North Lincolnshire In Shape Strategy It is recognised that in order to halt and reverse the current obesity trend, multi

component healthy weight programmes encompassing a range of initiatives from increasing breastfeeding rates, improving diets and making it easier for people to build more physical activity into their lives will be required. Many of these actions represent current work but may prove more effective with a new approach to implementation. However, some of the actions represent existing gaps in service provision and require immediate investment. Theme 1 Children - Healthy Weight, Healthy Growth Aim - To ensure that children are given the healthiest possible start in life, through working with families and carers in promoting healthy lifestyles before, during and after birth Objective 1. Provide support for overweight/obese pregnant women to make healthier lifestyle choices in relation to healthy eating and physical activity Develop a maternal obesity pathway in line with NICE guidance PH27 Dietary interventions and physical activity interventions for weight management Steps to Implementation What will success look like? % rates of overweight/obese pregnant women Timescale Lead/Partners

Public Health Specialist Midwife

before, during and after pregnancy 2. Infant nutrition and Breastfeeding: promote initiation and support continuation of breastfeeding and healthy infant nutrition Breastfeeding prevalence % women engaged % ?? Promotion of Unicef Baby friendly initiative Uptake rate?? Training staff & partners Deliver Healthy Start voucher scheme 3. Early years childcare settings support the healthy early development of children through the provision of active play and healthy eating teaching, policy and practice. MEND 2-4s Children s Centre staff Schools workforce including School Nurses Youth Workers Parent Support Advisors Dieticians Third and private sector. Health Visitors (HVs) Nursery Nurses Midwives

Breastfeeding strategy BABES programme

4.

Ensure that all schools support and encourage the healthy development of children, in line with the Healthy Schools Standard, through provision of healthy eating whole school food and physical activity teaching, polices and practice. NCMP Data collection and dissemination

Increase the uptake of free and paid school meals Cooking in schools Change 4 life 5 a day Healthy status - bespoke Free school meals Healthy pack-up guidelines

Brief intervention training obesity awareness teachers, carers etc

Theme 2 Promoting healthier food choices Aim - To make healthy eating easy, accessible and enjoyable, so that it becomes a natural way of life for everyone who lives, works and goes to school in North Lincolnshire Objective 1. More healthy options in convenience stores, large retailers, school canteens, vending machines and non-food retailers. Planning approvals Less consumption of high fat, sugar, salt (HFSS) foods, especially by children More consumption of fruit and vegetables and more people eating 5 A DAY, especially children 4. 5. Promotion of Change 4 life materials Healthy eating training Healtjy lunch boxes Cook and eat sessions Environmental Health Officers Steps to Implementation Healthy Options award What will success look like? Timescale Lead/Partners

2. 3.

Health Trainers School Catering staff Dieticians Families Information staff

workplace catering staff Planning Officers Third and private sector. 6.

Theme 3 Building physical activity into our lives

Aim - To increase levels of activity for all our population, by ensuring that enjoyable and accessible physical activity is available for everyone Objective 1. 2. 3. 4. Active travel Active play Factilities, infastrcuture, School Sport Leisure Centre staff School Travel Steps to Implementation What will success look like? Timescale Lead/Partners

5.

Advisors Playworkers Schools/ Youth Sports workers Planners/ Transport Planners Environmental staff Third and private sector.

6.

Theme 4 Theme 4: Creating incentives for Better Health

Aim - To increase levels of activity for all our population, by ensuring that enjoyable and accessible physical activity is available for everyone

Objective 1. 2. 3. 4. 5. y Provide training to public sector staff so that they are skilled in encouraging and supporting behaviour change among the population Create health enabling environments, for example through influencing planning and transport policy decisions. Healthy workplace awards Health checks Work to promote the availability of healthier food choices in public places. Work with employers to promote healthy work places and education providers to promote healthy schools and colleges Provide training to public sector staff so that they are skilled in encouraging and supporting behaviour change Active travel Active play Factilities, infastrcuture,

Steps to Implementation

What will success look like?

Timescale

Lead/Partners

Leisure Centre staff School Travel Advisors Playworkers Schools/ Youth Sports workers Planners/ Transport Planners Environmental staff Third and private sector.

y y y

among the population

6.

Theme 5 Personalised advice and support Aim - Provide targeted advice and support to individuals and communities to help them maintain a healthy weight, by developing appropriate referral pathways and providing relevant information Objective 1. Provide targeted advice and support to individuals and communities to help them maintain a healthy weight, by developing appropriate referral pathways and providing relevant information Use the commissioning process to ensure the provision of evidence based and cost effective stop smoking support tailored to local needs NHS Choices website Steps to Implementation What will success look like? Timescale Lead/Partners GPs Pharmacists Dieticians Practice Nurses Specialist Secondary Care staff e.g. psychologists

staff in nonclinical settings, providers of weight management services and staff training Third and private sector. 2. Build capacity among local services and within their staff/practitioners to increase their understanding of their role to provide personalised healthy weight advice. To support them in being empowered to fulfil this role. Use the commissioning process to ensure the provision of evidence based and cost effective stop smoking support tailored to local needs Increase the numbers of overweight and obese individuals being able to access appropriate advice and services. Teengage, mental health pathway? Provide targeted advice and support to individuals and communities to help them maintain a healthy weight, by developing appropriate referral pathways and providing relevant information Increase the numbers of overweight and obese individuals being able to access appropriate advice and services.

3.

Increase awareness of the links between malnutrition, overweight and obesity and health status, with a view to increased access for the population of Ealing to appropriate advice and information on healthy weight.

Build capacity among local services and within their staff/practitioners to increase their understanding of their role to provide personalised healthy weight advice. To support them in being empowered to fulfil this role. 4. 5. 6. PHSE

How we achieve our actions Focusing on children and young people but also recognising the needs of adults and the importance of their roles as parents and individuals in their own right Further focusing on specific disadvantaged groups, in specific localities and addressing their specific needs, based on interpretation of local data

Developing our understanding of the barriers to change facing groups in the community, for example disadvantaged groups, minority ethnic communities, disabled people and those experiencing mental health problems Enabling and empowering people to take more responsibility for their own health and recognising that change will occur when community and interest groups are directly involved in and influence community health programmes Working with communities, and developing effective communication with the public and patients Helping to embed skills-based programmes in public, private, voluntary and community sector services Applying NICE Guidance on care for children and adults and developing a long-term approach involving the family Analysing and tackling gaps in implementation and resources and pursuing long-term, sustained and co-ordinated interventions which embed healthy approaches, avoiding fragmentation and only supporting short-term projects as first steps Reviewing existing initiatives and their evaluation and monitoring practices and sustaining, embedding and publicising those which provide an evidence base of measurable, visible change Doing things differently, prioritising innovation and a systems-wide approach, recognising that health is a societal and economic issue Influencing stakeholders in all sectors, including the voluntary, community and private sectors, to make healthy weight a priority and foster a consortium approach to partnership working Working jointly, integrating work on physical activity and food and joining forces on planning, licensing, transport, environment and sustainability issues Delivering a long-term strategy for Leicester that is informed, innovative and driven by local circumstances and needs, with an in-built flexibility to respond to trends and emerging evidence and to consistently re-address barriers Developing an initial action plan for 2009/10, follow Governance and Leadership Health and well being boards, obesity steering group