2. “Global Epidemic”
Recognized internationally as a major public
health challenge.
The' "Growing Up in Ireland Study “(2009)
found one in four 9-year olds overweight or
obese
Unfortunately, there are no exemplar
populations abroad to learn from as no
country has been successful in turning the
tide on obesity.
.
3. My own UK Experience
NHS: Primary Care Trust
Public Health
Community Health and Weight Management
Leeds Metropolitan University
Great Ormond Street
4. However there is an ever increasing and
improving body of evidence and some
promising interventions such as the Carnegie
Weight Management (CWM) Programme which
is currently being delivered in Peterborough
in the UK.
5. Settings Approach
Community
Only targeted programme
6. CWM is a UK national programme led by
Leeds Metropolitan University
Delivered locally by health promotion
specialist staff at NHS Peterborough.
The programme aims to improve the health
of children between two and 17 years of age
who are overweight or obese.
It also provides families with the relevant
support and information to help them make
healthy, informed choices to maintain a
healthy weight.
7. Club programme
It runs as a 12 week programme
For 3 ½ hours each week
Young people are to attend with a parent
or carer. Parents are key to the
programme and they help to implement
back in the home what has been learnt on
club.
After the 12 weeks there is 3 month
follow on support programme
8. The commissioning process for the
programme started in October 2009 and
delivery began in May 2010.
The city currently has one of the highest
childhood obesity rates for Year 6 children.
Results from the 2008/2009 school year
show that one in seven (13.8%) reception age
children are overweight and almost one in ten
(9.2%) are obese.
9. Three age specific 12 week programmes were
delivered
2-4 years, the first of it’s kind in the UK
4-10 years
11-17 years
Delivered in settings across Peterborough for
children and their parents or carers.
There has been a high proportion of referrals for
the programme.
It is the first time that the pioneering programme
has been extended to include children between
the age of two and four.
10. The programme focuses on a number of
elements that directly influence and affect a
child’s weight.
These include diet and nutrition, physical
activity, anthropometric measurements,
behavioural change to the sustainability of
change.
It is delivered as a 12-week intervention with
a six month and 12-month follow-up period.
11. Continual evaluation concludes that there has
been:
Reduction in body fat composition,
Reduction in waist circumference and weight
As well as improved self image and self
esteem for children undertaking the
programme.
12. To further support children undertaking the
programme, a post-Carnegie programme,
Movers and Shakers is currently being delivered
by health promotion specialist staff in
partnership with Vivacity.
The programme is delivered over a six week
period and introduces participants to locally
available to further encourage sustained
behaviour change.
Two age groups are targeted throughout the
Movers and Shakers programme, 5-10 years and
11-17 years
14. Stakeholder engagement is a key success
criterion in order to reach those at risk who will
benefit most from the programme and ensure
equality of access.
More than 800 stakeholders have been informed
of the programmes including clinicians and non-
clinical practitioners.
A successful outcome of the programme was the
number of referrals received through all the
potential routes and particularly those that are
able to access Peterborough’s six priority areas
15. Stakeholder Engagement Plan
STAKEHOLDERS
GP’s, SNT,
Public Health,
Healthy
Schools,
Sports Teams
Key Partnership Media &
, Dietitians, Community Businesses
Boards Communications
Paediatricians,
Child Health
Teams, HVT,
Children
centre's
SELF REFERRALS
16. Using lessons learned
Utilising the settings approach addressing the
contexts in which people live, work and play,
including:
–the needs and capacities of people in the
setting
–make the setting itself more healthy
17. Settings Approach
Stakeholder Engagement
Prevention and treatment has to occur at the same time
Family Centred Approach
Goal Setting
Monitoring and Surveillance
Commitment and Motivation
Addressing the problem
Follow –Up
Peer Support
Developing programmes suited to a family’s needs:
targeted programme
Physical Activity
18. Many challenges exist
Hardest part is that professionals are not
equipped with the right language and skills to
talk sensitively and helpfully with children
and families about overweight and obesity.
Referral Procedures
Sustainable behaviour change
19. Multi – disciplinary approach – includes
physical activity, dietary and lifestyle
education and a cognitive behavioural
approach
Adheres to the NICE guidance for safe weight
loss
20. Behaviour Change and Motivation is key
Urgent need to address this problem and
come up with realistic solutions
Targeted programmes
Social Media: Change 4 Life
Key Stakeholders on board
21. Change 4 Life
Health Trainers
Let’s Get Moving
Breakfast Clubs
Social media
22. Overall, there has been a marked increase in
the efforts to prevent obesity over the past 5–
10 years; however, we are still virtually at the
starting line.
Let us hope that the next 10 years will see a
much greater policy (and research) response
to making the food and physical activity
environments less obesogenic so that the
health promotion efforts to encourage
healthier choices have some chance of
working.
