1. MEND in Dudley

2. Presentation Objectives Setting the Scene The Referral Process MEND in Dudley Facts & Figures Recent Developments Lessons Learned

3. Setting the Scene

4. Dudley is split into 5 localities: Sedgley, Dudley North, Brierley Hill, Stourbridge and Halesowen. There is variation within and between wards in terms of deprivation. According to the 2001 Census Dudley has a population of 305,155 149,714 males & 155,441 females 1 PCT 1 MBC 0 Universities 0 Stadiums Merry Hill

5. Obesity in Dudley November 2004 - set up a multi- agency Obesity Task Group July 2005 launched the Dudley Obesity Strategy ‘Tackling Obesity – A Framework for Action in Dudley June 2006 – 1 st weight loss service commissioned – Weight Watchers Oct 2007 – 1 st MEND June 2008 - Weight Management Team established 2010 - 7 adult weight management services & 11 services for children

6. BMI in Dudley 2004 Figures 128,826 residents with a self report BMI >25 41,916 residents with a self report BMI >30 199220042009 Persons42.3%53.9%57.5% Males49.0%60.5%63.2% Females35.9%47.6%52.1% Percentage of respondents who are overweight or obese (BMI>25) by sex (age-standardised)

7. Dudley Health Survey 2009 Proportion of respondents who are obese (BMI>30) by Ward (directly standardised)

8. National Child Measurement Programme Dudley 2008/09: Obesity Prevalence in Reception

9. National Child Measurement Programme Dudley 2008/09: Obesity Prevalence in Year 6

10. Recruitment and The Referral Process

11. Recruitment Referral by Health Care Professionals  GPs  Practice Nurses  Health Care Assistants  School Health Advisors  Health Visitors Additional Referral Sources  School Teachers  Extended Services CC  SSCOs  Leisure Services Staff  Dietitians  Physio  Paediatric Consultants  Stop Smoking  Dudley & Walsall MHT  Swimming Teachers  Dudley Council Sports Coaches  Family Support Workers

12. NCMP School Nurse led Opt out 3 days to decline referral to WMT

13. Referral made by referrer (School Nurse. GP’s etc) Referral Form sent to WMT (fax, courier, email) Referral Form received; data inputted & family added to Services waiting list Receipt of Referral letter sent to family to include an overview of the WMT service’s (Within 10 working days of receiving the referral form) Family will be called (at the times/days specified on referral form) to discuss which Service is most appropriate for their family. 3 separate attempts will be made to contact the family. Telephone contact with family made No contact made A place on a suitable programme will be offered & confirmed. The child will be taken of the waiting list and placed onto the confirmed list. If family is unobtainable then a letter informing them that the WMT have tried to contact them will be sent. Families will be told a place has been reserved for them and will be asked to contact the WMT by a specified date to cancel or confirm. A confirmation letter will be sent to the family with details of venue, times and dates etc If the families do not contact the WMT they will be sent another letter informing them that will be taken of the waiting lists. This letter will give the family a deadline to contact the WMT to reserve a place for their family WMT will inform the referrer the programme the family has selected Referrer informed that the family has declined the referral Family completes programme (75% attendance) Drop out or DNA (6 month cooling of period) NHS Dudley Weight Management Team (WMT ) Child Weight Management Referral Process Status report sent to referrer & SHA

14. MEND in Dudley

15. MEND  In Dudley: * Mind & Nutrition sessions are led by a Dietitian * Exercise Leaders are Dudley Council employees * PCT Volunteers support both theory & exercise  Venues – Dudley Council Leisure Centres  Land & water based – pool sessions vital in relation to retention

16. Graduate Sessions  Rotational basis across borough  Weekly  Exercise Only  Staffed by West Bromwich Albion FC Currently under review  Well attended but only by a small cohort of dedicated regulars

17. Appointments at 3, 6, 9, 12 & 24 months Tried a varitey of different activities WBA FC- 39 children attended from across all of our Services 17 from MEND Follow-Ups

18. Facts & Figures

19. Facts and Figures No of MEND programmes since 2007: 18 No of completers since 2007: 110 Total Referrals (since January 2010): 490 Number referred to MEND (since January 2010): 120 Places Allocated (since January 2010): 71 Completers (since January 2010): 38

20. Recent Developments

21. DKH Legacy Trust Olympic and commonwealth swimmer, Adam Whitehead.

22. Retention, motivation and mentoring 3 visits throughout the programme Swimming with the children DKH Legacy Trust

23. DKH Legacy Trust – Impact on MEND in Dudley Good selling point to families Kept families motivated Used as a tool to keep families coming. Good publicity

24. DKH Legacy Trust - A few quotes…. “I want to get a medal like Adam’s!!” “We’ve got our very own Celebrity” “Very Motivational” “Made swimming really, really fun”

25. Lessons Learned

26. Strong links with referrers – waiting list in operation Highly qualified, passionate & enthusiastic team Regular face to face contact with families for up to 2 years Graduate Programme Free of charge to & their siblings Consultation with families past & present Ever changing – despite being weekly West Bromwich Albion, The Albion Foundation – good selling point Commitment to support children to access mainstream sessions in their activity of choice

27. Dudley’s Services Child Weight Management Programmes MAEYS(Antenatal) Jumping Beans (2-5 years) Phyzkidz (10 + years) (4-7 years) (11- 18 years) (10+ years) (8-11 year olds) 7-13 years (8-19 years)

28. Dudley’s Services Adults Weight Management programmes SHAPES

29. Catherine Preston catherine.preston@dudley.nhs.uk