Evaluation of the Public Health England and Sport England Funded Sport and Exercise Medicine Pilot in Secondary Care
In 2014 Public Health England (PHE) launched the national physical activity (PA) framework ‘Everybody Active, Everyday’. The framework included a key domain for action called ‘Moving Professionals’. The Moving Professionals Programme aimed to build expertise and leadership across key professional sectors and to raise awareness and understanding of the health benefits of PA among professionals and the wider public. The Moving Professionals Programme comprised a number of innovative work packages that are described elsewhere (See Brannan et al., 2019). The Sport and Exercise Medicine (SEM) pilot was one element of the Moving Professionals Programme, and aimed to embed an SEM consultant led PA service within an NHS Trust to integrate PA in to the care plans of patients. This was termed creating an 'Active Hospital'.PHE and Sport England invited expressions of interest (EoIs) from NHS Trusts with the capacity to deliver the SEM pilot through a competitive process. Three Trusts were invited to interview and Oxford University Hospital NHS Foundation Trust (OUHFT) were selected to deliver the pilot. The successful Trust was tasked with developing an SEM pilot that strengthened existing core resources and expanded existing capacity to integrate specialist PA advice into the care pathways for adults in-patient care. This was tested across five clinical pathways within OUHFT where PA had not previously been targeted as a treatment intervention.Two lead SEM consultants were responsible for developing and implementing the SEM pilot, which targeted five clinical pathways and was underpinned by the COM-B model. These were; Maternity, Enablement, Renal, Complex Medical Unit (originally Critical Care), and Cardiology.As part of the National Centre for Sport and Exercise Medicine (NCSEM) network, academics at Sheffield Hallam University (SHU) were commissioned to conduct an independent evaluation of the SEM pilot. The NCSEM were not responsible for the implementation or delivery of the SEM pilot. The evaluation aimed to explore the acceptability and feasibility of the SEM pilot and followed a mixed methods approach. Data was collected from patients and healthcare professionals (HCPs) using surveys, face-to-face and telephone interviews and audits between June 2018 and March 2019. This report details the evaluation findings and provides implications for ongoing implementation of the pilot in OUHFT and for sharing learning with other Trusts across the UK.