london obesity leads network meeting · why: the workshops are designed to inspire and support...

57
London Obesity Leads Network Meeting Tuesday 13 June 2017

Upload: others

Post on 04-Jul-2020

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

London Obesity Leads Network

Meeting

Tuesday 13 June 2017

Page 2: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Welcome and overview

#FDPHwebinars 2. London obesity leads network: June 2017

Agenda for today

1) Welcome and Overview

9.30

2) Great Weight Debate – What next?

9.40

3) Comfort Break 10.40

4) Sector Led Improvement (SLI)

11.00

5) Network review 12.00

6) Comfort Break 12.40

7) Social media campaigns

12.50

8) Closing comments 13.20

9) End 13.30

Chair: Danny Ruta - Director of Public Health (DPH), London Borough (LB) of Lewisham and DPH

Lead for Obesity, Association of Directors of Public Health (ADPH) London.

Page 3: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Great Weight Debate: what next?

David Tchilingirian and Emma Pawson: PHE London

John Sheedy and Jessica Attard: Healthy London Partnership

Page 4: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars

Workshop

1) Report from phase 1: John Sheedy and Jess Attard, Healthy London Partnership 10 min

2) Social movements: Emma Pawson, PHE London 10 min

3) Table discussions: Facilitated by David Tchilingirian, PHE London 20 min

4) Feedback: Facilitated by David Tchilingirian, PHE London 20 min

4. London obesity leads network: June 2017

Next steps

Page 5: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Great Weight Debate London’s conversation on childhood obesity

Page 6: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Generate a series of local conversations with boroughs joining the GWD

Continue pan-London conversations involving young people and wider sector

Establish a shared call for action across London.

Conversation 1

Conversation 2 Conversation 2

Conversation 3

Ongoing

Preparation,

launch and

citizen panel.

Understand

views.

The Great Weight Debate – 4 Phases

A conversation to fully engage and

involve Londoners in the future

health of their children, and motivate

wider social action and support to

tackle childhood obesity.

Page 7: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Obesity - a key health challenge for London

“Not enough facilities for people

to workout for free outside as

many of the open spaces are gone

and kids no longer play outside as

before.”

“[There’s] easy access to fast

food which is very cheap e.g.

chicken shops on every corner.”

Page 8: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

An exciting but stressful place to live

Overcrowded

Expensive

Polluted

Long hours

Long commutes

The pace of life has particular

challenges for health

• Less time for home cooking

• Less time for exercise / family

activities

• Less time to think about health

“A lot of the time when it comes to

food it is about time. Me and my

partner both work, and it’s so easy

to get something already prepared

from the supermarket and then you

regret it later.”

London – is it difficult to be healthy here?

Page 9: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

• Londoners were extremely concerned about the issues raised in the Great

Weight Debate citizens panel

• There was agreement that urgent action should be taken to tackle childhood

obesity

• And that Londoners themselves should be – and would want to be –

mobilised in support of this action

“There really needs to be a change in

the approach against childhood obesity.

You can’t just be neutral, you have to

actually be against it, otherwise you are

part of the problem.”

“We have to do anything

we can to reduce this

catastrophe.”

London – how to tackle childhood obesity?

Page 10: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Great Weight Debate Survey

Page 11: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Survey - Factors that contribute to

childhood obesity

11

Too many chicken shops that are

accessible to children after

school. Too many fizzy drinks

consumed daily, cheap deals on

Haribo's and chocolate. I see

children eating this stuff every

day on my commute.

Page 12: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Survey - Factors encouraging children to

lead healthy lifestyles

12

Healthy lunches in

school

Free sports after school

/ holidays and

incentives to join

Page 13: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Great Weight Debate Themes

Page 14: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Londoners have many ideas

Page 15: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 15. London obesity leads network: June 2017

Social Movements: why? • Continuing to raise awareness - act as a public health intervention &

create behavioural change.

• Activating actions in communities themselves. The Great Weight

Debate phase two should encourage collective and self generated action.

Page 16: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 16. London obesity leads network: June 2017

• Still shifting the focus from individual behaviour change to changing the

obesogenic environment to galvanise London for bolder policy action.

• The idea is still not to develop a long wish list of un-fundable actions,

but to help ensure that our actions are ones that will garner the most

support.

