1. www.worcestershire.gov.uk Worcestershire Obesity Plan 2013 - 16 1

2. www.worcestershire.gov.uk Context: Health and Well-being Board priorities Relevant across age groups to large numbers of people; Related to major causes of illness and death, and requiring major health and social care spend; Requiring transformational change to improve outcomes; Requiring strong leadership, and co-ordinated action across organisations and wider society to achieve change. 2

3. www.worcestershire.gov.uk 115,900 adults in Worcs. obese; 162,433 adults are overweight; Over 50% of our adult population.

4. www.worcestershire.gov.uk Cardiovascular diseases Type 2 diabetes Musculoskeletal disorders (especially osteoarthritis) Some cancers (endometrial, breast, and colon) Reproductive & urological problems Respiratory disease Gastrointestinal and liver disease Psychological & social issues

5. www.worcestershire.gov.uk 5 Headlines from the Obesity Needs Assessment Adults Bulls-eye of Obesity Interventions Number who achieved 10% weight loss Number who achieved 5% weight loss Number who started an intervention during 2009/12 Estimated Number of Obese Adults 2006/08 115,990 7,444 1,272 512

6. www.worcestershire.gov.uk Scale of Childhood Obesity in Worcestershire 11,357 obese 5 – 14 years; 9,422 overweight. 1 in 4 start school overweight or obese; a third by year 6.

7. www.worcestershire.gov.uk Childhood Obesity Adult obesity Premature death and disability in adulthood Respiratory disease Fractures Hypertension Early markers of cardiovascular disease Insulin resistance Psychological effects

8. www.worcestershire.gov.uk

9. 9 Headlines from the Obesity Needs Assessment Number of Children who completed 14- week FRESH programme Number of Children who engaged a 6-week intervention via FRESH Number of School Pupils who received the FRESH taster session* Estimated Number of Obese Children Estimated Number of Obese and/or Overweight Children 20,779 11,357 81 676 1,908 Children’s Bulls-eye of Obesity Interventions *This was delivered in conjunction with the National Child Measurement Programme

10. www.worcestershire.gov.uk Aim A: empowering individuals to take responsibility for their own and their families diet and physical activity habits: Deliver a programme of targeted social marketing campaigns; Focus on information for pregnant women and new parents; Skills development among at risk groups; Increased access to entry level physical activity; Scale up training for front line staff to deliver brief interventions. 10

11. www.worcestershire.gov.uk Aim B: tackling the obesogenic environment Work with planners to develop a core evidence base on physical activity, food, and health; Work with transport departments to ensure active travel is prioritised across the County; Develop HIA for use in all types of Council decision- making; Work with local businesses to increase sign-up to the Responsibility Deal; Work with schools to increase physical activity levels of children; Work with institutional settings to improve nutritional content of food. 11

12. www.worcestershire.gov.uk Aim C: developing a healthy workforce Increase number of local businesses signed up to Worcestershire Works Well; Work with local employers to improve nutritional content of food served in canteens; Undertake a programme to increase physical activity levels of staff of large public sector organisations; Support development of flexible working and facilitation of physical activity within the working day. 12

13. www.worcestershire.gov.uk Aim D: developing robust care pathways Review current care pathways for obese adults and children; Ensure routine health interventions robustly address obesity, diet, and physical activity; Scale up delivery of brief interventions, and sign- posting across all agencies, including social care and VCS. 13

14. www.worcestershire.gov.uk Next steps Forming an Obesity Action Group to develop a detailed operational plan; report to Board 13/14; Plan to have clear line of accountability and a timescale for implementation; Progress to be measured through HWB Strategy indicators such as b/f rates, childhood obesity, and physical activity; Shaping a new approach to obesity based on personal responsibility; creating a healthy environment including in the workplace; and having robust treatment for those who need it. 14