Awen Cultural Trust continues to work in partnership with Tanio (https://taniocymru.com/breathing-space/) to offer weekly creative arts groups to anyone who is struggling with loneliness or isolation, living with poor mental or physical health, or would benefit from seeing a friendly, welcoming face or meeting new people. Participants can try art, music, movement and creative writing in a friendly support environment, at a number of Awen’s venues in Bridgend County Borough. Participants don’t need any experience to take part, all the materials and equipment are provided and all the groups are free of charge.
“Because it’s something to be part of, it gets me out of the house and helps me deal with isolation. I have come every week since I started and find the group really supportive and I have made new friends.” – Participant
“It’s informative, I try different things I wouldn’t have chance to do otherwise. It’s very friendly and enjoyable. The space is nice and staff are really supportive – I always feel like I can ask if I need help with anything. It’s very creative, I like making all the different things and the getting new skills.” – Participant
“I find it very relaxing and my mood always lifts. Like today I hadn’t been out the house this week until I came along and it made me feel much better. Creating the art has a very relaxing effect on me – it helps my brain slow down which I need sometimes.” – Participant
“This group has really help pull me through after a very difficult personal situations at the beginning of last year – I don’t know what I would have done without it.” – Participant
In response to the cost-of-living crisis, we developed our Warm Welcome programme – a free events programme designed to encourage people through the doors to enjoy cultural activities and social interaction in a warm, safe space. More than 125 people benefited from the programme at the Met in Abertillery (a venue run by Awen Cultural Trust in partnership with Blaenau Gwent County Borough Council) with Free Music Fridays being particularly well-supported by an average of 16 people each week. This element of the programme will continue during the summer months, following very positive feedback from audience members and Awen Leisure Trust will seek to broaden the range of music available from classical, jazz and soul to rock and blues.
“Georgia (aged 14) has been home schooled due to bullying issues, which resulted in suffering from anxiety. She has been attending these Free Music Friday sessions as part of her music lessons, which I take her to as part of the home schooling I do with her. She has really enjoyed every Free Music Friday event, and it makes her feels safe, and happy. This has really help with her anxiety. Georgia has developed more confidence and has gained trust in new friends she has made at The Met. She even gained courage and strength to perform in one of the Free Friday Music sessions with Dave Jones (who was performing on the day). She sang 2 songs and had a wonderful time. Georgia is a different person and is much happier since attending these Free Music Fridays, thank you.” – Anon
“The Free Music Friday’s sessions have been wonderful and given me something to look forward to because I am new to the area and have recently moved from England to Wales. I have felt isolated and lonely but attending these sessions has really helped me to get out and mix with others. I have made lots of new friends and the music has been wonderful every time. I really appreciate experiencing so many diverse types of music every time.” – Participant
Meno Active is a targeted program offered by Newport Live Leisure Trust, specifically designed to support pre to post-menopausal women in reclaiming control over their bodies and overall well-being. Recognising the physical and emotional challenges faced during this life stage, Meno Active provides exercise, and well-being advice to help women understand and navigate the changes that occur during menopause. The initiative creates a supportive group environment offering classes and workshops with insightful tips, and empowers women to lead healthier lives and have a support network.
Some of the sessions offered (and why) include:-
Meno Strength:-
Resistance training and functional movements via a group-based gym session to boost body confidence, strength and bone health.
Meno Yoga
Sessions are tailored to help with reducing the emotional symptoms of menopause and relax the body.
Meno Workshops
The Meno Workshop was a 6 week programme designed for pre and post menopausal women to gather, connect, and share experiences related to the menopause journey. This welcoming and supportive environment brings women together to openly discuss their symptoms, exchange tips, ideas, and provide mutual support while enjoying a cup of coffee or tea.
During each Meno Workshop session, a variety of topics relevant to menopause was explored such as:-
Since the launch of Meno-Active it lead to Newport Live successfully collaborating with Public Health Wales and the Department of Work and Pensions (DWP) to research the impact of menopause on women’s employment prospects. Newport Live attended a 50+ (age) employment outreach event to understand the challenges women face during the menopausal transition to help research strategies to support their employment and wellbeing. The report provided qualitiative insights into the difficulties women encounter due to menopause-related symptoms, such as reduced confidence and cognitive difficulties, which can affect job prospects. The evidence generated from the report and its findings is the first of its kind in this research field. It emphasises the need for awareness, accommodations, and support in the workplace to empower menopausal women and enhance their overall well-being during this significant life stage.
