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£500,000 scheme to help 600 tackle obesity


HALF a million pounds will be spent to encourage severely overweight people in Oxfordshire to change their attitudes to food, the Oxford Mail has learned.

Parents who tell their children to “finish everything on their plate” are doing more harm than good, according to NHS Oxfordshire.

And morbidly obese adults who grew up being told they could only have a pudding if they finished their main meal, will be taught to rethink their attitudes towards food as part of a new programme.

Last month, the Oxford Mail revealed one in four Oxfordshire adults were now classed as obese, a problem which experts believe will cost local health services £159m per year by 2015.

Now NHS Oxfordshire has called on the help of a team of experts, including psychologists and diet and exercise experts, to help overweight people as young as 16 battle their weight problems.

The trust will pay £820 per person for 600 of the county’s most dangerously overweight people to embark on the Oxfordshire Weightloss Lifestyle Service (OWLS).

Dr Mohgah Elsheikh, who heads the OWLS team, said most people had emotional reasons behind their over-eating.

She added: “For a lot of people it can be something which has been picked up from childhood.

“Many people also grew up being told to ‘finish what’s on your plate’, and lots of parents use food such as chocolate bars as a reward for good behaviour or for finishing their main meal.

“People also link food with emotions and eat when they’re depressed, sad or happy.”

Kate King, NHS Oxfordshire’s health improvement principal, said the service would only be available to people whose health was at serious risk because of their weight, and who had shown they could take ‘responsibility’ for their problem.

It is also hoped the service will discourage people from opting for weightloss surgery such as gastric bands and bypasses, which can cost up to £10,000 a time.

Ms King added: “Someone in this position is often stuck in their current behaviour and needs more intensive, professional support and help. The OWLS team has the expertise to help them get where they need to be.

“We all need to face up to obesity and tackle this serious health problem as the burden on the NHS is already taking its toll.”

A person is considered morbidly obese if they have a Body Mass Index of more than 40, putting them at a higher risk of cancer, heart disease, diabetes, and high blood pressure.

OWLS will be carried out in Oxfordshire’s leisure centres where doctors, specialist nurses, dieticians and psychologists will be on hand for support.

But Bryan Graves, from Cowley, thinks the scheme is a waste of money.

Mr Graves was told his five-year-old daughter Emily was overweight by the NHS in a school weight management scheme, despite her being just 1lb over the top ‘healthy range’ limit of 3 stone 4lb.

He said the new scheme was typical of the nanny state and added: “Half a million pounds is a lot of money. They should be spending the money on something much more useful.” The programme has already been used effectively by the NHS in Berkshire, and a team from the county’s health trust is now helping to roll out the programme here.

She added: “About a third of people who were on the course lost about 10 per cent of their body weight and nine out of every 10 people lost five per cent of their body weight.”

Morbidly obese Tony Roberts will embark on the OWLS service over the next few weeks. Mr Roberts had applied for weight loss surgery on the NHS, but was turned down despite weighing 25 stone and having a BMI of 51, along with a thyroid problem and diabetes. He decided to take the matter of his weight problem into his own hands and, over the last month, has lost almost a stone through careful dieting on the Weight Watchers programme. Mr Roberts said he agreed people had an emotional attachment to food. He said: “If you go back 20 or 30 years, strawberries were something you had in the summer. Now you can get them all year round. We are spoiled for choice. “We have got a very different attachment to food these days, you can have what you want when you want it.” The 52-year-old from Grimsbury, in Banbury,added: “Going back a good few years, to after the war, you ate whatever you were given and were told to eat the lot. “It is an attitude which still exists for many people. I think we have lost something in a way.”



Your Say YourOxfordshire

LadyPenelope, West Oxon says...
9:53am Tue 27 Jul 10

A complete and utter waste of money on something that is self inflicted, common sense, and personal choice. If you are fat and want to lose weight, then eat less and exercise more.
There are far more important things to be spending NHS money on.

BigAlBiker, Eynsham says...
9:58am Tue 27 Jul 10

Half a million quid to teach people not to eat? I'll have some of that please, what a waste of cash in these times of cutbacks, its easy really, close mouth at meal times, or if you have to eat then forget takeaway's, crisps, chocolate and try salad's, not big ones tho, half the plateful you would have had before.

Smokers and fatties, if you need NHS help because of your habits i would refuse it.

Grumpy09, Oxon says...
10:06am Tue 27 Jul 10

Send 'em to me...I'll wire their jaws shut for a fiver a head!!Yet another COMPLETE waste of money...I think I might just overeat to get my £820!