• A unique opportunity for London to become an international leader in

creating social movements for health.

• Illuminate the value and power of people working together in

movements to improve health and prevention. It should enable London to

foster further debate, experiments and development of a practice around

social movements for health which the rest of the system can learn from.

Page 17: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 17. London obesity leads network: June 2017

• Has a collective focus and a strategic narrative for people to come

together on.

• Build on the Great Weight Debate successful brand and offers London a

vehicle to facilitate system-led citywide action and facilitate people-led

local action.

• Conversation that builds and has a drum beat through points in time.

• Is not controlled or an imposed / restricted set of ideas.

• Shift power dynamics – away from command and control’ towards new types

of power led by people and communities using approaches which allow

ways for people at the grassroots and frontline to see and solve problems in

new ways.

Page 18: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 18. London obesity leads network: June 2017

Source: Royal Society of Arts 2016.

Page 19: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 19. London obesity leads network: June 2017

Survey responses

• Thank you to everyone who responded to the Great Weight Debate

survey.

• All responses are on tables. This should help with discussions today.

Page 20: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 20. London obesity leads network: June 2017

1. What are your thoughts having heard these results? – What are we going to

do with the results? How do we respond?

2. How can we now use the Great Weight Debate as a vehicle to create action?

3. What support would you need from pan London stakeholders?

4. Who do you think would be the most important population groups for you to

work with in your local area? (e.g. young people/BME/parents)

5. What support would you need from each other to drive this forward?

Table discussions

Page 21: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

London wide work

Danny Ruta DPH Lewisham and ADPH London lead for childhood obesity

Ainslie Ballinger ADPH London officer supporting childhood obesity

workstream

Page 22: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 22. London obesity leads network: June 2017

Who is ADPH London? What does ADPH London do?

Childhood obesity is a priority for all London DsPH

Background sector led improvement project

• Why did we do it?

• What did we do?

Boroughs wanting to

improve obesity rates locally

Sector Led Improvement

project

Childhood Obesity

Partnership Board set up

Obesity Leadership

Group set up

Page 23: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

23

CHILDHOOD OBESITY

PARTNERSHIP

GROUP

London Obesity

Leadership Group

Obesity Leads Network

ADPH London

DsPH

23. London obesity leads network: June 2017

23. London obesity leads network: June 2017

Page 24: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 24. London obesity leads network: June 2017

Implementation tool website

Why was it developed

How to use it- creating an action plan

Page 25: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 25. London obesity leads network: June 2017

Implementation tool website

£25,000 funding set aside

Improvements

Chat function

Resources hub

File sharing

Page 26: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 26. London obesity leads network: June 2017

Learning events Update action plan- whole systems

Need more non PH colleagues

12th July Exchange Event

Member event

Page 27: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 27. London obesity leads network: June 2017

Task and finish groups • Access to healthy food

• Infant feeding

• Areas identified by boroughs as needing help with in

SLI project

• Network colleagues producing something for whole

network

Page 28: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 28. London obesity leads network: June 2017

Access to healthy food T&FG

•Gather evidence on vending in leisure

centres

•Produce standard clause healthy vending

machine

•Tips for implementing changes locally

Page 29: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 29. London obesity leads network: June 2017

Infant feeding T&F group

•Package of evidence, guidance, good

practice examples on improving infant

feeding practices and breastfeeding rates

•Health Inequalities Strategy

Page 30: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 30. London obesity leads network: June 2017

Sugar Smart Workshop WHEN: Thursday 29th June 9:30am – 2pm (including networking lunch)

WHERE: Central London location TBC

WHO: council and local food partnerships representatives looking to start SUGAR SMART campaigns

and those already running their campaigns

WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART

campaigns. You will have the opportunity to share experiences and tips of what makes a successful

campaign and get up to speed with the SUGAR SMART framework and assets available.

