February 2019 MCLG, Barnet CEPN How much exercise should we do and promote ? Do our organisations set a good example ? February 2019 MCLG, Barnet CEPN

Objectives for today Learn about the recommended guidance for physical activity for different age groups. Learn about the benefits of physical activity. Become more aware of local resources that are available in Barnet to promote physical activity. Consider what steps organisations can take to promote increased activity amongst staff and patients.

Let’s start with a little quiz. GO TO www. menti Let’s start with a little quiz! GO TO www.menti.com Please enter code 89 53 77

In Barnet: Prevalence of excess weight (overweight and obese): 55.7% adults, 21% 4-5 years, 34.4% 10-11 years CHD primary cause of death in adults 40.2% adults participate in physical activity at least 1/week 53.5% adults don’t participate in any SPA 61.5% adults want more SPA opportunities to participate Demographic disparities (participation SPA at least x3 per week) 23.2% male vs 12.6% female 42% white vs 37.3% BME SPA = strenuous physical activity

Should pregnant women rest more than pre-pregnancy? Y or N NO No

Which intervention is more effective wrt behavior change Which intervention is more effective wrt behavior change? Smoking cessation or encouraging physical activity? Encouraging physical activity

How efficacious is health professional advice? Doctors need to advise 50-120 smoking patients to get one to give up Doctors need to advise 12 inactive patients to get one to meet recommended activity levels

Fit & Active Barnet Campaign Aim – localised campaign launched in July 2018, encouraging and inspiring residents to lead more active and healthier lifestyles Addresses barriers to participation and communicates the health and wellbeing benefits associated with being active Fit & Active Barnet Hub will support the participation journey, providing a ‘one stop shop’ for all things SPA related ie: Fit & Active Barnet Card registration Activity finder App News, tips and case studies Volunteering opportunities https://www.better.org.uk/fab-hub

What is Healthwise? Model for physical activity interventions covering wide range of medical conditions, compliant with NICE guidelines. Healthwise operates within 21 Local Authorities. Tailors programmes to meet local needs and address health priorities Introduces patients to a low cost physical activity programme Offers a menu of established evidence based programme options including physical activity on referral, cardiac referral and weight management. Provides supervised or independent pathways, delivered by highly trained staff. Partnership work with extended services including dietetics, cardiac rehab, pulmonary rehab.

Healthwise Programmes Physical Activity on Referral Cardiac rehabilitation Adult weight management course Family Weight Management courses Musculoskeletal programme Falls Prevention COPD (support service to pulmonary rehab teams) Health checks Smoking cessation Cancer rehabilitation Mental Health Classes Diabetes Other specialist/Tier 3 programmes run in partnership eg stroke rehab, PD, seated exercise, Heart failure, MS etc

Healthwise evaluations High completion rate Positive physiological and psychological changes Significant increase in level of physical activity Significant improvement in QOL scores and physical activity levels 6 months after completing scheme Successful targeting of unemployed and retired Positive feedback from pts – improved health, confidence, social isolation Pts report seeing GP less and reducing medications

Healthwise Physical Activity Referral Scheme (PARS) The Healthwise Physical Activity referral scheme introduces individuals to the benefits of physical activity in order to help reduce risk factors for chronic disease and manage existing medical conditions. 12 week, low cost physical activity programme Helps to become and remain more physically active Increase fitness levels Increase knowledge, skills and confidence Improve health and well-being

Barnet Healthwise PARS: Who is the scheme for? Barnet residents or patients from a Barnet based GP Over 16 Medical condition meets inclusion criteria – existing condition or at risk of developing condition. Ready to make a change (pre-contemplation – contemplation phase) Physically inactive.

Referral Common reasons for referral: High BP, diabetes, obesity, asthma, circulatory/resp diseases, depression/anxiety, arthritis… See referral form for full list of conditions Only access is via GP referral GP should give details of the Healthwise Coordinator to patient at time of referral GP must be registered with the scheme (can be registered via the Healthwise Coordinator at local ‘Better Leisure Centre’ (Barnet Copthall) cepn.barnetccg.nhs.uk/Downloads/HEALTHWISE%20REFERRAL%20FORM.docx Current waiting time: 3 weeks Programme available at Copthall Leisure Centre and Burnt Oak Leisure Centre.

The healthwise team will: Perform an initial assessment and prescribe suitable physical activity (supervised or non-supervised) that can be carried out over 12 weeks Set up with Healthy Living membership which gives unlimited access to gym, swimming and group exercise classes Assess and monitor progress – reviews at 6 and 12 weeks Motivate and encourage during activity programme Advise on how to exercise safely and with confidence Answer questions

Cost Better Healthwise membership is an inclusive membership which gives access to the gym, swimming and group exercise classes based on what is suitable for individual needs and medical condition. Payment is available in three options: • An annual membership of  £158.40 • A monthly Direct Debit for £13.20 per month for the first year. • A Pay & Play membership of £3 per visit

Contact info Contact for enquiries regarding Healthwise: Billy Phillips – 020 8457 9900 Healthwise.barnet@gll.org

Discussion: What could you/your organisation do to promote physical activity and address obesity? For yourself and your staff? Discussion in groups of 4-6 What is the structure of your typical day? Where are the opportunities to be physically active? How could you create some? Feedback to the larger group For your patients and their families? How could you promote increased physical activity amongst patients/customers? Who is best placed to promote increased physical activity? What steps need to be taken? Feedback to the larger group?

Evaluation Thank you for participating in today’s MCLG. Please fill out the evaluation form.