Floflo, Oxford says...
11:26am Tue 27 Jul 10

This is a good example of how investing money now can save much more in the long run. Obesity costs the NHS billions so better to try prevent it. Obesity is often a symptom of depression and is far more complicated than the implication of the same old tired stereotypes.
.
If we look to refuse treatment on the NHS what about other self inflicted ills. Would it be acceptable to refuse treatment for people who don't get 30 minutes exercise every day, people who eat lots of fast food, or simply people who have stressful jobs? These lifestyles are also associated with preventable illness and cost the NHS billions.

itsmick, Oxford says...
12:02pm Tue 27 Jul 10

Ludicrous. They can find their way to McD, KFC, Chip Shop, Sweets4U. Discipline begins at home. Ever see a fat prisoner ? Lock 'em up may be the answer. And cheaper.

RJOxford, Oxford says...
12:20pm Tue 27 Jul 10

"Parents who tell their children to “finish everything on their plate” are doing more harm than good, according to NHS Oxfordshire."

If my memory serves me right we had a nationwide advertising campaign not so long ago telling us "love food hate waste" and to not waste millions of pounds of food.

I was brought up to “finish everything on (my) plate” and am a little overweight, but I'm not 30-odd stone.

Green123, Witney says...
12:24pm Tue 27 Jul 10

I was also brought up to finish everything on my plate. The difference is that what is on my plate is home-cooked lean meat, potatoes and vegetables, not piles of fried, sugary, fatty junk food crap.

I have no sympathy with anyone who's grossly overweight for non-medical reasons. Eating less and moving more is really not a difficult concept and it's a disgrace that so much money is being spent on these people who have inflicted on themselves a lifestyle that leaves them unwell. You got into it yourself, you can get out of it yourself.

Niko Bellic, Liberty City says...
12:29pm Tue 27 Jul 10

Fact is, it takes many thousand calories a day to maintain a weight like these. Perhaps a takeaway Asbo... or FATbo... would be in order where if they want a meal they have to get up and cook something rather than calling in Jamals Kebab Emporium!

Lord Palmerstone, Weston Turville says...
3:27pm Tue 27 Jul 10

Floflo, always a dodgey argument, the cost one. A fatty who dies at 50 probably costs less than a thin dementia patient who lasts till 95.Essentially it's about a "nanny knows best" attitude. I don't think there's a branch of the NHS which does cost accountancy, for if there were they might have to lobby for cheaper fags.

Captain Birdseye, The North Sea says...
3:53pm Tue 27 Jul 10

BigAlBiker wrote:
Half a million quid to teach people not to eat? I'll have some of that please, what a waste of cash in these times of cutbacks, its easy really, close mouth at meal times, or if you have to eat then forget takeaway's, crisps, chocolate and try salad's, not big ones tho, half the plateful you would have had before. Smokers and fatties, if you need NHS help because of your habits i would refuse it.
Flawed argument mate seeming that people who after eating stick their fingers down their throats and end up weighing 4 atone as a result no only get millions thrown at them, but general sympathy too. So people that eat themselves to death, tough. People that sick themselves to death, ah poor things we should help them.

Floflo, Oxford says...
5:16pm Tue 27 Jul 10

Lord Palmerstone wrote:
Floflo, always a dodgey argument, the cost one. A fatty who dies at 50 probably costs less than a thin dementia patient who lasts till 95.Essentially it's about a "nanny knows best" attitude. I don't think there's a branch of the NHS which does cost accountancy, for if there were they might have to lobby for cheaper fags.
It's not about nanny knows best, it's offering support to those who need it.

NICE make recommendations based on, amongst other things, cost effectiveness.

Captain Birdseye, The North Sea says...
6:08pm Tue 27 Jul 10

Floflo wrote:
Lord Palmerstone wrote: Floflo, always a dodgey argument, the cost one. A fatty who dies at 50 probably costs less than a thin dementia patient who lasts till 95.Essentially it's about a "nanny knows best" attitude. I don't think there's a branch of the NHS which does cost accountancy, for if there were they might have to lobby for cheaper fags.
It's not about nanny knows best, it's offering support to those who need it. NICE make recommendations based on, amongst other things, cost effectiveness.
Yes Floey Luv. NICE do make these decisions like refusing life prolonging treatment because a person is not worth £20,000 a month. NICE they certainly are NOT.