The Meno Active program has yielded significant results since its launch in November 2022. Here are some key benefits, outcomes, and data from the program:
These attendance figures demonstrate the positive response and engagement from women who have enrolled in the Meno Active program. The program’s focus on various exercise modalities, including Pilates, strength training, and yoga, allows women to choose sessions that best suit their preferences and needs.
The Meno Active program’s success lies in its ability to provide a comprehensive approach to menopause management, addressing physical fitness, emotional well-being, and overall quality of life. By offering a range of sessions tailored to the specific needs of menopausal women, the program empowers participants to take control of their health and experience the numerous benefits associated with regular exercise during this life stage.
The initiative was developed to address the numerous challenges faced by women during menopause, such as physical changes, decreased confidence, and a lack of support and understanding.
Newport Live Leisure Trust established Meno Active as a comprehensive program that combines exercise, nutrition, and well-being advice. The initiative was designed to offer a supportive group environment where women could connect with others and receive guidance from knowledgeable instructors.
Throughout the implementation of Meno Active, the initiative faced challenges such as addressing misconceptions surrounding menopause, creating a safe and inclusive environment, and ensuring the program’s accessibility to all women. However, by providing accurate information, fostering a supportive atmosphere, and adapting the program as needed, these obstacles were successfully overcome.
We recognise the importance of inclusivity and the need to overcome obstacles in engaging men. While men do not experience menopause directly, they can play a significant role in supporting their partners, friends, or family members who are going through this transition. By increasing awareness and encouraging men to become engaged in the program, we can foster a more inclusive and supportive environment for everyone involved. This will be part of the implementation strategy in phase two for us to overcome.
By implementing Meno Active, Newport Live Leisure Trust has successfully supported menopausal women in regaining control, boosting confidence, and improving overall well-being. The program’s comprehensive approach and supportive environment have led to positive outcomes, inspiring collaboration with Public Health Wales and empowering more women to prioritize their health during the menopausal transition.
“Just wanted to say that since I joined everyone I have met has been so lovely and helpful – it has really enabled me to get into positive habits and attend.
The instructors are lovely, giving me my meno strength induction week 1. I loved working with Bryony and have attended a few velo classes and had a health check with Giovanna too. I would be grateful if you could pass on my positive experience and thanks” Claire Hill (Newport Live Member).
“I’ve been a gym member at Newport since September 2022. I have enjoyed using the facilities at all venues and attending taught classes, including yoga, pilates, and body sculpt. I recently discovered the Meno-Active classes on the app and have attended Meno-strength. This class has given me the confidence to use a wider range of gym equipment which I used to be reluctant to use. It has also been informative regarding my bodies needs and changes during menopause and how important it is to increase muscle strength and bone density during this time in my life. I look forward to continuing to participate in these classes, and I am open to new menopause fitness plans as Meno-Active evolves and the new sports centre is built in Newport City Centre.” Julie Jones (Newport Live Member).
“As a fitness instructor for the Meno Active strength training class, I am thrilled to witness the incredible sense of team spirit, comradery, and support that our participants bring to each session. It is truly inspiring to see women coming together, sharing their experiences, and forming strong bonds as they navigate the challenges of menopause. Strength training helps women maintain muscle mass, increase bone density, and improve overall strength and balance. These physical benefits are crucial during this stage of life when hormonal changes can impact our bodies.” Kayleigh Greening – Newport Live Group Exercise and National Exercise Referral Instructor (ABHB).
“Within my specialist NHS Menopause clinic, Newport Live Meno Active has been specifically mentioned by two patients who described the programme as ‘lifesaving’. They both highlighted that the programme allowed them to regain their sanity and the peer support they received was invaluable. This programme beautifully demonstrates collaborative working and holistic care.”
Dr Michelle Olver, Consultant in Sexual + Reproductive Health and Menopause Lead, Dept of Sexual and Reproductive Health, St Cadocs Hospital, Aneurin Bevan University Health Board.
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Using the arts to support positive change and transitions for adults accessing Cwm Taf Morgannwg University Health Board services.
The M Word began when Carolyn Jones, one of Freedom Leisure’s fitness instructors in Penyrheol, found herself struggling with menopause and the symptoms it comes along with. She knew other women were also finding menopause a challenge so she decided, alongside the Penyrheol management team, to do something to address it.
Some women sail through menopause; some women have minor issues; many women find it physically and psychologically distressing and troublesome, and for a minority of women — but even one is too many — they harm themselves or kill themselves while going through the change of life. Perimenopause, which can start as early as your 30s or early 40s, can also be difficult. At this time in a woman’s life, it can feel as if you’re losing your ability to enjoy your life, and you can feel as if you’re losing your mind. There can also be a sudden drop-off in energy, as well as many other debilitating symptoms.
