Derbyshire Strategic Framework Obesity

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Derbyshire Strategic Framework Obesity

• Adult Clinical Care Pathway Event

Steve Pintus Associate Director of Public Health
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PSA Target
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Comparison between Reception and Year 6
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Prevalence - Adults
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Comparison per local authority

• Rate per 1000 population of people in Derbyshire
  and Derby City with a BMI gt 30 by former PCT
  area, using QOF data by former PCT area.

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Estimated rate

• Estimated rate of people with a BMI gt 30 per 1000
  population in Derbyshire and Derby City by age
  and gender, using the Faculty of Public Health
  and National Heart Forum Ready Reckoner, (applied
  to 2004 National Statistics population estimates).

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How can we tackle this issue?

• The Strategy provides the evidence-based
  recommendations for both strategic and
  operational interventions for-
• General public
• Parents and carers
• The NHS
• Local authorities and partners in the community
• Schools
• Workplaces
• Self-help, commercial and community programmes

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The NHS

• Managers and health professionals in all primary
  care settings should ensure that preventing and
  managing obesity is a priority
• Address the training needs of staff involved in
  delivering services
• Enhance opportunities for health professionals to
  engage with partner agencies to develop
  multidisciplinary teams
• Interventions should be tailored to fit into
  peoples everyday lives, individually tailored
  and improve peoples belief in their ability to
  change
• Interventions should be multi-component

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The NHS

• Interventions may include promotional,
  awareness-raising activities but these should be
  part of long-term, multi-component intervention
  rather than one-off activities
• Health professionals should discuss weight, diet
  and activity with people when weight gain is more
  likely e.g. pregnancy, quitting smoking,
  menopause
• All interventions to support smokers to quit
  should ensure that people are given information
  on services, if appropriate, and provide general
  advice on long-term weight management, in
  particular encouraging increased physical activity

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Recommendations in Strategy

• Develop appropriate implementation method for
  Strategy and identify individuals, with
  sufficient seniority, within LSPs and LAAs to
  champion the obesity agenda in order to implement
  the partnership recommendations highlighted
  within the Strategy.
• Re-establish the Derbyshire-wide Food Network, to
  have close links to the Obesity Steering Group.
• Develop clear clinical care pathways for adults
  and children, with resources/tools for managing
  overweight and obesity locally.
• Develop appropriate processes for collecting data
  to measure BMI and central obesity in adults and
  prevalence of obesity in children in order to
  monitor against targets and to halt the rise in
  overweight and obesity.
• Review current overweight and obesity management
  interventions (both NHS and non-NHS) and audit
  them for effectiveness and cost-effectiveness
  using standards outlined in the NICE Guidance to
  determine future commissioning arrangements for
  delivery.
• Review and develop consistent evidence-based
  quality standards, including audit and monitoring
  mechanisms, for programmes tackling the
  prevention and management of obesity in children
  and adults to ensure effectiveness and
  cost-effectiveness of outcome for interventions.
• Conduct training needs assessment and develop
  training programme for all professionals working
  in the area of prevention and management of
  obesity-recommended clinical pathways and best
  practice for management of overweight and obesity
  brief interventions using motivational
  interviewing and behaviour counselling to health
  professionals

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Why design an Obesity Care Pathway?

• Aims to develop a co-ordinated and consistent
  approach to the treatment of overweight and
  obesity
• Evidence based interventions and good practice
• Equipping primary care as the hub of management
• Recognises solutions should be based on a
  multi-agency model, not just in the health sector

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Why design an Obesity Care Pathway?
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Draft adult obesity pathway
I\Adult Patient Pathway.pub