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Become an active practice – boosting physical activity

CQC Areas

  • Effective: delivering evidence-based care and treatment
  • Effective: supporting people to live healthier lives
  • Caring: Workforce wellbeing & enablement
  • Well-led: Environmental Sustainability

The benefits of this project

Project benefits for Your Patients

Benefits for Your Patients

  • Physical health benefits of increased physical activity
  • Mental health benefits of increased physical activity
Project benefits for Your Practice

Benefits for Your Practice

  • Physical health benefits of increased physical activity among staff
  • Mental health benefits of increased physical activity among staff
  • Increased collaboration with local organisations
Project benefits for The Planet

Benefits for The Planet

  • Improved health reducing healthcare needed

Opportunity for improvement

  • This project aims to increase physical activity among both staff and patients (see disclaimers). 
  • There is no situation, there is no age and no condition where exercise is not a good thing”   - Chief Medical Officer, Chris Whitty 2020  
  • According to the World Health Organisation, physical inactivity is the fourth leading risk factor for death worldwide. Being physically active reduces the risk of dementia by 30%, depression by 30%, heart disease by 40%, type 2 diabetes by 40%, breast cancer by 25% and osteoporosis by 50%. Significantly better than many drugs that we prescribe.   
  • The Royal College of General Practitioners states that “GPs and their teams haven’t always felt empowered to encourage their patients to move more. The Active Practice Charter is a fun, easy way to make some simple but impactful changes in your workplace that will demonstrate to your patients and staff that you mean it when you say that movement is the best medicine.”  
  • You might like to create SMART goals for this project, e.g., for at least 50% of patients with a BMI >30 to have received brief advice on physical activity, coded in their medical records, within the next 3 months.

How to carry out this project

  1. Sign up on the RCGP website to the Active Practice Charter.

    Sign up on the RCGP website to the Active Practice Charter. 

  2. Demonstrate having taken steps to:

    • Reduce sedentary behaviour in staff;
    • Reduce sedentary behaviour in patients;
    • Increase physical activity in staff; 
    • Increase physical activity in patients; 
    • Partner with a local physical activity provider 

    There are 5+ options suggested for each aim on the RCGP Active Practice website, some of which may already be happening in your practice.  

    There are resources to help you carry out each aim, including waiting room posters and flyers, social media resources, and recorded masterclasses. 

  3. If choosing to become a parkrun practice as part of partnering with a local physical activity provider:

    Make contact with local parkrun team and then register practice 

     

     

  4. Patient-facing resources:

    Share resources from Moving Medicine’s Patient Info Finder, tailored for patients of different ages and with different conditions, including goal setting and activity diaries  

    Share resources like short ‘five in five’ physical activities with patients. https://weareundefeatable.co.uk/ways-to-move/resources/five-in-five/ 

  5. Staff-facing resources:

    Promote Moving Medicine resources at a practice meeting. The consultation guides are tailored for patients of different ages and with different conditions (from heart disease to cancer, depression, postnatal, hospital associated deconditioning, and more). These support short conversations (developed for time-stretched professionals, with 1, 5, and 5+ minute options) with patients on how activity can improve their health.   

    Share e-learning by  https://www.e-lfh.org.uk/programmes/physical-activity-and-health/ on the benefits of physical activity. Familiarise teams with the infographics available from public health England  https://www.gov.uk/government/publications/physical-activity-guidelines-infographics .  

  6. Patient-facing messages:

    You might want to consider sending patients an SMS message, through AccuRx, about parkrun. This can be a follow-up to a personal recommendation (with the relevant SNOMED code inbuilt), or a more generic message to all patients.  Example SMS messages are below, but feel free to come up with your own wording.  

    Resource: Personalised message

    Dear Patient, During our discussion today we talked about parkrun. Our nearest is [NAME OF EVENT, NAME OF PARK]. The event starts at [9am in England and Wales, or 9.30 in Scotland and Northern Ireland]. It is totally free to take part. You can spectate, volunteer, walk or jog, and can wear anything you like. Please see www.parkrun.org.uk for more details or speak to a member of the practice staff. SNOMED code: Signposting to community exercise group

  7. IT search

    Using searches and codes described on RCGP active practice website may be helpful to enable targeting of patients who may most benefit from physical activity discussion/referral, and audit of this.    

  8. Study

    Evaluate progress on how you are implementing the active practice charter, share with the practice team and decide if any changes are needed to improve further.  

How to scale this project up or down

Please note - Use of this project requires NetworkPLUS membership. If you would like to share this project with others, please invite them to purchase their own membership—access must not be shared with non-members.

Consider how you might upscale the project for different levels e.g. share your project with your PCN, Federation, ICB (England) or Cluster, Health Board (Scotland or Wales) or GP federation, Health Trust (Northern Ireland), so the learning can be shared and the project easily implemented by other practices too. 

Have you completed this QIP?

Tell us a little about your project in order to generate a certificate showing the probable benefits. This project may help with CQC evidence submission (see disclaimers).

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