After some discussion the team came up with the concept of the ‘M Word’ – yoga for menopause.
The M Word is held once a month. The class is made up of circle discussion where women in the class share their thoughts and experience and exercises to help combat symptoms.
The team in Penyrheol have tackle the stigma of menopause head on and are empowering women to do the same.
When we asked Carolyn about The M Word, her response was brilliant:
I should emphasise that my line manager, the centre manager (Emma Evans), the whole team at Penyrheol, and the area manager, have all been hugely supportive. My friend Diane, who acts as the ‘meeter and greeter’ in my classes, as well as my husband, have also been very supportive and helpful. And the customers have been absolutely lovely, appreciative and helpful to each other. This isn’t ‘my’ project — it belongs to all of us and would not be a success without teamwork and mutual support.
A true representation of how Freedom Leisure Active Communities is part of everyone’s job.
“What shocked me about THE CHANGE was the sheer violence of it. The harmony I work hard to keep between my body and mind had suddenly gone. The good news is that over time I made an accommodation of this new me.”
Jane Johnson, former nurse and participant
“I am telling all my friends in work about the classes! They always ask me what we’ve done. I find the ‘legs up the wall’ pose really helps me to relax before I go to bed. I feel more ‘normal’ after our chats knowing that others are going through the same things.”
Cheryl Poiner, participant
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This video produced by Freedom Leisure showcases the range of tailored services our members provide to support the community improve their health and wellbeing.
Aura Leisure and Libraries was recently thrilled to receive a touching email from a local couple who wish to remain anonymous. Within the email they explain how their lives have been altered after receiving a phone call from one of our Fitness Instructors, Gavin Jones, who took the time to reach out to enquire about their health. What happened next is inspiring! They decided to make a huge commitment to improving their physical wellbeing, and continue to show fantastic determination to reach their fitness goals. Here’s what they had to say:
“Dear Aura Wales,
In the summer of 2016 I suffered heart failure and, upon admission to Glan Clwyd Hospital, my heart output was less than 10%. Thankfully, things improved and I was eventually referred to the Cardio Rehab programme at Deeside Leisure Centre.
I was later contacted by Gavin Jones of Aura Wales for follow up sessions. I was intermittent in attending and, I suppose, apprehensive of the effects exercise would have on my heart. After a few weeks’ absence, and totally out of the blue, at 6.50pm on a Thursday evening I received a telephone call from Gavin enquiring about why I hadn’t been to the gym for weeks. I explained I had been finding it hard and I had had another health scare. He said: “Well, I’ll see you Tuesday at Deeside at 1.15pm”.
Once I put the phone down I considered what had been said. Rather than asking a question it sounded like Gavin was stating a fact. Why on earth would he be ringing me at that time of the evening? It suddenly struck me. If Gavin is so committed to me, I should be committed to me! I did meet Gavin the following week and joined the gym. I went home and told my wife – we’ve been married 38 years and do everything together – and she also joined the gym.
We are both managing two hour workouts 5/6 days a week and attend Jade Jones Pavilion, Flint. We have been following a carbohydrate restricted diet and have lost approximately 20 kilos each since October. Gavin really did make a telephone call that changed two lives! We love the social aspect of coming to the leisure centre, we talk to lots of different people; you don’t feel intimidated at all.
Our energy levels have soared, and life is very different. We are so determined to achieve our goals.
Matty, one of the instructors, wrote a programme for us both and it is working so well, he is amazing! Nothing is ever too much trouble for the staff here. We wish to place on record our sincere gratitude to Gavin for his commitment to a one time “Gym Dodger”, and for his continued support and encouragement. We would also like to thank the other instructors at Flint for making the gym a pleasure to be in rather than a burden; they are so friendly and helpful! The whole idea of Aura is brilliant.
That night when Gavin rang – I even remember where we were – it was as if it was the call that was meant to happen, and I’m so glad it did. We haven’t looked back since.”
Aura sends many thanks to this wonderful couple for sharing their kind message and wish them the best of luck with their fitness journey.
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The Escape pain programme based at Eastern Leisure centre is currently on its second cohort and is becoming increasingly popular. The centre is managed by charitable trust GLL the programme is currently run twice per week by NHS professionals from the Physio team and runs for 6weeks.
