Supporting people to manage their weight

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Supporting people to manage their weight

• Verena Thompson
• Public Health Manager Behaviour Change
• NHS North Central London Islington Public Health
• E verena.thompson_at_nclondon.nhs.uk
• T 020 7527 1247

www.ncl.nhs.uk
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Why are we doing this?

• Prevent manage obesity, adopting healthier
  behaviours
• 91 Islington Adults do not exercise regularly
  2010/11 29 (5500) CYP
• 64 Islington Adults do not eat a healthy diet
  2006-8
• 18 Islington Adults are obese 2006-8 1 (188)
  Reception 22 (349) Year 6

www.ncl.nhs.uk
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Obesity costsindividual local economy

• 23 (42,273) registered patients are overweight
  GP dataset 2011
• 14 (24,982) registered patients are obese GP
  dataset 2011
• 9 wards higher prevalence, 3 wards lower than
  Islington average
• 2238 practices ?ratio of obese adults
• 5 practices gt 1000 obese patients

www.ncl.nhs.uk
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What works?Evidence base

• BMI overweight 25 / 27.5 Obese 30
• Multi component
• Behaviour change theory application
• Prevent, Promote, Minimise
• 8-12 weeks duration (ideally 12m continued
  support)
• Group or 11 intervention

www.ncl.nhs.uk
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Adult Obesity Care pathway
www.ncl.nhs.uk
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What do we expect?outcomes Provider has to
achieve

• 550 participants per year
• 5-10 weight loss over 6 months
• 30 maintain weight prevent weight gain _at_ 3
  6months

www.ncl.nhs.uk
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Measuring successevaluation service improvement

• Demonstrate improvements in eating behaviours, PA
  levels, Levels of sedentary behaviour quality
  of life
• Benchmarking, Midpoint, Completion, 3 6m
  followup

www.ncl.nhs.uk
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The Challenge facedhow to reach who we need to
reach ?how do we motivate people to change 5 x
30mins a day

• Age
• Gender
• Ethnicity
• Disabilities
• Cultural sensitivities
• Socioeconomic status

Equalities Dimensions
www.ncl.nhs.uk