Worcestershire Obesity Plan 2013 - 16

1. Worcestershire Obesity Plan 2013 - 16

2. Context: Health and Well-being Board priorities • Relevant across age groups to large numbers of people; • Related to major causes of illness and death, and requiring major health and social care spend; • Requiring transformational change to improve outcomes; • Requiring strong leadership, and co-ordinated action across organisations and wider society to achieve change.

3. 115,900 adults in Worcs. obese; 162,433 adults are overweight; Over 50% of our adult population.

4. Cardiovascular diseases • Type 2 diabetes • Musculoskeletal disorders (especially osteoarthritis) • Some cancers (endometrial, breast, and colon) • Reproductive & urological problems • Respiratory disease • Gastrointestinal and liver disease • Psychological & social issues

5. Headlines from the Obesity Needs Assessment Adults Bulls-eye of Obesity Interventions 512 1,272 7,444 115,990

6. Scale of Childhood Obesity in Worcestershire 11,357 obese 5 – 14 years; 9,422 overweight. 1 in 4 start school overweight or obese; a third by year 6.

7. Childhood Obesity • Adult obesity • Premature death and disability in adulthood • Respiratory disease • Fractures • Hypertension • Early markers of cardiovascular disease • Insulin resistance • Psychological effects

9. Headlines from the Obesity Needs Assessment Children’s Bulls-eye of Obesity Interventions 81 676 1,908 11,357 20,779 *This was delivered in conjunction with the National Child Measurement Programme

10. Aim A: empowering individuals to take responsibility for their own and their families diet and physical activity habits: • Deliver a programme of targeted social marketing campaigns; • Focus on information for pregnant women and new parents; • Skills development among at risk groups; • Increased access to entry level physical activity; • Scale up training for front line staff to deliver brief interventions.

11. Aim B: tackling the obesogenic environment • Work with planners to develop a core evidence base on physical activity, food, and health; • Work with transport departments to ensure active travel is prioritised across the County; • Develop HIA for use in all types of Council decision-making; • Work with local businesses to increase sign-up to the Responsibility Deal; • Work with schools to increase physical activity levels of children; • Work with institutional settings to improve nutritional content of food.

12. Aim C: developing a healthy workforce • Increase number of local businesses signed up to Worcestershire Works Well; • Work with local employers to improve nutritional content of food served in canteens; • Undertake a programme to increase physical activity levels of staff of large public sector organisations; • Support development of flexible working and facilitation of physical activity within the working day.

13. Aim D: developing robust care pathways • Review current care pathways for obese adults and children; • Ensure routine health interventions robustly address obesity, diet, and physical activity; • Scale up delivery of brief interventions, and sign-posting across all agencies, including social care and VCS.

14. Next steps • Forming an Obesity Action Group to develop a detailed operational plan; report to Board 13/14; • Plan to have clear line of accountability and a timescale for implementation; • Progress to be measured through HWB Strategy indicators such as b/f rates, childhood obesity, and physical activity; • Shaping a new approach to obesity based on personal responsibility; creating a healthy environment including in the workplace; and having robust treatment for those who need it.