Four members of staff from Eastern Leisure Centre have completed training in Escape Pain Knee/Hips and Escape Pain Backs alongside NHS professionals with the intention of co-delivering the programme. This has also provided an insight into the needs of these specialist populations with regard to exit routes. The centre fitness class programme is being adapted to cater for these clients by introducing additional “Basics” low impact classes at suitable times to provide these exit routes.
Throughout the programme centre staff have opportunities to engage with participants and promote the new NHS membership offering to them, which in turn encourages them to use the centre independently making healthy lifestyle changes more sustainable. Having the direct link between the Physio team and the centre has been nothing but positive and already have seen some participants sign up to the membership scheme. This membership scheme was specifically introduced to support these groups into regular physical activity.
Huw Davies AHP lead for Community Neuro Rehabilitation / Live Well Project Lead (Escape Team) said: “The joint work with Better health has enabled us (in Cardiff) and the Vale UHB to run high value interventions closer to patient’s homes. Running structured groups focused on behavioural change in the local community helps us to de-medicalise some conditions and improves patient long term health outcomes. Supporting NHS service users in the community to make positive changes to their health and well-being and the offer of long term activity options has really helped to keep people engaged and active beyond our programmes.
The partnership work and joint training has fostered excellent relationships between Cardiff and Vale UHB and Better. We are now continuing to working closely to develop and roll out more activity options that are co produced between health and leisure.
As a result of the success of the groups in Eastern leisure centre we have doubled our class sizes and started the role out to other centres in Cardiff. Our vision is to have these offers available in a number of locations in Cardiff and the Vale.“
Participant at Eastern Leisure Centre said: “The pain in my back is gone completely. I began with back, hip and shin pain. Now because of this group my back is completely fine. My posture is a lot better and I’m ensuring I’m sitting and standing better.
My fear of pain is gone now that I understand what it is and how it’s got to this point. It’s just so friendly and attentive which makes the whole exercise and pain management easier.
I have started doing weights and bike in the gym which I would never have done because of my back. Lost 2 stone and looking to continue losing weight and join the leisure discount.”
Good Boost is a program designed to improve individuals’ lives by incorporating gentle water and land-based exercises in a fun and social environment. The initiative aims to transform health management from a chore into a pleasurable experience. Good Boost utilizes technology developed by musculoskeletal specialists to deliver individually tailored rehabilitation. Powered by artificial intelligence, the Good Boost app is delivered on waterproof and rugged tablet computers, allowing participants to progress in their exercises at their own pace. This approach supports the self-management of musculoskeletal conditions, providing low-impact and low-pain exercises for treatment and prevention.
The Challenge: The initiative aims to address the challenges faced by individuals with musculoskeletal conditions and related health issues, including limited mobility, pain, and the need for specialized rehabilitation.
What They Did: Good Boost implemented a program that combines gentle water and land-based exercises in a fun and social environment. The initiative utilizes AI-powered technology to deliver individually tailored rehabilitation exercises through the Good Boost app, accessible on waterproof and rugged tablet computers.
Please find the analysis of participant data for the Good Boost musculoskeletal intervention below. The data covers the period from June 2022 to June 2023.
As we analyse this data, we can identify areas for improvement and growth. The popularity of aqua sessions suggests that they are meeting participants’ preferences and needs. However, the review of land-based sessions aims to enhance their appeal and encourage greater participation. Furthermore, the distribution of referral sources highlights the importance of collaboration with healthcare professionals, internal promotion, and social prescribing networks.
This data provides valuable insights into the demographics and engagement of participants in the Good Boost musculoskeletal intervention, enabling us to refine and expand the program to better meet the needs of our target audience.
Throughout the implementation of Good Boost, the initiative faced obstacles such as adapting the exercises to various health conditions, ensuring user-friendly technology, and managing the high demand for sessions. However, by spending time developing the onboarding process of members to increase their confidence and increasing the number of session utilised as the demand increased we were successfully able to over come these obstacles.
We have implemented an effective onboarding consultation process to ensure a seamless sign-up experience for users interested in joining Good Boost. This process involves dedicating one-on-one time with each user, allowing us to provide personalised guidance and demonstrate the program’s activities.
During these consultations, our instructors play a pivotal role in facilitating the sessions. They actively engage with participants, ensuring they understand and feel comfortable with the exercises and routines. By being present in every session, our instructors create a supportive and inclusive environment, fostering a sense of trust and confidence among participants.
