1. Exercise Referral / Recommendation Pilot, Redditch John Crawford Health Development Co-ordinator Worcestershire PCT

2. What’s New?, Why Now? Policy drivers, national & local priorities for obesity and disease prevention / reduction New ‘local’ opportunity, RBC + wider LA interest in Worcestershire, may happen regardless! National Guidance, DH NQAF, NICE, Wright Foundation (Training & Consultancy) etc Qualifications, national register, standards & accountability of exercise specialists Regional networking & support via PAN- WM re. evidence base, NICE compliance etc.

3. The Pilot Pre Information Pack P.C.T. Client Recommendations Week 1 – Base line Assessments Week 2 - Nutrition Theme & Activity Session Week 3/6/8 – Lifestyle Theme & Activity Session Week 5 - Fitness Theme & Activity Session 4 Weeks - Self structured activity @ RBC venues (to be monitored & evaluated) Evaluate & produce a Case Study for PCT & RBC Week 4 – Stress/Relaxation Theme & Activity Session Week 7 – Re-assessment of Clients Base line data

4. Protocol & Guidance Key aims, reducing risk, motivating sustainable change, GP confidence etc Strategic context, Choosing Health, LAA, NQAF, NICE etc. Clinical & legal responsibilities, liability (NQAF) Referral criteria- stable chronic conditions, inactive patients Complementary to cardiac rehab Referral & consent form, condition, medication Referrals from GP’s & specialist nurses

5. Early indications, issues Common themes obesity,diabetes,depression Small group (11), 6 m, 4 f, 50:50 GP/SpN refs About half regularly attend, male commitment stronger! Where are referrals on the cycle of change? Some evidence of lifestyle changes, weight loss, more stable glucose, motivation Group dynamics helpful Referral protocol, process working

6. Next! Evaluation report early January With recommendations eg - Some group component may help referral, assessment and sustainability Further consultation needed on way forward GP/Patient engagement, some way to go Enough evidence to press on An opportunity to grasp!