1. Ontario Food and Nutrition Strategy Possibility Conversation Meeting #2
Ontario Collaborative Group on Healthy Eating and Physical Activity (OCGHEPA)
November 28, 2011

2. Agenda for this session
Welcome
Update on the work of the OFNS Design Team
Quick Huddle – Sense making
Conversation Cafe
Moving forward

3. What is the Vision for an Ontario Food and Nutrition Strategy?
A cross-government, multi-stakeholder coordinated approach to food policy development.

4. Vision – Long-term Outcomes
Safe, nutritious, affordable and accessible food for all Ontarians
Food skills and community development
Healthy eating throughout lifetime
Sustainable local food and agriculture businesses
Improved health economy, equity, environmental sustainability
On-going monitoring, measurement and evaluation
From draft logic model – could be discussed if they agree with the long term outcomes

5. What is the process that brought us here today?
Initiated by the Ontario collaborative group on healthy eating and physical activity (OCGHEPA)
A provincial collaboration of health professionals from non-profit, health and academic organizations dedicated to addressing population-based issues relating to healthy eating, physical activity, healthy weights and the determinants of health, including food access, availability and adequacy.
The Canadian Cancer Society acts as a secretariat for the group.
Our mission is to improve the health of all Ontarians by advancing healthy eating and active living initiatives through strategic partnerships, knowledge exchange and collective action. 
Our vision for 2015 is an Ontario that supports healthy eating and active living for all.
We envision Ontario becoming the healthiest province in Canada through an inclusive participatory approach that leverages the strengths, energy and resources of the various ministries within government and other important health partners and stakeholders.

6. Phase 1 - May 2009-September 2010 May 2009
OCGHEPA recognized the need for a more comprehensive approach in the area of food and nutrition to promote health and wellness in Ontarians.
Fall 2009 – Summer 2010
Preliminary meetings and research
September 2010
Created background document assessing functional areas of capacity
Several nutrition and physical activity programs and activities have been proposed and/or attempted in recent years but there has been a lack of an overall food and nutrition strategy for the province.
Programs and initiatives are currently offered by many different ministries and organizations within the province without the coordination of a broad based provincial action plan.
Improved linkages and more multisectoral planning through an overall food and nutrition strategy may improve the outcomes of all of these programs – that is a well nourished, healthier, more productive population, and lower health care and social costs.

7. Phase 2 – Dialogue – Sept 2010 to Present
Used results of Phase 1 analysis to identify specific priorities and recommendations.
Phase 2 report produced to generate and facilitate dialogue.
Recommendations discussed among Ontario government officials and staff as well as key health partners and stakeholders.
Bringing key stakeholders into the process and moving towards action
OCGHEPA is calling on the Ontario government to begin a cross-government coordinated approach in the area of food and nutrition to improve the health and productivity of Ontarians and lower the healthcare and social costs to the province.
Why - Ontario’s health care costs reached 46% of the province’s total operating budget – $44.6 billion - in By 2022, they are projected to reach 70%. Moreover, the number of Ontarians over 65, the most frequent users of the healthcare system, is expected to double to 8 million over the next 20 years. At the same time, childhood obesity has tripled since 1981 (Source: George Zegarac, Deputy Minister OMAFRA. Sparling Report, 2010).
An Ontario Food and Nutrition Strategy will have economic, social and health benefits.
At least 80% of premature heart disease, stroke and type 2 diabetes, and 40% of cancer could be prevented
through healthy diet, regular physical activity and avoidance of tobacco products. Cost-effective interventions
exist: the most successful strategies have employed a range of population-wide approaches combined with
interventions for individuals. Using these approaches, Canada has already made important gains in reducing
chronic disease death rates: WHO estimates that from 1970 to 2000, over 1 million cardiovascular disease
deaths were averted in Canada.
Source: WHO: Facing the Facts: The Impact of Chronic Disease in Canada
Facts on Chronic Disease:
Will affect 89% of all Canadians
Preventable
91% of diabetes
90% of cardiovascular disease
50% of cancer
Avoidance of morbidity
Quality of life
Reduction of health care costs - $180 B annually
Source: School of Public Health University of Alberta

