ
e co
ntra
indi
catio
ns t
o ex
erci
se
and
indi
catio
ns t
o te
rmin
ate
an e
xerc
ise
sess
ion.
1.13
Co-
mor
bidi
ties,
lim
iting
or
othe
rwis
e th
at m
ay
influ
ence
an
indi
vidu
al’s
abi
lity
to e
xerc
ise
or
unde
rtak
e ph
ysic
al a
ctiv
ity.
1.14
Cur
rent
rec
omm
enda
tions
(FIT
T) fo
r ex
erci
se a
nd
phys
ical
act
ivity
for
indi
vidu
als
with
CV
D.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 1: Core knowledge
Standards and Core Components 2012 (2nd Edition) 7
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
1.15
Met
abol
ic r
equi
rem
ents
for
recr
eatio
nal,
occu
patio
nal,
and
sexu
al a
ctiv
ities
.
1.16
Pha
rmac
olog
ic t
hera
py fo
r C
VD
and
ris
k fa
ctor
m
anag
emen
t.
1.17
Effe
ctiv
e be
havi
our
chan
ge s
trat
egie
s ba
sed
on
com
mon
the
oret
ical
mod
els
and
adul
t le
arni
ng
stra
tegi
es.
1.18
Rel
evan
t na
tiona
l sta
ndar
ds, p
olic
ies
and
guid
elin
es.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
(i) B
AC
PR
Lev
el 4
Exe
rcis
e In
stru
ctor
Tra
inin
g; (i
i) P
hysi
cal A
ctiv
ity &
Exe
rcis
e in
the
Man
agem
ent
of C
VD
Par
t 1:
Prin
cipl
es &
Pra
ctic
aliti
es &
Par
t II:
Adv
ance
d A
pplic
atio
n; (i
ii) A
sses
sing
Fun
ctio
nal C
apac
ity;
(iv) A
dapt
ing
Exer
cise
; (v
) Mon
itorin
g Ex
erci
se In
tens
ity
Competency 1: Core knowledge
8 British Association for Cardiovascular Prevention and Rehabilitation
Com
pete
ncy
2:
Pro
fess
ional
behavi
our
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal i
s ab
le to
dem
onst
rate
adh
eren
ce to
the
high
est s
tand
ard
of e
thic
al a
nd p
rofe
ssio
nal b
ehav
iour
and
has
dem
onst
rate
d th
e ab
ility
to:
2.1
Gen
eral
Sho
w e
vide
nce
of:
• cu
rren
t pr
ofes
sion
al b
ody
regi
stra
tion
• ap
prop
riate
liab
ility
and
inde
mni
ty in
sura
nce
• C
RB
cle
aran
ce o
r eq
uiva
lent
• co
ntin
uing
pro
fess
iona
l dev
elop
men
t in
clud
ing
reva
lidat
ion
• pr
actic
e w
ithin
lega
l and
eth
ical
bou
ndar
ies
• de
liver
ser
vice
s w
hich
com
ply
with
the
ir pr
ofes
sion
al c
ode
of c
ondu
ct &
rel
evan
t m
edic
o-le
gal r
equi
rem
ents
• w
ork
in a
ccor
danc
e w
ith e
vide
nce
base
d pr
actic
e an
d re
cogn
ised
bes
t pr
actic
e
2.2
Eq
ualit
y an
d d
iver
sity
• E
nsur
e pr
actic
e in
a n
on-d
iscr
imin
ator
y m
anne
r (in
line
with
the
Equ
ality
Act
, 201
0).
• B
e re
spec
tful o
f ind
ivid
uals
and
of t
heir
right
s, r
ecog
nisi
ng p
hysi
cal,
psyc
holo
gica
l, en
viro
nmen
tal,
cultu
ral a
nd s
ocio
-eco
nom
ic
diffe
renc
es, a
dopt
ing
good
pra
ctic
e in
ch
alle
ngin
g di
scrim
inat
ion
and
unfa
irnes
s.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 2: Professional behaviour
Standards and Core Components 2012 (2nd Edition) 9
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
2.3
Co
nfid
entia
lity
and
rec
ord
kee
pin
g
• D
emon
stra
te c
ompl
ianc
e w
ith t
he D
ata
Pro
tect
ion
Act
, Inf
orm
atio
n G
over
nanc
e an
d C
aldi
cott
prin
cipl
es.
• P
rovi
de e
vide
nce
of c
ompr
ehen
sive
and
acc
urat
e re
cord
kee
ping
in li
ne w
ith lo
cal p
roto
cols
as
appr
opria
te.
2.4
Info
rmed
co
nsen
t
• U
nder
stan
d th
e im
port
ance
of,
and
be a
ble
to
obta
in in
form
ed c
onse
nt a
nd b
e co
mpl
iant
with
lo
cal a
nd n
atio
nal p
olic
ies.
2.5
Dut
y o
f ca
re
• E
xerc
ise
the
prof
essi
onal
dut
y of
car
e an
d to
act
in
the
bes
t in
tere
sts
of t
he in
divi
dual
at
all t
imes
.
