The Gr@nd: Weight Management
Weight in Gravesham- Adults Gravesham Health Profile 2013 South East Public Health Observatory (SEPHO)
Weight in Gravesham- National Child Measurement Programme
Tier 2 service for Adults and Families Adult Pathway Family Pathway Tier 4- Surgery- Tier 3- Specialist support- Psychological and dietetic support. Tier-2 Targeted programme adults BMI 28+ delivered in the community Tier 1- Universal Services- Open Access -The Gr@nd supports Adults with a Body Mass index of 28+ who are motivated and ready to make lifestyle changes - The Gr@nd support families with a child in who’s BMI is in the 91 st centile who are motivated and ready to make lifestyle changes
What is the Gr@nd doing • Funded by KCC Public Health until March 2015 • Review started Dec 2013 • Service Level Agreement- Sets out • Self Refer, GP referral, School Nurse Referral • NICE guidance -2006: Prevention, identification, assessment and management of overweight and obesity, -2007- Behaviour Change: The principles for effective intervention -2012: Preventing type 2 diabetes: risk identification and interventions for people at high risk -2013 Management of overweight and obesity in adults and children
Adult: 10-12 week programme • 3 courses per quarter at varied locations dependent on need including: Vigo, Cyclopark, Ekta Ghar, Istead Rise, Cascades, Cygnets NRG Gym. • People set their own Goals Specific Measurable Achievable Realistic Timely • Physical activity practical tasters • Nutrition • Follow up after the course finishes
Julies Story Julie joined the healthy weight course at NRG gym in October 2013 The course has given her that extra motivation to take a better approach to her eating habits and get more active. She is looking to join a gym in the new year hopefully if finances improve. Over 10 weeks she lost 10kg in weight and her waist measurement by 14.5cm.
Family 10-13 week programme Don’t Sit Get Fit • Work in partnership with schools to identify the right families • Weekly club at Northfleet Youth Centre
Adult Healthy Weight: Jan – Dec 2013 Ethnicity of Participants - 12 Programmes White or White British 78.5% Other Asian or Asian British 3.% - 132 sessions White - Any other background 0.5% Indian 14% - 161 people engaged African 0.5% Black African / Caribbean / - 87% female 3% British - 13% male Other Asian 0.5%
Adult Healthy Weight: Jan – Dec 2013 Outcomes Additional Outcomes Completed the Healthy Weight Identification of alcohol use 70 156 programme through Audit- C qu. Score of 5+ on Audit C- Brief Improved emotional wellbeing 11 5 advice given Increased physical activity 76 Referred to Freedom programme 2 Increased fruit and veg portions eaten 75 Completed a CV 1 Confident in using the computer / Joined a Gym/Class/Sports Club 13 3 Laptop independently Reduction in fatty and sugary foods 39 Full NHS Health Check 5 Lost 10% of Initial Start Weight 12 Joined Health Walk 6 Lost 5% of Initial Start Weight 36 Set a quit date to stop smoking 1 Lost Weight (Below 5%) 36 Reduced waist measurement 79
Don’t Sit Get Fit: Jan 2013 -Dec 2013 Participants Outcomes - 65 people engaged - 28 target families - 42 young people and 23 adults - 43% Male - 57% Female Ethnicity of Participants Indian 25% White or White British 64.5% Black African / Caribbean / British 4.5% Not Specified 4.5% Hispanic 1.5%
Ethan, Bridgette and Family ‘The session has made my family more active, fit and healthy which makes us feel r eally good’ ‘The staff have been excellent in supporting the family and providing information about exercise and wellbeing and how to lead a healthy lifestyle’
Run a mile with a smile: Jan 2014 • Adult and family training programme in partnership with Revitalise Fitness • Support people who have never run before to complete the sport relief mile • 25 attending the adult session • 30 people attending the family session • 2 Ebbsfleet united players are visiting the group • The group have been invited to train at Ebbsfleet United
Fit to Football • KCC inequalities grant • March 2014-March 2015 • Engage 30 men • Work with Ebbsfleet United Football team.
April 2014
Liz Read: Operational Manager at The Gr@nd liz.read@thegrand.org.uk 26 King Street Gravesend Kent DA12 2DU 01474 320123
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