1
Worcestershire Obesity Plan 2013 - 16
www.worcestershire.gov.uk
2
Context: Health and Well-being
Board priorities
• Relevant across age groups to large numbers of
people;
• Related to major causes of illness and death,
and requiring major health and social care
spend;
• Requiring transformational change to improve
outcomes;
• Requiring strong leadership, and co-ordinated
action across organisations and wider society to
achieve change.
www.worcestershire.gov.uk
115,900 adults in Worcs. obese;
162,433 adults are overweight;
Over 50% of our adult population.
www.worcestershire.gov.uk
• Cardiovascular diseases
• Type 2 diabetes
• Musculoskeletal disorders
(especially osteoarthritis)
• Some cancers
(endometrial, breast, and
colon)
• Reproductive & urological
problems
• Respiratory disease
• Gastrointestinal and liver
disease
www.worcestershire.gov.uk
• Psychological & social
issues
Headlines from the Obesity Needs Assessment
5
Adults Bulls-eye of Obesity Interventions
Number who
achieved 10%
weight loss
Number who
achieved 5% weight
loss
Number who started
an intervention
during 2009/12
512
1,272
7,444
115,990
www.worcestershire.gov.uk
Estimated Number of
Obese Adults
2006/08
Scale of Childhood Obesity in Worcestershire
11,357 obese 5 –
14 years; 9,422
overweight.
1 in 4 start school
overweight or
obese; a third by
year 6.
www.worcestershire.gov.uk
Childhood Obesity
• Adult obesity
• Premature death and
disability in adulthood
• Respiratory disease
• Fractures
• Hypertension
• Early markers of
cardiovascular disease
• Insulin resistance
• Psychological effects
www.worcestershire.gov.uk
www.worcestershire.gov.uk
Headlines from the Obesity Needs Assessment
9
Children’s Bulls-eye of Obesity
Interventions
Number of Children
who completed 14week FRESH
programme
Number of Children
who engaged a 6-week
intervention via FRESH
Number of School
Pupils who received the
FRESH taster session*
Estimated Number of
Obese Children
81
676
1,908
Estimated Number of
Obese and/or
Overweight Children
11,357
20,779
*This was delivered in conjunction with the
National Child Measurement Programme
www.worcestershire.gov.uk
10
Aim A: empowering individuals to take
responsibility for their own and their
families diet and physical activity habits:
• Deliver a programme of targeted social
marketing campaigns;
• Focus on information for pregnant women and
new parents;
• Skills development among at risk groups;
• Increased access to entry level physical activity;
• Scale up training for front line staff to deliver
brief interventions.
www.worcestershire.gov.uk
11
Aim B: tackling the obesogenic
environment
• Work with planners to develop a core evidence base on
physical activity, food, and health;
• Work with transport departments to ensure active travel
is prioritised across the County;
• Develop HIA for use in all types of Council decisionmaking;
• Work with local businesses to increase sign-up to the
Responsibility Deal;
• Work with schools to increase physical activity levels of
children;
• Work with institutional settings to improve nutritional
content of food.
www.worcestershire.gov.uk
12
Aim C: developing a healthy
workforce
• Increase number of local businesses signed up
to Worcestershire Works Well;
• Work with local employers to improve nutritional
content of food served in canteens;
• Undertake a programme to increase physical
activity levels of staff of large public sector
organisations;
• Support development of flexible working and
facilitation of physical activity within the working
day.
www.worcestershire.gov.uk
13
Aim D: developing robust care
pathways
• Review current care pathways for obese adults
and children;
• Ensure routine health interventions robustly
address obesity, diet, and physical activity;
• Scale up delivery of brief interventions, and signposting across all agencies, including social care
and VCS.
www.worcestershire.gov.uk
14
Next steps
• Forming an Obesity Action Group to develop a
detailed operational plan; report to Board 13/14;
• Plan to have clear line of accountability and a
timescale for implementation;
• Progress to be measured through HWB Strategy
indicators such as b/f rates, childhood obesity,
and physical activity;
• Shaping a new approach to obesity based on
personal responsibility; creating a healthy
environment including in the workplace; and
having robust treatment for those who need it.
www.worcestershire.gov.uk