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Public Health & Prevention - Bridgend Approach

Public Health & Prevention - Bridgend Approach. PUBLIC HEALTH WALES ANNUAL GENERAL MEETING Abigail Harris & Peter Mannion 19 th September 2011. Strategic Background Local Context –Setting the scene Public Health & Prevention Team Positioning the team – a new focus

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Public Health & Prevention - Bridgend Approach

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  1. Public Health & Prevention - Bridgend Approach PUBLIC HEALTH WALES ANNUAL GENERAL MEETING Abigail Harris & Peter Mannion 19th September 2011

  2. Strategic Background • Local Context –Setting the scene • Public Health & Prevention Team • Positioning the team – a new focus • Example – Weight Management in the Community Overview

  3. Wellbeing Directorate • Adult Social Care • Healthy Living • Integration • Joint Locality Director • Bridgend Care Partnership • Local Service Board Local Context

  4. Develop an integrated team which will lead the public health and prevention agenda across Bridgend • Team incorporates: • HSCWB Partnership personnel (ABMU/BCBC) • Health Challenge Bridgend Officer (BCBC) • Older Persons Strategy Resources (BCBC) • Local Public Health Team (PHW) • Substance Misuse Service Team (ABMU/BCBC) Public Health & Prevention Team

  5. Strategic Change – from upstream to ...

  6. Repositioning -Down Stream Pressure • Establishing a clear link between PH & P Activity and System pressure • Unscheduled Care • Residential Care • Primary Care • Home Care • Carers

  7. Plan Filter

  8. Our Team Lens – Tangible Outcomes

  9. Local Context – Bridgend

  10. Example

  11. The North Network has the highest EASR prevalence for Diabetes, CHD and Hypertension within ABMU • 25% of adults in Bridgend are reported Obese – higher practice prevalence rates in the North Network If you are clinically obese you are 80x more likely to develop diabetes than someone of normal weight (Prof Alan Maryon-Davies) Weight Management Project

  12. A non-clinical programme giving individuals support to make sustainable changes to their lifestyle to improve their health and wellbeing. Links up local activities, groups and initiatives that already exist within the community Weight Management Project

  13. Referral From Primary Care (BMI 30 or 28 with co morbidities) Weightwatchers referral Scheme 12 weeks Exercise Referral Scheme (NERS) 16weeks Exit Strategy via Wellbeing Broker Sustainable health behaviour change Engagement in Community activities/ return to work/ volunteering etc Weight Management – What Happens

  14. Rolling Program : • 147active referrals since Sept 2010 • 90% retention rate on WW programme (UK national rate only 57% complete 12 weeks) • 90% engaging in Exercise referral (NERS) • 51 have achieved 5% weight loss • 18 have achieved 10% weight loss • Group cumulative loss -154 Stone • Average 1-2lb per week per person Outputs

  15. Quantitative • Improved clinical indicators – HbA1c, BP • Medication changes • a significant reduction in weight, BMI and waist measurements • A significant change in diet and eating habits • A significant increase in perceived well-being Qualitative • Increased confidence • Reduced social isolation • Increased activity Economic • Cost effectiveness Evaluation

  16. Outcome

  17. Integrated Team – The Value

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