WHAT:

1. Learn about the SUGAR SMART Campaign framework, the digital platform and the assets

available to you

2. Get inspired by existing SUGAR SMART campaigns and those in development

3. Share experiences and tips on what makes a successful campaign

4. Feel more confident about your campaign and feel part of a movement working to reduce

sugar consumption

Page 31: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 31. London obesity leads network: June 2017

Sugar Smart Workshop

To register: [email protected]

Page 32: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Review of the network

Danny Ruta: DPH, LB Lewisham and Lead for Obesity, ADPH London

Page 33: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars

Discussion

1) Review of priorities for 2017/18 (LOLG/Delivery board)

2) Review of flashcard feedback

3) Future format of the network (meetings/use of digital)

4) Agenda planning group members

33. London obesity leads network: June 2017

Review of the network

Page 34: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 34. London obesity leads network: June 2017

London Obesity Leadership Group

(LOLG) • Group of strategic national and regional experts from across

organisations.

• Strategic workshop – mapping exercise held in January 2017.

• Agreed areas that would offer biggest impact and provide “once for

London” support- using theory of change and logic modelling

• Supported by Childhood Obesity Delivery board – officer level (also

oversee Sector Led Improvement plan)

Page 35: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 35. London obesity leads network: June 2017

Areas of focus for LOLG based on;

1) Gap analysis

2) Great Weight Debate results

3) Themes highlighted in Sector Led Improvement action plans

4) Devolution negotiations

5) Horizon scanning

6) Logic modelling to identify regional level actions and greatest impact on

outcomes trying to achieve.

Page 36: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 36. London obesity leads network: June 2017

Working with food business sector

• Cash and Carrys – focus;

1) Smaller portions

2) Nudge interventions on sales

Phased approach to engagement.

• Joint work with London Food Board to support development of the

Greater London Authority food strategy and support to boroughs to

develop food retail plans.

• Developing business case – Return on investment (ROI) for smaller food

portions in fast food outlets.

Page 37: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 37. London obesity leads network: June 2017

Great Weight Debate

• Supporting London to respond to results of Year one Great Weight Debate.

• Supporting London to - continue to build momentum of the social movement

in Year two.

Page 38: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 38. London obesity leads network: June 2017

Devolution

• Supporting implementation of London Devolution Memorandum of

Understanding (MoU)

Page 39: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 39. London obesity leads network: June 2017

Early years

• Supporting where required the Greater London Authority Healthy Early

Years pilots

• Supporting London to become baby friendly - focus on Breast Feeding data

quality and evidence based interventions.

Page 40: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

#FDPHwebinars 40. London obesity leads network: June 2017

Borough updates

How I would like to use colleagues the

network to support my work:

“Sharing learning”

Page 41: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

Childhood obesity with a specific focus on behavioural change.

As such we are planning to conduct a behavioural change pilot.

Great Weight Year- This continues as planned and encompasses

of a slightly modified survey and a young people hackathon.

Street fun-Street games- Turns an entire ward into a giant playful

playground game, as children earn points as they walk, cycle,

and run around

Achievements to celebrate/share:

Launch of Great Weight Year

Uplift in the number of children and adults starting and

completing weight management programmes

Challenges I face locally:

Limited budget

We are an extremely ethnically diverse population and as such

we need further evidence to support what interventions which will

be most successful in the varying ethnic groups

How I would like to use colleagues the network to support

my work:

By sharing initiatives that have worked/not worked and any

learning

London Borough: Barking and Dagenham

Obesity lead name: Sue Lloyd/Abimbola Lucas

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 42: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

• Getting Healthy food and drink declaration passed through

council.

• Work with Planning Team to develop Local Plan

supplementary document on A5 take-aways.

• Roll out vending pilot in 2 additional leisure centres.

• Food insecurity work and increasing uptake of healthy start.

• Getting more older people active.

• Housing estate physical activity project.

• Targeted work at schools with highest levels of obesity.

• Working with secondary schools.

• Promoting healthy catering commitment through

Environmental health.

• Workplace health – working towards achievement level.

• Begin sugar smart initiative.

Achievements to celebrate/share:

• Strong obesity steering group.

• Obesity Strategy and action plan developed.

• Secured GLA funding for food insecurity work.

• Older people walking project – living Streets.

• Decrease in number of children classified as obese in

Reception

• Commissioned healthy/nutritious school meals.

• Continuing work around healthy vending.

• Introduced healthy options in children's play areas.

Challenges I face locally:

• Businesses reluctant to sign up to healthy catering

commitment.

• Low uptake of healthy start, no designated lead or resource.

