1. Wessex Cancer Alliance
WesFit
An Alliance Approach
Fran Williams
Partnerships Lead
Wessex Cancer Alliance

2. WesFit
A pragmatic 2 x 2 factorial design randomised controlled study to assess the efficacy of the implementation of a prehabilitation programme in patients undergoing intra- cavity elective major cancer surgery in Wessex.  
Patients undergoing intra- cavity elective major cancer surgery ± receiving neoadjuvant chemotherapy (NAC) or chemoradiotherapy (CRT).
Published in 2014 – collaboration between PHE, CRUK, MCS

4. Some Quotes “I knew my body would take a massive kicking, so it was to put it in the best position I could beforehand”. I said, ‘well [partner], we have done absolutely everything we could to help the outcome of this’. And that was very comforting, to feel that, I couldn’t have done anything more’. And I got a good result, out within 10 days. And that was really good for me, emotionally. Post Surgery: ‘I wanted those faces, encouraging me again’.

5. Interval Training Programme
Warm up
30 Minutes of Exercise
Cool down
5 mins
0 W
3 mins
80%LT
2 mins
50%∆
5mins HR
80% AT - 80% of the anaerobic threshold
50%∆ - 50% of the difference between anaerobic threshold and VO2peak
Workload

6. Minnella Acta Oncologica 2017

9. Health Education and Psychological Support (The HUG)
One to one healthy conversations ± counselling to support their cancer pathway.
To help improve mental wellbeing and resilience  to deal with the treatment and empower the patient.
To promote long-term behaviour change leading to a healthier lifestyle.

10. The Future!!! Love Medical Ltd 2014
Training programme = £425 per patient for the 9 week training programme in-hospital 3 x per week in pairs
Could be 30 bikes
Love Medical Ltd 2014

11. The Future Model ATRIUM (Coventry) A community based gym
Pathfinder grant
ATRIUM (Coventry) A community based gym

12. Any questions/thoughts/comments……