whole population prevention activity

Whole Population Prevention Activity e.g. Maternity Matters, UNICEF Baby Friendly, Early Years, Play Path Finder, Healthy Schools, Ministry of Food, Leisure & Green Spaces, Transport & Planning, Workplaces, Built Environment etc TIER 1 Primary Activity Population wide basic intervention & prevention TIER 2 Community Weight Management Service (diet/nutrition/lifestyle/exercise education) TIER 3 Specialist MDT Obesity Service (REFERRAL ONLY) TIER 4 Specialist interventions encourage self- referral if referral criteria met if tier 2 intervention exhausted after tier 3 assessment after tier 4 intervention after tier 3 intervention after tier 2 intervention If BMI centile > 99.6 th centile or > 95 th centile with ↑ risk PRIMARY CARE SECONDARY CARE COMMUNITY SERVICES SOCIAL SERVICES Refer to tier 3 or recommend tier 2 as appropriate CHILDREN If BMI > 40 or BMI > 30 or wc > 88cm (women) or wc > 102cm (men) with ↑ risk PRIMARY CARE SECONDARY CARE COMMUNITY SERVICES COMMERICIAL SECTOR PHARMACY Refer to tier 3 or recommend tier 2 as appropriate ADULTS Any TIER 3 patient requiring pharmacotherapy will be treated in TIER 3, and this will be reflected in the GP prescribing data for whom the patient is registered NB If patients are considered unsuccessful at any given tier, they automatically progress to the next tier of intervention After intervention, patients progress down through the tiers and back to primary activity (TIER 1) of monitoring and education (every 6-12 months) NOF OBESITY MODEL (version 3.2 Sep 2009) (BMI = Body Mass Index, wc = waist circumference) Increased risk in children e.g. Type 2 diabetes Tablet controlled T2DM Special circumstances etc Increased risk in adults e.g.Type 2 diabetes Tablet controlled T2DM Dyslipidaemia South Asian men Established CVD, Sleep apnoea etc Examples Carnegie Residential Camps Bariatric surgery Examples Rotherham Institute for Obesity (RIO) Examples MEND Carnegie Clubs Watch It SHINE Examples GP Health Visitor School Nurse Consider alternative methods to engage patients who do not present to healthcare professionals e.g. over the counter options via pharmacists financial incentive programmes on-line diets/support etc. Examples GP Leisure Services Pharmacy Examples Counterweight Reshape Rotherham Examples Rotherham Institute for Obesity (RIO) Counterweight Examples Bariatric Surgery Very Low Calorie Diets (VLCDs)

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NOF OBESITY MODEL (version 3.2 Sep 2009) (BMI = Body Mass Index, wc = waist circumference). CHILDREN. ADULTS. Increased risk in children e.g. Type 2 diabetes Tablet controlled T2DM Special circumstances etc. Increased risk in adults e.g.Type 2 diabetes - PowerPoint PPT Presentation

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Whole Population Prevention Activity

e.g. Maternity Matters, UNICEF Baby Friendly, Early Years, Play Path Finder, Healthy Schools, Ministry of Food, Leisure & Green Spaces, Transport & Planning, Workplaces, Built Environment etc

TIER 1Primary Activity

Population wide basic intervention & prevention

TIER 2Community Weight Management Service

(diet/nutrition/lifestyle/exercise education)

TIER 3Specialist MDT Obesity Service

(REFERRAL ONLY)

TIER 4 Specialist interventions

encourage self-referral if referral criteria met

if tier 2 intervention exhausted

after tier 3 assessment

after tier 4intervention

after tier 3intervention

after tier 2intervention

If BMI centile> 99.6th centile or > 95th centile with ↑ risk

PRIMARY CARE SECONDARY CARECOMMUNITY SERVICESSOCIAL SERVICES

Refer to tier 3 or recommend tier 2 as appropriate

CHILDREN

If BMI > 40 or BMI > 30 or wc > 88cm (women) or wc > 102cm (men) with ↑ risk

PRIMARY CARE SECONDARY CARECOMMUNITY SERVICESCOMMERICIAL SECTORPHARMACY

Refer to tier 3 or recommend tier 2 as appropriate

ADULTS

Any TIER 3 patient requiring pharmacotherapy will be treated in TIER 3, and this will be reflected in the GP prescribing data for whom the patient is registeredNB If patients are considered unsuccessful at any given tier, they automatically progress to the next tier of intervention

After intervention, patients progress down through the tiers and back to primary activity (TIER 1) of monitoring and education (every 6-12 months)

NOF OBESITY MODEL (version 3.2 Sep 2009)

(BMI = Body Mass Index, wc = waist circumference)Increased risk in childrene.g. Type 2 diabetes Tablet controlled T2DM Special circumstances etc

Increased risk in adultse.g.Type 2 diabetes Tablet controlled T2DM Dyslipidaemia South Asian men Established CVD, Sleep apnoea etc

ExamplesCarnegie Residential Camps

Bariatric surgery

ExamplesRotherham Institute for Obesity

(RIO)

ExamplesMEND

Carnegie ClubsWatch ItSHINE

ExamplesGP

Health VisitorSchool Nurse

Consider alternativemethods to engage patients who do not present to healthcareprofessionalse.g. over the counter options via pharmacistsfinancial incentive programmeson-line diets/supportetc.

ExamplesGP

Leisure ServicesPharmacy

ExamplesCounterweight

Reshape Rotherham

ExamplesRotherham Institute for Obesity

(RIO)Counterweight

ExamplesBariatric Surgery

Very Low Calorie Diets(VLCDs)

Prevention of (occupational) disease. - Institute of Population

Diabetes Prevention for a Heterogeneous Population

STATISTICAL TABLES WHOLE KINGDOM · statistical tables whole kingdom table 1 number of population by labor force status, age group table 2 population 15 years and over by marital

Health and prevention perspectives - Local … and ageing population: health and prevention perspectives - Dr Ann Marie Conolly Author PHE Subject Housing and ageing population: health