1. Barriers to accessing cardiac rehabilitation services
Angela Tod
Research Fellow
South Yorkshire Coalfields Health Action Zone
School of Nursing and Midwifery, University of Sheffield
20/11/2018

2. What is Recovery? What is recovery?
Different person (+ / –)
Adjustment and acceptance
How do patients know when they have arrived or not?
Control
Confidence
Informed
Look to the future
Trusting the body
Recovery / coping mechanisms needed to achieve recovery?
Seek understanding
Reprioritise
Compare to others
Resume activities
Set new targets
Accept / redefine limits
Attributions & explanations e.g. age, tablets, life course
20/11/2018

3. What service is needed to facilitate recovery?
What did people require from the service in order to help them them mobilize their recovery / coping mechanisms and to move along the pathway to recovery?
Nature of the service: continuity, individualized:
Listening
Taking time
Personalized information and care
Content of the service: explanations, someone to talk to, home visit, assessment/monitoring, meeting others in the same position
Staff attitude: honesty, knowledgeable, reassuring, caring
20/11/2018

4. Key messages Importance of: Need for service redesign
planning & investment
structure and capacity to prevent delay and barriers to access
processes to support care and communication across the pathway
social and cultural influences on recovery and service access
Need for service redesign
primary care based
assessment / triage
individualized care
20/11/2018