Engagement on a new healthy weight service...steroids and limited exercise capability.” “The...

Engagement on a new healthy

weight service

NHS Southwark Clinical

Commissioning Group

Developing a healthy weight service

In total 75+ surveys were collected from various sources

Source Silver

fit

Southwark

Disability

Association

CoolTan

arts

Twitter Morrisons

Peckham

Engagement

database

Fusion Other

Number 18 10 5 7 2 13 11 2

What support have you found

helpful for gaining a healthier

weight?

Advice from a Hospital Doctor

Advice from your GP

Advice from your nurse

Advice from a dietician

Referral to an exercise programme

Activities with friends

Lifestyle: • Books & TV programme • Healthy eating • Juicing forum • 5:2 diet. Tools and Resources: • Step monitor • Healthy living monitor • Calorie counter ( My

Fitness Pal) • Accurate scales • General knowledge.

What support have you found

helpful for gaining a healthier

weight?

Classes & Groups: • Zumba • Walking groups • Outdoor exercise • Thai chi (at Day Centres) • Cooking classes- for social and

skills • Online support groups. • Not Weight watchers/

Slimming world- bad for self esteem.

Individual needs: • Skill set and needs need to be

taken into consideration

Is there anything that you feel

stops you from taking steps

towards a healthier weight?

Physical illness: • On-going back pain • “Hypos” • Diabetes • Long term conditions • Medication! • Mobility • Wheelchair use- can’t exercise

“Long term conditions being

treated with steroids and

limited exercise capability.”

“The medication makes a person put on weight. I

never had a weight problem before I went on

medication. It also makes it a bit more difficult losing

weight.”

“I’m diabetic, am lactose and fructose intolerant. Any diet group I’ve joined have not been able to help with a 'menu' that I could follow daily, as they say, 'you know what you can and can’t eat.”

“I have arthritis in my foot which makes walking painful I would benefit from aqua classes and chair based exercises or using weight machines.”




Mental Health: • Feeling stressed • Feeling down • Depression • Emotional eating • Embarrassment • Low mood affecting motivation, • Willpower • Comfort eating • Complex needs

“Sometimes I might feel a little down or stressed

and do not feel like exercising and sticking to

my diet”

“I'm an emotional eater so I have to work at managing my weight in relation to the rest

of my life. I'm now ageing and now have to adapt to

this”

Financial implications: • Expensive gym • Money • Few cheap available classes • Cost changes to facilities • Expensive healthy food




“Cost of doing activities such as going to the gym

is an obstacle- I think Southwark should make the leisure centres free

now not 2016!”

“Some people are on lower incomes and in

some cases…may find it hard to pay for healthy

foods”




“On-going, day to day support is needed e.g. being able to check in with a coach”

“My doctor referred me to an exercise programme at Fusion Peckham but if your BMI is over 52 they will not accept you so it is a catch 22 made doubly frustrating because if you can afford to join as a private member they will accept you.”

Support and Information: • Lack of support available • Lack of information/knowledge, • No support available for people

with a BMI over 50. • Some classes only take people

over age of 40

Lifestyle: • No time • Industrial manufactured food • “Low fat, slimming meals” not helpful • Shift jobs • Age • Dangerous biking conditions • Healthy eating and exercise not a priority • Bad habits • Take-away foods • Cultural issues.




“Work Demanding life e.g. managing energy

services, medical appointments, maintenance,

children.”

“Being retired with a fridge

nearby.”

“Sadly my experience with my

Dr's practice and other medical help was to eat low fat products or join SW/WW

which just promotes processed foods. There needs to be an

emphasis on using fresh produce.”

How important do you think

the following professionals

would be to help you to gain

a healthier weight?

Obesity Specialist Dr

Obesity Specialist Nurse

Dietician Exercise therapist

Free cookery classes

Psychologist or therapist

Free diet/ lifestyle classes e.g. Weight Watchers

Who or what else do you

think would help you?

Individual needs: • Seated exercises for wheelchair

users • Help at gym/ exercise for people

with disabilities • Special needs only groups • Physiotherapy to help mobilise • Transportation • Easy read recipes • Online modules for low literacy

levels • Disability- only diet classes • Food therapies • Hydro pool • Evening sessions

“Disability specific weight classes would be preferable as I do not feel I could keep up with people without disabilities and get left behind.”



Education and Knowledge: • Healthy options in a

restaurant • Choosing healthy foods • Benefits of different foods • Different foods for

different health conditions

• Nutrition talks & seminars • Mood foods • Consistency in advice

“More help with

what food is good to eat & what food we

should leave well alone”



Support: • Motivational trainers/ Life coaching • Holistic health specialist • Community groups • Informal support groups • Personalized advice • Help with meal planning • Regular contact/ drop-ins/ follow up and feedback • Accessible cooking classes • Herbalist • Free access to gyms • Alternative medicines (homeopathy, osteopathy,

massage and detox)

“I live in shared housing with support

from staff and they should be trained to

help cook healthy food and help with

exercise”

“Being able to talk over problem in one location either GP's

or health centre”



Tools: • Healthy living monitor • Online support/ app • Medication to help you lose weight • Social media and encouraging text messaging • Allowance to spend on healthy living

“A quarterly/ seasonal weekly menu of things I like, can buy,

store, cook that fits in with lifestyle and not end up

throwing away because of x y and z.”

If all of the help was available in

the same place.

How likely would you be to attend

appointments if located in the

following places:

Other suggestions: • Library or other public buildings

with private space • Home • Outside spaces such as local

parks • Church halls • Estate halls/ centres.

“Do not want to go to the doctor for this. We do not

what to stand out that we are fat as it

is”

“Having a medicalised model would not work

as well as people do not want to be treated like a

patient, but as a person.”

Other comments and

thoughts

“Please ensure help is available for all ages. Last

time I looked it was over 40's only for Shape Up group. Kind

of goes against early intervention principles!”

Existing programmes such as Shape-Up,

Cootan Arts cooking, Silver Fit are working

well for the people that use these services.

We need to tackle the wider causes of

obesity; media, food companies, takeaways, bad

food.

“To lose weight it is not just about food and exercise, it is

about everything in an individual’s life - past and

present and future expectations.”

“Please, please, please take away this stigmatisation for those most in need of help with BMI's over 50 such that we can be referred to a gym, if we are willing and want to go please don't prohibit it.”

Next Steps

Workshop option 2

Wednesday 22 April 2015

12:30- 14:30

(With refreshments from 12:15)

Walworth Methodist Church 54 Camberwell Road,

Camberwell, SE5 0EN

Workshop option 1

Tuesday 21 April 2015

18:00- 20:00

(With refreshments from 17:45)

Blackfriars Settlement, 1 Rushworth Street,

SE1 0RB

We are holding two workshops in April 2015 to speak to people who are struggling with their weight in more detail to

design the service.

The workshops are aimed at people with a BMI of 40+ or 35+ if they have other illnesses such as diabetes or heart

problems.

Engagement on a new healthy weight service...steroids and limited exercise capability.” “The...

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