18 Nov 2018 | Digital editions, magazines, websites, e-zines, handbooks and contract publishing for the leisure industry

Leisure Opportunities issue 749, 2018 is now out!

Blogs:

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Liz Terry
CEO,
Leisure Media

Kate Cracknell
editor-at-large,
Health Club Management

Eva McDiarmid
Chief Executive,
ASVA

Kurt Janson
Policy Director,
Tourism Alliance

Ufi Ibrahim
Chief Executive,
British Hospitality Association

Philippe Rossiter
Chief Executive,
Institute of Hospitality

Aleatha Ezra
Director of park member development,
World Waterpark Association

Ian Taylor
CEO,
SkillsActive

Gareth Edwards
Director of Education,
Springboard

Jennifer Fields
Communications Coordinator,
Association of Zoos and Aquariums

John Goodbody
Sports Journalist

Peter Ducker
Chief executive,
Institute of Hospitality

Suki Kalirai
Interim CEO,
SkillsActive

Sam Coulstock
Customer Relationship Director,
Springboard

Stephen Studd
CEO,
SkillsActive

Edwina Hart
Minister for Business,
Welsh Assembly Government

Tim Lewthwaite
Publications manager,
Association of Zoos and Aquariums

Lisa Starr
Senior Consultant,
Wynne Business

Linda Cendes
Program Assistant, Comms,
AZA

Julie Becker
Communications and Events Manager,
Ecsite

Anna Bjurstam
Owner,
Raison d'Etre

Michel Buchel
President of Ecsite and CEO of NEMO, Amsetrdan,
NEMO

Dieter Buchner
Founding Partner,
Urban Healing

Jean-Guy de Gabriac
Founder/ CEO,
Tip Touch Academie

Leah De Silva
Business development director,
Springboard

David Grevemberg
CEO,
Glasgow 2014 Commonwealth Games

Anni Hood
Global wellbeing advisor and consultant

Simon Johnson
CEO,
Business in Sport and Leisure

David Kerr
Principal,
David Kerr Associates

Nick King
Director,
Sports Think Tank

Fredrik Lindahl
Treasurer & Administrator,
Finnish Cricket Association

Kerry Mabbley
Customer Relationship Manager,
Springboard

Chris Marriott
Director ,
The Sports Consultancy

Rhona Mennie
Business relations manager,
Springboard UK

Peter Moody
Partner,
Brook Street des Roches LLP

Matt Partridge
Executive board member,
CLOA

Tom Pinnington
Associate director,
Capita Symonds

Neil Richmond
Founder,
Neil Richmond & Co.

Hugh Robertson
Minister for Sport

Louise Routh
Marketing and communications director,
Springboard UK

Dee Smith
Head of Programmes,
Springboard

David Stalker
CEO,
ukactive

Chris Trickey
Chief Executive,
SAPCA

Phillip Villars
Managing Director,
Indigo Planning

Andrew Wade
Partner,
Lawrence Graham LLP

Tom Walker
Journalist,
Leisure Media

Charles Wilford
Co-Head, Leisure Team,
Gerald Eve

Duncan Wood-Allum
Director,
Sport, Leisure and Culture Consultancy

Time to fight for QOF inclusion

06 Jan 2014
by Kate Cracknell, editor-at-large, Health Club Management
We must push back immediately and lobby to have physical activity – with its proven health benefits – reinstated on the QOF

The campaign to present exercise as medicine has been delivered a blow with the removal of physical activity from the QOF (Quality and Outcomes Framework) – see Health Club Management 2014 issue 1 p10.

There was huge excitement in the sector when, in April 2013, physical activity was added to the QOF – a voluntary scheme that rewards GPs for patient care – for the treatment of hypertension. This had been a primary policy objective for ukactive and the hope was, as CEO David Stalker said at the time, that it would be “just the beginning of an opportunity to embed physical activity across a wider range of indicators for the management of chronic conditions”.

In the months since that decision, the scientific argument for viewing exercise as medicine has only strengthened. Let’s take just one example: a report published in the October issue of the BMJ – a title which has as its strapline ‘Helping doctors make better decisions’ – which showed that exercise can be as effective as many frequently prescribed drugs in treating some leading causes of death.

The report analysed 305 previous studies to compare the effectiveness of drugs versus exercise in lessening mortality among people with one of four diseases: heart disease, stroke, diabetes or chronic heart failure. For the first three conditions, the risk of death was the same – or lower – if patients exercised than if they took drugs. Only in cases of chronic heart failure were drugs noticeably more effective than exercise.

And it’s not as though we were lacking evidence before that: statistics commonly quoted within the fitness industry include the fact that chronic inactivity shortens a person’s lifespan by up to five years and is responsible for 17 per cent of premature deaths in the UK (The Lancet); that 37,000 deaths in England could be prevented each year if everyone were sufficiently active (Public Health England); and that physical activity is the fourth leading risk factor for mortality around the world (WHO).

Yet in spite of these – and many more – proven health benefits, physical activity will be removed from the slimmed-down QOF which comes into effect in April. Why?

Some GPs have blamed bureaucracy, seeing QOF as a time-consuming, box-ticking exercise. But the fact remains that, even in a slimmed-down QOF, interventions that are proven to work should remain in place. All of which suggests that GPs remain unaware and unconvinced of the benefits of exercise.

We’ve made some inroads: ukactive’s Let’s Get Moving initiative, for example – which places exercise professionals within GP surgeries as part of an integrated team (see Health Club Management 2013 issue 5 p22) – has been praised by leading health charity The Kings Fund.

Meanwhile, establishments such as the Institute of Lifestyle Medicine in the US (see Health Club Management 2013 issue 9 p80) are pushing the education agenda – something the UK must mirror, as without opening GPs’ minds to exercise, our efforts will continue to hit a brick wall. Driving awareness and understanding will be key.

But above and beyond all of this, we as a sector must push back immediately and lobby to have physical activity – with its proven health benefits – reinstated on the QOF.



Tags: Health Club Management  executive  health & fitness  sport & recreation  personnel/hr  sales & marketing  academics/research  commercial leisure  training  people  public sector  suppliers 

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