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Wellbeing and Healthy Lifestyles

Wellbeing and Healthy Lifestyles. Related risk factors for CHD under 75 death. CHD Attributable to Physical Inactivity (37%). CHD attributable to Blood Cholesterol >5.2mmol/l (46%). CHD attributable to Obesity (6%). All CHD. CHD attributable to Smoking (19%). CHD attributable to

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Wellbeing and Healthy Lifestyles

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  1. Wellbeingand Healthy Lifestyles

  2. Related risk factors for CHD under 75 death CHD Attributable to Physical Inactivity (37%) CHD attributable to Blood Cholesterol >5.2mmol/l (46%) CHD attributable to Obesity (6%) All CHD CHD attributable to Smoking (19%) CHD attributable to Blood Pressure >140/90 (13%) Source: Britton A and McPherson K 2000 - A Report to the Chief Medical Officer

  3. Alcohol For every £1 spent on alcohol treatment, the public sector saves £5 - United Kingdom Alcohol Treatment Trial/MoCAM (2006) • 20.8% of the population of Reading binge Drink (NWPHO 2010) • 17.7% of the population of West Berkshire Binge Drink (NWPHO 2010) • 15.4% of the population of Wokingham Binge Drink (NWPHO 2010) • Key issues and gaps • Yearly increase in alcohol admissions since 2002 • Tier 1 services in 10 care limited to screening using AUDIT • Tier 3 Services have been recommissioned in 2010/11 due to reduced performance in 2009/10 • Commissioning recommendations • Raise awareness of risks of alcohol abuse, including in work-places and schools • Review commissioning of Screening and Brief Interventions in Primary Care • Develop interventions in A&E /Alcohol liaison nurses • Work together with UAs and police on licensing

  4. Obesity 40% of Britons will be obese by 2025 and by 2050 Britain could be a mainly obese society -Foresight 2007 • 23% of the Reading Population is Obese (APHO 2010) • 23.5% of the West Berkshire Population is Obese (APHO 2010) • 19.9% of the Wokingham Population is Obese (APHO 2010) • Key issues and gaps • Limited maternal obesity services • Improved weight management service for morbidly obese people • Investment needed in transitional clinics for teenagers with obesity • Improvement in prescribing trends needed • Commissioning recommendations • Clear documented strategic approach for addressing adult obesity should be developed as a joint Healthy Weight strategy building on the success of the child obesity strategy • Tiered WM services at the Primary Care and Community and Acute NHS Services, guided through the care pathway • Avoid inappropriate referrals to the Tier 4 bariatric services

  5. Physical Activity The annual cost of physical inactivity for NHS Berkshire West is estimated at £2.84 million per annum (BHF 2007) • 19.2% of the Reading population participate in moderate physical activity at least 3 times per week • 25.3% of the West Berkshire population participate in moderate physical activity at least 3 times per week • 26.5% of the Wokingham population participate in moderate physical activity at least 3 times per week • Key issues and gaps • Over 60% of all car journeys under 2 miles in length • Advice and support for physical activity not given on a systematic basis • Commissioning recommendations • Support projects that encourage active travel • Support Primary Care and Local Authority providers in delivering the “Lets Get Moving” Physical Activity care Pathway • Continuation and expansion of projects that encourage lifelong participation in sport, leisure and recreation activities

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