Transcript powerpoint

Improving the wider social determinants of
health in Sunderland through the
Lifestyle, Activity & Food programme
Julie Gray, Head of Community Services, Sunderland City Council
Victoria French, Wellness Manager, Sunderland City Council
Our Challenges
Sunderland's Challenges
• Average health is poorer than across
England
• 11 of 25 wards ranked within the 10%
most deprived nationally
• 16.6% aged under 65 suffer from a
long term limiting illness or disability
• Only 20.03% of adults are meeting
national guidelines of 3 x 30 min
physical activity each week
• Lifestyle behaviours, smoking, diet &
alcohol consumption are poorer than
the average for England
• Many illnesses GP’s see every day
are preventable
Where are we in Sunderland ?
• 68,300 children & young people between the ages of
0-19
• Anticipated over 20% of children and young people in
Sunderland will need some form of additional help to
enable them to:
–
–
–
–
–
be healthy
stay safe
enjoy and achieve
make positive contribution
achieve economic well-being
The Childhood Obesity Challenge
• Gradually seen as a government priority
• National targets have been set - halt the
year on year increase in obesity among
children under 11 by 2020
• 2005 National Child Measurement
Programme (NCMP)
• measuring children entering
reception year (aged 5)
• measuring those in their final year
(yr 6) of primary school (aged
10/11)
• Measurements included for both their
height & weight, allowing calculation of
the child’s BMI score
In Sunderland…
• NCMP 2006/07 indicated:
– 12.4% of reception year children and
– 21.4% of year 6 children
– ARE OBESE AND OVERWEIGHT
• Worst case scenario….. but a possibility:
– first generation coming through with lower life expectancy
than their parents
Our Solutions
Raising to the challenge
• Strategic focus given to:
– community cohesion
– tackling health inequalities
– improving public health
• Achievable through the delivery of services in
communities with the most pressing challenges
• Tackling obesity is a priority indicator within LAA
Where were we …
• Organisations
working separately to
try to tackle health
inequalities that exist
• Developmental, pilot
based work,
dependent on short
term money
• Parallel to strategic
work
Where we moved to…
• A commissioning
relationship between
Sunderland City Council,
STPCT and City
Hospitals
• Recognition of the need
to work together
• Shared agendas –
reducing inequalities
• Agreed joint ways of
working
• Joint delivery of services
Lifestyle Activity &
Food Programme (LAF)
• Multi agency, multi component
– City Hospitals Dietetic Department
– Sunderland's Wellness Service
– Sunderland's Food In School Team
• Families referred in by Consultants, GP’s & School
Nurses
• 5-16 year olds and their families
• 8 week programme
– (weekly 1hr physical activity, 1hr education)
• Delivered in non clinical environments
– leisure centre's, community venues
• Delivered in a fun interactive manner
Aims and objectives of LAF
• Not a diet programme !
• To support identified overweight and
obese children and their families
• Increase child and family physical
activity levels
• Decrease sedentary behaviour
• Improve understanding about healthy
eating
• Improve understanding of weight
maintenance
What about prevention ?
• LAF Programme targeted intervention
• Food In Schools team
– Provide nutritional training
for school based staff
– Provide training to
lunchtimes supervisors to
make the lunchtime
experience more fun
– Deliver family learning
activities to increase skills
on healthy cooking
Our Impact
Impact so far…
• 8 programmes
• Supported 91 young people &
their families
• Data collected identifies an
average weight loss between
1- 3kgs
• End of the programme 85% of
young people and their families
report an :
– Increase in their physical activity
levels
– Increase in fruit and vegetable
consumption
– A reduction in sedentary behaviour
Impact so far…
No. of
recruits
attended
No. of recruits
that
completed
Oct - Jan 06
11
July – Aug 07
July – Aug 08
Programme Dates
Av.
weight lost
Av. waist
circumference
lost
Av .BMI lost
6
-2.32kg
-4.0cm
1.37
14
12
-1.5kg
-9.16cm
0.72
17
17
-0.32kg
-3.57cm
0.96
Robert – Before and after
lost 19.05kg & 9cm from waist over a 10 month period
“I always eat breakfast now, lunch includes fruit &
vegetables. I am a lot more confident I don’t feel as
though people are looking at me all of the time.”
Louise – Before and after
lost 6.0kg and 9cm from waist over a 3 month period
“ I feel much better in myself and I’m not teased so
much at school”
The wider impact
“Since joining LAF Roberts
confidence has shot through the
roof he used to miss out on a lot of
activities know he doesn’t miss a
thing. As a whole family our diet
has improved I have lost 12lbs
myself, we also exercise regularly
we couldn’t have done it without
The LAF Programme.”
Roberts parent
Conclusion
• Success only achieved
through collective action
• LAF is an example of a
shared vision working
• We believe Sunderland
is an exceptionally
innovative authority with
a clear and mature
vision for tackling health
inequalities as part of
our approach to
improving the wider
social determinants of
health
Thank you
[email protected]
[email protected]