1. PHE National Update London Obesity Network meeting 21st September 2015

2. Obesity – One of PHE’s 7 Priorities
Overview of framework
Obesity – One of PHE’s 7 Priorities
Our commitments
Progress
Work with NHS England on commitments to tackle obesity and type 2 diabetes
Report and recommendations for government on sugar, based on evidence from SACN
Run the C4L summer physical activity programme
Support local authorities to deliver whole- system approaches to tackle obesity
In progress
Published July 2015
Campaign ran in July/Aug 2015
Commissioning in progress

3. Overview of framework
Key areas of work
Developing the evidence base on weight management services
National mapping of access and provision of tier 2&3 services across the life course
Commission evidence reviews to unpick effective components of interventions across the pathway and life course
Begin to develop a blueprint for workplace weight management interventions based on pilots such as with the NHS workforce
Develop a toolkit for the commissioning of effective interventions
National Diabetes Prevention Programme
Roll out a national diabetes prevention programme based on the best available evidence, in partnership with NHS England and Diabetes UK
Realising a Whole systems approach to tackling obesity
Commission a consortium to work collaboratively to develop set of tools, tried and tested at a local level, to support local authorities across England in implementing whole systems approaches
Obesity Update

4. Mapping of weight management services update
Overview of framework
Mapping of weight management services update
Data collection through face-to-face sessions and the e-survey was completed in May 2015.
We are working on writing the reports for the mapping exercise.
We are liaising with our colleagues in the Department and our internal communications teams on the publication date of the reports.
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5. The Current Obesity Pathway Tier 4 Tier 3 Tier 2 Tier 1
Overview of framework
The Current Obesity Pathway
Entry Routes
Commissioning Authority
BMI Eligibility Criteria
Tier 4
Bariatric
Surgery
NHS Health Check
BMI >50
BMI >40 or >35 with diabetes and Tier 3 failed
NHS England
National Child Measurement Programme
Tier 3
Multidisciplinary Team
Specialist service
Quality and Outcomes Framework
BMI >40 or >35 with diabetes
Centile >98th
Clinical Commissioning Groups GP
0-19 Team
Nurses
Self
Tier 2
Lifestyle weight management services
Commercial and non commercial
Local Authorities
BMI>25
Centile >91st
Tier 1
Universal, environmental, population wide approaches
Change4Life
Local Authorities
Healthy weight

6. Realising a whole systems approach to tackling obesity

7. Tackling the obesogenic environment
Overview of framework
Tackling the obesogenic environment
Working with The Town and Country Planners Association (TCPA), PHE have jointly published ‘Planning Healthy- Weight – a TCPA reuniting health with planning project’. 
This toolkit looks at ways in which planning and development of the built environment can contribute to encouraging healthier populations, in particular when bringing forward different development types through the planning process. 
Workshops
Aimed at planners and public health teams
11 workshops are planned this financial year

8. Sugar Reduction ‘ Responding to the Challenge’ PHE work programme
Evidence reviews - fiscal measures; promotions; advertising
Refresh “5 a day” campaign/eatwell plate
Support DH in work with food industry
Food procurement and public sector government buying standards for food (GBSF)
Change4Life
Local Authority good practice- looking at evidence of good and promising practice.
Promote education and training for key professionals
Local Champions
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Public Health priorities for tackling obesity

9. The eatwell plate review

10. Why Healthier, More Sustainable Catering?
The Department of Health estimates costs to the NHS of treating the health effects of poor diets to be around £5 billion per year
Organisations serving or selling foods can enable positive changes to the diet of the nation by offering healthier, more sustainable food provision. For example:
government departments, hospitals, residential care homes, local authorities, prisons, other workplaces and community venues such as temples, museums, educational establishment such as universities and further education colleges
PHE guidance includes case studies from most of these settings

11. PHE catering guidance and tools – how can they can help?

12. Our supporting tools Information for commissioners
Information for those involved in purchasing food and drink
Government Buying Standards for Food and Catering Services (GBSF) checklist
Nutrition checker tool
Dietary Reference Value tool
PHE's quick guide to healthy eating messages
PHE healthier, more sustainable catering guidance and tools are available at:
Obesity Update

13. 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
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Realising the development of a transferable and locally driven whole system approach to tackling obesity