• Holiday hunger – funding opportunities but no resource to co-

ordinate work.

• Low uptake of children’s weight management services.

• Further reduction in budget/ resources.

• Another organisational restructure.

• Tier 2 only a pilot. Low uptake/completion.

How I would like to use colleagues the network to support

my work:

• Examples of sugar smart initiatives with no budget.

• Examples of alternative ways of delivering Tier 2 for adults.

• How to increase the number of families signing up to weight

management services.

London Borough: Redbridge

Obesity lead name: Sultana Choudhury

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 43: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for 17/18:

• Breastfeeding promotion with UNICEF – achieving

CoC

• Healthy Start – reviewing, improving

• 0-5 Henry obesity prevention service – Year 2

implementation

• Play Streets – recommissioning, improving

• Healthier Catering Commitment

• Healthy Eating campaigns (apps)

• Active Travel – Beat the Streets – implementation,

expansion

• Linking with Planning – input into Local Plan

• Mile a Day in primary schools - expanding

• 5-9 Child Weight Management Programmes -

continuing

• Parental education sessions - continuing

• Making Healthier Choices Pilot – completing,

evaluating

• Hounslow Obesity Task Force - leading

Achievements to celebrate/share for 16/17:

- Over 20 HV/CC staff trained in BF, ToT trained

- 147 families completed Henry to date

- Jointly implemented with Transport and CPU team

- 4 cafes accredited to date, new work with EH team

- 3rd highest downloads of ‘Be Food Smart’ in England

- 29,000 people participated in 16/17

- Major meeting to take forward, June 27th 2017

- Newly started in around 10 primary schools 2017

- Meeting targets in Yr 1, 350 children per year

- Meeting targets in Yr 1, sessions in primary schools

- Pilot with PHE started in secondary schools and

leisure centres

- Inaugural meeting in 2016 after HWB sign off

Challenges I face locally:

• Long term budget unsure so annual planning only

• National guidance needed on some issues affecting

local level eg physical activity requirements in

secondary schools, academies

• Healthy Start programme unclear nationally (website

confusing, hard to contact lead staff) and locally –

priority area for review and improvement in 2017

• Doing more with existing resources – much good will

exists locally to take forward joint work

How I would like to use colleagues/ the network to support

my work:

• Sharing best practice and evaluations of local

programmes

• Hearing of ideas or solutions to challenges.

• Would like the network to also distinguish between

local actions/ London actions/ national actions – and

possibly look at a lobbying role for the London and

national levels

London Obesity Leads Network – LB Hounslow (W Ukwu)

Page 44: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

Childhood Obesity – developed a healthy weight action plan.

School food and physical activity – Developed a school food and

physical activity plan. Recruiting 3 more food flagship schools.

Sugar Smart

Local Declaration

Food Poverty – Developing a food poverty action plan.

Achievements to celebrate/share:

We are recruiting 3 more food flagship schools to build

upon the success we had with the initial 3 flagship schools.

Engagement for external stakeholders to help develop the

healthy weight action plan and the food poverty action plan.

Challenges I face locally:

To keep the momentum around the work we are doing on

childhood obesity and increasing awareness around sugars in

our drinks and foods.

How I would like to use colleagues the network to support

my work:

Sharing best practice, what hasn’t worked for them and

quick wins.

London Borough: Croydon

Obesity lead name: Ashley Brown

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 45: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

To follow up from Bexley’s Great Weight Debate event – to

establish an action plan which will engage with different

stakeholders within the local authority to tackle obesity. To

develop an obesity alliance which will feed into the HWB Board –

the alliance will help us to develop the action plan.

Re-commissioning a Tier 2 Adult Weight Management

programme.

Achievements to celebrate/share:

Launched Sugar Smart Campaign in January 2017 – schools,

food businesses and voluntary groups pledged to be sugar

smart.

Held Bexley’s Great Weight Debate in April 2017 – successful

event with various pledges and ideas put forward from residents

and different stakeholders.

Challenges I face locally:

New DPH starting at Bexley in September so uncertain if there

will be any restructuring and how the new post will impact on the

development of an obesity alliance/actions from the Great

Weight Debate. Unable to progress with an action plan until

September.