Through the implementation of Good Boost, individuals with musculoskeletal conditions have experienced improved health, reduced pain, and increased empowerment in managing their conditions. The program’s tailored exercises, fun environment, and AI-powered technology have contributed to its success and positive outcomes. With poolside sessions being consistently sold out, Good Boost has the potential to become a permanent and highly sought health intervention with Newport Live.
Louise Vitalini, a satisfied participant at Good Boost, expressed her enthusiasm:
“I love it! Good Boost has been incredibly effective for me. When I initially started attending, I had a noticeable limp due to a hip replacement. However, the program has greatly contributed to my recovery process, and now, I am thrilled to say that the limp is completely gone. I have enthusiastically recommended Good Boost to numerous people because of the amazing results I have experienced.”
David Parry-Jones, a participant at Good Boost, shared his experience:
“After being referred by the physiotherapist at St Woolos, I was recommended to try out Good Boost. Since November, I have been attending the sessions, and over time, I have found them to be incredibly beneficial and rewarding.
Towards the end of my time here, I even started using the gym, which is something I never thought I would do. Ellis, the wellbeing officer, has provided me with guidance to progress and make the most out of my gym sessions.
The exercises using noodles, floats, and aqua dumbbells have been particularly helpful. It’s all about the resistance of the water, and it has made a significant difference in my experience.”
Using virtual reality to support care home residents with dementia
Virtual reality (VR) technology has been used to transport the residents of Bryn Y Cae and Tŷ Cwm Ogwr Care Homes on wildlife adventures, space flights and visits to cities across the world, from the comfort and safety of their own armchair, thanks to a creative wellbeing project delivered by Awen Cultural Trust and Bridgend County Borough Council.
The project, which was funded by Welsh Government’s Transformation ‘Connected Communities’ Grant – administered by Bridgend Association of Voluntary Organisations – worked with Cardiff-based Rescape Innovation to also create 12 personalised VR experiences for residents with dementia, aimed at unlocking memories and provoking conversations.
VR technology is becoming increasingly popular within the care sector as reminiscence therapy, taking residents to places of interest and importance which otherwise they would be physically incapable of visiting. The films are shot in 360 degrees to make the experiences highly immersive, and residents use headsets, looking in any direction to get a different perspective.
Penny Griffiths, Manager of Bryn Y Cae Care Home, said:
“It has been great to be able to bring new technology into the care home for residents to enjoy. Seeing their response has been a joy to watch especially when it was so real to them. I wasn’t sure what kind of reaction we were going to get from the residents with dementia, but it was wonderful. They were completely immersed in the experience, and for them to feel they were out in the garden and interacting with the flowers, after being isolated due to Covid for so long, was just lovely to see.
“Our hard-working staff have also benefited from the technology, by using the headsets to enjoy a short ‘escape’ to a tropical beach whilst taking a break from their caring duties. Whether it was 5 minutes of listening to the waves, or staring at a blue sky, this sort of mindfulness and sense of calm was particularly important during the lockdowns when no one could consider a holiday abroad.”
Video link: https://youtu.be/3duD9Ktcym0
Image Dolly, aged 105.
Supporting people with dementia, loneliness and depression. A video case study by Halo Leisure.
Hywel Evans, Aquatics Development Manager for Wales attended a SPORTA & ASA workshop in Birmingham in March where a case study on Dementia Swimming was presented. Following that he met a customer with Dementia at Waterworld/Wrexham and was inspired to develop a Dementia Friendly Swim programme for Freedom Leisure Wales.
The aspiration was to develop a Dementia Friendly workforce and offer Dementia Friendly Swimming sessions
3 key successes of the programme included:
A steering group was set up and a Task Plan was developed, consultation with local care home and dementia groups took place, 2 x staff upskilling sessions, regular steering group meetings to enable a weekly Dementia Friendly Swimming Session taking place at Chirk Leisure & Activity Centre.
In Wrexham we will now develop sessions at Waterworld and Gwyn Evans Leisure & Activity Centres so we can offer sessions throughout the week to make it more accessible and in Powys we will be develop sessions at Flash/Welshpool, Maldwyn/Newtown, Brecon and Ystradgynlais.
“Over the last 6 months I have had the pleasure of working with Hywel and other staff members of Chirk Leisure Centre, and I couldn’t be more pleased with the enthusiastic response of creating a dementia friendly swimming session in the Chirk Leisure and Activity Centre. All members of staff have been enthusiastic about finding out more about dementia but also how they can support someone accessing their services with a diagnosis. Staff attended the Dementia Friends Sessions and 4 people affected by dementia completed a walkthrough of the leisure centre. All feedback was received positively by Hywel and the team and changes were made to ensure the dementia friendly session on offer would be accessible.” – Jo Lane Regional Coordinator Alzheimer’s Society North Wales
Moving More has Changed My life – A story of a rehabilitation journey with Freedom Leisure following a hip replacement.
