From 16th October, East Riding of Yorkshire Clinical Commissioning Group (CCG), supported by clinicians, is introducing a health and wellbeing programme for smokers and people with a BMI of and/or greater than 35 to encourage local residents to improve their wellbeing and live the healthiest lives possible.
The CCG’s vision is to prevent ill health and encourage people to live healthier lifestyles by actively promoting healthy behaviours. One of the ways this can be done is through tackling smoking and reducing obesity and, when they need support from NHS services, helping people to understand their options and better manage their own health through self-care and shared decision-making.
Available from Monday 16 October 2017, the new health and wellbeing programme will offer all people who are obese (obesity is defined as a Body Mass Index (BMI) over 30, however this programme is specifically for individuals with a BMI of and/or greater than 35), or people who smoke, a referral to either a weight management programme or stop smoking services. This will be for a 6-month period of health optimisation, in advance of any planned non-urgent operation.
Commenting on the new health and wellbeing programme Craig Dobson, GP and Medical Advisor to East Riding of Yorkshire CCG said:
“Our aim is to encourage and empower patients to take greater responsibility for their lifestyle choices. We believe it is fundamental that patients are given the skills, knowledge and support to take more accountability for their own wellbeing to ensure they can lead a healthier lifestyle.
“There is already a well-used and effective smoking cessation service in place run by East Riding of Yorkshire Council, people entering this health and wellbeing programme will have access to this service to help them to quit smoking.
“We are investing in a new weight management service which will complement the existing Live Well Programme run by East Riding of Yorkshire Council, which is targeted at people requiring weight management support prior to bariatric surgery. The new service will also be run by the Council and will provide weight management support to people who have a BMI of greater than or equal to 35 prior to surgery.
“We are not saying patients can’t have the surgery. We really want people to be successful during their health and wellbeing programme, however if they don’t reach their target weight loss or stop smoking after 6 months, they will still be put forward for surgery.”
Not all patients will have to go through the health and wellbeing programme. Patients with conditions that need urgent or emergency surgery will not have to take part in the health and wellbeing programme, however all patients will continue to be offered lifestyle advice and support.
There are a number of exclusions including patients undergoing surgery for cancer; undergoing tests for suspicion of cancer; patients with a severe mental health illness; frail elderly patients and more.
Patients who are directly affected will be advised and supported by their referring clinician.
Notes to Editors
There are a number of exclusions to the health and wellbeing programme, listed below:
- Patients needing urgent or emergency surgery
- Patients undergoing surgery for cancer
- Patients undergoing tests for suspicion of cancer
- Patients with a BMI of 35 or greater, but who have a waist measurement less than 94cm/37 inches (males) 80cm/31 inches (females)
- Patients with a severe mental health illness, learning disability or significant cognitive impairment
- Patients referred for a diagnostic intervention e.g. endoscopy
- Children under 18 years of age
- Frail elderly patients
- Patients referred for eye surgery, dentistry or oral surgery
- Patients with a medical condition where BMI is not an appropriate measure
- Patients who only use electronic cigarettes
- Patients requiring a vasectomy
The body mass index (BMI) is a measure that uses height and weight to work out if an adult’s weight is healthy. The BMI calculation divides an adult's weight in kilograms by their height in metres squared. For example, A BMI of 25 means 25kg/m2
For most adults, an ideal BMI is in the 18.5 to 24.9 range.
- Below 18.5 – adult is in underweight range
- Between 18.5 and 24.9 – adult is in the healthy weight range
- Between 25 and 29.9 – adult is in the overweight range
- Between 30 and 39.9 – adult is in the obese range
- 40 or above - adult is severely obese
To take part in the health and wellbeing programme patients will be referred to a weight management service by their GP or Health Trainer. For stop smoking services, patients will be given advice on services to contact.