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GP U2 Pro Practice
S4: Understanding the exercise referral process
| Question | Answer |
|---|---|
| how many weeks does a client follow a prescribed, structured and supervised exercise programme for , with regular progress checks | about 12-16 weeks |
| which professional checks a person’s suitability against the scheme criteria, gains their informed consent for transferring information & securely passes the information onto the scheme coordinator | health pro or GP |
| what kind of information does a health professional pass onto the scheme coordinator | person’s personal details; the date and reason for the referral; a brief summary of past and present medical history and any medication they take; blood pressure and BMI; risk stratification; the preferred method of contact & any specific needs |
| who receives and checks the information. If it is complete and the person is eligible for the referral scheme, they contact them to book an appointment with an exercise professional and pass on the information securely. | The scheme coordinator |
| who checks through the information and prepares for the initial exercise consultation. | The exercise professional |
| At the initial consultation, what skills are used to gather information and assess the person’s readiness to exercise ? MI | motivational Interviewing |
| which well-being/quality if life questionnaire could a exercise professional use in an initial referral consultations | EQ-5D well-being questionnaire |
| what standardised assessments would be completed as | records of client progress, e.g. the EQ-5D well-being questionnaire and other health assessments, such as blood pressure and heart rate. |
| when are Formal checks usually recorded ? | mid-way and the end of the programme. |
| Some schemes may not have a coordinator. This role may be part of who's job. ? | exercise referral instructor’s |
| Conducting the initial consultation requires you to follow certain protocols, which are typically stated in the ?? | Referral scheme’s operating procedures and outlined in the Professional Operating Standards. |
| In the initial consultation whats the first thing you need to explain | describe how the consultation works and explain what will be discussed and why you need to take various assessments |
| what do you need to ensure the person understands regarding the referral | why and that they know what the programme entails |
| what do you need to gain before they take part in any assessments or activities. | you need to gain their informed consent |
| what do you need to assess after gaining your client’s informed consent using standardised questionnaires. | motivation and readiness; their current activity levels and perceived quality of life |
| how could you gage a clients motivation and readiness for a program, their current activity levels and perceived quality of life | using standardised questionnaires whilst building rapport |
| why is it important to build good rapport with clients | to gain trust & gage motivation & readiness |
| which activity level questionnaire could a exercise professional use in an initial referral consultations | IPAQ to check activity levels |
| which questionnaires could a exercise professional use in an initial referral consultations that can provide evidence of short-term changes during the referral programme. | IPAQ to check activity levels + EQ-5D well-being/quality of life |
| Blood pressure, pre-exercise heart rate, BMI and waist circumference are consultation appropriate assessment that would provide good dat over which term long or short | Long |
| why would A 1 rep max assessment not be appropriate to use with referred clients or any other sub-maximal assessments | These assessments place the body under stress, which would make them high-risk. They’re also unnecessary for referred clients. |
| The medico-legal requirements of exercise referral are subject to review by which council ? GMC | General Medical Council |
| When may a doctor only refer a patient to other professionals ? | They are accountable to a statutory regulator. Can give the client appropriate supervision, auditing and performance review |
| when is the transfer of care regarded as delegation by the doctor and not referral | If the professionals do not meet the criteria required |
| who remains responsible for the client when it is regarded as a delegation by the doctor and not referral. | This means that the doctor remains responsible for the patient. |
| What are medico-legal requirements that apply to the exercise referral role? | Insurance, Qualifications, REPS member, Maintaining continual development, liable for negligence |
Created by:
LeeNelson
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