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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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