can we design a healthier food system in kirklees? - tony cooke
TRANSCRIPT
Can we design a healthier food
system in Kirklees?
Public Health
Tony Cooke, Head of Health Improvement
Why? • Obesity is worsening in adults and children• Fewer people are physically active• Fewer people are buying healthy food (national)• Poor diet and inactivity are increasingly concentrated in
deprived areas• Diet has overtaken smoking as the number one cause of
disability with physical activity not far behind• Diet related conditions like Type II diabetes and hypertension
are increasing• Costs are escalating across the health and social care system
and are unsustainable
3
Kirklees Data (PHE, 2015)
Patterns and trends in adult obesity
Adult (aged 16+) overweight and obesity: BMI ≥ 25kg/m2
More than 6 out of 10 people are overweight or obese (65.7%)
One in 3 children age 10-11 are overweight or obese (32%)
Why?
Obesity harms health services
8
Obesity prevalence by deprivation decile and year of measurement
National Child Measurement Programme 2006/07 to 2014/15
Patterns and trends in child obesityChild obesity: BMI ≥ 95th centile of the UK90 growth reference
Children in Year 6 (aged 10-11 years)
0%
5%
10%
15%
20%
25%
30%
Mostdeprived
Leastdeprived
Obe
sity
pre
vale
nce
Index of Multiple Deprivation (IMD 2010) decile
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15
Obesogenic Environments• Where we live – our built and natural environment – affects
our health, our diet and how often we are active, and ultimately how we feel about ourselves and our community
• An obesogenic environment is the sum of social, economic, psychological and biological influences that influence our behaviour
• Prevention and treatment of obesity has focused on pharmacological and educational but scale is too limited
• Shaping the environment to better support healthier decisions has the potential to be a key aspect of health improvement
• Shaping cultural norms are a key part of this – behaviour change is system-wide
System wide innovation to transform food culture• Children/School food – Kirklees Council’s Catering Service has Silver Food
for Life Catering Mark and supplies to over 170 schools• Expansion of FFLP model into other settings - Health Promoting Hospitals,
care homes and early years settings • Food poverty - Growing programmes/training – Plant It, Grow It, Eat It - 40
growing sites in areas of multiple deprivation, developing Community Shop with supermarkets
• Healthy Choice Award – Environmental Health award to over 540 food businesses plus Take-away master classes
• Procurement – social value, improvements to supply chains, promotion of better business standards and the Kirklees Pound via Food Hub
• Small grants programmes and community development• Events - ‘Good Food Week’ and ‘Food in Educational Settings Event’, Made
in Huddersfield and “Made in Dewsbury” events.
Outcomes – the connected, healthy community
A better, healthier place to live and workMore use of parks and green space to grow food and be active
More people with a healthy weight
© 2012 Intelligent Health/NHS London
A stronger communityIncreased inter-generational connections, less loneliness
Increased volunteering and community activityMore satisfaction with local area/community
Stronger local economyMore successful local businesses, regeneration of
disadvantaged areas More productive residents and employees