Healthy Weight Framework Prioritisation Tool NCMP PHEC Networks

Healthy Weight Framework, Prioritisation Tool & NCMP PHEC Networks June 2016 Rachel Manners, NCMP Delivery Manager

Overview 1. Overview of the resources and consultation feedback 2. Proposals for future development 3. NCMP update 2 Healthy Weight Framework & Prioritisation Tool Update June 2016

Overview of the resources: Healthy Weight Framework Prioritisation Tool

Other Considerations Local Authorities’ responses to childhood obesity are not taking place in a vacuum These tools should be set within the context of: • The government’s Childhood Obesity Strategy • PHE’s whole system approach to obesity • Sustainability Transformation Plans • Devolution and combined authorities • LA austerity measures – loss of specialised analysis and commissioning expertise 4 Healthy Weight Framework & Prioritisation Tool Update June 2016

Draft Proposals for future development

Healthy Weight Framework • Lift the “level” so that it is a framework and not a comprehensive presentation of the evidence base. • Present it as an advocacy tool to support DPHs to make the case for local authorities to take a corporate approach to investing in reducing childhood obesity • Give links to the key evidence sources, including NICE guidance, comprehensive evidence reviews, ROI modelling, fingertips tools etc • Give materials that support all stages of the commissioning cycle Review Plan Do 6 Healthy Weight Framework & Prioritisation Tool Update June 2016

Prioritisation Tool Content Revise the structure of the self assessment so that it is aligned fully with other PHE self assessment tools Resolve the apparent duplication with other (external) self assessment approaches – get the support of LGA and ADPH Carry out further piloting to test the suitability for 2 tier authorities and London boroughs 7 Healthy Weight Framework & Prioritisation Tool Update June 2016

Both Resources Set them in the current environment Offer a structure for developing local childhood obesity strategies that relates to: • • • 8 the government’s childhood obesity strategy a whole system approach to reducing childhood obesity reducing health inequalities the process for developing single transformation plans the economy-led focus of devolution and combined authorities Healthy Weight Framework & Prioritisation Tool Update June 2016

Both Resources Delivery Devise delivery model(s) that • provide external facilitation • enable customised delivery to meet local circumstances • overcome the austerity environment in local authorities • encourage collaboration and sharing between authorities • increase the likelihood of take up and use 9 Healthy Weight Framework & Prioritisation Tool Update June 2016

Next Steps 1. Internal and limited external consultation (LGA, ADPH) to seek support for new approach 2. Establish Advisory Group to guide development 3. Redevelopment of both tools – content and piloting 4. External Consultation on redesigned resources 5. Launch and role out of implementation plan 10 Healthy Weight Framework & Prioritisation Tool Update June 2016

NCMP update

National Child Measurement Programme • Height and weight measurements of 1 million 4 -5 and 10 -11 year old children in 17, 000 schools across England every year • Mandated public health function of LAs • Provides robust public health surveillance data on child weight status • • Excess weight PHOF indicator • Tool for H&WB Boards Engages with parents through feedback on their child’s weight status • 12 Result letter for parents plus follow up advice and support NCMP Update June 2016

Screenshot of webpage 13 NCMP Update June 2016 http: //fingertips. phe. org. uk/profile/national-child-measurement-programme

14 Prevalence of excess weight among children National Child Measurement Programme One in five children in Reception is overweight or obese One in three children in Year 6 is overweight or obese Child overweight (including obesity)/ excess weight: BMI ≥ 85 th centile of the UK 90 growth reference N CMP Update June 2016

Scale of the challenge Obesity prevalence by deprivation decile National Child Measurement Programme 2014/15 Child obesity: BMI ≥ 95 th centile of the UK 90 growth reference 15 NCMP Update June 2016

Latest NCMP findings 16 There has been a relatively small overall change in overweight and obesity prevalence over the last 5 years; levels remain unacceptably high. As in previous years, prevalence of obesity increases between Reception and Year 6, and is more than double in Year 6 compared with Reception. Prevalence of obesity in the most deprived 10% of areas in England is double that of the 10% least deprived areas – the gap is widening. Substantial variation in obesity prevalence between ethnic groups - higher among children of Black and Asian ethnicities, compared to White children. Prevalence of obesity is higher in boys than in girls for both Reception and Year 6. NCMP Update June 2016

Key NCMP priorities - 16/17 • Priority 1: Enhancing provision of data to support delivery at National and local levels: • Maintaining the system • NCMP Tracking • Electronic child growth charts • Support coordination and dissemination of child obesity/ NCMP publications • Priority 2: Improving information, advice and support offered to parents as a part of the NCMP: • NCMP and Change 4 Life Workstream • Develop, review and publish updated resources for parents: 17 NCMP Update June 2016

Key NCMP priorities - 16/17 • Priority 3: Improved support to LA, providers and schools: • The development and production of resources to support local delivery of the programme • Delivery of workshops and presentations (internal and external) to maintain engagement with key partners and allow opportunities for information exchange. 18 NCMP Update June 2016

NCMP Key dates for 16/17 NCMP School feedback letters May 2016 NCMP operational guidance (16/17) June (after EU referendum) NCMP Data submission Friday 12 th August 2016 NCMP Tracking report September 2016 C 4 L supporting platform/ supporting information September 2016 NCMP operational guidance (17/18) and supporting tools and templates 19 NCMP Update June 2016 Spring 2017.

Questions? Loretta Sollars Programme Manager M: 07841 804960 T: 0207 654 8186 Email: loretta. sollars@phe. gov. uk Rachel Manners/ Rosie Taylor NCMP Delivery Manager 07711 021130/07717156593 Email: Manners. Taylor@phe. gov. uk ncmp@phe. gov. uk 20 NCMP Update June 2016