Lanarkshire community food & health partnership
Description: Lanarkshire community food health partnership Manager: Gordon Thomson project coordinator: Claire Mooney Overview Background of LCFHP Diabetes overview LCFHP course results AQs Group workshops three questions LCFHP Background LCFHP is
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slide1. Lanarkshire community food & health partnership Manager: Gordon Thomson project coordinator: Claire Mooney<br>
slide2. Overview Background of LCFHP
Diabetes overview
LCFHP course results
A&Qs
Group workshops – three questions<br>
slide3. LCFHP Background LCFHP is a Company Limited by Guarantee and a Registered Charity in Scotland
Founded as North Lanarkshire Food Federation 1990
Run by a network of community groups. The organisation is based in Bargeddie, North Lanarkshire<br>
slide4. LCFHP Scale 13 Full Time members of staff and 12 part time
Office (300m sq ft)
Warehouse (1000sq ft)
5 Delivery vans
Turnover 2017/18 circa £850,000 (of which S.E. + trading approx £350,000)
In 2017/18 LCFHP delivered 894 Nutritional workshops to over 14400 participants<br>
slide5. LCFHP Programmes 1. Health and Social Care Integration: North Lanarkshire’s “Thematic Lead for Food” in Third Sector H&SC Pathway
2. High Five for Fruit: Nursery Children eat 40% more Fruit and Veg than national average. Free fruit to 137 nurseries and “Big Chef Little Chef” sessions.
3. Healthy Mummy Happy Baby: Nutritional and lifestyle support for perinatal and post partum mothers
4. Club365: “Holiday Hunger” provision during school holidays. Over 10000 meals provided so far in 2018.
5. Make Move Munch Clubs: Family based programme to reduce health inequalities in areas of deprivation, families eat better and become more active whilst reducing food budget.
6. Community retailing: Fruit barras, support to over 200 healthy eating projects<br>
slide6. LCFHP Philosophy “Provide and Promote”<br>
slide7. Healthy Cooking & Nutrition Classes LCFHP employ 6 nutritionists to deliver a range of nutrition and cooking sessions. We ran 894 sessions last year with 14400 attendees.
Modules include
Tailored courses for conditions such as diabetes
Nutrition through the lifecycles e.g. young families to older people
Cooking using local/seasonal produce and menu planning for health
Understanding food labels
Fat, Salt and sugar
Basic Nutrition
Supports other community based cooking initiatives via the “Training the Trainer” programme in North Lanarkshire
Accredited REHIS provider<br>
slide8. Health and Social Care Integration project What is diabetes?
Diabetes mellitus is defined as a metabolic disorder characterised by chronic hyperglycaemia with disturbances in metabolism resulting from defects in insulin secretion, insulin action, or both (SIGN, 2010)
Type 1 Diabetes (autoimmune disease)
Type 2 Diabetes (lifestyle factors & genetics)
Pre-diabetes (the stage before Type 2)<br>
slide10. The World Health Organization Diagnostic: Table 1: ORAL GLUCOSE TOLERANCE TEST (OGTT)<br>
slide12. lower limb amputation<br>
slide13. Current Figures in Scotland 291,981 people in Scotland have diabetes (Dec 2016)
That is 7859 more than at end of 2015 (about 22 new cases/day)
5.4% (1 in 20) of the population have diabetes
0.7% of the population estimated to have undiagnosed diabetes
The number of people with diabetes in Scotland is increasing at a rate of around 2.8% per year
Diabetes accounts for 10% of all NHS expenditure.
Latest Scottish Diabetes Survey www.diabetesinscotland.org.uk/Publications
Latest figures from Scottish Diabetes Survey 2016<br>
slide14. Proportions of Diabetes in Scottish Population<br>
slide15. Proportions of Diabetes in Scottish Population<br>
slide16. NHS spending on diabetes NHS spending on diabetes 'to reach £16.9 billion by 2035'
A new report published in the journal Diabetic Medicine has projected that the NHS’s annual spending on diabetes in the UK will increase: From £9.8 billion to £16.9 billion over the next 25 years.
NHS would be spending 17% of its entire budget on the condition.
The Impact Diabetes report also suggests that the cost of treating diabetes complications is expected to almost double from the current total of £7.7 billion to £13.5 billion by 2035/6.<br>
slide17. Health and Social Care Integration Project LCFHP Address Diabetes at a Community Level.
Delivered three tailored courses targeting Diabetes and Behaviour Change in partnership with stakeholders (see handout)
Number of participants:
20 adults (6 adults had a slight to moderate learning disabilities, some attended with support workers, referrals from Occupational therapist (OT).
Pre-diabetes = 12 people
Type 2 Diabetes = 8 people
Multiple Long-Term Conditions (LTCs) = 15<br>
slide18. Lcfhp Address Diabetes at a Community Level A review of the current services in North Lanarkshire:
Diabetes Self-Management Type 2 Education Programme (STEP)
Pre-Diabetes programme in Cumbernauld that has been running for around ten years.
