NHS England states that physical inactivity is associated with inequalities in health outcomes, impacts on demand for NHS services and is a contributory factor in 1 in 10 premature deaths from coronary heart disease (CHD) and 1 in 6 deaths in the UK from any cause. Whereas the benefits of physical activity for prevention, management and treatment are substantial for conditions associated with economic inactivity, like mental health and musculoskeletal health, also multi-morbidities. Whilst confirming that physical activity is essential for people to live better with long term conditions and helps delay the onset and progression for diseases for as long as possible, helps recovery from surgery and supports good mental health. Unfortunately, society has become more sedentary with recent data showing that over one-third of adults do not meet the Chief Medical Officers’ guidelines on aerobic physical activity and less than half of adults meet the guidelines on muscle-strengthening activity. With over a quarter of the adult population classified as inactive and evidence for the positive impact of regular small amounts of exercise in the prevention and treatment of common conditions overwhelming, going forward the focus is placed on healthcare leaders to incorporate promotion of physical activity for prevention and long-term condition management. With further evidence that 1 in 4 people would be active if a healthcare professional advised it the issue of collaboration between all of those concerned with helping people live healthier, longer, and more independent lives needs to be explored. Including the role of complementary practitioners who are skilled at signposting patients to physical activity opportunities and events that promote rehabilitation, resilience and stamina whilst helping to reduce risks or fears associated with physical activity (and the need to seek medical approval) and empower people to make informed choices. The most easily accessible and least expensive form of exercise is simply to walk, by varying frequency, speed, terrain and distance the effort required to complete a walk can range from modest to extreme. Having acquired advice, choice and opportunity some patients are unable to take part in walking activities due to trauma (accident or surgery), pain, swelling or peripheral neuropathy or other issues affecting their feet (and legs). As a Clinical Reflexologist my aim is to promote relaxation and increase the flow of blood and lymph whilst increasing flexibility in the feet to help with balance, stamina and confidence. Clinical Reflexology research is limited however, an annual clinical audit I carried out at Dorset County Hospital Fortuneswell Cancer Unit of 2,078 patient feedback data that was subsequently published in the Royal College of Nursing-Cancer Nursing Journal Jan 2025, concluded that patient experience of Clinical Reflexology showed treatment to have a therapeutic effect reducing stress and anxiety and a beneficial effect with a measured reduction in patient perceived levels of pain, swelling and peripheral neuropathy thereby increasing the potential for increased mobility. Which leads me to introduce a new project I have initiated at my local GP practice. As volunteer vice chair of a PPG and having completed training with Active Dorset and Ramblers association I am a qualified Health Walk Leader. Naming my project One Step at a Time the purpose is to offer patients of the practice the opportunity to increase mobility and social interaction by joining a walking activity. Collaborating with the social prescriber, patients will be referred by clinical staff or self-refer to join me in a gentle walk that includes a tea/comfort/rest in a beautiful garden taking about an hour and half and allowing plenty of time for a natter on route. My hope is that if successful this voluntary collaborative PPG project model is replicated in other GP practices. Watch this space!!!!!
