1. National Child Measurement Programme update.
Rachel Manners Public Health Delivery Manager
PHE Children, Young People & Families Team
London Healthy Weight Leads Network
21 September 2015

2. London Healthy Weight Network, September 2015
Eustace de Sousa
National Lead - CYPF
1 WTE
Alison Hadley
Teenage Pregnancy Advisor
6 days/month
Michael O’Kane
Public Health Delivery Manager (CYPF Team)
VACANT
Programme Lead (Information Service for Parents)
Amtar Ali
Point of Care Sign Up and Delivery Programme Manager
Pamela Naylor
Programme Manager (child obesity and physical activity)
0.6 WTE
Anna Lucas
Child Obesity Programme Manager (Early Years)
Jenny Stewart
Child Obesity and Physical Activity Programme Manager
Gurnam Johal
Child Obesity Programme Support
Catherine Bray (start 21/9)
Senior Child Obesity Analyst
0.5 WTE
Rachel Manners
NCMP Delivery Manager
Lisa Mabbs (starts 12/10)
NCMP Delivery Officer
Alison Burton
Public Health Delivery Manager (maternity and early years)
Katie Haddock
Early Years Health, Nursery Care and Education Manager
0.7 WTE
Sarah Gaughan
Best Start in Life Programme Manager
Nicole Stephens
Best Start in Life Support Manager
Claire Robson
Public Health Delivery Manager (school age children health and wellbeing)
0.8 WTE
Ashley Rogers
Public Health Business Support Officer
Kay Michael
PA & Team Administrator
= fixed term until 31 March 2016
London Healthy Weight Network, September 2015

3. Key Challenges
Identification: We may not identify ourselves or our children as obese
Inequality: Obesity does not affect groups equally
Complexity: Obesity is the outcome of a complex set of factors
London Healthy Weight Network, September 2015

4. Identification
London Healthy Weight Network, September 2015

5. Inequality Obesity is more common among:
People from more deprived communities
Older age groups
Some black and minority ethnic groups
People with disabilities
London Healthy Weight Network, September 2015

6. Individual psychology
Societal influences
Individual activity
Activity environment
Food Production
Food
Consumption
Biology

7. Obesity work plan: five pillars for action
Where future generations live in an environment, which promotes healthy weight and wellbeing as the norm and makes it easier for people to choose healthier diets and active lifestyles
1.Systems Leadership
Influence local & national leaders
raise the national debate
influence political ambition
maximise communication
2.Community Engagement
enable behaviour change through social marketing
drive social investment through local action
support communities with tools on healthy eating & getting active to help reduce health inequalities
3.Monitoring & Evidence Base
enhance surveillance, analysis & signposting of data
tailor evidence to meet local needs - PHOF
support effective commissioning & evaluation
develop & communicate research to inform strategy
promote evidence of good practice
4.Supporting Delivery
support the obesity care pathway
work with DsPH & CCGs
support commissioning
practical tools to help deliver healthier places; enable active travel
5.Obesogenic Environment
develop long term, evidence based strategy to deliver a whole system approach to tackle the root causes of obesity and address health inequalities
Tackle obesity, address the inequalities associated with obesity and improve wellbeing
Obesity: a big ambition for the public’s health

8. PHE’s role in the NCMP
Leadership and support for local delivery of the programme through the development and provision of guidance, case studies
Support effective use of NCMP data locally to inform action, analytical guidance, school feedback tool
Develop the evidence base for sharing results with parents and best practice approaches
Commission HSCIC to provide IT system, user support, collate, analyse and publish annual report
London Healthy Weight Network, September 2015

9. NCMP: achievements so far
Established in 2006 and involves the weighing and measuring of all eligible children in reception and year 6 at state-maintained primary and middle schools including academies:
100% of LAs
Over 99% of eligible schools
93% of eligible children – over 1 million children
measured each year
National Statistics status
Surveillance element: Data used nationally and locally to inform action and bring together broad coalition of partners required to prevent and address child obesity
Engagement element: Opportunity for local authorities/providers to engage directly with families through provision of results to parents
London Healthy Weight Network, September 2015

