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Physical Activity Consultations in NHS Grampian

NHS Grampian have been running a successful brief physical activity intervention (1 assessment + up to 5 further contacts by phone or face-to-face) to substantially overweight adults with diabetes. The pilot has been based in secondary care and also at a small number of general practices in Aberdeen City and Aberdeenshire.

There has been substantial interest in this service among patients, and with about half of people attending being men, it has proved enticing to both sexes which is highly unusual. The baseline mean BMI was 34.1, and over half had multiple morbidities.

The rise in people meeting the nationally recommended activity level rose from 21% at baseline to 61% at 12 months post-tx. So, the relatively low-intensity intervention was successful and lasting.

This innovation was one of only two NHS Scotland initiatives to make the finalist shortlist at the Quality in Care Awards Programme. It was subsequently commended, essentially coming runner-up. Details can be found here.

NHS Grampian hope to build on this work by piloting this service in the community targeting the main long term conditions such as Type 2 diabetes, COPD and CVD. The pilot ticks a lot of boxes in terms of the Scottish Governments commitment to increasing physical activity, the recent publication from the Scottish Academy, pledging to fully embed physical activity for health in both primary and secondary care, moving care in to the community, preventative rather than reactive health care, and the vast integration agenda. Funding is currently being sought to enable this work to continue.


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