Information for GP's, Community Nurses, Occupational Therapists, Physiotherapists and Health Professionals wishing to refer patients for an Exercise Referral Programme with an Exercise Referral Instructor.
Services provided to patients that are referred for Exercise Referral Programmes.
- Consultation in patients home to ascertain appropriate referral and agreement to proceed with the patient.
- Health assessment/screen to ascertain patients fitness level to carry out graded exercise programme.
- Lifestyle screening to obtain patients history of activity, work, leisure and time available. To identify any potential barriers and agree strategies to overcome them in order to complete exercise programme. Discuss patients readiness to start and agree with them short, medium and long term Goals.
- Fitness Testing and Postural alignment: to include Body Mass Composition, Range of Movement, Muscular strength and endurance, Cardiovascular Output. These tests will be repeated during the programme to assist monitoring progress and allow progression to patients Goals.
- Graded programme's specifically designed to meet the patients health needs, limitations and abilities and desired outcome taking into account any contraindications identified regarding the Health Conditions and Medications at the time of the consultation. The patient will be constantly monitored regarding any new conditions that may need the programme to be adjusted.
- Programmes to be carried out either in the patients home or outdoor environment and all appropriate risk assessments will be completed before any sessions.
Services to patients with a wide range of Health Conditions; of which all must be stable at the time of referral and be Risk Stratified as Low to Medium:
- Muscular and Skeletal conditions ie: Osteoarthritis, Osteoporosis, Rheumatoid Arthritis, Joint Replacement and Low Back Pain (simple mechanical).
- Obesity BMI 30+
- Endocrine conditions ie: Diabetes Type 1 and 2.
- Respiratory conditions ie: Asthma and Chronic Obstructive pulmonary disease (COPD).
- Cardiovascular disease ie: Hypertension, Cardiovascular disease and Hypercholesterolaemia.
- Neurological disease ie: Multiple Sclerosis, Parkinsons Disease and Stroke (CVE) or (TIA).
- Mental Health conditions ie: Depression, Anxiety and Stress.
Patients requiring specific Nutritional needs can be referrred to a Nutritionist by their GP or Consultant or other Health Professional. As an Occupational Therapist I can also make this referral. Unfortunately there is no NHS funding at this time to the Private Sector.
Referral's are made to NHS and Local Authority facilities and Health Clubs; as such they are sometimes jointly funded or subsidised. However these gyms have multiple facilities and cater to all needs to a wide variety. Patients may find this environment intimidating and negative towards their own journey to improved health. The Programmes are generally for 12 weeks at which at the end the patient is either encourage to join the facility to carry on or given exercises to do at home. For many this is not long enough to achieve the desired end Goal and does not provide the support to adjust to a new lifestyle and continue with their health and exercise programme.
The advantage of using an Independent Personal Trainer/Instructor is that we are in a better position to assist and guide the patient to continue their journey and guide them to make the right choices. Programmes can be designed to be in the Gym in time when their confidence builds and to be applied across different environments to give variety and enhance completing the course and changing their lifestyle long term.
I am able to visit Surgeries, Practices, Health Centres or Day Centres to meet with the Practice Managers to discuss the Referral Process and Services I offer.
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