• E
nsur
e th
e in
divi
dual
’s p
rivac
y, d
igni
ty, w
ishe
s an
d be
liefs
are
res
pect
ed, w
hils
t m
inim
isin
g an
y un
nece
ssar
y di
scom
fort
.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 2: Professional behaviour
10 British Association for Cardiovascular Prevention and Rehabilitation
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
2.6
Wo
rkin
g r
elat
ions
hip
s
Con
duct
pro
fess
iona
l wor
king
rel
atio
nshi
ps w
ith in
divi
dual
s,
sign
ifica
nt o
ther
s, c
olle
ague
s an
d pa
rtner
s /
stak
ehol
ders
, to
ensu
re:
• ho
nest
y
• ac
cura
cy
• co
-ope
ratio
n
• av
oida
nce
of m
isre
pres
enta
tion
• av
oida
nce
of a
ny c
onfli
ct o
f int
eres
t
• in
tegr
ity a
nd h
igh
stan
dard
s of
pro
fess
iona
l con
duct
ens
urin
g av
oida
nce
of a
ny in
appr
opria
te b
ehav
iour
• w
ork
is w
ithin
you
r ow
n sc
ope
of p
ract
ice
and
expe
rtis
e, a
nd if
no
t, yo
u se
ek a
dvic
e or
ref
er t
o an
othe
r pr
ofes
sion
al
• pr
ofes
sion
al b
ound
arie
s an
d st
anda
rds
of o
ther
s ar
e re
spec
ted
• de
velo
pmen
t of
the
kno
wle
dge
and
prac
tice
of o
ther
s
• m
ento
r su
ppor
t fo
r co
lleag
ues
is p
rovi
ded
• yo
u ac
t as
a g
ood
role
mod
el
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 2: Professional behaviour
Standards and Core Components 2012 (2nd Edition) 11
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
2.7
Hea
lth a
nd s
afet
y
Be
awar
e of
and
com
plia
nt w
ith, a
pplic
able
hea
lth a
nd s
afet
y le
gisl
atio
n, in
clud
ing
inci
dent
rep
ortin
g an
d be
abl
e to
act
ac
cord
ingl
y.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
(i)
B
AC
PR
Lev
el 4
Exe
rcis
e In
stru
ctor
Tra
inin
g;
(ii) B
AC
PR
Sta
ndar
ds a
nd C
ore
Com
pone
nt S
tudy
Day
Competency 2: Professional behaviour
12 British Association for Cardiovascular Prevention and Rehabilitation
Com
pete
ncy
3:
Com
munic
ati
on
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal i
s ab
le to
com
mun
icat
e ef
fect
ivel
y w
ith th
e in
divi
dual
, rel
ativ
es, c
arer
s &
pro
fess
iona
l oth
ers,
and
has
dem
onst
rate
d th
e ab
ility
to:
3.1
Com
mun
icat
e ef
fect
ivel
y in
con
side
ratio
n of
in
divi
dual
diff
eren
ces:
cul
ture
, age
, eth
nici
ty,
gend
er, r
elig
ious
bel
iefs
, soc
io-e
cono
mic
sta
tus,
ph
ysic
al, e
mot
iona
l, ps
ycho
logi
cal,
educ
atio
nal a
nd
envi
ronm
enta
l fac
tors
.
3.2
Use
inte
rper
sona
l ski
lls a
nd a
ctiv
e lis
teni
ng
tech
niqu
es t
o en
cour
age
unde
rsta
ndin
g,
coop
erat
ion,
info
rmed
dec
isio
n-m
akin
g an
d ac
tive
enga
gem
ent
with
indi
vidu
als.
3.3
Sel
ect,
use
and
adap
t co
mm
unic
atio
n m
etho
ds
in a
form
at a
nd a
t a
leve
l tha
t is
bas
ed u
pon
the
indi
vidu
al /
gro
up n
eeds
and
abi
litie
s (e
.g. v
erba
l an
d no
n-ve
rbal
).
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 3: Communication
Standards and Core Components 2012 (2nd Edition) 13
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
3.4
Sho
w s
ensi
tivity
and
em
path
y w
hen
resp
ondi
ng
in a
non
judg
emen
tal m
anne
r, t
o co
ncer
ns a
nd
ques
tions
rai
sed
by in
divi
dual
s, g
ivin
g cl
ear,
co
ncis
e an
d ac
cura
te in
form
atio
n (v
erba
l and
w
ritte
n).
3.5
Est
ablis
h an
d m
aint
ain
effe
ctiv
e co
mm
unic
atio
n w
ith a
nd b
etw
een
team
mem
bers
, hea
lth c
are
prof
essi
onal
s an
d pa
rtne
rs /
sta
keho
lder
s, e
xplo
ring
diffe
ring
pers
pect
ives
to
reac
h co
nsen
sus
on
requ
ired
futu
re a
ctio
n.
3.6
Pro
vide
tim
ely
and
accu
rate
rep
orts
and
han
dove
rs
(com
mun
icat
ing
curr
ent
stat
us, p
rogr
ess
and
phys
ical
act
ivity
/ e
xerc
ise
outc
omes
) to
ensu
re
seam
less
tra
nsiti
on b
etw
een
agen
cies
/ s
ervi
ce
prov
ider
s.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
B
AC
PR
Lev
el 4
Exe
rcis
e In
stru
ctor
Tra
inin
g
Competency 3: Communication
14 British Association for Cardiovascular Prevention and Rehabilitation
Com
pete
ncy
4:
Pre
pare
, adapt
and r
est
ore
the e
nvi
ron
men
t an
d e
qu
ipm
en
t
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal h
as d
emon
stra
ted
the
abilit
y to
:
4.1
App
ly n
atio
nal h
ealth
& s
afet
y gu
idel
ines
and
loca
l op
erat
iona
l pol
icie
s w
hen
cond
uctin
g en
viro
nmen
tal
heal
th a
nd s
afet
y as
sess
men
ts.
4.2
Iden
tify
pote
ntia
l ris
ks a
nd m
inim
ise
any
resu
lting
ha
zard
s in
the
env
ironm
ent
whe
re t
he s
essi
on
will
take
pla
ce, e
.g. i
nade
quat
e he
atin
g, li
ghtin
g,
vent
ilatio
n, h
umid
ity.
4.3
Ens
ure
that
any
nec
essa
ry e
quip
men
t, fu
rnitu
re
or r
esou
rces
are
pre
pare
d, a
vaila
ble,
in a
fit
stat
e an
d re
ady
for
use,
and
if n
ot, t
ake
any
nece
ssar
y re
med
ial a
ctio
n.
4.4
Follo
w t
he c
orre
ct p
roce
dure
s an
d pr
otoc
ols
to
repo
rt a
nd r
ecor
d pr
oble
ms
with
the
env
ironm
ent,
equi
pmen
t an
d m
ater
ials
.
4.5
Ens
ure
avai
labi
lity
of a
ppro
pria
te r
esus
cita
tion
equi
pmen
t w
hich
is c
heck
ed a
nd r
eady
for
use.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 4: Prepare, adapt and restore the environment and equipment
Standards and Core Components 2012 (2nd Edition) 15
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
4.6
Ada
pt e
xerc
ise
equi
pmen
t an
d th
e en
viro
nmen
t du
ring
exer
cise
ses
sion
s as
app
ropr
iate
4.7
Mov
e an
d ha
ndle
equ
ipm
ent
and
reso
urce
s in
an
appr
opria
te, s
afe
man
ner
whi
ch is
con
sist
ent
with
cu
rren
t le
gal a
nd o
rgan
isat
iona
l req
uire
men
ts.
4.8
Ret
urn
equi
pmen
t, fu
rnitu
re a
nd r
esou
rces
to
the
corr
ect
loca
tion
for
stor
age
or t
rans
port
atio
n af
ter
use
and
leav
e th
e en
viro
nmen
t in
a c
ondi
tion
suita
ble
for
futu
re u
se.
