Active Living

Referral Contraindications:

• Unhealed surgical wounds
• Resting systolic blood pressure ≥ 180mmHg and/or diastolic blood pressure ≥ 100mmHg.
• Uncontrolled/unstable angina
• New or uncontrolled arrhythmias
• Uncontrolled resting tachycardia ≥ 100bpm.
• Unstable diabetes
• Unstable/acute heart failure
• A recent (within last 6 months) significant change in a resting ECG, recent myocardial infarction or other acute cardiac event.
• Acute/uncontrolled psychiatric illness.
• Symptomatic hypotension/patient experiences significant drop in BP with exercise.
• Experiences pain, dizziness or excessive breathlessness during exertion.
• Febrile illness
• Active foot problem, e.g. ulceration
• Established cerebro-vascular disease
• Any unstable/uncontrolled condition
• Advanced cancer & end of life
• Patient is under the age of 16 years

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.

The following conditions will need further advice from the referring medical professional prior to starting;
– Drug Addiction
– Schizophrenia

Each client and their conditions will be assessed 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.

What to do next if you have one of the above contraindications:

Please speak to your health professional before you self refer or start to take part in physical activity. They will provide documentation to show that you are suitable to exercise safely, and then you can use this form to self refer onto our programme.