The committee noted that several comprehensive, evidence-based, home-delivered cardiac rehabilitation programmes are currently available. These programmes typically involve an overarching self-help manual outlining the programme, and include an exercise training element (such as open air walking or indoor exercises using a DVD), as well as educational (for example, medications, symptom monitoring and help-seeking) and psychological (for example, managing stress and anxiety) components. The programmes are overseen by a trained healthcare professional who patients can contact for further advice. The specific home-based programmes in the included studies were as follows: three studies were based on outdoor walking training, with the addition of flexibility and breathing exercises (1 study), and the addition of telephone conversations with a psychologist (1 study); one study was based on a DVD of functional aerobic exercises interspersed with active recovery. Chronic Heart Failure Rehabilitation in chronic heart failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 All home-based programmes in the included studies were accompanied by tele- monitoring and written information, and some programmes included the use of heart rate monitors and pedometers. One programme utilised remote monitoring equipment (an EHO 6 device enabling the recording and transmission of an ECG via a mobile phone). The committee discussed how a home-based programme would be delivered and how professional support would be accessed in the NHS context. The committee did not expect a home-based programme would involve regular face-to-face contact with health professionals and agreed the use of expensive equipment would not be required. The committee agreed that, regardless of the programme delivery format or setting, all patients should be assessed by a trained healthcare professional prior to commencement, in order to: ensure that the person can safely participate in exercise-based cardiac rehabilitation; tailor an appropriate programme for the patient. 