Concierge cardiology · London
Cardiac rehabilitation programme - private in London.
A NICE-recommended, medically supervised 8 to 12 week programme of individually prescribed exercise, risk-factor management, education and psychological support after a heart attack, cardiac surgery, angioplasty or heart failure diagnosis. Reduces cardiovascular mortality by 20 to 25 percent and rehospitalisation by 20 to 30 percent.
What it is
Structured recovery after a cardiac event.
A comprehensive, multidisciplinary secondary prevention programme delivered by a specialist cardiology team.
Cardiac rehabilitation is a NICE-recommended package of medically supervised exercise, risk-factor modification, education and psychological support delivered after a defined cardiac event or procedure. It is one of the most cost-effective interventions in cardiology and is a Class I recommendation in ESC and BACPR guidelines for patients after myocardial infarction, cardiac surgery, PCI, heart failure with reduced ejection fraction and post-transplant.
A supervised programme reduces cardiovascular mortality by 20 to 25 percent and hospital readmission by 20 to 30 percent, and delivers a 15 to 25 percent gain in functional capacity. Beyond the physiology, it restores confidence, addresses low mood and anxiety after a life-changing event, and embeds the medication, diet and activity habits that keep patients out of hospital long term.
Who benefits
Referred after any qualifying cardiac event.
Who we typically enrol on a private cardiac rehabilitation programme in our London network.
Recent myocardial infarction
STEMI or NSTEMI, medically managed or treated with primary PCI, from 2 to 6 weeks post-event once clinically stable.
Post-CABG or valve surgery
From 4 to 8 weeks after coronary artery bypass grafting, aortic or mitral valve surgery, once sternal healing is confirmed.
Post-PCI or angina
Elective or urgent percutaneous coronary intervention, and chronic stable angina managed medically.
Chronic heart failure (NYHA I-III)
HFrEF and HFpEF once medication is optimised. Exercise training is a Class IA recommendation for symptomatic heart failure.
Post-cardiac transplant
Structured reconditioning after transplant, with a modified prescription that accounts for a denervated heart response.
Post-implantable device
After pacemaker, ICD or CRT implantation, once the wound is healed and the device has been checked at first follow-up.
The programme
Baseline, 8 to 12 weeks, then maintenance.
Two supervised sessions a week for 8 to 12 weeks, each individually prescribed from a formal baseline test.
Step 1
Baseline assessment
Cardiopulmonary exercise test (CPEX) or 6-minute walk test, resting ECG, blood pressure, medication review, HADS psychological screen and dietary assessment.
Step 2
Individualised prescription
A target heart rate range and RPE zone are set from your baseline test, with a resistance and flexibility plan alongside the aerobic prescription.
Step 3
Supervised sessions
Two 60-minute sessions a week for 8 to 12 weeks, telemetry-monitored initially, with a specialist physiotherapist and cardiac nurse present throughout.
Step 4
Education block
Structured teaching on your medications, diet, smoking cessation, stress and sleep, sexual activity, return to work and driving rules.
Step 5
Home programme
A parallel home exercise plan that progresses in step with your supervised sessions, so activity levels transfer into everyday life.
Step 6
Discharge and maintenance
Repeat CPEX or 6MWT, updated exercise prescription for the long term and a cardiology review at 3 and 12 months.
Programme components
More than the exercise session.
A BACPR-aligned programme covers seven core standards, not just supervised exercise.
Aerobic, resistance and flexibility
Prescribed aerobic training (treadmill, bike, rower), progressive resistance work and mobility, targeted to your baseline capacity.
Dietary counselling
Specialist dietetic input, Mediterranean-pattern eating, weight and lipid targets and, where relevant, blood pressure and glycaemic control.
Smoking cessation support
Behavioural support and pharmacotherapy (NRT, varenicline, bupropion) as part of the programme.
Psychological screening (HADS)
Hospital Anxiety and Depression Scale on entry and exit, with onward referral for talking therapy or medication where indicated.
Medication optimisation
Cardiology review of antiplatelets, statin dose and lipid target, beta-blocker, ACEi or ARNI, MRA and SGLT2 inhibitor titration to guideline-directed doses.
Return to activity guidance
Practical advice on return to work, driving, travel, sexual activity and holidays, tailored to your event and current capacity.
Indicative pricing
What private cardiac rehab costs in London.
All-in packages at our partner London cardiac rehabilitation centres. We come back with a firm quote within one working day.
