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National Child Measurement Programme update

National Child Measurement Programme update. Rachel Manners Public Health Delivery Manager PHE Children, Young People & Families Team London Healthy Weight Leads Network 21 September 2015. Key Challenges. Identification : We may not identify ourselves or our children as obese

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National Child Measurement Programme update

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  1. National Child Measurement Programme update Rachel Manners Public Health Delivery Manager PHE Children, Young People & Families Team London Healthy Weight Leads Network 21 September 2015

  2. London Healthy Weight Network, September 2015

  3. Key Challenges • Identification: We may not identify ourselves or our children as obese • Inequality: Obesity does not affect groups equally • Complexity: Obesity is the outcome of a complex set of factors London Healthy Weight Network, September 2015

  4. Identification London Healthy Weight Network, September 2015

  5. Inequality • Obesity is more common among: • People from more deprived communities • Older age groups • Some black and minority ethnic groups • People with disabilities London Healthy Weight Network, September 2015

  6. Societal influences Individual psychology Individual activity Food Consumption Activity environment Food Production Biology

  7. 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 Obesity work plan: five pillars for action • 1.Systems Leadership • Influence local & national leaders • raise the national debate • influence political ambition • maximise communication • 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 • 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 Tackle obesity, address the inequalities associated with obesity and improve wellbeing Obesity: a big ambition for the public’s health

  8. PHE’s role in the NCMP • Leadership and support for local delivery of the programme through the development and provision of guidance, case studies • Support effective use of NCMP data locally to inform action, analytical guidance, school feedback tool • Develop the evidence base for sharing results with parents and best practice approaches • Commission HSCIC to provide IT system, user support, collate, analyse and publish annual report London Healthy Weight Network, September 2015

  9. NCMP: achievements so far • Established in 2006 and involves the weighing and measuring of all eligible children in reception and year 6 at state-maintained primary and middle schools including academies: • 100% of LAs • Over 99% of eligible schools • 93% of eligible children – over 1 million children measured each year • National Statistics status • Surveillance element: Data used nationally and locally to inform action and bring together broad coalition of partners required to prevent and address child obesity • Engagement element: Opportunity for local authorities/providers to engage directly with families through provision of results to parents London Healthy Weight Network, September 2015

  10. Latest NCMP findings • Prevalence of child obesity remains high, and doubles between the ages of 4–5 and 10–11 years (from 9.5% to 19.1%). • For Reception: a stabilisation of obesity and excess weight, and a possible downward trend • For Year 6: early signs of a possible halt to the trend of increases previously seen in obesity and excess weight prevalence • Strong social deprivation gradient: obesity prevalence double in the most deprived areas compared with the least deprived London Healthy Weight Network, September 2015

  11. Prevalence of excess weight among childrenNational Child Measurement Programme 2013/14 One in five children in Reception is overweight or obese (boys 23.4%, girls 21.6%) One in three children in Year 6 is overweight or obese (boys 35.2%, girls 31.7%) Child overweight (including obesity)/ excess weight: BMI ≥ 85th centile of the UK90 growth reference London Healthy Weight Network, September 2015

  12. http://fingertips.phe.org.uk/profile/national-child-measurement-programmehttp://fingertips.phe.org.uk/profile/national-child-measurement-programme Screenshot of webpage London Healthy Weight Network, September 2015

  13. Improving the breadth and depth of NCMP data which is provided to local areas • Utilising the NCMP programme to further enhance support to local partners and schools. • Building upon NCMP and C4L as a key opportunity to engage families • To focus on effective communication to pro-actively engage parents • Continue to utilise opportunities to share best practice • Key priorities for 15/16 London Healthy Weight Network, September 2015

  14. Sharing NCMP results with parents • Key findings: • 87% of parents found feedback helpful • More than one-fifth of parents of overweight reported feeling upset • 1.8% of parents stated they would withdraw their children in the future • A quarter of parents with children who were overweight and half of parents of those classed as very overweight sought further information • family and friends – 14.4% • internet -9.9% • School nurse – 8.4% • Almost three quarters of parents reported an intention to change lifestyle behaviours following NCMP feedback. • Park, MH; Falconer, CL; Croker, H et al. Predictors of health-related behaviour change in parents of overweight children in England London Healthy Weight Network, September 2015

  15. PHE/LGA Child obesity peer-challenge • Sector-led improvement approach • Short on-site visit by a team of experienced ‘peers’ and experts. • Free-standing child obesity module or integrated into Health & Wellbeing peer challenge • Findings, feedback and recommendations made to enable councils and HWBBs to focus on key issues and take child obesity agenda forward • Adopting a ‘whole systems’ approach to child obesity • Pilot sites – Bath & North East Somerset, Peterborough, West Cheshire and Cheshire, and Blackpool • Next stage - Evaluation and roll-out offer to other local authorities 15/16 London Healthy Weight Network, September 2015

  16. Take home messages • Tackling child obesity remains a priority for DH and PHE • Public Health Outcome Framework – child excess weight as measured by NCMP data as an indicator • PHE has a key role in supporting local delivery through provision of tools and resources, and evidence base, and through PHE Centres working with local Government • Welcome feedback and examples of good practise from local areas. London Healthy Weight Network, September 2015

  17. Further information • www.gov.uk/phe: 2013/14 NCMP operational guidance, template letters, leaflets, briefing for elected members • www.noo.org.uk (now part of PHE): NCMP analysis reports, local analysis guidance, mapping tool with data shown down to Ward level, NCMP data slide sets, and wider info on tackling obesity across the LA, Standard Evaluation Framework • www.hscic.gov.uk/ncmp : IT system, guidance and FAQs • www.nice.org.uk Obesity pathway and new child lifestyle weight management guidelines • PHE Bulletin (email phe@phe.gov.uk requesting to be added to the PHE Bulletin subscriber list, and giving name, organisation, job title and role) • PHE Twitter accounts: @PHE_uk , @PHE_obesity, @PHE_Children, @DrKevinFenton • Contact: ncmp@phe.gov.uk London Healthy Weight Network, September 2015

  18. Questions? • Rachel Manners • NCMP Programme Manager • Public Health England • (020368) 20786 • 07711 021130 • rachel.manners@phe.gov.uk London Healthy Weight Network, September 2015

  19. Other child obesity workstreams • Promote the evidence base through briefing papers, working with PHE Knowledge & Intelligence, NICE and others • Change4Life, • Working closely with the School Food Plan, Youth Sports Trust, Play England and Natural England to promote healthy weight in children • Transform health visiting services to ensure increased support for infant feeding and healthy eating for all families • Promote breastfeeding and support mothers to feed babies as long as they choose, particularly in deprived areas where breastfeeding rates are lower • Physical activity framework London Healthy Weight Network, September 2015

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