10. Latest NCMP findings
Prevalence of child obesity remains high, and doubles between the ages of 4–5 and 10–11 years (from 9.5% to 19.1%).
For Reception: a stabilisation of obesity and excess weight, and a possible downward trend
For Year 6: early signs of a possible halt to the trend of increases previously seen in obesity and excess weight prevalence
Strong social deprivation gradient: obesity prevalence double in the most deprived areas compared with the least deprived
London Healthy Weight Network, September 2015

11. Prevalence of excess weight among children National Child Measurement Programme 2013/14
One in five children in Reception is overweight or obese (boys 23.4%, girls 21.6%)
One in three children in Year 6 is overweight or obese (boys 35.2%, girls 31.7%)
Child overweight (including obesity)/ excess weight: BMI ≥ 85th centile of the UK90 growth reference
London Healthy Weight Network, September 2015

12. London Healthy Weight Network, September 2015
Screenshot of webpage
London Healthy Weight Network, September 2015

13. Key priorities for 15/16
Improving the breadth and depth of NCMP data which is provided to local areas
Utilising the NCMP programme to further enhance support to local partners and schools.
Building upon NCMP and C4L as a key opportunity to engage families
To focus on effective communication to pro-actively engage parents
Continue to utilise opportunities to share best practice
London Healthy Weight Network, September 2015

14. Sharing NCMP results with parents
Key findings:
87% of parents found feedback helpful
More than one-fifth of parents of overweight reported feeling upset
1.8% of parents stated they would withdraw their children in the future
A quarter of parents with children who were overweight and half of parents of those classed as very overweight sought further information
family and friends – 14.4%
internet -9.9%
School nurse – 8.4%
Almost three quarters of parents reported an intention to change lifestyle behaviours following NCMP feedback.
Park, MH; Falconer, CL; Croker, H et al. Predictors of health-related behaviour change in parents of overweight children in England
London Healthy Weight Network, September 2015

15. PHE/LGA Child obesity peer-challenge
Sector-led improvement approach
Short on-site visit by a team of experienced ‘peers’ and experts.
Free-standing child obesity module or integrated into Health & Wellbeing peer challenge
Findings, feedback and recommendations made to enable councils and HWBBs to focus on key issues and take child obesity agenda forward
Adopting a ‘whole systems’ approach to child obesity
Pilot sites – Bath & North East Somerset, Peterborough, West Cheshire and Cheshire, and Blackpool
Next stage - Evaluation and roll-out offer to other local authorities 15/16
London Healthy Weight Network, September 2015

16. Take home messages
Tackling child obesity remains a priority for DH and PHE
Public Health Outcome Framework – child excess weight as measured by NCMP data as an indicator
PHE has a key role in supporting local delivery through provision of tools and resources, and evidence base, and through PHE Centres working with local Government
Welcome feedback and examples of good practise from local areas.
London Healthy Weight Network, September 2015

17. Further information
2013/14 NCMP operational guidance, template letters, leaflets, briefing for elected members
(now part of PHE): NCMP analysis reports, local analysis guidance, mapping tool with data shown down to Ward level, NCMP data slide sets, and wider info on tackling obesity across the LA, Standard Evaluation Framework
: IT system, guidance and FAQs
Obesity pathway and new child lifestyle weight management guidelines
PHE Bulletin ( requesting to be added to the PHE Bulletin subscriber list, and giving name, organisation, job title and role)
PHE Twitter , @DrKevinFenton
Contact:
London Healthy Weight Network, September 2015

18. NCMP Programme Manager
Questions?
Rachel Manners
NCMP Programme Manager
  Public Health England
(020368) 20786
London Healthy Weight Network, September 2015

19. Other child obesity workstreams
Promote the evidence base through briefing papers, working with PHE Knowledge & Intelligence, NICE and others
Change4Life,
Working closely with the School Food Plan, Youth Sports Trust, Play England and Natural England to promote healthy weight in children
Transform health visiting services to ensure increased support for infant feeding and healthy eating for all families
Promote breastfeeding and support mothers to feed babies as long as they choose, particularly in deprived areas where breastfeeding rates are lower
Physical activity framework
London Healthy Weight Network, September 2015