1. Public Health & Prevention - Bridgend Approach
PUBLIC HEALTH WALES ANNUAL GENERAL MEETING
Abigail Harris & Peter Mannion
19th September 2011

2. Overview Public Health & Prevention Team Strategic Background
Local Context –Setting the scene
Public Health & Prevention Team
Positioning the team – a new focus
Example – Weight Management in the Community
Overview

3. Local Context Wellbeing Directorate Integration
Adult Social Care
Healthy Living
Integration
Joint Locality Director
Bridgend Care Partnership
Local Service Board
Local Context

4. Bridgend Care Partnership
Integrated Referral Management
Public Health & Prevention
Long Term Care
Integrated Operational Teams
Integrated Community Networks
Community Resource Team
Secondary & Community Services

5. Public Health & Prevention Team
Develop an integrated team which will lead the public health and prevention agenda across Bridgend
Team incorporates:
HSCWB Partnership personnel (ABMU/BCBC)
Health Challenge Bridgend Officer (BCBC)
Older Persons Strategy Resources (BCBC)
Local Public Health Team (PHW)
Substance Misuse Service Team (ABMU/BCBC)
Public Health & Prevention Team

6. Strategic Change – from upstream to ...

7. Repositioning -Down Stream Pressure
Establishing a clear link between PH & P Activity and System pressure
Unscheduled Care
Residential Care
Primary Care
Home Care
Carers

8. Plan Filter Limited No of Priority Areas ABMU PH Framework
Locality & Wellbeing Business Plans
CYP & HSCWB Strategies
ABMU PH Framework
Plan Filter

9. Our Team Lens – Tangible Outcomes
Priority Areas
Obesity
Tobacco
Alcohol
Frailty
Settings
Workplace
Community Network
Schools
Project Management
Intelligence
Evidence
Whole system planning
Evaluation
Our Team Lens – Tangible Outcomes

10. Local Context – Bridgend

11. Example Project Weight Management Project Priority Settings Obesity
Tobacco
Alcohol
Frailty
Settings
Workplace
Community Network
Schools
Project
Weight Management Project
Example

12. Weight Management Project
The North Network has the highest EASR prevalence for Diabetes, CHD and Hypertension within ABMU
25% of adults in Bridgend are reported Obese – higher practice prevalence rates in the North Network
If you are clinically obese you are 80x more likely to develop diabetes than someone of normal weight
(Prof Alan Maryon-Davies)
Weight Management Project

13. Weight Management Project
A non-clinical programme giving individuals support to make sustainable changes to their lifestyle to improve their health and wellbeing.
Links up local activities, groups and initiatives that already exist within the community
Weight Management Project

14. Weight Management – What Happens
Weightwatchers referral Scheme 12 weeks
Exercise Referral Scheme (NERS) 16weeks
Exit Strategy via Wellbeing Broker
Sustainable health behaviour change
Engagement in Community activities/ return to work/ volunteering etc
Referral From Primary Care
(BMI 30 or 28 with co morbidities)
Weight Management – What Happens

15. Outputs Rolling Program : 147active referrals since Sept 2010
90% retention rate on WW programme (UK national rate only 57% complete 12 weeks)
90% engaging in Exercise referral (NERS)
51 have achieved 5% weight loss
18 have achieved 10% weight loss
Group cumulative loss -154 Stone
Average 1-2lb per week per person
Outputs

16. Evaluation Quantitative Improved clinical indicators – HbA1c, BP
Medication changes
a significant reduction in weight, BMI and waist measurements
A significant change in diet and eating habits
A significant increase in perceived well-being
Qualitative
Increased confidence
Reduced social isolation
Increased activity
Economic
Cost effectiveness
Evaluation

17. Outcome

18. Integrated Team – The Value
Integrating & Repositioning
Public Health Lens
Priorities
Settings
Process
Projects
Public Health / Maintenance
Prevention
Workforce
Health Intelligence
Value
Patient / citizen / service user
BCBC Outcome Agreement
Unscheduled Care
Meeting HSCWB Outcomes
Promoting OP Independence - Pressure AS Services
CCM Priority
Integrated Team – The Value