PARS REFERRAL FORM

IS YOUR CLIENT
  • Motivated to engage in physical activity
  • Independent when mobilising (this includes walking with an aid – walker / stick / crutch)
  • Independently transfers from normal chair
  • Cognitively able to follow basic instructions
  • Able to attend the venue independently
  • All conditions must be stable and controlled
  • Successfully completed condition related rehabilitation – e.g. Cardiac or Pulmonary Rehabilitation.
  • All investigations are completed and cleared to exercise by a suitable medical clinician.
  • All referrals for chronic low back pain should come from a physiotherapist and should be able to transition on and off the floor unaided.
  • Falls risk/Prevention referrals – Must have completed the North, Central and South Falls Teams programme before referral to PARS.

THESE CONDITIONS MAY PREVENT ELIGIBILITY FOR THE PROGRAMME
  • People who are already active – UK Chief Medical Officers’ guidelines 150 mins moderate 75 mins vigorous.
  • Unhealed surgical wounds.
  • Uncontrolled or unstable angina
  • new onset and not established for longer than 1 month, angina at rest or increase in angina (frequency/severity/occurrence on lower levels)
  • Deteriorating exercise performance/functional capacity despite apparent compliance with exercise regimen and medication
  • Resting systolic blood pressure 180mmHg & / or diastolic blood pressure 100mmHg
  • Uncontrolled resting tachycardia > 100bpm
  • New and uncontrolled atrial or ventricular arrhythmias
  • Unstable or acute heart failure
  • Unstable diabetes
  • A recent (within last 6 months) significant change in a resting ECG, recent myocardial infarction or other acute cardiac event.
  • Experiences pain, dizziness or excessive breathlessness during exertion.
  • Any hypoglycaemic episodes in the last 2 weeks or patients not able to monitor when hypoglycaemic episodes occur.
  • Febrile illness
  • Symptomatic hypotension/significant drop of blood pressure when exercising
  • Any unstable/uncontrolled condition
  • A recent (within last 3 months) Stroke/TIA
  • Advanced cancer & end of life
  • People who have accessed the referral programme with Manchester Active in the previous 12 months. After 12 months, if the reason for referral has changed the client may be eligible for further support on the scheme

Where possible, high risk patients should be referred to specialist exercise rehabilitation e.g. Cardiac or Pulmonary Rehabilitation. Otherwise, the procedure for dealing with high risk clients is as follows: All conditions must be stable and controlled.

Each client and their conditions will be triaged on an individual basis. Only when sufficient information has been received can an informed decision be made on the individual’s case. The GP remains medically responsible for the client.

PARS

PARS is a service for long term medical conditions and are doing less than 30 minutes of physical activity per week. The programme is delivered by physical activity specialists who are fully qualified in prescribing and delivering exercise, for people with medical conditions. During your initial assessment we will discuss your health and exercise needs.

  • Asthma
  • Cancer
  • COPD
  • Coronary Heart Disease (excluding controlled hypertension)
  • Cardiovascular disease (includes – Stroke, TIA and AF, heart failure)
  • Chronic Fatigue
  • Diabetes (T1)
  • Risk of falls or frailty
  • Fibromyalgia
  • Neurological eg Parkinsons, MS
  • Peripheral Arterial Disease – including Lymphedema
  • Rheumatoid Arthritis
COMMUNITY & LEISURE ACTIVITIES

Community and Leisure Activities is designed for people currently doing little or no physical activity, aiming to provide them with manageable steps in improving their confidence in being active. All clients will be  provided details of approved community exercise sessions. The following referral criteria is targeted.

  • Controlled hypertension
  • Controlled diabetes type 2
  • Depression
  • Anxiety
  • BMI 25-35
  • Pre diabetes
  • Loneliness or isolation
  • Inactivity e.g. participating in less than 30 minutes of moderate physical activity per week
  • Osteoartheritis

If you are a GP, a Neighbourhood Health Worker or community organisation looking to refer a client to our Physical Activity Referral Service (PARS) please fill out the form below.

BY CLICKING THE LINK BELOW, YOU ARE DECLARING THAT;
  1. Your client is a resident of Manchester OR your client has a Manchester GP
  2. Your client is aged 18 years old or older
  3. Your client is fit to exercise and has no unstable medical condition(s) that might interfere with exercising safely.
  4. The client’s medical conditions are controlled and stable and they have agreed to follow the advice given to them from a relevant medical professional before starting the programme.

All information will be treated in the strictest confidence and stored on our secure system. Manchester Active may have to share your details with relevant Health Professionals.

We use a limited range of organisations to either store personal information or help deliver our services to you and/or our programmes and/or projects. We’ll sometimes complete a data protection impact assessment before we share personal information to make sure we protect your privacy and comply with the law. Read more in our Privacy Policy

A member of the PARS team will contact your client within 28 days. If your client does not hear anything from us in that time please advise them to contact 0161 974 7839  or physicalactivityteam@mcractive.com