Dudley Public Health & The Ridge Hill Centre Health Access Services Partnership By NHS Dudley Weight Management Team & Health Access Team May 2012

Dudley Public Health & The Ridge Hill Centre Health Access Services Partnership

By NHS Dudley Weight Management Team & Health Access Team May 2012

Setting the Scene Learning Disabilities Data Facts & Figures Slimmers’ Kitchen Facts & Figures Counterweight Facts & Figures Next Steps Summary


Dudley has a population of 307,362151,116 males & 156,246 females

1167 (0.38%) people Special Needs Register Care Facilities: - 35 LD Care Homes - 242 Residential/Nursing Homes - 16 Supported Living Schemes - 225 Own Tenancies - 488 Family (mainstream) 1 PCT & 1 MBC



Out of borough residents

Aspergers Diagnosis


Special Needs Register

2010/2011 2011/2012 Increase

Service users 1020 1167 147

Year 2008/9 2009/10 2010/11 2011/12 Total to date

Annual DES received from

GP’s

60 209 227 260 756

The table above shows the annual completed DES Health Checks (May 2012)

Number of people with Health Issues 446 58.9%

Number of overweight/obese people 162 36.3%

The table above shows the breakdown of the annual DES Health Checks received (May 2012)


0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Obesity 0 41 124 135 158 158 107 53 21 8

0

20

40

60

80

100

120

140

160

180

Nu

mb

er

of P

t

Ages

Obesity

Obesity


2008/9 2009/10 2010/11 2011/12

Persons 14 (23.3%) 41(19.6%) 55 (24.2%) 52 (20%)

Males 5 (35.7%) 16 (39%) 29 (52.7%) 23 (44.2%)

Females 9 (64.3%) 25 (61%) 26 (47.3%) 29 (55.8%)

Percentage of respondents who are overweight or obese (BMI>25)

Not a true reflection due to inconsistencies in data recording

BMI range from 27.5Kgm2 – 50+Kg m2



Letters to GP & referrer

Letters to GP & referrer

Self ReferralSelf Referral Health Professional Referral

Health Professional Referral

Referral initiated by DES Health Check

Referral initiated by DES Health Check

Referral to Health Access Service

Referral to Health Access Service

Initial assessment & Weight monitoring

Initial assessment & Weight monitoring

Slimmers’ Kitchen LD

Slimmers’ Kitchen LD

YES

YES

GP Health Declaration Form to GP

GP Health Declaration Form to GP

Slimmers Kitchen programme

Slimmers Kitchen programme

Evaluate

Evaluate

Follow upFollow up

NONO

Sign post to other services Sign post to other services

Set individual outcomes & Inform GP

Set individual outcomes & Inform GP

Evaluate

Evaluate

Follow upFollow up

Client programme choice is determined

Client programme choice is determined

Counterweight LD

Counterweight LD

Commercial programmes

with/without support?

Commercial programmes

with/without support?

Counterweight programme

Counterweight programme

Weight Watchers/Slimming World/ Rosemary Conley

Weight Watchers/Slimming World/ Rosemary Conley

One to one sessions One to one sessions

Referrals for Weight Management 2010



Des Health check

GP Self referrals

Other Professionals

Total

5(29.4%) 1(6.1%) 5(29.4%) 6(35.3%) 17(100%)


Des Health check

GP Self referrals Other Professionals

Total

12(29%) 2(5%) 2(5%) 25(61%) 41(100%)

Des Health check

GP Self referrals

Other Professionals

Total

0 1(11.1%) 3(33.3%) 5(55.5%) 9(100%)

• 15 weeks, once a week, for 2 hours• Each week: 1 hour nutrition workshop; 1 hour

Physical Activity & taster session• Group environment

Slimmers Kitchen Aims:To improve participants knowledge of healthy food choicesIncrease knowledge of nutrition & the benefits of physical activityTo offer free calorie controlled recipesTo increase participants physical activity levelsFor participants to lose weight (5% weight loss target)To decrease participants waist circumference


Groups – 2 groups = 16 participants

Results

Groups # Ave Start

wt (Kg)

Ave End

wt (Kg)

Ave wt

loss (Kg)

5% wt loss

Ave BMI

Change

1 (Jan 11) 9 94.48 92.37 2.11 2 1

2 (May 11) 7 88.5 65.3 1.37 0 1


Background: - Mild Learning Disability/ Schizophreina & Velo cardio-facial Syndrome Anthropometric Data: -Height 1.74m Weight 121.55Kg BMI 39.9Kgm2

Intervention: - 1:1 staff support and SKLD -Duration ongoing Results:


Start weight Kg

BMI Current Weight Kg

BMI BMI Change

121.55 39.9 106.6 35 4.9

Counterweight LD is a 1:1 intervention that runs for 18 months Person centred and bespoke dependent upon the individuals needs.

Counterweight Aims:To improve participants knowledge of healthy food choicesIncrease knowledge of nutrition & the benefits of physical activityTo offer free calorie controlled recipesTo increase participants physical activity levelsFor participants to lose weight (a 5% weight loss target is set)To decrease participants waist circumference


9 Ridge Hill members of staff trained in Counterweight Programme

11 Active Counterweight Clients Average weight loss 1-3kg

With improved lifestyle changes



Background: - Moderate Learning Disability/Austic Spectrum disorder Anthropometric Data: -Height 1.75m Weight 118.8Kg BMI 38.1Kgm2 Intervention - 1:1 (Counterweight principles) -Duration ongoing Results:

Start weight Kg

BMI Current Weight Kg

BMI BMI Change

118.8 38.1 89.8 29.3 8.8


6 Week Training Programme Nutrition Assessment (baseline knowledge) Education on the Key Weight Management

messages Weekly weighing of carers and clients Nutrition Assessment -Retest Programme Evaluation

Exit Route for SK LD Expanded partnership (RH, Dudley PCT, MBC & Care providers) Park Rangers Partnership - training Current Location MSP- Length of time – Mar 2011(14mths) Date, Time and # Attending Participants Feedback & Documentation Other locations Leisure Centres activity


Building Stronger links with GP

Expanding Programme Numbers

Expanding Carers programme

Other programmes - SHAPES


Although small changes at individual level, these health interventions have the potential to impact the Learning Disability population significantly - wider impact on family members.

Most participants who complete the programme go on to maintain the lifestyle changes made (esp those with support).

Follow ups although good have highlighted the need for frequent refreshing of key messages to ensure sustainability.

Bespoke services seem to be the best with a combination of activity and exercise.

Evaluation has highlighted the need to re educate the carers to ensure client sustainability.


Thank you


Documents

Dudley Public Health & The Ridge Hill Centre Health Access Services Partnership By NHS Dudley Weight Management Team & Health Access Team May 2012