4.9
Ens
ure
com
plia
nce
to c
urre
nt o
rgan
isat
iona
l in
fect
ion
cont
rol r
equi
rem
ents
.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
BA
CP
R L
evel
4 E
xerc
ise
Inst
ruct
or T
rain
ing
Competency 4: Prepare, adapt and restore the environment and equipment
16 British Association for Cardiovascular Prevention and Rehabilitation
Com
pete
ncy
5:
Pre
pari
ng t
he i
ndiv
idual
for
superv
ised
exe
rcis
e
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal h
as d
emon
stra
ted
the
abilit
y to
:
5.1
Ens
ure
the
indi
vidu
al u
nder
stan
ds t
he p
urpo
se,
stru
ctur
e, p
roce
dure
s an
d ob
ject
ives
of t
he s
essi
on
and
how
the
se li
nk t
o th
eir
goal
s.
5.2
Iden
tify
and
resp
ond
to a
ny in
form
atio
n ab
out
the
indi
vidu
al’s
res
pons
e to
the
pre
viou
s se
ssio
n or
any
ch
ange
in p
hysi
cal c
ondi
tion,
thr
ough
pre
-exe
rcis
e sc
reen
ing
and
appr
opria
te u
se o
f clin
ical
mea
sure
s.
5.3
Neg
otia
te, a
gree
and
rec
ord
with
the
indi
vidu
al a
ny
chan
ges
to t
he p
lann
ed a
ctiv
ities
.
5.4
Ens
ure
indi
vidu
als
have
all
nece
ssar
y m
edic
atio
n pl
us b
lood
glu
cose
man
agem
ent
requ
irem
ents
as
appr
opria
te.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 5: Preparing the individual for supervised exercise
Standards and Core Components 2012 (2nd Edition) 17
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal h
as d
emon
stra
ted
the
abilit
y to
:
5.5
Rei
nfor
ce t
he r
atio
nale
for
a sa
fe a
nd e
ffect
ive
exer
cise
ses
sion
and
the
way
in w
hich
thi
s ca
n be
ac
hiev
ed.
5.6
Ens
ure
indi
vidu
als
are
appr
opria
tely
dre
ssed
an
d eq
uipp
ed fo
r ex
erci
se, e
.g. f
ootw
ear,
loos
e co
mfo
rtab
le c
loth
ing,
hea
rt r
ate
mon
itor
if re
quire
d.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
(i)
BA
CP
R L
evel
4 E
xerc
ise
Inst
ruct
or T
rain
ing;
(ii
) Phy
sica
l Act
ivity
& E
xerc
ise
in t
he M
anag
emen
t of
CV
D P
art
I: A
dvan
ced
App
licat
ion.
Competency 5: Preparing the individual for supervised exercise
18 British Association for Cardiovascular Prevention and Rehabilitation
Com
pete
ncy
6:
Ass
ess
ment
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal h
as t
he a
bilit
y to
ass
ess
the
indi
vidu
al’s
nee
ds a
nd a
bilit
ies
befo
re p
lann
ing
exer
cise
and
phy
sica
l act
ivity
, and
can
de
mon
stra
te t
he a
bilit
y to
:
6.1
Obt
ain
an a
ppro
ved
refe
rral
doc
umen
t co
ntai
ning
su
ffici
ent
and
mea
ning
ful i
nfor
mat
ion.
6.2
Col
late
and
inte
rpre
t in
form
atio
n pr
ior
to t
he
asse
ssm
ent.
6.3
Wel
com
e th
e in
divi
dual
and
exp
lain
the
ass
essm
ent
proc
ess.
6.4
Asc
erta
in:
• re
leva
nt p
ast
med
ical
his
tory
• pa
st a
nd c
urre
nt c
ardi
ac s
tatu
s
• co
-mor
bidi
ties
and
func
tiona
l im
pairm
ent
• cu
rren
t sy
mpt
oms
6.5
Iden
tify
inap
prop
riate
ref
erra
ls in
clud
ing
cons
ider
atio
n of
any
abs
olut
e /
rela
tive
cont
rain
dica
tions
to
exer
cise
(in
line
with
BA
CP
R
guid
elin
es) a
nd d
eal w
ith t
hese
acc
ordi
ng t
o lo
cal
proc
edur
e.
6.6
Iden
tify
curr
ent
med
icat
ions
and
the
impl
icat
ions
for
phys
ical
act
ivity
/ e
xerc
ise.
6.7
Asc
erta
in p
revi
ous
and
curr
ent
leve
ls o
f phy
sica
l ac
tivity
/ e
xerc
ise
thro
ugh
disc
ussi
on a
nd u
sing
ap
prop
riate
val
idat
ed t
ools
.
6.8
Ass
ess
the
indi
vidu
al’s
rea
dine
ss t
o pa
rtic
ipat
e:
adop
t ap
prop
riate
beh
avio
ural
cha
nge
stra
tegi
es
and
mot
ivat
iona
l int
ervi
ewin
g te
chni
ques
to
esta
blis
h an
d ag
ree
phys
ical
act
ivity
/ e
xerc
ise
shor
t an
d lo
ng t
erm
goa
ls.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 6: Assessment
Standards and Core Components 2012 (2nd Edition) 19
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
6.9
Con
duct
and
rec
ord
appr
opria
te s
eria
l m
easu
rem
ents
of:
• bl
ood
pres
sure
(aut
omat
ed a
nd m
anua
l)
• he
art
rate
(pal
patio
n an
d he
art
rate
mon
itorin
g de
vice
s)
• R
PE
• B
lood
glu
cose
• P
ulse
oxi
met
ry
6.10
Con
duct
and
rec
ord
an E
CG
in li
ne w
ith a
vaila
ble
equi
pmen
t
6.11
Und
erta
ke c
ompr
ehen
sive
ris
k st
ratifi
catio
n fo
r ex
erci
se in
line
with
rec
ogni
sed
guid
elin
es (e
.g.
BA
CP
R a
nd A
AC
VP
R g
uide
lines
).
