1. Exercise Referral schemes
Unit 22: Kevin Browne
Exercise Referral schemes

2. What is an exercise referral scheme?
The aim is to provide an alternative to treating a patient by giving them a prescription for medication.
The belief is that exercise can play a vital role in managing medical conditions and improving health.
Therefore the medical professional (MP) will give them a prescription for exercise

4. JUST TO GET YOU THINKING!!!

5. All schemes will have variations but follow the same basic format of weeks exercise taking place either individually or as a group
Each patient will have to pay a small fee usually £1 per session, this is to make it available to all members of society and promote equality also by paying you are financially committing yourself to the programme

6. Who are the Medical Professionals
Doctor (GP)
Physiotherapist
Occupational therapist
Dietician
Nurse
Cardiac physiologist

7. Start of the programme
MP will refer the patient to qualified trainer, who will then design a specific programme for that person
However there are inclusion and exclusion criteria to be referred
What do you think these are?
Condition must be stable and have a proper diagnosis

8. How do we make the patient aware?
How do we make the patient aware that a scheme is taking place
Advertise in doctors surgeries
Make sure that doctors know that they can do this
Leaflets
Open days at surgery/leisure centres
Have this information available at hospitals and clinics

9. What information does the exercise instructor need?
Age/sex/ characteristics of the person
Past medical history and conditions and present status
Medication
Smoking/alcohol/BP/RHR
Name, contact details
Origin of referral
Severity of the condition
Have they previously exercised

10. Reason for Referral January 2005 to December 2005 (south Staffordshire Hospital )

11. Consultation process
Task: please complete the information that is required for the 2 tables.

12. Issues and information from the client
Lifestyle (smoke. Alcohol, sleeping patterns )
Availability
Motivation
Goals
Exercise history
Current sources of support
How they feel physically and emotionally
Recreational drugs
Are they seeing any other medical professionals

13. Issues and information for the client
Scheme itself (location, cost and times)
Consent form/PAR Q
Clothing/footwear
It is not a quick fix process
You are a point of call
You are there to educate them of the benefits
Length of the programme
Nutritional information
Feedback
Expectations

14. Exercise Referral stages
put these stages in order individually writing them into your books
Return to the community
Long term support to help the patient stay active
Evaluation of the patient experience and health outcome
Selection of the patient
Physical assessment of the patient and the appropriate intervention applied

15. 5 STAGES All exercise Referral schemes are based on 5 distinct stages
Selection of the patient
Physical assessment of the patient and the appropriate intervention applied
Long term support to help the patient stay active
Evaluation of the patient experience and health outcome
Return to the community
D, E, B, C, A

16. SUMMARY What were our learning aims
How do you think you have done against each one
What area is your strongest
What one will you need to focus on in order to make sure that your know it and are prepared for your assignment