Ncsem intro presentation ajp
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This document discusses the National Centre for Sport and Exercise Medicine (NCSEM) in England. It outlines NCSEM's priorities of translation, evaluation, education, influence, and research regarding physical activity. It then discusses NCSEM's research themes, including physical activity for disease prevention and chronic disease treatment. The document also provides details about NCSEM facilities in Sheffield, including the Graves and Concord hubs and Thorncliffe spoke. It shares feedback about how the facilities are benefiting patients and evaluations of the co-location model. Contact information is provided at the end.
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Ncsem intro presentation ajp
- 1. Andrew Picken Health and Wellbeing Consultant Business and Physical Activity
- 2. 2
- 3. “Our partners in East Midlands, London, and Sheffield will undertake world-class research and provide services that will deliver long-term systematic change to benefit the health of the nation”. Lord Seb Coe 9 January 2012
- 4. Vision: A healthier nation through Sport, Exercise and Physical Activity.
- 5. NCSEM England: Priorities • Translation: Translating discoveries into improved pathways of patient care. • Evaluation: Providing academic rigor to evidence impact. • Education: Supporting the education of healthcare professionals to improve the use of exercise prescription. • Influence: Using influence to effect changes in government policy around physical activity • Research: Leading research in sport, exercise and physical activity.
- 6. NCSEM Research Themes Physical Activity in Disease Prevention Promote physical activity and healthy lifestyles as a preventative therapy for long term conditions. Chronic Disease Treatment Develop the prescription of physical activity in the treatment of chronic disease. Musculoskeletal Health Develop models for the use of physical activity in diagnosis and management of musculoskeletal disorders, and public cost savings through reduction in work absenteeism. Mental Health and Wellbeing Improve staff wellbeing, reduce absenteeism and enhance productivity, through physical activity. Promote physical activity in the treatment of mental illness and deliver research, education and training in the identification of eating disorders in sport. Performance Health Research elite athlete performance to further understand how to optimise health for this population and make it applicable to benefit other groups, such as the ageing population.
- 8. Who is involved in the NCSEM?
- 9. NCSEM-Sheffield Vision To create a culture of physical activity that results in Sheffield becoming the most active city in the UK by 2020
- 10. NCSEM-Sheffield Mission Make it easier for everyone in Sheffield to be active as part of everyday life.
- 14. Rationale for NCSEM Capital infrastructure • Vision for NHS services to include greater supported self- management, innovative and integrated service provision, prevention and moving more in our pathways • Deliver community-located services for multiple specialities • Establish joint clinics and co-located working to provide one-stop clinical care closer to patients’ homes, shorten pathways and improve experience
- 15. NCSEM Capital infrastructure NCSEM capital investment establish an innovative model to; •co-locate patients, clinicians, researchers, sport and exercise medicine specialists and public health professionals across the City •create community facilities to extend the reach of Sport and Exercise Medicine that include; research, recreation, rehabilitation and education. •32 clinical rooms, 35,000 NHS appointments per year
- 16. NCSEM Hub - Graves
- 18. NCSEM Hub - Graves
- 19. NCSEM Hub - Graves • We are running 6 different group exercise sessions and 3 education and training sessions per week including: • Mental health • Diabetes • Pulmonary rehab • Pain Management • Physio • National Ankylosing Spondylitis Society • Memory Service • Pulse HealthCare diabetes sessions • Pain Management
- 20. NCSEM Hub - Graves • We run over 140 clinics per week from a range of NHS providers including: – Physio – Diabetes – Rheumatology – Podiatry – Staff Physio – Neurological Enablement – Chronic Pain – IAPT (Improving Access to Physiological Therapy)
- 21. NCSEM Spoke - Thorncliffe
- 22. NCSEM Spoke - Concord
- 23. NCSEM Spoke - Concord
- 24. Clinic Rooms
- 25. NCSEM Hub - Concord • We have 5 education sessions running including; • Diabetes, Why Weight, Mental Health, Physio • We run 68 clinics per week including: – Physio – Diabetes – Continence – Podiatry – Pain – Weight management – IAPT • Total 35-40,000 appointments per year
- 26. I am feeling really positive about all of this, starting to line up patients most weeks now to assess them on the treadmills walking and running, its a definite asset.
- 27. Holding the physio back rehab classes at NCSEM really helps to change the mindset of the patients. It gives them a different perspective on what medicine is. Senior Physiotherapist
- 28. Doing plenty of gait analysis in situ using the main gym. Had an athlete recently not responding to anyone’s treatment. Altered his loading using the centre and he’s now back competing. Really positive story for Move More. Advanced Specialist Podiatrist
- 29. Evaluation • PhD starting September to explore the health, social, organisational and economic impact of the co-location model • A £1bn regeneration scheme to save the NHS by transforming the UK's leisure centres into a preventative frontline. “A radical overhaul of our leisure infrastructure would move us towards a health system that places emphasis on wellness over illness” Baroness Tanni Grey-Thompson Chair of UK Active
- 33. Powered by the Move More App
- 36. The Move More School Challenge.
