1. Childhood Obesity London Borough of Hammersmith & Fulham Royal Borough of Kensington & Chelsea Westminster City Council December 2015

2. Page 2 Purpose of the Childhood Obesity JSNA It: Gathers evidence about childhood obesity, its causes, extent and consequences enabling a shared understanding of the size of the local problem Identifies what we are doing now to support our residents Stimulates debate about what more we could or should do to support our residents to move more and eat healthier Provides a baseline for future measurement of the effectiveness of what we do

3. Page 3 Rates of childhood obesity Reception Year (4-5 year olds) Hammersmith & Fulham Kensington & ChelseaWestminsterLondonEngland % children overweight11.413.412.512.313 % of children obese8.99.610.710.89.5 Total20.323.023.223.122.5 Year 6 (10-11 year olds) Hammersmith & Fulham Kensington & ChelseaWestminsterLondonEngland % children overweight15.214.814.415.214.4 % of children obese22.421.325.622.419.1 Total37.636.140.037.633.5 Prevalence of excess weight by school year (NCMP 2013/2014)

4. Page 4 Over 1 in 3 children are overweight or obese in Year 6 (NCMP 2013/2014) Nearly 1 in 4 children are overweight or obese in Reception (NCMP 2013/2014) Rates of childhood obesity

5. Page 5 Costs of childhood obesity Overweight adolescents have a 70% chance of becoming overweight or obese adults In 2015, the treatment costs of obesity in London are estimated to be between £37 million - £195 million An obese child in London is likely to cost around £31 per year in direct costs which could rise to £611 per year if they continue to be obese in adulthood. This projection is likely to be an underestimate

6. Page 6 Tackling obesity is complex

7. Page 7 Predictors of childhood obesity Association between income deprivation affecting children and year 6 obesity levels by ward

8. Page 8 Ethnicity A: Reception B: Year 6

9. Page 9 The Tackling Childhood Obesity Programme – One system, three strands 9 Healthy Weight Services Environment Pilot 2.Whole council partnership to ensure that environment and facilities support newly learnt behaviours and identified needs Communications ASC FCS Planning Leisure Housing Transport Parks Legal 1. Provision of comprehensive services accessed by children and their families via recognised Pathways Education Health Care Voluntary Sector 3. Engaged communities tell us ‘what works’ for them Local agencies work together to deliver solutions Research, Evidence and Evaluation Informs Supports Retail Employers Private Providers NHS and other providers The overall objective of the programme is: To halt and reverse the rising trend in childhood obesity across the shared services area

10. AIM Whole system pilot to test community-level intervention model. Focused on small, highly deprived area. Targeted at children, young people, families and community settings. COMMUNITY APPROACH - GO GOLBORNE WWW.RBKC.GOV.UK/GOGOLBORNE KEY ACTIVITIES Themed social marketing campaign. Training and development. Consistent messages. Environmental improvements. Community development. KEY FEATURES Political support. Multi-level and multi-stakeholder participation. Large scale social marketing campaigns. Sound evidence base. Robust evaluation. SIX THEMES 5-a-day Active travel Sugar swaps Active play Snack check Screen time www.rbkc.gov.uk/gogolborne

11. Page 11 What can you do to tackle childhood obesity in your day to day work with children and young people?

12. Page 12 Young Adults (18-25s) and Students JSNA Purpose: investigate the needs for students and young people, in order to provide early interventions on issues which could develop into long term conditions Eating disorders Depression, anxiety and stress Sexual health Community safety – sexual assault, muggings Unplanned care

13. Page 13 Get involved 1.Service mapping 2.Share research 3.Service user interviews

14. Page 14 Jessica Nyman JSNA Manager jnyman@westminster.gov.uk