Nottm City Healthy Weight Strategy Slimming World on Referral city healthy...Whole population at...

Jo

hn

Wilc

ox

Public

Health

Develo

pm

ent M

ana

ger

NH

S N

ottin

gham

City

No

tting

ham

City

H

ealth

y W

eig

ht

Stra

teg

y a

nd

S

limm

ing

Wo

rld o

n

Refe

rral S

ch

em

e

Wh

ole

po

pu

latio

n a

t risk

NC

MP

20

07

08

His

tog

ram

of B

MI Z

Sc

ore

s

0

20

40

60

80

100

120

140

160

180

200-5.2

-4.9-4.6

-4.3-4

-3.7-3.4

-3.1-2.8

-2.5-2.2

-1.9-1.6

-1.3-1

-0.7-0.4

-0.10.2

0.50.8

1.11.35

1.61.9

2.12.4

2.73

3.33.6

3.94.2

4.54.8

Z S

co

re

Number

91st a

nd

98th

Cen

tile m

ark

ers

Incre

asin

g w

eig

ht

Increasing Number

Ave

rag

e

1990

91

%

belo

w98

%

belo

w

Stra

teg

y V

isio

n a

nd

Ob

jectiv

es

•A

ll Nottin

gham

citiz

en

s a

nd th

eir fa

milie

s e

xperie

nce th

e

ben

efits

of b

ein

g a

health

y w

eig

ht.

•N

ottin

gha

m is

a p

lace w

here

he

alth

y life

sty

les a

re th

e

norm

al w

ay o

f life a

nd

every

adult a

nd c

hild

is in

form

ed,

ab

le a

nd m

otiv

ate

d to

make p

ositiv

e c

hoic

es re

gard

ing

nutritio

n a

nd p

hysic

al a

ctiv

ity.

Pla

nn

ing

Fra

mew

ork

SP

EC

IAL

IST

We

igh

t ma

na

ge

me

nt in

terv

en

tion

s

Ch

ildre

n a

nd

fam

ilies

•A

refe

rral p

ath

wa

y d

eve

lop

ed

.

•G

o 4

it!, an in

novativ

e w

eig

ht

manag

em

ent s

erv

ice fo

r 5-1

3 y

ear

old

s.

•A

ccess to

Slim

min

g W

orld

on R

efe

rral

for 1

4-1

5 y

ear o

lds.

•S

taff tra

inin

g o

n w

eig

ht m

ana

gem

ent.

Ad

ults

•S

limm

ing W

orld

on re

ferra

l schem

e.

•C

ounte

rwe

ight in

10 p

ractic

es.

•M

otiv

ate

men’s

we

ight m

an

ag

em

ent.

•S

taff tra

inin

g o

n w

eig

ht m

ana

gem

ent.

•M

edic

al a

nd s

urg

ical s

erv

ices fo

r the v

ery

ob

ese.

Slim

min

g W

orld

on

Refe

rral

Ove

rvie

w

•C

om

mis

sio

ne

d s

ince 2

00

8.

•A

dults

peo

ple

age1

6+

BM

I � (2

5) 3

0

•M

ain

outc

om

e: a

t least 5

% w

eig

ht lo

ss

•Y

oung p

eop

le a

ged 1

4-1

5 y

ears

•W

om

en d

urin

g a

nd a

fter p

reg

nancy.

Ben

efits

•E

vid

ence b

ase

d.

•E

ffectiv

e re

lativ

e to

oth

er w

eig

ht m

anagem

en

t optio

ns.

•V

ery

sca

lab

le.

•G

ood v

alu

e fo

r mone

y.

•F

lexib

le to

alig

n w

ith re

ferra

l path

wa

ys.

Refe

rral p

ath

way

Slim

min

g W

orld

Ou

tco

mes

•M

ay-N

ov 2

011: 1

200 p

artic

ipants

with

with

BM

I � 3

0.

At le

ast 5

% w

eig

ht lo

ss –

All C

lien

ts

•N

ottin

gham

City

-24%

–m

ean w

eig

ht lo

ss -3

.1 k

g

•N

atio

nal e

valu

atio

n -

36%

-m

ean w

eig

ht lo

ss -4

.0 k

g)

•B

irmin

gham

-m

ean w

eig

ht lo

ss 3

.56 k

g

At le

ast 5

% w

eig

ht lo

ss -

Co

mp

lete

rs

•N

ottin

gham

City

-43%

-m

ean w

eig

ht lo

ss -4

.7kg

•N

atio

nal e

valu

atio

n 5

8%

(mean w

eig

ht lo

ss -

5.5

kg

•W

als

all 3

8%

-m

ean w

eig

ht lo

ss -3

.62kg

Health

Eq

uity

Meadow

s -

–A

rea o

f hig

her

need w

ith L

ow

er

level o

f upta

ke

St A

nns/S

nein

ton

–A

rea o

f hig

her n

eed

with

Low

er le

vel o

f upta

ke

Slim

min

g W

orld

on

Refe

rral –

Next s

tep

s

•Im

ple

ment a

nd m

on

itor m

idw

ifery

and h

ea

lth v

isito

r

refe

rral.

•R

evie

w y

oung p

eop

le re

ferra

l.

•C

onsu

lt Asia

n w

om

en –

barrie

rs to

access.

•W

ork

with

Slim

min

g W

orld

on o

ptio

ns fo

r new

gro

ups.

•R

evie

w fo

cus o

f contra

ct fo

r transitio

n p

erio

d.