Weigh to go at Sports Centres (weight management programme)
Neither of these included healthy cooking, which is an important factor for health and life skills. It was also highlighted that there was a gap in services for people with pre-diabetes based on consultations with NHS Lanarkshire specialist diabetes team
Cooking is a non-threatening activity
Some people prefer to be shown, rather than given a leaflet
Peer-support within the classes<br>
slide19. Course 1 :Healthy Cooking and Nutrition Course<br>
slide20. Course 2: Help Yourself to Better Health<br>
slide21. Course 3: Healthy Lifestyle Course<br>
slide22. Methods The data was collected using questionnaires, nutritional quizzes and observations recorded by facilitators during the classes. The data was recorded on a locality template for outcomes and shared with partners.
The Eatwell Guide was delivered as a general guide to healthy eating. Recipes were colour coded to match each segment of the Eatwell Guide, for example, green represents fruit/vegetables and yellow represents starchy carbohydrates. Portion size of food groups were consistently highlighted for energy balance and/or weight management. For those requiring weight management advice, a higher proportion of non-starchy vegetables was encouraged, and plates were provided from Diabetes UK. See illustration.<br>
slide24. Chart 1: Referrals<br>
slide25. Results Chart 2: Body Weight<br>
slide26. Chart 3: Dietary Guidelines and Knowledge<br>
slide27. Chart 4: Preparing Meals and Cooking<br>
slide28. Chart 5: Fruit and Vegetable Consumption<br>
slide29. Chart 6: Physical Activity<br>
slide30. Summary Obesity and Diabetes is a serious public health issue.
Case Studies (see handout)
All groups’ knowledge of healthy eating improved (e.g. free sugars, fats and salt recommendations) based on test scores and comments within the class.
Over ten weeks two participants lost a stone and others lost four to six pounds in body weight achieving 5-10% weight loss.
The participants’ activity levels increased significantly which was achieved by a combination of interventions that promoted weight loss among other health benefits.
People were cooking foods using healthier methods and eating and drinking more desirably compared to pre-course data. In addition, their knowledge, understanding and skills improved over time. As a group, they felt less lonely and enjoyed the social element of the classes.
The nature of the course was flexible and person-centred in order to achieve better outcomes for the participants – this was an extremely successful approach for these groups.<br>
slide31. THANK YOU FOR LISTENING! Questions?<br>
slide32. Workshops 1. How do we increase referrals from clinician teams?
2. How do we mainstream courses to make them more sustainability?
3. Recommendations for future courses?
Eg. Provide one-to-one support pre-course for example, a consultation before the course starts to discuss barriers and motivations. By using motivational interviewing techniques and goal setting to help keep people on track.<br>
slide2. Overview Background of LCFHP
Diabetes overview
LCFHP course results
A&Qs
Group workshops – three questions<br>
slide3. LCFHP Background LCFHP is a Company Limited by Guarantee and a Registered Charity in Scotland
Founded as North Lanarkshire Food Federation 1990
Run by a network of community groups. The organisation is based in Bargeddie, North Lanarkshire<br>
slide4. LCFHP Scale 13 Full Time members of staff and 12 part time
Office (300m sq ft)
Warehouse (1000sq ft)
5 Delivery vans
Turnover 2017/18 circa £850,000 (of which S.E. + trading approx £350,000)
In 2017/18 LCFHP delivered 894 Nutritional workshops to over 14400 participants<br>
slide5. LCFHP Programmes 1. Health and Social Care Integration: North Lanarkshire’s “Thematic Lead for Food” in Third Sector H&SC Pathway
2. High Five for Fruit: Nursery Children eat 40% more Fruit and Veg than national average. Free fruit to 137 nurseries and “Big Chef Little Chef” sessions.
3. Healthy Mummy Happy Baby: Nutritional and lifestyle support for perinatal and post partum mothers
4. Club365: “Holiday Hunger” provision during school holidays. Over 10000 meals provided so far in 2018.
5. Make Move Munch Clubs: Family based programme to reduce health inequalities in areas of deprivation, families eat better and become more active whilst reducing food budget.
6. Community retailing: Fruit barras, support to over 200 healthy eating projects<br>
slide6. LCFHP Philosophy “Provide and Promote”<br>
slide7. Healthy Cooking & Nutrition Classes LCFHP employ 6 nutritionists to deliver a range of nutrition and cooking sessions. We ran 894 sessions last year with 14400 attendees.
Modules include
Tailored courses for conditions such as diabetes
Nutrition through the lifecycles e.g. young families to older people
Cooking using local/seasonal produce and menu planning for health
Understanding food labels
Fat, Salt and sugar
Basic Nutrition
Supports other community based cooking initiatives via the “Training the Trainer” programme in North Lanarkshire
Accredited REHIS provider<br>
slide8. Health and Social Care Integration project What is diabetes?
