Sandwell Physical Activity Referral Programme Helen Brock Sandwell Primary Care Trust
Background § § Sandwell has 6 towns Funded by PCT Been running for 4 years Gradually grown in size and reputation across Sandwell § Aim is to encourage participants to be more physically active in their day-day life § Successful scheme but now struggling with new challenges (e. g. NICE) and large numbers
Where and who runs the scheme? § 13 health and fitness assessment centres – 2 Leisure Centres, 2 schools, 8 community centres, 1 GP practice – Covers the whole of Sandwell § 20 staff trained to GP referral standard. – Also have in-house training sessions § 1 full time coordinator (but this programme is not the only part of role)
Health Professionals § All have a briefing session § At least one person per GP surgery in Sandwell is registered to refer patients § Secondary Care Services – Physiotherapy, diabetes specialist nurses, respiratory nurses, § CVD Risk Project
Referral Process § Referral by health professional § Appointment made at one of the centres § 1 -1 assessment § PAR-Q, various health and fitness checks, lifestyle questions, physical activity advice § 10 week exercise period § Support through 10 weeks § 10 week re-assessment § Further advice, other lifestyle referrals § 6 and 12 month follow ups
Inclusion / Exclusion § Inclusion: – Patients who are aged 16+ – suffer a medical condition – sedentary § Exclusion: – Symptomatic CHD or asymptomatic post MI who have not undergone coronary rehab programme. – Uncontrolled hypertension >160/100 mm. Hg – Unstable diabetics (can’t exercise below 5 or above 17 mmols/l) – Uncontrolled or acute heart failure – Ventricular or aortic aneurysm – Uncontrolled tachycardia (>100 bpm at rest) – Unstable or recently diagnosed angina (last 3 months)
Physical Activity Options § § § § § 10 week exercise programme – FREE Leisure Centre Activities EXTEND Home based exercise Walking – independent and health walks Green Gym Gardening Daily routine changes Cycling
Self-referrals § § § Scheme also takes self-referrals Same process but no free exercise Also target this work with whole community groups / workplaces
Results from last year § Quarterly monitored but annually reported § April 2005 – March 2006 – 1529 patients (66% female, 41% aged 30 -50 years old and 46% over 50) – 58% white British, 42% BME – 60% health professional referrals, 40 % self-referrals – Most popular medical conditions suffered – hypertension, obesity, diabetes, arthritis and other (general stress and anxiety)
Results Continued § § 55% returned for re-assessment 73% of those had increased their activity levels Most had increased their activity by 2 -3 days The main activities adhered to after 10 weeks were home based programmes, walking and then exercise classes and the gym § Total of 2038 health improvements were recorded the main one being overall fitness.
Challenges § NICE guidance and being part of a research programme § Large numbers of referrals – emphasis on quality rather than quantity § Ensuring right type of patient comes through on scheme § Free Exercise – long term sustainability § Looking to revamp scheme 1 st April 2007 – Meeting tomorrow to get the process started
Thanks for listening Questions?
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