A powerful, practical partnership for effective weight management

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A powerful, practical partnership for effective
weight management

• Sue Gibson
• Business Development Manager
• (Public Health)

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Slimming World

• established 40 years
• help 1m members a year
• influence 3m people
• 6,000 groups
• weekly group support
• local community venues
• convenient times
• between group support
• long term support

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Meet NICE standards

• Lifestyle intervention, 1st line treatment
• help members decide on a realistic target weight
• aim for average weekly weight loss of 0.51kg
• focus on long term lifestyle changes
• address both diet and activity
• use a balanced, healthy eating approach
• offer practical, safe advice about being more
  active
• include behaviour change techniques
• recommend and/or providing ongoing support

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Slimming World on Referral

• Nationwide service
• 66 schemes with PCTs, secondary care, PBC
  localities, health centres
• Refer patients to local groups
• 12-week programme
• Subsidised cost to NHS
• Free to patients
• Regular audit

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Evidence based

• Feasibility study 2001
• Greater Central Derby PCTs1
• 91 patients enrolled
• 68 completed (10 of 12 weeks)
• Completers mean weight loss 5.4kg (6.4)
• 57 lost 5 (39 of all enrolled)

1Lavin et al, Public Health, 2006
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Results to March 2008

• Data on 4478 referred members
• Had time to complete 12 weeks
• Mean BMI 38kg/m2
• Mean attendance 9.2 weeks mean weight loss 4.1kg
  (4.0)
• 63 completers (10sessions) mean weight loss
  5.5kg (5.4)
• Non-completers attend 5.4 weeks and lose 1.8
• 53 of completers (37 enrolled) lost 5

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Longer term

• Approx 50 continue to self-fund after 12 weeks
• Number of schemes continue referring 24, 36
  weeks
• Mean weight loss 7.1 at 24 weeks (n 238)
• Mean weight loss 11.2 at 36 weeks (n42)
• Examining 24 week referral vs. 12 week
  self-fund
• Some PCTs following up at 1 year
• SW longer-term research protocols follow up and
  control group

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Knowsley Scheme

• PCT Eligibility Criteria
• BMI over 26/less than 35 with no history of
  eating disorder
• Motivated to attend weight loss sessions
• Able to perform some physical activity
• Have not previously been referred
• Referrals started February 2008
• 108 patients to date (13 patients referred for 2
  x 12-week periods)
• 91 women 9 men
• Age range 20 81 years
• BMI range 26 60.8
• Predominantly from white British ethnic group

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Knowsley Results

• Feb Nov 08
• 67 patients have had time to complete 12 weeks (5
  patients finished 2 x 12 weeks)
• Mean BMI 36.5kg/m2
• Mean attendance 8 weeks mean weight loss 3.3kg
  (3.5)
• 46 completers (10sessions) mean weight loss
  5.4kg (5.7)
• Non-completers attend 5.3 weeks and lose 1.6
• 55 of completers (28 enrolled) lost 5

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Next Steps

• Capacity for further 179 referrals year 1
• Agreement for 500 referrals year 2
• Patient evaluation exercise underway
• Slimming World managers available to promote /
  support scheme locally
• Eileen Mottram 0151 548 0658
• Marji McEvoy 07739 167048

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Adolescents (11-15yrs)

• Attend free of charge with parent
• Monitored in collaboration with GP/nurse every
  3mth
• Focus on behaviour change
• Engage whole family
• Adolescents can attend free with referred members
• Some PCTs specifically referring teenagers
• Study with Walsgrave Hospital, Coventry
• 50 obese teenagers
• BMI change, health wellbeing

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Contact Details

• Sue Gibson (Business Development Manager, Public
  Health)
• 01773 546115 or 07770 807752
• Sue.gibson_at_slimming-world.com
• Carolyn Pallister (Dietitian Referral Scheme
  Manager)
• 01773 546091
• Carolyn.pallister_at_slimming-world.com