Diabetes mellitus is defined as a metabolic disorder characterised by chronic hyperglycaemia with disturbances in metabolism resulting from defects in insulin secretion, insulin action, or both (SIGN, 2010)
Type 1 Diabetes (autoimmune disease)
Type 2 Diabetes (lifestyle factors & genetics)
Pre-diabetes (the stage before Type 2)<br>
slide10. The World Health Organization Diagnostic: Table 1: ORAL GLUCOSE TOLERANCE TEST (OGTT)<br>
slide12. lower limb amputation<br>
slide13. Current Figures in Scotland 291,981 people in Scotland have diabetes (Dec 2016)
That is 7859 more than at end of 2015 (about 22 new cases/day)
5.4% (1 in 20) of the population have diabetes
0.7% of the population estimated to have undiagnosed diabetes
The number of people with diabetes in Scotland is increasing at a rate of around 2.8% per year
Diabetes accounts for 10% of all NHS expenditure.
Latest Scottish Diabetes Survey www.diabetesinscotland.org.uk/Publications
Latest figures from Scottish Diabetes Survey 2016<br>
slide14. Proportions of Diabetes in Scottish Population<br>
slide15. Proportions of Diabetes in Scottish Population<br>
slide16. NHS spending on diabetes NHS spending on diabetes 'to reach £16.9 billion by 2035'
A new report published in the journal Diabetic Medicine has projected that the NHS’s annual spending on diabetes in the UK will increase: From £9.8 billion to £16.9 billion over the next 25 years.
NHS would be spending 17% of its entire budget on the condition.
The Impact Diabetes report also suggests that the cost of treating diabetes complications is expected to almost double from the current total of £7.7 billion to £13.5 billion by 2035/6.<br>
slide17. Health and Social Care Integration Project LCFHP Address Diabetes at a Community Level.
Delivered three tailored courses targeting Diabetes and Behaviour Change in partnership with stakeholders (see handout)
Number of participants:
20 adults (6 adults had a slight to moderate learning disabilities, some attended with support workers, referrals from Occupational therapist (OT).
Pre-diabetes = 12 people
Type 2 Diabetes = 8 people
Multiple Long-Term Conditions (LTCs) = 15<br>
slide18. Lcfhp Address Diabetes at a Community Level A review of the current services in North Lanarkshire:
Diabetes Self-Management Type 2 Education Programme (STEP)
Pre-Diabetes programme in Cumbernauld that has been running for around ten years.
Weigh to go at Sports Centres (weight management programme)
Neither of these included healthy cooking, which is an important factor for health and life skills. It was also highlighted that there was a gap in services for people with pre-diabetes based on consultations with NHS Lanarkshire specialist diabetes team
Cooking is a non-threatening activity
Some people prefer to be shown, rather than given a leaflet
Peer-support within the classes<br>
slide19. Course 1 :Healthy Cooking and Nutrition Course<br>
slide20. Course 2: Help Yourself to Better Health<br>
slide21. Course 3: Healthy Lifestyle Course<br>
slide22. Methods The data was collected using questionnaires, nutritional quizzes and observations recorded by facilitators during the classes. The data was recorded on a locality template for outcomes and shared with partners.
The Eatwell Guide was delivered as a general guide to healthy eating. Recipes were colour coded to match each segment of the Eatwell Guide, for example, green represents fruit/vegetables and yellow represents starchy carbohydrates. Portion size of food groups were consistently highlighted for energy balance and/or weight management. For those requiring weight management advice, a higher proportion of non-starchy vegetables was encouraged, and plates were provided from Diabetes UK. See illustration.<br>
slide24. Chart 1: Referrals<br>
slide25. Results Chart 2: Body Weight<br>
slide26. Chart 3: Dietary Guidelines and Knowledge<br>
slide27. Chart 4: Preparing Meals and Cooking<br>
slide28. Chart 5: Fruit and Vegetable Consumption<br>
slide29. Chart 6: Physical Activity<br>
slide30. Summary Obesity and Diabetes is a serious public health issue.
Case Studies (see handout)
All groups’ knowledge of healthy eating improved (e.g. free sugars, fats and salt recommendations) based on test scores and comments within the class.
Over ten weeks two participants lost a stone and others lost four to six pounds in body weight achieving 5-10% weight loss.
The participants’ activity levels increased significantly which was achieved by a combination of interventions that promoted weight loss among other health benefits.
People were cooking foods using healthier methods and eating and drinking more desirably compared to pre-course data. In addition, their knowledge, understanding and skills improved over time. As a group, they felt less lonely and enjoyed the social element of the classes.
The nature of the course was flexible and person-centred in order to achieve better outcomes for the participants – this was an extremely successful approach for these groups.<br>
slide31. THANK YOU FOR LISTENING! Questions?<br>
slide32. Workshops 1. How do we increase referrals from clinician teams?
2. How do we mainstream courses to make them more sustainability?
3. Recommendations for future courses?
Eg. Provide one-to-one support pre-course for example, a consultation before the course starts to discuss barriers and motivations. By using motivational interviewing techniques and goal setting to help keep people on track.<br>