Systemic barriers, including lack of resources and commissioning exclusions, prevent heart failure patients from accessing cardiac rehabilitation in England, Wales, and Northern Ireland.
Patients with heart failure as a primary diagnosis are excluded from most cardiac rehabilitation programmes in England, Wales and Northern Ireland. A lack of resources and direct exclusion from local commissioning agreements are the main barriers for not offering rehabilitation to patients with heart failure.
Dalal et al. (Sun,) studied this question.