The Neurofit@NERS pathway was established in March 2022 after the Torfaen Exercise Referral Team noticed a gap in service provision and reached out to the Aneurin Bevan University Health Board Physiotherapy department to combine services. The aim of the Neurofit@NERS is to bring physiotherapists and exercise professionals together in complementary roles to prescribe physical activity and rehabilitation for neurological participants who require additional support.
Collaboration between these two professions has led to better outcomes for participants, as they work together to develop tailored exercise programs that address the specific needs and goals of each patient.
Participant Chris Pegington
“My name is Chris and I’m nearly 79. I was diagnosed in January 2019 with Parkinson’s and have been on 4 tablets daily on Madopar since then. Although I was physically active previously enjoying mountain biking, rock climbing and swimming amongst many things the COVID lockdown led to increase inactive and muscle weakness. The symptoms of Parkinson’s became more pronounced. I was invited to a Speech Therapy course at Panteg (Think Loud) and then a physiotherapy introduction course at Ystrad Fawr Hospital, Ystrad Mynych. This was followed up with a referral to the exercise referral team at Cwmbran Stadium.
I have now done 5 weeks of the present activity and am greatly encouraged with progress made and thankful to the friendly exercise professional and physiotherapists. Not only is movement easier than before, but tremors and shaking have greatly reduced. Although I still wake up several time a night, I am not so tired now and do not sleep in the daytime as much. Physical tasks have become easier. Muscle stiffness still occurs and rising from siting and getting out of bed is still challenging, but the Neurofit@NERS team has made me more optimistic and hopeful for the future even if the condition is still progressive.”
Exercise Professional Anna Pennington and Participant Teek Fox
Teek said: “In 2018 I had a stroke which has left me disabled, I have weakness and balance issues due to ataxia.
I was referred to the gyms NERS program by my GP to help and have come quite a way with help from exercise referral and the physio team.”
Exercise Referral Manager Owen Thomas clarified: “Research indicates regular exercise has positive impact on the physical and mental health of people with Neurological conditions. This exercise pathway has really helped our Neurological conditions participants who need additional support to exercise independently and adhere to long-term activity. The program tailored to the participants abilities and preferences and are monitored using a range of outcome measures.”
My name is Linda Tremain and I am a neuro physio working in the Community Neurological Rehabilitation Service for Aneurin Bevan health board.
“It can be extremely difficult for people living with neurological conditions to find ways to keep fit and active. The research is clear that participation in moderate intensity exercise several times a week can have a significant impact on factors such as the risk of future cardiovascular events, it can help alleviate low mood and anxiety, it can improve walking speed and it can also reduce the risk of falls. Exercise has also been described as having a “neuro-protective” impact on the brain and nervous system and can slow down the rate that chronic neuro conditions can progress. So, there are multiple benefits to helping people with neuro conditions to be more active in the community.
“We have found that when people are discharged from rehabilitation services, they often lack the confidence to return to community activities such as going to the gym. We have collaborated with the National Exercise Referral Scheme in Torfaen, Newport Ebbw Vale and Caerphilly to help bridge this gap. We provide hands on support and advice on how to adapt the exercise programs to accommodate for many of the visible and hidden disabilities that people with neuro conditions live with such as pain, fatigue, visual impairments, cognitive problems and neurological weakness. We are also there as a safety net to signpost and refer people back into services if any issues crop up. It has been an extremely positive experience for all involved and we hope to support more and more clinicians to outreach into the community in this way.”
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During March–July 2020, in the first wave of Covid-19 pandemic, Aneurin Bevan University Health Board (ABUHB) reported 2,761 patients diagnosed with Covid-19.
On discharge from acute care most patients who suffer severe Covid-19 pneumonitis showed persisting signs of fatigue, shortness of breath, muscle mass loss and deconditioning; resulting in decreased exercise tolerance, reduced mobility and reduced functionality. Many had ongoing psychological and complex health concerns.
A bespoke face-to-face Covid-19 Multi-disciplinary Team rehabilitation programme was set up to maximise recovery.
Newport Live supported ABUHB through gaining Welsh Government permission to allow their facilities to reopen when the leisure sector was under enforced closure to deliver facility and wellbeing operations of gym and exercise.
