Developing a toolkit to support health professionals in building community-based group exercise programmes for older people with chronic conditions

随着NHS的等待名单飙升至600多万人，治疗等待时间超过两年，患有慢性疾病的老年人面临着症状恶化，药物使用量增加，手术更复杂，恢复更慢，生活质量下降，丧失独立性。作为应对这一危机计划的一部分，英国国家医疗服务体系（NHS）将运动宣传为一种“神奇疗法”，可以阻止疾病的发展，帮助疾病管理和康复。然而，目前促进个人在家锻炼的计划以及以医院为基础的现场分娩方案只取得了有限的成功，并面临着空间、能力、临床医生时间减少以及缺乏有效改变行为方面的知识和专门知识的问题。我建议开发和推广一套材料和在线资源——一个工具包或蓝图——以支持卫生专业人员为慢性病老年人制定和扩大非医院（社区）团体锻炼计划。对老年人的主要好处包括阻止疾病、延缓疾病发作、减少疼痛和药物需求、避免手术和过上正常生活。我的长期目标是开发一种可供卫生专业人员使用的资源，用于管理与老年人有关的一系列疾病，为此，建立可持续的身体活动是一个目标。如果取得成功，我们的创新有可能产生重大影响和影响，改变我们管理慢性病的方式（并改善患有慢性病的老年人的生活），为全世界的卫生系统节省成本。

As the NHS waiting list soars above six million people, with treatment wait times over two years, older people with chronic conditions face worsening symptoms, increased use of medications, more complicated surgeries with slower recovery, reduced quality of life, and loss of independence.As part of its plans to tackle this crisis, the NHS promotes exercise as a "miracle cure" for arresting the progress of disease and helping disease management and recovery. However, current plans promoting individual, home-based exercise, as well as on-site hospital-based programmes of delivery, have met with only limited success, and face problems of decreased space, capacity, clinician time, as well as lack of knowledge and expertise with regard to effective behaviour change.I am proposing to develop and promote a suite of materials and online resources-a toolkit or blueprint-to support health professionals in their development and scaling of non-hospital- (community-) based group exercise programmes for older people with chronic conditions. Key benefits for older people include arresting disease, delaying disease onset, reducing pain and need for medication, avoiding surgery, and leading a normal life. My long-term ambition is to develop a go-to resource for health professionals to use to manage a range of conditions associated with older people, for which building sustainable physical activity is an aim. If successful, our innovation has potential for substantial reach and impact, changing the way we manage (and improve the lives of older people living with) chronic conditions, creating cost savings for health systems world-wide.