Zest: a communitybased approach to tackling obesity

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Zest a community-based approach to tackling
obesity

• Andy Wier - Regeneration Officer
• Becky Usher Exercise Referral Coordinator
•  Sheffield Obesity Conference
• 25 November 2008

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Who we are

• A local community development trust
• Community-based and locally managed
• 10 years of community-led regeneration
• Previously known as Netherthorpe Upperthorpe
  Community Alliance
• A groundbreaking social enterprise
• Quality services in the heart of the community
• Transforming public service delivery

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What we do

• Employment, Training Enterprise
• One-stop shop for information and advice
• Children, young people and families
• 10 years of local provision
• Health and Well-being
• Zest Healthy Living Centre

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Zest Healthy Living Centre

• Opened in 2001 as Upperthorpe Healthy Living
  Centre
• 5m conversion of 3 Victorian buildings
• Partnership between Sheffield City Council, PCT
  and Zest
• Zest took over operational management in June
  2007

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• Zest Centre Vision
• Enable everyone in our community to lead a
  fulfilled and active life
• Mission
• Provide a one-stop shop for well-being enhancing
  services in the heart of the community

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• Service Offer
• Library
• Café
• Swimming Pool
• Gym
• Computer suite
• Family Support
• Health programmes

• Homework Club
• Advice Advocacy
• South Yorkshire Eating Disorders Association
• Bridge Employment

All under one roof
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Tackling obesity

• Interventions
• GP Exercise Referral Programme
• Fit Club weight loss and nutrition support
  programme
• Cardiac Pulmonary Rehabilitation
• Health Walks
• Health information linked to library
• Young peoples activity programmes and family
  support

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Fit Club

• Developed jointly with PCT
• For people with body mass index of 30.
• 12 week programme
• 6.00 7.00 Education / Nutrition
• 7.00745 Exercise

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Impacts / Results

• Volume of activity (2007 / 08)
• 15,363 gym attendances
• 3,194 exercise classes
• 258 exercise referrals
• 45 Fit Club members
• 168 Cardiac Rehab members
• But what difference has this made?

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The personal dimension

• The most important thing about this gym is it is
  for health and not Barbie and Ken lookalikes

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Proving Zests contribution

• Still to develop sufficiently robust data
  management systems
• Typical of many third sector organisations
• Work on annual basket of performance indicators

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Future development

• Impact measurement
• Enhancing existing services more joined up
  approach
• New commissioning agendas
• Capital expansion myplace bid to create
  citywide youth facility

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Implications / Lessons

• The distinctive elements of Zests anti-obesity
  work
• Holistic and person-centered
• Non-stigmatizing and non-clinical setting
• Linked to wider portfolio of local services
• The added value of community-based approaches
• The methodological challenges evaluating the
  health impacts of community organisations