mend in dudley. presentation objectives setting the scene the referral process mend in dudley facts...

MEND in Dudley

Presentation Objectives

• Setting the Scene

• The Referral Process

• MEND in Dudley

• Facts & Figures

• Recent Developments

• Lessons Learned

Setting the Scene

Setting the Scene• 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

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 – 1st weight loss service commissioned – Weight Watchers

• Oct 2007 – 1st MEND• June 2008 - Weight Management

Team established • 2010 - 7 adult weight management

services & 11 services for children

BMI in Dudley

2004 Figures

128,826 residents with a self report BMI >25 41,916 residents with a self report BMI >30

1992 2004 2009

Persons 42.3% 53.9% 57.5%

Males 49.0% 60.5% 63.2%

Females 35.9% 47.6% 52.1%

Percentage of respondents who are overweight or obese (BMI>25) by sex (age-standardised)

Halesow en South

Belle Vale & Hasbury

Halesow en NorthQuarry Bank

& Cradley

Lye & Wollescote

AmblecoteWollaston &Stourbridge

West

Wordsley

Netherton & Woodside

Brockmoor &

Pensnett

St ThomasKingsw inford North & Wall Heath

St James

Kingsw inford South

Castle & PrioryGornal Wood

Hayley Green

Pedmore &

Stourbridge East

Sedgley

Coseley West

Brierley Hill

Coseley East

Norton

St Andrew s

Dudley Health Survey 2009

Proportion of respondents who are obese (BMI>30) by Ward

(directly standardised)

Percentage of respondents who are obese

Signif icantly low er than Dudley average

Low er

Higher

Signif icantly higher

25%

20%

15%

10%

5%

25%

20%

15%

10%

5%

Percent of Children in Reception Year Classified as Obese

National Child Measurement Programme Dudley 2008/09:

Obesity Prevalence in Reception

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

25%

20%

15%

10%

5%

25%

20%

15%

10%

5%

Percent of Children in Year 6 Classif ied as Obese

Recruitment and The Referral Process

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

NCMP

• School Nurse led

• Opt out

• 3 days to decline referral to WMT

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 madeA 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

MEND in Dudley

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

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

• 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

Facts & Figures

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

Recent Developments

DKH Legacy Trust

• Olympic and commonwealth swimmer, Adam Whitehead.

• Retention, motivation and mentoring

• 3 visits throughout the programme

• Swimming with the children

DKH Legacy Trust

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

DKH Legacy Trust - A few quotes….

“I want to get a medal like Adam’s!!” “We’ve got our very ownCelebrity”

“Very Motivational”“Made swimming really, really fun”

Lessons Learned

Lessons Learned• 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

Dudley’s Services

Child Weight Management Programmes

MAEYSMAEYS(Antenatal)(Antenatal) Jumping BeansJumping Beans

(2-5 years)(2-5 years)

Phyzkidz

(10 + years)(10 + years)

(4-7 years)(4-7 years)

(11- 18 years)(11- 18 years)(10+ years)(10+ years)

(10+ years)(10+ years)

(8-11 year olds)(8-11 year olds)

7-13 years7-13 years

S e e k e r sS e e k e r s

(8-19 years)(8-19 years)

Dudley’s Services

Adults Weight Managementprogrammes

SHAPESSHAPES

Catherine Preston

catherine.preston@dudley.nhs.uk