HEALTHWISE: PHYSICAL ACTIVITY REFERRAL SCHEME PHYSICAL INACTIVITY - PowerPoint PPT Presentation

HEALTHWISE: PHYSICAL ACTIVITY REFERRAL SCHEME

PHYSICAL INACTIVITY Physical ¡ Inac,vity ¡ has ¡ been ¡ iden,fied ¡ as ¡ the ¡ 4 th ¡ leading ¡ risk ¡ factor ¡ for ¡ global ¡ • mortality, ¡which ¡follows ¡high ¡blood ¡pressure, ¡tobacco ¡use ¡and ¡high ¡blood ¡glucose. ¡ (WHO, ¡2010) ¡ ¡ ¡ Around ¡ 39% ¡ of ¡ UK ¡ adults ¡ – ¡ 20 ¡ million ¡ – ¡ are ¡ failing ¡ to ¡ meet ¡ the ¡ government ¡ • recommended ¡guidelines ¡for ¡physical ¡ac,vity ¡ (BHF, ¡2017) ¡ Barnet ¡had ¡the ¡6th ¡highest ¡propor,on ¡of ¡adults ¡out ¡of ¡all ¡the ¡London ¡boroughs ¡ • who ¡were ¡physically ¡inac,ve ¡during ¡2016/17. ¡Almost ¡three ¡in ¡ten ¡Barnet ¡adults ¡ (28.6%) ¡were ¡physically ¡inac,ve, ¡which ¡was ¡significantly ¡higher ¡than ¡both ¡London ¡ (22.9%) ¡and ¡England ¡(22.2%) ¡ (JSNA, ¡2015 ¡-­‑2020) ¡ ¡ • PROMOTION ¡> ¡AWARENESS ¡> ¡OPPORTUNITY ¡> ¡ENGAGEMENT ¡ Our ¡Responsibility ¡ Pa,ent ¡decides ¡to ¡ Who ¡ When ¡ Pa,ents ¡ engage ¡with ¡ac,vity ¡or ¡ What ¡ Where ¡ service ¡ How ¡

BENEFITS OF PA/EXERCISE ‘If Exercise was a pill everyone would be taking it’

1. Exercise ¡ • Marching ¡on ¡the ¡Spot ¡– ¡2 ¡Minutes ¡ -­‑ Cardiovascular ¡fitness, ¡Posture, ¡Balance, ¡PropriocepNon ¡ -­‑ Target ¡Group: ¡Physically ¡decondi,oned, ¡Diabetes, ¡Elderly ¡and ¡ Hypertension ¡& ¡EST ¡CHD. ¡

WHAT IS HEALTHWISE? Physical Activity Referral Scheme • Enables health professionals to refer patients with a range of medical conditions. • Introduces participants to the benefits of physical activity in order to help reduce risk factors for chronic disease and manage existing conditions. • Delivers structured exercise programmes tailored specifically to the needs and goals of clients through individual exercise programming and group based activity. • Encourages people of all abilities to become and remain more physically active and help to increase healthy life expectancy, be preventative and act as an early intervention pathway.

HEALTHWISE IS INFORMED BY: • NQAF • BHF Toolkit • National Service Frameworks • NICE • Commissioners (Public Health & Wellbeing Boards & CCG’s) • Health Professionals (Referrers) • NHS Partners • Local Area Agreements • GLL Corporate Plan • GLL Health Strategy • Sport Community & Health Participation Plan • OUR MEMBERS! ¡ ¡

HEALTHWISE: HOW TO REFER? The GP surgery will need a service level agreement before referring patients. Please consult your Practice manager, lead GP or senior partners prior to referral. The patient will need to meet the general criteria: • 18Years Old > • A London Borough of Barnet Resident or Registered with a GP Surgery in Barnet. • Considering or ready to make a change (Readiness) and become more active. • Physically Inactive (<30 minutes per week/ Not an existing gym member in the last 6 months) The patient will need to meet the specific criteria for their medical condition/referral reason. Please consult the full inclusion/exclusion criteria on Bar Global or contact Healthwise. Please send the referral form to: gllbarnet.referrals@nhs.net or Via Post: Healthwise Coordinator, Barnet Copthall Leisure Centre, Champions Way, Hendon, London NW4 1PX. Please make sure all sections of the referral Bar Global>Referral Forms>Healthwise form are filled out appropriately

