Weight Management Project Update Wandle PBC Cluster

1
Weight Management Project Update Wandle PBC
Cluster

• Kristen Clarke, Project Dietitian

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Wandle PBC Cluster Project Team

• Kristen Clarke
• Weight Management Project Dietitian
• Dr Seth Rankin
• Clinical Project Lead
• Dr Nicola Jones
• Wandle PBC Cluster Clinical Lead
• Jude Channon
• Wandle PBC Cluster Management Lead

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Training opportunities for Healthy Lifestyle
Advisors

• 2 days with Project Dietitian Clinical Lead
  (June)
• Role of the HLA Anthropometry Weight
  management Macro micronutrients the balance
  of good health - portion sizes, label reading and
  dietary substitutions
• Screening for weight management weight
  management services resources realistic
  weight loss for adults assessing readiness to
  change Shape up how to set up and facilitate a
  group

• 4 x 2 hr dummy Shape up sessions with Project
  Dietitian (July August)
• 3 days cognitive behavioural therapy training
  with a CBT trainer specialising in weight
  management (January 2009)
• Backfill time is paid for one staff member per
  practice for all training

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Shape Up groups

• Weekly outline
• Preparing to Shape Up
• Keeping to a regular pattern of eating
• Physical Activity
• Eating a balanced diet
• Food serving sizes
• External triggers
• Internal triggers
• Food labels
• Followed by 2-4 follow up sessions,
• or 11 appointments

Shape-Up is not a diet or an eating plan. And
it's not just about weight loss. It is a
psychological approach to managing eating and
physical activity
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Cost of running Shape Up

• Each practice is paid an incentive payment of
  500 for each Shape Up group they host (8-12
  patients).
• Staff time
• 8 sessions x 2 hrs 4 sessions x 1hr _at_ 10/hr
  (HCA) 200
• 8 sessions x 2 hrs 4 sessions x 1hr _at_ 15/hr
  (PN) 300
• (This include preparation time for sessions
  1-8)
• Cost of the manuals
• 12 manuals _at_ 16 each 200 (incl. pp)
• TOTAL (maximum) 400 for HCA
• 500 for PN

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HLA training Shape Up groups 2008-2009
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HLA Shape Up groups 2009-2010 (PROJECTED)
Practices still yet to do the HLA training
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11 weight management sessions

• Development underway of structured outlines for
  11 sessions based on Shape Up and HLA training.
  Designed so that patients can be seen in 15-20
  minute appts.
• Useful for individuals not willing to participate
  in group education those with poor written
  English skills or who need more individual /
  tailored education and for HLAs who are unable
  to hold group sessions
• Sign posting to other local weight management
  services e.g. Dietitians, Rosemary Connolly
• Enhanced awareness of local physical activity
  opportunities referral to the services provided
  by the physical activity team at public health
  and utilising the pedometer loan scheme

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Resources for ethnic minority groups

• Identification of available bi-lingual resources
  currently in circulation e.g. DOH, Food Standards
  Agency
• Development of more visual and simplified
  resources that fit in with the Shape Up programme
  looking at portion sizes, the balance of good
  health, meal timing, fasting and festivals

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Benefits to the PATIENTS

• Patients can access a weight management service
  that is
• In a local, familiar and trusted environment
• Fully integrated with their other medical needs
• Individually tailored to their physical and
  psychological needs
• Monitored and directly overseen by their GP

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Benefits to the PRACTICE

• Clear onward pathway for weight management
  referrals for GPs and other HCPs
• Reducing the prevalence of obesity and its
  related complications ? reduced GP contacts and
  prescription costs
• Paid CPD opportunities for PNs and HCAs
• A trained CBT resource person who may then be
  utilised for other health problems with a
  lifestyle change component

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Support from the PROJECT TEAM

• Support by the project Dietitian to all HLAs for
  setting up and running Shape Up groups
• On-going training support where required to aid
  in enhancing the HLAs knowledge and confidence in
  delivering weight management education
• Review of the data from Shape up groups
  baseline and 3 month with a report back to the
  practice
• Regular review of all written resources re
  weight management and healthy eating given to
  patients to ensure a consistency of information
  standard of care

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Support needed from practices

• Support for the HLA when running the groups -
  allowing appropriate time for preparation and
  delivery of sessions, and clinical support with
  any medical concerns
• Feedback positive and negative, to the project
  team re feasibility, implementation or running
  of the Shape Up groups within the practice
• Feedback / recommendations for how the weight
  management service training could be improved
  and/or expanded

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Audit evaluation by Project Dietitian

• HLA training days evaluation forms and comments
• HLA led Shape Up groups
• - Data evaluation changes in weight, BMI, WC,
  cholesterol triglyceride levels, blood glucose
  and blood pressure
• - Patient evaluation forms and comments
• Reporting on project management outcomes
• Review updates at PBC board meetings
• 12 month report to the project team and PBC board

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• Kristen Clarke
• Weight Management Project Dietitian
• St Johns Therapy Centre
• kristen.clarke_at_wpct.nhs.uk
• Phone [phone]