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RFID Antenna Solutions - Mobile Mark

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Key issues• There is not currently a complete local healthy weight care pathway inplace (from prevention, including aspects such as planning andtransport, through to tiered weight management support at differentlevels and bariatric surgery assessment and intervention). NHStransition will require an effective partnership approach to ensure sucha pathway can be established and competing priorities will need to beaddressed to access an appropriate level of investment.• Adequate capacity to address elements.Recommendations for consideration by commissionersObesity• Commission Tier 2 and Tier 3 adult weight management services toensure a complete healthy weight care pathway.• Commission healthy weight services for women before, during andafter pregnancy and agree a body mass index (BMI) threshold which isconsistent with all three trust providers to trigger consultant led care.Physical activity• Improve participation in physical activity, particularly in groups whereuptake is lower (females, post 16 drop off, older people, and peoplewho are classified as being from poorer socio-economic groups).• Lack of physical activity services for patients with long term conditions.• The need for primary care to screen all adults (16years+) for physicalinactivity and signpost to appropriate interventions.Commission adequate capacity to ensure that services can deliver support forthe risks associated with obesity and physical inactivity as identified throughNHS Health Checks.1) Who is at risk and why?Obesity• It is well documented that people who are overweight and obeseincrease the risk of a range of diseases that can have a significanthealth impact on individuals. Obesity is associated with type 2 diabetesand hypertension - which are major risk factors for cardiovasculardisease and cardiovascular related mortality. Obesity has also beenassociated with cancer, disability and reduced quality of life, and canlead to premature death.• The lifespan of an obese person with a BMI between 30 and 35 is twoto four years shorter than that of a person of normal weight. The gapincreases to eight to ten years for those who are severely obese (BMIof 40-45), mirroring the loss of life expectancy suffered by smokers.(Prospective Studies Collaboration, 2009).2

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