Lord Palmerstone, Weston Turville says...
7:30am Wed 28 Jul 10

floflo the rationing body nice determines "those who need it" according to the mores of nice, i.e. nanny nice knows best. It's called authoritarian socialism.

LadyPenelope, West Oxon says...
8:09am Wed 28 Jul 10

Floflo wrote:
This is a good example of how investing money now can save much more in the long run. Obesity costs the NHS billions so better to try prevent it. Obesity is often a symptom of depression and is far more complicated than the implication of the same old tired stereotypes. . If we look to refuse treatment on the NHS what about other self inflicted ills. Would it be acceptable to refuse treatment for people who don't get 30 minutes exercise every day, people who eat lots of fast food, or simply people who have stressful jobs? These lifestyles are also associated with preventable illness and cost the NHS billions.
They already have help available - Weightwatchers, Slimming World etc... (and various other diet programs). Why should the NHS pay for something self inflicted which has such a simple solution??

The UK is flooded with information on diet and healthy eating.

Sid Hunt, says...
12:50pm Wed 28 Jul 10

Make doorways narrower.

Floflo, Oxford says...
1:53pm Wed 28 Jul 10

LadyPenelope wrote:
Floflo wrote:
This is a good example of how investing money now can save much more in the long run. Obesity costs the NHS billions so better to try prevent it. Obesity is often a symptom of depression and is far more complicated than the implication of the same old tired stereotypes. . If we look to refuse treatment on the NHS what about other self inflicted ills. Would it be acceptable to refuse treatment for people who don't get 30 minutes exercise every day, people who eat lots of fast food, or simply people who have stressful jobs? These lifestyles are also associated with preventable illness and cost the NHS billions.
They already have help available - Weightwatchers, Slimming World etc... (and various other diet programs). Why should the NHS pay for something self inflicted which has such a simple solution??

The UK is flooded with information on diet and healthy eating.
Do you every drink over the recommended max units of alcohol? Perhaps you smoke? Do you always eat 5 portions of fresh fruit and veg a day? Do you get enough regular exercise? Do you do any risky sport - maybe skiing?
.
If you answer 'yes' to any of these then any NHS treatment you need may be self inflicted. Should you be refused treatment for this reason?

Floflo, Oxford says...
1:57pm Wed 28 Jul 10

Lord Palmerstone wrote:
floflo the rationing body nice determines "those who need it" according to the mores of nice, i.e. nanny nice knows best. It's called authoritarian socialism.
So do you suggest the NHS has an unlimited amount of money available? Or maybe you object to 'authoritarian socialism.' do you suggest that the patient pays for all treatment instead?

Lord Palmerstone, Weston Turville says...
4:37pm Wed 28 Jul 10

So do you suggest the NHS has an unlimited amount of money available? Or maybe you object to 'authoritarian socialism.' do you suggest that the patient pays for all treatment instead?
It hasn't enough cash for the rationing body to sanction spending on its current bee in the bonnet. I think the patient does pay for all the treatment-it's paid for by direct and indirect taxation, isn't it? That taxation reduces the amount of GNP available to individuals so , effectively, they pay . This is a fairly benign manifestation of authoritarian socialism , but you might reflect that Cuba spends a lot on healthcare and keeps its political opponents in prisons run by the secret police.

LadyPenelope, West Oxon says...
8:18am Thu 29 Jul 10

Floflo wrote:
LadyPenelope wrote:
Floflo wrote: This is a good example of how investing money now can save much more in the long run. Obesity costs the NHS billions so better to try prevent it. Obesity is often a symptom of depression and is far more complicated than the implication of the same old tired stereotypes. . If we look to refuse treatment on the NHS what about other self inflicted ills. Would it be acceptable to refuse treatment for people who don't get 30 minutes exercise every day, people who eat lots of fast food, or simply people who have stressful jobs? These lifestyles are also associated with preventable illness and cost the NHS billions.
They already have help available - Weightwatchers, Slimming World etc... (and various other diet programs). Why should the NHS pay for something self inflicted which has such a simple solution?? The UK is flooded with information on diet and healthy eating.
Do you every drink over the recommended max units of alcohol? Perhaps you smoke? Do you always eat 5 portions of fresh fruit and veg a day? Do you get enough regular exercise? Do you do any risky sport - maybe skiing? . If you answer 'yes' to any of these then any NHS treatment you need may be self inflicted. Should you be refused treatment for this reason?
You're missing the point. The "treatment" for obesity doesn't require NHS intervention - it's simple exercise and eating less. The NHS should be for treating people with genuine illnesses that can't be cured on their own.

