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

随着NHS的等待人数飙升至600多万人，等待治疗的时间超过两年，患有慢性病的老年人面临着症状恶化、药物使用增加、更复杂的手术恢复速度更慢、生活质量下降以及独立性丧失的问题。作为应对这一危机的计划的一部分，NHS将运动作为阻止疾病进展、帮助疾病管理和康复的“灵丹妙药”。然而，目前促进个人在家锻炼的计划以及现场医院提供的计划只取得了有限的成功，并面临着空间、容量、临床医生时间减少以及缺乏关于有效行为改变的知识和专业知识的问题。我提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患有慢性病的老年人开发和扩展非医院(社区)的集体锻炼计划。对老年人的主要好处包括阻止疾病，推迟疾病发作，减轻疼痛和药物需求，避免手术，过上正常的生活。我的长期抱负是开发一种首选资源，供卫生专业人员用来管理与老年人相关的一系列疾病，建立可持续的体力活动是目标之一。如果成功，我们的创新有可能产生巨大的影响和影响，改变我们管理(并改善患有慢性病的老年人的生活)的方式，为世界各地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.