Nuffield Health Wellbeing Services Dr Sarah Dauncey Medical Director, Wellbeing

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1 Nuffield Health Wellbeing Services Dr Sarah Dauncey Medical Director, Wellbeing

2 What We Do: the Healthcare Landscape 2 PREVENT DIAGNOSE CURE Lead a full life Manage the ageing process Look good, feel good Understand & avoid problems Manage & reduce problems Deal with niggles Get decent, timely treatment Get back on track Improve and maintain health Focus on an individual s physical and mental wellbeing Assess and contain health risks Help to identify, limit and manage potential and actual problems Treat health problems Intervene when health problems can no longer be managed

3 Our market-leading services 3 The only UK health club provider with true health credentials The leading UK provider of physiotherapy outside the public sector The largest UK provider of health screening The only UK hospital provider to be integrated with health clubs Senior Wellbeing Advisors trained in clinical assessment 130,000 Health MOTs in last 24 months Health outcomes 7/10 people get heathtier and fitter with Nuffield Health Physiotherapy & health assessment delivered through key health clubs Dedicated Medical Director to ensure clinical governance Meet the Experts events Older demographic than health club market Bespoke corporate solutions from on-site gyms to full wellbeing services 455,000 physiotherapy treatments in % of the population is within 15 minutes of one of our physiotherapists Latest techniques & technology Advanced patient record system Advanced evidence based clinical pathways 45,000 assessments annually Motivational advice that includes lifestyle issues such as stress, sleep, diet & posture Clinically governed to ensure tests are appropriate to age & risk Advanced technology exclusive to us Delivered by doctors & physiologists Clinical governance structure ensuring quality & safety Over 50 years of providing excellent hospital care Innovative products such as Recovery Plus Accredited GP learning programme keeping GPs up to date with latest developments A Open Events programme that allows patients to meet our expert consultants

4 Integration in Operation - Rehabilitation 4 Creation of the largest owned physiotherapy network in the UK

5 Meet the experts 5 Cancer Awareness Smart Health Flu Programme Educational Seminars Monthly Guides with health content

6 Governance Team 6 April 2011 DR SARAH DAUNCEY Medical Director DR DAVINA DENISZCZYC Professional Head Of Physicians & Diagnostics CHRIS JONES Professional Head Of Physiology SARAH MARSH Professional Head Of Fitness & Wellbeing CABELLA LOWE Professional Head Of Physiotherapy LOUISA POPPLEWELL Professional Head Of Nutrition Senior Physician Team Sue Oliver Professional Head Of Mammography Senior Physiology Managers Ops Directors Comm and Cor Fitness Physiotherapy Managers and RCLs Nutritional Therapists Employed Physicians Mobile and Wellbeing Mammograhers Lead Physiologists Employed Physiotherapists Sessional Physicians Senior Physiologists Physiologists Fusion Physiotherapists Nurse Practitioners

7 Physiology within Nuffield Health

8 Health Engagement 8 Classically: Treatment Paradigm (disease prevention & absenteeism) Nuffield: Wellness Paradigm (treatment paradigm, optimal function & presenteeism)

9 9 Health & Wellbeing Physiologists Clinical background Exercise, Nutrition & Health Science graduates with comprehensive training in contemporary health issues Specialists in: Clinical Assessment Techniques Health, Wellbeing and Pathophysiology of Lifestyle Disease Lifestyle Interventions and Behavioural Change Strategies

10 10 Health & Wellbeing Physiologists Governance and Quality Assurance Robust and extensive recruitment and training process External validation of key clinical competencies (ECG, Phlebotomy and Immediate Life Support [ILS]) Monthly audit on key quality and safety markers Annual Clinical Appraisal Monthly mandatory Continued Professional Development (CPD), plus access to extensive optional CPD Recent accreditation with the Royal Society for Public Health (RSPH) and UK Public Health Register (UKPHR) Future developments Creation of Advanced Professional Diploma in Health & Wellbeing Physiology (equivalent to Masters level)