locodogz, bicester says...
9:52am Fri 30 Jul 10

Lord Palmerstone wrote:
So do you suggest the NHS has an unlimited amount of money available? Or maybe you object to 'authoritarian socialism.' do you suggest that the patient pays for all treatment instead? It hasn't enough cash for the rationing body to sanction spending on its current bee in the bonnet. I think the patient does pay for all the treatment-it's paid for by direct and indirect taxation, isn't it? That taxation reduces the amount of GNP available to individuals so , effectively, they pay . This is a fairly benign manifestation of authoritarian socialism , but you might reflect that Cuba spends a lot on healthcare and keeps its political opponents in prisons run by the secret police.
Wrong Lord P - "the patient doesn't pay for all the treatment". The populous may well fund the NHS but inevitably those individuals unfortunate to need prolonged (and/or expensive) treatment will take more out of the NHS than they have contributed.

With this piece of nonsense you rather duck Flo's question - i.e. that whilst you rail against the body that has to decide on the cost efficiencies of treatments (NICE) you fail to put forward any idea that would render such decisions unnecessary.

Love to hear more on your theory linking draconian regimes to per capita health spending? Perhaps you could explain where, for example, China, Sudan and North Korea fit into this rationale? Or maybe not......

fuzzywuzzy, oxford says...
11:40am Fri 30 Jul 10

The real problem here is modern society in my view. Modern technology means there is far more choice on tv, bigger and better games consoles than before, faster broadband speeds etc, etc, so adults and kids alike spend their time in front of a computer or tv screen. There are more and more choices of takeaway and the vast majority deliver so it's no real surprise that our population is getting fatter and fatter

Apu Nahasapeemapetilon, Kwik-E-Mart says...
4:32am Sat 31 Jul 10

LadyPenelope wrote:
Floflo wrote:
LadyPenelope wrote:
Floflo wrote: This is a good example of how investing money now can save much more in the long run. Obesity costs the NHS billions so better to try prevent it. Obesity is often a symptom of depression and is far more complicated than the implication of the same old tired stereotypes. . If we look to refuse treatment on the NHS what about other self inflicted ills. Would it be acceptable to refuse treatment for people who don't get 30 minutes exercise every day, people who eat lots of fast food, or simply people who have stressful jobs? These lifestyles are also associated with preventable illness and cost the NHS billions.
They already have help available - Weightwatchers, Slimming World etc... (and various other diet programs). Why should the NHS pay for something self inflicted which has such a simple solution?? The UK is flooded with information on diet and healthy eating.
Do you every drink over the recommended max units of alcohol? Perhaps you smoke? Do you always eat 5 portions of fresh fruit and veg a day? Do you get enough regular exercise? Do you do any risky sport - maybe skiing? . If you answer 'yes' to any of these then any NHS treatment you need may be self inflicted. Should you be refused treatment for this reason?
You're missing the point. The "treatment" for obesity doesn't require NHS intervention - it's simple exercise and eating less. The NHS should be for treating people with genuine illnesses that can't be cured on their own.
Just admit it Pen. You hate fatties, and can't accept they may have a medical problem.

Lord Palmerstone, Weston Turville says...
10:13am Sun 1 Aug 10

loco, my solution, since you ask, would be a popular vote on priorities. The results might not be very happy reading-I would personally vote to prioritise the treatment of working over non-working people- but it is the only rational way, given there's not enough cash for everything. The system we have now, where cash is spent on what the authority thinks is right, is a very bad way, as all would agree.

locodogz, bicester says...
9:15am Mon 2 Aug 10

Lord Palmerstone wrote:
loco, my solution, since you ask, would be a popular vote on priorities. The results might not be very happy reading-I would personally vote to prioritise the treatment of working over non-working people- but it is the only rational way, given there's not enough cash for everything. The system we have now, where cash is spent on what the authority thinks is right, is a very bad way, as all would agree.
Thanks Lord P – an interesting suggestion. Whilst I might stop short of prioritising social groupings (such as working/non-working) – feels a little too close to a ‘Logan’s Run-esque’ scenario – I’d certainly advocate, say, investment in dialysis equipment over gastric bands for those with a demonstrably sedentary lifestyle. Sadly I think a hypothetical debate as I can’t see any political party being bold enough to embrace what I fear could only be seen as a vote loser? No, they’ll toss that hot potato to some regulatory body…..

Comments are closed on this article.

27om02tony.jpg Tony Roberts being weighed by Ruth Titchener and Natasha Goswell

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