Central team—leads |
SEM consultant (n = 2) |
The SEM pilot was led by two SEM Consultants. A senior SEM Consultant and a locum SEM Consultant (the person undertaking this role left after 12 months in post and was subsequently replaced in January 2019). The SEM Consultants led the development and implementation of the pilot, including the COM-B mapping process and governance structure for the interventions. They were the main point of contact between the central team and the delivery teams within each pathway. The SEM Consultants provided bespoke PA training based on the Moving Medicine (https://movingmedicine.ac.uk/) evidence review to the PA champions who then cascaded the training to the delivery team within their pathway. The training focused on the health benefits of PA and behaviour change techniques–namely motivational interviewing. |
Central team—support |
SEM Registrar (n = 4) |
The SEM registrars led the delivery of each clinical pathway. The SEM Registrars and a band 6 Physiotherapist led the COM-B mapping process and established the governance structure for the interventions across each pathway. |
Physiotherapist (n = 1) |
The Physiotherapist also provided one-to-one training in motivational interviewing to PA champions which was followed-up with observed consultations and feedback. |
Delivery team—Clinical pathway leads |
Consultant (n = 3) |
A local lead from each pathway was identified to improve and agree pathway interventions and ensure service wide buy in. |
Ward Sister (n = 1) |
Delivery team—Physical activity champions |
Maternity–Midwife (n = 1) |
The role of the PA champions was to: i) deliver the interventions, ii) provide the central team with information and learning from individual pathways, iii) cascade training to ward staff, encourage staff to promote PA and embed culture change, and iv) undertake governance activities including audit, quality improvement and data collection to ensure evidence-based medicine, education and training. |
Enablement–Physiotherapist (n = 1) |
Renal–Physiotherapist (n = 1) |
Complex Medical Unit–Nurse (n = 1) |
Community support
|
Community navigator (n = 1) |
A Community Navigator and Community Navigation map was available to help patients and staff identify community-based exercise teams and classes during the discharge process to ensure integrated care. |