Warwickshire GP Exercise Referral Scheme

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Warwickshire GP Exercise Referral Scheme
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Overview of Warwickshire GP Exercise Referral
Scheme

• Warwickshire GP Exercise Referral Scheme is a
  partnership of agencies in Warwickshire that seek
  to promote the health of local people through
  physical activity.
• Patients with existing health problems, who are
  not currently physically active are referred to a
  local Leisure/Activity Centre to learn the skills
  for exercising effectively.
• Sessions in the Leisure/Activity Centre are for
  12 weeks (24 sessions) and include
• Gym based activity Swimming
• Aerobics Walking plus other forms
• of activity as seen appropriate
• The costs of the exercise/activity programme to
  the patient is at a concessionary rate.

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Who is Involved in the Warwickshire GP Exercise
Referral Scheme?

• Warwickshire Specialist Health Promotion Service
• Primary Care Trust in Warwickshire
• District and Borough Councils and Leisure Trusts
  in Warwickshire
• Primary Care Teams in Warwickshire
• Leisure/Activity Centres within Warwickshire
•  
• Each organisation is fundamental to the
• effectiveness and quality of the scheme.

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Warwickshire wide Steering Group

• Steering Group oversees development of the scheme
  and offers expertise and guidance.
•  
• Comprises multi agency representation, including
  Warwickshire Primary Care Trust Primary Health
  Care Teams Warwickshire Specialist Health
  Promotion Service Borough / District Councils
  Leisure Centres.

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Local Implementation Groups

• LIG meetings are held in each area North Warks,
  Nuneaton Bedworth, Rugby, Warwick Stratford.
  All operational staff invited, including Practice
  Nurses, Leisure Centre Staff and Managers.
•  
• Opportunity for operational staff to meet, up
  date on developments, feedback from Steering
  group, raise issues to develop scheme.

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Aim of Warwickshire GP Exercise Referral Scheme

• To increase the number of people who are
  moderately active on a regular basis within the
  county.
• To target those who will gain most health
  benefits through an increase in their level of
  physical activity (namely those who currently do
  little or no physical activity).
• To equip participants with the knowledge and
  confidence to become regular, independent
  exercisers.
• To play a part in improving health and reducing
  health inequalities in local communities.

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Referral Process
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Referral Criteria

• A patient can be referred if
•  
• aged 16, considered inactive ie participates in
  less than 30 minutes in total of moderate
  intensity physical activity per week and
  motivated to adopt a physically active lifestyle

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Referral Criteria

• Plus one or more of the following conditions
• 1. High risk of Coronary Heart Disease
• 2. Hypertension
• 3. Diabetes types I and II
• 4. Osteoporosis
• 5. Lower back pain
• 6. Coronary Rehabilitation
• 7. Obesity
• 8. Mild depression/anxiety
• moderate intensity activity includes any
  activities that make you breathe harder than
  normal and become slightly warmer but still able
  to hold a conversation. eg brisk walks,
  swimming, cycling, heavy housework, cleaning the
  car etc.

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Exclusion Criteria

• A patient cannot be referred if they suffer from
  
• X Unstable/severe angina
• X High hypertension (over 179mmHg/
• 109 mmHg) or uncontrolled
• hypertension.
• X Uncontrolled insulin dependent
• diabetes.
• X Severe or poorly controlled asthma.
• X Chronic pulmonary disease.
• X Cerebro-vascular disease.
• X Peripheral vascular disease.

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Exclusion Criteriacontinued

• X Chronic muscle, joint or bone conditions that
  greatly impede mobility or require
  physiotherapist treatment.
• X Patients who in the Healthcare Professionals
  opinion are not medically fit to undertake an
  exercise programme.
• NB Where patients are excluded with one of the
  above conditions, GPs who feel a referral would
  still be beneficial and who are prepared to
  accept responsibility for the client should write
  a supporting letter to the Scheme Co-ordinator.

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Warwickshire GP Exercise Referral Scheme

• Fulfils the key guiding principles of National
  Quality Assurance Framework for Exercise Referral
  Scheme by
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• ? Standardised referral criteria (for
• inclusion and exclusion)
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• ? Documented and standardised service
• level agreements and referral protocols
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• ? Documented and standardised monitoring
• and evaluation systems
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• ? Pre-requisite training course for all PACE
• Scheme administrators and facilitation of
• continued professional development. To
• include up to date training on special
• conditions and scheme procedures.

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Number of Practices and Leisure Centres

• 52 out of 75 Practices
• signed upto the Scheme
• 13 Leisure Centres
• signed upto the Scheme

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Monitoring Information

• Returning of monitoring information could be
  improved upon.

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