Talking Space Plus

Overcoming anxiety & depression together


Heart2Heart is a service that integrates cardiac rehabilitation and psychological therapy for patients and carers following myocardial infarction and for those with other cardiac diseases such as heart failure, cardiomyopathy and arrhythmias. Heart2Heart provides psychological therapy through developing a more extensive service including primary and secondary care psychological therapists, using the Improving Access to Psychological Therapies (IAPT) stepped care approach.

The Heart2Heart service is designed to be flexible and enable the patient and carer to receive care which is individualised according to need (see below):

Referrals can be made through a number of sources.  The majority of referrals are made by the cardiac nursing teams involved in the patient’s care.  In keeping with the IAPT ethos, patients and carers can also self-refer or ask to be referred by their GP.

The service was one of 15 Department of Health Long Term Condition Pathfinder sites evaluating the feasibility of such a service and was subject to a national evaluation.