Tackling Obesity in Bradford and Airedale Developing your services for your patients

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Tackling Obesity in Bradford and
AiredaleDeveloping your services for your
patients

• PACE Team

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Aims

• Understand why PACE is looking at Obesity
• Sharing aims and objectives
• To listen to your comments
• Looking for your support and enthusiasm

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Why Obesity?

• More than 12 million adults in England could be
  obese by 2010
• 33 of men and 28 of women will be obese by 2010
• 15 of men and 20 of women in non-white ethnic
  groups by 2010
• Approximately one million children will be obese
  by 2010
• In households with two obese parents, 1 child in
  4 is obese, compared to 1 child in 8 in
  households where one parent is obese and 1 in 20
  where no parents are obese.
• The NHS spends around 1 billion annually on
  obesity related illnesses that can be prevented.
• Forecasting Obesity to 2010 report

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Why are PACE involved?

• White Paper (Choosing Health) / QOF
• PACE Steering group classed Obesity as a priority
• Good practice evident but not always joined up
• Need to up-date present guidance
• Need to develop paediatric guidance
• Local enthusiasm to improve current service
• Rising media attention

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Consensus group membership

• Public Health specialists
• Dieticians
• Physical Activity/ Sports and leisure
  professionals
• Clinical psychology
• GPs
• Lead nurses
• Consultants in diabetes, bariatric surgery,
  anaesthetics and plastic surgery
• Commissioners
• Prescribing lead
• Researcher

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Consensus Group Decision

• Because the topic is so large it was decided to
• set up 6 Sub groups-
• Primary care services
• Primary care obesity clinic model
• Paediatric
• Guidance Documentation
• Audit Questionnaire
• Specialist obesity service pathway
• Maintain the consensus group to ensure all work
  was linked

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Mapping a Pathway

• Clearly defined areas
• Identification
• Raising the issue of weight
• Assessment and signposting / referral
• Weight management in primary care
• Weight Management in secondary care
• Bariatric Surgery
• Cosmetic surgery

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Primary Care Services Sub-group

• Assess present service availability
• Assess current best practice
• Develop assessment tool
• Providing a consistent approach to assessment

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Primary care obesity clinic model sub-group

• What should this be?
• Where should it be?
• What should it provide?
• Where and at what time should it refer on?
• What do we refer on to?
• Who runs it?
• Who funds it?
• Links to primary care sub-group
• and secondary care sub-group

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Paediatric sub-group

• Sharing of consistent messages
• Development of a guidance document
• Development of a care pathway
• Clarity of services for children
• Highlighting obesity in children
• in Bradford and Airedale

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Guidance documentation sub-group

• Review of the PACE Obesity guidance written in
  2002
• Update to reflect the current best advice
• Aim to make available in November
• Providing current guidance for practitioners

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Audit questionnaire sub-group

• Combination of several draft questionnaires
• One questionnaire to meet multiple needs
• Information to support the work of the sub groups
• Please complete one !

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Secondary care sub-group

• Weight Management Clinic
• Bariatric Surgery
• Cosmetic Surgery
• Any other related issues
• Provision of service for those with serious
  health risks related to obesity

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What's Needed

• To clarify what services are required
• To develop pathways to cover the whole patient
  journey
• To develop clear assessment tools
• To develop referral criteria for all stages
• To monitor developments / progress
• To report on findings
• Input from local professionals

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PACE

• Complete a questionnaire
• Talk to us and share your ideas

Needs You
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Come back in March to see what progress has been
madeThank you