BARNSLEY HEALTHY WEIGHT ACTION PLAN 2006 UPDATE JUNE 2008 PRIMARY TARGET Halt the year on year rise in obesity among children under 11 by 2010 (from the 2002-04 baseline) in the context of a broader strategy to tackle obesity in the population as a whole (PSA) SECONDARY TARGET Halt % of obese adults 1.0 AWARENESS RAISING AND MARKETING To increase awareness and understanding of the health benefits of being an acceptable weight and of good nutrition and regular physical activity for weight control Actions When Lead agency / agencies Progress/Update Rating 1.1 To locally support the national cross government campaign by developing a communication strategy to raise awareness for both clinicians and the general public of the health risks of obesity and to promote and convey clear and consistent messages about the steps people can take to prevent obesity including children & young people. 1.2 To link marketing with other relevant work such as publicity associated with, for example, the BSARP action plan and the Food Strategy to raise awareness of existing services for activity, nutrition and obesity. 1.3 Each organisation to nominate a senior officer to champion obesity to ensure that obesity is embedded within other lead strategies and plans e.g. Barnsley Sport Active Recreation Strategy Pathways to Active Participation, Children & Young People Plan, Food Strategy. June 06 Fit for the Future (Media and Communications Manager) Fit for the Future (Media and Communications Manager) Communication strategy for clinicians and general public still to be produced. Currently targeting males between 50-65 who were overweight or obese (target group within Dying Too Young paper.) This is a pilot for social marketing process. Walking Festival, Pharmacy Public Health Campaign. Dec 06 All Needs priority action from HW Steering Group Barnsley Obesity Action Plan 2006 June 06 1
2.0 BASELINE DATA AND MONITORING To ensure data is available to provide a baseline measurement and to monitor progress Actions When Lead agency / agencies Progress/Update Rating 2.1 A performance management framework incorporating evaluation should be produced for the Healthy Weight Strategy and Action Plan and progress in achieving agreed milestones and targets 2.2 The Physical Activity Lead post within to coordinate the Healthy Weight Action Plan implementation supported as appropriate by Food Co-ordinator and Obesity Specialist Dietitian. 2.3 Primary Care to routinely collect BMI to enable local trends to be monitored. PRIMIS to help improve data quality and collection. 2.4 To audit BMI in patients on chronic disease registers coronary heart disease, diabetes, COPD & asthma should take place. 2.5 COMPLETED 2.6 Clinicians to use appropriate hospital admission data to identify those admitted due to obesity and refer appropriately. March 07 Healthy Weight Action Team Public Health, As part of QOF for certain groups Every 6 months Primary Care, PRIMIS Clinical Reference Group Primary Care, NICE guidance states that BMI s over 50 should be immediately referred for surgery Referrals being made into WeightWise Barnsley from consultants To be agreed Lead Physician, BHNFT Lead Physician not currently engaged in process. Analysis within Public Health ongoing. Red Red Barnsley Obesity Action Plan 2006 June 06 2
3.0 PREVENTION To increase the uptake and range of health promotion interventions that improve nutrition and increase activity in a number of settings Actions When Lead agency / agencies Progress/Update Rating 3.0.1 The Local Strategic Partnership, Local Authority and PCT to ensure that preventing and managing obesity is a priority for action through community interventions, policies and objectives e.g. supporting active lifestyles and the promotion of healthier foods and eating practices. 3.0.2 To identify different levels of competencies needed and levels of training required ensuring the workforce is able to deliver this agenda. 3.0.3 To develop the role of health trainers to promote consistent messages about activity and nutrition and incorporate awareness raising in relation to obesity 3.1.1 COMPLETED 3.1.2 To increase the number of 16+ participating in 30 minutes of moderate intensity physical activity 5 times a week. 3.1.3 To provide opportunities for all people in Barnsley to take the recommended levels of physical activity by developing and implementing a range of initiatives and programmes. 3.1.4 To ensure the sustainability of the Community Sports and Activity Development Programme. Dec 06 Awaiting for more information in relation to Health Trainers One Barnsley -Children & Young People s Strategic Partnership & Fit for the Future Barnsley MBC Barnsley PCT Senior Public Health Nurse Public Health Dietetic Dept, BHNFT Physical Activity Lead, Public Health, Dietetic Dept, BHNFT Voluntary Sectors Culture, Sport & Tourism LAA NI which includes Childhood Obesity. PCT Board adopted Food Strategy. Cabinet report on obesity under production Some work has been undertaken. Still gaps at community level 2 f/t, 2 p/t workers in post in the Dearne. Athersley, Hoyland and Lundwood posts to be advertised in March 08 This is a current target within LPSA II. The latest monitoring indicates that this is on target for successful achievement BSARP Working towards LPSAII target 5. Results due May/June 08 BSARP / BSAF Culture, Sport & Tourism, These posts are still heavily reliant on external funding. Red Barnsley Obesity Action Plan 2006 June 06 3
