Consultant led physical activity service in secondary care
ISPAH ePoster Library. Reid H. Oct 15, 2018; 225481
Hamish Reid
Hamish Reid
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Abstract
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Abstract IntroductionHealthcare is a key component of population approaches to improving physical activity, particularly when targeting the inactive and multimorbid. The majority of healthcare interventions on physical activity have focussed on primary care with a paucity of work on the role of secondary care services. Since chronic disease pathways are determined by specialist services, it is essential that secondary care is engaged in driving a change in the culture of healthcare toward empowering patients to live physically active lives. We describe a unique national feasibility pilot commissioned by Public Health England and the Faculty for Sport and Exercise Medicine to address this vital component of addressing population inactivity through healthcare.MethodThe Sport and Exercise Medicine Consultant led team have instituted a series of system based, patient pathway focussed physical activity interventions in five discrete patient pathways across a large NHS hospital trust. Services include Cardiology, Transplant, Maternity, Critical Care and the Centre for enablement. We describe the development of these pathways using the COM-B model for behavioural change and a process based evaluation.ConclusionThis pilot been recently commissioned it is too early to draw conclusions or recommendations from this work. However, the pilot phase is due to finish a the end of August when we will have results available from the formal evaluation together with recommendations for further work and the framework for developing an Active Hospital Toolkit. External funding details This project is funded by Sport England with the National Lottery
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