Time to Change Exercise Consultation on Referral Scheme

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• Time to Change Exercise Consultation on Referral
  Scheme
• Walsall Sport and Leisure Development

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Time to ChangeBackground

• Scheme began in 2001 with funding from HAZ,
  Walsall tPCT, and Walsall Local Authority.
• In 2003 The position responsible for
  co-ordination and delivery was mainstreamed by
  the local authority
• In 2007, through Choosing Health Allocation a new
  position has been funded to assist with
  co-ordination and delivery.

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Time to Change

• Self Referral and Medical Referral
• Working with 47 Referral Sources, including
  Rheumatology, Stroke Rehabilitation, Occupational
  Health, and Mental Health
• Meeting in a convenient venue
• One to one consultation (45mins)
• Health Screening

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Time to Change

• Barriers to exercise are discussed
• Motivational Interviewing techniques based on
  behavioural change theories are used.
• Activity Plan is produced
• Unlike other exercise referral schemes, the
  activity plan does not have to be facility
  dependant e.g. gyms.

5
Time to Change

• The activity plan is individualised includes
  lifestyle changes, exercises at home, supervised
  gym programmes, and specialised sessions.
• 6 months of support phone calls and one to one
  contact

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Time to Change

• Specialised Session
• Supervised gym programme- Clients who want to
  exercise within a gym environment can have
  supervision and support 100 of the time.

7
Time to Change

• Extend Exercise for the elderly and less
  mobile. Also stroke rehabilitation
• Hydrotherapy Exercise in water, especially for
  individuals suffering from arthritis.
• Health Walks 16 walks (1m 6m) across Walsall,
  Daytime and Evenings. Weekdays and Weekends.

8
Time to Change

• Walking Programmes Step-o-meters given to
  clients on a loan basis
• Power Breathe Loan COPD.
• PACE Sessions (British Association of Cardiac
  Rehab Phase IV)

9
Time to Change

• Heart Care - Two way referral process between
  Heart Care and the Time to Change Programme.
• T2C Heart-Cares G.P Angina Programme and
  Cardiac Rehab Programme Phase 3.

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Time to Change - Successes

• In 2005 to 2006 68 Clients increased exercise
  levels at 1 month
• 65 sustained this level at 6 months
• Diverse range of referral sources
• Referral Numbers have increased year on year
  since schemes beginning in 2001.

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Time to Change - Challenges

• G.P responses to letters regarding patients.
• Incorporation of Health Trainer Service into
  referral pathway.

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• Thank you for Listening