Live Active / Vitality Introduction

Lianne Thomas

To improve the health of the Greater Glasgow and Clyde population by –

▪ increasing physical activity levels by assisting participants to become more active and supporting them to gain the knowledge, tools and confidence to lead a physically active life.

▪ Improving participants weight by supporting participants to address weight management behaviours via physical activity and healthy eating

▪ Improving overall health by supporting participants to address other health behaviours such as smoking, healthy eating and alcohol.

LIVE ACTIVE - aims

Responsibilities• Referring health professional must ensure that a patient is medically competent to embark on an exercise programme. Therefore they must have access to full medical notes of the patient to be able to refer.• Referring health professional must fully complete the appropriate health profile and forward it to the Live Active Advisor.

• Opportunity to check prescriptions prior to patient embarking on programme of activity

Responsibilities• Live Active Advisor must ensure that health profiles are fully completed and follow appropriate lines of enquiry if appropriate. • Live Active Advisor must provide appropriate and safe recommendations based on the patients health profile.

• Patients agree to recommendations set with the Live Active Advisor and sign the lifestyle goals• Patients must inform the Live Active Advisor or instructor of any change in medical conditions or symptoms

Referrals for patients with established heart disease

Patients with heart disease identified in Primary Care

• Exercise Tolerance Test (ETT) if appropriate OR• Screened by Live Active Medical Screener

Patients with heart disease identified in Cardiac Rehabilitation - Direct referral to Live Active if appropriate for patients completing NHS phase III cardiac rehabilitation

Exercise Tolerance Test Referrals

Targets inactive patients with established heart disease who:

• ETT > 6 months/never had an ETT • Phase III cardiac rehab > 6 months/never

attended cardiac rehab • ETT < 6 months - will only be recalled by hospital

if they have changing symptoms. If no change - previous ETT used and reported onto referral form

• Cardiologists accepts clinical responsibility

Who can refer patients?• Patients free from

heart conditions:– GPs– Practice Nurse – Physiotherapist – Consultants

• Patients with heart conditions:– GPs– Practice Nurses– Consultants

• Post Cardiac Rehabilitation – Cardiac Physiotherapist/Cardiac Nurse from the

participating hospitals

Referring health professional must receive a full briefing before being able to refer onto the scheme and must be registered within NHS

GG&C

Inclusion Criteria

INACTIVE and:

• Over 16 years of age• Contemplating or preparing to address their

physical activity or weight management behaviours and motivated to do so

• BP < 160/90• Require support to become more physically

active or address their weight

Exclusions

• Symptomatic aortic valve disease, HOCM, ICD – refer to /consult cardiology for advice

• Systolic BP ≥ 180• Diastolic BP ≥ 100• Unstable angina• Aortic stenosis• Acute heart failure or CHF

(NYHA 3 or 4)• Uncontrolled tachycardia or

uncontrolled arrhythmia or a ventricular rate >100bpm

• BP ≥ 160/90 will be accepted if being monitored /treated

• Regularly active• Looking for discount• Unable to follow an

individual or class based activity programme (severe cognitive or physical impairment)

• Not motivated to increase activity levels

• Outwith NHSGG&C• Re-referrals

Contraindications Inappropriate referrals

Live Active consultations• activity history• height/weight/waist circumference/blood pressure• Health State Scales• Stage of behaviour change• 7-day physical activity recall• healthy eating questionnaire• decisional balance – pros / cons• relapse prevention and social support methods• Lifestyle goals agreed and documented

Patient gets support to begin program

Follow-up

• Live Active scheme provides 12 months support. Minimum being....

• 1 month telephone consultation• 3 month letter• 6 month face-to-face consultation• 12 month face-to-face consultation

Other support methods

• Supervised Gym sessions• Functional training classes• Health Walks• Live Active Motivators• Drop in/weigh in sessions

Live Active Central Administrator

• Rosalind Henry – based at Emirates Arena– Contact tel. 0141 287 9873– Contact point for primary care for

referral forms/packs and Live Active information

– Central booking line for Glasgow city service

Recent success stories…

The Vitality Programme

Vitality Class Names

Level Class Name

Chair Based Class Strength and Balance Class

V. Low Level Circuit Strength and Balance Circuit

Moderate circuit Step In Circuit

Advanced Circuit Step Up Circuit

Strength and Balance ClassFor clients that can walk slowlyand may have limited dynamic standing balance or require mobility aids.

Suitable for – Frail elderly, MS, Stroke, Parkinson’s Disease, Cardiac, Osteoporosis,Cognitive impairments, COPD

Strength and Balance Circuit

For those who are mobile (with or without a mobility aid) but may have difficulty with movement and daily activities

Suitable for -Frail elderly, Parkinson’s disease, MS, Stroke, Cardiac, Osteoporosis, Cognitive impairments, selected COPD.

Step In CircuitFor those with independent mobility(with or without an aid) but may have some difficulty doing daily activities

Suitable for - Osteoporosis, Cardiac Conditions, MS, Stroke, Parkinson’s disease, selected COPD

Step Up Circuit

For those who are mobile (without an aid) and have minimal difficulty doing daily activities.

Suitable forCardiac Conditions, Osteoporosis, Stroke, Parkinson’s disease, MS, selected COPD

Questions?Contact

lianne.thomas@glasgowlife.org.uk0141 287 0238