1. Healthy Lifestyle Advisors
An Holistic Approach to Health
Helen Heaton – Healthy Lifestyle Advisor South Pembrokeshire GP Surgeries – June 2017

2. Background
The South Pembrokeshire Cluster identified high prevalence around Cardiac/Heart Failure and they decided to think outside the box and look at an holistic, behaviour change intervention to improve health.  The vision was supported by the Public Health Team and an opportunity was created for an individual to deliver prudent, preventative, healthcare for a cluster of GP practices in the South Pembrokeshire locality. 
The vision was to support the patient (and their family where appropriate) to make positive and sustained changes towards healthier lifestyle choices. Additional support being provided, to patients, around improving their physical health, activity levels and mental well being in order to support healthy ageing.
Helen Heaton – Healthy Lifestyle Advisor South Pembrokeshire GP Surgeries –June 2017

3. The story so far......
Helen Heaton – Healthy Lifestyle Advisor South Pembrokeshire GP Surgeries –June 2017

4. Initial Assessment Height, Weight, BMI, BP, Pulse HbA1c, Cholesterol
Smoker – current, total time, how many
Alcohol, U/week
Nutrition
Family History – CHD, Stroke, Diabetes, Asthma
GPPAQ
WEMWBS
Financial, Housing, Social Inclusion
Carer
Helen Heaton – Healthy Lifestyle Advisor South Pembrokeshire GP Surgeries –June 2017

5. Referral to Clinicians
Helen Heaton – Healthy Lifestyle Advisor South Pembrokeshire GP Surgeries –June 2017

6. Signposted/referred to other services
Helen Heaton – Healthy Lifestyle Advisor South Pembrokeshire GP Surgeries –June 2017

7. 3 Month Behaviour Change Intervention
Helen Heaton – Healthy Lifestyle Advisor South Pembrokeshire GP Surgeries –June 2017

8. Case Study GENDER: Male AGE: 55yrs ISSUES IDENTIFIED AT IA:
ISSUES IDENTIFIED AT IA:
BP 152/105 – referred to nurse, nurse referred on to GP
Weight – 115kg
BMI – 35.8
Low mood
Moderately Inactive - Patient was generally moving around during the day but very slowly
Feels out of breathe when performing minor tasks
Poor eating habits caused weight gain
Excessive sugar consumption
GOALS SET WITH PATIENT:
Reduce sugar consumption
Read food labels
Understand portion sizes
Increase intensity of current activity levels   
GOIALS ACHIEVED:
BP 119/80 with no medication
Weight – 98kg
BMI – 30.5
Has increased physical activity during his normal day
No longer feels out of breathe unless walking up hill
Eating regular healthy meals
Understands food labels to inform snack choices
PATIENT COMMENT:
“I can’t believe that I have lost so much weight and my blood pressure has come down just by changing my diet and being more active”
Helen Heaton – Healthy Lifestyle Advisor South Pembrokeshire GP Surgeries –June 2017