6.12
Sel
ect
and
cond
uct
an a
ppro
pria
te s
ub-m
axim
al
func
tiona
l cap
acity
ass
essm
ent,
in li
ne w
ith
prot
ocol
s:
• C
hest
er s
tep
test
• In
crem
enta
l Shu
ttle
Wal
k Te
st
• C
ycle
erg
omet
er t
est
• 6
min
wal
k te
st
• O
ther
:
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 6: Assessment
20 British Association for Cardiovascular Prevention and Rehabilitation
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
6.13
Crit
ical
ly e
valu
ate
the
info
rmat
ion
colle
cted
to
dete
rmin
e:
• ph
ysic
al a
ctiv
ity p
lan
• ex
erci
se p
resc
riptio
n
6.14
Ens
ure
the
time
take
n to
con
duct
the
ass
essm
ent
refle
cts
the
proc
ess
and
info
rmat
ion
to b
e co
llect
ed.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
(i) B
AC
PR
Lev
el 4
Exe
rcis
e In
stru
ctor
Tra
inin
g;
(ii) A
sses
sing
Fun
ctio
nal C
apac
ity;
(iii)
Mon
itorin
g Ex
erci
se In
tens
ity
Competency 6: Assessment
Standards and Core Components 2012 (2nd Edition) 21
Com
pete
ncy
7:
Phys
ical
acti
vity
pla
nnin
g a
nd e
xerc
ise p
resc
rip
tion
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal h
as d
emon
stra
ted
the
abilit
y to
:
7.1
Agr
ee a
n in
divi
dual
ised
phy
sica
l act
ivity
pla
n w
ith
SM
AR
T go
als
incl
udin
g ac
tiviti
es o
f dai
ly li
ving
and
a
hom
e /
unsu
perv
ised
pro
gram
me.
7.2
Pre
scrib
e an
d ad
apt
safe
and
effe
ctiv
e ex
erci
se
appr
opria
te t
o th
e in
divi
dual
’s n
eeds
in li
ne w
ith
guid
elin
es a
nd t
he F
ITT
prin
cipl
e fo
r:
• w
arm
up
and
cool
dow
n
• ca
rdio
vasc
ular
end
uran
ce e
xerc
ise
• re
sist
ance
exe
rcis
e
• fle
xibi
lity
• ot
her
e.g.
bal
ance
, coo
rdin
atio
n
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 7: Physical activity planning and exercise prescription
22 British Association for Cardiovascular Prevention and Rehabilitation
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
7.3
Use
obj
ectiv
e ph
ysio
logi
cal m
easu
res
to in
form
in
divi
dual
ised
exe
rcis
e pr
escr
iptio
n, e
.g. M
ETs
, HR
, R
PE
.
7.4
Enc
oura
ge e
ffect
ive
use
of a
ppro
pria
te r
esou
rces
to
hel
p th
e in
divi
dual
ach
ieve
agr
eed
goal
s an
d ob
ject
ives
, e.g
. sel
f hel
p m
anua
ls, a
ctiv
ity d
iarie
s et
c.
7.5
Edu
cate
and
sup
port
indi
vidu
als
on s
afe
and
effe
ctiv
e in
depe
nden
t ph
ysic
al a
ctiv
ity /
exe
rcis
e in
clud
ing
appr
opria
te w
arm
up
and
cool
dow
n,
sign
s an
d sy
mpt
oms
of o
ver-
exer
tion
or u
nder
-ac
hiev
emen
t an
d ac
tiviti
es t
o av
oid.
7.6
Rev
iew
and
ada
pt t
he p
hysi
cal a
ctiv
ity p
lan
and
exer
cise
pre
scrip
tion
in r
espo
nse
to t
he in
divi
dual
’s
mot
ivat
ion,
nee
ds a
nd a
bilit
y, a
nd p
rogr
ess
/ re
gres
s th
e pr
escr
iptio
n ac
cord
ingl
y.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
(i) B
AC
PR
Lev
el 4
Exe
rcis
e In
stru
ctor
Tra
inin
g; (i
i) A
sses
sing
Fun
ctio
nal C
apac
ity;
(iv) A
dapt
ing
Exer
cise
; (ii
i) M
onito
ring
Exer
cise
Inte
nsity
Competency 7: Physical activity planning and exercise prescription
Standards and Core Components 2012 (2nd Edition) 23
Com
pete
ncy
8:
Lead a
nd/o
r deliv
er
the s
uperv
ised
exe
rcis
e s
ess
ion
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal h
as d
emon
stra
ted
the
abilit
y to
:
8.1
Teac
h, r
evie
w a
nd a
dapt
indi
vidu
al a
nd g
roup
ex
erci
se in
res
pons
e to
cha
ngin
g ci
rcum
stan
ces
and
indi
vidu
al’s
res
pons
e to
exe
rcis
e.
8.2
Est
ablis
h an
d ju
stify
the
sta
ff /
patie
nt r
atio
bas
ed
on s
uper
visi
on r
equi
rem
ents
and
ris
k st
ratifi
catio
n.
8.3
Util
ise
othe
r m
embe
rs o
f sta
ff ap
prop
riate
ly d
urin
g th
e ex
erci
se s
essi
on t
o en
sure
saf
e an
d ef
fect
ive
clas
s m
anag
emen
t.
8.4
Str
uctu
re a
nd le
ad e
xerc
ise
sess
ions
in li
ne w
ith t
he
FITT
prin
cipl
e ap
prop
riate
to
indi
vidu
al n
eeds
and
fu
nctio
nal a
bilit
ies.
8.5
Pro
vide
indi
vidu
als
with
war
m u
p an
d co
ol-d
own
exer
cise
s th
at a
re a
ppro
pria
te t
o th
eir
clin
ical
sta
tus
and
abilit
y.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 8: Lead and/or deliver the supervised exercise session
24 British Association for Cardiovascular Prevention and Rehabilitation
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
8.6
Pro
vide
a c
ondi
tioni
ng c
ompo
nent
whi
ch is
in
divi
dual
ised
acc
ordi
ng t
o th
e ne
eds
of t
he
indi
vidu
al.
8.7
Pro
vide
inst
ruct
ion,
exp
lana
tions
and
exe
rcis
e de
mon
stra
tions
tha
t ar
e te
chni
cally
cor
rect
and
ap
prop
riate
to
the
indi
vidu
al’s
/ g
roup
’s n
eeds
.
8.8
Mon
itor
the
indi
vidu
al’s
exe
rcis
e pe
rform
ance
by:
• U
sing
sub
ject
ive
(e.g
. RP
E) a
nd o
bjec
tive
(e.g
. H
R, B
P) m
etho
ds t
o ef
fect
ivel
y m
onito
r ex
erci
se
inte
nsity
.
• B
eing
aw
are
of t
he in
divi
dual
’s r
espo
nse
to
exer
cise
and
tak
ing
appr
opria
te a
ctio
n as
re
quire
d.
