Engagement on a new healthy
weight service
NHS Southwark Clinical
Commissioning Group
Developing a healthy weight service
In total 75+ surveys were collected from various sources
Source Silver
fit
Southwark
Disability
Association
CoolTan
arts
Twitter Morrisons
Peckham
Engagement
database
Fusion Other
Number 18 10 5 7 2 13 11 2
What support have you found
helpful for gaining a healthier
weight?
Advice from a Hospital Doctor
Advice from your GP
Advice from your nurse
Advice from a dietician
Referral to an exercise programme
Activities with friends
Lifestyle: • Books & TV programme • Healthy eating • Juicing forum • 5:2 diet. Tools and Resources: • Step monitor • Healthy living monitor • Calorie counter ( My
Fitness Pal) • Accurate scales • General knowledge.
What support have you found
helpful for gaining a healthier
weight?
Classes & Groups: • Zumba • Walking groups • Outdoor exercise • Thai chi (at Day Centres) • Cooking classes- for social and
skills • Online support groups. • Not Weight watchers/
Slimming world- bad for self esteem.
Individual needs: • Skill set and needs need to be
taken into consideration
Is there anything that you feel
stops you from taking steps
towards a healthier weight?
Physical illness: • On-going back pain • “Hypos” • Diabetes • Long term conditions • Medication! • Mobility • Wheelchair use- can’t exercise
“Long term conditions being
treated with steroids and
limited exercise capability.”
“The medication makes a person put on weight. I
never had a weight problem before I went on
medication. It also makes it a bit more difficult losing
weight.”
“I’m diabetic, am lactose and fructose intolerant. Any diet group I’ve joined have not been able to help with a 'menu' that I could follow daily, as they say, 'you know what you can and can’t eat.”
“I have arthritis in my foot which makes walking painful I would benefit from aqua classes and chair based exercises or using weight machines.”
Is there anything that you feel
stops you from taking steps
towards a healthier weight?
Mental Health: • Feeling stressed • Feeling down • Depression • Emotional eating • Embarrassment • Low mood affecting motivation, • Willpower • Comfort eating • Complex needs
“Sometimes I might feel a little down or stressed
and do not feel like exercising and sticking to
my diet”
“I'm an emotional eater so I have to work at managing my weight in relation to the rest
of my life. I'm now ageing and now have to adapt to
this”
Financial implications: • Expensive gym • Money • Few cheap available classes • Cost changes to facilities • Expensive healthy food
Is there anything that you feel
stops you from taking steps
towards a healthier weight?
“Cost of doing activities such as going to the gym
is an obstacle- I think Southwark should make the leisure centres free
now not 2016!”
“Some people are on lower incomes and in
some cases…may find it hard to pay for healthy
foods”
Is there anything that you feel
stops you from taking steps
towards a healthier weight?
“On-going, day to day support is needed e.g. being able to check in with a coach”
“My doctor referred me to an exercise programme at Fusion Peckham but if your BMI is over 52 they will not accept you so it is a catch 22 made doubly frustrating because if you can afford to join as a private member they will accept you.”
Support and Information: • Lack of support available • Lack of information/knowledge, • No support available for people
with a BMI over 50. • Some classes only take people
over age of 40
Lifestyle: • No time • Industrial manufactured food • “Low fat, slimming meals” not helpful • Shift jobs • Age • Dangerous biking conditions • Healthy eating and exercise not a priority • Bad habits • Take-away foods • Cultural issues.
Is there anything that you feel
stops you from taking steps
towards a healthier weight?
“Work Demanding life e.g. managing energy
services, medical appointments, maintenance,
children.”
“Being retired with a fridge
nearby.”
“Sadly my experience with my
Dr's practice and other medical help was to eat low fat products or join SW/WW
which just promotes processed foods. There needs to be an
emphasis on using fresh produce.”
How important do you think
the following professionals
would be to help you to gain
a healthier weight?
Obesity Specialist Dr
Obesity Specialist Nurse
Dietician Exercise therapist
Free cookery classes
Psychologist or therapist
Free diet/ lifestyle classes e.g. Weight Watchers
Who or what else do you
think would help you?
Individual needs: • Seated exercises for wheelchair
users • Help at gym/ exercise for people
with disabilities • Special needs only groups • Physiotherapy to help mobilise • Transportation • Easy read recipes • Online modules for low literacy
levels • Disability- only diet classes • Food therapies • Hydro pool • Evening sessions
“Disability specific weight classes would be preferable as I do not feel I could keep up with people without disabilities and get left behind.”
Who or what else do you
think would help you?
Education and Knowledge: • Healthy options in a
restaurant • Choosing healthy foods • Benefits of different foods • Different foods for
different health conditions
• Nutrition talks & seminars • Mood foods • Consistency in advice
“More help with
what food is good to eat & what food we
should leave well alone”
Who or what else do you
think would help you?
Support: • Motivational trainers/ Life coaching • Holistic health specialist • Community groups • Informal support groups • Personalized advice • Help with meal planning • Regular contact/ drop-ins/ follow up and feedback • Accessible cooking classes • Herbalist • Free access to gyms • Alternative medicines (homeopathy, osteopathy,
massage and detox)
“I live in shared housing with support
from staff and they should be trained to
help cook healthy food and help with
exercise”
“Being able to talk over problem in one location either GP's
or health centre”
Who or what else do you
think would help you?
Tools: • Healthy living monitor • Online support/ app • Medication to help you lose weight • Social media and encouraging text messaging • Allowance to spend on healthy living
“A quarterly/ seasonal weekly menu of things I like, can buy,
store, cook that fits in with lifestyle and not end up
throwing away because of x y and z.”
If all of the help was available in
the same place.
How likely would you be to attend
appointments if located in the
following places:
Other suggestions: • Library or other public buildings
with private space • Home • Outside spaces such as local
parks • Church halls • Estate halls/ centres.
“Do not want to go to the doctor for this. We do not
what to stand out that we are fat as it
is”
“Having a medicalised model would not work
as well as people do not want to be treated like a
patient, but as a person.”
Other comments and
thoughts
“Please ensure help is available for all ages. Last
time I looked it was over 40's only for Shape Up group. Kind
of goes against early intervention principles!”
Existing programmes such as Shape-Up,
Cootan Arts cooking, Silver Fit are working
well for the people that use these services.
We need to tackle the wider causes of
obesity; media, food companies, takeaways, bad
food.
“To lose weight it is not just about food and exercise, it is
about everything in an individual’s life - past and
present and future expectations.”
“Please, please, please take away this stigmatisation for those most in need of help with BMI's over 50 such that we can be referred to a gym, if we are willing and want to go please don't prohibit it.”
Next Steps
Workshop option 2
Wednesday 22 April 2015
12:30- 14:30
(With refreshments from 12:15)
Walworth Methodist Church 54 Camberwell Road,
Camberwell, SE5 0EN
Workshop option 1
Tuesday 21 April 2015
18:00- 20:00
(With refreshments from 17:45)
Blackfriars Settlement, 1 Rushworth Street,
SE1 0RB
We are holding two workshops in April 2015 to speak to people who are struggling with their weight in more detail to
design the service.
The workshops are aimed at people with a BMI of 40+ or 35+ if they have other illnesses such as diabetes or heart
problems.