Ongoing work to establish relationships with different teams

within the council to ensure that the development of an alliance is

effective.

Unsure what/if budget there will be for the 2018/19 for a Tier 2

AWM service so having to research and provide different option

appraisals.

How I would like to use colleagues the network to support

my work:

Examples from boroughs that have set up an obesity alliance

how they did this, processes etc.

If other boroughs have commissioned adult/child weight

management on small budgets/any new examples of different

services.

London Borough: Bexley

Obesity lead name: Louise Lam

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 46: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

- Infant feeding

- Healthy Early Years London pilot and other early years work

- Workplace health

Achievements to celebrate/share:

- Havering Catering Services and potentially other partners

investing in Health and Wellbeing in Schools Service (ie

Healthy Schools programme and associated support)

- Increasing cross-Council engagement in obesity agenda

Challenges I face locally:

- Financial constraints

- Staff capacity

- Increasingly difficult to develop systematic long-term planning

How I would like to use colleagues the network to support

my work:

- Sharing of specific examples of how approaches are changing

when contracts are re-tendered e.g. 0-19 contracts

incorporating obesity prevention work, leisure contracts

incorporating greater sports development responsibilities

- Greater focus/ sharing of practice between areas where

obesity prevention isn’t high priority, funding isn’t as high etc

London Borough: Havering

Obesity lead name: Claire Alp

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 47: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

Childhood obesity

• Achieve UNICEF baby Friendly accreditation

• Implement healthy early years programme

• Promote daily mile

• Increase engagement of schools and family around NCMP by

offering parent session with school nursing team.

Food environment

• Support schools to implement FFL

• Sign up to local government declaration on sugar reduction

and healthier food

• Implement healthier catering commitment and govt. buying

standards

Achievements to celebrate/share:

• Health and wellbeing board has identified tackling

childhood obesity as a priority.

• HENRY has been appointed to deliver 0-5 years service

and are engaging all partners working with this age

group around healthy weight agenda

• 12 school have started Food for Life programme

• We have developed NCMP GP feedback letter to improve

GP engagement with children identified as underweight/

overweight to be implemented this year

Challenges I face locally:

• Resources - finances

• Capacity- man power

How I would like to use colleagues the network to support

my work:

Sharing of best practice and innovative projects- what is

working well with limited budgets

London Borough: Waltham Forest

Obesity lead name: Monica Hill

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 48: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

• Partnership working across sectors to boost leadership and

innovation in order to catalyse change

• Ensuring that the Child Weight Management pathway is robust

and fit for purpose

• Adult Weight Management priority to increase delivery in

community and faith settings to target hard to reach group

(men, mental health conditions, BME groups, people living in

areas of high deprivation).

• Signing up to the Local Government Declaration and Sugar

Smart.

Achievements to celebrate/share:

• Commissioned Tier 3 Child Weight Management Service

• Successfully mobilised Adult Weight Management service,

joint provision of weight management and exercise on referral

across Camden and Islington

• Established the Healthy Weight, Healthy Lives Partnership.

Challenges I face locally:

• Gaps in the Child Weight Management Pathway

• High demand of Tier 2 child Weight Management Service

• Challenges with achieving adult weight management target in

year 1, due to mobilisation

• No Tier 3 adult weight management provision

• Conflicting priorities within the council and external agencies

e.g. The Planner.

How I would like to use colleagues the network to support

my work:

• Sharing good practice on how to successfully engage with key

groups for sustained engagement with adult weight

management

• Sharing ideas and successes around innovation and radical

ways of working.

London Borough: Camden

Obesity lead name: Julie Edgecombe/Polly Reynolds

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 49: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

• Joint working with Haringey on the Local Government

Declaration and Sugar Smart

• Ensuring that the Child Weight Management pathway is robust

and fit for purpose

• Adult Weight Management priority to increase delivery in

community and faith settings to target hard to reach group

(men, mental health conditions, BME groups, people living in

areas of high deprivation)

Achievements to celebrate/share:

• Commissioned Tier 3 Child Weight Management Service

• Successfully mobilised new Adult Weight Management

service, joint provision of weight management and exercise on

referral across Camden and Islington

Challenges I face locally:

• Gaps in the Child Weight Management Pathway

• High demand of Tier 2 Adult Weight Management Service and

challenges with achieving target in year 1, due to mobilisation

• No Tier 3 adult weight management provision

How I would like to use colleagues the network to support

my work:

• GLL (Better Gyms) where they have cafes and sponsored

vending machines alongside the ‘Rude Food Co.’

