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Dudley Public Health & The Ridge Hill Centre Health Access Services Partnership By NHS Dudley Weight Management Team & Health Access Team May 2012
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Setting the Scene Learning Disabilities Data Facts & Figures Slimmers’ Kitchen Facts & Figures Counterweight Facts & Figures Next Steps Summary By NHS Dudley Weight Management Team & Health Access Team May 2012
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Dudley has a population of 307,362 151,116 males & 156,246 females 1167 (0.38%) people Special Needs Register Care Facilities: - 35 LD Care Homes - 242 Residential/Nursing Homes - 16 Supported Living Schemes - 225 Own Tenancies - 488 Family (mainstream) 1 PCT & 1 MBC By NHS Dudley Weight Management Team & Health Access Team May 2012
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Out of borough residents Aspergers Diagnosis By NHS Dudley Weight Management Team & Health Access Team May 2012 Special Needs Register 2010/20112011/2012Increase Service users10201167147
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Year2008/92009/102010/112011/12Total to date Annual DES received from GP’s 60209227260756 The table above shows the annual completed DES Health Checks (May 2012) Number of people with Health Issues446 58.9% Number of overweight/obese people162 36.3% The table above shows the breakdown of the annual DES Health Checks received (May 2012) By NHS Dudley Weight Management Team & Health Access Team May 2012
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2008/92009/102010/112011/12 Persons14 (23.3%)41(19.6%)55 (24.2%)52 (20%) Males5 (35.7%)16 (39%)29 (52.7%)23 (44.2%) Females9 (64.3%)25 (61%)26 (47.3%)29 (55.8%) Percentage of respondents who are overweight or obese (BMI>25) Not a true reflection due to inconsistencies in data recording BMI range from 27.5Kgm 2 – 50+Kg m 2 By NHS Dudley Weight Management Team & Health Access Team May 2012
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Letters to GP & referrer Self Referral Health Professional Referral Referral initiated by DES Health Check Referral to Health Access Service Initial assessment & Weight monitoring Slimmers’ Kitchen LD YES GP Health Declaration Form to GP Slimmers Kitchen programme Evaluate Follow up NO Sign post to other services Set individual outcomes & Inform GP Evaluate Follow up Client programme choice is determined Counterweight LD Commercial programmes with/without support? Counterweight programme Weight Watchers/Slimming World/ Rosemary Conley One to one sessions
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Referrals for Weight Management 2010 Referrals for Weight Management 2011 Referrals for Weight Management 2012 Des Health check GPSelf referrals Other Professionals Total 5(29.4%)1(6.1%)5(29.4%)6(35.3%)17(100%) By NHS Dudley Weight Management Team & Health Access Team May 2012 Des Health check GPSelf referralsOther Professionals Total 12(29%)2(5%) 25(61%)41(100%) Des Health check GPSelf referrals Other Professionals Total 01(11.1%)3(33.3%)5(55.5%)9(100%)
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15 weeks, once a week, for 2 hours Each week: 1 hour nutrition workshop; 1 hour Physical Activity & taster session Group environment Slimmers Kitchen Aims: To improve participants knowledge of healthy food choices Increase knowledge of nutrition & the benefits of physical activity To offer free calorie controlled recipes To increase participants physical activity levels For participants to lose weight (5% weight loss target) To decrease participants waist circumference By NHS Dudley Weight Management Team & Health Access Team May 2012
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Groups – 2 groups = 16 participants Results Groups#Ave Start wt (Kg) Ave End wt (Kg) Ave wt loss (Kg) 5% wt loss Ave BMI Change 1 (Jan 11)994.4892.372.1121 2 (May 11)788.565.31.3701 By NHS Dudley Weight Management Team & Health Access Team May 2012
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Background: - Mild Learning Disability/ Schizophreina & Velo cardio-facial Syndrome Anthropometric Data: -Height 1.74m Weight 121.55Kg BMI 39.9Kgm 2 Intervention: - 1:1 staff support and SKLD -Duration ongoing Results: By NHS Dudley Weight Management Team & Health Access Team May 2012 Start weight KgBMICurrent Weight KgBMIBMI Change 121.5539.9106.6354.9
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Counterweight LD is a 1:1 intervention that runs for 18 months Person centred and bespoke dependent upon the individuals needs. Counterweight Aims: To improve participants knowledge of healthy food choices Increase knowledge of nutrition & the benefits of physical activity To offer free calorie controlled recipes To increase participants physical activity levels For participants to lose weight (a 5% weight loss target is set) To decrease participants waist circumference By NHS Dudley Weight Management Team & Health Access Team May 2012
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9 Ridge Hill members of staff trained in Counterweight Programme 11 Active Counterweight Clients Average weight loss 1-3kg With improved lifestyle changes By NHS Dudley Weight Management Team & Health Access Team May 2012
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Background: - Moderate Learning Disability/Austic Spectrum disorder Anthropometric Data: -Height 1.75m Weight 118.8Kg BMI 38.1Kgm 2 Intervention - 1:1 (Counterweight principles) -Duration ongoing Results: Start weight KgBMICurrent Weight KgBMIBMI Change 118.838.189.829.38.8
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By NHS Dudley Weight Management Team & Health Access Team May 2012 6 Week Training Programme Nutrition Assessment (baseline knowledge) Education on the Key Weight Management messages Weekly weighing of carers and clients Nutrition Assessment -Retest Programme Evaluation
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Exit Route for SK LD Expanded partnership (RH, Dudley PCT, MBC & Care providers) Park Rangers Partnership - training Current Location MSP- Length of time – Mar 2011(14mths) Date, Time and # Attending Participants Feedback & Documentation Other locations Leisure Centres activity By NHS Dudley Weight Management Team & Health Access Team May 2012
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Building Stronger links with GP Expanding Programme Numbers Expanding Carers programme Other programmes - SHAPES By NHS Dudley Weight Management Team & Health Access Team May 2012
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Although small changes at individual level, these health interventions have the potential to impact the Learning Disability population significantly - wider impact on family members. Most participants who complete the programme go on to maintain the lifestyle changes made (esp those with support). Follow ups although good have highlighted the need for frequent refreshing of key messages to ensure sustainability. Bespoke services seem to be the best with a combination of activity and exercise. Evaluation has highlighted the need to re educate the carers to ensure client sustainability. By NHS Dudley Weight Management Team & Health Access Team May 2012
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Thank you By NHS Dudley Weight Management Team & Health Access Team May 2012
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