Adult Obesity Heart of Birmingham Teaching Primary Care Trust Care Pathway Level 3 Surgery Bariatric Surgery for certain cases and preferably where patients have been through all levels of the care pathway. Secondary Care - (Heartlands, Walsall Manor) Morbid Obesity Service Specialist Obesity Service Service to treat people with morbid obesity Level 2 within a Primary Care setting. Run by a multi – professional team including a , GP Specialist Dietician and Cognitive Behavioural Psychologist, the service aims to be able to provide a more intensive approach than would generally be possible Specialist in Primary Care. Suitable for patients with Obesity Services morbid obesity for whom interventions in Primary Care have been unsuccessful. This service will ensure that all options have been tried before someone is considered for bariatric surgery. Size Down Exercise on Prescription One to One Dietetic Appointments Counterweight Level 1 A free weight loss group. 6 week self GP referral programme for people with a Opt-in by patient to a 45 minute Counterweight is the only fully evaluated, referral courses delivered by food health range of risk factors who would benefit from assessment and up to 5-6 follow ups (can evidence based primary care weight advisors and primary care nurses, in increased levels of physical activity. Run be groups), 1-2 months apart. Consists of management programme within the community settings. in local leisure centres Health and Fitness behavioural / lifestyle / complex issues and UK. Structured, interactive nurse led Advisors work with people to develop a advice on undertaking physical activity. programme run in some GP practices, it 10 week activity programme to help get can be accessed through referral from the them started and keep working towards becoming more physically active. First Line GP or practice nurse. Weight Management Gym for Free Service Doctors Referral Into Exercise & Wellness The gym for free scheme currently operates Exercise on referral pilot scheme for in the Heart of Birmingham Teaching PCT people between 15 – 74 who have some area. This initiative is jointly funded by the of the risk factors that can lead to coronary HoBTPCT and Birmingham City Council. heart disease. This consists of a 12 week It offers all HoB residents who are 15+ programme based at a local women only years the opportunity to attend the gym health and exercise facility. and swimming for free at their local leisure Level 0 centres. Membership will continue to be renewed monthly if the individual attends the gym at least four times each month. To Food Net find out if your postcode is covered by the scheme, check online www.hobtpct.nhs.uk Get Active…get walking! Healthy Options Award or visit your local leisure centre. Run five week cook and taste courses HoBTPCT are working with the Health Award scheme to reward catering establishments that provide healthier for community groups to increase skills, Early Exchange to provide the Get Active…Get eating choices. Working in partnership with Birmingham City Council to knowledge and confidence on eating a healthy diet. Interventions Walking programme. The programme aims to increase physical activity in the HoB area encourage and provide support for catering establishments to promote healthy eating. The award has four levels, Five-a-Day, Bronze, Silver and and Prevention and provide residents with the opportunity ing! Gold, giving all catering establishments the opportunity to achieve an to access regular, supervised walks on Walk award. . ..Get a weekly basis from a wide range of locations. There will be a total of 30 walks set up including 2 or 3 in each HoBTPCT ward. To find out about where and when your local Get Active walk group meets call the Health Exchange on 0800 158 3535 Childhood Obesity Heart of Birmingham Teaching Primary Care Trust Level 3 Care Pathway Level 3 A Level 3 service is currently being devised with a Consultant Endocrinologist, Children’s Hospital Secondary Care - Morbid Obesity Service Paediatric Dietitians Watch It Children and young people up to the age Held across 4 venues within the HoBTPCT: Level 2 of 16 are referred by GP or other Health Handsworth, Ladywood, Small Heath and Professionals, for weight management. Nechells. This is a weight management Individual appointments are held at Health programme that works with obese children Centres, where advice on healthier eating, (8-11) and their families. It assists families changing behaviour and exercise can in eating more healthily and being more be offered by Registered Dietitians and physically active. The programme is made Assistant Specialist up of individual and group appointments and includes weekly physical activity Obesity Services sessions for children with the focus on fun. The programme is run at local leisure & community centres 3.30-6.45pm and lasts for up to one year Children’s Activity on Referral HENRY Level 1 This is a 12 week programme where Health, Exercise and Nutrition for the Really GPs, school nurses and dieticians can Young. An initiative working with parents to refer children to a specific programme of enhance their ability to provide an optimal supported exercise in a safe environment. healthy environment for their babies and The aims of the programme are to increase young children. medium term activity levels, increase intention to exercise, provide a positive First Line experience of activity and increase physical wellbeing. Due to start Spring 2009 Weight Management Service Phunky Foods Childrens Gym Growing Gains Face Fruits Level 0 A unique and innovative primary school Currently available in HoBTPCT at Aston Working through the organisation CSV Local mums trained to deliver this programme of healthy eating and physical Villa and Hamstead Hall Community environment this scheme takes place programme which is a 2.5hr interactive activity lesson plans and teaching Learning Centre, the children’s ICE Gyms in school settings, where schools are session in schools aimed at increasing resources. Providing teachers and are specifically aimed at 8-16 years olds. assisted in creating a vegetable plot and understanding of fruit and vegetables, their teaching assistants with all the tools and They are accessible to local children, 18 sessions are delivered to Key Stage 2 benefits, how to eat them, portion size and variety. Sessions explain why we should training they need to deliver top quality, fun healthy eating and physical activity