www.ncl.nhs.uk supporting people to manage their weight verena thompson public health manager:...
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www.ncl.nhs.uk
Supporting people to manage their weight
Verena Thompson
Public Health Manager: Behaviour Change
NHS North Central London: Islington Public HealthE: [email protected]
T: 020 7527 1247
Why are we doing this?
• Prevent & manage obesity, adopting healthier behaviours
• 91% Islington Adults do not exercise regularly 2010/11 29% (5500) C&YP
• 64% Islington Adults do not eat a healthy diet 2006-8
• 18% Islington Adults are obese 2006-8 1% (188) Reception 22% (349) Year 6
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Obesity costsindividual & local economy
• 23% (42,273) registered patients are overweight GP dataset 2011
• 14% (24,982) registered patients are obese GP dataset 2011
• 9 wards higher prevalence, 3 wards lower than Islington average
• 22:38 practices ratio of obese adults
• 5 practices > 1000 obese patients
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What works?Evidence base
• BMI overweight ≥25 / ≥27.5; Obese ≥30
• Multi component
• Behaviour change theory application
• Prevent, Promote, Minimise• 8-12 weeks duration (ideally 12m continued support)
• Group or 1:1 intervention
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Adult Obesity Care pathway
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What do we expect?outcomes Provider has to achieve
• ≥ 550 participants per year
• 5-10% weight loss over 6 months
• 30% maintain weight & prevent weight gain @ 3 & 6months
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Measuring successevaluation & service improvement
• Demonstrate improvements in eating behaviours, PA levels, Levels of sedentary behaviour & quality of life
• Benchmarking, Midpoint, Completion, 3 & 6m followup
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The Challenge facedhow to reach who we need to reach ?
how do we motivate people to change – 5 x 30mins a day
• Age
• Gender
• Ethnicity
• Disabilities
• Cultural sensitivities
• Socioeconomic status
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Equalities Dimensions