Nutrition and DieteticHealth Improvement Team

Annual Report 2017 -2018

‘We offer training, resources and support to individuals, groups,organisations and communities to help them build their capacity, knowledge,

skills and confidence around nutrition, food and cooking.’

‘We strive to improve the health and wellbeing of individuals and communitiesthroughout Forth Valley by leading on the nutrition agenda,

with a focus on reducing inequalities.’

Showcasing our work...Community NutritionBelow we have highlighted key pieces of work from each of our 3 work strands:

1. Health Inequalities We work with local people, organisations and communities to build capacity and support them to promote and deliver food activities with a particular focus on vulnerable individuals and families.Examples of our work:

• Supported 5 organisations to become independent REHIS centres – they can now run their own REHIS cookinggroups for members of their local communities, providing individuals with an accredited qualification.• Continued to roll out ‘Mini Steps’ and provided training and resources to organisations working with vulnerableindividuals. Established joint working with Health Promotion, linking ‘Mini Steps’ and ‘Smile for Life’ programmesacross Forth Valley.• Community Food Development Workers in partnership with local community groups, have focused onengagement and building capacity to increase access to food activities, cooking skills and training. This hasincreased local people’s knowledge, skills and confidence around food and nutrition.• Worked with Community Food and Health Scotland’s research group and developed a range of tools andstrategies to support the evaluation of food activities.

2. Maternal Health and Early YearsWe provide information and support to a variety of partners to deliver key nutritional messages to pregnant women, parents, carers and sta� working with young children.Examples of our work:

• Developed new resources to raise awareness and engage with partners from local authorities, community and third sector organisations in promoting the Healthy Start Scheme to potential beneficiaries.• Increased parental access to free Healthy Start Children’s Vitamin drops regardless of entitlement to the Healthy Start Scheme, in areas of high deprivation, through testing out whether having them available from local authority nurseries increased the uptake.• Provided support and evaluated the e�ectiveness of the support to specialist midwives, using behaviourchange strategies to help initiate lifestyle change with pregnant women with a BMI ≥ 40kg/m2.• As a result of our Setting the Table/ Make and Taste training at least 12 nurseries and 6 voluntary organisationshave implemented nutrition related programmes to engage with children and families around food.

3. Organisational Settings and Campaigns We support settings such as Health Promoting Health Service (HPHS), Scottish Prison Service (SPS), Healthy Working Lives (HWL), schools and nurseries to drive key nutritional messages forward.Examples of our work:

• Continued to support local and national SPS catering services, local SPS Family Centres and local SPS sta�,volunteers and prisoners to meet “Better Health, Better Lives for Prisoners” guidance and to participate in awhole prison approach to Health Improvement.• Provided REHIS accredited training to SPS sta�, volunteers and prisoners.• Delivered and supported 7 food related campaigns. Designed and developed campaign materials and used a range of communication and social media strategies to raise awareness of key nutritional messages.• Worked in partnership with Health Promotion and Braveheart to develop and deliver a 10 week weightmanagement programme for NHS sta�. Also supported local workplaces and NHS sta� taking forwardChooseToLose@Work within their own departments and organisations.• As part of our HPHS work advised and supported catering sta� (Serco), Royal Voluntary Service (RVS) sta� and vending companies to ensure they were meeting the nutritional criteria in the Healthy Living Award +and the Healthcare Retail Standards.

Healthy Start and Vitamin D Resources A range of new Healthy Start promotional materials were designed and produced to promote and update sta� from statutory and non statutory services and organisations particularly for sta� supporting service users to maximise their income. These included a poster to be displayed in areas accessed by service users as well as other resources to remind sta� about the importance of the Healthy Start Scheme.

In addition Healthy Start Vitamin D materials were developed and included a poster, postcards, sticker reward chart and stickers. These resources supported a pilot around Healthy Start Children’s vitamin drops in several local nurseries.

How to Recipe sheetsA set of 6 ‘How to’ recipe sheets have been developed, these are easy and quick dishes to prepare, using only a few basic ingredients. These simple recipes can help people gain confidence to start thinking about preparing and cooking their meals from scratch,they have been tried and tested by people in the community who have not had much experience cooking.

Managing my weight during my pregnancy? Leaflet The leaflet encourages pregnant women to start thinking about making healthier food and lifestyle choices. It reinforces key healthy eating messages and encourages women to self record and make small, realistic lifestyle changes that can be built easily into everyday routine. This leaflet is aimed at pregnant women with a BMI of 30or over.

New ResourceThese resources and others can be downloaded fromwww.nhsforthvalley.com/nutrition

Open up to see the facts

• How to – Soups..• How to – Lunches..• How to – Mains..

• How to – Veggies..• How to – Fish..• How to – Puddings.

For further information on the pilot programme or for resources email: lesleyhetherington@nhs.net

For copies of recipes email: wendy.handley@nhs.net

Community Nutritionwww.nhsforthvalley.com/nutrition

www.nhsforthvalley.com/weight

More detailed reports and resources are available to downloadfrom our website.

We would like to take this opportunity to thank all thosewe have worked with from our NHS partners, local authority sta�

and those from 3rd sector organisations across Forth Valley.

Choose To Lose... and keep weight off for good!

