1. Dudley Public Health & The Ridge Hill Centre Health Access Services Partnership By NHS Dudley Weight Management Team & Health Access Team May 2012

2.  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

3.  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

5.  Out of borough residents  Aspergers Diagnosis By NHS Dudley Weight Management Team & Health Access Team May 2012 Special Needs Register 2010/20112011/2012Increase Service users10201167147

6. Year2008/92009/102010/112011/12Total to date Annual DES received from GP’s 60209227260756 The table above shows the annual completed DES Health Checks (May 2012) Number of people with Health Issues446 58.9% Number of overweight/obese people162 36.3% 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

8. 2008/92009/102010/112011/12 Persons14 (23.3%)41(19.6%)55 (24.2%)52 (20%) Males5 (35.7%)16 (39%)29 (52.7%)23 (44.2%) Females9 (64.3%)25 (61%)26 (47.3%)29 (55.8%) Percentage of respondents who are overweight or obese (BMI>25)  Not a true reflection due to inconsistencies in data recording BMI range from 27.5Kgm 2 – 50+Kg m 2 By NHS Dudley Weight Management Team & Health Access Team May 2012

9. Letters to GP & referrer Self Referral Health Professional Referral Referral initiated by DES Health Check Referral to Health Access Service Initial assessment & Weight monitoring Slimmers’ Kitchen LD YES GP Health Declaration Form to GP Slimmers Kitchen programme Evaluate Follow up NO Sign post to other services Set individual outcomes & Inform GP Evaluate Follow up Client programme choice is determined Counterweight LD Commercial programmes with/without support? Counterweight programme Weight Watchers/Slimming World/ Rosemary Conley One to one sessions

10.  Referrals for Weight Management 2010  Referrals for Weight Management 2011  Referrals for Weight Management 2012 Des Health check GPSelf referrals Other Professionals Total 5(29.4%)1(6.1%)5(29.4%)6(35.3%)17(100%) By NHS Dudley Weight Management Team & Health Access Team May 2012 Des Health check GPSelf referralsOther Professionals Total 12(29%)2(5%) 25(61%)41(100%) Des Health check GPSelf referrals Other Professionals Total 01(11.1%)3(33.3%)5(55.5%)9(100%)

11. 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

12.  Groups – 2 groups = 16 participants  Results Groups#Ave Start wt (Kg) Ave End wt (Kg) Ave wt loss (Kg) 5% wt loss Ave BMI Change 1 (Jan 11)994.4892.372.1121 2 (May 11)788.565.31.3701 By NHS Dudley Weight Management Team & Health Access Team May 2012

13.  Background: - Mild Learning Disability/ Schizophreina & Velo cardio-facial Syndrome  Anthropometric Data: -Height 1.74m Weight 121.55Kg BMI 39.9Kgm 2  Intervention: - 1:1 staff support and SKLD -Duration ongoing  Results: By NHS Dudley Weight Management Team & Health Access Team May 2012 Start weight KgBMICurrent Weight KgBMIBMI Change 121.5539.9106.6354.9

14.  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

15.  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

16.  Background: - Moderate Learning Disability/Austic Spectrum disorder  Anthropometric Data: -Height 1.75m Weight 118.8Kg BMI 38.1Kgm 2  Intervention - 1:1 (Counterweight principles) -Duration ongoing  Results: Start weight KgBMICurrent Weight KgBMIBMI Change 118.838.189.829.38.8

17. By NHS Dudley Weight Management Team & Health Access Team May 2012  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

18.  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

19.  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

20.  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

21. Thank you By NHS Dudley Weight Management Team & Health Access Team May 2012