1. Promoting Healthy Weight Sue Beck, Hertfordshire County Council Dr Alison Jackson, East and North Hertfordshire CCG

2. Adult Excess Weight

3. Childhood Obesity 4-5 year olds

4. Childhood Obesity 10 -11 year olds

5. Principles that Underpin Our Work Life course System wide approach Evidence base Diet and physical activity Work across tiers 1-2 Reducing health inequalities

6. What action are we taking? Adult weight management in the community Pilot weight management for men 2015 Child weight management in the community

7. A locality-based approach Childhood obesity (obesity generally) is a local priority for Lower Lea Valley locality Broxbourne has the highest prevalence of childhood obesity in the CCG area for both reception (13.4%) and Year 6 (17.4%) pupils, identified through the national child measurement programme

8. Feedback Patients acknowledge their weight problems and recognise the health benefits of losing weight Patients need more multi-disciplinary support Lack of weight loss initiatives to support primary care Lack of awareness of what is already there National child measurement programme information not shared with clinicians Initial reluctance to tackle sensitive subject

9. Childhood obesity project Aim To develop a local service to support those children and families who identified as obese to maintain a healthy weight and adopt healthier lifestyles. Method Families offered healthy lifestyle review by practices and then signposted to Healthy Lifestyle Liaison Worker(developmental role)

10. Healthy Lifestyle Liaison Worker Motivates families to make lifestyle changes Provides resources to support 12 GP practices Developed a range of programmes:  promoting healthy eating/breast-feeding  supporting teenagers, referral from schools  working with schools, health visitors and children’s centres  support MEND programme  single point of contact for all referrals

11. Obesity – a complex problem Whole system approach to make process more efficient and effective. So far: Easier access via single point of contact Families’ needs met through joined-up working Specialised dedicated provision to support families of children aged from 0-19 MEND programme better utilised Positive experience from staff and families Increased awareness and solutions for local area - transferrable to other areas?

12. Over to you …