Ann Gates @exerciseworks presentation to @NSEMS @BASEM_UK Conference, Newcastle, 10th October 2015

1. Training tomorrow’s health care professionals,
in exercise medicine,
for tomorrow’s patients
Ann Gates Member of the WHF Emerging Leaders Programme
“

4. Please give me your show of hands
for:
Physical activity in the undergraduate
medical school and school of health at
Newcastle University!
Permissions are assumed!

5. Training tomorrow’s health care professionals,
in exercise medicine,
for tomorrow’s patients
Ann Gates Member of the WHF Emerging Leaders Programme
“

6. “A qualified doctor, nurse, midwife or
allied health professional may see half
a million patients during their career so
this has enormous potential for
advocacy and the promotion of
physical activity” ~Ann Gates 2015

7. To protect and
promote the
health of
patients and
the public

8. preventable, deaths
Physical activity saves lives!
Physical inactivity is the 4th leading risk factor for mortality
3.2 million deaths globally
37,000 deaths in the UK
“names and faces in every clinic waiting room”

9. To prevent and treat
non-communicable diseases #NCDs with
physical activity
25x25

10. 10%
reduction
in physical
inactivityWHO 25x25 goal

11. Global, unequal, unfair, health crisis….
Epidemic of physical INACTIVITY
with
no clinical support?

12. TIME to teach
every student
health care
professional

13. ENOUGH
EVIDENCE for
exercise as a
medicine!
World Health Organisation Europe
agrees!

14. Evidence and practice, reality heart
health/stroke specific/patient storyMaking
Every
Contact
Count for
physical
activity
advice

15. cradle.....
“teachable moments”

16. during…

17. ………..to grave care

18. =
A LOT of
physical activity advice,
every consult!
if……
every TRAINED health professional x over 1 million NHS patients/36 hours

19. 672,973
brief physical activity opportunities
EVERY NHS DAY
every patient

20. a global
workforce
‘fit for purpose’

21. Ann Gates (lead)
Dr Brian Johnson
Dr John Brooks & KCL team
Professor Chris Oliver
Simon Rosenbaum
Dr Jane Thornton, MD
Mr Ian Ritchie
Fiona Moffat, Alan Taylor,
Nottingham University Medical
and Health Sciences School

22. Clare Stevinson, Mr Jon Dearing,
Dr Hamish Reid, Vicky Hood,
Paul Hendrick, Jo Foster-Stead,
Dr Paul Remy Jones, Ellinor Olander,
David Lipman, Dr Tim Anstiss,
Steffan Griffin, Jane Culpan,
Professor Patrick Callaghan, Public Health
England, The Richmond Group,
and many others!

23. Council of Deans of Health
The voice of the deans and the heads of the UK university
faculties for nursing, midwifery and the health professions

24. sharing….

25. Physical activity and health
Physiological adaptation to exercise
Prescribing physical activity and exercise
Motivational interviewing and exercise support
Public Health and physical activity…….
Exercise and…
Cancer, cardiovascular disease, hypertension,
Type 2 diabetes, mental health,
Dementia, osteoarthritis & rheumatoid arthritis, osteoporosis &
sarcopenia, Falls prevention & treatment, Obesity, Chronic
Obstructive Pulmonary Disease (COPD), Before/and after surgery,
Pregnancy/Mum & baby health,
and…
Leadership & physical activity champions!

27. Make every
contact
count

28. FOR UNDERGRADUATE USE ONLY!

29. ALL undergraduate, student
doctors, nurses, midwives &
allied health care professions

30. To be used by universities around the world
to educate their health care students
on the health benefits
of physical activity

31. National and international evaluation
conducted by Nottingham University School
of Medicine and Health Sciences, UK
Funded by:
Excellent!

32. 'A series of questions on the role of exercise medicine in the prevention and
treatment of ill health is undergoing a quality assurance process by the Medical
Schools Council Assessment Alliance for inclusion into the national MCQ question bank
for finals examination for the undergraduate medical degree.
This means that all UK medical schools, will be able to access finals’ exam questions on
exercise medicine and health.’
Student
Assessement!