• D
eter
min
ing
how
and
whe
n to
effe
ctiv
ely
mon
itor
indi
vidu
als.
• O
bser
ving
indi
vidu
als
thro
ugho
ut t
he e
xerc
ise
sess
ion
and
taki
ng a
ppro
pria
te a
ctio
n as
re
quire
d.
• A
dapt
ing
the
mon
itorin
g m
etho
d as
det
erm
ined
by
the
indi
vidu
al’s
pro
gres
s an
d th
eir
unde
rsta
ndin
g of
sel
f-m
onito
ring.
8.9
Effe
ctiv
ely
use
verb
al in
stru
ctio
n, d
emon
stra
tion,
au
dio
and
visu
al c
ues,
and
mot
ivat
iona
l tec
hniq
ues
whe
n de
liver
ing
grou
p ex
erci
se.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 8: Lead and/or deliver the supervised exercise session
Standards and Core Components 2012 (2nd Edition) 25
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
8.10
Obs
erve
and
ana
lyse
indi
vidu
al’s
exe
rcis
e pe
rform
ance
and
cor
rect
the
ir te
chni
que
at
appr
opria
te p
oint
s pr
ovid
ing
posi
tive
rein
forc
emen
t th
roug
hout
.
8.11
Teac
h an
d m
onito
r th
e pe
rform
ance
of a
ll in
divi
dual
s w
ithin
a g
roup
set
ting.
8.12
Pro
vide
indi
vidu
als
with
an
appr
opria
te p
erio
d of
po
st e
xerc
ise
supe
rvis
ion.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
(i)
BA
CP
R L
evel
4 E
xerc
ise
Inst
ruct
or T
rain
ing;
(ii
) Phy
sica
l Act
ivity
& E
xerc
ise
in t
he M
anag
emen
t of
CV
D P
art
I: A
dvan
ced
App
licat
ion.
Competency 8: Lead and/or deliver the supervised exercise session
26 British Association for Cardiovascular Prevention and Rehabilitation
Com
pete
ncy
9:
Forw
ard
pla
nnin
g
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal i
s ab
le t
o pl
an fo
r th
e in
divi
dual
’s o
nwar
d jo
urne
y an
d ha
s de
mon
stra
ted
the
abilit
y to
:
9.1
Con
duct
an
appr
opria
te a
sses
smen
t on
com
plet
ion
of t
he p
hysi
cal a
ctiv
ity /
exe
rcis
e pr
ogra
mm
e w
hich
ev
alua
tes
prog
ress
to
date
and
est
ablis
hes
an e
xit
stra
tegy
for
the
indi
vidu
al.
9.2
Pro
vide
info
rmat
ion
on fu
ture
opt
ions
for
cont
inue
d ph
ysic
al a
ctiv
ity in
clud
ing
hom
e ba
sed
exer
cise
and
su
perv
ised
/ u
nsup
ervi
sed
exer
cise
pro
gram
mes
.
9.3
Rei
nfor
ce t
he b
enefi
ts o
f lon
g te
rm r
egul
ar p
hysi
cal
activ
ity /
exe
rcis
e.
9.4
Mak
e tim
ely
onw
ard
refe
rral
to
appr
opria
tely
qu
alifi
ed p
rofe
ssio
nals
usi
ng r
ecog
nise
d lo
cal o
r B
AC
PR
doc
umen
tatio
n.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 9: Forward planning
Standards and Core Components 2012 (2nd Edition) 27
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal i
s ab
le t
o pl
an fo
r th
e in
divi
dual
’s o
nwar
d jo
urne
y an
d ha
s de
mon
stra
ted
the
abilit
y to
:
9.5
Ena
ble
indi
vidu
als
to c
arry
out
sel
f mon
itorin
g in
or
der
to e
nsur
e sa
fe a
nd e
ffect
ive
phys
ical
act
ivity
/
exer
cise
.
9.6
Tran
sfer
tim
ely
and
accu
rate
info
rmat
ion
to
the
prim
ary
care
tea
m a
nd o
ther
hea
lthca
re
prof
essi
onal
s, a
s ap
prop
riate
.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
B
AC
PR
Lev
el 4
Exe
rcis
e In
stru
ctor
Tra
inin
g.
Competency 9: Forward planning
28 British Association for Cardiovascular Prevention and Rehabilitation
Com
pete
ncy
10:
Man
agin
g t
he u
nw
ell
indiv
idual
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal i
s ab
le t
o pl
an fo
r th
e in
divi
dual
’s o
nwar
d jo
urne
y an
d ha
s de
mon
stra
ted
the
abilit
y to
:
10.1
Act
in a
cal
m, s
ensi
tive,
effi
cien
t m
anne
r w
hen
deal
ing
with
an
unw
ell i
ndiv
idua
l.
10.2
Use
the
ski
lls a
nd s
uppo
rt o
f col
leag
ues
whe
n m
anag
ing
an u
nwel
l ind
ivid
ual,
be a
ble
to
adap
t yo
ur r
ole
with
in t
he t
eam
in r
espo
nse
to
a de
velo
ping
situ
atio
n an
d en
sure
oth
er g
roup
pa
rtic
ipan
ts a
re m
anag
ed a
ppro
pria
tely
.
10.3
Ass
ess
for
sign
s an
d sy
mpt
oms
whi
ch m
ay in
dica
te
a ch
ange
in c
ardi
ac s
tatu
s an
d ta
ke a
ppro
pria
te
actio
n.
10.4
Rec
ogni
se o
ther
sig
ns a
nd s
ympt
oms
whi
ch
may
indi
cate
a n
ew c
ondi
tion
or a
cha
nge
in a
n un
derly
ing
cond
ition
and
tak
e ap
prop
riate
act
ion.
10.5
Diff
eren
tiate
bet
wee
n ca
rdia
c an
d no
n-ca
rdia
c sy
mpt
oms
and
take
app
ropr
iate
act
ion.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 10: Managing the unwell individual
Standards and Core Components 2012 (2nd Edition) 29
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
10.6
Dea
l app
ropr
iate
ly w
ith in
divi
dual
s w
ho p
rese
nt w
ith
med
ical
com
plic
atio
ns t
hat
requ
ire in
terv
entio
n bu
t do
not
nec
essa
rily
requ
ire e
xclu
sion
from
exe
rcis
e e.
g. a
ngin
a, h
ypot
ensi
on, h
yper
tens
ion,
poo
r di
abet
ic c
ontr
ol, s
low
or
fast
HR
etc
.