Like us on facebook/nhsforthvalley Follow us @NHSForthValley

Food Activity Grants

Campaigns

Website Activity Social Media Activity

Nutrition and Dietetic Health Improvement TeamCelebrating our work 2017-2018

Train the Trainer Healthy Start Children’s Vitamin Scheme Choose To Lose @ Work

This gives a flavour of some of the food related courses we have delivered.

Grants ranging from £50 to £400 were awarded to over 20 local organisations.

The staff and volunteers that we train then use our toolkits, resources and materials to roll out food related training and key messages within their local communities. This capacity building approach results in a much wider reach, with more individuals from local communities learning about good food choices and developing confidence and skills to shop, cook and eat for good health.

Over the past year our Choose To Loseand Community Nutrition websites havecontinued to grow in popularity amongstour staff, stakeholders, patients and clientswithin our community.

Throughout the year we worked in partnership with NHS Forth Valley’s communications department

and used Facebook and Twitter to deliver our key nutrition and campaign messages. This helped us raise

the profile of our team by sharing innovative work,showcasing new resources and allowed us to educate,

inform and engage with a much wider audience.

We have worked in partnership with over 60 organisations supporting them to deliver food activities within their local communities.

Working with partners, organisations and communities across Forth Valley

Training

We worked in partnership with Health Promotion and Braveheart and developed and delivered a 10 week

pilot weight management programme for two groups of NHS Staff. The two groups of 24 staff managed to

lose 6 stone 1lb over the 10 weeks. Staff were weighed weekly and offered support and resources to

help them self monitor their weight, set goals and record their dietary intake and physical activity levels.

Texts were sent weekly to each member’s mobile phone to help keep them motivated, focused and on

track. The group sessions offered staff support and the opportunity to share ideas, tips and recipes.

We ran a pilot in a few local nurseries to investigate the possibility of all Forth Valley nurseries, in areas of

highest deprivation, stocking and distributing Healthy Start Children’s vitamin drops to low income families. By ensuring the vitamins are easily accessible via the

local nursery, we are hoping to see an increase in their uptake. A variety of Healthy Start and Vitamin D

resources were produced to help engage with families and provide them with key messages around vitamins

in particular vitamin D. As an incentive to take the vitamin drops, a sticker reward chart was developed for families. Evaluation of the pilot will consist of two parts, process evaluation which captures feedback from staff and families involved and using postcode data on the

uptake of Healthy Start Children’s drops from the national Healthy Start vitamin data.

We have ran Train the Trainer courses for a number of years and have recently worked in partnership with

REHIS (Royal Environmental Health Institute of Scotland) and NHS Fife to develop an accredited

course - ‘How to run a cooking group’. This course provides participants with knowledge, skills and

confidence to run local food activities and improves employability by providing individuals with a national

qualification. 21 people from 8 organisations have successfully completed ‘Train the Trainer’, 7 of those

completed the new REHIS course. Our team will continue to promote and deliver this new course

throughout Forth Valley.

REHIS Elementary Food & Health

REHIS Practical Cooking

REHIS Food Hygiene

Cooking with Groups

“Ran food activitieswith parents to engage

with families.”

“Bought cookingequipment to run cooking

courses”

“Ran cooking workshopsusing fresh produce from

our garden”

“Bought ingredientsand resources to run

REHIS Elementary CookingSkills”

“Supported parents withMake and Taste programme

enabling positive foodjourneys”

We have delivered 7 successful campaigns this year. Here’s more details about 2 of these campaigns

The other 5 local and national campaignssupported included the following:

Go to: www.nhsforthvalley.com/weight

Hosted on our website

Choose To Lose... and keep weight off for good!

Choose To LoseAt Work

Want to set upweigh in sessions

for your staff?

71

98

29

28

37

88

23

27

Mini Steps Programme

Setting the Table

Make and Taste

Weaning

Breastfeeding Welcome SchemeA new Breastfeeding Welcome Scheme was introduced across Forth Valley which coincided with Scottish Breastfeeding Awareness Week in June. A logo was developed and used to create window stickers and posters for NHS staff to display in their healthcare facilities. Resources were shared via the staff intranet and local GP practices and health visiting teams were sent an information pack and resources to display in patient waiting areas. Several events were organized acrossthe area to mark the start of this initiative.

Social Media Impact:Facebook: 7,815 individuals reached, 96 likes and 20 shares.Twitter: The tweet made 1,750 impressions, got 4 retweetsand 5 favourites.

National Sugar Awareness WeekDuring Sugar Awareness Week we ran an interactive social media campaign. We decidedto make the posts more interactive and introduced poll type questions and images werealso used to increase its appeal and improve it’s impact, resulting in an increased reach.One of our Public Health Dietitians was interviewed on Radio Royal – this gave us the opportunity to share the great work that our team have been doing around food andcooking in our local community.

Social Media Impact:Facebook 9 Entries - Reached 24,895 individuals / 64 Likes / 4 shares / 35 commentsTwitter 9 Entries - 10,600 Impressions / 35 Retweets / 44 favourites / 6 Replies / 94 Votes

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SSOCIALOCIAL M MEDIAEDIA C CAMPAIGNAMPAIGN

Is your body #babyready?Is your body #babyready?

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Number of staff and volunteers trained: