Promoting Healthy Weight
Sue Beck, Hertfordshire County Council
Dr Alison Jackson, East and North Hertfordshire CCG
Adult Excess Weight
Childhood Obesity 4-5 year olds
Percentage of weight categories for children ages 4-5 - 2012/13
100%
80%
9.3%
7.1%
8.8%
8.5%
7.9%
7.6%
7.3%
7.0%
6.6%
6.2%
5.9%
6.1%
13.0%
12.6%
12.4%
14.2%
10.9%
12.0%
12.1%
14.3%
12.1%
11.4%
12.2%
13.6%
77.8%
80.2%
78.8%
77.3%
81.3%
80.4%
80.5%
78.7%
81.3%
82.4%
81.9%
80.3%
60%
40%
20%
0%
Not overweight or obese
Overweight
Obese
Source: National Child Measurement Programme
(NCMP), Health and Social Care Information Centre
Childhood Obesity 10 -11 year olds
Percentage of weight categories for children ages 10-11 - 2012/13
100%
18.9%
80%
14.4%
14.7%
14.1%
16.3%
16.3%
16.2%
15.8%
12.7%
15.4%
14.8%
13.1%
16.4%
13.2%
13.5%
13.7%
16.3%
66.2%
67.6%
70.5%
67.3%
70.5%
70.3%
70.6%
71.1%
18.4%
17.6%
16.4%
11.1%
11.0%
11.9%
13.6%
77.0%
75.4%
60%
40%
66.7%
71.2%
20%
0%
Not overweight or obese
Overweight
Obese
Source: National Child Measurement Programme (NCMP),
Health and Social Care Information Centre (HSCIC)
Principles that Underpin Our Work
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Life course
System wide approach
Evidence base
Diet and physical activity
Work across tiers 1-2
Reducing health inequalities
What action are we taking?
• Adult weight management in the community
• Pilot weight management for men
2015
• Child weight management in the community
A locality-based approach
• Childhood obesity (obesity generally) is a local
priority for Lower Lea Valley locality
• Broxbourne has the highest prevalence of
childhood obesity in the CCG area for both
reception (13.4%) and Year 6 (17.4%) pupils,
identified through the national child
measurement programme
Feedback
• Patients acknowledge their weight problems and
recognise the health benefits of losing weight
• Patients need more multi-disciplinary support
• Lack of weight loss initiatives to support primary
care
• Lack of awareness of what is already there
• National child measurement programme
information not shared with clinicians
• Initial reluctance to tackle sensitive subject
Childhood obesity project
Aim
To develop a local service to support those children
and families who identified as obese to maintain a
healthy weight and adopt healthier lifestyles.
Method
Families offered healthy lifestyle review by practices
and then signposted to Healthy Lifestyle Liaison
Worker(developmental role)
Healthy Lifestyle Liaison Worker
• Motivates families to make lifestyle changes
• Provides resources to support 12 GP practices
• Developed a range of programmes:
 promoting healthy eating/breast-feeding
 supporting teenagers, referral from schools
 working with schools, health visitors and
children’s centres
 support MEND programme
 single point of contact for all referrals
Obesity – a complex problem
Whole system approach to make process more
efficient and effective. So far:
• Easier access via single point of contact
• Families’ needs met through joined-up working
• Specialised dedicated provision to support
families of children aged from 0-19
• MEND programme better utilised
• Positive experience from staff and families
• Increased awareness and solutions for local area
- transferrable to other areas?
Over to you …