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NICE: Exercise promotion should be included in QOF

NICE: Exercise promotion should be included in QOF


Encouraging patients to exercise should be incorporated into the Quality and Outcomes Framework (QOF), NICE guidelines released today suggest. 

Doing so could “raise the profile of physical activity among primary care practitioners”, the guidelines state. 

Commissioners should also ensure physical activity and the delivery of advice are built into long-term disease management strategies according to the National Institute of Care and Health Excellence (NICE). 

Information and training for primary care providers should also be given, covering how physical activity promotion fits within their remit and how to undertake physical activity assessments. 

Commissioners of health services should ensure advice is incorporated into the Care Pathway of conditions such as cardiovascular disease, type 2 diabetes and stroke. 

GP, public health advisor for NHS England, Dr Matt Kearney and member of the NICE Public Health Interventions Advisory Committee (PHIAC) which developed the guidance said: "As a practising GP, I see first-hand the effects of physical inactivity, and the lasting and serious damage it can have on people’s health. 

"This guidance offers practical advice to people working in busy clinics and will help us to give straight-forward advice to people who need to improve their levels of physical activity."

Professor Mike Kelly, director of public health at NICE said: "This simple advice could have a big impact on improving lives and saving taxpayers’ money. 

"If family doctors and practice nurses follow this new guidance, it will help them deliver simple, sensible advice to people, and it will support patients to increase their physical activity levels and improve their lives."

The updated guidance suggests practice nurses and GPs should do more to identify and encourage people to be more physically active, updated NICE guidelines suggest. 

The NICE  guidance states primary care clinicians should question patients about their exercise habits, whether in consultations or as part of planned sessions on management of long-term conditions. 

However, body weight should not be the only indicator, instead a questionnaire should be used to assess activity levels. 

Advice tailored to the patient’s health status (for example whether they have a disability) should then be given, with the aim of meeting the UK physical activity guidelines. 

Practice nurses and GPs should also provide information about local opportunities to be active. 

A full copy of the guidance is available on the NICE website



Who are they kidding. One can encourage exercise till one is blue in the face and it will make no difference in 99.99999999% of patients. Half the problem is that excercise is seen as too complex/gym orientated/expensive the thought of walking never crosses the mind of so many people. Our main corridor is only about 10metres long but we very often get comments about what a long walk it is to the rooms at the end.
How exactly will it proved? We have a worker from healthy living in the practice on a weekly basis and a lot of those refered do not turn up. Our walking group based at the surgery has a few stalwarts but very few, the gardening club seems to be getting on better but two drops of rain and people are not interested. We do the £5 membership for 3 months at the local gym offer. It is a standard part of consultation we have a weight management programme I do not see what else we can do.

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