Wellbeingand

Healthy Lifestyles

CHD Attributable to PhysicalInactivity (37%)

CHD Attributable to PhysicalInactivity (37%) CHD attributable to

Blood Cholesterol >5.2mmol/l (46%)

CHD attributable toBlood Cholesterol >5.2mmol/l (46%)

CHD attributable toSmoking (19%)

CHD attributable toSmoking (19%)CHD attributable to

Blood Pressure >140/90(13%)

CHD attributable to Blood Pressure >140/90(13%)

All CHDAll CHD

CHD attributableto Obesity (6%)

CHD attributableto Obesity (6%)

Source: Britton A and McPherson K 2000 - A Report to the Chief Medical Officer

Related risk factors for CHD under 75 death

Alcohol

20.8% of the population of Reading binge Drink

(NWPHO 2010)

20.8% of the population of Reading binge Drink

(NWPHO 2010)

Commissioning recommendations

• Raise awareness of risks of alcohol abuse, including in work-places and schools

• Review commissioning of Screening and Brief Interventions in Primary Care

• Develop interventions in A&E /Alcohol liaison nurses

• Work together with UAs and police on licensing

Commissioning recommendations

• Raise awareness of risks of alcohol abuse, including in work-places and schools

• Review commissioning of Screening and Brief Interventions in Primary Care

• Develop interventions in A&E /Alcohol liaison nurses

• Work together with UAs and police on licensing

Key issues and gaps

• Yearly increase in alcohol admissions since 2002

• Tier 1 services in 10 care limited to screening using AUDIT

• Tier 3 Services have been recommissioned in 2010/11 due to reduced performance in 2009/10

Key issues and gaps

• Yearly increase in alcohol admissions since 2002

• Tier 1 services in 10 care limited to screening using AUDIT

• Tier 3 Services have been recommissioned in 2010/11 due to reduced performance in 2009/10

17.7% of the population of West Berkshire Binge Drink

(NWPHO 2010)

17.7% of the population of West Berkshire Binge Drink

(NWPHO 2010)

15.4% of the population of Wokingham Binge Drink

(NWPHO 2010)

15.4% of the population of Wokingham Binge Drink

(NWPHO 2010)

For every £1 spent on alcohol treatment, the public sector saves £5 - United Kingdom Alcohol Treatment Trial/MoCAM (2006)

For every £1 spent on alcohol treatment, the public sector saves £5 - United Kingdom Alcohol Treatment Trial/MoCAM (2006)

Obesity

23% of the Reading Population is Obese (APHO

2010)

23% of the Reading Population is Obese (APHO

2010)

Commissioning recommendations

1. Clear documented strategic approach for addressing adult obesity should be developed as a joint Healthy Weight strategy building on the success of the child obesity strategy

2. Tiered WM services at the Primary Care and Community and Acute NHS Services, guided through the care pathway

3. Avoid inappropriate referrals to the Tier 4 bariatric services

Commissioning recommendations

1. Clear documented strategic approach for addressing adult obesity should be developed as a joint Healthy Weight strategy building on the success of the child obesity strategy

2. Tiered WM services at the Primary Care and Community and Acute NHS Services, guided through the care pathway

3. Avoid inappropriate referrals to the Tier 4 bariatric services

Key issues and gaps

1. Limited maternal obesity services2. Improved weight management service

for morbidly obese people3. Investment needed in transitional clinics

for teenagers with obesity4. Improvement in prescribing trends

needed

Key issues and gaps

1. Limited maternal obesity services2. Improved weight management service

for morbidly obese people3. Investment needed in transitional clinics

for teenagers with obesity4. Improvement in prescribing trends

needed

23.5% of the West Berkshire Population is

Obese (APHO 2010)

23.5% of the West Berkshire Population is

Obese (APHO 2010)

19.9% of the Wokingham Population is Obese (APHO

2010)

19.9% of the Wokingham Population is Obese (APHO

2010)

40% of Britons will be obese by 2025 and by 2050 Britain could be a mainly obese society - Foresight 2007

40% of Britons will be obese by 2025 and by 2050 Britain could be a mainly obese society - Foresight 2007

Physical Activity

19.2% of the Reading population participate in

moderate physical activity at least 3 times per week

19.2% of the Reading population participate in

moderate physical activity at least 3 times per week

Commissioning recommendations

1. Support projects that encourage active travel2. Support Primary Care and Local Authority

providers in delivering the “Lets Get Moving” Physical Activity care Pathway

3. Continuation and expansion of projects that encourage lifelong participation in sport, leisure and recreation activities

Commissioning recommendations

1. Support projects that encourage active travel2. Support Primary Care and Local Authority

providers in delivering the “Lets Get Moving” Physical Activity care Pathway

3. Continuation and expansion of projects that encourage lifelong participation in sport, leisure and recreation activities

Key issues and gaps

1. Over 60% of all car journeys under 2 miles in length

2. Advice and support for physical activity not given on a systematic basis

Key issues and gaps

1. Over 60% of all car journeys under 2 miles in length

2. Advice and support for physical activity not given on a systematic basis

25.3% of the West Berkshire population

participate in moderate physical activity at least 3

times per week

25.3% of the West Berkshire population

participate in moderate physical activity at least 3

times per week

26.5% of the Wokingham population participate in

moderate physical activity at least 3 times per week

26.5% of the Wokingham population participate in

moderate physical activity at least 3 times per week

The annual cost of physical inactivity for NHS Berkshire West is estimated at £2.84 million per annum (BHF 2007)

The annual cost of physical inactivity for NHS Berkshire West is estimated at £2.84 million per annum (BHF 2007)