10.7
Des
crib
e th
e lo
cal e
mer
genc
y pr
otoc
ols
for
sum
mon
ing
assi
stan
ce w
hen
an in
divi
dual
be
com
es u
nwel
l.
10.8
Rap
idly
ass
ess
an in
divi
dual
who
has
col
laps
ed a
nd
prov
ide
appr
opria
te t
reat
men
t, as
per
Res
usci
tatio
n C
ounc
il G
uide
lines
, if h
e/sh
e is
:
(a) u
ncon
scio
us b
ut b
reat
hing
nor
mal
ly
(b) u
ncon
scio
us a
nd n
ot b
reat
hing
10.9
Giv
e a
conc
ise
and
accu
rate
han
dove
r to
the
re
leva
nt h
ealth
pro
fess
iona
l and
com
plet
e th
e ap
prop
riate
doc
umen
tatio
n.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
(i)
BA
CP
R L
evel
4 E
xerc
ise
Inst
ruct
or T
rain
ing;
(ii
) Phy
sica
l Act
ivity
& E
xerc
ise
in t
he M
anag
emen
t of
CV
D P
art
II:
Adv
ance
d A
pplic
atio
n
Competency 10: Managing the unwell individual
30 British Association for Cardiovascular Prevention and Rehabilitation
Com
pete
ncy
11:
Educati
onal
mate
rials
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal h
as d
emon
stra
ted
the
abilit
y to
:
11.1
Und
erst
and
the
need
to
prov
ide
indi
vidu
als
with
th
e in
form
atio
n ne
cess
ary
to e
nabl
e th
em t
o m
ake
info
rmed
dec
isio
ns a
bout
phy
sica
l act
ivity
and
ex
erci
se.
11.2
Pro
vide
rel
evan
t re
sour
ces
rela
ting
to p
hysi
cal
activ
ity a
nd s
uper
vise
d /
unsu
perv
ised
exe
rcis
e as
ap
prop
riate
.
11.3
Kno
w t
he lo
cal a
vaila
bilit
y an
d co
st o
f app
ropr
iate
pu
blic
atio
ns a
nd s
elf h
elp
man
uals
, and
be
able
to
faci
litat
e th
e ef
fect
ive
use
of t
hese
res
ourc
es.
11.4
Pla
n, d
esig
n an
d pr
oduc
e re
sour
ces
to m
eet
a sp
ecifi
c pu
rpos
e, t
akin
g in
to a
ccou
nt t
ime,
mon
ey
and
expe
rtis
e av
aila
ble.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 11: Educational materials
Standards and Core Components 2012 (2nd Edition) 31
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
11.5
Ens
ure
prom
otio
nal m
ater
ials
are
con
sist
ent
with
ot
her
rela
ted
serv
ices
.
11.6
Eva
luat
e ex
istin
g an
d ne
w m
ater
ial t
o de
term
ine
the
valid
ity, a
ccur
acy,
acc
essi
bilit
y an
d ap
prop
riate
ness
, and
cus
tom
ise
to m
eet
loca
l ne
eds
as r
equi
red.
11.7
Dis
trib
ute
reso
urce
s ef
fect
ivel
y, u
tilis
ing
appr
opria
te
rout
es in
clud
ing
diss
emin
atio
n to
tar
gete
d gr
oups
.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
B
AC
PR
Sta
ndar
ds a
nd C
ore
Com
pone
nts
Stu
dy D
ay
Competency 11: Educational materials
32 British Association for Cardiovascular Prevention and Rehabilitation
Com
pete
ncy
12:
Serv
ice p
lannin
g a
nd m
anagem
en
t
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal h
as d
emon
stra
ted
the
abilit
y to
:
12.1
Agr
ee a
nd e
stab
lish
clea
r se
rvic
e ai
ms
and
obje
ctiv
es w
ith m
easu
rabl
e ou
tcom
es fo
r ph
ysic
al
activ
ity /
exe
rcis
e.
12.2
Pla
n, d
evel
op a
nd im
plem
ent
oper
atio
nal
proc
edur
es a
nd p
roto
cols
for
serv
ice
deliv
ery
incl
udin
g in
clus
ion
and
excl
usio
n cr
iteria
, in
line
with
lo
cal a
nd n
atio
nal g
uide
lines
, cur
rent
evi
denc
e an
d or
gani
satio
nal o
bjec
tives
.
12.3
Dev
elop
, ada
pt a
nd r
egul
arly
rev
iew
pro
toco
ls a
nd
proc
edur
es a
s re
quire
d.
12.4
Dev
elop
, im
plem
ent
and
ensu
re s
yste
ms
are
in
plac
e to
allo
w e
ffect
ive
serv
ice
eval
uatio
n an
d de
velo
pmen
t.
12.5
Be
acco
unta
ble
for
reco
rd k
eepi
ng a
nd
man
agem
ent
in li
ne w
ith c
linic
al a
nd in
form
atio
n go
vern
ance
.
12.6
Eng
age
in e
ffect
ive
part
ners
hip
wor
king
to
prom
ote
qual
ity, c
ontin
uity
of c
are
and
a co
st e
ffect
ive
serv
ice.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 12: Service planning and management
Standards and Core Components 2012 (2nd Edition) 33
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
12.7
Ens
ure
that
the
ser
vice
pro
mot
es e
qual
ity a
nd
dive
rsity
in a
ccor
danc
e w
ith le
gisl
atio
n, p
olic
ies,
pr
oced
ures
and
rel
evan
t st
anda
rds.
12.8
Be
acco
unta
ble
for
impl
emen
tatio
n of
hea
lth &
sa
fety
legi
slat
ion
and
any
secu
rity
polic
ies
and
proc
edur
es.
12.9
Pro
vide
evi
denc
e of
effe
ctiv
e co
nsul
tatio
n w
ith
serv
ice
user
s w
hen
plan
ning
and
dev
elop
ing
the
serv
ice.
12.1
0P
rovi
de e
vide
nce
of t
he t
eam
’s p
erso
nal a
nd p
ublic
lia
bilit
y an
d in
dem
nity
insu
ranc
e as
app
ropr
iate
.
12.1
1E
nsur
e th
at a
ll pr
ofes
sion
als
deliv
erin
g th
e ex
erci
se
com
pone
nt h
old
the
appr
opria
te q
ualifi
catio
ns,
know
ledg
e an
d sk
ills a
s de
fined
in t
he B
AC
PR
EP
G
Pos
ition
Sta
tem
ent.
