About Westbank Phase 4 Cardiac Rehabilitation Programme

We have been delivering our Westbank Phase 4 Cardiac Rehabilitation Programme since 2007. We work as a follow-on programme from the Cardiac Nurse Led Phase 3 programme for people who have suffered from a MI or have undergone a revascularisation procedure such as a bypass. We can also take direct referrals from GP’s for exercise following an elective PCI or when a cardiac event occurred
a minimum 12 months previously.

Research from the British Heart Foundation has shown that cardiac rehab can reduce the risk of participants having another heart event, being readmitted to the hospital, and positively impact on wellbeing and quality of life[1]. 

Our structured programme consists of a combination of moderate-intensity cardiovascular and strength work to build participants cardiovascular fitness to reduce the day to day workload on their heart and increase exercise tolerance to make daily activities easier to manage. Our programme will help participants regain confidence when exercising and help them determine how hard they should be working to achieve a minimum of 20 minutes of continuous exercise by the end of the course.

Meet our rehabilitation team

Our team of dedicated professionals are committed to empowering people to improve their heart health to help to reduce the risk of
further cardiac issues and have the fitness and confidence to live their life to the full. This programme is delivered by Rob Amor and
Tom Burridge, our Level 4 BACPR Specialist Exercise Instructors, who have over 20 years of experience between them.

Programme pathway

21 sessions over 10 weeks.

  1. Receipt of referral from GP/medical professional
  2. Induction 1:1 (30minutes): Participant review assessment to check health status and suitability, with blood pressure taken 
  3. Session 1 (60minutes): Introduction to the course and simple fitness test 
  4. Sessions 2 to 19 (60minutes): Progressive group exercise programme and focused discussion 
  5. Final session (60minutes): Exit fitness assessment, to include signposting on ways to continue exercising, options to access our follow-on exercise classes, gym sessions and online platform

Commitment

We ask all participants to:

  • Commit to attending the full 10 week (21 sessions) programme
  • To engage with the process of gradual, incremental improvement
  • To share feedback and ask questions throughout the programme
  • Not to exercise beyond their levels of fitness, taking into account their medical status, disability or injury

Our rehabilitation team will commit to: 

  • Offering a regression/progression-based programme of exercise to enable us to tailor participants exercise according to their needs
    and abilities
  • Helping participants to manage their exercise intensity and volume in order to maximise the benefits of exercise while also maximising safety
  • Ensuring that our team are suitably qualified to deliver population-specific exercise interventions

Online support: 

  • Exercise and nutrition tracker, on demand virtual workouts and group-specific online community area to allow idea sharing and peer support

Cost

£4 a session (10-week programme/20 sessions plus induction). 

£80 paid in full at the induction assessment. A payment plan is available; please speak to the team to discuss options.

Location

Westbank, Farm House Rise, Exminster, EX6 8AT

Facilities include free parking, changing facilities, showers and refreshments.*

*Inline with government guidelines, our changing facilities, showers and community café are currently closed.

Inclusion criteria

A. Transition from Phase III to Phase IV Exercise

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

B. GP CHD Patient Exercise Referral Pathway

  • This pathway is to be used if:-
  • (i) > 6months elapsed since acute cardiac event, or
  • (ii) > 6months since discharge from Phase III, or
  • (iii) CHD history but no recent acute event

Exclusion Criteria

  • Unstable angina
  • Systolic blood pressure >180 and/or diastolic blood pressure >100
  • BP drop >20mmHG demonstrated during ETT
  • Resting tachycardia >100bpm
  • Uncontrolled atrial or ventricular arrhythmias
  • Unstable or acute heart failure
  • Unstable diabetes
  • Febrile illness
  • Any rapidly progressing terminal illness
  • Experience pain, dizziness or excessive breathlessness during exertion
  • Symptomatic severe aortic stenosis
  • Acute pulmonary embolus or pulmonary infarction
  • Suspected or known dissecting aneurysm
  • Any unstable, or uncontrolled condition
  • Acute or uncontrolled psychiatric condition
  • Acute myocarditis or pericarditis
  • A recent significant change in a resting ECG, myocardial infarction within the last 12 months or any acute cardiac event.
  • Not Compliant with prescribed medication
  • Unable to communicate and/ or behave appropriately enough to participate in a group setting
  • Unable or unwilling to commit to the full programme

How to refer

Medical professionals can refer via our referral form or for more information or to receive a referral form please email [email protected] 

Following the programme

Upon completing the Phase 4 Cardiac Rehabilitation programme, our instructor will suggest which of our other exercise programmes
could be suitable. All suggestions made are based on the capability and circumstances of the individual. 

Example exercise classes could include:

  • Silver circuits, circuits gold and better balance

"After having a heart attack, my doctor recommended I attend Westbank cardiac rehab. I noticed I had a fear of overexerting but, when starting the course, the instructors put me at ease. They were extremely professional in their approach and friendly. The intensity was increased slowly, according to my ability, and careful checks were done on my heart rate and blood pressure. At the end of the course, I was at ease with exercising. So much so I continue keeping fit by attending the Westbank gym." Dave McLean

SOURCE

[1]https://www.bhf.org.uk/informationsupport/support/practical-support/cardiac-rehabilitation