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