A survey was undertaken to establish the extent of provision of phase
III exercise-based cardiac rehabilitation in Northern Ireland. Detaile
d information was obtained on patient referral mechanisms, patient ass
essment, the exercise component of cardiac rehabilitation and the use
of outcome measures. The results suggest that cardiac rehabilitation i
n Northern Ireland has developed on an ad hoc basis, and although most
centres accept myocardial infarcation and coronary artery bypass graf
t patients for cardiac rehabilitation, higher risk patients are genera
lly excluded from these programmes. Currently, little in the way of st
andard outcome measures are being used to evaluate the effectiveness o
f existing cardiac rehabilitation services. This paper makes several r
ecommendations to facilitate the development of a more standardised se
rvice within Northern Ireland.