12.1
2C
ontr
ibut
e to
the
dev
elop
men
t of
oth
ers
by
faci
litat
ing
a w
ide
rang
e of
CP
D o
ppor
tuni
ties
as
appr
opria
te t
o fu
lfil s
ervi
ce n
eeds
and
obj
ectiv
es.
12.1
3M
anag
e in
divi
dual
per
form
ance
thr
ough
a r
ange
of
rec
ogni
sed
met
hods
in a
ccor
danc
e w
ith lo
cal
polic
y (e
.g. a
ppra
isal
, pee
r re
view
, men
torin
g).
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 12: Service planning and management
34 British Association for Cardiovascular Prevention and Rehabilitation
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
12.1
4P
rovi
de e
ffect
ive
wor
kfor
ce p
lann
ing
incl
udin
g re
crui
tmen
t an
d se
lect
ion.
12.1
5Id
entif
y, o
rgan
ise
and
prov
ide
suita
ble
loca
tion(
s)
for
the
serv
ice.
12.1
6P
rovi
de e
ffect
ive
oper
atio
nal m
anag
emen
t of
the
te
am p
riorit
isin
g w
orkl
oad,
ens
urin
g ad
equa
te
staf
fing
leve
ls a
nd s
kill
mix
to
cove
r se
rvic
e pr
ovis
ion.
12.1
7P
rovi
de e
ffect
ive
man
agem
ent
of r
esou
rces
(in
clud
ing
finan
ces
and
educ
atio
nal m
ater
ials
).
12.1
8P
rovi
de u
p to
dat
e co
mpr
ehen
sive
info
rmat
ion
to e
nabl
e th
e te
am t
o ap
prop
riate
ly r
efer
on
/ si
gn-p
ost
to t
ailo
red
phys
ical
act
ivity
/ e
xerc
ise
oppo
rtun
ities
.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
BA
CP
R S
tand
ards
and
Cor
e C
ompo
nent
s S
tudy
Day
Competency 13: Service evaluation
Standards and Core Components 2012 (2nd Edition) 35
Com
pete
ncy
13:
Serv
ice e
valu
ati
on
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
The
Car
diac
Reh
abilit
atio
n P
rofe
ssio
nal h
as d
emon
stra
ted
the
abilit
y to
:
13.1
Iden
tify,
dev
elop
and
impl
emen
t ap
prop
riate
m
onito
ring
syst
ems
to e
nabl
e co
mpr
ehen
sive
se
rvic
e ev
alua
tion
of t
he p
hysi
cal a
ctiv
ity /
exe
rcis
e co
mpo
nent
.
13.2
Iden
tify,
dev
elop
and
use
app
ropr
iate
val
id, r
elia
ble
and
cost
effe
ctiv
e qu
antit
ativ
e an
d qu
alita
tive
asse
ssm
ent
tool
s an
d te
chni
ques
to
mea
sure
the
qu
ality
and
val
ue o
f the
phy
sica
l act
ivity
/ e
xerc
ise
inte
rven
tions
.
13.3
Col
lect
& r
ecor
d in
divi
dual
pat
ient
out
com
e m
easu
res
(incl
udin
g sh
ort
and
long
ter
m p
hysi
cal
activ
ity b
ehav
iour
s an
d fu
nctio
nal c
apac
ity) o
n a
card
iac
reha
bilit
atio
n da
taba
se (e
.g. N
AC
R) t
o en
able
loca
l and
nat
iona
l ana
lysi
s.
13.4
Acc
urat
ely
colle
ct a
nd r
ecor
d ke
y se
rvic
e da
ta,
incl
udin
g re
ferr
al in
form
atio
n, u
ptak
e, a
tten
danc
e an
d ad
here
nce
reco
rds.
13.5
Ens
ure
that
the
ser
vice
use
rs h
ave
cont
ribut
ed t
o th
e ev
alua
tion
proc
ess.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Competency 13: Service evaluation
36 British Association for Cardiovascular Prevention and Rehabilitation
No
.P
erfo
rman
ce c
rite
ria
Dat
e ac
hiev
edE
,D,N
/A*
Co
mm
ents
13.6
Ana
lyse
loca
l ser
vice
dat
a us
ing
relia
ble
met
hods
to
com
pare
with
rec
ogni
sed
stan
dard
s /
guid
elin
es
and
high
light
the
diff
eren
ces.
13.7
Dra
w v
alid
con
clus
ions
, mak
e re
com
men
datio
ns
base
d on
the
evi
denc
e an
d im
plem
ent
serv
ice
impr
ovem
ent
as a
ppro
pria
te.
13.8
Pre
sent
rel
evan
t in
form
atio
n in
app
ropr
iate
form
ats
(e.g
. rep
orts
) inc
ludi
ng c
urre
nt s
ervi
ce d
eliv
ery
for
Man
ager
s /
Com
mis
sion
ers
/ S
take
hold
ers
to
influ
ence
futu
re s
ervi
ce d
eliv
ery.
* K
ey: E
= E
ssen
tial
D =
Des
irabl
e N
/A =
Not
app
licab
le
Co
mp
eten
cy a
chie
ved
:
Impr
ovem
ent
requ
ired
A
gree
d A
ctio
n
(o
utlin
e as
app
ropr
iate
)D
ate:
Yes
- c
ompe
tenc
y ac
hiev
ed
Com
men
ts:
Dat
e:
Sig
ned
Rev
iew
ee:
Prin
t N
ame:
Sig
ned
Rev
iew
er:
Prin
t N
ame:
Dat
e:
BA
CP
R E
duca
tion
& T
rain
ing
Cou
rse
Ref
eren
ces:
(i) B
AC
PR
Lev
el 4
Exe
rcis
e In
stru
ctor
Tra
inin
g; (i
i) B
AC
PR
Sta
ndar
ds a
nd C
ore
Com
pone
nts
Stu
dy D
ay
Competency 13: Service evaluation
Standards and Core Components 2012 (2nd Edition) 37
Glossary
AACVPR American Association of Cardiovascular and Pulmonary Rehabilitation
ACPICR Association of Chartered Physiotherapists in Cardiac Rehabilitation
BACPR British Association for Cardiovascular Prevention and Rehabilitation
BACPR-EIN British Association for Cardiovascular Prevention and Rehabilitation Exercise Instructor Network
BASES British Association of Sport and Exercise Sciences
CPD Continuing Professional Development
CRB Criminal Records Bureau
CVD Cardiovascular Disease
ECG Electrocardiogram
EPG Exercise Professionals Group – collaboration between the British Association of Sport and Exercise Sciences (BASES), the Association of Chartered Physiotherapists in Cardiac Rehabilitation (ACPICR) and the British Association for Cardiovascular Prevention and Rehabilitation (BACPR) Exercise Instructor Network.
