The aim of Primary Prevention is to reduce the risk of developing symptomatic heart problems or other health problems. This can be done by identifying risk factors. 

Risk factors are conditions or habits that make a person more likely to develop heart problems.

Non-invasive diagnostic technology has improved our ability to detect the early stages of heart disease.  By acting on our findings, we can prevent heart disease from having a deleterious impact on people’s lives. 

Common, non-invasive diagnostic tests for heart disease include:  

CT angiogram, stress echo, myocardial perfusion scintigraphy (MPS), angiogram 

“I regularly meet people whose lives have been affected by heart disease.  This frustrates me since I know that some simple lifestyle changes could have prevented this from happening in the first place.” 

Tom Hastings, Cardiac Nurse Specialist in Cardiology 

Who is it for?

People who suffer from or who are at risk of:

  • High blood pressure – above 140/ 90
  • High cholesterol (total cholesterol more than 5)
  • Diabetes – Type 1 and 2
  • Smokers – Those who still smoke or have stopped within the last 5 years
  • Being overweight (BMI more than 25) 
  • Having a family history of heart disease (sibling, parent or grandparent)

Other factors may also play a role in developing heart disease:  

  • Age / Gender – Men older than 45, women older than 55
  • Stress / Anxiety 
  • Ethnicity 
  • Being physically inactive – meaning less than 150 minutes of moderate exercise per week
  • Excessive alcohol consumption – 3 to 4 units per day for men, women 2 to 3 units per day

How does it work?

You can refer yourself by simply contacting us.  We can then gather the relevant information. Alternatively, you can ask your GP or physician to refer you directly. 

Once a patient has been referred to Heartsure a member of the team will contact him or her to directly. During this phone call some basic information with be gathered. 

An Initial Assessment (or IA) will be booked

Initial Assessment – This is an individual session with your clinician. 

In your first meeting we will look at the impact of risk factors on your physical and emotional health. 

If you are taking any medications, we will discuss them.  This is an opportunity to ask questions and gain an understanding of your prescription medication. 

In your IA we will record your Baseline Observations, which will include:  

  •  Blood pressure
  •  Resting ECG
  •  Cholesterol levels
  •  Oxygen saturation
  •  Lung function 
  •  Temperature 
  •  Weight and Height (BMI) 

Your clinician will discuss the normal parameters for each of these factors. 

We will then discuss your lifestyle, including your diet, exercise habits and stress levels.  Time will be spent identifying your risk factors. 

Lastly, an exercise assessment will identify any problems you have with movement and mobility. A simple walking test will assess your heart’s reaction to exercise.  We will attach a small monitor to record your heart rate.  You will be introduced to the medically supervised exercise circuit.  Here you will learn the correct way to exercise for your heart.  Using heart rate monitors and other exercise assessment tools we will gain an understanding of the level of exercise you need to benefit and improve your health.

Your session will consist of:  

  •  A simple-warm up, including stretching 
  •  A 6-8 station exercise circuit specifically designed for cardiac patients.
  •  An extended cool-down period and progressive stretches. 

We can offer you a Polar activity device, which allows the clinician to analyse your activity, track your steps, monitor your sleep and record your heart rate at rest and while exercising. 

We will then devise an action plan and some personal short- and long-term goals.

A comprehensive report will be compiled and will include your personal goals and action plan.  This will be sent to your cardiologist / surgeon / referring person and GP.

One-to-one medically supervised exercise sessions – weekly / regular sessions – with your clinician. At the start of each weekly or regular session you will have a health check-up, which will include your Baseline Observations.

There will then be the opportunity to discuss your progress since the last session. We will review any on-going symptoms and identify any problems and successes.  If you are using a Polar activity device (example below), the data collected can be assessed and feedback given. 

If for any reason you haven’t reached your goals, we will review the reasons and work together to get you back on track. 

As you work with your clinician on the medically supervised exercise circuit, he/she can adjust and adapt the circuit to suit your needs.

At the end of each session we will summarise your achievements and set a plan for the time until your next session.

Discharge / review meeting – After a defined period of time from the start of your programme, there will be an appointment with your clinician and a review of your goals.  Your goals and future action plans will be set. 

You will repeat the ‘Exercise Test’ and assess any improvements made with your fitness levels. A summary of goals will be discussed, with new challenges set for any which have not yet been achieved. 

An updated progress report will be sent to your cardiologist / surgeon / referring person and GP.

How long will my programme last and how much will it cost?

“Successful health behaviour change programmes that involve exercise training, physical activity, risk factor management and psychosocial well-being require time to achieve the desired goals.”        

The National Audit, Cardiac Rehabilitation 2017


  • Initial Assessments and reports (120 minutes) – £220
  • One-to-one medically supervised exercise sessions (75 minutes) – £90
  • Discharge / review meeting (75 minutes) – £150 


Some insurance companies cover our programmes. Please contact a member of the team to discuss further.