1. Obesity prevention and treatment: national policy to local delivery
Dr Ruth Campbell
Consultant Dietitian in Public Health Nutrition

2. Overview Scope of the issue Causes of obesity National policy drivers
Translation into practice at local level

3. Breastfeeding rates in Scotland
Source: CHSP-PS August 2018, ISD Scotland

4. Healthy weight among P1 children

5. High BMI among P1 children

6. High BMI among adults
Source: Scottish Health Survey 2017

7. Physical activity among children
Source: Scottish Health Survey 2017

8. Physical activity among children
Source: Scottish Health Survey 2017

9. Physical activity among adults
Source: Scottish Health Survey 2017

10. Causes of obesity

12. Public health priorities
Vibrant, healthy and safe places
Flourish in early years
Good mental wellbeing
Reduce use and harm from alcohol, tobacco and other drugs
Sustainable, inclusive economy with equality of outcomes for all
Eat well, healthy weight and physically active

13. Diet & Healthy Weight Delivery Plan
Children have the best start in life – they eat well and have a healthy weight
The food environment supports healthier choices
People have access to effective weight management services
Leaders across all sectors promote healthy diet and weight
Diet-related ill health inequalities are reduced

14. Local actions: outcome 1
Engaging with women before pregnancy (1.1)
Practical advice for parents on weaning, for toddlers, pre-school and primary age (1.3)
Equipping staff with knowledge and skills (1.5, 1.6)
Provision of free meal & drink as part of ELC expansion (1.11)
Implementation of recommendations from amendments to nutritional requirements for food & drink in schools (1.13)
Implementation of Best Start Grant (1.16)

15. Local actions: outcome 2
Consultation on restricting promotions of foods high in fat, sugar or salt (2.1)
Consultation on an Out of Home strategy (2.9)
Influencing Scottish Planning Policy on better control of food outlets near schools (2.12)
Work with Sporta on restricting sale of energy drinks to under 16s (2.15)

16. Local actions: outcome 3
Expansion of weight management services for those at high risk of type 2 diabetes (3.1)
Early adopter status (3.2)
Continued investment in child and adult weight management services and develop minimum standards (3.6, 3.7, 3.9, 3.10)
Implementation of training for professionals, particularly on weight bias and weight stigma (3.12)

17. Local actions: outcome 4
Sporta will support members to adopt Healthy living award in cafes and vending (4.2)
Funding for community food providers to support those experiencing food insecurity (4.4)
Implementation of strategy to promote health & wellbeing of staff (4.13)

18. Prevention, early detection & early intervention of type 2 diabetes
Universal services and health promotion
Early detection and early intervention
Targeted intervention
Complex case management

19. Early adopter for diabetes prevention
Targeting those at very high risk of type 2 diabetes
Improving care for women with gestational diabetes
Developing a robust IT infrastructure
North Ayrshire Community Planning Partnership are a trailblazer site for wider systems approach to obesity prevention

20. Ayrshire Healthy Weight Strategy
Awareness, knowledge, skills & empowerment
Maternal & infant nutrition
Availability & affordability of healthier food & drinks
Active travel & active workplaces
Built/natural environment
Physical activity
Weight management (children & adults)