11 Nuffield Weight Management Programme 11 9-month programme with eight scheduled touch points focused around: Activity Nutrition Sleep Stress Emotional eating Detailed assessment of BMI, body fat levels and waist-to-hip ratio, as well as glucose, cholesterol, blood pressure and aerobic fitness, to track progress Detailed exercise programmes and pedometers to track activity Comprehensive dietary analysis, recipes and meal plans Personalised lifestyle action points to improve stress management, sleep health or emotional eating

12 Nuffield Weight Management Programme Week 3 Week 6 Week 13 Week 19 Average weight loss (% body weight) - WMP Average weight loss (% body weight) - Control Week 3 Week 6 Week 13 Week 19 Average waist loss (cm) - WMP Average waist loss (cm) - Control

13 Nuffield Health Physiotherapy

14 affiliated local clinics for everyday treatment Hospital based 60 Specialist Physiotherapy Centres for enhanced rehabilitation and specialist facilities Fitness & Wellbeing Centre based Affiliated & governed Secure, web-hosted Electronic Patient Record System used by all clinicians Central Bookings team at Nuffield Health HQ Central Clinical Governance team monitoring all treatments

15 15 Evidence-based pathways Treatment protocols EPRS with treatment visibility

16 Fusion - our third party governed UK network) governed centres covering 80% of the UK population within a 20 minute drive Single web-based EPRS for all clinicians providing consistency in treatment All clinics meet Nuffield Health standards of clinical practice, equipment and customer experience On-site audit of clinics Engagement with physiotherapists on a professional level

17 Fitness & Wellbeing Centres 17 Integration of clinical services into a commercial fitness setting Opportunities & Challenges! Physiotherapy & Exercise Programme Clinical Pilates Recovery Plus Sports Injury Clinics Neurological Rehabilitation

18 Corporate onsite physiotherapists 18 Fully employed Nuffield Health physiotherapists delivering face to face diagnosis and follow-up sessions Close working relationships with OH allowing workplace engagement, including ergonomics GSK contract includes 14 on-site clinics

19 Triage, Self-Management and online support 19 Dedicated team of 14 Nuffield Health triage physiotherapists handling 540 calls/month Evidence-based questioning and telephone assessment methods Tailored self-management programmes built for each patient with online exercise guides and videos

20 20 Why Nuffield Health & Cigna?

21 Working with Centrica 21 Gas-fitters, engineers and off-shore workers 30-35% patients able to self-manage with support Reduced costs of treatment Reduced absenteeism Early intervention reducing chronic or recurrent problems Close working relationship with OH for benefit of employee

22 What the patients say 22 I injured my back shovelling snow from my driveway and was absent from work for a couple of weeks. I was contacted by OH who put me in touch with Peter Lloyd, one of the Nuffield Health triage physiotherapists. Peter called me very quickly, he asked lots of questions, and talked me through a series of light lower back exercises which he also sent via . He then kept in regular contact and liaised with occupational health to enable return to work on light duties until my injury has completely healed. Both my work and Peter have been very good in helping me to recover and I feel that I have received a very personal service. Clive Davies, Gas Engineer.

23 Nuffield Health Nutrition

24 The Food Calculator 24 Online dietary analysis tool Software and IP acquired at time of Mythbreaker acquisition Supports a highly individualised level of dietary analysis Using FSA food database Working within recognised government dietary intake Providing a universal framework and support tool for the delivery of governed nutritional advice Weight Management programme Consumer health assessments Corporate health assessments Future NPD

25 Total workforce population 25 A total population nutrition solution Online diet analysis Telephonic / support Global analysis Targeted Seminars / webinars Nutrition consultations/ Weight Mgt Individuals with chronic health concerns Population based dietary advice Triage & support service Specialist Programmes i.e. weight mgt One on ones with Nutritional therapist

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