Why Weight? – Act Now!Why Weight? – Act Now!

A local approach to tackling adult obesity

Clare HarlandHealth Improvement

Manager

NIHCE GuidelinesNIHCE Guidelines

Advise on weight loss/maintenance

Multi-component interventions, e.g. dietary assessment, exercise, goal setting, family involvement

Long term intervention & ongoing support

Focus on activities that fit easily into daily life, e.g. walking

The ServicesThe Services

The TeamThe Team

A partnership between

Why Weight? Why Weight?

Partnership with Telford & Wrekin Council

Launched Jan 06, for overweight clients with a BMI 25-29

Weekly low cost ‘Slimming Club’ format

Weigh-in, ½ hour exercise, ½ hour talk

Physical ActivityPhysical Activity

Tutor lead SessionsTutor lead Sessions

Physical ActivityHealthy eatingPortion controlSelf management & motivation

Facts & FiguresFacts & Figures

300 new starters in last 12 months Average attendance 8 sessions Weight loss after 6 sessions =

3.45kg

Average loss = 4% of their starting weight

Maintaining EngagementMaintaining Engagement

Information folder

Free incentives

Introduction to exercise / leisure centre environment

Support & encouragement

PCT ProvidesPCT Provides

Trained Weight Loss MentorsWeigh inClient folder and incentivesNutrition TalkCost to PCT £57 per head

Local Authority providesLocal Authority provides

Venue Physical Activity Instructor Registration of clients Data capture and recording Receipt of money

Why Weight? PlusWhy Weight? Plus

Why Weight? PlusWhy Weight? Plus

Obese clients with BMI 30+ (or BMI 27+ with co-morbidities)

GP / Health Professional referral only

600 new clients a year

33% clients have BMI >40

Our Main Focus….Our Main Focus….

Motivating clients to make behaviour changes

Healthy eating and portion control

Increasing activity and exercise

The set up…..The set up…..

1:1 assessment appointment1:1 Reviews at 3, 6 & 12 monthsWeekly tutor lead workshopsExclusive exercise classesUse of Why Weight? for ongoing

support

Facts & figuresFacts & figures

Weight changes diverse due to client group

Overall average 3.2% weight loss at 12 weeks

Maintaining engagement – the Maintaining engagement – the carrotcarrot

Clear targets & action plans

Phone contact in 1st few weeks

Face to face catch up at 3 weeks

Newsletter

Maintaining engagement – the Maintaining engagement – the stickstick

Get tough

Create value around the service

Discharge DNA’s

Referral by GP to re-enter programme

PCT costsPCT costs

£179 per client per yearTrained Weight Loss MentorsSome venuesClient booklet and supporting

informationVisual Aids & resources