Transcript Slide 1

Reducing Childhood
Obesity: Work Towards
the LAA Target in
Walsall
Obesity Prevalence in
Walsall
Ref
Description
Current
position*
2009-10
2010-11
RAG Rating
VSB09_05
% of Children in Reception with Height & Weight Recorded
who are Obese (also a CYPP target)
9.3
11
11
GREEN
VSB09_12
% of Children in Year 6 with Height & Weight Recorded
who are Obese
22
20
20
RED
LAA
% of Children in Year 6 with Height & Weight Recorded
who are Obese
22
18.8
18.6
RED
Reducing Y6 obesity is a partnership priority and a target in all of the
following:
• Local Area Agreement
• Children and Young People’s scorecard
• Vital Signs
• World Class Commissioning
….and identified as a JSNA priority area
Obesity in Reception Children
PCT
Obese
Overweight +
Obese
Warwickshire PCT
7.50%
19.80%
Solihull Care Trust
8.80%
21.30%
Dudley PCT
9.00%
23.70%
Herefordshire PCT
9.00%
23.70%
Shropshire County PCT
9.20%
24.00%
NHS Walsall
9.30%
20.60%
Worcestershire PCT
9.40%
23.60%
England
9.60%
22.80%
North Staffordshire PCT
9.60%
23.90%
South Birmingham PCT
9.60%
22.80%
South Staffordshire PCT
9.80%
23.40%
Coventry Teaching PCT
10.60%
23.40%
West Midlands SHA
10.60%
23.30%
Birmingham East & North PCT
10.70%
22.90%
Wolverhampton City PCT
11.50%
25.90%
Telford & Wrekin PCT
11.70%
28.30%
Heart of Birmingham Teaching PCT
11.80%
22.30%
Stoke On Trent PCT
12.10%
25.50%
Sandwell PCT
12.90%
26.20%
• NHS Walsall has lower
YR obesity levels than the
national and regional
average
• Focus clearly needs to be
on school age children
• Development of services
for 4-7 year olds in 2009
and targeted work for
prevention and treatment in
Y4 aged children
NCMP Participation Data 2008/09
PCT
Overall Participation
rate
NHS Walsall
97%
South Birmingham PCT
96%
Dudley PCT
96%
Sandwell PCT
96%
South Staffordshire PCT
93%
Telford & Wrekin PCT
93%
Shropshire County PCT
92%
Stoke On Trent PCT
92%
Wolverhampton City PCT
92%
Heart of Birmingham Teaching
PCT
92%
England
90%
North Staffordshire PCT
90%
Coventry Teaching PCT
90%
Worcestershire PCT
88%
Warwickshire PCT
87%
Birmingham East & North PCT
87%
Herefordshire PCT
85%
Solihull Care Trust
81%
• Overall participation rate highest in
WM
• Increased participation year on year
since 2006/07
• Halved opt out and absence rates
from 296 children (07/08) to 142
children (08/09)
•NCMP IC modelling explains that a
10% increase in participation results
in a 0.6% increase in prevalence in
Y6 aged children.
Year 4 Proactive Calls
• Uniquely Walsall now measure and feedback to Year 10 and Year 4
children
• Pilot January – February 2010
• 25% of parents contacted did request further support from a
service
• 33% of these are now attending a weight management service
• Proactive phone calls to Y4 children identified as being overweight or
obese from April 2010
Actual vs. Predicted Performance on Vital Signs Obesity
Targets. Positive numbers denote a performance that is
‘better than predicted’.
PCT Name
% prevalence of
childhood obesity at
reception age, 2007/8
% prevalence of
childhood obesity at
year 6 age, 2007/8
PCT Ranking ‘better than
predicted’
performance for
yr6 obesity
Solihull Care Trust
0.02
2.65
1
Stoke On Trent PCT
1.57
2.39
2
NHS Walsall
1.79
0.95
3
South Birmingham PCT
1.31
0.24
4
Dudley PCT
-1.07
0.13
5
0.6
0.09
6
Coventry Teaching PCT
-0.62
0.03
7
Herefordshire PCT
-0.35
-0.14
8
Heart of Birmingham Teaching PCT
0.7
-0.18
9
Sandwell PCT
0.44
-0.22
10
Telford and Wrekin PCT
-1.54
-0.48
11
Worcestershire PCT
0.11
-0.58
12
Wolverhampton City PCT
-1.43
-0.89
13
Warwickshire PCT
0.62
-1.32
14
Shropshire County PCT
-2.43
-1.51
15
North Staffordshire PCT
-1.47
-1.8
16
South Staffordshire PCT
-0.08
-1.9
17
Birmingham East and North PCT
Prevention and
Universal
Proposed Childhood (Age 0 to 16 years) Overweight and Obesity Care Pathway
Change4Life
Advisor Service
Healthy Start
Vouchers for fruit
and vegetables
1:1 Support: dietician,
endocrinologist, paediatrician,
PA specialist, drugs, surgery*
Health awareness
sessions for Y4
children in schools
delivered by Walsall
FCCP, Walsall
Council and WM Fire
Service
Physical Activity
Team: CAP specific
Physical Activity
Advisors, Family Fit
sessions, Active
Clubs training.