3.1.5 To extend the use of education facilities as a community resource for sport and physical activity, including out of hours use. 3.1.6 To work with sports and recreational activity sectors to deliver positive messages about healthy lifestyles Physical Activity Lead Education, Culture, Sport & Tourism, Physical Activity Lead, Dietetic Dept, BHNFT BSAF working towards economic development of the organisation which should eventually lead to sustainability. Position still fragile. The Extended Schools Consultant post has not been continued. Partnership working is being undertaken with physical activity partners. 3.1.7 To encourage investment towards green transport methods. Transportation, Representation now being made at Healthy Weight Action Team meetings 3.1.8 To provide training and support for Walk Leader volunteers and other volunteers. 3.1.9 COMPLETED Physical Activity Lead - Training is ongoing and numbers attending are good, however, ongoing support offered does not have a good uptake Red Barnsley Obesity Action Plan 2006 June 06 4
3.2 Healthy eating Actions When Lead agency / agencies Progress/Update Rating 3.2.1 To develop, implement and evaluate a food strategy in Barnsley that facilitates development aimed at tackling the main barriers to improving nutrition e.g. access, skills, knowledge and affordability of a healthy diet. 3.2.2 To update as required the Barnsley Food and Health Policy that contains evidence based guidelines on healthy eating for all age groups, including 0 5 policy, ensuring that all literature produced is consistent with current evidence. 3.2.3 COMPLETED 3.2.4 COMPLETED 3.2.5 COMPLETED Dec 06 (0-5 update expected beginning of 2006) Food Co-ordinator, Public Health, District Dietitian, Dietetic Dept, BHNFT District Dietitian, BHNFT The Food Strategy is almost complete. Paul Redgrave s comments now received. Final copy needs to be produced as a priority This document is now 12 years old but the 0-5 section was updated 2 years ago. Needs to be some clarity between Food and Health Policy and Food Strategy. Barnsley Obesity Action Plan 2006 June 06 5
3.3 Children & Young People When When Lead agency / agencies Progress/Update Rating 3.3.1 To encourage local support for the principles of the Children s Food Bill that aims to stop the advertising and promotion of junk foods to children and introduce a range of other positive measures to improve children s food, children s diets and their future health. 3.3.2 To implement the Breast Feeding Strategy which includes the training and education of breastfeeding peer supporters and health care workers to support and promote breastfeeding. 3.3.3 To support the implementation of Healthy Start (the reform of the Welfare food Scheme). 3.3.4 To promote initiatives in Early Year settings that encourages good eating habits (such as weaning parties) and physical activity. 3.3.5 To be able to deliver training for staff working in preschool settings on feeding the under 5 s as well as those in voluntary sector groups. 3.3.6 To support nurseries and child minders to obtain national quality assurance standards for nutrition Returns to Commons for debate in June 2006 Public Health/ Aiming for a 21:00 watershed on high fat/sugary food advertising. Also to promote cooking information in schools Midwifery, BHNFT Breast Feeding Coordinator, Children s Starts Centre/Sure Strategy has gone to the board and is awaiting approval. Breastfeeding Peer Supporters are on hold at the moment, but 100 have already been trained and are ready to be out in the community Late 2006 Health Visitors, Healthcare Professionals Audit has now been completed. Presentations have been delivered. Health Visitors, Dental Health, Children s Centres / Sure Start BSARP Programme under development December 2006 Dietetic Dept, BHNFT New service specification including under 5 s developed Barnsley Choices, Currently working with Barnsley Barnsley Obesity Action Plan 2006 June 06 6
