1. www.ncl.nhs.uk Supporting people to manage their weight Verena Thompson Public Health Manager: Behaviour Change NHS North Central London: Islington Public Health E: verena.thompson@nclondon.nhs.ukverena.thompson@nclondon.nhs.uk T: 020 7527 1247

2. Why are we doing this? Prevent & manage obesity, adopting healthier behaviours 91% Islington Adults do not exercise regularly 2010/11 29% (5500) C&YP 64% Islington Adults do not eat a healthy diet 2006-8 18% Islington Adults are obese 2006-8 1% (188) Reception 22% (349) Year 6 www.ncl.nhs.uk 2

3. Obesity costs individual & local economy 23% (42,273) registered patients are overweight GP dataset 2011 14% (24,982) registered patients are obese GP dataset 2011 9 wards higher prevalence, 3 wards lower than Islington average 22:38 practices  ratio of obese adults 5 practices > 1000 obese patients www.ncl.nhs.uk 3

4. What works? Evidence base BMI overweight ≥25 / ≥27.5; Obese ≥30 Multi component Behaviour change theory application Prevent, Promote, Minimise 8-12 weeks duration (ideally 12m continued support) Group or 1:1 intervention www.ncl.nhs.uk 4

5. Adult Obesity Care pathway www.ncl.nhs.uk 5

6. What do we expect? outcomes Provider has to achieve ≥ 550 participants per year 5-10% weight loss over 6 months 30% maintain weight & prevent weight gain @ 3 & 6months www.ncl.nhs.uk 6

7. Measuring success evaluation & service improvement Demonstrate improvements in eating behaviours, PA levels, Levels of sedentary behaviour & quality of life Benchmarking, Midpoint, Completion, 3 & 6m followup www.ncl.nhs.uk 7

8. The Challenge faced how to reach who we need to reach ? how do we motivate people to change – 5 x 30mins a day Age Gender Ethnicity Disabilities Cultural sensitivities Socioeconomic status www.ncl.nhs.uk 8 Equalities Dimensions