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Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
Adult Obesity Peer Review Sep 2009
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Adult Obesity Peer Review Sep 2009

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  • Agenda: What we did and how What we found – Success, Areas for Development, Challenges What we learnt What next
  • comments: thoughts so far on the elements that are coming across consistently are: Strengths   Partnership working  and enthusiasm demonstrated by staff in taking the adult obesity agenda forward   Strategies and Action Plans in place evidencing clear links to Healthy Weight, Healthy Lives policy theme areas   Evaluation coming through on local projects Sustainability agenda & transport priorities align and good engagement with council teams   A wide range of innovative locally-designed healthy weight and physical activity programmes that are being accessed by target groups.   Where they have designated responsibilities, elected members acting as health and well-being champions support the prioritisation of healthy weight at a strategic level.   Areas for development   Long term evaluation of outcomes The inclusion of behaviour change as an outcome Evidence of what interventions work Baseline pop. level adult BMI data Granular/local level data on needs to rationalise prioritisation Strategic approach to communication and use of social marketing (being done well in some places but not many) Areas need to be clearer on their commissioning priorities for healthy weight programmes across both NHS and Local Authority. Adequate needs assessment and evaluation is required to support this (and to guide potential decommissioning of services to divert funding elsewhere if required).   Needs assessment should include involvement from public, patient and service provider representatives.   Challenges Balance between Unviersal and Targetted interventions National policy and priorities Financial Constraints   Other Comments Strengths   Partnership working Strategies and Action Plans in place Evaluation beginning to come through on local projects Sustainability agenda & transport priorities align and good engagement with council transport teams (although early days for most) PCT investment has risen in last few years   Areas for development more consistent evaluation of weight management and physical activity programmes, within each prog (first phase) and between each (second phase)  PCTs need better understanding of planning and transport systems, so they know what to ask for and need more capacity to engage so they can be sure they get results   LA member attitudes resistant to change on active travel using front line health staff to feel confident to raise issues of weight and activity levels with patients   Long term evaluation of outcomes The inclusion of behaviour change as an outcome Evidence of the extent to which interventions work cost effectiveness using evaluation results to determine future investment having a rationale for levels of spending (no logic to what they spend eg inrelation to costs of doing nothing)   Baseline pop. level adult BMI data Granular/local level data on needs to rationalise prioritisation Strategic approach to communication and use of social marketing (being done well in some places but not many) limited use of C4L not feeling engaged     Challenges Balance between Unviersal and Targetted interventions grey area of responsibilities of las and pcts -ie who should pay to keep people active? National policy and priorities Using JSNA data to provide knowledge and wisdom not just data! Use of local surveys to supplement understanding from national surveys  
  • Follow up – essential not just for the benefit of the local area i.e. to show progress against the recommendations and areas for improvement but also for the regional team to check updates on pioneering programmes and evaluations
  • Transcript