3.3.7 To support schools to become healthy schools achieving the National Healthy School Standard. A whole school approach to encouraging healthy eating and habitual physical activity should be adopted by all schools in Barnsley in line with the Food in School toolkit. 3.3.8 To develop Healthy Early Years programme that dovetails with the Healthy Schools programme aimed at all early years settings 3.3.9 To monitor food provision (and take up of school meals) in all schools to ensure that it meets the nutritional standards set in May 2006. August 08 Healthy Schools Team LEA Governors of schools Senior Public Health Nurse FFF Food Co-ordinator LEA Education Catering Service, Nominated / contracted supplier of school meals service to individual schools Governors Choices (Children s Centres) to look at achieving healthy award 80% of schools achieved Bronze 46% of schools achieved Silver (National Equivalent) aiming to have approx 60% by July 2008 (national milestone 65% by Dec 2008) Gold Award launched Dec 2007 no schools achieved yet New specification developed 2 posts will shortly be advertised to look at school meals, this will consist of an advisor and also a marketing post to help reach the LAA target and take up of school meals September 06 - Food standards met by all schools September 08 - Nutrition standards met by all primary schools September 09 - Nutrition standards met by all secondary schools 3.3.10 COMPLETED 3.3.11 COMPLETED 3.3.12 COMPLETED 3.3.13 To achieve the national ambition of 85% of all school children 2008 LEA - School Sports SSCO programme Barnsley Obesity Action Plan 2006 June 06 7
taking part in 2 hours of high quality physical education. Co-ordinator Programme on target to achieve 3.3.14 To achieve the national ambition of 100% of all school children taking part in 2 hours of high quality physical education. 2010 LEA - School Sports Co-ordinator Programme SSCO programme on target to achieve 3.3.15 To introduce a training programme for lunchtime supervisors and April 07 Extended Schools Development teaching assistants to promote playground activities. Consultant process beginning 3.3.16 COMPLETED 3.3.17 To support and implement the new Dept for Transport (DfT) national standard for cycle training for children & young people. 3.4 Workplace 3.4.1 To develop initiatives that promote healthy eating in the workplace and increase the number of workplaces / establishments that obtain Food Award Barnsley (FAB). 3.4.2 To target employers to encourage and support staff to be more physically active providing physical activity opportunities. To be agreed Transportation Dept, Bikeability Partnership now been developed. This partnership has piloted the cycle training programme and accessed funding. Funding is now being sought for further years To be agreed Dietetic Department, BHNFT Physical Activity Lead, Fruity Friday is becoming a regular event. Within the NHS locally, there are now 30 fruit bowls in place within different departments. Uptake is good. Dietetic dept working on Food at Work Award Corporate memberships to local facilities have been developed. An event has taken place at Westgate to encourage staff to partake in healthier Barnsley Obesity Action Plan 2006 June 06 8
3.4.3 To promote cycling locally by providing information about the taxefficient cycle to work scheme produced by the Dept for Transport (DfT). 3.5 Individual focussed prevention 3.5.1 To promote physical activity (in accordance with NICE guidance on physical activity and to include supporting appropriate physical activity sessions for COPD) and healthy eating as standard components of longterm disease management care pathways. 3.5.2 To develop physical activity opportunities in accordance with NICE guidance on physical activity for people with long term health conditions exploring direct referral for those people with particular needs ensuring adequate opportunities are available to them. 3.5.3 To ensure that GP practices have access to regularly updated information on local opportunities for physical activity and healthy eating. 3.5.4 COMPLETED 3.5.5 To develop appropriately qualified instructors to deliver physical activity to those with long-term medical conditions To be agreed Physical Activity Lead, Transportation Dept, lifestyle activities. Work is being undertaken via the PCT travel plan to lobby HR department to endorse and implement scheme. will have this scheme in place within 6 months Clinical Reference Group Clinical Reference Group is now disbanded. Each prevention area now has its own group, i.e. CHD, etc. Jan 06 Physical Activity Lead - June 06 Physical Activity Lead Dietetic Department, BHNFT Physical Activity Lead, Physical Activity Resource is almost complete. Training days are being developed. Exercise referral programme still requiring funding Physical Activity Resource is almost complete. Appropriate instructors are being developed Red Barnsley Obesity Action Plan 2006 June 06 9
3.5.6 To ensure that the smoking cessation service provides advice on preventing weight gain (advice on physical activity and healthy eating) 3.5.7 To develop physical activity and healthy eating intervention for pregnant mothers to reduce infant mortality rates Dec 06 Smoking Cessation Service, linking with Obesity Specialist Dietitian and Physical Activity Lead Obesity Specialist Dietitian Physical Activity Lead Smoking cessation staff shortly to be undergoing National Stepometer Programme training Service specification developed Barnsley Obesity Action Plan 2006 June 06 10
