nottm city healthy weight strategy slimming world on referral city healthy...whole population at...
TRANSCRIPT
-
Jo
hn
Wilc
ox
Public
Health
Develo
pm
ent M
ana
ger
NH
S N
ottin
gham
City
No
tting
ham
City
H
ealth
y W
eig
ht
Stra
teg
y a
nd
S
limm
ing
Wo
rld o
n
Refe
rral S
ch
em
e
-
Wh
ole
po
pu
latio
n a
t risk
NC
MP
20
07
08
His
tog
ram
of B
MI Z
Sc
ore
s
0
20
40
60
80
100
120
140
160
180
200-5.2
-4.9-4.6
-4.3-4
-3.7-3.4
-3.1-2.8
-2.5-2.2
-1.9-1.6
-1.3-1
-0.7-0.4
-0.10.2
0.50.8
1.11.35
1.61.9
2.12.4
2.73
3.33.6
3.94.2
4.54.8
Z S
co
re
Number
91st a
nd
98th
Cen
tile m
ark
ers
Incre
asin
g w
eig
ht
Increasing Number
Ave
rag
e
1990
91
%
belo
w98
%
belo
w
-
Stra
teg
y V
isio
n a
nd
Ob
jectiv
es
•A
ll Nottin
gham
citiz
en
s a
nd th
eir fa
milie
s e
xperie
nce th
e
ben
efits
of b
ein
g a
health
y w
eig
ht.
•N
ottin
gha
m is
a p
lace w
here
he
alth
y life
sty
les a
re th
e
norm
al w
ay o
f life a
nd
every
adult a
nd c
hild
is in
form
ed,
ab
le a
nd m
otiv
ate
d to
make p
ositiv
e c
hoic
es re
gard
ing
nutritio
n a
nd p
hysic
al a
ctiv
ity.
-
Pla
nn
ing
Fra
mew
ork
-
SP
EC
IAL
IST
We
igh
t ma
na
ge
me
nt in
terv
en
tion
s
Ch
ildre
n a
nd
fam
ilies
•A
refe
rral p
ath
wa
y d
eve
lop
ed
.
•G
o 4
it!, an in
novativ
e w
eig
ht
manag
em
ent s
erv
ice fo
r 5-1
3 y
ear
old
s.
•A
ccess to
Slim
min
g W
orld
on R
efe
rral
for 1
4-1
5 y
ear o
lds.
•S
taff tra
inin
g o
n w
eig
ht m
ana
gem
ent.
Ad
ults
•S
limm
ing W
orld
on re
ferra
l schem
e.
•C
ounte
rwe
ight in
10 p
ractic
es.
•M
otiv
ate
men’s
we
ight m
an
ag
em
ent.
•S
taff tra
inin
g o
n w
eig
ht m
ana
gem
ent.
•M
edic
al a
nd s
urg
ical s
erv
ices fo
r the v
ery
ob
ese.
-
Slim
min
g W
orld
on
Refe
rral
Ove
rvie
w
•C
om
mis
sio
ne
d s
ince 2
00
8.
•A
dults
peo
ple
age1
6+
BM
I � (2
5) 3
0
•M
ain
outc
om
e: a
t least 5
% w
eig
ht lo
ss
•Y
oung p
eop
le a
ged 1
4-1
5 y
ears
•W
om
en d
urin
g a
nd a
fter p
reg
nancy.
Ben
efits
•E
vid
ence b
ase
d.
•E
ffectiv
e re
lativ
e to
oth
er w
eig
ht m
anagem
en
t optio
ns.
•V
ery
sca
lab
le.
•G
ood v
alu
e fo
r mone
y.
•F
lexib
le to
alig
n w
ith re
ferra
l path
wa
ys.
-
Refe
rral p
ath
way
-
Slim
min
g W
orld
Ou
tco
mes
•M
ay-N
ov 2
011: 1
200 p
artic
ipants
with
with
BM
I � 3
0.
At le
ast 5
% w
eig
ht lo
ss –
All C
lien
ts
•N
ottin
gham
City
-24%
–m
ean w
eig
ht lo
ss -3
.1 k
g
•N
atio
nal e
valu
atio
n -
36%
-m
ean w
eig
ht lo
ss -4
.0 k
g)
•B
irmin
gham
-m
ean w
eig
ht lo
ss 3
.56 k
g
At le
ast 5
% w
eig
ht lo
ss -
Co
mp
lete
rs
•N
ottin
gham
City
-43%
-m
ean w
eig
ht lo
ss -4
.7kg
•N
atio
nal e
valu
atio
n 5
8%
(mean w
eig
ht lo
ss -
5.5
kg
•W
als
all 3
8%
-m
ean w
eig
ht lo
ss -3
.62kg
-
Health
Eq
uity
Meadow
s -
–A
rea o
f hig
her
need w
ith L
ow
er
level o
f upta
ke
St A
nns/S
nein
ton
–A
rea o
f hig
her n
eed
with
Low
er le
vel o
f upta
ke
-
Slim
min
g W
orld
on
Refe
rral –
Next s
tep
s
•Im
ple
ment a
nd m
on
itor m
idw
ifery
and h
ea
lth v
isito
r
refe
rral.
•R
evie
w y
oung p
eop
le re
ferra
l.
•C
onsu
lt Asia
n w
om
en –
barrie
rs to
access.
•W
ork
with
Slim
min
g W
orld
on o
ptio
ns fo
r new
gro
ups.
•R
evie
w fo
cus o
f contra
ct fo
r transitio
n p
erio
d.