1. Why Weight? – Act Now! A local approach to tackling adult obesity Clare Harland Health Improvement Manager

2. NIHCE Guidelines Advise on weight loss/maintenance Multi-component interventions, e.g. dietary assessment, exercise, goal setting, family involvement Long term intervention & ongoing support Focus on activities that fit easily into daily life, e.g. walking

3. The Services

4. The Team

5. A partnership between

6. Why Weight? Partnership with Telford & Wrekin Council Launched Jan 06, for overweight clients with a BMI 25-29 Weekly low cost ‘Slimming Club’ format Weigh-in, ½ hour exercise, ½ hour talk

7. Physical Activity

8. Tutor lead Sessions Physical Activity Healthy eating Portion control Self management & motivation

9. Facts & Figures 300 new starters in last 12 months Average attendance 8 sessions Weight loss after 6 sessions = 3.45kg Average loss = 4% of their starting weight

10. Maintaining Engagement Information folder Free incentives Introduction to exercise / leisure centre environment Support & encouragement

11. PCT Provides Trained Weight Loss Mentors Weigh in Client folder and incentives Nutrition Talk Cost to PCT £57 per head

12. Local Authority provides Venue Physical Activity Instructor Registration of clients Data capture and recording Receipt of money

13. Why Weight? Plus

14. Obese clients with BMI 30+ (or BMI 27+ with co-morbidities) GP / Health Professional referral only 600 new clients a year 33% clients have BMI >40

15. Our Main Focus…. Motivating clients to make behaviour changes Healthy eating and portion control Increasing activity and exercise

16. The set up….. 1:1 assessment appointment 1:1 Reviews at 3, 6 & 12 months Weekly tutor lead workshops Exclusive exercise classes Use of Why Weight? for ongoing support

17. Facts & figures Weight changes diverse due to client group Overall average 3.2% weight loss at 12 weeks

18. Maintaining engagement – the carrot Clear targets & action plans Phone contact in 1 st few weeks Face to face catch up at 3 weeks Newsletter

19. Maintaining engagement – the stick Get tough Create value around the service Discharge DNA’s Referral by GP to re-enter programme

20. PCT costs £179 per client per year Trained Weight Loss Mentors Some venues Client booklet and supporting information Visual Aids & resources