In addition, the multi-disciplinary team with support from Newport Live also delivered Virtual Pulmonary Rehabilitation during the lockdown as they recognised that this patient group were within the extremely vulnerable classification regarding Covid. This was a joint exercise program in a virtual setting, and the programme is still running.
Following from the Post Covid Rehabilitation program, the team then delivered a Post ITU Rehabilitation program. The multi-disciplinary team focused on patient cohorts that had been recently discharged from ITU with the aim of improving functional ability.
They have now launched the Neuro Fit program, which is a multi-disciplinary delivery in which Newport Live have combined their Stroke pathway with the lead Physiotherapist from the Community Neuro Physiotherapy Department. This is a first of its kind program that incorporates all aspects of Neuro Rehabilitation within a community leisure setting.
2022 will also see the introduction of Physio led rehabilitation within Newport Live where an ABUHB Physiotherapist will deliver rehab programs to individual patients within Newport Live gyms. Once rehab is completed these patients will then be offered ongoing Newport Live membership or direct referral into Newport NERS.
The primary measurable benefits of Covid Rehabilitation are a decrease in symptoms (mainly dyspnoea and fatigue) and an increase in exercise endurance.
These were measured by the Modified Borg Dyspnoea Scale, MRC Breathlessness Scale, six-minute walk test, sit to stand, modified fatigue impact scale and a handgrip test. Mental wellbeing was measured using the Hospital Anxiety Depression Scale.
Participants were asked to rate their improvement in function at the end of the six-week program compared to the start of the programme using a visual analogue scale (VAS). Reported perceived improvement ranged from 50% to 100% with an average of 84%.
The multi-disciplinary team has created a blueprint for health boards / NERS / Leisure Services on the set up and delivery of a Covid Rehabilitation program. The service has been presented to the British Thoracic Society upon request of the Covid Rehab teams patient outcome measures, and to the British Medical Journal as the service were nominated finalists under the 2021 Respiratory Team of the Year.
The team also won the South Wales Argus Health and Social Care 2020 Team of the year. Newport Live – the leisure trust – won the Contribution to the Community Award in the Newport Business awards for the programme and the support delivered in 2021.
“From feeling so ill to now feeling so much better, both stronger and mentally. Amazing can’t thank you enough.” – Patient
“We have seen quantifiable evidence that multi-disciplinary team working, when delivered within a community Leisure setting delivers significantly improved outcome measures among patient cohorts.” – Chris Pennington, National Exercise Referral Co-ordinator for Newport
Chris Pennington, National Exercise Referral Co-ordinator for Newport
Rob Smith, a local 24 year old resident of Shotton, attends Deeside Leisure Centre 5 times a week, leaving time for a “rest on the weekend” (in his own words). He has been attending the gym for roughly two years and brings with him tonnes of energy!
Rob has lived with cerebral palsy all his life and does not let anything get in his way. He travels everywhere in his wheelchair – whatever the weather – and trains every weekday in the gym without fail. His dedication to fitness is relentless and he is even training to do the London Marathon next year, graciously referring to himself as being “fairly active”.
With a big smile on his face, Rob chatted about his fitness routine and how he enjoys coming to the gym every weekday. He said he does not have a specific preference when it comes to the gym equipment and likes “a bit of everything! I like to do weights and cardio to have an all-round mixture”.
In order to train for the London Marathon in 2020, Rob is currently working on his strength and cardio fitness.
Rob explained how he is a huge football fan and a big supporter of Liverpool FC. He also plays for Connah’s Quay Tiger’s Football Team. He enjoys taking part in the football tournaments as well as volunteering with young children on a weekly basis.
Rob explained: “I train for 3 hours a day, wheel myself home, have a rest and then I’m fine again, no aches or pains.”
When asked if he had any advice for anyone who would like to improve their fitness, Rob said: “just give it a go and try your best. Think positive and always have a goal.”
“People are always shocked by how much I come to the gym and how much I am dedicated; they think I’m crazy!”
“I have cerebral palsy but it does not bother me. I’ve used my chair since I was young but I don’t let anything get in my way. I’ll give everything a go!”
Rob completed 5 pull ups for the first time in December 2018 and the team at Deeside Leisure Centre were privileged to be there to witness it. Colleagues expressed that Rob’s commitment to training inspires them and “keeps motivating us to do what we do!” They further commented: “Amazing work Rob, we are privileged to be a part of your inspirational journey!”
As a leisure provider we have a historical relationship with Swansea Council National Exercise Referral Scheme. NERS is delivered out of Freedom Leisure sites. The culture within this relationship has been that eventually NERS clients will be handed over to Freedom Leisure on offered a concessionary health membership and remain active as a Freedom Leisure member.
