Supporting people to manage their weight Verena Thompson Public Health Manager: Behaviour Change NHS North Central London: Islington Public Health E: T:

Why are we doing this? Prevent & manage obesity, adopting healthier behaviours 91% Islington Adults do not exercise regularly 2010/11 29% (5500) C&YP 64% Islington Adults do not eat a healthy diet % Islington Adults are obese % (188) Reception 22% (349) Year 6 2

Obesity costs individual & local economy 23% (42,273) registered patients are overweight GP dataset % (24,982) registered patients are obese GP dataset wards higher prevalence, 3 wards lower than Islington average 22:38 practices  ratio of obese adults 5 practices > 1000 obese patients 3

What works? Evidence base BMI overweight ≥25 / ≥27.5; Obese ≥30 Multi component Behaviour change theory application Prevent, Promote, Minimise 8-12 weeks duration (ideally 12m continued support) Group or 1:1 intervention 4

Adult Obesity Care pathway 5

What do we expect? outcomes Provider has to achieve ≥ 550 participants per year 5-10% weight loss over 6 months 30% maintain weight & prevent weight 3 & 6months 6

Measuring success evaluation & service improvement Demonstrate improvements in eating behaviours, PA levels, Levels of sedentary behaviour & quality of life Benchmarking, Midpoint, Completion, 3 & 6m followup 7

The Challenge faced how to reach who we need to reach ? how do we motivate people to change – 5 x 30mins a day Age Gender Ethnicity Disabilities Cultural sensitivities Socioeconomic status 8 Equalities Dimensions