1. Healthy Weight Strategy for Nottingham: 2010-2020 Sarah Diggle Public Health Development Manager, NHS Nottingham City Chris Wallbanks Healthy Schools Manager, Nottingham City Council

2. Ground to cover today Rationale and content of the Healthy Weight Strategy for Nottingham –Vision –The issue –Our approach –What we are doing –Future priorities and development

3. Background to Strategy Development Child obesity strategy and action plan in place since 2008 - cross sector steering group Commended by the Child Obesity National Support Team in 2009. Recognised need for a single overarching strategy to address obesity in children, families and adults. Child Obesity Steering Group has become the Healthy Weight Strategic Group (HWSG). HWSG has developed a first draft of HW strategy

4. Vision of Healthy Weight Strategy to enable Nottingham citizens and their families to experience the benefits of being a healthy weight; for Nottingham to be a place where healthy lifestyles are the normal way of life and where every adult and child is able and motivated to make positive choices regarding nutrition and physical activity

5. Increasing weight Increasing Number Average 1990 91% below 98% below Whole population at risk

6. Evidence based approach “System-wide approach” Interventions to promote a healthy weight for everyone Reduce average weight in population (as well as support for those most in need) Action at : all levels and stages Intervene early

7. The case for intervening early 80% of children who are obese at age 10–14 will become obese adults Only 3 per cent of obese children have parents who are neither overweight nor obese Obesity rates double from Reception to Year 6

8. MISSION Healthy Weight for All AIM To increase the number and proportion of children and adults who are a healthy weight in Nottingham OUTCOMES - Reduction in CVD, cancer & premature mortality - Reduction in maternal & infant mortality - Improved mental well-being - Improved health & development of children contributing to better academic achievement - Reduction in health inequalities Child obesity will be reduced to 18%. Baseline 2006/07: 20% Reduce the proportion of overweight and obese adults to the 2000 average levels for England, 60%. Baseline 2007: 69% TARGETS Healthy Weight Strategy Save an estimated 2600 lives over the next 10 years (a 10% reduction in deaths) by achieving our 2020 healthy weight targets

9. Healthy Weight Strategy

10. Healthy Weight Strategy Framework for delivery

11. Environment Local Transport Plan – improving the walking and cycling infrastructure, reducing isolation, improving access to services, leisure, shops. School travel plans promoting walking and cycling Improving parks and open spaces and play grounds. Healthy Schools. Services Healthy Child Programme. Implementing Nutrition Standards for School Meals. Child measurement programme. Support delivery of 2 hrs high quality curriculum PE and additional 3 hrs sport Maximising impact of Healthy Children’s Centre standards on Healthy Weight Developing active leisure opportunities for children, families and adults. Developing frontline staff in skills on healthy eating and physical activity and healthy weight. Behaviour change Decade of Better Health campaign promoting Change4Life messages. Examples of: UNIVERSAL - Whole population prevention activity

12. UNIVERSAL - new developments Retail Planning Guidance Nottingham City Council Food Policy Sheriff’s Physical Activity Challenge Children/family focused Decade of Better Health campaign Baby Friendly Initiative in maternity and community health services Development of infant feeding strategy that incorporates maternal nutrition as well as nutrition for 0-5 years Introduction of HENRY training for all health visitors, support workers and children’s centre staff Workplace health

13. Examples of: TARGETED- Community based lifestyle interventions Children Active Schools Healthy Start Nutrition education and cooking skills for parents Pilot of proactive feedback for the Child Measurement Programme Families Active Families Programme Adults Physical Activity Referral scheme Walking groups Healthy eating courses. Children and parents taking part in Tiny Cooks delivered by Citihealth Public Health Nutrition team

14. Active Families – in action

15. TARGETED- new developments Analysis of maternal obesity data to inform future commissioning of appropriate services for pregnant and recently delivered women with high BMIs. Breastfeeding Peer Supporters for young mums. Expansion of Active Families to include Active Foster Families and session for families with children with disabilities. Fit for the Future – supporting inactive children through after school activities Healthy Community Centre Cafes Communities for Health Small Grants

16. Examples of: SPECIALIST- Weight management interventions Children and families Referral pathway developed Active Families on referral (2-4 years) Go4It! (5-13 years) Slimming World on Referral (14-15 years) Staff training on weight management Adults Slimming World on referral scheme. Guidance for working with pregnant women. Staff training on weight management. Medical and surgical services for the very obese.

17. Go4It!

18. SPECIALIST-new developments New Go4It site starts this month - Snienton Consultation with parents – inform commissioning of alternative service to Go4it! to give increased choice.

19. Challenges Raising the profile so healthy weight is seen as everybody’s business. Ensuring cross-sector workforce is equipped and skilled to raise the issue of weight in an effective and sensitive manner. Ensuring effective coordination and implementation of Physical Activity, PE and Sport Strategy for Children and Young People. Maintaining school engagement. Ensuring non-stigmatising interventions. Engaging and motivating families to adopt healthy lifestyles.

20. What next Consult widely on Healthy Weight Strategy Update the action plan to include adult interventions Consideration of Child Obesity Task Force to raise profile and address challenges

21. Healthy Weight Strategy for Nottingham: 2010-2020

22. Questions