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Healthy Weight and Good Nutrition

Healthy Weight and Good Nutrition. Lydie Lawrence Public Health Programme Manager. The case for tackling obesity. Prevalence of obesity in England is one of the highest in Europe By 2050 the prevalence is predicted to affect 60% of adult men , 50% of adult women and 25% of children

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Healthy Weight and Good Nutrition

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  1. Healthy Weight and Good Nutrition Lydie Lawrence Public Health Programme Manager

  2. The case for tackling obesity • Prevalence of obesity in England is one of the highest in Europe • By 2050 the prevalence is predicted to affect 60% of adult men , 50% of adult women and 25% of children • Major risk factor for Type 2 diabetes, heart disease and cancer • Annual cost to the NHS in the city estimated £78 million in 2010, forecasted to reach £85 million by 2015

  3. The case for tackling obesity • Around 3,000 people die from heart disease and stroke attributable to overweight and obesity in South East Coast Area • National call to Action on Obesity: Health & Well-being Boards key to bring range of partners to tackle obesity • NICE guidance: working with communities to tackle obesity

  4. Estimated prevalence adult obesity in Brighton & Hove

  5. Prevalence of obesity by decile of deprivation 4-5 years (reception) 10-11 years (Year 6)

  6. Health and Well-Being Board Joint Commissioning Board Local Strategic Partnership Clinical Operations Group/Clinical Commissioning Group Healthy Weight Programme Board Preventing Obesity Life course approach Transforming the Environment Managing Obesity -treatment Improving data collection and analysis

  7. Pregnancy, early years : maternal obesity; breastfeeding; obesity guidelines health visitors Children, young people: nutrition and physical activity in breakfast /after school clubs; curriculum; Youth Champions Adults: promote active lifestyles, increase knowledge in good nutrition and cooking Supported by city wide Food Strategy to improve access to nutritious, affordable and sustainable food Good nutrition key to preventing diet related ill-health 50 food community activities: lunch/supper clubs; weight loss support; active lifestyles by voluntary and community based organisations. Focus on areas of inequalities and cultural differences. However, issue of food poverty: “nutrition recession” for certain groups of the population Prevention – life course approach

  8. Transforming the environment • Hot food takeaways study in proximity of secondary schools • School dining environment • Active travel • Access to leisure centres • Workplaces

  9. Management and treatment • Children’s clinics for complex weight issues • Community diet, nutrition exercise MEND • Shape Up; 1;1 clinics • Dietetics service at BSUH

  10. Data collection &analysis • Local data analysis on prevalence of childhood and adult obesity • Local data collection and evaluation to assess effectiveness of services, health outcomes

  11. Healthy Weight Programme Board • Commissioners • Providers • NHS primary care & secondary care • Public Health • Local Authority • Voluntary & Community Sector • Commercial Sector • Media/Communications

  12. New public health responsibility for the local authority unique opportunity for collaborative work to address the influences that contribute towards obesity planners, transport planners, environment health and licensing, healthy school teams and school meal teams KEY PARTNERS: VOLUNTARY AND PRIVATE SECTORS Collaborative work

  13. Where are the gaps? • Adult care pathways: limited service for complex and severe obesity resulting in increase in patients for bariatric surgery • Currently no reliable long-term local data on adult obesity. Not just the case in Brighton and Hove but nationally too. • Gap in local knowledge regarding malnutrition in older people

  14. Strengthening partnership working • Support from the Health and Well-being Board • Engagement from large retailers • local take-away outlets in proximity of schools to influence food preparations (takeaways study • Communities to tackle food poverty

  15. Development of a comprehensive weight management service for children and adults from primary through to tertiary care • Build on the work with the local community to identify and develop local venues for healthy weight and good nutrition linked programmes. • Consider the further development of schools as community hubs for promoting physical activity and healthy eating - improving community assets • Food issues in the city’s financial inclusion work

  16. Further develop the partnership with local leisure centre providers to increase local community participation • Strengthen the ongoing work with the local economic partnership to promote healthy eating and lifestyle to employees via the workplace.

  17. Outcomes • Reduction in prevalence of overweight/obese children from the NCMP dataset children aged 10-11 years • Increase the proportion of children and young people achieving the Chief Medical Officer’s recommendation for levels of physical activity including an increase in school based activity • Reduction in the prevalence of adults who are overweight or obese (estimated until the national data set is put in place) • Increase the proportion of adults doing at least 30 minutes of moderate physical activity per week. • An increase in the number of community assets linked to physical activity, cooking skills and healthy eating.

  18. Lydie.lawrence@brighton-hove.gov.uk

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