Professional Referral

Kickstart, Active Boost, Cardiactive

The 12 week Southwark GP Exercise Referral service has been designed to help inactive people that are struggling with their mental and physical health. It does this by encouraging them to get more physically active both within the programme and beyond their participation and they are supported in taking more control over their own health.

There are three levels of support available:

Kickstart, Active Boost and Cardiactive, each offers different levels of support depending on what help you need.

Kickstart is the lowest level of support available and is ideal for people who are confident to exercise safely and independently. This level includes:

  • discounted membership to leisure centres for using the gym, going swimming and attending group fitness classes.
  • access to free or low cost non gym-based activities that include led walks, cycle training, community dance and fitness courses, seated exercise and park sessions such as walking football.

Eligibility Criteria

Service users must have at least one of these:

  • Obesity BMI 30 + or South Asian 27.5
  • Anxiety +/or depression (able to self motivate)
  • 5%  + CVD risk over next 10 years using Qrisk 2 (https://www.qrisk.org/2017/)
  • In cancer remission for up to 12 months
  • Asthma
  • Stress
  • Respiratory

 

Active Boost is the second level of support. This is for service users who need a little more support in boosting their confidence in managing their own exercise programme, as well as in exercising safely. This level includes:

  • get reduced cost leisure centre membership and a timetable of specialist supervised group fitness classes including gym sessions, aqua classes, circuits and Pilates.

Eligibility Criteria

Service users must display at least one of these symptoms:

  • Obesity (BMI 40 +)
  • Hypertension above 140/90 but controlled
  • Diabetic type 2 medicated or diet controlled
  • 20%  + CVD risk over next 10 years using Qrisk 2 (https://www.qrisk.org/2017/)
  • In Cancer treatment and rehabilitation

Osteopenia

  • BMD greater than 1 SD and less than 2.5 SD below young adult mean

Osteoporosis

  • BMD – 2.5 at spine, hip or forearm or >4 on fracture index with no history of previous low trauma fracture or history of falls

Osteoarthritis

  • Mild where physical activity will provide symptomatic relief
  • Osteoarthritis/Rheumatoid

Arthritis

  • Moderate OA/RA with intermittent Arthritis mobility problems

Asthma/Respiratory

  • Grade 1-2 MRC Dyspnoea scale:
  • 1 –only get breathless with strenuous exercise
  • 2 – short of breath when hurrying on the level or walking up a slight hill
  • Patients Grade 3-5 MRC to be referred into Pulmonary Rehabilitation (PR) for a 4-10 week multidisciplinary programme before referral to Exercise
  • Referral Scheme (if appropriate)

Neurological Conditions

  • E.g. Young onset Parkinson’s Disease (stable), Multiple Sclerosis (Must be able to independently exercise and set up machine).

 

Cardiactive is the highest level of support and is for people who did the most help. This programme has been designed for people graduating from phase three cardiac rehab in the last 6 months, as well as those who have had a cardiological assessment or review in the last six months. This level includes:

  • a specialist cardiac rehab programme designed especially for each patient.
  • gym and specialist circuit sessions.
  • access to motivational support from the team
  • educational sessions and walks with other service users.

Eligibility Criteria

Patients must have at least one of these symptoms, conditions or one of these procedures:

  • Atherosclerotic disease e.g. peripheral vascular disease (PVD)
  • Coronary Artery Bypass Graft Surgery (GABG)
  • Following arrhythmias and implantable device interventions (ICD, PPM, CRT)
  • Myocardial infarction (MI)
  • Stable angina
  • Stable heart failure (HF) including chronic heart failure and cardiomyopathy
  • Undergone a percutaneous coronary intervention (PCI)
  • Valve replacement

Follow up will take place at 3, 6, 9 & 12 months.

What does the Programme involve?

For a 12 week period, clients will be encouraged to build up their weekly activity levels through attending sessions at the centre of their choice.

All clients will take part in an initial assessment at the beginning and a completion assessment end of their 12-week programme. Once they have completed the programme, clients will be encouraged to independently continue with regular physical activity and will be provided with information on local activity opportunities. On completion of the programme, all clients will be entitled to a reduced leisure centre membership.

Clients will be followed up at 9 months from start date on the programme and offered advice and support where needed by an administrator or exercise professional where possible.

Who is Eligible for the Service?

  • all adults aged 18 and over
  • residents of Southwark
  • or registered with a Southwark GP
  • People currently doing less than 150 minutes of exercise each week.

It’s also vital that they have no contra-indications to exercise and they must be clinically stable. Additionally, any patient with a cardiac condition can only be referred to the Cardiactive service.

Who can make an exercise referral?

  • GPs
  • Practice Nurses
  • Specialist Nurses e.g. Health Check Hub, Cardiac Nurses
  • Specialist Cardiac Physiotherapists
  • Cancer Rehabilitation Team (GSTT)
  • Renal Rehabilitation Team
  • Referrals can be initiated by a mental health professional by telephone or letter to the patient’s GP whose authority is required, and who can then send a referral to the programme.

Make a Referral

Please complete the referral form below if you wish to refer your patient to either Kickstart, Active Boost, Cardiactive or Alive ‘N’ Kicking, Walking Away from Diabetes, Stop Smoking or Weight Management through the Everyone Health Southwark Healthy Lifestyle Hub.

Professional Referral

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