However, we were experiencing a lag when it came to the ‘handover’ process, NERS clients would be leaving a 4-month programme of 1:2:1 support and be expected to become independent. This handover was providing a poor experience for NERS clients and ultimately hindering the efficiency of the scheme.
Freedom Leisure decided to invest in members of its gym team to qualify them as level 3 GP Referral Gym Instructors. They would become our ‘health champions’ at site. The aim was that they would work closely with NERS health professionals and be a part of someone’s journey whilst on NERS. Thus, making the informal ‘handover’ process better. It worked. NERS clients had a familiar face within the Freedom team and our Freedom staff knew more about the person coming into our services.
The extra level of knowledge allowed NERS health professionals to feel more confident when weaning someone from NERS and into Freedom Leisure. It also meant they had a familiar face to go to, someone who they knew was passionate about helping those living with long term health conditions.
We are know exploring how we use our Health Champions to deliver bespoke exit routes to those on NERS in the form of ‘health maintenance’ classes.
Not only have our Health Champions strengthen our relationship with Swansea Councils NERS team members but it has also opened doors to other health departments within the Swansea Bay Health Board. These departments include; occupational therapists, physiotherapists, neurologists and pain management practitioners.
The Morriston Hospital Physiotherapy department visited The LC Swansea to have taster of our low impact classes, the team were exceptional and have given the physios a reason to have confidence in us when they refer patients to our services.
“I was recently referred by my excellent singleton physio. To be totally honest was VERY apprehensive to say the least.I have always played & enjoyed sport all my life but I am NOT a gym person at all but was desperate to improve my fitness following hip surgery. My instructor is Ryan McEwan, I have to say right from the beginning, the initial phone, call he has been brilliant with me. I have now joined the gym! To be honest, I have found ALL the staff in the gym most helpful & approachable which is a big plus for me” – Mike Lewis Physiotherapy Patient
Martin McCallion, a previous participant of the National Exercise Referral Scheme (NERS) and regular participant of Wellbeing Fitness Classes as well as the gym, kindly told us more about his fitness journey and how he is feeling healthier than ever! Here is what he had to say:
How many classes do you attend a week?
I do one class a week – the wellbeing circuit class – but in February I had a gym induction and since then I have attended the gym at least twice a week. There’s a really friendly atmosphere, I’m very comfortable here in Deeside Leisure Centre. I was referred to the scheme because I had arthritis and was really struggling. When I had the gym induction with Jo Beevers, she showed me the pieces of equipment to use that would be most helpful. I’ve been going from strength to strength since then; I’m feeling as healthy as I ever have! A couple of years ago I was in an awful lot of pain on a daily basis, but since I have joined the scheme I’ve gone from strength to strength.
What has been your favourite thing about attending the scheme?
There are all sorts! The main thing is my physical wellbeing now compared to what it was; it’s so different. Nothing’s a challenge anymore, not like the way it used to be. I’ve met some lovely people as well. At the moment I’m really enjoying running. Completing the Flintshire 10K has boosted my confidence tremendously. I’ll take on any challenge that comes my way now!
Do you have any fitness goals in mind for 2019?
I intend to run the Chester half marathon in May 2019. It has been a long term ambition of mine. I’ll work my way up to doing the half marathon, starting in February with the Ruthin 10K, then the Chester 10K in March, in April I’ll find another 10K run, and hopefully by May I’ll be ready!
Do you have any advice for anyone who is debating joining the Wellbeing Classes?
Just do it! It changes your life for the better! As far as I am concerned it is the best thing that has happened for me in a long, long time. You’ll never look back!
The co-ordinator of NERS, Joanne Beevers, is “so very proud” of Martin’s achievements and said: “he is loving running and he even beat me in the Flintshire 10K with his time of 57 minutes! He has been consistently training since January with a mixture of my classes and gym sessions. He is one of our many clients who turn up every week to achieve their goals!”.
Aura Leisure and Libraries would like to thank Martin for taking the time to share his experience and wish him the best of luck for his future fitness goals!
Gareth was 28 when he started on the National Exercise Referral Scheme in Blaenau Gwent. He had just been made redundant and had started living unhealthy with high alcohol consumption and eating a processed diet with high saturated fats. He felt anxious, felt he was at the bottom of a pit, and did not recognise the person staring back at him in the mirror. He had cut himself off from family and friends and felt isolated.
Gareth’s medical journey showed impressive progress in just 16 weeks:
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