• Using contractual levers for change i.e. Healthy Catering

Commitment

• Working with colleges re: food environment

• Sharing good practice on how to successfully engage with key

groups for sustained engagement with adult weight

management

London Borough: Islington

Obesity lead name: Julie Edgecombe

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 50: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

•Sign up to the Local Government Declaration on Sugar

Reduction and Sugar Smart in partnership with the London

Borough of Islington.

•Develop, produce and implement a food standards policy to

promote healthier food choices.

•Haringey Obesity Alliance: Increasing engagement and aligning

our partners to 3 core areas of Sugar, Walking and Play to have

a bigger impact.

•Engage with young people (14-25 year olds) and hard to reach

groups (BME groups including Turkish and Somali community).

•Improve the food offer in park cafes – this includes the HCC,

food growing provision for caterers, support in healthy menu

planning.

•Continuing to embed our Health in all Policies approach within

our Whole Systems delivery plan.

Achievements to celebrate/share:

•Formation of Haringey’s Obesity Alliance (including obesity

conference and launch of microsite)

•Embedding whole systems approach and delivery plan

•Weekend of play (including play streets, estate play led by

residents associations and community events hosted in our local

parks)

•Haringey Walks campaign (walking weekend, walk more week,

HARI bear’s big adventure, walk leader development and 3

lunchtime staff walks)

•Local food audit of council owned / leased and commissioned

services

•Hosting GWD and C4L Sugar Smart road shows

•Healthier Catering Commitment – over 100 fast food outlets

signed up in areas of deprivation.

•Community engagement events (healthy eating workshops)

•Six elements of a healthy weight environment (TCPA and PHE

report) embedded in the place-shaping and Design guide for the

regeneration and development of High Road West and the

Haringey Development Vehicle.

•TFL’s 10 indicators of a Healthy Street used for three Public

Realm improvements in Tottenham.

Challenges I face locally:

•Lack of capacity and resources

•The food environment and proliferation of fast food outlets (fast

food policy in Local Plan)

•Obesity remaining everyone’s business

•Tension around other priorities especially Economic Growth

How I would like to use colleagues the network to support

my work:

•Best practice sharing

•Case studies

•Working through practical examples and challenges during

network meetings

•Peer to Peer support

London Borough: Haringey

Obesity lead name: Deborah Millward

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 51: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

• Make healthy profitable

• Connect green spaces

• Get staff active/healthy

• Engage residents

Achievements to celebrate/share:

• Obesity Strategic Partnership, chaired by Council Chief Exec

• Daily Mile in primary schools

• Walking campaign linked to One You developed jointly by

Transport and Public Health

• Sponsorship policy restricting promotions by sugar sweetened

drinks companies

• Social enterprise developed and crowd-funded to sell healthy

affordable recipe packs

Challenges I face locally:

• Defining, communicating and measuring a ‘whole system’

approach to obesity

• Influencing the food environment (especially vending and

corner shops)

• Engaging with diverse communities on understanding and

addressing obesity in culturally sensitive/relevant ways

How I would like to use colleagues the network to support

my work:

• Learning about obesity-related service design/performance for

benchmarking

• Learning about influencing Planning on changing the food

environment and physical activity environment

• Learning about working with Regeneration, including potential

to influence business rates

• Support to conduct return on investment analysis of services

London Borough: Hackney

Obesity lead name: Damani Goldstein

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 52: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

Childhood Obesity

Weight Management Pathway developed within 0-19 contract

Offer training for Tier 1 and Tier 2

Health and Wellbeing board – childhood obesity focus

Declaration on Sugar Reduction and Healthier Food

Develop training workshop for MECC delivery

Achievements to celebrate/share:

Health and Wellbeing board – childhood obesity focus.

