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Physical Activity Embedding Physical Activity into Cancer Care Evidence and Examples

Physical Activity Embedding Physical Activity into Cancer Care Evidence and Examples. Rhian Horlock, Physical Activity Manager, Sporting Opportunities. The cancer story is changing. Improvements in early detection and diagnosis More advanced treatments

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Physical Activity Embedding Physical Activity into Cancer Care Evidence and Examples

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  1. Physical Activity • Embedding Physical Activity into Cancer Care • Evidence and Examples • Rhian Horlock, Physical Activity Manager, Sporting Opportunities

  2. The cancer story is changing Improvements in early detection and diagnosis More advanced treatments Move from acute to long term condition Increasing numbers of people living with and beyond cancer • Maddams J, Utley M, Moller H. Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer 2012; 107: 1195-1202.

  3. The survival rates are changing • Total Prevalence - now • Total Prevalence - 2030 • Maddams J, Utley M, Moller H. Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer 2012; 107: 1195-1202.

  4. The survival rates are changing • Macmillan Cancer Support (2011) identified median survival times based on research by the Cancer Research UK Cancer Survival Group at the London School of Hygiene and Tropical Medicine research.

  5. Not everyone is living well

  6. Physical Activity improves health and wellbeing outcomes • Macmillan Cancer Support (2011). The importance of physical activity for people living with and beyond cancer.

  7. ‘Keeping active has helped me, and my family, through a really difficult time. It’s helped me return to a more normal way of life and has given me a real sense of achievement’. Ted Poulter, 66 Pseudomyxomaperitonei

  8. American College of Sports Medicine (2010) • British Association of Sport and Exercise Sciences (2011)

  9. UK Physical Activity Guidelines

  10. “I want to do it so that I can go walking with friends without feeling like I am a burden”

  11. A framework for physical activity behaviour change • Stakeholder engagement • Quality assurance • Support and follow up • Behaviour Change Intervention • Raise awareness • Brief advice • Get and stay active

  12. Stakeholder engagement • Quality assurance • How long: • Running throughout intervention • Who? • Social care • Leisure and physical activity providers • Community and voluntary sector • Commissioners • Primary care • Secondary care • Public health • Leisure, parks and cultural services

  13. Stakeholder engagement • Quality assurance • How long: • Running throughout intervention • What? • Programme governance • Quality assurance • Training needs • Cancer Physical Activity Standard Evaluation Framework • Brand • Marketing

  14. Raise awareness • Support and follow up • Behaviour Change Intervention • Brief advice • Get and stay active • How long: • Why? • Raise awareness of the importance of physical activity • Raise awareness of local opportunities • 30 Secs • Who: • Senior Health Care Professionals • Health and Wellbeing • ACP • What? • Identify individual in appropriate setting • Taking a MECC approach

  15. Raise awareness • Support and follow up • Behaviour Change Intervention • Brief advice • Get and stay active • Why? • How long: • Support patient choice • Assess current physical activity levels • 5 minutes • Who? • When? • Senior Health Care Professionals • Health and Wellbeing • ACP • MECC • HOPE • During holistic needs assessment, health and wellbeing event, a follow appointment at the information centre

  16. Support and follow up • Raise awareness • Behaviour Change Intervention • Brief advice • Get and stay active • Why? • How long: Why? • 30 minutes • Support the individual to become more active • Plan for set back and support • Agree follow up and support appropriate for the individual • Who? • Clinical Nurse Specialist • Exercise professional • What? • Move More pack • Exploring readiness and confidence • Exploring personal goals and appropriate opportunities • Arranging ongoing support

  17. Support and follow up • Behaviour Change Intervention • Raise awareness • Brief advice • Get and stay active

  18. “Everyone will have access to a short, free and friendly health walk within easy reach of where they live, to help them to become and stay more active.”

  19. Behaviour Change Intervention • Support and follow up • Raise awareness • Brief advice • Get and stay active • How long: • Minimum 12 months at regular intervals • What? • Provide 1:1 ongoing support and follow up • Help people cope with relapse and re-setting of goals • This should be person-centred, as required by the individual • Who? • Activity related support groups • Good together • Peer to peer support • Mentoring • Volunteers • 1:1 follow up • Group behaviour change support • Text, email, phone or online • Get and stay active

  20. Sport England Project • Get Healthy, Get into Sport funding • Integrate sporting opportunities into the physical activity behaviour change approach • 6 Areas - Luton, Shropshire, Berkshire, Dorset, Manchester and Sheffield • Working closely with the other five sites to share learning and become areas of good practice • Increasing awareness and developing referrals by linking with communities, • people affected by cancer themselves, local GPs, and other Primary Care • providers • Access resources and embed Physical Activity pathway • Part of a national evaluation framework • Upskilling workforce to Level 4 Cancer rehabilitation standards • Expanding the sporting offer and work with NGBs on their ‘Get Back to’ offers

  21. Project Update • NGB Taster Sessions held across the 6 sites with • England Athletics - Run England/321/Athlefit, • British Cycling - Breese Easy Rides, • Badminton England -No Strings, • ASA –SwimFit & SwimTag, • Nordic Walking UK, • FA - Walking Football, • Foot Golf, • England Basketball – Walking Basketball • Dance -Back to Ballroom. • Knowledge Exchange Workshops held • 6 Project steering groups in place with key stakeholders. • Pilot Evaluation complete. National Tender out to avert • New area project launches Summer 2014

  22. Move More Luton • 200 active participants 80 friends/family members actively supporting a range of activity including, gym, swimming and group fitness classes. • Every participant is entitled to 12 FREE activity sessions and an ongoing reduced rate thereafter across 5 facilities in Luton with 1:1 support and a huge range of activity types at flexible and accessible times. • Introduced a wide range of ‘Sporting Opportunities’ into the programme. For example: Walking Football, Badminton, Golf / FootGolf, Nordic Walking and Athlefit • Recruitment of a MacmillanHealth & Wellbeing Practitioner. This job will focus on increasing referrals and raising awareness in the community and with health professionals

  23. Referral League Table

  24. Partnership Working in Luton • Active Luton • Move More Luton • Luton and Dunstable Hospital –L&D Cancer Services Lead Nurse, Luton Community Oncology Nurse, L&D Urology Clinical Nurse Specialist UniversityGP’s and Primary CarePublic HealthLuton CCGMacmillan Cancer Support • Luton and Beds CSPCancer Support Groups

  25. Discussion

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