Transcript Live Active & Vitality - NHS Greater Glasgow and Clyde

Live Active / Vitality
Introduction
Lianne Thomas
LIVE ACTIVE - aims
To improve the health of the Greater Glasgow and Clyde
population by –
▪ increasing physical activity levels by assisting participants to
become more active and supporting them to gain the
knowledge, tools and confidence to lead a physically active life.
▪ Improving participants weight by supporting participants to
address weight management behaviours via physical activity
and healthy eating
▪ Improving overall health by supporting participants to address
other health behaviours such as smoking, healthy eating and
alcohol.
Responsibilities
• Referring health professional must ensure that a
patient is medically competent to embark on an exercise
programme. Therefore they must have access to full
medical notes of the patient to be able to refer.
• Referring health professional must fully complete the
appropriate health profile and forward it to the Live Active
Advisor.
• Opportunity to check prescriptions prior to patient
embarking on programme of activity
Responsibilities
• Live Active Advisor must ensure that health profiles are
fully completed and follow appropriate lines of enquiry if
appropriate.
• Live Active Advisor must provide appropriate and safe
recommendations based on the patients health profile.
• Patients agree to recommendations set with the Live
Active Advisor and sign the lifestyle goals
• Patients must inform the Live Active Advisor or
instructor of any change in medical conditions or symptoms
Referrals for patients with established
heart disease
Patients with heart disease identified in Primary Care
• Exercise Tolerance Test (ETT) if appropriate OR
• Screened by Live Active Medical Screener
Patients with heart disease identified in Cardiac
Rehabilitation
- Direct referral to Live Active if appropriate for patients
completing NHS phase III cardiac rehabilitation
Exercise Tolerance Test Referrals
Targets inactive patients with established heart disease
who:
• ETT > 6 months/never had an ETT
• Phase III cardiac rehab > 6 months/never attended
cardiac rehab
• ETT < 6 months - will only be recalled by hospital if they
have changing symptoms. If no change - previous ETT
used and reported onto referral form
• Cardiologists accepts clinical responsibility
Who can refer patients?
• Patients free from
heart conditions:
– GPs
– Practice Nurse
– Physiotherapist
– Consultants
• Patients with heart
conditions:
– GPs
– Practice Nurses
– Consultants
• Post Cardiac Rehabilitation
– Cardiac Physiotherapist/Cardiac Nurse from the
participating hospitals
Referring health professional must receive a full briefing
before being able to refer onto the scheme and must
be registered within NHS GG&C
Inclusion Criteria
INACTIVE and:
• Over 16 years of age
• Contemplating or preparing to address their
physical activity or weight management behaviours
and motivated to do so
• BP < 160/90
• Require support to become more physically active
or address their weight
Exclusions
Contraindications
• Symptomatic aortic valve disease,
HOCM, ICD – refer to /consult
cardiology for advice
• Systolic BP ≥ 180
• Diastolic BP ≥ 100
• Unstable angina
• Aortic stenosis
• Acute heart failure or CHF (NYHA
3 or 4)
• Uncontrolled tachycardia or
uncontrolled arrhythmia or a
ventricular rate >100bpm
• BP ≥ 160/90 will be accepted if
being monitored /treated
Inappropriate referrals
• Regularly active
• Looking for discount
• Unable to follow an individual or
class based activity programme
(severe cognitive or physical
impairment)
• Not motivated to increase
activity levels
• Outwith NHSGG&C
• Re-referrals
Live Active consultations
• activity history
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height/weight/waist circumference/blood pressure
Health State Scales
Stage of behaviour change
7-day physical activity recall
healthy eating questionnaire
decisional balance – pros / cons
relapse prevention and social support methods
Lifestyle goals agreed and documented
Patient gets support to begin program
Follow-up
• Live Active scheme provides 12 months
support. Minimum being....
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1 month telephone consultation
3 month letter
6 month face-to-face consultation
12 month face-to-face consultation
Other support methods
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Supervised Gym sessions
Functional training classes
Health Walks
Live Active Motivators
Drop in/weigh in sessions
Live Active
Central Administrator
• Rosalind Henry – based at Emirates
Arena
– Contact tel. 0141 287 9873
– Contact point for primary care for referral
forms/packs and Live Active information
– Central booking line for Glasgow city
service
Recent success stories…
The Vitality Programme
Vitality Class Names
Level
Class Name
Chair Based Class
Strength and Balance Class
V. Low Level Circuit
Strength and Balance Circuit
Moderate circuit
Step In Circuit
Advanced Circuit
Step Up Circuit
Strength and Balance Class
For clients that can walk slowly
and may have limited dynamic
standing balance or require
mobility aids.
Suitable for –
Frail elderly, MS, Stroke,
Parkinson’s Disease,
Cardiac, Osteoporosis,
Cognitive impairments, COPD
Strength and Balance Circuit
For those who are mobile (with or
without a mobility aid) but may
have difficulty with movement and
daily activities
Suitable for Frail elderly, Parkinson’s
disease, MS, Stroke, Cardiac,
Osteoporosis, Cognitive
impairments, selected COPD.
Step In Circuit
For those with independent mobility
(with or without an aid) but may have
some difficulty doing daily activities
Suitable for Osteoporosis, Cardiac Conditions,
MS, Stroke, Parkinson’s disease,
selected COPD
Step Up Circuit
For those who are mobile (without an
aid) and have minimal difficulty doing
daily activities.
Suitable for
Cardiac Conditions, Osteoporosis,
Stroke, Parkinson’s disease, MS,
selected COPD
Questions?
Contact
[email protected]
0141 287 0238