Decision Maker: Director of Public Health
Decision status: Recommendations Approved
Is Key decision?: No
Is subject to call in?: No
Weight management continues to be a priority
for Doncaster as the obesity statistics for Doncaster remains
unchanged and could potentially grow further. The impact of
increasing obesity levels (and associated long term conditions). on
health and social care services would be increased without low
level prevention and upstream approaches, and the longer term
impact on our increasing ageing population would need to be
factored in to the future planning of services and budgets.
The Fit Rovers health and wellbeing programme will compliment the
current healthy weight portfolio and provides a frontline
initiative for males and females around weight reduction and
behaviour change approaches in the absence of a Tier 2 weight
management service.
The current service has received some short term funding from the
Doncaster Clinical Commissioning group and previously a small grant
from the Sport England fund however those funds are now depleting
although some CCG funding will continue to support the marketing
and wider health benefits of the service and compliment the DMBC
grant as it will not meet the full service costs. The DMBC grant
will support delivery costs only for part year 2019/20 and the
funding for 2020/21 onwards will need further consideration in line
with finance planning going forwards in 2020/21 but there are no
formal commitments for this at this stage.
There is currently no alternative weight management service in
Doncaster other than the Tier 3 weight management service which is
a pre-bariatric service for the morbidly obese and therefore the
Fit Rovers service currently fills a gap in the lower level
prevention (tier 2) weight management services approach.
Current data from the programme demonstrates good uptake, retention
and outcomes from males and females and the large waiting list
(over 200) indicates the need and demand for such a service in
Doncaster.
For the reasons above there is currently no alternative service
available and if rejected the programme would inevitably have to
close and leave unmet need and add to a growing obesity epidemic
and further burden on health and social care services.
The Director of Public Health has already had conversations with
our Procurement team and finance to ensure that this meets our
corporate policy guidelines around grant agreements. The grant
agreement will be facilitated through our legal department
following sign off the ODR and conversations have already commenced
with that department.
It has been agreed by the Director of Public
Health in conjunction with the Portfolio Holder (Councillor Nigel
Ball) to provide a grant for 2019/20 (September 2019 -31st March
2020) to the Club Doncaster Federation to support implementation
and delivery of the Fit Rovers Health and Wellbeing programmes. A
grant of £30k would be paid in 2x £15k instalments for
2 periods (September to December 2019) and January –March
2020 respectfully based on performance reporting/ monitoring and
outcome data from the provider.
For the reasons set out above there is
currently no alternative service available and if rejected the
programme would inevitably have to close and leave unmet need and
add to a growing obesity epidemic and further burden on health and
social care services.
Publication date: 14/10/2019
Date of decision: 11/10/2019
Accompanying Documents: