Leisure Development Exercise Referral Scheme

General Registration Conditions

All staff involved in the Exercise Referral Scheme will protect the confidentiality of the patient and will operate within the conditions set out by the referring Health Professional (HP) and  the  National Quality Assurance Framework for Exercise Referral Systems published by the Department of Health (April 2001).

The HP will satisfy him/herself that the Exercise Referral Scheme offers a quality service.  The HP will retain overall clinical responsibility for the patient / client. The decision to refer is that of the HP and the HP is under no obligation to make a referral.

When a referral is made the HP is required to supply relevant information on the patient / client to the Exercise Professional. Responsibility rests with the referrer (HP), who must make a professional judgement as to what information should be disclosed to the Exercise Professional (EP) to enable the EP to tailor a safe and effective exercise programme that will meet the needs of the patient or client.

The referral form should include the reason for referral and a succinct health history including any medication and the possible effects of diagnoses and medication on the particular patient’s everyday functions. If any possible effects on the patient’s ability to undertake activity are known, for example, suppression of heart rate or pain, this information must also be included. Measurement of blood pressure and heart rate are the basic appropriate measures prior to making a referral and this information is helpful to the Exercise Professional in their initial assessment of a patient. Exercise professionals are advised not to accept responsibility for a referred patient until this clinical information is available.

Patients should be fully informed by their HP about the scheme and the cost to the patient.  Further information can be found in the Exercise Referral Scheme Outline.

Responsibility for the safe and effective management, design and delivery of the exercise programme lies with the Exercise Professional.

All Exercise Professionals involved in the Scheme will be comprehensively trained in exercise and fitness and registered on the National Register of Exercise Professionals at a minimum of Level 3.

I understand and agree to the above conditions relating to my patients entering the Scheme.

I Agree:
Title:
First Name:
Surname:
Date:
Postion:
Surgery (Name and Address):
Post Code:
Telephone Number:
Fax Number:
E-mail Address:
For details and any enquiries, contact Exercise Referral Team, Huntingdonshire District Council, Pathfinder House, Huntingdon, Cambs. PE29 3TN (07769) 878620 or (01480) 388469/388442

All personal details are held in accordance with the Council’s Data Protection Policy - Privacy Disclaimer




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