Description of the contract
Hywel Dda University Health board has awarded a tender requirement for a service to provide weight loss and healthy lifestyle advice for its patients in all eight GP Practices. The cluster is looking to develop a combination of expertise within a multi-disciplinary team to provide a holistic approach to weight loss, enabling people to make lifelong changes.
The service will offer a range of services aimed to provide support with healthy food choices, increasing physical fitness with the benefit of having a medical review of physical health assessments and modification of medication. The aim is to educate, decrease weight, improve health and in particular, to decrease the need for medication with emphasis on long-term changes.
The objectives of the service are to provide:
Healthy Eating advice
Physical Fitness improvements
Education on other lifestyle changes (e.g., sleep and stress)
Medical supervision
Education to nurses in diabetes management and the way in which the service works
The service will be provided by a dedicated Multi-Disciplinary Team (MDT), preferably led by a Doctor and will work alongside and utilise the existing core community services available, e.g., Foodwise scheme, hospital dietetic team & National Exercise Referral Scheme.
The Doctor will oversee the programme & will adapt and tailor the programme to ensure best outcomes for each patient.
The Doctor will be responsible for overseeing the care of each patient and in particular with monitoring of medication, blood tests and general health of the patient with regards to their weight loss. The Doctor will not be expected to deal with chronic disease or acute problems that the patient may have that is unrelated to the service provided, as this will continue to be the responsibility of their own surgery/GP.
The MDT will:
provide healthy eating advice
be responsible for the care of the diabetic programme. This will be alongside extensive support and training by the Doctor to support and develop this role
work alongside the National Exercise Referral Scheme (NERS) to provide the exercise element of the programme
This service is designed to provide up to date knowledge and pioneering techniques for patient benefit. If at any time, the patient demand/ preference changes, the service will need to evolve quickly to meet this need.
The service will provide a service for motivated patients aged 18 and over with a BMI of 25 & upwards and registered within the GP Practices of the Amman Gwendraeth cluster.
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