Public Health services / campaigns Contributing to a reduction in obesity and early identification of diabetes

Outline of presentation (20 mins) Public Health healthy weight / weight management commissioning plans Child obesity ‘Raising the issue of weight’ training Health improvement campaigns e.g. Change 4 Life Weight management services NHS Health Checks Exercise referral schemes and low impact physical activity offer

Healthy weight /weight management commissioning plans Local authorities are responsible for tier 1 and tier 2 healthy weight/weight management interventions o Tier 1 - Universal interventions (prevention and reinforcement of healthy eating and physical activity messages) o Tier 2 – lifestyle weight management services

Healthy weight / weight management commissioning plans Tier 1 includes  Breastfeeding strategy  Surrey Infant and child feeding guidelines  Start 4 Life  Change 4 Life  Healthy Schools – healthy eating and physical activity  Cook and eat  Surrey Eat Out Eat Well award  HENRY (both tier 1 and tier 2)

Change 4 Life campaigns Two campaigns per year June to September 2015 – physical activity 10 min Shake up January 2016 – healthy eating with focus on Sugar o Wide range of partners involved e.g. Children’s centres, schools, libraries, physical activity providers, etc. o Targeted mailout to postcodes in Stoke ward (Guildford) this summer as has high level of excess weight (Y6)

To assist health professionals and others working with children to raise the issue of weight with children, young people and parents who are overweight Details of courses and online training =437 Child obesity ‘Raising the issue of weight’ training

Healthy weight / weight management commissioning plans HENRY (tier 1 and tier 2) o Aimed at families with children under five years o Targeted at families at higher risk of obesity e.g. from more deprived communities, engaged with Family Support Programme, from black and minority ethnic groups, etc. o Includes core training for health and children’s centre staff, working with nurseries and childminders and HENRY groups and intensive 1 – 2 – 1 programmes for families at highest risk o Referral by health and care professionals or self-referral

HENRY groups are run at the following children’s centres o Guildford, Bellfields Tel: o Loseley Fields, Binscombe Tel: o The Spinney, Westborough Tel: o St Paul’s, Tongham Tel: o (Ash Grange)Tel: Target children’s centre not yet running groups o Farnham Hale o Wharf, Godalming Central o Potters Gate, Farnham To refer families contact the children’s centres direct or Julie Kenward, HENRY coordinator / Healthy weight / weight management commissioning plans

Tier 2 children/young people Central Surrey Health school nursing team are piloting a 5 – 19 service (May- Oct 2015) Public Health will be commissioning a Surrey-wide tier 2 service from April 2016 Healthy weight / weight management commissioning plans

Tier 2 adult weight management service Commissioning services based on CCG localities Course will be based on NHS Weight Loss guide weight-getting-started.aspx weight-getting-started.aspx Exercise component will be based on existing exercise referral schemes and other low impact exercise e.g. Walking for health GWCCG locality – places for approx. 150 patients over the 5 months of the contract Will be announcing provider for GWCCG in next couple of weeks Healthy weight / weight management commissioning plans

Promotion GP surgeries, hospitals including post-natal clinics Community centres and other community locations Social media Referral via NHS Health Checks Adapted exercise on referral form Target Residents in more deprived areas Post natal women People with disabilities – carers will be invited to attend exercise sessions Healthy weight / weight management commissioning plans

. NHS Health checks

Guildford and Waverley GP practices 2014/15 data Eligible population = Aim to deliver to 10% of eligible population each year = 6585 Numbers achieved in G&W 2014/15 = 2996 Participating practices: o Binscombe, Chiddingfold, Cranleigh, Fairlands, Guildford Rivers, Merrow Park, New Inn, Shere, The Mill NHS Health Checks

Strategic approach to using NHS Health Checks Targeting and inviting those at high-CVD risk on patient registers improves programme outcomes Practices where possible should consider use Qrisk2 to stratify patients with high risk factors: o BMI o Ethnicity o Age o Smoking history o Family history NHS Health Checks

QOF indicators that can link to Health Checks: Hypertension, newly diagnosed DM, newly diagnosed, BMI ≥ 30 in preceding 12 months, dementia Health Check now includes checking pulse for AF Fee per NHS Health Check delivered £31 Contact Liz Labrum, Public Health Lead, Surrey County Council , NHS Health Checks

Exercise referral schemes and low impact physical activity offer Exercise referral schemes available at Guildford o Surrey Sports Park o Guildford Spectrum Waverley o Farnham Leisure Centre o Godalming Leisure Centre o Haslemere Leisure Centre o The Edge Leisure Centre, Haslemere o Cranleigh Leisure Centre These schemes are commissioned by Guildford and Waverley Borough Councils or are independent. There is a charge to patients, concessions available. Referral criteria included in documentation

Exercise referral schemes and low impact physical activity offer Provider No. sites Stroke Cardiac rehab COPDDM Guildford Spectrum 1YYNY Surrey Sports Park 1NNNN Waverley leisure centres (check individual sites for classes offered) 4YYNN Surrey Sports Park trained in Level 4 Cancer Rehab –planning specialist Rehabilitation Circuits classes or autumn 2015 Waverley member of staff trained in Level 4 Diabetes and Obesity – no courses arranged as yet

Surrey Physical Activity Network Mapping low impact physical activity offer e.g. Walking for health, walking basketball, chair based exercises, etc. For signposting by primary care and social care professionals Active Surrey Activity Finder ttp:// CSAF 50+ Project Active Surrey/Public Health successful bid for Sport England’s Community Sport Activation Funding. £247,000 plus additional match funding from partners. NB it is still embargoed from release to the media) All 11 Boroughs/Districts including Guildford and Waverley. Delivery will commence in January Sports/activities are: o Dance/yoga/pilates/tai chi, bowls, badminton, swimming, disability sport/seated exercise, walking football, golf, jogging Exercise referral schemes and low impact physical activity offer

Julie Nelson Public Health Lead