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Eligibility Criteria

A Specialist Weight Management Service for Manchester, Oldham, Salford and Tameside and Glossop Patients. Eligibility Criteria. Adults over 18 years Registered with Manchester, Oldham, Salford or Tameside and Glossop GP BMI 35+ Ready to change

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Eligibility Criteria

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  1. A Specialist Weight Management Service for Manchester, Oldham, Salford and Tameside and Glossop Patients

  2. Eligibility Criteria • Adults over 18 years • Registered with Manchester, Oldham, Salford or Tameside and Glossop GP • BMI 35+ • Ready to change • BMI 30+ and in 12th week or more of pregnancy • GP or health professional referral only (Practice Nurse, Midwife, Consultant, Dietitian)

  3. Multidisciplinary Assessment (MDA) Motivational interviewing Most appropriate intervention Personal health plan 2hrs • Medical assessment • Psychological assessment • Lifestyle assessment • Personal goal setting • Readiness to change

  4. MDT Decision • Groups • 1:1 support • Domiciliary • Case management • LD • Maternity pathway • Bariatric pathway

  5. Group Intervention • An initial two hour multidisciplinary assessment of need • 12 fortnightly sessions over 6 months • Support from a range of specialists in weight management • A further 18 months of follow up sessions, newsletters and continuing support

  6. Psychological Therapies • 1 in 3 • 1:1 • Before or alongside group sessions • 6 – 12 weekly sessions • CBT / psychotherapy • Eating disorder therapy • BE balanced CBT group

  7. 1:1 sessions • Bi-weekly- monthly sessions • Lifestyle advice given 1:1 • Before or alongside group sessions

  8. New Bariatric Criteria • 1st April 2013 • Adults >18 years • BMI 35+ with co-morbidities or 40+ • Obesity present for at least 5 years • GP referral- Minimum 6 months Choose to Change Service • C2C direct referral to provider of choice: Countess of Chester / Salford Royal

  9. Assessment for Suitability • Progress • Engagement • Attitude • Understanding • Psychological state • Barriers to success

  10. Maternity Programme • MDA • 6 session rolling programme • Appropriate weight gain • Exploding myths • Exercises • Psychological challenges of giving birth • Antenatal and postnatal nutrition • Breast feeding / infant feeding • Healthy eating on a budget • Stress and time management

  11. Weight Management Services in South Manchester • Counter Weight BMI 28+ with co morbidities or 30 without, run in GP surgeries • Nutrition and Dietetic Service 6 month programme • Active Lifestyles- Weight No More

  12. Thank You

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