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Exercise Referral / Recommendation Pilot, Redditch. John Crawford Health Development Co-ordinator Worcestershire PCT. What’s New?, Why Now?. Policy drivers, national & local priorities for obesity and disease prevention / reduction
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Exercise Referral / Recommendation Pilot, Redditch John Crawford Health Development Co-ordinator Worcestershire PCT
What’s New?, Why Now? • Policy drivers, national & local priorities for obesity and disease prevention / reduction • New ‘local’ opportunity, RBC + wider LA interest in Worcestershire, may happen regardless! • National Guidance, DH NQAF, NICE, Wright Foundation (Training & Consultancy) etc • Qualifications, national register, standards & accountability of exercise specialists • Regional networking & support via PAN- WM re. evidence base, NICE compliance etc.
P.C.T. Client Recommendations Pre Information Pack Week 1 – Base line Assessments Week 2 - Nutrition Theme & Activity Session Week 3/6/8 – Lifestyle Theme & Activity Session Week 5 - Fitness Theme & Activity Session Week 4 – Stress/Relaxation Theme & Activity Session Week 7 – Re-assessment of Clients Base line data 4 Weeks - Self structured activity @ RBC venues (to be monitored & evaluated) Evaluate & produce a Case Study for PCT & RBC The Pilot
Protocol & Guidance • Key aims, reducing risk, motivating sustainable change, GP confidence etc • Strategic context, Choosing Health, LAA, NQAF, NICE etc. • Clinical & legal responsibilities, liability (NQAF) • Referral criteria- stable chronic conditions, inactive patients • Complementary to cardiac rehab • Referral & consent form, condition, medication • Referrals from GP’s & specialist nurses
Early indications, issues • Common themes obesity,diabetes,depression • Small group (11), 6 m, 4 f, 50:50 GP/SpN refs • About half regularly attend, male commitment stronger! • Where are referrals on the cycle of change? • Some evidence of lifestyle changes, weight loss, more stable glucose, motivation • Group dynamics helpful • Referral protocol, process working
Next! • Evaluation report early January • With recommendations eg - • Some group component may helpreferral, assessment and sustainability • Further consultation needed on way forward • GP/Patient engagement, some way to go • Enough evidence to press on • An opportunity to grasp!