Idea Description
Supplementary Information
Innovation 'Elevator Pitch':
Providing GPs with a practical solution to help patients identified with mild/moderate frailty through a specialist exercise intervention delivered in the GP surgery.
Overview of Innovation:
Move it or Lose it delivers a specialist exercise programme which includes the cornerstones for healthy ageing - flexibility, aerobic, balance and strength (FABS). Evaluations of the FABS programme have shown improvements in functional mobility, levels of independence, high adherence levels and long-term behaviour change.

As collaborating partners with The MRC-ARUK Centre for Musculoskeletal Ageing Research at University of Birmingham, this brings together academic research translated into practical application. It is far more than just an exercise intervention as participants are supported to increase physical activity levels with home-based exercises away from the class setting along with motivational instructors to help frailer older adults to overcome barriers.

In England, 12% of the over 65s are living with moderate frailty and 35% with mild frailty. These individuals are frequent users of services across health and social care with higher levels of unplanned hospital admission or care home admission. However evidence shows these adverse outcomes could be avoided through early identification and intervention to reduce frailty levels. (Mytton et al, 2012)

GPs may be able to identify frailty but then need to offer a solution. As appointment time is limited, being able to offer an evidence-based programme to improve mobility, strength and balance – and one that is delivered on site – provides a cost-effective and convenient solution for busy doctors.

The FABS Training Programme has proven to be successful for COPD patients and has been commissioned by Birmingham CrossCity CCG. Evaluations show:
  • improved functional mobility to within normal age-related range with a reduction in physical frailty from ‘mildly frail’ to ‘managing well’
  • increased leg strength to within normal community dwelling range which is associated with health-related quality of life
  • adherence levels of 66% (traditional pulmonary rehab 50%)
  • high levels of enjoyment and self-reported long-term behaviour change
Also an independent evaluation by Royal Voluntary Service for their ‘Active Moves’ pilot showed a shift from poor to moderate function with 22% reported feeling less lonely after a twelve-week intervention.

The programme is ideally suited for frailty and with a network of specialist teachers, is also ready to scale.
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)
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hello.  ive looked at the submission and i like the simplicity of it.  i especially liked the 'cuppa tea' video, for those using this to have a home based 'routine' to use on days they dont come to the sessions.  a couple of thoguhts - firstly, how are you recording the wider impacts of the benefits - ie on the individuals mental wellbeing as im sure there are some?  secondly along with falls through muscle weakness theres lots of evidence to support rehydration, so along with the 'making it in time wit a cup of tea' motif, is there a way of including regular hydration within the programme, how many glasses of water they drink perhaps?  happy to talk more if this is of assistance.
Thanks Elaine, we do cover hydration as one of the topics in the education session after a class but agree this would work really well as part of the 'cuppa' routine. I will email you to discuss the mental wellbeing evaluation.
Thank you for taking the time to comment.
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