How to refer patients in Adur & Worthing

Launching on 1st December 2019, The Wellbalanced Programme offers a 24-week rolling course of community-based group strength and balance classes designed to reduce the risk of falls. A course of 1-2-1 home visits will be arranged for participants unable to attend the group sessions.

Each class has a maximum capacity of 20 participants and costs 50p. per person per class.

NICE compliant and based on the LLT/ProFane model, AHS Wellbeing are commissioned by the Adur & Worthing Wellbeing Service to deliver their Public Health funded strength and balance intervention called the Wellbalanced Programme.

Download our Poster & Flyer:

Here are some commonly asked questions to provide you with further information on our programme:

When do classes take place?

Weekly group sessions will take place at:

  • The Heene Community Centre,122 Heene Rd, Worthing BN11 4PL. Starting 14th January 2020.
  • The Shoreham Centre, 2 Pond Rd, Shoreham-by-Sea BN43 5WU Starting 16th January 2020 

Once referred, we will contact participants to assess them and arrange their first session.

We plan to launch an additional class in Worthing from February 2020.

Who can attend the Wellbalanced Classes?

The community-based exercise programme will be targeted at those:

  • Identified to be vulnerable or mildly to moderately frail on the Rockwood Clinical Frailty Scale (Levels 4, 5 and 6), but are below the level of need for specialist care.
  • Feeling less steady on their feet.
  • Who find it harder to rise from a chair, or to use the stairs.
  • Referred by a GP, Healthcare Worker or other professional.

Wellbalanced classes are designed to help people who are starting to feel more vulnerable and unsteady, to feel stronger and more confident.

Medical Exclusions

  • Unstable angina or uncontrolled heart disease
  • Tachycardia or uncontrolled arrhythmia
  • Resting systolic BP>200mmHg or diastolic BP >110mmHg
  • Severe Parkinson’s disease
  • Severe breathlessness or dizziness
  • Uncontrolled or poorly controlled epilepsy
  • Uncontrolled or poorly controlled asthma / COPD
  • Unmanaged pain
  • Acute systemic illness (e.g. cancers)
  • Severe Visual Impairment (under investigation)
  • Any other uncontrolled condition
  • Four or more medications not checked by GP >6mths

Functional Exclusions

  • Patient has suffered at least one fall
  • Functional limiting diseases: such as severe stroke
  • Cognition: Dementia, Alzheimer’s or severe cognitive impairment (unable to follow simple instructions)
  • Sit to Stand: Patient is unable to rise from a chair independently, without assistance and stand unaided
  • Mobility: Patient is unable to mobilise independently.
  • Patient is immobile or walks with an aid and the support of two Carers

If any of the above apply, your patient is NOT suitable for this programme at this time. It is advisable to refer your patient to another service.

Healthy lifestyle support services can be found by calling Adur & Worthing Wellbeing on 01903 221450 or visit their website.

How do I refer a Patient?

Patients can be referred using the following form:

Please complete and return to info@wellbalancedprogramme.co.uk.

Patients can also be referred via SystmOne, EMIS and One Call.

Referrals are triaged for the most appropriate level of the programme.  For further information please call 01444 657099.

How is the programme evaluated?

Participants are assessed at week 1, 12 and 24 using the following methods;

Results are evaluated quarterly in conjunction with the Adur & Worthing Wellbeing Team.

What happens at the end of the 24-week programme?

We encourage participants to keep exercising and will signpost them to suitable follow on classes or activies they can attend.

Where can I find out more about Falls Prevention?

Here some links to useful resources:

NICE

Later Life Research Papers

Otago Exercise Manual

Please contact us for further information.