London Borough of Newham
The London Borough of Newham is a London borough formed from the former Essex county boroughs of West Ham and East Ham, within east London, the name being a portmanteau word reflecting its creation while combining the compass points of the old borough names.
The 150Club scheme is an initiative by NHS Newham Clinical Commissioning Group (CCG), Newham Council and the 150Club partnership - made up of the West Ham United Foundation working with the council’s leisure trust activeNewham and the Staywell Partnership.
It is an innovative 24 week programme offering local residents at risk of diabetes or cardiovascular disease a wide range of tailored physical activities to help combat the diseases. It aims to empower local people and enable them to take greater control of their own health.
Taking its name from the recommended amount of 150 minutes of exercise people should take per week, the 150Club is part of a bid to tackle high rates of diabetes and cardiovascular disease in Newham by helping people to stay healthier. The borough has the second highest predicted prevalence rate of Type 2 diabetes in England, with more than 24, 500 of residents currently diagnosed with diabetes.
This initiative, known as the Newham Community Prescription Scheme, was first piloted in a number of Newham GP practices in 2013. The lessons learned from this initiative have now been used to roll-out the Newham Community Prescription across the borough, helping reduce the risk of long-term health complications associated with diabetes, such as heart disease, stroke or kidney disease.
GPs across the borough can now refer patients aged 18 and over who are at risk of developing diabetes or cardiovascular disease to the 150Club.
Further information: http://www.newhamccg.nhs.uk/GetInvolved/newham-community-prescription.htm
The financial model for the 150club is based on activity and outcome payment works whereby someone allocates a budget to the scheme (in this case the CCG) and that gets allocated to the community prescription provider, and then they pay out a base level to get community groups involved, and then those community groups get more payment if particular outcomes are achieved with the individuals who have been referred to them.
While this is a pro-active solution oriented model, some have commented that the referral channel can be slow and there are limited resources for the 150 club.
Alternative financial models are either no payment to community groups, or simply fixed payments to community groups independent of outcomes. Or perhaps simply based on number of referrals.