Interactive mouse-over element: After deciding to take control of his health, and at 6ft 5in, Paul Hitchen stands tall since losing more than 10st 10lb. Interactive mouse-over element:  Since losing 5 stones 11lbs Kathy Feeley's blood pressure, which was always high, is now normal. Interactive mouse-over element:  Marie McQuarrie is celebrating losing an amazing 19 stones 1lb. Her diabetes readings have now become normal. Interactive mouse-over element:  Ian Davies has lost 9½ stones and reduced his chest, waist and collar measurements by a total of 31”. Interactive mouse-over element:  Claire Canny lost 3½ stones and now her IBS symptoms have all but disappeared. Interactive mouse-over element:  At 9½ stones lighter, Sharon-Anne Young is thrilled at overcoming her breathlessness, lethargy and mobility problems. *
* Slimming World on Referral.
Tackling Obesity in Primary Care.
Click here to Start Your Scheme. (pop-up window). Research - Background.

Caption: Quote from Jacquie Lavin, Slimming World.

 

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A powerful, practical partnership.
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Tackling Obesity in Primary Care
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Slimming World on Referral

Tackling Obesity in Primary Care - a feasibility study to assess the practicalities of working in partnership with the commercial slimming sector.

Amanda Avery, Senior Community Dietitian, Greater Derby PCT Slimming World.
Dr. Jacquie Lavin, Nutritionist, Slimming World.
Dr. Stephen Whitehead, former Director of Public Health, Southern Derbyshire Health Authority.
Elen Rees, former Public Health Trainee, Southern Derbyshire Health Authority.

 

Background

Obesity has to be regarded as one of the most important preventable challenges to health in the UK. It is a risk factor for a range of significant medical consequences (6). Risk of coronary heart disease, respiratory disease and diabetes increases with increasing body weight. In addition, there are clear inequalities in health with the burden of obesity falling on people in lower socioeconomic groups (7). The National Audit Office estimates that the costs of obesity to the NHS are in the region of £0.5bn per year, while the costs to the wider economy are in excess of £2bn per year (8). It is imperative that innovative approaches are sought to establish both cost effective and sustainable weight management programmes in a manner which closes the health gap between different population groups. In response to the National Service Framework for Coronary Heart Disease which included early milestones for the development of local programmes to reduce overweight and obesity, promoted healthy eating and increased physical activity, a strategic framework for tackling obesity was developed in Southern Derbyshire (9). Among a number of approaches for local action, the framework proposed working in partnership with the commercial slimming sector as an opportunity for weight management.

Slimming World's head office is based in South Derbyshire, providing an ideal collaborative opportunity to test a referral scheme locally. Following wider discussion with health professionals and Slimming World personnel, a feasibility study was set up to establish how best to manage such a partnership. (10).

 

Why the need to be innovative?

  • South Derbyshire has a population of 500,000
  • Hence at least 250,000 will be overweight and 100,000 people will be obese
  • There are few dietitians and nursing staff are in increasingly short supply
  • Evidence suggests that outcomes are improved if people are offered frequent support
  • Obesity pharmacotherapy is placing a burden on the prescribing budget of most PCTs
  • The commercial sector has an already established infrastructure and product that is clearly acceptable to local people
  • Collaboration could provide a highly cost effective and sustainable approach

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*References on this page:
6. Brownell KD, Wadden TA. Journal of Clinical and Consulting Psychology, 60: 505-517, 1992.
7. Southern Derbyshire Health Survey. Southern Derbyshire Health Authority, 1999
8. National Audit Office. Tackling Obesity in England. HMSO, London, 2001.
9. Avery A. Tackling Obesity in Southern Derbyshire: A Framework for Action, 2000.

10. Managing overweight and obesity – a major public health problem. Seminar held for Derbyshire Heath Practitioners at Slimming World Head Office, Alfreton, Derbyshire, November 2000.

 

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* Slimming World, Clover Nook Road, Somercotes, Alfreton, Derbyshire DE55 4RF
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