Economic One comparative cost analysis found that home training was more costly than hospital training for delivering rehabilitation (cost difference: 480 per patient). This analysis was assessed as partially applicable with very serious limitations. 7.1.6 Recommendations and link to evidence Recommendations Offer people with heart failure a personalised, exercise-based cardiac rehabilitation programme, unless their condition is unstable. The programme: should be preceded by an assessment to ensure that it is suitable for the person should be provided in a format and setting (at home, in the community or in the hospital) that is easily accessible for the person should include a psychological and educational component may be incorporated within an existing cardiac rehabilitation programme should be accompanied by information about support available from healthcare professionals when the person is doing the programme. Relative values of different outcomes The committee considered all-cause mortality, quality of life and all-cause hospitalisation to be the critical outcomes for this review. Data on all-cause mortality and hospitalisation were considered preferable to data limited to heart failure (HF) Chronic Heart Failure Rehabilitation in chronic heart failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 or cardiovascular related hospitalisations and mortality, as such data take into account the broader unintended consequences of the interventions (for example, an increase in hospitalisations due to adverse events). Cardiovascular mortality, heart- failure related hospitalisation, exercise capacity, health service use, and withdrawal from/adherence to the programme, were considered to be important for decision- making. No evidence was identified for the outcomes cardiovascular mortality, health-service use and hospitalisation (both all-cause and HF-related). Quality of the clinical evidence Five studies were identified for inclusion within the review. 