Physical ActivityEmbedding Physical Activity into Cancer CareEvidence and Examples
Rhian Horlock, Physical Activity Manager, Sporting Opportunities
The cancer story is changing
Improvements in early detection and diagnosis
More advanced treatments
Move from acute to long term condition
Increasing numbers of people living with and beyond cancer
Maddams J, Utley M, Moller H. Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer 2012; 107: 1195-1202.
The survival rates are changing
Total Prevalence - now
Total Prevalence - 2030
Maddams J, Utley M, Moller H. Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer 2012; 107: 1195-1202.
The survival rates are changing
Macmillan Cancer Support (2011) identified median survival times based on research by the Cancer Research UK Cancer Survival Group at the London School of Hygiene and Tropical Medicine research.
Not everyone is living well
Physical Activity improves health and wellbeing outcomes
Macmillan Cancer Support (2011). The importance of physical activity for people living with and beyond cancer.
‘Keeping active has helped me, and my family, through
a really difficult time. It’s helped me return to a more normal way of life and has given me a real sense of
achievement’.
Ted Poulter, 66 Pseudomyxoma peritonei
American College of Sports Medicine (2010)British Association of Sport and Exercise Sciences (2011)
UK Physical Activity Guidelines
“I want to do it so that I can go walking with friends without feeling
like I am a burden”
A framework for physical activity behaviour change
Stakeholder engagement
Quality assurance
Raise awareness
Brief advice
Behaviour Change
Intervention
Support and follow up
Get and stay active
Primary careSecondary carePublic healthLeisure, parks and cultural services
Social careLeisure and physical activity providersCommunity and voluntary sectorCommissioners
Who?
How long:
Stakeholder engagement
Quality assurance
Running throughout intervention
Cancer Physical Activity Standard Evaluation Framework BrandMarketing
Programme governanceQuality assuranceTraining needs
What?
Stakeholder engagement
Quality assurance
Running throughout intervention
How long:
How long:
Who:
Identify individual in appropriate settingTaking a MECC approach
Raise awareness of the importance of physical activityRaise awareness of local opportunities
Why?
What?
• Senior Health Care Professionals• Health and Wellbeing• ACP
30 Secs
Raise awareness Brief
advice
Behaviour Change
Intervention
Support and follow up
Get and stay active
Who?
Why?
When?
During holistic needs assessment, health and wellbeing event, a follow appointment at the information centre
Support patient choiceAssess current physical activity levels
• Senior Health Care Professionals• Health and Wellbeing• ACP• MECC• HOPE
5 minutes
How long:
Raise awareness
Brief advice
Behaviour Change
Intervention
Support and follow up
Get and stay active
Who?
Move More packExploring readiness and confidenceExploring personal goals and appropriate opportunitiesArranging ongoing support
Support the individual to become more activePlan for set back and supportAgree follow up and support appropriate for the individual
Why?
What?•Clinical Nurse Specialist•Exercise professional
How long:
30 minutes
Raise awareness
Brief advice
Behaviour Change
Intervention
Support and follow up
Get and stay active
Why?
Raise awareness
Brief advice
Behaviour Change
Intervention
Support and follow up
Get and stay active
“Everyone will have access to a short, free and friendly health walk within easy reach of where they live, to help them to become and stay
more active.”
Who?
What?
Provide 1:1 ongoing support and follow up
Help people cope with relapse and re-setting of goals
This should be person-centred, as required by the individual
•Activity related support groups•Good together•Peer to peer support•Mentoring
•Volunteers•1:1 follow up•Group behaviour change support•Text, email, phone or online
Raise awareness
Brief advice
Behaviour Change
Intervention
Minimum 12 months at regular intervals
How long:
Support and follow up
Get and stay active
Get and stay active
Sport England Project
• Get Healthy, Get into Sport funding
• Integrate sporting opportunities into the physical activity behaviour change approach
• 6 Areas - Luton, Shropshire, Berkshire, Dorset, Manchester and Sheffield
•Working closely with the other five sites to share learning and become areas of good practice
•Increasing awareness and developing referrals by linking with communities,
people affected by cancer themselves, local GPs, and other Primary Care
providers
•Access resources and embed Physical Activity pathway
• Part of a national evaluation framework
• Upskilling workforce to Level 4 Cancer rehabilitation standards
• Expanding the sporting offer and work with NGBs on their ‘Get Back to’ offers
Project Update
NGB Taster Sessions held across the 6 sites with
England Athletics - Run England/321/Athlefit,
British Cycling - Breese Easy Rides,
Badminton England -No Strings,
ASA –SwimFit & SwimTag,
Nordic Walking UK,
FA - Walking Football,
Foot Golf,
England Basketball – Walking Basketball
Dance -Back to Ballroom.
Knowledge Exchange Workshops held
6 Project steering groups in place with key stakeholders.
Pilot Evaluation complete. National Tender out to avert
New area project launches Summer 2014
Move More Luton
200 active participants 80 friends/family members actively supporting a range of activity including, gym, swimming and group fitness classes.
Every participant is entitled to 12 FREE activity sessions and an ongoing reduced rate thereafter across 5 facilities in Luton with 1:1 support and a huge range of activity types at flexible and accessible times.
Introduced a wide range of ‘Sporting Opportunities’ into the programme. For example: Walking Football, Badminton, Golf / FootGolf, Nordic Walking and Athlefit
Recruitment of a Macmillan Health & Wellbeing Practitioner. This job will focus on increasing referrals and raising awareness in the community and with health professionals
Referral League Table
Cancer Site Total Number / Number of Referrals (Luton &
Dunstable)
Breast 26
Bowel 5
Prostrate 4
Colorectal 2
Lymphoma 1
Leukaemia 1
Kidney 1
Bladder 1
Cervical 1
Throat 1
Partnership Working in Luton
Active Luton
Move More Luton
Luton and Dunstable Hospital –L&D Cancer Services Lead Nurse, Luton Community Oncology Nurse, L&D Urology Clinical Nurse Specialist
UniversityGP’s and Primary Care
Public HealthLuton CCG
Macmillan Cancer Support
Luton and Beds CSPCancer Support Groups
Discussion