lessons families, schools and as part of an exercise on referral scheme. Children can access Early children around healthy eating, growing vegetables and cooking what they have try and eat 5 a day and children’s faces are in school the children’s gym after school, weekends Interventions grown. painted with images of 3 fruits. Certificates are taken home with a picture of the and school holidays. and Prevention children and 3 key health messages. Villa Vitality Active Kids Early Year’s Physical Activity Rowing Machines In Schools Row Before You Go Developed by working in partnership with Partnership between the HoBtPCT and This is a new programme being Working in partnership with and Working with the Birmingham Schools Aston Villa Football Club. The Villa Vitality Hamstead Hall Community Learning developed between Birmingham City Birmingham City Council’s Education Rowing Association, leisure services programme aims to ensure that all year Centre. Local year 4 and 5 school Council and HoBTPCT. Physical Department and Concept 2, the PCT have coaches are trained in delivering indoor 5 school children within Birmingham visit children are invited along to the Active education consultants will be delivering given all primary and secondary schools rowing sessions. A 20 week course is Aston Villa and receive 3 days of healthy Kids day where they have the opportunity training to Early Years settings staff in HoB the opportunity to purchase up offered to schools to kick start after school lifestyle tuition spread over 6 weeks, in to experience a range of activities from around new Physical Literacy guidance to 5 rowing machines. The driver is to rowing clubs in schools which received an innovative and exciting environment. orienteering, brush craft and green gym and resources for active play. This is encourage children to partake in physical machines as part of the HoBTPCT indoor Including; physical activity with the Aston activities, assault courses and team helping settings to implement guidance activity that does not have to be competitive rowing initiative. Enthusiastic and interested Villa coaches, an interactive healthy eating building games, archery and the children’s around developing physical literacy in or team based. 83 schools have so far parents will also be offered training by session, cooking in the community kitchen, ICE Gym as well as prepare and enjoy young children which will enable them taken this opportunity and are developing Concept 2 and the Amateur Rowing attending a children’s ICE Gym session and a healthy lunch outdoors. The day is to go on to become physically able and initiatives to increase the levels of physical Association to facilitate rowing sessions filming their healthy lifestyle project in Aston delivered by Community Sports Leaders more likely to take part in sport and activity within schools. Feedback from after the end of the 20 week programme. Villa’s film studio. who are local teenagers that have been exercise as they develop. children has been extremely encouraging trained to deliver the programme. The “I like rowing because it’s healthy and I overall aim of the project is to introduce can keep fit. Other than Basketball, it’s the Schools Nutritionist Street Games children to alternative forms of activity other than traditional school PE sports, and to only thing I’m good at. I feel more confident because I can do it by myself.” Michael emphasize fun and enjoyment in activity. Early Years Healthy Settings Award Gardener, Year 9 Heart of Birmingham schools Nutritionists Street Games is a community activity and Food Health Advisor work with primary initiative that will increase the opportunity The Early Years Healthy Settings award is an adaptation of the and secondary school children and their for physical activity for young people in the Healthy Schools Standard and supports early years’ settings parents offering interactive sessions and community. Street Games will work with Early Years Nutritionist in meeting their Ofsted self-evaluation criteria. The award is Milk to Meals work shops i.e. classroom based sessions, the 3rd sector to deliver over 700 sessions offered to a number of private and voluntary nurseries as well as parent/children work shops/sessions, of Multi-Sports and Street Dance on the The Under 5’s Dietitian/ Nutritionist supports the Corporate Health Visiting Children’s Centres in HoBTPCT, and city-wide. Healthy eating, Development of recipe books, DVD, poster m... healthy packed lunches workshops, cook g fro Movin community doorstep through 6 projects teams in HoBTPCT and is responsible for under 5’s childhood nutrition physical activity, emotional health and well-being and personal, and presenter to support families with Milk t o and taste programmes etc. Also provided across Hob. It will also engage over 70 issues, including obesity prevention and treatment and healthy weaning social health education (P .S.H.E) are the four aspects looked at weaning. are various training packages for school young people as sports volunteers and throughout the PCT area. This is achieved through providing training, Me al s as part of the award. Its purpose is to build staff capacity through staff, to enable them to run healthy lifestyle train over 50 young people as qualified support and clinical supervision as well as developing appropriate and a whole settings approach, as well as creating a supportive sessions with pupils. Additionally we advise Community Sports Leaders. relevant resources to support the staff to deliver messages around infant environment that promotes health and well-being. Settings are schools regarding school food policy nutrition. The post also works in partnership with the Under 5’s team development, the school food standards, to deliver the HENRY (Health Exercise Nutrition for the Really Young) supported to achieve the award over a 12 to 18 month period by the Health Education Service and Food Net (Birmingham Healthy Schools Team healthy schools attainment or renewal, Empower programme in Children’s Centres, an exciting new initiative designed to tackle early childhood obesity. Community Nutrition and Dietetic Service). Members of the team work to provide breakfast club establishment, menu planning etc. support for schools to achieve the Empowering mothers to prevent obesity at weaning. Delivered by a healthy school status specialist health visitor, intensively working with parents who have babies who are at a particular risk of obesity.