- 37. 6.5million minutes against a 10million target Move More Month Participation Move More Schools Challenge Schools Pupils 1,941 Journeys 106,755 Miles 2,669 Move More Workplace Challenge Workplaces Teams 374 Participants 2,964 Minutes 4.4million Steel City Derby Fans 689 Minutes 1.2million 23 6
- 38. 8.3million move more minutes against a 10million target Move More Month Participation Move More Schools Challenge Schools Pupils 5,146 Journeys 256,439 Miles 6,411 Move More Workplace Challenge Workplaces Teams 421 Participants 2,503 Minutes 7.6million Steel City Derby Fans 379 Minutes 863k 102 20
- 39. 196kImpressions 231Tweets 1,477Followers 10.4kProfile Visits 1.7kVideo Views 50kReach 1.9kPost Engagements 100Likes 279k(Weekly Reach) Move More Month Public Reach 300 54 Twitter 5,441App Users Top Postcodes by User Facebook Media Engagement Participating Organisers City-wide Events Radio Sheffield 133k(Readership) Sheffield Star Newspaper 62k(Readership) Sheffield Telegraph 6.8m(Daily Reach) BBC Breakfast
- 40. PHE One You Campaign
- 41. Olympic Legacy Park and Advanced Wellbeing Research Centre
- 42. Contact details Andrew Picken NCSEM Health and Wellbeing Consultant ajp28consultancy@gmail.com @AJPConsultant Web: www.andrewjamespicken.com www.movemoresheffield.com
Editor's Notes
- Intro: Dr Gareth Jones Sheffield Hallam University – My back ground started off in sport and exercise science, specialising in psychology, and has now lead me to PA and exercise promotion within the general population NCSEM – Olympic Legacy Project
- Inspire regeneration from Physical inactivity kills more people than obesity In the UK the message around obesity is well known but perhaps less well know is the concept of how much we move is more important than our waist line and the PA is a key variable for public health DoH – put out a commission, asking cities to group together to become a key partner of the NCSEM
- Sheffield was successful, along with east midlands and London Challenged us for world class research + provide services for long term systematic change to benefit the health of the nation
- Olympic Legacy programme to improve health of nation through physical activity 3 national partners - London, East Midlands & Sheffield Linked to Olympic legacy cabinet committee Public Health England £30 million capital investment nationally £10 million capital in Sheffield Opportunity to have national and international impact.
- When the three centres come together, known as National Centre England 5 Key Priorities…
- Sheffield - Focus on population health – how can we improve the health of our city through PA
- Whole system approach, involving 12 different partners from the NHS, two universities, private, public, leisure sectors, voluntary, local authority and the English Institute of Sport
- And the way we want to achieve this – the mission – to be active as part of every day life, regardless of where they work, or attend school
- Underpinned the work through this framework – socio-ecological model Individual exist within a system – so their perceived or actual environment / the settings in which they live, e.g. the walk ability or cycle ability in their neighbourhood, and the policy environment in which they exist Either make it easier or more difficult to be physically active Looked at this system in Sheffield Tried to develop a plan to help people be more physically active Move More is underpinned by this, amongst other theories such as Self-Determination Theory (SDT), we are in no way limited by this, however use this as a driver to steer the framework
- And ours in the Move More Plan – identifies 6 main areas of work List And I am going to take you through a couple of these to give you a flavour of the work we are doing here in Sheffield
- First – Activity as Medicine Shef awarded foundation status as part of the National Centre And to kick start the National Centre, we were given £10m in capital money to build a building Looked to do this on the University grounds, and explored options here – but is this the best way for culture change? We thought we need to think differently in how we deliver models of care, particularly relating to our colleagues at the NHS
- So we reviewed various documents and evidence that influenced our thinking, one in particular NHS 5 year forward view Rational in spending this £10m, was to develop a new way of thinking for how we develop a new vision for NHS services Promote greater self management, and integrate services more effectively Deliver community located services for multiple of specialties Co-located clinical care closer to patients home and improve experience for patients and professionals
- Built 3 facilities across Sheffield – co-location & linking leisure facilities and clinical practice These community facilities extend the research of the work we are doing in rehabilitation and sport and exercise medicine 3 of the most challenging areas where there is the greatest areas of health inequality, and these 3 areas include Graves, Concord and Thorncliffe
- Graves – HQ / biggest facility – 18 clinical rooms co-located rooms
- Gyms Dance studios Swimming pools Created a hub, a central atrium where everyone mixes together, so whether you were a patient or a swimmer, everyone gets on the same bus home, so everyone mixes and are not segregated facility
- In this diagram you can see the clinician rooms just off the main atrium in orange in the top left, which are just opposite the swimming pool, dance studios, changing areas and tennis courts Upstairs, you can see the gym areas in red, and then the orange space is the research area, where there are biomechanics and physiology labs and space for a X-Ray machine
- … read slide, list a couple. Then Graves is in the south where we no there are high health inequalities
- Thorncliffe is in the North of the city 6 clinical rooms, with similar clinical services
- Concord is our hub in the city centre. Whats interesting is that the other two facilities were new, whereas Concord is an existing facility, where we converted a disused football changing rooms
- A brand new clinical facility to house 7 clinical rooms
- And clinical staff at Concord
- In any typical week ….. 35-40,000 clinical appointments a year in primary and secondary care services that were historically delivered in a hospital context. These are now delivered in a leisure facility rather than your typical hospital environment context, where the conversation around PA is more likely to come up and makes more sense in this context Our hypothesis that we are interested in; so does this co-location of an environment that promotes PA within a clinical setting make it easier for PA to become part of the NHS core treatment.
