1. Obesity work in East Berkshire 3 rd July 2014 Pip Collings – Public Health Nutrition Lead, Slough E A S T B E R K S H I R E PUBLIC HEALTH

2. Primary Prevention HEALTHY EATINGPHYSICAL ACTIVITY Early Years Examples Breastfeeding and Weaning advice Oral Health Promotion Fantastic Food Finders Walk & Talk Play schemes Schools Examples Food Awareness Week Mission Healthy Eating Good Fun Food Club Sports Partnerships After school clubs Let ’ s Get Going School travel plans Communities Examples Events eg Carers Week Health Fairs School Fetes Skyride Cycle hire scheme Jubilee River water sport facility E A S T B E R K S H I R E PUBLIC HEALTH

3. Treatment Programmes BMI 25-30BMI 30 +BMI 40 + Slimming World vouchers 1-1 with dietitian (with co-morbidities BMI 25) Weight off your mind Berkshire Weight loss Programme (with co-morbidities BMI 35) 1-1 with dietitian (six sessions over 6 months. Aim for 5-10% weight loss) Healthy Hearts Exercise on referral All interventions available Plus Berkshire Weight loss Programme (surgery + dietetic, and psychological support) E A S T B E R K S H I R E PUBLIC HEALTH

4. Healthy Eating Case Study Aims To tackle childhood obesity in primary school children To improve the nutritional quality of packed lunches and Promote school meals. Objectives To work with Primary Schools focusing on improving packed lunches. To provide education sessions to each school year to inform and inspire the pupils and parents to create balanced packed lunches. Method Survey of all pupil’s lunches before and after the project (Meal or No Meal) Healthy eating lessons from dietitians Song to teach the children about the food groups Each pupil set their own target for improvements Stickers and house points as a reward for pupils with fruit Tasty teas for parents including school meal tasting Packed lunch leaflets with ideas and recipes Assemblies

5. Evaluation of knowledge Key Stage 1Key Stage 2

6. Evaluation of behaviour School 1 2009/10 School 2 2010/11 School 3 2011/12 School 4 2012/13 Before After

7. Obesity work in RBWN Slimming World 67 Referrals from Oct 13, 66 lost weight, 27 lost 5% Breast feeding 26 mums supported from Jan –April (Dedworth Clinic) weekly 7 clinics in RBWM Community Dietician 830 Community events 8 events where healthy eating and weight management information given (incl.BMI checks)

8. Physical Activity work in RBWM SMILE  prevent trips/slips and falls in older people, improve balance, co-ordination and general well being. Prevent older people becoming isolated by offering activities in the Borough for over 50s 60s 70s & 80s.  3000 people a month  50 sessions a week offering;  Beginners Aerobics, Short Tennis, Gym, Chair based exercise, Short Mat Bowls, Circuit based class, Aerobics, Yoga, Ballroom Dancing, Walking and Pilates.

9. Physical Activity work in RBWM Fit for Life  aimed at 14+ to adults and families. Includes a range of sports/activities to encourage residents to try different activities and find sports/activities they want to continue on a weekly basis. Fire Fit –  to support 20 vulnerable children and families to embed healthy eating and physical activity practices into daily lives, and improve psychological wellbeing and self-esteem. School Sports Partnerships  RBWM has 2, Charters School and the second jointly hosted by Windsor Boys' School and Windsor Girls' School.