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

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HEALTHWISE: PHYSICAL ACTIVITY REFERRAL SCHEME

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PHYSICAL INACTIVITY

Physical ¡ Inac,vity ¡ has ¡ been ¡ iden,fied ¡ as ¡ the ¡ 4th ¡ 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 ¡ Who ¡ What ¡ When ¡ Where ¡

How ¡

Pa,ents ¡ Pa,ent ¡decides ¡to ¡ engage ¡with ¡ac,vity ¡or ¡ service ¡

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BENEFITS OF PA/EXERCISE

‘If Exercise was a pill everyone would be taking it’

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1. Exercise

¡

Marching ¡on ¡the ¡Spot ¡– ¡2 ¡Minutes ¡
‑ Cardiovascular ¡fitness, ¡Posture, ¡Balance, ¡PropriocepNon ¡
‑ Target ¡Group: ¡Physically ¡decondi,oned, ¡Diabetes, ¡Elderly ¡and ¡

Hypertension ¡& ¡EST ¡CHD. ¡

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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.

WHAT IS HEALTHWISE?

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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!

¡ ¡

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HEALTHWISE: HOW TO REFER?

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. 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. 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. Bar Global>Referral Forms>Healthwise Please make sure all sections of the referral form are filled out appropriately

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¡ ¡ ¡ ¡

THF

Copthall Leisure Centre
Referrers: Barnet Hospital &

Cherry Lodge Cancer care.

12 week programme - Cancer
Exit Route in to Healthwise –

entitled to HL membership Barnet Diabetes Team CLCH

Direct referrals/indirect

referrals.

Specific Pathway – HBa1c

(>48m/mol or >6.5% - 11%) Healthwise PARS

All Medical conditions that

meet the inclusion criteria & benefit from exercise.

Primary Care – GP surgeries

in Barnet NHS Health Check Pathway

Referred to Healthwise
Preventative Pathway – 1 risk

factor + (BP, Cholesterol, Sugar and/or BMI)

REFERRAL PATHWAY

12 Week Physical Activity Programme

3 Assessments (Week 1& Induction, 6 & 12)
Signposted to supervised gym sessions or
ther activities at the centre – can come as

many times as they like

Burnt Oak, Copthall & Finchley Lido
Hendon (Q1 2019) & New Barnet (Q4 2019)

Adult Weight Management 10 Week Programme

Group Activity (15 capacity)
BMI 30+
2 hours per week – Conference or meeting rooms,

gym and studio.

Aim: 3 – 5 % weight loss
Full Check & Measurements (Week 1 & 10)
Each individual’s weight measured weekly

EXIT ROUTE

3. OUTCOMES
1. INCLUSION CRITERIA

2.TRIAGED Patient Journey

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¡ ¡ ¡ ¡

Leisure Centre activity. Supported by 3 year tiered subsidised membership Centre activities, Walking for health and Sport based activity Referral

Received from health

professionals via NHS email address

Administrator processes

against inclusion criteria and triage in to programmes Adult Weight Management Lifestyle and Behavioural change intervention 10 weeks PARS Behavioural change intervention 12 weeks – Physical activity

PATIENT JOURNEY

Healthwise supervised Sessions REJECTION Patient does not meet the inclusion criteria for the Healthwise scheme. OUTCOMES ACTION Patient’s referral form is missing or requires more information to process referral against inclusion criteria. UNCONTACTABLE Patient can’t be contacted by the Healthwise team. Letter sent to home address for patient to contact the team. ON HOLD Contraindication to exercise d u e t o u n c o n t r o l l e d symptoms/measurements related to referral reasons ACCEPTED POST GRADUATION 3 Month Follow Up (PARS only) 6 Month Follow Up (AWM & PARS) 12 Month Follow Up (AWM & PARS) 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. A ¡Pa,ent ¡who ¡completes ¡ the ¡12 ¡week ¡programme ¡ – ¡ The ¡ referrer ¡ will ¡ be ¡ sent ¡a ¡gradua,on ¡le_er. ¡ GIVE IT A GO 3 month Those who are inactive without a medical condition TRIAGE Leisure Centre activity supported by a discounted membership for up to 1 year

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

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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

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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.

