Our lunchtime seminar this week was given by Helen Lester, Professor of Primary Care at the National Primary Care Research and Development Centre at the University of Manchester. She has been a GP in Birmingham since 1990. Most of her academic work has focused on improving care for people with mental health problems and on quality improvement more generally. Professor Lester is also the academic clinical lead of the Quality and Outcomes Framework (working as the external contractor to NICE), vice chair of the Society for Academic Primary Care and an elected member of College Council. In her spare time, she writes for the British Journal of General Practice as one of the ‘back page’ columnists. Professor Lester spoke about the benefits that we have seen in health care delivery in the UK from the implementation of the Quality and Outcomes Framework. These include a reduction in health inequalities.
Resources on brief physical activity guidance for older adults in isolation for patients and clinicians Giving Older Adults Brief Physical Activity Advice. Given current clinical pressures, clinicians dealing with older adults will likely have limited time, and this adapted 3As model may provide a possible structure to clinician’s advice. Ask: Permission to discuss physical activity as something that could make a difference to health and wellbeing Advise /Explain/Explore: Ask how they physical activity levels have changed and what they could do to increase it? Agree: A plan considering what they will do, how they will do it. Try to ensure that it includes some cardiovascular, muscle and bone strengthening activities including resistance exercises, balance and co-ordination elements to the plan. Cardiovascular : Ideally the individual should be slightly out of breath when performing the activity. Aim to build to 150 minutes
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