Commitment from board/members – local childhood obesity

event to get everyone to buy in

Trained over 150 health professionals (1 day childhood

obesity prevention and intervention)

Included Child weight management in the new 0-19 contract

Proportion of units in use as takeaways in town centres not

to exceed 6%, and no further takeaways within 400 metres

or a secondary school or further education establishment

Challenges I face locally:

Getting ‘buy in’ from other council services and local delivery

organisations . Not seen as ‘their’ problem

Colleagues in the council realising the conflict of interest with for

example accepting money from large corporate (unhealthy

brands)

Designing and delivering a successful child weight management

programme

How I would like to use colleagues in the network to

support my work:

Examples of good practice in areas of focus for Brent

Possible joint working with neighbouring boroughs

London Borough: Brent

Obesity lead name: Sarah Hawken

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 53: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

Best start in life

Obesity

Achievements to celebrate/share:

Cycle Enfield

School meals provision

Challenges I face locally:

Creating a whole-systems approach to obesity

How I would like to use colleagues the network to support

my work:

Developing healthy environments

Gaining support from parents for initiatives

London Borough: Enfield

Obesity lead name: Glenn Stewart

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 54: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

Food environment – work with local food businesses

Physical activity- use of facilities and green space

Achievements to celebrate/share:

Sugar Smart campaign

Daily Mile initiative in schools

Stakeholder engagement - Lewisham Obesity Alliance

Challenges I face locally:

Implement a Health in All Policies approach

How I would like to use colleagues the network to support

my work:

Shared learning from colleagues that have successfully

implemented a HiAP approach across a broad range of

policies

London Borough: Lewisham

Obesity lead name: Gwenda Scott

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 55: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Something to celebrate/share

Need some support from colleagues

Major concerns/risks

Top actions to do next

My borough priorities/Key activity planned for the next year:

(e.g. childhood obesity / active travel / food environment /

schools)

Implementation of Child Healthy Weight Action plan including:

-Great Weight Debate Merton – Further engagement with

residents and stakeholders on tackling childhood obesity and

communicating consistent messages.

-Mobilisation of new Child Healthy Weight Support service

commissioned through School Nursing Service

-Healthy Schools London – Increasing no. of schools engaged

with programme through commissioned support for schools

-Development of Food Poverty action plan linking into Child

Healthy Weight Action Plan

-Increasing physical activity through increasing use of parks and

open spaces

-Exploring implementation of Sugar Declaration/Sugar Smart

-Implementation of Prevention Framework inc. re-

commissioning of Healthy Lifestyles services e.g. One You

Merton (with links to commercial weight management)

Achievements to celebrate/share:

-Development of Merton’s Child Healthy Weight Action Plan

working through local steering group of partners

-Highest number of responses from residents to the London

Great Weight Debate

-Childhood Obesity Hackathon with residents and stakeholders

to further engage with residents to co-produce and influence and

champion work going forward locally

-Annual Public Health Report focused on Childhood Obesity

which has been supported by members and partners such as the

CCG. It is a call to action to partners and highlights the issues

locally as well as examples of good work taking place to tackle

childhood obesity

-Child Healthy Weight Support service agreed to be delivered

through School Nursing service 17/18 onwards

-Prevention Framework – Embedding prevention in clinical

pathways

Challenges I face locally:

- Engagement from partners from other departments within the

Local Authority

- Resource and capacity to take work forward. Funding position

is challenging; reason for Prevention Framework which

focuses on community and population levels

How I would like to use colleagues the network to support

my work:

- How can we work to do things once for London and share the

learning? Colleagues across London are trying to do the same

things and it would help if some actions could be taken

forward pan-London

- Evaluation of actions and sharing learning on successful

initiatives

- Exploring joint opportunities e.g. looking at commercial weight

management arrangements

London Borough: Merton

Obesity lead name: Hilina Asrress/Barry Causer

London Obesity Leads Network – borough updates flash card Please use this flashcard to update the network on your priorities, main achievements, challenges you face and how you would like

the network to support you moving forward. There will be an opportunity at the meeting to discuss this.

Page 56: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Social Media Campaigns

Dan Ward: Public Health England

Page 57: London Obesity Leads Network Meeting · WHY: The workshops are designed to inspire and support boroughs to run successful SUGAR SMART campaigns. You will have the opportunity to share

Closing comments

Danny Ruta: DPH, LB of Lewisham and DPH Lead for Obesity, ADPH

London.