Quality standard
Quality statement 3: Supervised exercise programmes
Quality statement 3: Supervised exercise programmes
Quality statement
People with intermittent claudication are offered a supervised exercise programme.
Rationale
Supervised exercise programmes can improve walking distance and quality of life for people with intermittent claudication. However, the provision of services varies across the country and so there is a need for both new provision and improvement in existing care.
Quality measures
Structure
Evidence of local arrangements to ensure the availability of supervised exercise programmes.
Data source: Local data collection.
Process
(a) Proportion of people with intermittent claudication who are offered a supervised exercise programme.
Numerator: the number of people in the denominator offered a supervised exercise programme.
Denominator: the number of people with intermittent claudication.
Data source: Local data collection.
(b) Proportion of people with intermittent claudication who start a supervised exercise programme.
Numerator: the number of people in the denominator starting a supervised exercise programme.
Denominator: the number of people with intermittent claudication offered a supervised exercise programme.
Data source: Local data collection.
(c) Proportion of people with intermittent claudication who complete a supervised exercise programme.
Numerator: the number of people in the denominator completing a supervised exercise programme.
Denominator: the number of people with intermittent claudication who start a supervised exercise programme.
Data source: Local data collection.
What the quality statement means for different audiences
Service providers ensure the availability of a supervised exercise programme for all people with intermittent claudication.
Healthcare practitioners ensure that they offer supervised exercise programmes to all people with intermittent claudication.
Commissioners ensure that they commission supervised exercise programmes that can be offered to all people with intermittent claudication.
People who have pain when walking because of poor circulation are offered a supervised exercise programme to gradually build up their pain-free walking distance and improve their quality of life.
Source guidance
Peripheral arterial disease: diagnosis and management. NICE guideline CG147 (2012, updated 2020), recommendation 1.5.1
Definitions of terms used in this quality statement
Intermittent claudication
A walking- or exercise-induced pain in the lower limbs caused by diminished circulation. [NICE's full guideline on peripheral arterial disease]
Supervised exercise programmes
This may involve the following components:
-
2 hours of supervised exercise a week for a 3‑month period
-
encouraging people to exercise to the point of maximal pain.
[Adapted from NICE's guideline on peripheral arterial disease, recommendation 1.5.2]