Day-to-day operating brief
What Cardiac Rehab Specialist (Phase IV) work looks like in practice
A Phase IV Cardiac Rehabilitation Specialist delivers structured long-term exercise for appropriately referred participants after clinical rehabilitation. Terms should define recognised qualification, referral and discharge information, inclusion and exclusion criteria, baseline checks, session design, medication information, symptoms, emergency response, records, data sharing, clinical contacts and the boundary between exercise delivery and diagnosis, prescribing or acute treatment. Phase IV exercise follows clinical rehabilitation but still requires disciplined referral information and symptom awareness. The specialist may work from an exercise prescription, medication history and risk stratification while liaising with a GP, cardiac team or programme lead. The role should identify permitted monitoring, emergency equipment, blood-pressure or exertion protocols, attendance after illness and criteria for stopping or seeking clinical review. Employers also need a defensible pathway for expired referrals, missing discharge information, implanted devices, new chest discomfort and participants who want exercise intensity beyond the parameters supplied by their healthcare team. Session handover should make current restrictions, emergency events and onward recommendations visible to authorised colleagues while avoiding unnecessary disclosure of wider participant medical history.
Individually written and reviewed against the maintained role record.