33. Resource use guidance
ALL INTELLECTUAL COPYRIGHT, IS PERMISSION FREE, BY THE AUTHORS,
FOR UNIVERSITY MEDICAL & HEALTH CARE SCIENCE UNDERGRADUATE
USE ONLY.
USE OF THE RESOURCES OUTSIDE THIS REMIT CONSTITUTES A BREACH
OF COPYRIGHT AND CHARGES FOR USE WILL BE MADE.
Acknowledgement of the contributors must be made at all times.
On behalf of all the international authors, contributors, national reviewers,
international reviewers, and in accordance with the specifications agreed
with Public Health England.
Resource evaluation by The University of Nottingham, School of Medicine
and Health Sciences. Funded by Public Health England.
Press release
Released September 2015
Reviewed annually
Valid until November 2018

34. Training tomorrow’s
health care
professionals..
for tomorrow’s
patients...

35. Thank you!
* to a lot of very special people*

36. Acknowledgments
The international team of contributors and authors would like to acknowledge the leadership
of Mr Ian Ritchie, President of the Royal College of Surgeons Edinburgh, 2012-2015,
in supporting this project.
In addition, we would like to acknowledge the help and work of:
Professor Patrick Callaghan, Nottingham University School of Medicine and Health Sciences, UK.
Nottingham University Medical School team: Professor Ian Hall, Professor James Lowe, Dr Tim England, Dr Paul Garrud,
Dr Saoirse O'Sullivan, Dr Idris Iskander, Dr Stuart Leask and Professor Michael Craig Watson.
The Royal College of Surgeons Edinburgh.
Professor Chris Oliver and Edinburgh University Medical School.
The British Association of Sports and Exercise Medicine.
The Faculty of Sports and Exercise Medicine, Dr Jumbo Jenner and Dr Tim Swan.
Dr Andrew Murray. Dr Nathan Stephens. Dr Dave McKean. Professor Stuart Biddle.
The Richmond Group. Public Health England for funding the evaluation of the resources.
Medical Schools Council Assessment Alliance for their assistance.
Competing interests ABG is a member of the World Heart Federation, Emerging Leaders Programme, 2014.
CEO of Exercise-Works! Ltd.
Nottingham University School of Medicine and Health Sciences
received funding from Public Health England for the evaluation of the resources.

37. In sickness,
in health,
in immobility,
in pain,
in disability, and
in old age….
prescribe
physical activity..
For tomorrow’s
patients!

38. Interdisciplinary resource contributors This initiative has been led by Ann Gates.
Curricula development and resources were developed by: Ann Gates MRPharmS, Member of the World Heart Foundation Emerging
Leaders Programme 2014. Dr Brian Johnson, General Practitioner and Honorary Medical Advisor to Public Health, Wales. Dr John H M
Brooks, PhD (together with existing Kings College Medical School undergraduate course resources in association with Dr Ann Wylie and
Kings Undergraduate Medical Education in the Community). Dr Simon Rosenbaum PhD, Exercise Physiologist and Research Associate
University of New South Wales, Australia. Dr Jane Thornton MD PhD, Resident Physician and Clinical Researcher, University of Western
Ontario, London, Canada. Mr Ian Ritchie FRCS, President of the Royal College of Surgeons Edinburgh, Consultant Trauma and
Orthopaedic Surgeon at Forth Valley Royal Hospital, Scotland. Mr Chris Oliver MD FRCS, Honorary Professor Physical Activity for Health
(PAHRC), Edinburgh University and Consultant Trauma Orthopaedic Surgeon, Royal Infirmary of Edinburgh, Scotland. Steffan Griffin,
Medical Student at University of Birmingham, Director at Move Eat Treat, UK. Professor Patrick Callaghan, Professor of Mental Health
Nursing and Head of School of Health Sciences, Faculty of Medicine & Health Sciences, The University of Nottingham, UK. Mr Jon
Dearing, Consultant Orthopaedic surgeon, NHS Kilmarnock, Scotland. Ellinor Olander PhD Lecturer in Maternal and Child Health, City
University, London, UK. Fiona Moffatt PhD MCSP Assistant Professor, Division of Physiotherapy and Rehabilitation Sciences, The
University of Nottingham, UK. Alan Taylor MSc MCSP Assistant Professor, Division of Physiotherapy and Rehabilitation Sciences, The
University of Nottingham, UK. Paul Hendrick PhD MCSP, Lecturer, Division of Physiotherapy and Rehabilitation Sciences, The University of
Nottingham, UK. Victoria Hood PhD MCSP, Lecturer, Division of Physiotherapy and Rehabilitation Sciences, The University of Nottingham,
UK. Dr Hamish Reid, Academic Clinical Fellow in Sport and Exercise Medicine, British Heart Foundation Centre on Population Approaches
for Non-Communicable Disease Prevention, University of Oxford, UK. Jo Foster, Physical Activity Programme Lead, Macmillan Cancer
Support, UK. Clare Stevinson PhD, Lecturer in Behavioural Aspects of Physical Activity and Health, Loughborough University, UK. Dr J
Varney, Dr M Brannan, Dr Z Williams, R Shaw and H Ridgley: Public Health England. David Lipman BHlthSci(Pod)Hons BAppSci(HMS)Hons,
Medical Student at Deakin University, Australia. Dr Paul Remy Jones, Academic Foundation Year 2 Doctor, St. Thomas’ Hospital, London,
UK.

