Transforming gyms into community MSK hubs: mobilising the UK leisure sector to deliver inclusive, accessible, personalised and gamified health services for Older Adults with MSK conditions

Good Boost是一家快速发展的英国中小企业，提供开创性的医疗技术。结合国家MSK组织（Versus Arthritis，Arthritis Action）和休闲行业贸易机构（UKactive）的合作，专业知识和网络接入，该项目财团的市场需求主导和共同设计的解决方案将把社区健身房和休闲中心转变为“MSK枢纽”。到2030年，这有可能为NHS节省2亿英镑（87倍投资回报率）。未满足的需求 ** 肌肉骨骼疾病（MSKD）不成比例地影响老年人，在2030万55岁以上的MSKD患者中，近三分之二的人患有MSKD。它们是残疾的主要原因，代表了900亿英镑的健康和经济成本。它们对少数民族和低收入家庭的影响不成比例，造成了严重的健康不平等。有580万人在等待名单上，需求超过了NHS的资源;需要不依赖物理治疗师和传统NHS服务的MSK干预措施。此外，为了有效，这些服务必须易于获得，并共同设计，以满足老年人的需要。解决方案 ** 广泛的问题理解和共同设计与老年人，休闲经营者和医疗保健专业人士强调，没有一个单一的产品或服务，可以解决所需的三个关键要素：* 地点 **：创造知名度和信誉之间的休闲和健康的老年人MSKD转诊途径。* ** 产品 **：经过验证的人工智能技术，可在现场和虚拟环境中为每位老年人提供个性化的MSKD康复和整体健康服务。* ** 联系人 **：培训休闲工作人员和志愿者在社区场所提供整体健康服务的技能，结合关节炎慈善机构的专业知识，以证据为基础的自我管理服务，包括场地内和虚拟。该项目共同设计，开发，评估和验证商业可扩展的解决方案，以利用7，000多个社区休闲场所为老年人提供高质量，以证据为基础的MSKD服务，纳入初级保健。这套个性化服务将促进健康老龄化，减少残疾年数。**市场机会 ** 市场上没有可比的集成解决方案。利用该联盟的影响力、市场准入和洞察力，为全球20万多个休闲场所创造了极具竞争力的商业产品，为17亿MSKD患者提供支持。英国和全球可寻址/可服务市场分别为4390万英镑/12亿英镑和2640万英镑/4.588亿英镑。目标 ** 此工业研究项目旨在完成产品的联合生产、开发、测试和研究，以实现项目后立即公开推出和商业化。因此：* 更好地利用现有的社区资产;* 创造健康、社会关怀和更广泛的经济利益;* 使老年人能够过上健康、幸福和更独立的生活;* 通过一种可获得和负担得起的模式，减少健康不平等。

Good Boost is a rapidly growing UK SME delivering pioneering medical technology. Combined with the collaboration, expertise, and network access of national MSK organisations (Versus Arthritis, Arthritis Action) and the leisure sector trade body (UKactive), the project consortium's market-demand-led and co-designed solution will transform community gyms and leisure centres into 'MSK hubs'. This has the potential to save the NHS \>£200m (\>87x ROI) by 2030\.**Unmet Need**Musculoskeletal disorders (MSKDs) disproportionately affect older adults, with almost 2/3rd of the 20.3m people with MSKDs aged 55+. They are the primary cause of disability and represent \>£90bn health and economic cost. They disproportionately impact ethnic minorities and low-income households, creating deep health inequalities. With 5.8m people on waiting lists and demand outstripping NHS resources; MSK interventions are needed that do not depend on Physiotherapists and traditional NHS services. Furthermore, to be effective, they must be easily accessible and co-designed to meet older adults' needs.**Solution**Extensive problem understanding and co-design with older adults, leisure operators and health care professionals has highlighted there is no single product or service which can address the three critical elements needed:* **Place**: creating visibility and credibility between leisure and health for older adult MSKD referral pathways.* **Product**: validated AI-technology to personalise MSKD rehabilitation and holistic wellbeing services adapted to every older adult user, both in-venue and virtually.* **People**: training leisure staff and volunteers the skills to offer holistic wellbeing services in community venues, combined with the expertise of arthritis charities evidence-based self-management services, both in-venue and virtually.This project co-designs, develops, evaluates and validates a commercially scalable solution to leverage 7,000+ community leisure venues to deliver high-quality, evidence-based MSKD services tailored for older adults, integrated into primary care. This suite of personalised services will promote healthy ageing with fewer years lived in disability.**Market opportunity**There is no comparative integrated solution on the market. Leveraging the consortium's influence, market access and insight creates a highly competitive commercial product for the 200k+ leisure venues globally, supporting the 1.7bn MSKD patients. The UK and global addressable/serviceable markets are £43.9m/£1.2bn and £26.4m/£458.8m respectively.**Objectives**This industrial research project aims to complete product co-production, development, testing and research to achieve public roll-out and commercialisation immediately post-project. Thereby:* better utilising existing community assets;* creating health, social care and wider economic benefit;* enabling older adults to live healthy, happier and more independent lives;* through an accessible and affordable model that reduces health inequalities.