Physical Activity in Cancer Rehabilitation Macmillan Physical Activity Knowledge

Exchange Workshop

25 June 2015 Millennium Stadium Cardiff

Wendy Wilkinson Macmillan Advanced Practitioner Occupational Therapist ABMUHB Project Lead

Mrs Angela Lewis Cancer Rehabilitation Participant

Scope of Presentation

• Influencing key stakeholders and quality assurance

• Engaging with Health Care Professionals

• Behaviour change interventions

• What are the get active options

• Support and follow up

• Challenges faced by the projects

• Local evaluation

• Sustainability of the projects

• A service user’s journey through the pathway

Abertawe Bro Morgannwg University Health Board (ABMUHB)

Influencing Stakeholders & Quality Assurance

Understand each others’

• Roles

• Service restrictions

• Values

• Agendas

• Resources

• Learning needs

Engaging With Health Care Professionals

Identify

• Common language

• Champions

• Communication channels

• Impact on person

• Impact on professionals

• Impact on pathway

Behaviour Change Interventions: Time to Level Up?!

Local Options

& Links For

Physical Activity

Macmillan Therapy

Team

Maggie’s Centre Adapted

T’ai Chi / Qigong / Shibashi

National Exercise Referral Scheme

Walking Groups

incl. Ramblers

Golf

Sandville Centre

Yoga

Carer’s Centres

The Old Mill

Foundation

National Pool

Enhanced Cancer

Recovery Roadshow

Support & Follow Up The Old Mill Foundation

Maggie’s Centre

Sandville Centre

Cancer Information & Support Services

Carer’s Centres

Macmillan Relate Counselling

Macmillan

Tenovus

Lymphoedema Clinic

Wellbeing Through Work

Local Evaluation

Increasing Service Activity

0

50

100

150

200

250

300

350

400

450

2012 2013 2014 2015

New People Seen by Service

New People Seen by Service

Treatment Preference

0

5

10

15

20

25

30

2014 2015

Hydrotherapy

Adapted T'ai Chi

Circuits

OT 1:1

PT 1:1

Outcomes for Participants

0

2

4

6

8

10

12

14

Pain Activities of Daily Living

Speed & Balance

Fatigue Move Towards Weight

Goal

Percentage Improvement for Whole Population

Percentage of Population

Changing Confidence Levels

0

20

40

60

80

100

120

Sustain Behaviour Changes

Contact Team in Future if Needed

Reduction in Level of Concern

Very Confident

Confident

Not Sure

Not Stated

Patient Satisfaction Audit 2014-2015 ABMUHB

Challenges Faced

Learning for

Sustainability

TIME

SER

VIC

E G

RO

WTH

COMMUNICATION

CREATIVITY

ADAPTIBILITY

FLEXIBILITY

COLLABORATION

Introducing Angela

Thankyou!

Any Questions?

wendy.wilkinson@wales.nhs.uk