child obesity - overview of local programme for hertfordshire
TRANSCRIPT
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A Locality approach to Childhood Obesity: Hertfordshire
Prof Jim McManusDirector of Public HealthWith material from Piers Simey, Linda Mercy, David Conrad, Sue Beck, Irtiza [email protected]
LGA/ADPH Conference, 3rd February 2016
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Funding• 2012 – PCT total Child Obesity budget £20,000 (yes £20k) (not including
NCMP)• 2015
• Child Healthy Weight – £499k (Excluding NCMP)• Beat the Streets £100k• School Nurses £4.02m• PH funding to School Catering £100k• Full time nutritionist in School Catering £60k• Cycling Training and Support in Schools £60k
• Planning and Environment workstreams• Major physical activity programmes• Disabled Access to physical Activity £250k• Two district councils with major focus on Child Obesity and Stevenage• Share of £1m District Council Partnership Funding
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The Case for ChangeHealth needs assessment:
Generally better than national average However
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Trying to build a whole system approach
Schools need toHave a duty, not just an incentive, to collaborate and work with us
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What future?
• Study carefully the forthcoming Child Obesity Strategy
• Identify what can be done locally with reducing budgets
• Hope that national measures are taken• Continue whole system approach• Build more into planning, regulatory and
sustainable transport work programmes• Food and activity cultures work
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Key principles• Systems approaches• Proportionate Universalism and targetting of most affected
areas• The 6 Levels of public health – societal to individual• You don’t do a whole system approach to child obesity
with just kids
BUT A WHOLE SYSTEM APPROACH NEEDS NATIONAL ACTION TOO!
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Obesity Levels in Hertfordshire
–around one in five adults (22.0%: 2012-14)
–14.5% of children aged 10-11 (2014/15)
–7.3% of children of reception age (2014/15)
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Young people & families: broad & targeted support
• Whole school healthy eating• 40 primaries – Good Food Club• 40 families in Cookery Clubs
• BeeZee Bodies (aged 5-15):• 17 weeks; 80% completion rates• A third of families deprived• 398 children & families so far• High satisfaction levels• Meaningful lifestyle changes &
weight management
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Adult weight management schemes
• 10,359 residents referred to the programme so far: • free access to one course• for people who are obese
• Evaluation: (5,000+ people)• 62% completed the 12 week
programme – above national standards
• ⅔ completers lose 5%+ of body weight – a significant benefit to their health
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Men’s Weight Management • “Shape Up” with Watford FC
– Male focused, to increase uptake, following evidence
– Good results – • 3361 donuts “lost” by first cohort• 206 men started, ¾ complete• Half of completers benefit
significantly
– Potential for external funding
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Healthy Workplaces
• 56 businesses engaged (more than 50 employees in each)
• Broad focus– 248 Workplace health champions– 690 recipients of Mental Health First Aid
Training (lite & full training)• Lifestyle focus
– Linking to available services/opportunities• Next steps:
– Consolidate & extend into new businesses– Working with smaller businesses– Engaging key local partners over funding
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Good quality green space that residents want to use
So many benefits!
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Our proposed Indicators for monitoring progress
1. Trends in % overweight children aged 4-5 and 10-11, by District/Borough– Change from looking at small areas, with small
sample sizes
2. Trends in % adults overweight, by District/Borough– RETAIN
3. Trends in % adults who are inactive– Change from % meeting national recommendations,
focus on greatest benefits
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Good Food Club
• a programme that aims to inspire families to cook from fresh ingredients and try new foods
• The course is delivered by Hertfordshire Catering Limited and run by a team of specialist chefs.
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Innovation with Herts Catering Limited
• Good food club in 20 schools linked to Moshi Monsters: actions = rewards
• Adapting school menus
• Cookery school for children & parents
• ALSO: Beezee Bodies targeted family approach for overweight children & parents
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Kingsway Infant and Junior School, Watford• Lizzie, aged 10, took part with her grandmother
Dawn : “I really enjoyed this time cooking healthy food with grandma and I’m now feeling really happy about cooking more.”
• Kelly, took part in the scheme with her six-year-old son Luca: “I enjoyed learning how to hide fruit and vegetables in the recipes to make them healthier!”
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School Nurse Service
A named school nurse for every school; Who is visible; Who provides a bridge between schools and health services; Who promotes the health
and wellbeing and supports the health needs of children and young people in Hertfordshire
schools
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Key Principles• The service will be accessible to young people, parents and professionals
• The service’s purpose will be communicated and understood by young people, parents and professionals
• The service will ensure that stakeholders’ priority areas are reflected in service delivery
• The service will have clear and robustly embedded responsibilities in regard to the role of the school nurse
• The service will be responsive and adaptive to the needs of young people their changing usage of technology and communications methods
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Future School Nurse Service
