Training Business Case- CBE Instructor

The following information can be used to help your organisation make business cases for AllActive’s Chair-based Exercise (CBE) Instructor courses. This includes;

Investment

Cost: £190 – £620 (exc. VAT) per person, depending on

• Course/qualification selected,

• Delivery format (face-to-face, blended, or online), and

• Number of participants.

Time: Face-to-face over 1-2 days, or online at own pace.

Links to Frameworks, Strategies and Standards

Public Health Outcomes Framework

1.18 Social isolation

2.13 Proportion of physically active and inactive adults

2.23 Self-reported well-being

4.03 Mortality rate from causes considered preventable

4.13 Health-related quality of life for older people

NHS Outcomes Framework

1a Potential years of life lost (PYLL) from causes considered amenable to healthcare

2 Health-related quality of life for people with long-term conditions

2.1 Proportion of people feeling supported to manage their condition

Adult Social Care Outcomes Framework

1A. Social care-related quality of life

CQC framework

S3 How does the service make sure that there are sufficient numbers of suitable staff to keep people safe and meet their needs?

What arrangements are there for making sure that staff have the right mix of skills, competencies, qualifications, experience and knowledge, to meet people’s individual needs?

E1 How do people receive effective care, which is based on best practice, from staff who have the knowledge and skills they need to carry out their roles and responsibilities?

Are people supported to have their assessed needs, preferences and choices met by staff with the right skills and knowledge?

Do staff have effective support, induction, supervision, appraisal and training?

Are volunteers trained and supported for the role they undertake?

E4 How are people supported to maintain good health, have access to healthcare services and receive ongoing healthcare support?

How are people’s day-to-day health needs met?

R1 How do people receive personalised care that is responsive to their needs?

Where the service is responsible, how are people supported to follow their interests and take part in social activities and, where appropriate, education and work opportunities?

Are people’s care plans used to make sure that they receive care that is centred on them as an individual, and is the planned care provided to them when and where they need it?

Intervention Planning Example

In the table below are a few examples to illustrate how some key aspects of planning an intervention involving chair-based exercise might look like. It is illustrative only as it is context-free and lacks the ‘golden thread’ that would run through a proposal for a specific intervention. Although it links to a couple of indicators from the Public Health Outcomes Framework, you will undoubtedly have JSNA indicators or organisational requirements as well/instead. In this example, we have used older adults as the end-user; there is also the disabled adult pathway for chair-based exercise.

A few examples

Aim

(overall intention of project)

· To decrease the percentage of older adults classified as ‘inactive’ / overweight or obese.

Objectives

(what is to be undertaken / what is hoped to be achieved)

· To offer [number] chair-based exercise classes for older adults in the local authority by [date].

· To train [number] volunteers in delivering chair-based exercise by [date].

· To decrease the number of ‘inactive’ older adults in the local authority by x% by [date].

· To decrease the number of overweight or obese older adults in the local authority by x% by [date].

Intervention

(project to help promote or maintain a healthy lifestyle)

· Chair-based exercise: 12-week programmes in local community.

· Chair-based exercise classes in care homes – ongoing.

Outcomes

(anticipated changes as a result of intervention)

Short-term: (e.g. changes in knowledge/attitudes)

· Change attitudes to physical activity.

· Well-being increases.

· Social isolation decreases.

Medium-term: (e.g. changes in behaviour)

· Less older adults will be ‘inactive’.

· More older adults will meet physical activity recommendations.

Long-term: (changes in health status)

· Overweight/obese older adults will lose weight.

· Improvements in functional fitness.

Outcome indicators

(measures of final outcomes)

Short-term:

· % older adults saying they enjoyed the CBE sessions.

· % increase in self-reported well-being.

(relates to PHOF 2.23v Average Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) score for adults aged 16+).

Medium-term:

· % older adults doing more than 30 mins.week^-1 moderate-intensity physical activity.

(relates to PHOF 2.13ii The percentage of adults classified as “inactive”)

· % older adults saying they take part in 150 mins.week^-1 moderate-intensity physical activity.

(relates to PHOF 2.13i Percentage of adults achieving at least 150 minutes of physical activity per week in accordance with UK Chief Medical Officer (CMO) recommended guidelines on physical activity)

Long-term:

· % older adults remaining active.

· % older adults with BMI ≥ 25 kg.m²

(relating to PHOF 2.12 Percentage of adults classified as overweight or obese).

· % improvement in Senior Fitness Test (or similar).

Process indicators

(assess processes taking place as project implemented)

· Number of older adults invited/targeted.

· Numbers attending each session.

· Number of older adults attending one or more CBE session.

· Numbers attending all sessions.

Potential impact

There are numerous benefits of participating in chair-based exercise. These fall into the health, physical, mental, emotional and social domains, and range from delayed onset/management of many chronic diseases, to alleviation of functional limitations, and reduced social isolation.

If you have any questions about potential impact and the benefits that chair-based exercise can confer, please contact us.