Healthy Changes 4 Life

1
Healthy Changes 4 Life

• Mary Creagh
• Labour MP for Wakefield
• Chair, Labour Party MPs Manifesto group on public
  health

2
Childrens Food Bill introduced in 2005

• aim of improving the health of children through
  their diet
• most of the Bill has now been adopted by the
  Government
• Vending machines in schools are now banned from
  selling junk food
• Government providing 220 million to improve
  school meals
• New rules on standards for school meals, new
  kitchens and training to school cooks to deliver
  healthier food
• Schools introducing cookery lessons for all
  teenagers who want them from September 2008
• Limited ban on advertising junk food to children

3
Obesity in Wakefield (why I am obsessed)

• National Child Measurement programme 2006/07
• Wakefield 5 year olds
• 16.7 are overweight (national average 13)
• 16 are obese (national average 9.9)
• Joint first with Hackney
• Wakefield 11yr olds
• 13.7 are overweight (national average 14.2)
• 17.9 are obese (national average 17.5)
• 4805 diabetes sufferers in Wakefield constituency
  (predicted 6888 by 2025)
• New Healthier Communities Fund
• 1 million from PCT - to be delivered through
  voluntary sector
• Chronic conditions and childhood obesity are two
  main priorities

4
Comprehensive Spending Review announced our new
long-term ambition in October 2007

• Our ambition is to be the first major nation
  to reverse the rising tide of obesity and
  overweight in the population by ensuring that
  everyone is able to achieve and maintain a
  healthy weight. Our initial focus will be on
  children by 2020, we aim to reduce the
  proportion of overweight and obese children to
  2000 levels.

• Forms part of the Governments new commitment to
  Child Health and Well-being (children under 11)
• Tackling child obesity will be a national
  priority for the NHS and local health care
  providers, from April 2008.

5
The ambition is supported by evidence on what
works

• Chart of reduction in average BMI in children by
  aggregating evidence on tackling the
• problem Trajectory is indicative

Evidence-based methods of promoting healthy
weight in children
The potential for the effect of programmes to
either duplicate or reinforce one another has
been judged to cancel each other out
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• Breastfeeding needs to be normalised

• Targeted support for at risk families

Children healthy growth and healthy weight

• Childrens centres (including activity and
  nutrition) to 2yrs

• School-based prevention (including activity,
  nutrition, reduced soft drink consumption and
  education to reduce TV viewing)

Average BMI of 2 to 19 year olds

• Reduced consumption of HFSS foods e.g. through
  reformulation and clear labelling

Promoting healthier food choices
.

• Reduced HFSS advertising to children

Trend average BMI growth
Physical activity

• Community interventions all ages

17
2010
2015
2000
2020
2007
6
The Government has mapped out how it will deliver
the ambition in a new 372 million strategy

• Healthy Weight, Healthy Lives a Cross-Government
  Strategy for England was launched in January
  2008.

7
The strategy has 5 themes, following the evidence
provided by Foresight

• Children healthy growth and healthy weight -
  early prevention of weight problems to avoid the
  conveyor-belt effect into adulthood, with the
  focus on children part of governments duty of
  care to minors
• Promoting healthier food choices - reducing the
  consumption of foods that are high in fat, sugar
  and salt and increasing the consumption of
  healthier food such as fruit and vegetables
• Building physical activity into our lives -
  getting people moving as a normal part of their
  day
• Creating incentives for better health -
  increasing the understanding and value people
  place on the long-term impact of decisions
• Personalised advice and support - complementing
  preventative care with treatment for those who
  already have weight problems

8
Change4Life announced by Alan Johnson this week

• Change4Life is a lifestyle revolution which will
  help mums, dads and families eat well, move more
  and live longer.
• Creating a coalition for better health that
  already spans activists, grassroots
  organisations, local clubs, councils and
  community centres.
• Movement includes some of the biggest companies
  in the country, signing up to play their part and
  deliver concrete commitments to change
  including, ASDA, the Association of National
  Convenience Stores, PepsiCo, Kelloggs and the
  Fitness Industry Association and Tesco
• Change4Life is banner behind which this
  coalition is being mobilised - from January 2009
  it will be everywhere television, magazines,
  leisure centres, supermarkets, schools, local GP
  surgeries
• In every local area there will be Change4Life
  promotions around healthy food and recipes in
  supermarkets, walking campaigns, cycling groups
  and free swimming for under 16s

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What next?

• Complete new regulations to provide routine
  feedback of childs height and weight data to
  parents on an opt-out basis from the National
  Child Measurement Programme in the Health and
  Social Care Bill
• Jamie Olivers Ministry of Food