8. Context for OFNS 8 International:
WHO’s global strategy on diet, physical activity and health
WHO European action plan for food and nutrition policy
UN Summit on Non Communicable Diseases 2011
National:
CSCC Pan-Canadian Nutrition Strategy Framework for Health Promotion & Chronic Disease Prevention
Healthy Canada Curbing Childhood Obesity
Canadian Agri-Food Policy Institute
Canadian Federation of Agriculture National Food Strategy
Conference Board of Canada – Centre for Food in Canada
Resetting the Table – A People’s Food Policy for Canada
Provinces:
BC ActNow!
Nutrition in Nunavut-a Framework for Action 2007
Healthy Eating Nova Scotia 2005
Eating Healthier in Newfoundland and Labrador 2006
Live well, be well New Brunswick’s Wellness Strategy
Ontario:
CMOH Healthy Weights, Healthy Lives 2004
MHPS HEAL 2005
Menu 2020 Ten Good Food Ideas for Ontario, 2010
Planning for Food Systems in Ontario, OPPA, 2010
OCDPA ‘Make Ontario the Healthiest Province’ 2011
Vote on Food, Sustain Ontario Election Campaign 2011
CDP Blueprint (CCO PHO)
PanAm Games 2015
Understanding where an Ontario-based Food and Nutrition Strategy fits in the larger context of food policies. What does Ontario based strategy add to the context? 8

9. Actors and Stakeholders
OFNS Design Team
Players suggested in the OCGHEPA OFNS Discussion Paper:
Ministries:
Aboriginal Affairs
Agriculture, Food and Rural Affairs
Children and Youth Services
Community and Social Services
Culture
Education
Environment
Finance
Health Promotion and Sport
Health and Long-term Care
Municipal Affairs and Housing
Food Industry and Businesses:
Canadian Restaurant and Foodservice Association
Alliance of Ontario Food Processors
Canadian Federation of Independent Grocers
Canadian Council of Grocery Distributors
Food and Consumer Products of Canada
Ontario Fruit and vegetable Growers Association
Ontario Federation of Agriculture
Christian Farmers Federation
National Farmers Union
Other potential stakeholders:
Green Prosperity
Ontario Association of Food Banks
Ontario Good Food Box Network
Vineland Research Group
Ontario Collaborative Group on Healthy Eating and Physical Activity:
Breakfast for Learning
Canadian Cancer Society-ON
Cancer Care Ontario
Canadian Diabetes Association
Dietitians of Canada
Heart and Stroke Foundation
Ontario Chronic Disease Prevention Management in Public Health
Ontario Ministry of Agriculture, Food and Rural Affairs
MHPS
OPHA-Nutrition Resource Centre
Ontario Society of Nutrition Prof in PH
Ontario Society of Phys Activity Promoter in PH
Ontario Physical and Health Education Association
Parks and Recreation Ontario
Sustain Ontario
U of Guelph, Human Health and Nutritional Science
U of Waterloo, Health Studies and Gerontology
OFNS Design Team:
Cancer Care Ontario
Canadian Cancer Society - ON
Dietitians of Canada
Heart and Stroke Foundation
Ontario Public Health Association
Ontario Professional Planners Institute
Ontario Tobacco Research Unit
Public Health Ontario
Sustain Ontario
Toronto Food Policy Council
U of Waterloo
York U
So far – Strategy is led by OCGHEPA – so really is a ‘health-focussed’ strategy, but to address the other components of food in ontario – need to work with the other players mentioned in the background document.
Consideration of how the strategy and group will engage with the Food industry partners listed? Other food partners to consider, eg. Convenience store owners association; Catering industry for hospitals/schools/universities/etc; hospitality industry? 9