4.0 MANAGEMENT & TREATMENT OF OVERWEIGHT/OBESITY 4.1 COMPLETED 4.2 COMPLETED 4.3 COMPLETED 4.4 To audit the use of Barnsley Obesity Referral Guidance regularly November 06 Dietetic Dept, BHNFT First audit has taken place and the referral pathway was deemed to be effective 4.5 To ensure that Weight Wise Barnsley is evaluated and practice adjusted accordingly to achieve maximum health benefits. 4.6 COMPLETED 4.8 To ensure that NICE guidance on the clinical management of overweight and obesity is implemented following its publication at the end of 2006. 4.9 To develop a more systematic referral procedure to obesity surgery services Dietetic Dept, BHNFT Project evaluated regularly 2007 Public Health, Progress underway March 07 Public Health, Need update Barnsley Obesity Action Plan 2006 June 06 11
ACTIONS COMPLETED 2.5 To build on the childhood information formic pilots. These will routinely collect weight, height and other core data recommended by DoH document (2006) on Measuring Childhood Obesity. 3.1.1 To implement effectively the Sport and Active Recreation Strategy with a view to increasing the number of children & young people taking part in active recreation for one hour per day and the number of adults reaching 30 minutes 5 times a week of moderate intensity physical activity. 3.1.9 To influence pricing policies e.g. Passport to Leisure to ensure that facilities and activities are socially inclusive. 3.2.3 To provide Balance of Good Health training for health professionals and the wider workforce including the voluntary and community sectors. 3.2.4 To maintain the Barnsley 5 A DAY programme that encourages increased consumption of fruit and vegetables as part of a balanced diet. 3.2.5 To promote & develop the Barnsley Food Network that provides an opportunity for people working on food issues to share information and resources, promoting and building on examples of good practice. 3.3.10 To produce a plan that recommends actions to address the recommendations made by the Children s Scrutiny Commission Inquiry on School meals and the role of healthy eating and addressing the issue of obesity and start to implement these actions. 3.3.11 To develop a play strategy alongside Pathways to Active Participation. July 06 and then annually School Nursing Service, Target for measurement of year 6 children over achieved to 2020 BSARP Sport and Active Recreation Strategy currently being reviewed and rewritten due to being at the end of its lifespan. March 06 BSARP Culture, Sport & Tourism, Physical Activity Lead PCT PTL rates are now introduced wherever possible On-going Dietetic Dept, BHNFT Many courses have already been delivered and the work is ongoing Sept 05 Community Dietitian 5 A DAY, Dietetic Dept, BHNFT CHD Clinical Network A dietetic assistant was still covering the programme Food Co-ordinator, Proving very successful. Now has 270 members September 06 Scrutiny Commission Joint Improvement Team (JIT) 2006 Culture, Sport & Tourism, Plan produced and when to Cabinet Oct 06 This has been developed and money is attached to develop actions within it. Progress is being made Barnsley Obesity Action Plan 2006 June 06 12
3.3.12 To achieve the national ambition of 75% of all school children taking part in 2 hours of high quality physical education. September 06 LEA - School Sports Co-ordinator Programme SSCO programme has overachieved its target 3.3.16 To review the implementation of school travel plans. Transportation Dept, Travel plans are produced in partnership with schools. 3.5.4 To develop appropriate walking guides to target sedentary individuals 4.1 To develop guidelines for the diagnosis and management of overweight and obese children and young people, which includes the development and implementation of a community based physical activity model. 4.2 To develop the capacity of school nurses to support overweight children & young people and their families by identifying and referring/signposting these children & young people to other agencies and offering appropriate advice and information to both young people and their families by being a point of contact. 4.3 To disseminate information and provide training on the adult obesity referral guidance to key health professionals/practitioners 4.6 To develop or identify appropriate training for health professionals and others to support people to manage and lose weight June 06 March 06 April 08 October 06 Transportation, Countryside, Culture Sport and Tourism, Physical Activity Lead, Physical Activity Lead, Dietetic Dept, BHNFT School Nursing Service, Dietetic Dept, BHNFT Fit for the Future Dietetic Dept, BHNFT Physical activity Lead, Pack of 6 walks developed Barnsley Fit Kids Club (BFKC) has been developed and is now being piloted Recruitment has begun for 6 support workers 5 main stream and 1 for acre. This will free up nursing time to further address childhood obesity issues GP s have been visited to make them more aware of adult obesity and referral guidance Training being delivered to people working with adults and children. Well received. Barnsley Obesity Action Plan 2006 June 06 13