Delaying and managing the onset of frailty
How do we find people at risk of becoming mildly or moderately frail and what interventions, services or pathways need to be in place to manage someone’s physical or mental deterioration appropriately at home or in the community?

Frailty is a broad term that isn’t yet universally recognised as a condition with a full appreciation of what interventions or action should be taken when someone is scored with the electronic frailty index (https://www.england.nhs.uk/ourwork/ltc-op-eolc/older-people/frailty/supporting-resources-general-practice/).  Further information on frailty can also be reviewed here.
 

Ideas (Publish, Detailed Submission)

Innovation 'Elevator Pitch':
Exercise is the best medicine! Our Programme helps older adults stay independent for longer through safe & effective exercises that improve flexibility, aerobic health, balance & strength - exercise, socialise & have fun in every FABS class!
Overview of Innovation:
We all understand the importance of moving more and sitting less when it comes to living a healthy and fulfilling life. As we age this becomes even more important as our lives tend to become more sedentary which then leads to ‘inflammageing’ and many long-term health conditions.

The FABS Training Programme, developed by Move it or Lose it! in partnership with the Centre for Healthy Ageing Research at the University of Birmingham combines Flexibility, Aerobic, Balance and Strength exercises in every class, providing the four vital components of older adult fitness as per CMO guidelines. This is made up of exercises that are safe, enjoyable, effective and accessible to everyone whatever their ability, and can be done seated, standing with support or free standing – which is the unique aspect of this innovative training programme.



FABS classes ensure age or ability are no longer barriers to an active lifestyle. The aim of the class content is to increase strength and muscle density to reduce sarcopenia, improve balance to reduce the risk of falls, increase aerobic capacity to enable individuals to be more active and increase flexibility and mobility.

Via a blended approach of online learning and practical training, we train exercise instructors to become specialists in fitness for the over 60s enabling them to work with the fastest growing demographic in the UK. The programme launched in March 2016 and has more than 500 instructors undertaking it to date. The aim is to train 1000 instructors who can deliver FABS classes within their local communities to combat social isolation, physical inactivity and cognitive decline and provide opportunities for fun and friendship for our fastest growing demographic; older people. By training 1000 instructors the programme also generates wealth by creating small businesses with a licensing model similar to Zumba. Each instructor trained in FABS can deliver sessions in their local area spreading the Move it or Lose it mission to change the way we age!



The programme has been used within the NHS commissioned by Birmingham and Solihull CCG for patients with COPD and/or frailty and is being trialled as a measure to reduce the risk of falls across the area. 
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness
Benefit to NHS:
The consequences of physical inactivity as we age are not just associated with movement problems and ill health, but also social issues. This often leads to feeling isolated resulting in depression which can lead people into a downward spiral and consequently their loss of independence.

Professor Janet Lord, Director of the Centre for Healthy Ageing Research at University of Birmingham and adviser for the recent BBC One Programme ‘How to Stay Young’ says, “Exercise is the best medicine. We can reduce our risk of heart disease, some cancers, diabetes, obesity, arthritis and osteoporosis by up to 50% by simply getting people to move more and sit less.”



The programme has been recognised by the NHS and is commissioned by Birmingham and Solihull CCG as an exercise and education programme for patients with COPD. More than 300 patients have benefited from the programme, improving physical and mental wellbeing. This in turn will keep patients away from GP surgeries and hospitals for longer periods, thus reducing, or even preventing treatment costs.

Education of self-management techniques which is part of the programme will also contribute to this. The programme helped Move it or Lose it become Highly Commended by WMAHSN for Excellence in Wellness and the Prevention of Illness, as well as winning an award from WMAHSN’s Long Term Conditions Network.
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
The class members benefit from improvements in their health, reducing their risk of heart disease, some cancers, diabetes, obesity, arthritis and osteoporosis.

Move it or Lose it! assists with the development of practical solutions to improve levels of physical activity in older people. This increase in activity has an economic impact for the NHS by improving physical and mental health, the cost of treatment needed for conditions associated with declines in health such as sarcopenia, osteoporosis and arthritis will be reduced.



The FABS Training Programme provides job opportunities in the West Midlands. FABS Instructors will benefit from using an established brand in Move it or Lose it! that will help them to build their own business of exercise provision to the over 60s.
Current and planned activity: 
We are currently engaged in a 12-week trial, providing exercise as an intervention for patients identified to be at risk of falling with Birmingham & Solihull CCG in Northfield & West Heath areas. We are collaborating with ROSPA & Northfield library as well as the CCG providing our book, DVD & a resistance band free of charge to promote activity & signposting people to our community classes in the area. The trial is being evaluated using the QTUG by Kinesis.

We are looking to expand our team of inspirational instructors & trainers so they can get everyone experiencing the benefits of Move it or Lose it! & FABS across the UK! Instructors receive continual support through The Exercise Network, aiding their knowledge & delivery. By building this network of instructors Move it or Lose it! are helping older people & those with disabilities across the UK to get active to help them age well. If you are passionate about helping older people to live life to the full then find out more here.
 
What is the intellectual property status of your innovation?:
The FABS logo is registered trademarked. Content relating to FABS and its materials are copyrighted.
Return on Investment (£ Value): 
N/A
Return on Investment (Timescale): 
N/A
Ease of scalability: 
Simple
Regional Scalability:
The FABS Training Programme is highly scalable due to eLearning platform, allowing many people to undertake the programme simultaneously. We can then offer multiple practical assessments dates at a central Birmingham location (as well as other venues nationally) for 20 instructors at a time. This would allow for rapid expansion of the programme in the West Midlands area.  The model that has been developed is a sustainable business model which ensures that income is generated from licensing, training and ongoing support.
Measures:
The aim of The FABS Training Programme innovation is to train 1000 specialist exercise instructors to the over 60s. The success of the innovation will be measured against achieving this goal.

The quality of The FABS Training Programme is measured through its recognition by industry regulators such as CIMSPA, EMD UK and Active IQ. This is also ensured via the company’s Quality Assurance Policy.

Move it or Lose it also has a Safety Policy and Equality and Diversity Policy to ensure the people training with us, the tutors and customers are kept safe and are treated with respect. 

Adoption target:
We would like to implement FABS classes within CCGs giving GPs the opportunity for physical activity and social prescription within their own practice to treat conditions such as COPD, diabetes and more.  The AHSN Network could provide crucial links to CCGs to raise the profile of FABS within local communities and Local Commissioning Networks.
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Joe Robinson 12/06/2018 - 11:55 Detailed Submission 2 comments
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