Sustainable Travel & Health Reflections and Learning from an Integrated Approach to Healthy Weight Communities Smarter Choices, Smarter Places Conference Dumfries 2012

Healthy Weight Community ‘The objective of establishing Healthy Weight Communities was to demonstrate the ways in which concerted and integrated community-wide approaches to engaging children and families in healthy eating, physical activity and healthy weight activities could have a greater impact on long-term health outcomes than current discrete activities’ Scottish Govt 2009

Obesogenic Environment

Health Improvement & Inequalities Health Improvement & Inequalities Promoting Wellbeing Reducing the likelihood of common health problems Improving the outcomes for those with health problems

Enhanced the built / natural environment Improved energy balance Increased physical activity (including decrease in inactive/ not active for health) Reduced energy intake Nested Models Changed availability and affordability energy-dense (and low ED) foods and drinks Changed media environment and social norms Increased food industry corporate and social responsibility Increased awareness, knowledge, skills and increased empowerment Increased access to opportunities for PA Influenced food choices Reduced Type 2 Diabetes Reduced CHD and stroke Reduced cancers Reduction overweight & obesity Simplified strategic model for healthy weight (overweight /obesity) Reduced weight gain* Or weight loss depending on degree* Nested Model Improved early years nutrition Nested Model Nested Models Intermediate outcomes Longer term and national outcomes Other obesity related diseases reduced

Principles of developing a Healthy Weight Community LA /CHCP/NHS/ Third sector -wealth of experience Scottish Government Criteria > evidence base Inputs – existing resources & what additional would bring Integration with SCSP, SOA and ICSP & not about new projects Sustainability and capacity in our partnerships, with individuals, groups and services > Direct co-ordination of HWC specification activities in reaching communities – targeting Recognising the challenges in defining Healthy Weight and Community, in addition to physical activity & active travel Health Inequalities: Co-production & Prevention & Early Intervention

Healthy Weight Outcomes, Priorities and Actions  Selection  Early Action  Securing ownership  Structures and accountability  Capacity and resources  Action, progress and success  Link up

Strategic Objectives of Scottish Government Health Improvement and Inequalities

Easy Solution – A BIG banner above Farm Foods and what do you get a… ‘Healthy Weight Community’ if only…

Date

Changing Public Services Radical change Changing design and delivery of services Centred around individual and community needs Build capacity and resilience within communities New collaborative culture Pooling expertise and resource Prioritise preventative measures Improved performance management Avoid ‘failure demand’

Embedding and Integrating a Healthy Weight Approach  Children & Young People – Active Travel, physical activity and health  Adults –Active Travel, Physical Activity and health  Community Health & Wellbeing – connecting people to places and spaces  Active Travel and healthy weight awareness, and the role of PR and social marketing