In short
A 12-week supervised cardiac rehab programme: £2,400-£4,800 all-inclusive.
| Item | Indicative range | Format |
|---|---|---|
| Baseline assessment with CPEX or 6MWT | £350-£700 | Outpatient |
| 12-week supervised programme (24 sessions) | £2,400-£4,800 | All-inclusive |
| Per session (drop-in) | £110-£220 | 60 min |
| Cardiology follow-up review | £120-£220 | Outpatient |
| Repeat CPEX at discharge | £300-£500 | Outpatient |
Prices vary by centre, session frequency and whether telemetry monitoring is required. NHS cardiac rehabilitation is available and free of charge, but wait times and session availability vary considerably by borough. We check insurer cover before booking.
Where it is done in London
Our London cardiac rehab network.
Established, BACPR-aligned private programmes with on-site cardiology and telemetry monitoring.
Royal Brompton Cardiac Rehab Private
National referral centre programme with heart failure and post-transplant expertise.
HCA Wellington Cardiac Rehab
Dedicated cardiac rehab gym at The Wellington Hospital with consultant-led governance.
Cromwell BUPA Cardiac Rehab
Structured programme at Cromwell Hospital with dietetics and psychology on site.
London Cardiovascular Clinic
Consultant-led outpatient programme with CPEX-driven prescription in Marylebone.
One Welbeck Cardiac
Integrated cardiology, imaging and rehab under one roof at 1 Welbeck Street.
Bart’s Heart Centre Private
Post-surgical and post-device rehabilitation at one of Europe’s largest cardiac centres.
Nuffield Health
Multi-site cardiac rehab across Central London with continuity into long-term membership gyms.
Outcomes
What the data show.
Numbers from Cochrane meta-analyses, ESC and NICE-cited evidence in post-MI and heart failure cohorts.
20-25%
Reduction in cardiovascular mortality after completion of a supervised programme.
20-30%
Reduction in hospital readmission for a further cardiac event.
15-25%
Improvement in functional capacity (peak VO2 or 6MWT distance).
Higher
Medication adherence and quality of life scores at 12 months versus usual care.
Uptake remains the weakest link in UK cardiac care: only around half of eligible NHS patients attend a full programme. Private, appointment-based delivery in Central London is designed to close that gap for working patients.
Related
Related private cardiology care.
Cardiac bypass and valve surgery
CABG and valve repair or replacement.
Learn moreAngioplasty and stents
Percutaneous coronary intervention.
Learn moreTAVI
Transcatheter aortic valve implantation.
Learn moreEchocardiogram
Ultrasound of the heart.
Learn moreCPEX / CPET
Cardiopulmonary exercise testing.
Learn moreHypertension
Blood pressure diagnosis and control.
Learn more
Frequently asked
Everything patients ask about cardiac rehab.
Quick answers on duration, timing, mortality benefit, assessment, insurer cover and safety.
How long is a cardiac rehab programme?
A standard supervised programme runs 8 to 12 weeks, with two 60-minute sessions per week, individually prescribed exercise plus an education block. A structured home programme runs in parallel and continues after formal discharge.
When can I start after a heart attack or surgery?
Most patients start 2 to 6 weeks after MI or PCI, and 4 to 8 weeks after cardiac surgery once the sternum or vascular access site has healed. Heart failure patients usually start once clinically stable on optimal medication.
Does cardiac rehab actually reduce mortality?
Yes. Cochrane and NICE-referenced meta-analyses show 20 to 25 percent lower cardiovascular mortality and 20 to 30 percent lower hospital readmission after a completed supervised programme, plus meaningful gains in exercise capacity and quality of life.
What does the initial assessment involve?
A symptom-limited cardiopulmonary exercise test (CPEX) or 6-minute walk test, resting ECG, blood pressure, medication review, HADS psychological screen and dietary assessment. This sets your individualised exercise prescription and target heart rate range.
Do UK insurers cover private cardiac rehab?
Most major UK insurers (Bupa, AXA Health, Vitality, Aviva, WPA, Cigna) cover a defined block of supervised cardiac rehab after a qualifying event or procedure. Pre-authorisation is required. We confirm cover and session allowance before booking.
Is it safe to exercise this hard after a cardiac event?
Yes, when prescribed and supervised. Sessions are telemetry-monitored initially with a physiotherapist and cardiac nurse present. Intensity is set from your baseline test and progressed only when your response is stable. The rate of serious cardiac events during supervised rehab is around 1 per 50,000 to 120,000 patient-hours.
Ready when you are
Send the details. We come back within one working day.
Your cardiac event or procedure, current medication and rough discharge date. We match you with a London cardiac rehab centre, confirm insurer cover and book your baseline CPEX.