1. 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

2. 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.

3. Let’s start with a little quiz. GO TO www. menti
Let’s start with a little quiz! GO TO Please enter code

7. In Barnet: Prevalence of excess weight (overweight and obese):
55.7% adults, 21% 4-5 years, 34.4% 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

14. Should pregnant women rest more than pre-pregnancy? Y or NNO No

16. 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

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

18. 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

19. 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.

20. 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

21. 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

22. 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

23. 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.

24. 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.

25. 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

26. 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  £ • A monthly Direct Debit for £13.20 per month for the first year. • A Pay & Play membership of £3 per visit

27. Contact info
Contact for enquiries regarding Healthwise: Billy Phillips –

28. 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?

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