EAST LONDON HEALTHIER CHILDREN, HEALTHIER PLACE:Local authority self–assesment toolkit for reviewing whole systems approaches to

tackling childhood obesity

Programme background

2009 – 2012History of East London “olympic” boroughs working together to secure a health legacy from the Games – the Host/Growth Boroughs2012 – 2014Health Legacy programme delivered Healthmakers volunteer training, Healthy Urban Planning Checklist, primary care employment support pilot, healthy workplace interventions, and Active People, Active Park2014New mandate independent of the Growth Borough, single focus on shifting the culture and environment that drive an obesogenic environment through a whole systems approach to childhood obesity 2015East London Healthier Children, Healthier Place, expanding partnership, collaborative working, driven by DsPH offering dedicated programme management; shared learning and best practice events; information exchange and peer support; building the evidence base; links to pan-London networks and programmes

Background to the self-assessment toolkit

• Public Health teams needed a

mechanism to prioritise “what to do”

about child obesity

• Programme Board wanted to evaluate

or capture process change, as

outcomes longer term

• Self-assessment model seemed

promising

• Opportunity to build on the work for

the London Health Improvement

Board towards an obesity framework

What the toolkit aims to do

Maps an organisations whole systems approach to tackling obesity

Strengths Gaps against the evidence base What’s deliverable Determines local priorities

Should Be easy to use, facilitates rapid

review Support engaging broad base of

partners Inform understanding of whole

system approach to childhood obesity

Be bespoke to local conditions

Using the toolkit• An assessment of 13 key areas of focus of the childhood obesity system…how are

you progressing against these, what are you doing? What are you not doing? What more could you do? Is any of it realistic? What appear to be your priorities? What are your actual priorities?

• Look through each in detail (promoted by suggested interventions within each) and what level of work you’re doing (or not doing) to deliver on those areas

• Summary and Action Pan for each area of focus to reflect what is going well, what needs more attention and where there are real gaps

• Action Plan then matched against a ‘reality check’ with resulting score on deliverability

• All areas of focus ranked according to score, informing priorities for forthcoming period (e.g. year ahead)

• Priority table setting out key areas of focus for your organisation

Assessing themes

Not a local

priority In research

and development

Projects and programmes

initiated

Sustained delivery

and progress

Increase awareness among expectant mothers of the benefits of breastfeeding to themselves and their baby

Increase mothers’ motivation, confidence and skills to initiate breastfeeding

Increase the support available to mothers to continue to breastfeed if they encounter difficulties in doing so

Increase the number of mothers who feel able and welcome to breastfeed when out of the home in various indoor and outdoor settings

Increase the number of workplaces and employers that support mothers to continue to breastfeed when they return to work

Promote a wider understanding among families and communities of the value of breastfeeding, and support for mothers who do so

Action Plan per theme

1. Increase the number of babies who are breastfed

Develop:

Improve:

Sustain:

Notes:

Reality Check

1. Increase the number of babies who are breastfed

Scoring (0-3)

Comments

1. How strong is local data and evidence for this intervention?

2. Are there resources and funding streams available to support it?

3. How developed are relevant projects/programmes?

4. Are partners ready to engage?

5. How well can wider strategic priorities be linked?

6. Is there clear political ambition for this intervention?

Overall score for deliverability on this intervention /18

Summary

Ranking based on scoring

Intervention Score (out of 18)

Priorities for year ahead

Intervention What needs to happen to deliver on this

• Does it feel right?• Is it asking the right questions?• Will it reflect all areas of the ‘system’?• Does the scoring highlight areas that need attention?• What’s missing?• Feedback welcome…

More info on East London Healthier Children, Healthier Place, forward programme, Knowledge Hub group, to join and sign MOU…

Matt CreamerMatt.creamer@royalgreenwich.gov.uk020 8921 6625

Reflections…