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Case Studies

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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

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HEALTH ¡ PROMOTION ¡

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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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XPLORE

Healthy Lifestyle Service

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What is XPLORE?

Family Lifestyle Programme aimed at helping children and young

people who are over the healthy weight range and between the ages of 4 and 13 years to move more, eat well and feel good

FREE 8 week programme with 12 months maintenance that supports

families to make sustained lifestyle and dietary changes

Referral criteria:

− BMI > 91st centile without complex needs

Eligibility criteria:

− Live in the borough / registered with a GP and/or attend a school, 6th form college or further education in Barnet

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Why its needed?

Xplore uses the NCMP data to prioritise schools and areas of the

borough to deliver programmes. Key messages for Barnet from latest results (2016-2017)

In 2016/17, almost one-fifth (19%) of 4–5 year olds and almost one-

third (32%) of 10–11 year olds were either overweight or obese.

Obesity levels in 10–11 year olds were twice as high as in age 4–5 year
lds.
Barnet levels of overweight, obesity and excess weight were

significantly lower than London levels, for both age groups.

10 to 11 year olds in the most deprived areas had double the obesity

level of those in the least deprived areas; for 4–5 year olds levels were 50% higher.

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Where we deliver?

Our programmes are delivered in the following leisure

centres:

Burnt Oak Leisure Centre
Hendon Leisure Centre
Finchley Lido Leisure Centre

From late 2019 we will be in all of our leisure centres including the new Copthall and New Barnet Leisure Centre.

We focus on getting across the borough so also deliver in

primary schools targeting the top 15 priority list from the NCMP results and those in the most deprived areas.

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How to make a referral

Self referral

Discuss with family and provide XPLORE flyer Family contact XPLORE Xplore.barnet@gll.org Tel: 020 8457 9907

Health / social care professional referral

Talk to child, young person, family about programme Complete referral form Email/send form to Local team gllbarnet.referrals@nhs. net

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4. Exercise
Heel ¡Dig ¡& ¡Curls ¡– ¡1 ¡minute ¡
‑ Circula,on, ¡Balance, ¡Core ¡strength ¡
‑ ¡Target ¡Group: ¡Hypertensive, ¡EST ¡CHD ¡& ¡COPD ¡

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Launched in July 2018 Over 2,000 sign ups in Week 1. Registrations from 17th July 2018: 11,653 Total FAB card memberships 20,414

Fit and Active (Barnet Card)

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Other…

Marked Routes (1km, 2.5km & 5km)
Cycle Confident
Pre/ Post Natal Class
Walking groups
Green Gyms
Age UK
Saracens Sports Foundation
Dementia Swimming
Inclusive Fitness Initiative
Community Centres
GP Surgeries
National Diabetes Prevention Programme
The Mayor’s golden kilometre challenge

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Healthwise Update

49 GP surgeries – Further Engagement
Marketing for Adult weight management
Introduction of the ‘Give It A Go’ Programme -
Year 2: Falls Prevention & Cancer
Mobilising to Hendon Leisure Centre
Middlesex University
2 new Leisure Centres – Copthall & New Barnet
Referral Form Update (July – Sept)

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QUESTIONS ?

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CONTACTS – Physical Activity & Health Team

Refer Patients

Gllbarnet.referrals@nhs.net

General Enquiries

Healthwise Direct Number: 0208 457 9910 (8.00am till 3.00pm – Monday – Friday)
Healthwise.Barnet@gll.org
Child Weight Management (Xplore) Direct Number: 020 8457 9907

Xplore.barnet@gll.org Physical Activity and Health Team

Billy.phillips@gll.org – Healthwise Coordinator
George.bell@gll.org – Xplore Coordinator / Child Weight Management