39. National and International reviewers
Julie Orr, MSc, HEA Fellow, Lecturer, School of Health, Nursing & Midwifery, University of the West of Scotland, Scotland. Dean
and Professor Leigh Hale, School of Physiotherapy, Otago University, New Zealand. Dr Pedro Hallal, Federal University of Pelotas,
Brazil. Dr Tim Carter, Teaching and Research Associate, Faculty of Medicine & Health Sciences, The University of Nottingham, UK.
Dr George Metsios. Reader in Clinical Exercise Physiology, University of Wolverhampton, UK. Dr Holly Blake, Associate Professor
of Behavioural Science, Faculty of Medicine & Health Sciences, The University of Nottingham, UK. Tom Denning, Professor of
Dementia Research, Faculty of Medicine & Health Sciences, The University of Nottingham, UK. Professor Mark Lewis, Dean of
School, Professor of Musculoskeletal Biology, Loughborough University, Leicester, UK. Dr Jane Culpan, Lecturer, Physical Activity,
Health and Wellbeing, School of Health Sciences, Queen Margaret University, Musselburgh, Scotland. Dr Mandy Jones, Course
Director MSc (pre-reg) Physiotherapy, Brunel University, London, UK. Dr Michael Craig Watson, Associate Professor in Public
Health, Faculty of Medicine & Health Sciences, The University of Nottingham, UK. Professor Ian Macdonald, Head of School of Life
Sciences, Metabolic Physiology, Faculty of Medicine & Health Sciences, The University of Nottingham, UK. Dr Karen Harrison
Dening, Senior Fellow at Institute of Mental Health, University of Nottingham, UK. Professor Mark E Batt, Consultant in Sport and
Exercise Medicine, Centre for Sports Medicine, Nottingham University Hospitals NHS Trust, UK. Professor Patrick Callaghan, The
University of Nottingham, School of Medicine and Health Sciences, UK. Michael Nash, Assistant Professor of Mental Health
Nursing, Trinity College Dublin, Eire. Dr Sarah Goldberg, Associate Professor, Faculty of Medicine & Health Sciences, The
University of Nottingham, UK. Brenda Happell, Professor of Nursing and Executive Director, Research Centre for Nursing and
Midwifery Practice, University of Canberra, and ACT Health, Canberra, Australia. Dr Inam Haq, Director of Undergraduate Studies,
Reader in Medical Education and Rheumatology, Brighton and Sussex Medical School, UK. Professor Helen Spiby, Faculty of
Medicine & Health Sciences, The University of Nottingham, UK. Charlie Foster, PhD, Associate Professor, Nuffield Department of
Population Health, University of Oxford, Oxford, UK. Dr Eleanor Tillett, Honorary Consultant in Sport & Exercise Medicine,
Institute for Sport, Exercise & Health, University College London, UK. Dr Tim Anstiss, Founder, Academy for Health Coaching, and
Honorary Lecturer, University of West London, London, UK. Dr Gary Adams, Associate Professor in Diabetes Health and
Therapeutics, Faculty of Medicine & Health Sciences, The University of Nottingham, UK. Dr Luke Howard, Consultant Respiratory
Physician, Hammersmith Hospital, Imperial College Healthcare NHS Trust, Honorary Senior Lecturer, National Heart & Lung
Institute, Imperial College London, UK. Mr John Keating, Consultant Orthopaedic Surgeon, Department of Orthopaedic Surgery,
Royal Infirmary of Edinburgh, Edinburgh, and Clinical Director for musculoskeletal services in Lothian, Scotland, UK. Mr Alasdair
Sutherland, Associate Professor, Deakin University Medical School and Director of Orthopaedic Services at South West
Healthcare, Warrnambool, Victoria, Australia. Dr Kostas Tsintzas, Associate Professor of Human Physiology, Faculty of Medicine &
Health Sciences, The University of Nottingham, UK. Dr Michelle F Mottola, Director, R. Samuel McLaughlin Foundation- Exercise
and Pregnancy Lab, University of Western Ontario, London, Ontario, Canada.

40. • Arial 18pt
• Arial 18pt professionals
• patient education and support
• exercise advice, every patient, every opportunity
• when and where
• every health consult
• In hospitals, out patients, clinics, home visits
• the viral use of social media
Exercise-Works-Ltd
@exerciseworks
exerciseworks
See © Exercise Works! patient exercise sheets
All content and concepts intellectual copyright to © Exercise Works! www.exercise-works.org 2012, 2013, 2014. 2015
Session 10