1. www.torbay.gov.uk forward thinking, people orientated, adaptable - always with integrity. Active Schools and Communities Event, 9 th Feb 2015. Nutrition in Schools Workshop Mark Richards, Advanced Public Health Practitioner (mark.richards@torbay.gov.uk / 01803 207356)mark.richards@torbay.gov.uk

2. Nutrition in Schools Workshop: Brief Agenda 5 min presentation: lObesity and physical activity in children – the national/local pictures lHealth impacts of poor nutrition/lack of physical activity in school-age children lA practical example of the daily reality for many UK schools 10 min group work: lWhat are the barriers to improving nutrition for school-age children and how to address them (within school, community and family setting). 5 mins feedback from groups (3-4 main points) 10 mins open Q&A and group discussion. * All work to be captured on flip charts, typed and made available on Google drive

3. Prevalence of excess weight among children Measured via National Child Measurement Programme 2014/15 3 Child overweight (including obesity)/ excess weight: BMI ≥ 85 th centile of the UK90 growth reference One in five children in Reception is overweight or obese (boys 22.6%, girls 21.2%) One in three children in Year 6 is overweight or obese (boys 34.9%, girls 31.5%)

4. Prevalence of obesity among children Measured via National Child Measurement Programme 2014/15 4 Child obesity: BMI ≥ 95 th centile of the UK90 growth reference Around one in ten children in Reception is obese (boys 9.5%, girls 8.7%) Around one in five children in Year 6 is obese (boys 20.7%, girls 17.4%)

6. Obesity prevalence and deprivation National Child Measurement Programme 2014/15 – Year 6 children (Local Authorities in England) 6 Local authorities in England Child obesity: BMI ≥ 95 th centile of the UK90 growth reference

7. Physical activity among children Health Survey for England 2012 7 *Child recommendations for physical activity in CMO report 2011 – one hour moderate activity per day HSE reports at least 60 minutes of moderate to vigorous activity on all seven days in the last week Around two in ten children aged 5-15 years meet the government recommendations* for physical activity (boys 21%, girls 16%)

8. Physical inactivity among children Health Survey for England 2012 8 *Fewer than 30 minutes of moderate to vigorous activity on each day or 60 minutes or more on fewer than seven days in the last week Around four in ten children aged 5-15 years are physically inactive* (boys 39%, girls 45%)

9. The Torbay perspective National Child Measurement Programme 14/15 lParticipation rates good and higher than England values lThree year trends: lBoth overweight and obesity stats have marginally improved (bringing Torbay into line with England values). lOverweight at reception remains significantly worse than England value. lMeasurements indicate an increase in excess weight over school years. lMajority of schools following England values – seven outliers at reception. lNumbers reflect the national obesity epidemic: for example the 14/15 Torbay data includes approximately 340 obese children and 750 overweight children in R/Y6 (does not include Years 1-5). 9

10. Healthy Schools Pilot – initial learning from pupil questionnaires Quality of meals within home setting poor (high levels of sugary drinks, poor carbs, processed food, minimal fruit, vegetables and water). For many children 5-7 and 8-11 the only nutritious food eaten during the whole day / evening is that provided by school. For the vast majority of children 5-7 and 8-11 the only physical activity undertaken during the whole day / evening is at school. Playing outside and access of local green-space minimal. Significant presence of screen time in morning and evening. Small proportion of children having no regular breakfast or nutritional intake until school lunch (approx 18-19 hours) 10

11. Resources and Guidance #1 5 key food groups for children’s diets: lFruit and vegetables: vitamins, minerals and fibre. lMilk and dairy: calcium and vitamin A. lStarchy foods: potatoes, pasta, rice and bread (energy, nutrients and some fibre). lNon-dairy protein: meat, fish, eggs and beans (protein and iron). lFats: Good fat (unsaturated) comes in two forms, monounsaturated and polyunsaturated: examples include nuts and seeds, lean meat, avocado, tuna, salmon, mackerel and legumes. Needed for growth and development (particularly nervous system/brain in younger children). Guidance: l5-a-day (fruit and vegetables). lThe eatwell plate. 11

12. Resources and Guidance #2 Numerous free and charged resources covering nutrition and physical activity as well as connected activities such as growing, gardening, community greenspace (development and usage), outdoor learning and emotional health/well-being. Available through Public Health, Torbay Council. Nutrition (includes growing & gardening): lSchool Food Plan (DfE, DoH): Free resource covering latest standards, requirements, guidance, networks and providing multiple resources. Covers school meal content and take-up, dining room layout/experience and community & parental engagement. www.schoolfoodplan.comwww.schoolfoodplan.com lChange4Life: Free online resources and support materials for improved nutrition and physical activity in school, home and community. New focus on Sugar Smart (incl free app). www.nhs.uk/change4lifewww.nhs.uk/change4life lFood for Life, Children’s Food Trust, Focus on Food, School Food Matters: Whole school guidance covering food quality, leadership, training, education and environment. Includes award systems/kite marks. Paid but free resources available. 12

13. Resources and Guidance #2 lGrowing Minds (Collaton St Mary, Food 4 Life GOLD): Whole school approach to pupil healthy lifestyle and education through focus on nutrition and growing. Support package, site visits and Cooks Network available. Paid. lJamie Oliver’s Kitchen Garden Project: Online resources, recipes, training plans and support network www.jamieskitchengarden.org. Free/Paid options.www.jamieskitchengarden.org lTesco Farm to Fork: Supplier site and school visits, free resources and meal plans searchable by age group. www.eathappyproject.comwww.eathappyproject.com lGardening with Children: Online support resources and support materials for getting started with growing and gardening within school and at home. www.gardeningwithchildren.co.uk/school-zone/ www.gardeningwithchildren.co.uk/school-zone/ lLondon Flagship Schools: Practical case studies of success stories within schools focusing on nutrition, gardening and physical activity. www.healthyschoolslondon.org.uk www.healthyschoolslondon.org.uk lPupil Tuck Shops: Teaches pupils how to set up and operate a successful and healthy school tuck shop. www.pupilsprofit.comwww.pupilsprofit.com lThe Lunchbox Doctor: Lunchbox planners for all school ages and occasions. www.lunchboxdoctor.com www.lunchboxdoctor.com 13