Walsall Active Youth:
: Specialised
sessions and
programmes e.g.
Skillz4Sport,
Community
Lifestyles, etc
Partnership work to
promote Active
Travel to school and
use of Greenspaces
Level 3:
Multidisciplinary
Approach
Supports families
before and after
more intensive
weight
management
programmes to
ensure behaviour
changes are long
term.
Level 2: First Line Weight
Management for children age 0 to
16 years
Overweight
and obese
children in
Bentley aged
4-7 years.
Maternal and EY
Pilot: Focus: food,
activity, breastfeeding,
weaning family
wellbeing. Minimise
weight gain during
pregnancy. Mothers
and children aged 0-2
years.
Early Years
Intervention:
children at risk of
being overweight and
obese. Aged 2-4
years.
Make it
Count
Prevention
and treatment
programme
for 4-7 years.
8-16 Treatment
Service
Overweight and
obese treatment
service for children
aged 8-16 years.
Level 1: Identification
Calculate age-sex specific percentile in children aged 2 –15 years
Child > 91st = overweight Child > 98th = obese
National Campaign
Based on national
campaign. Over
80% mothers
recognise the
brand.
Sources of referral/identification: School Health, NCMP Letter and Self Referral,
GP, Secondary Care, Young Persons Health Advisor, Midwife, Health Visitor,
Practice Nurse, Adult Weight Management Services, Children's Centre Staff
Advisor works one
to one with
families.
Assess readiness
to change, monitor
height and weight
of the whole
family, signposting,
follow up.
Targeted work to
reduce health
inequalities.
NHS Walsall and Walsall Council
• Established weight
management programme for
children aged 8-16 years
• First programme in Walsall
2006
• Previously funded through
Active England Bid
• From 2010/11 joint funded
75/25 split between NHS Walsall
and the Local Authority
• Improved recruitment methods
e.g. www.fun4life.org.uk and
local media
• Referrals from NCMP
NHS Walsall and Lifestyle Services
• Obesity treatment and prevention
programme for children aged 4-7
years
• Pilot – April 2009
• Referrals from NCMP – Reception
age
• 2010/11 over 250 children to
access programme
NHS Walsall and Walsall Council
Active and Sustainable Transport
and Road Safety Project
• Importance of regular physical activity
gained through active travel to school
•Deprivation, Yr 6 obesity and school
travel data
• 12 schools – Y3, Y4 and Y5 target
year groups
• 1700 children
• Sept 2009 to Sept 2011
• Outcomes above and beyond
current targets around increasing
active travel e.g.
1.5% increase in active travel in these
schools from 2008 census data
NHS Walsall and Walsall Council
Green spaces
• Year 6 obesity data informing site
consideration for the ‘Playbuilder’
Project
• Park Ranger Service being
redesigned as of June 2010
• Community and School
engagement
• Organising events
• Link with Healthy Schools
Enhancement Model
• Community Gardens
• Involve schools and young
people
• Local food production
Change4Life School
Programmes
• Schools based ‘Change4Life’ programme
• SHAPE pilot April 2009
• WM Fire Service and SLDS, Walsall
Council
Saddlers Health
Awareness Promoting
Exercise
• 2010/11 = over 800 Year 4 children
• Targeting schools with high obesity
prevalence and high BME populations
• Links with 5 hour offer and Healthy Schools
Enhanced Model
Strategy and Action
Plan
• 2010, Refresh Year 6 Obesity Target Action Plan (TAP) with partners
to ensure whole systems approach
• 2010, Refresh Walsall Healthy Weight Strategy and Action Plan
• Workshop to consult a range of partners
• NST Visit 2008:
Partnership working in Walsall was identified as a particular strength by the
NST in 2008:
‘Multi-agency obesity partnership in place with strategic and operational
arrangements’