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Dudley Learning Disabilities Obesity Charter Launch. Dudley Public Health & The Ridge Hill Centre Health Access Services Partnership. Presentation Objectives. Setting the Scene Learning Disabilities Data Facts & Figures Slimmers’ Kitchen Facts & Figures Counterweight Facts & Figures
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Dudley Learning Disabilities Obesity Charter Launch Dudley Public Health & The Ridge Hill Centre Health Access Services Partnership By NHS Dudley Weight Management Team & Health Access Team May 2012
Presentation Objectives • Setting the Scene • Learning Disabilities Data • Facts & Figures • Slimmers’ Kitchen • Facts & Figures • Counterweight • Facts & Figures • Next Steps • Summary By NHS Dudley Weight Management Team & Health Access Team May 2012
Setting the Scene • Dudley has a population of 307,362 151,116 males & 156,246 females • 1167 (0.38%) people Special Needs Register • Care Facilities: - 35 LD Care Homes - 242 Residential/Nursing Homes - 16 Supported Living Schemes - 225 Own Tenancies - 488 Family (mainstream) • 1 PCT & 1 MBC By NHS Dudley Weight Management Team & Health Access Team May 2012
Qof Verses GP Learning Disabilities Register (2011/2012) By NHS Dudley Weight Management Team & Health Access Team May 2012
Special Needs Register (Social Services –Voluntary) 2010-2012 • Out of borough residents • Aspergers Diagnosis By NHS Dudley Weight Management Team & Health Access Team May 2012
Direct Enhanced Services (DES) Health Checks The table above shows the annual completed DES Health Checks (May 2012) The table above shows the breakdown of the annual DES Health Checks received (May 2012) By NHS Dudley Weight Management Team & Health Access Team May 2012
Breakdown by age of patients on GP LD & Obesity Register 2011/12 By NHS Dudley Weight Management Team & Health Access Team May 2012
Dudley Learning Disabilities BMI Percentage of respondents who are overweight or obese (BMI>25) BMI range from 27.5Kgm2 – 50+Kg m2 • Not a true reflection due to inconsistencies in data recording By NHS Dudley Weight Management Team & Health Access Team May 2012
Referral initiated by DES Health Check Health Professional Referral Self Referral Referral to Health Access Service Initial assessment & Weight monitoring Client programme choice is determined Letters to GP & referrer Counterweight LD Commercial programmes with/without support? Slimmers’ Kitchen LD NO YES Set individual outcomes & Inform GP GP Health Declaration Form to GP One to one sessions Counterweight programme Weight Watchers/Slimming World/ Rosemary Conley Slimmers Kitchen programme Sign post to other services Evaluate Evaluate Follow up Follow up Dudley’s LD Obesity Pathway By NHS Dudley Weight Management Team & Health Access Team May 2012
The Referral Data • Referrals for Weight Management 2010 • Referrals for Weight Management 2011 • Referrals for Weight Management 2012 By NHS Dudley Weight Management Team & Health Access Team May 2012
LD SK • 15 weeks, once a week, for 2 hours • Each week: 1 hour nutrition workshop; 1 hour Physical Activity & taster session • Group environment • Slimmers Kitchen Aims: • To improve participants knowledge of healthy food choices • Increase knowledge of nutrition & the benefits of physical activity • To offer free calorie controlled recipes • To increase participants physical activity levels • For participants to lose weight (5% weight loss target) • To decrease participants waist circumference By NHS Dudley Weight Management Team & Health Access Team May 2012
The Story So Far….Since Oct 2010 • Groups – 2 groups = 16 participants • Results By NHS Dudley Weight Management Team & Health Access Team May 2012
LDSK Case Study - Peter • Background: - Mild Learning Disability/ Schizophreina & Velo cardio-facial Syndrome • Anthropometric Data: -Height 1.74m Weight 121.55Kg BMI 39.9Kgm2 • Intervention: - 1:1 staff support and SKLD -Duration ongoing • Results: By NHS Dudley Weight Management Team & Health Access Team May 2012
LD Counterweight • Counterweight LD is a 1:1 intervention that runs for 18 • months • Person centred and bespoke dependent upon the • individuals needs. • Counterweight Aims: • To improve participants knowledge of healthy food choices • Increase knowledge of nutrition & the benefits of physical • activity • To offer free calorie controlled recipes • To increase participants physical activity levels • For participants to lose weight (a 5% weight loss target is • set) • To decrease participants waist circumference By NHS Dudley Weight Management Team & Health Access Team May 2012
LD Counterweight • 9 Ridge Hill members of staff trained in Counterweight Programme • 11 Active Counterweight Clients • Average weight loss 1-3kg • With improved lifestyle changes By NHS Dudley Weight Management Team & Health Access Team May 2012
LD Counterweight Case Study - Paul • Background: - Moderate Learning Disability/Austic Spectrum disorder • Anthropometric Data: -Height 1.75m Weight 118.8Kg BMI 38.1Kgm2 • Intervention - 1:1 (Counterweight principles) -Duration ongoing • Results: By NHS Dudley Weight Management Team & Health Access Team May 2012
LD Carers Training Programme • 6 Week Training Programme • Nutrition Assessment (baseline knowledge) • Education on the Key Weight Management messages • Weekly weighing of carers and clients • Nutrition Assessment -Retest • Programme Evaluation By NHS Dudley Weight Management Team & Health Access Team May 2012
Exit Routes-Mary Stevens Supported Adult Walk (MSSAW) • Exit Route for SK LD • Expanded partnership (RH, Dudley PCT, MBC & Care providers) • Park Rangers Partnership - training • Current Location MSP- Length of time – Mar 2011(14mths) • Date, Time and # Attending • Participants Feedback & Documentation • Other locations • Leisure Centres activity By NHS Dudley Weight Management Team & Health Access Team May 2012
Next Steps • Building Stronger links with GP • Expanding Programme Numbers • Expanding Carers programme • Other programmes - SHAPES By NHS Dudley Weight Management Team & Health Access Team May 2012
Summary • Although small changes at individual level, these health interventions have the potential to impact the Learning Disability population significantly - wider impact on family members. • Most participants who complete the programme go on to maintain the lifestyle changes made (esp those with support). • Follow ups although good have highlighted the need for frequent refreshing of key messages to ensure sustainability. • Bespoke services seem to be the best with a combination of activity and exercise. • Evaluation has highlighted the need to re educate the carers to ensure client sustainability. By NHS Dudley Weight Management Team & Health Access Team May 2012
Questions? Thank you By NHS Dudley Weight Management Team & Health Access Team May 2012