    • 1. South West Region Peer Review on Adult Obesity DH South West Aug 2009 – May 2010
    • 2. What We Did <ul><li>Focus on Adult Obesity </li></ul><ul><li>Review teams comprised colleagues and peers from across the SW - very much Peer review </li></ul><ul><li>Peer Review is not an inspection. It is a constructive challenge by a peer group of ‘critical friends’. </li></ul><ul><li>The aim is to recognise good practice and focus attention on areas where improvements could be made… and build consensus among stakeholders on priorities for the future . </li></ul><ul><li>Intensive review – self-assessment, desktop search and 1 day of interviews </li></ul><ul><li>14 ‘PCT Local Authority and partner’ areas </li></ul>
    • 3. Peer Review Framework - Focused on Adult Obesity Communications & Social Marketing Interventions & Delivery Capability Needs Assessment & Prioritisation of Target Groups Evaluation and Measurement Joint Leadership & Governance Strategy & Action Plans Building Physical activity into our lives Personalised support for overweight & Obese individuals
    • 4. Findings - Successes <ul><li>Partnership working and enthusiasm demonstrated by staff in taking the adult obesity agenda forward </li></ul><ul><li>Strategies and Action Plans in place evidencing clear links to Healthy Weight, Healthy Lives policy theme areas </li></ul><ul><li>Evaluation beginning to come through on local projects </li></ul><ul><li>Sustainability agenda & transport priorities align and good engagement with council transport teams (although early days for most) </li></ul>
    • 5. Findings - Successes <ul><li>A wide range of innovative locally‑designed healthy weight and physical activity programmes that are being accessed by target groups. </li></ul><ul><li>Where they have designated responsibilities, elected members acting as health and well‑being champions support the prioritisation of healthy weight at a strategic level. </li></ul><ul><li>PCT investment has risen in last few years </li></ul>
    • 6. Findings – Areas for Development <ul><li>Evaluation </li></ul><ul><ul><li>Evaluation of long term outcomes; </li></ul></ul><ul><ul><li>The inclusion of behaviour change as an outcome; </li></ul></ul><ul><ul><li>Evidence of what interventions work; </li></ul></ul><ul><ul><li>More consistent evaluation of weight management and physical activity programmes, within each programme and between each; </li></ul></ul><ul><ul><li>Using evaluation results to determine future investment. </li></ul></ul><ul><li>Needs Assessment and Prioritisation </li></ul><ul><ul><li>Baseline pop. level adult BMI data; </li></ul></ul><ul><ul><li>Granular/local level data on needs in order to rationalise prioritisation; </li></ul></ul><ul><ul><li>Needs assessment should include involvement from public, patient and service provider representatives. </li></ul></ul>
    • 7. Findings – Areas for Development <ul><li>Strategic approach to communication and use of social marketing (being done well in some places but not many). </li></ul><ul><li>Clear commissioning priorities for healthy weight programmes across NHS and Local Authority – supported by adequate needs assessment & evaluation. </li></ul><ul><li>Better understanding from PCTs of planning and transport systems, so they know what to ask for and to be sure they get the required results (capacity?). </li></ul><ul><li>Frontline health staff confidence to raise issues of weight and activity levels with patients. </li></ul><ul><li>Use of cost effectiveness as a driver; and clear rationale for levels of spending i.e. in relation to costs of doing nothing. </li></ul>
    • 8. Findings - Challenges <ul><li>Financial Constraints. </li></ul><ul><li>National policy and priorities. </li></ul><ul><li>Balance between universal and targeted interventions. </li></ul><ul><li>Grey area of responsibilities of Local Authorities and PCTs ‑i.e. who should pay to keep people active? </li></ul><ul><li>Some LA member attitudes resistant to change on active travel. </li></ul><ul><li>Using JSNA data to provide knowledge and wisdom, not just data. </li></ul>
    • 9. Lessons Learnt - Process <ul><li>Standards </li></ul><ul><li>Time intensive – factor into planning </li></ul><ul><li>Positive approach – moving forward together </li></ul><ul><li>Skill mix is vital </li></ul><ul><li>Understand your limits/expectations </li></ul><ul><li>Follow up is essential </li></ul>
    • 10. What Next? Publish regional summary report: celebrating successes, recommendations for areas for development and challenges DH SW to publish and communicate exemplar activities via internet (links with OLC?) Knowledge transfer of best practice: action learning sets, continue to build skills capacity and capabilities Continue progress in localities – follow-up on local recommendations via Staying Healthy and action plans
    • 11. Our offer to local areas (1) <ul><li>Aligning Healthy Weight Programme with local QIPP programmes (e.g. diabetes, cancer) </li></ul><ul><li>Showcase best practice (OLC) </li></ul><ul><li>Investigate partnership working with commercial sector to build business capabilities </li></ul><ul><li>Knowledge transfer: </li></ul><ul><ul><ul><li>Online Podcasts </li></ul></ul></ul><ul><ul><ul><li>Networks (wider networks and virtual networks and forums) </li></ul></ul></ul><ul><ul><ul><li>Action Learning Sets </li></ul></ul></ul>
    • 12. Our offer to local areas (2) <ul><li>Transport: </li></ul><ul><li>Influencing LTP 3 – supporting negotiations </li></ul><ul><li>Providing evidence on value for money: cost benefit ratio of small walking and cycling schemes versus road schemes </li></ul><ul><li>Appraising LTP 3 plans </li></ul><ul><li>Health Impact Assessment for LTP3 e.g. Glos </li></ul>
    • 13. Our offer to local areas (3) <ul><li>Built Environment: </li></ul><ul><li>Buddy scheme with PCT leads and Planners – visits to major developments </li></ul><ul><li>Core strategy – working with (LA) to assess components of health and wellbeing </li></ul><ul><li>Built environment conference: </li></ul><ul><ul><li>Better information </li></ul></ul><ul><ul><li>Sharing information: site visits </li></ul></ul><ul><ul><li>1 day ‘expert’ visits </li></ul></ul>
    • 14. Questions?

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