1. Critical Mass Sue Carmichael Public Health Commissioner for Cardiovascular Disease Reduction October 2013

2. Critical Mass- The History  Written by Public Health in the PCT in 2008  Aimed to improve the health of the people of West Sussex by preventing overweight and obesity and improving the management provided for those children and adults who are already overweight or obese.

3. The Scope 1.To provide background on obesity as a major public health issue 2.To identify the obesity components of the Choosing Health Delivery Plan, Public Service Agreements, the Local Area Agreements, NHS “Vital Signs” and other targets related to obesity 3.To recognise and rationalise the work currently taking place in West Sussex to prevent and treat obesity 4.To support implementation of the evidence based recommendations endorsed by NICE 5.To make recommendations for action to tackle obesity in West Sussex 6.To provide a structure for partnership work with local organisations to agree a way forward.

4. Prevalence – Adult % of adult population -obesity West Sussex rate = 25% Source: Health Survey England 2010-11

5. Child overweight and obesity (NCMP 2012) Prevalence Under weight Yr R Underweight Yr 6 Healthy weight Yr R Healthy Weight Yr 6 Overweight Yr R Overweight Year 6 Obese Year R Obese Year 6 West Sussex 0.91.078.5%69.2%12.7%14.3%7.9%15.6% Adur 14.614.810.417.1 Arun 1314.410.318.1 Chichester 12.913.86.915.5 Crawley 10.515.38.118.8 Horsham 12.614.48.412.5 Mid Sussex 12.712.15.313.1 Worthing 13.315.87.514.8 5

6. Current Position - Provision  Adult – Countywide four tier pathway  Public Health Commission Tier 2  Well-being Hubs provide targeted services  Procurement process for new service  Children – No current countywide service  Well-being Hubs provide targeted services  Procurement process for new service

7. WSCC Vision for Healthy Weight  The aim of this strategy is to improve the health of the people of West Sussex by preventing unhealthy weight and improving the management provided for children and adults  Developing a County where having a healthy weight is increasingly the norm and easier to achieve and maintain  The main focus will be to reduction the prevalence of excess weight (overweight and obesity); however the strategy and action plan will be mindful of those who are underweight

8.  The approach used is based on normalising healthy weight across the life course, primarily looking at each age group within the population to identify and address causes, influences, and inform prevention initiatives and interventions.  Reflecting Marmot’s life course framework the seven life course age groups have been identified Fair Society, Healthy Lives. The Marmot review. Strategic Review of Health Inequalities in England post-2010

9. The Five Strategic Objectives Strategic Objectives Give all children the best start and tackle the generational issue of healthy weight in families. Address the risks of an unhealthy weight Offer effective support for children and adults who need to lose weight. Develop a competent, confident and effective workforce able to promote healthy weight. Tackle ‘obesity promoting’ environments in West Sussex

10. Your thoughts and comments?  Sue.Carmichael@westsussex.gov.uk Sue.Carmichael@westsussex.gov.uk  Sarah.Jewell@westsussex.gov.uk Sarah.Jewell@westsussex.gov.uk 10