10. DRAFT - Ontario Food and Nutrition Strategy, 2011
High level overview of components of an OFNS
Short-term Outcomes
Mid-term Outcomes
Long-term Outcomes
Outputs
Inputs
Capacities
1.Planning and management (of organizations, partnerships and relationships)
2.Research and innovation
3.Knowledge exchange and capacity building
4.Goal and objective setting
5.Advocacy and policy development
6.Program development
7.Communications
8.Financial transfers
9.Evaluation and learning
10.Surveillance
11.Performance monitoring and accountability
New provincial mechanism to address complex food system
Provincial policies reviewed for their impact on food system including diet
Systematized coordination between government and stakeholders for achieving food outcomes
Safe, nutritious, affordable and accessible food for all Ontarians
Provincial
Government
Indicators, data, information, analysis and dissemination
Food skills and community development
Provincial Legislation, regulatory changes, and programs to improve food content, safety, availability, accessibility, production, and sustainability
OFNS owned by Civil Society and stakeholders
Decreased availability and marketing of unhealthy foods and increased healthy foods
Healthy eating throughout lifetime
Policy, legislation, regulation, programming recommendations to support healthy, thriving food system
Sustainable local food and agriculture businesses
Legislation and regulation to support safe and sustainable food production
Industry, Agriculture, Stakeholders
Coordination between health, food production industry, agriculture and social systems
Improved health economy, equity, environmental sustainability
Recommendations for municipal and federal policy
Based on the Smoke Free Ontario logic model – very draft
Ongoing monitoring, measurement, and evaluation
Dietitians of Canada statement - Ontario needs a coordinated provincial food and nutrition strategy to improve the health and productivity of Ontarians and contain healthcare and social costs to the province caused by poor health.  
A Food and Nutrition strategy will also encourage and support a sustainable food and agricultural system, leading to food security and economic benefits.
HSF – shied away from health related outcomes and used a developmental approach and building capacity
Healthy Province – is on the political agenda
Bylaws – Tobacco had a map of Ontario showing jurisdictions as bylaws were enacted – we could ID food policies and follow a similar approach
Reduce reliance on rescue systems
Research
Equity and Life-course considerations
Ongoing monitoring, measurement and evaluation
DRAFT - Ontario Food and Nutrition Strategy, 2011

11. Moving Forward OFNS Taskforce
Our goal is to work with the Government of Ontario to create a Food and Nutrition Taskforce to enable a coordinated approach to delivering food policy priorities.
This taskforce would involve the participation of senior policy staff from all relevant ministries and key stakeholders from health, agriculture, environment, and business.
The taskforce would provide strategic cross-sectoral perspectives to advise on the development, implementation, coordination, monitoring, and evaluation of policy and legislation related to food and food systems.

12. Sense Making Does the idea of a Provincial Task Force make sense?
Are there better organizing approaches that we have not thought about yet?
Do we have agreement on the mandate of the Task Force?

13. Conversation Cafe Questions: 1. How do we get some energy behind this?
2. What can we start to work together on now that will have a quick impact?
3. Who needs to be involved/ who’s missing?

14. Next Steps
How do you want to see yourselves engaged in moving forward?
Who would like to join the design team/taskforce?
Next meeting

15. Acknowledgements…OFNS Design Team
Cancer Care Ontario – Rebecca Truscott
Canadian Cancer Society – ON – Florentina Stancu-Soare/Joanne DiNardo
Canadian Diabetes Association – Sharon Zeiler
Dietitians of Canada – Lynn Roblin/Leslie Whittington-Carter
Heart and Stroke Foundation – Carol Dombrow
Ontario Public Health Association – Cindy Scythes
Ontario Tobacco Research Unit – Cathy Mah
Public Health Ontario – Heather Manson/Michelle Murti/Mary O’Brien
Sustain Ontario – Ravenna Nuaimy-Barker
Toronto Food Policy Council – Lauren Baker
University of Waterloo – Rhona Hanning, Jessica Wegener, Ellen Desjardins
York University – Rod MacRae

16. Links For More Information
Canadian Agri-food Policy Institute
Canadian Federation of Agriculture
Canadian Partnership Against Cancer
Chair in Sustainable Food Production, U of Guelph
Chronic Disease Prevention Alliance of Canada
Conference Board of Canada – Centre for Food in Canada
Curbing Childhood Obesity – FPT Framework for Action to Promote Healthy Weights
Food & Health: Advancing the Policy Agenda – Workshop Report, March
Joint Consortium for School Health
Liberal Party National Food Policy ignatieff-commits-to-canadas-first-national-food-policy/
New Democratic Party (NDP) Canadian Food Strategy democrats-call-for-national-food-security-policy
People’s Food Policy Project
Public Health is Everyone’s Business, Dr. Arlene King, CMOH Report px
Sustain Ontario