Enabling people to stay healthy for longer- reducing excess weight - - PowerPoint PPT Presentation

Central Bedfordshire Council www.centralbedfordshire.gov.uk

Enabling people to stay healthy for longer- reducing excess weight

Muriel Scott Director of Public Health

Central Bedfordshire Council www.centralbedfordshire.gov.uk

Prevalence of Excess Weight

• In Central Bedfordshire 67.1% of adults are overweight or
• bese.
• Almost 1 in 4 adults (24.2%) are obese.
• 2015/16 National Child Measurement Programme (NCMP) data

revealed that 19.6% of 4-5 year olds and 29.4% of 10-11 year

• lds are overweight or obese.
• The trend for excess weight in children aged 4-5 remains

stable, however there is a slight increase in the excess weight levels of children aged 10 – 11.

Central Bedfordshire Council www.centralbedfordshire.gov.uk

• Type 2 diabetes, previously considered as an adult disease, is

now diagnosed in overweight children as young as five.

• Compared to those who are not obese the risk of type 2

diabetes is 13 times greater for obese women and 5 times greater than obese men.

• Losing 5%+ of body weight has been associated with reduced

risk of Type 2 diabetes.

Excess weight and diabetes

Central Bedfordshire Council www.centralbedfordshire.gov.uk

Excess weight and diabetes

• 6% (12,485) of Central Bedfordshire’s adult population

have been diagnosed with diabetes.

• If current trends in the size of population and levels of
• besity continue, the total prevalence of diabetes is

expected to rise to 7.3% by 2020 and 8.3% by 2030.

• Approximately a third of the projected rise in diabetes

prevalence can be attributed to the increasing prevalence of obesity in England.

Central Bedfordshire Council www.centralbedfordshire.gov.uk

Diabetes – Spend

Central Bedfordshire Council www.centralbedfordshire.gov.uk

National Diabetes Prevention Programme (NDPP)

• Central Bedfordshire is in Wave 2 of the NHS Diabetes

Prevention Programme as part of the Bedfordshire, Luton and Milton Keynes STP.

• Bedfordshire CCG began phased rollout in May 2017
• All practices in the Chiltern Vale locality began to refer from

3rd July 2017.

• During August it will be rolled out to the remaining Central

Bedfordshire practices.

• NDPP sessions are scheduled to start at the end of August.
• Other CGGs have taken a practice-wide approach from the
• utset which has generated a higher number of referrals.

Central Bedfordshire Council www.centralbedfordshire.gov.uk

NHS Health Check

• As part of the NHS Health Check people identified as at high

risk of diabetes (based on body mass index and blood pressure) should be offered a diabetes screening test.

• In Central Bedfordshire in 2016/17
• 3,247 people were identified as requiring a diabetes

screening following their NHS Health Check

• 1,361 (42%) had a blood glucose test
• 27 were diagnosed with Type 2 diabetes
• 1,819 people were identified as having a BMI>30 during their

NHS Health Check.

• Of these only 21 (1%) were referred to weight

management programmes.

Central Bedfordshire Council www.centralbedfordshire.gov.uk

• Referrals to BeeZee Bodies from healthcare practitioners

continue to be low, despite clear referral pathways.

• Despite the offer of free ‘Raising the Issue of Weight’ training,

healthcare practitioners find it challenging to raise the issue of weight - particularly if the practitioner is also overweight.

• Parents are often reluctant or unable to acknowledge that

their child would benefit from weight management support and seek assistance.

• The number of patients referred to the local National Diabetes

Prevention Programme (NDPP) is low compared to other

• CCGs. However, this is expected to rise as the programme is

rolled out.

Areas of Concern

Central Bedfordshire Council www.centralbedfordshire.gov.uk

Recommendations relating to diabetes

• Health practitioners to attend ‘Raising the Issue of Weight’

training and adopt this in practice.

• Think ‘weight management’ and refer to BeeZee Bodies.
• Think about whether patients with hyperglycaemia or diabetes

would benefit from weight management support and refer to either the NDPP or BeeZee Bodies.

• Consider whether all adult patients with high blood pressure

and/or a high BMI (outwith the NHS Health Check) would benefit from diabetes screening.

Central Bedfordshire Council www.centralbedfordshire.gov.uk

Strategic Recommendations

• Provide leadership by re-affirming commitment to the Excess

Weight Partnership Strategy and in particular

• ensuring the recommendations relating to diabetes are

implemented

• ensuring that partner organisations are represented at

the right level the Excess Weight Implementation Group

• ensuring that prevention and management of excess

weight is identified as a priority in organisational plans

• Acting as positive role models, providing healthy

workplaces for employees