REFERRAL PATHWAY PARS NHS Health Check Pathway ¡ Barnet Diabetes Team CLCH • All Medical conditions that • Direct referrals/indirect • Referred to Healthwise meet the inclusion criteria & referrals. • Preventative Pathway – 1 risk benefit from exercise. • Specific Pathway – HBa1c factor + (BP, Cholesterol, Sugar • Primary Care – GP surgeries (>48m/mol or >6.5% - 11%) and/or BMI) in Barnet THF • Copthall Leisure Centre ¡ ¡ ¡ • Referrers: Barnet Hospital & Cherry Lodge Cancer care. • 12 week programme - Cancer EXIT ROUTE • Exit Route in to Healthwise – entitled to HL membership Healthwise 1. INCLUSION CRITERIA 2.TRIAGED 3. OUTCOMES Patient Journey Adult Weight Management 10 Week Programme 12 Week Physical Activity Programme • Group Activity (15 capacity) • 3 Assessments (Week 1& Induction, 6 & 12) • BMI 30+ • Signposted to supervised gym sessions or • 2 hours per week – Conference or meeting rooms, other activities at the centre – can come as gym and studio. many times as they like • Aim: 3 – 5 % weight loss • Burnt Oak, Copthall & Finchley Lido • Full Check & Measurements (Week 1 & 10) • Hendon (Q1 2019) & New Barnet (Q4 2019) • Each individual’s weight measured weekly

POST GRADUATION PATIENT JOURNEY A ¡Pa,ent ¡who ¡completes ¡ the ¡12 ¡week ¡programme ¡ – ¡ The ¡ referrer ¡ will ¡ be ¡ sent ¡a ¡gradua,on ¡le_er. ¡ Leisure Centre activity ¡ supported by a discounted GIVE IT A GO TRIAGE membership for up to 1 3 month year 3 Month Follow Up Those who are inactive without (PARS only) a medical condition Leisure Centre activity. Supported by 3 year tiered subsidised membership ¡ ¡ ¡ Adult Weight Management Lifestyle and Behavioural change intervention 10 weeks 6 Month Follow Up (AWM & PARS) Referral Centre activities, Walking ACCEPTED • Received from health for health and Sport based professionals via NHS email activity address • Administrator processes against inclusion criteria and PARS triage in to programmes Behavioural change intervention 12 weeks – Physical activity Healthwise supervised 12 Month Follow Up Sessions (AWM & PARS) OUTCOMES ACTION UNCONTACTABLE ON HOLD Patient’s referral form is REJECTION Patient can’t be contacted by Contraindication to exercise Patient does not meet the missing or requires more the Healthwise team. Letter d u e t o u n c o n t r o l l e d inclusion criteria for the information to process sent to home address for symptoms/measurements Healthwise scheme. referral against inclusion patient to contact the team. related to referral reasons criteria. Please make sure all information is correct and valid on the referral form prior to referral to prevent delays in processing the referral and disappointment if the patient does not meet the inclusion criteria.

2. Exercise • Calf Raises – 1 Minute - Cardiovascular fitness, Balance and Muscular strength - Target Group: EST CHD, COPD, Diabetes

Adult Weight Management Criteria • BMI (BAME group 27.5 - 40 or White Caucasian 30 – 40). General Information • Group Activity (15 capacity) • 10 week intervention • 2 hours per week – healthy eating and physical activity • Aim: 3 – 5 % weight loss • 3 Locations: Burnt Oak, Copthall and Finchley Lido • Full Check & Measurements (Week 1 & 10 – BP, RHR, WC, Weight & EQ-5D-5L) • Each individual’s weight measured weekly The patient must not have any of the following Contraindications • Pregnant or breastfeeding • A diagnosed eating disorder • Comorbidity or underlying medical cause of obesity which requires medical intervention • Unstable/Uncontrolled moderate/severe mental health condition

BETTER HEALTH MEMBERSHIP BETTER Adult GP / Better HF GP Memberships • Year 1 BETTER HF GP Monthly - £13.20/£3.00 P & P • Year 2 BETTER HF GP Monthly - £17.80/£4.00 P & P • Year 3 BETTER HF GP Monthly - £27.80/£4.50 P & P • Year 4 BETTER HF GP Monthly – Mainstream H & F Membership • *price under review – likely to increase to £19.95 What does the Healthwise Membership include? • Gym • Swimming • Group Exercise (Healthwise & Mainstream Classes) ** Members who have previously been through the Healthwise programme will continue their membership from where it ended – to be authorised by the Healthwise department only.

Case Studies

100% feel Better, more motivated, lost weight, Blood pressure and Diabetes under good control – Marion . Increased exercise and enjoying class sessions – Cheryl . Having a trainer showing all the various exercises of posture was very helpful and motivating – Mukesh. Improved muscle efficiency, more energy and increased confidence in the gym – Guna. Improved Health , Mobility, Posture and Increased Fitness – Carmela. Helped me a lot to increase confidence and able to use equipment without supervision – Shila. Feel I have more energy – Jane. Have come every week and breathing better – Cafer. Engaged a lot, gave me structure and friendly staff - Dina. More confident, able to perform without supervision and understanding the importance of physical

HEALTH ¡ PROMOTION ¡

3. Exercise • Sit ¡to ¡Stand ¡– ¡1 ¡minute ¡ -­‑ Muscular ¡strength, ¡Posture, ¡Core ¡strength, ¡propriocep,on ¡ -­‑ ¡Target ¡Group: ¡Mental ¡Health, ¡Hypertension, ¡Elderly, ¡COPD ¡

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