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Obesity in Bedfordshire

Obesity in Bedfordshire. Craig Lister - Public Health Manager Daniel Gill – Senior Health Improvement Specialist Stuart King - Senior Health Improvement Specialist. Plan for today. Brief overview NICE guidance NHS Bedfordshire position Planned programmes Group discussion. In perspective….

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Obesity in Bedfordshire

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  1. Obesity in Bedfordshire Craig Lister - Public Health Manager Daniel Gill – Senior Health Improvement Specialist Stuart King - Senior Health Improvement Specialist

  2. Plan for today • Brief overview • NICE guidance • NHS Bedfordshire position • Planned programmes • Group discussion

  3. In perspective… The World Health Organisation has stated that obesity is a public health problem as serious as the polluted drinking water and poor sewerage treatment of the 18th and 19th centuries (WHO March 2008).

  4. ≈ 77% of children are ideal weight at age 5 years≈ 69% of children are ideal weight by age 11 yrs≈ 40% of the UK adult population is of ideal weight!

  5. Associated comorbidities Children and teenagers hypertension hyperinsulinaemia dyslipidaemia type 2 diabetes psychosocial dysfunction exacerbation of existing conditions orthopaedic problems • Adults • type 2 diabetes • coronary heart disease (CHD) • hypertension • various cancers • osteoarthritis

  6. Funding • Considerable reductions • Interventions/programmes must be: • Targeted • Based on best practice • Holistic and long term • Demonstrable • Value for money

  7. NICE Guidance • CG43 • New maternal obesity due this month • Physical Activity

  8. Principles of best practice Endorse programmes only if they meet best practice standards by: helping people decide on a realistic healthy target weight focusing on long-term lifestyle changes addressing both diet and activity, and offering a variety of approaches using a balanced, healthy-eating approach offering practical, safe advice about being more active including some behaviour-change techniques recommending and/or providing ongoing support

  9. Recommended actions for allhealth professionals Offer tailored advice based on individual preferences and needs Involve parents and carers in actions aimed at children and young adults Discuss weight, diet and activity at times when weight gain is more likely Focus interventions on activities that fit easily into everyday life Use multicomponent interventions

  10. The Social Health Model Social Capital describes the pattern and intensity of networks among people and the shared values which arise from those networks Social Determinants of Health Conceptual Framework Based on the Whitehead and Dahlgren (1991) diagram as amended by Barton and Grant (2006) and the UKPHA Strategic Interest Group (2006)

  11. Programmes • Change 4 Life and Start 4 Life • CFS Bus • Summer play camps • Beezee Bodies • Exercise Referral • Commercial Slimming • Maternal obesity pilot

  12. Exercise Referral NHS Bedfordshire actively promotes and endorses GP Exercise Referral where the following requirements are in place: • Compliance with Exercise Referral: a National Quality Assurance Framework (NHS 2001)* • Compliance with Best Practice • All GP Exercise Referral staff are actively registered with the REPs at Level 3 with a recognised Exercise Referral Qualification • A written scheme protocol • A Service Level Agreement • Data collection appropriate to the scheme • Compliance with the Data Protection Act • An appropriate Health and Safety Risk Assessment

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