1. Wellbeing and Healthy Lifestyles

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

3. Alcohol 20.8% of the population of Reading binge Drink (NWPHO 2010) 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 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 Key issues and gaps Yearly increase in alcohol admissions since 2002 Tier 1 services in 1 0 care limited to screening using AUDIT Tier 3 Services have been recommissioned in 2010/11 due to reduced performance in 2009/10 Key issues and gaps Yearly increase in alcohol admissions since 2002 Tier 1 services in 1 0 care limited to screening using AUDIT Tier 3 Services have been recommissioned in 2010/11 due to reduced performance in 2009/10 17.7% of the population of West Berkshire Binge Drink (NWPHO 2010) 15.4% of the population of Wokingham Binge Drink (NWPHO 2010) For every £1 spent on alcohol treatment, the public sector saves £5 - United Kingdom Alcohol Treatment Trial/MoCAM (2006)

4. Obesity 23% of the Reading Population is Obese (APHO 2010) Commissioning recommendations 1.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 2.Tiered WM services at the Primary Care and Community and Acute NHS Services, guided through the care pathway 3.Avoid inappropriate referrals to the Tier 4 bariatric services Commissioning recommendations 1.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 2.Tiered WM services at the Primary Care and Community and Acute NHS Services, guided through the care pathway 3.Avoid inappropriate referrals to the Tier 4 bariatric services Key issues and gaps 1.Limited maternal obesity services 2.Improved weight management service for morbidly obese people 3.Investment needed in transitional clinics for teenagers with obesity 4.Improvement in prescribing trends needed Key issues and gaps 1.Limited maternal obesity services 2.Improved weight management service for morbidly obese people 3.Investment needed in transitional clinics for teenagers with obesity 4.Improvement in prescribing trends needed 23.5% of the West Berkshire Population is Obese (APHO 2010) 19.9% of the Wokingham Population is Obese (APHO 2010) 40% of Britons will be obese by 2025 and by 2050 Britain could be a mainly obese society - Foresight 2007

5. Physical Activity 19.2% of the Reading population participate in moderate physical activity at least 3 times per week Commissioning recommendations 1.Support projects that encourage active travel 2.Support Primary Care and Local Authority providers in delivering the “Lets Get Moving” Physical Activity care Pathway 3.Continuation and expansion of projects that encourage lifelong participation in sport, leisure and recreation activities Commissioning recommendations 1.Support projects that encourage active travel 2.Support Primary Care and Local Authority providers in delivering the “Lets Get Moving” Physical Activity care Pathway 3.Continuation and expansion of projects that encourage lifelong participation in sport, leisure and recreation activities Key issues and gaps 1.Over 60% of all car journeys under 2 miles in length 2.Advice and support for physical activity not given on a systematic basis Key issues and gaps 1.Over 60% of all car journeys under 2 miles in length 2.Advice and support for physical activity not given on a systematic basis 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 The annual cost of physical inactivity for NHS Berkshire West is estimated at £2.84 million per annum (BHF 2007) The annual cost of physical inactivity for NHS Berkshire West is estimated at £2.84 million per annum (BHF 2007)