- Starting to see some benefits already Professionals assessing patients by using gym equipment like treadmills to assess their gate …
- Or holding back rehab classes Gives patients a different perspective on what medicine is
- Even had examples where athletes have used the facilities, particularly gate analysis in the gym to alter their course of treatment to very positive effect
- We want to understand the total impact of this – there is a PhD starting around now to understand the health, social, organisational and economical impact of the model Particularly exciting as this is co-funded by UK Active who are looking at a £1bn regeneration scheme to transform UK’s leisure centres into co-location centres of health and leisure – we are at the for-front of exploring the potential impact of this model
- We then come to Active People and Families Builds on the evidence base
- 7 best investments to explore to increase PA at a population level One of those is community wide programs - we need to mobilise large numbers of people in we want to create a culture of physical activity Info graphic published by the International Society for Physical Activity and Health, off the back of a paper by Global Advocacy for PA, states that for a whole community approach, to really increase engagement, we need to target people where they live, where they work, and that this has real potential for mobilising whole populations. So that is what we’ve tried to do in Sheffield
- Developed our very own Move More Challenge Simply whole month, this year in June, last year in July, Invite a whole city to be physically active, try something new, invite a colleague, engage with the local providers and their offerings, to take part in a PA challenge
- Monitor impact of this through the Move More App which is free to download which monitors your PA levels, or sync their own devices such as fitbit or strava Then engage in a host of different challenges such as the Workplace Challenge or the Steel City Derby which is pitting the two football clubs against one another, where the fans activity equals goals, the more active their fans are the more goals they score for their team
- We have also provided hundreds of different activities for people to get active and involved in, this is the brochure which showed people how and when and where, and what different types of activity there is to get involved in
- We’ve designed a workplace challenge where companies set up teams of up to 10 people and their steps and movement create medals and medal tables to compete against the other organisations across Sheffield Last year we had over 3000 people engage in the Work Place Challenge from 23 organisations, this year we were just shy of 100 organisations
- In Schools we have developed the Schoolyard Challenge using Near Field Communication (NFC) technology Pupils receive wrist bands and the schools are littered with beacons, which when touched by a wrist band – upload a live tag format against that child – so schools, classes, and pupils can compete on total number of tags. Really exciting is that teachers and schools can use this information and its display to implement activity into their curriculum – creating active lessons.
- As a city last year we clocked up 6.5 million minutes and we had some great numbers in terms of people taking part
- This year we clocked up 8.3 millions minutes, so we are heading the in right direction. We had more schools and more organisations involved too.
- Key points of interest, graph in top right Users by post code – mainly affluent areas, but other less affluent areas did also engage Our task is to engage more of these people – using better forms of marketing such as news papers etc.
- Our Move More App has been translated into a national campaign called Active 10, which is part of Public Health England One You campaign The Move More App that we developed is the engine behind this application campaign, and encourages brisk walking for 10 minute bouts per day. We’ve had over 50.000 downloads and this helps gather data and to understand how, where and when people are moving, and more importantly, what's the impact of our interventions.
- Lastly, highlight a new development for Sheffield Olympic Legacy Park and Advanced Wellbeing Research Centre that is being developed in conjunction with the NCSEM The AWRC is a new facility that is owned by SHU and will house a technology and innovation unit To design new innovation and programs to help increase PA Link the industry and businesses to help use tech to motivate people to be more active Then translate these learning's through the NCSEM and the International Olympic Committee to bolster the impact of population PA in Sheffield. Really excited about opportunities in Sheffield to influence population level PA levels
- Many thanks for your attention and to be given the opportunity to briefly outline what we are doing in regard to behaviour change on a population level in Sheffield. Here are my contact details, feel free to get in contact after today if you would like to hear more.