​"Facilitated home based options such as the Heart Manual are proven to work​" (The National Audit of Cardiac Rehabilitation, 2016) - NACR 2016 Report​

The Heart Manual Programme (NHS Lothian) is the UK's leading home-based supported self management programme for individuals recovering from acute Myocardial Infarction and/or Revascularisation, evidenced by three Randomized Control Trials (RCTs):

As an NHS resource the Heart Manual Programme continues to provide, very importantly, an evidence based approach, assisting the recovery of around 14,000 patients every year in the UK and abroad. It was updated (2016) in line with medical evidence. The Post MI and Revascularisation editions are also available in digital format.​

The Heart Manual Revascularisation edition for patients who have had coronary artery bypass surgery (CABG), or angioplasty (PTCA/PCI) was launched by NHS Lothian in 2007 following a successful 4 year RCT with the University of Birmingham - this edition was also updated in 2017.  

Both programmes are facilitated by specially trained clinicians worldwide to enable patients’ consensus, understanding and management of their condition.​ ​​​​