Childhood Obesity London Borough of Hammersmith Fulham Royal

Childhood Obesity London Borough of Hammersmith & Fulham Royal Borough of Kensington & Chelsea Westminster City Council December 2015

Purpose of the Childhood Obesity JSNA It: • Gathers evidence about childhood obesity, its causes, extent and consequences enabling a shared understanding of the size of the local problem • Identifies what we are doing now to support our residents • Stimulates debate about what more we could or should do to support our residents to move more and eat healthier • Provides a baseline for future measurement of the effectiveness of what we do Page 2

Rates of childhood obesity Prevalence of excess weight by school year (NCMP 2013/2014) Reception Year (4 -5 year olds) Hammersmith Kensington & Fulham & Chelsea Westminster London England % children overweight 11. 4 13. 4 12. 5 12. 3 13 % of children obese 8. 9 9. 6 10. 7 10. 8 9. 5 Total 20. 3 23. 0 23. 2 23. 1 22. 5 Year 6 (10 -11 year olds) Hammersmith Kensington & Fulham & Chelsea Westminster London England % children overweight 15. 2 14. 8 14. 4 15. 2 14. 4 % of children obese 22. 4 21. 3 25. 6 22. 4 19. 1 Total 37. 6 36. 1 40. 0 37. 6 33. 5 Page 3

Rates of childhood obesity Nearly Over 1 in 4 1 in 3 children are overweight or obese in Reception (NCMP 2013/2014) children are overweight or obese in Year 6 (NCMP 2013/2014) Page 4

Costs of childhood obesity Overweight adolescents have a 70% chance of becoming overweight or obese adults • In 2015, the treatment costs of obesity in London are estimated to be between £ 37 million - £ 195 million • An obese child in London is likely to cost around £ 31 per year in direct costs which could rise to £ 611 per year if they continue to be obese in adulthood. This projection is likely to be an underestimate Page 5

Tackling obesity is complex Page 6

Predictors of childhood obesity Association between income deprivation affecting children and year 6 obesity levels by ward Page 7

Ethnicity A: Reception B: Year 6 Page 8

The Tackling Childhood Obesity Programme – One system, three strands Healthy Weight Services Supports Environment 1. Provision of comprehensive services accessed by children and their families via recognised Pathways Education Health Care Voluntary Sector Informs 2. Whole council partnership to ensure that environment and facilities support newly learnt behaviours and identified needs Communications ASC FCS Planning Leisure Housing Transport Parks Retail Legal Employers Private Providers NHS and other providers Pilot 3. Engaged communities tell us ‘what works’ for them Local agencies work together to deliver solutions Research, Evidence and Evaluation The overall objective of the programme is: To halt and reverse the rising trend in childhood obesity across the Page 9 shared services area 9

COMMUNITY APPROACH - GO GOLBORNE www. rbkc. gov. uk/gogolborne AIM • Whole system pilot to test community-level intervention model. • Focused on small, highly deprived area. • Targeted at children, young people, families and community settings. KEY FEATURES • Political support. • Multi-level and multi-stakeholder participation. • Large scale social marketing campaigns. • Sound evidence base. • Robust evaluation. SIX THEMES KEY ACTIVITIES • Themed social marketing campaign. • Training and development. • Consistent messages. • Environmental improvements. • Community development. Active Sugar Active Snack Screen 5 -a-day WWW. RBKC. GOV. UK/GOGOLBORNE travel swaps play check time

What can you do to tackle childhood obesity in your day to day work with children and young people? Page 11

Young Adults (18 -25 s) and Students JSNA Purpose: investigate the needs for students and young people, in order to provide early interventions on issues which could develop into long term conditions Sexual health Eating disorders Depression, anxiety and stress Unplanned care Community safety – sexual assault, muggings Page 12

Get involved 1. Service mapping 2. Share research 3. Service user interviews Page 13

Jessica Nyman JSNA Manager jnyman@westminster. gov. uk Page 14