1. Live Active / Vitality Introduction Lianne Thomas

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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 ContraindicationsInappropriate referrals

11. 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

12. 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

13. Other support methods Supervised Gym sessions Functional training classes Health Walks Live Active Motivators Drop in/weigh in sessions

14. 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

15. Recent success stories…

16. The Vitality Programme

18. Vitality Class Names LevelClass Name Chair Based ClassStrength and Balance Class V. Low Level CircuitStrength and Balance Circuit Moderate circuitStep In Circuit Advanced CircuitStep Up Circuit

19. Strength and Balance Class For clients that can walk slowly and may have limited dynamic standing balance or require mobility aids. Suitable for – Frail elderly, MS, Stroke, Parkinson’s Disease, Cardiac, Osteoporosis, Cognitive impairments, COPD

20. 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.

21. Step In Circuit For 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

22. Step Up Circuit For those who are mobile (without an aid) and have minimal difficulty doing daily activities. Suitable for Cardiac Conditions, Osteoporosis, Stroke, Parkinson’s disease, MS, selected COPD

23. Questions? Contact lianne.thomas@glasgowlife.org.uk 0141 287 0238