FITT Frequency, Intensity, Time and Type of Exercise
HR Heart Rate
METS Metabolic Equivalent (Task) is a physiological measure expressing the energy cost during a specific physical activity to a reference metabolic rate of 3.5 ml O2·kg−1·min−1 . One metabolic equivalent (MET) is defined as the amount of oxygen consumed while sitting at rest.
NACR National Audit of Cardiac Rehabilitation – a national dataset and management system
PVC Premature Ventricular Contractions
RPE Rating of Perceived Exertion
SMART Specific, Measurable, Agreed, Realistic, Time bound
SVT Supraventricular Tachycardia
Caldicott Principles These were developed as a result of recommendations in Dame Fiona Caldicott's 1997 report on how patient information was used in the health service. They are a set of six general principles that health and social care organisations should use when reviewing the use of client information.
Cardiac Rehabilitation Professional
Those people who deliver any stage of cardiac rehabilitation who, as part of the service and in the context of these competences, are giving advice and information on physical activity and/or exercise.
Data Protection Act The Data Protection Act 1998 is the main piece of legislation that governs the protection of personal data in the UK. The Act defines eight data protection principles. See http://www.ico.gov.uk/for_organisations/data_protection.aspx for further information.
Equality Act 2010 An Act of Parliament that covers nine protected characteristics, which cannot be used as a reason to treat people unfairly. The Equality Act sets out the different ways in which it is unlawful to treat someone, for example direct and indirect discrimination, harassment, victimisation or failing to make a reasonable adjustment for a disabled person.
Exercise Exercise is a subset of physical activity that is planned, structured, and repetitive and has as a final or an intermediate objective the improvement or maintenance of physical fitness. (Caspersen et al 1985)
38 British Association for Cardiovascular Prevention and Rehabilitation
Exercise Prescription Refers to the design of a plan of fitness-related activities (using FITT principles) specifically for an individual and developed by an exercise professional for a specified purpose.
Exercise Professional An individual, who holds a recognised exercise qualification approved by the Register of Exercise Professionals (REPs), Chartered Society of Physiotherapists (CSP) or the British Association of Sport and Exercise Sciences (BASES), adheres to relevant industry standards and a code of ethics and has the knowledge, skills and competence to perform specific roles in relation to exercise in cardiac rehabilitation.
Health Care Professional An individual, who for the purposes of these competences, provides health services to individuals as part of a cardiovascular prevention and rehabilitation programme.
Individual Those participating in the Cardiac Rehabilitation programme during any stage/phase and covering a broad range of terms including clients, patients, relatives, carers, significant others and service users.
Individualised The ‘tailoring’ of exercise to suit the individual based on clinical and functional needs.
Information Governance Information Governance ensures necessary safeguards for, and appropriate use of, patient and personal information.
Long Term Long term physical activity/exercise management
Outcome Measures Tools that enable the exercise professional to undertake an evaluation of the physical activity and/or exercise component of the cardiac rehabilitation service.
Physical Activity Physical activity is defined as any bodily movement produced by skeletal muscles that results in energy expenditure above resting level (Caspersen et al., 1985). This broad definition involves virtually all types of activity like: walking, cycling, dance, traditional games, pastimes, gardening, housework, sports and intentional exercise (Cavill et al., 2006).
UK guidelines (2011): Physical activity includes all forms of activity, such as everyday walking or cycling to get from A to B, active play, work-related activity, active recreation (such as working out in a gym), dancing, gardening or playing active games, as well as organised and competitive sport.
Physical Activity Plan A proposed course of action to support an individual to become more active through both structured and independent physical activity.
Scope of Practice Taking into account legal and ethical responsibilities, work within the boundaries set by an individual’s qualifications, knowledge, skills and experience in order to practice safely and effectively.
Sedentary UK Guidelines (2011): Sedentary behaviour is not simply a lack of physical activity but is a cluster of individual behaviours where sitting or lying is the dominant mode of posture, and energy expenditure is very low.
Short Term Stages 0-6
Supervised Observe and direct the execution of an exercise session
Unsupervised Not supervised or under constant observation
Standards and Core Components 2012 (2nd Edition) 39
Acknowledgements
Consultation Groups
We acknowledge and thank the following organisations who reviewed this Competency Document as part of the consultation process:
• Association of Chartered Physiotherapists with a special interest in Cardiac Rehabilitation
• British Association for Cardiovascular Prevention and Rehabilitation Exercise Instructor Network
• British Association of Sport and Exercise Sciences
• The British Association for Cardiovascular Prevention and Rehabilitation Council Members
The BACPR EPG Working Group
Acknowledgements for their contribution to the completion of this competency document:
• Gillian Armstrong and Laura Burgess (representing ACPICR)
• Annette Coles and Gordon McGregor (representing BASES)
• Ruth Shaw (representing BACPR Exercise Instructor Network)
• Lesley Simpson (representing BACPR Exercise Instructor Training)
• Annie Holden (Competency Working Group Co-ordinator)
40 British Association for Cardiovascular Prevention and Rehabilitation
References
Hamm et al (2010). Core Competencies for Cardiac Rehabilitation/Secondary Prevention Professionals: 2010 Update. Position Statement of the American Association of Cardiovascular and Pulmonary Rehabilitation.
The BACPR Standards and Core Components for Cardiovascular Disease Prevention and Rehabilitation 2012 (2nd Edition)
BACR Exercise Professionals Group (EPG) Position Statement 2012: Essential competences and minimum qualifications required to lead the exercise component in early cardiac rehabilitation.
For more information please visit the BACPR website
www.bacpr.com
BRITISH ASSOCIATION FOR CARDIOVASCULAR PREVENTION AND REHABILITATION
“Promoting excellence in cardiovascular disease prevention and rehabilitation”
The British Association for Cardiovascular Prevention and Rehabilitation
British Cardiovascular Society
9 Fitzroy Square, London, W1T 5HW
Email: [email protected]
Direct Line: +44 (0)20 7380 1919
Fax: +44 (0)20 7388 0903
Website: www.bacpr.com
Registered Charity Number 1135639
Company limited by guarantee. Registered in England 5086964