Public Health Team

Third Edition Public Health in action January 2019 Back to the Future In his sixth Director of Public Health Full and summary copies of Back annual report, Lincoln looks back to the Future and the engagement at progress made since 2013 when report can be downloaded responsibility for public health from http://nypartnerships. transferred into the local authority. org.uk/dphreport2018 When preparing the report, feedback was gathered from a range of stakeholders about public health priorities for the future and these have informed the content of the report and recommendations.

The report is structured in three main sections: A look back from 2013 What do the data tell us? What do partners and the public consider our future public health priorities?

Dr Lincoln Sargeant also looks forward to 2025 and makes recommendations around continuing to reduce health inequalities, improving public mental health and embedding a public health approach into everyone’s practice.

INSIDE North Yorkshire County Council Public Health Team Newsletter January 2019

Start Well North Yorkshire self-harm pathway for children and young people

Claire Robinson, Health Improvement Manager and November and December allowing feedback to be Emma Lonsdale, Commissioning Manager, have been gained on the pathway and to hear from services leading the work to review the current North Yorkshire supporting children and young people who self- self-harm pathway for children and young people. harm and parents whose child has self-harmed.

Claire and Emma have been working with colleagues All five events have been oversubscribed and and parents to redesign the pathway. As a result feedback has been overwhelming. All the feedback they have developed an online pathway and guide has been collated and will inform the final version aimed at helping schools, the children’s workforce, of the self-harm pathway due to be launched online parents and carers to provide support to children in January 2019. For more information please and young people who are self-harming. County contact Claire Robison, Health Improvement wide engagement events have been held throughout Manager [email protected]

New partnerships focusing on Michelle, the cook from Barkston This work focusing on school meals is part of a much healthy eating in schools Ash Primary School, said: broader approach to promoting healthy weight among children and young people across North Yorkshire. During 2018 the Public In addition, the County Catering team have “The trial is going down very Health team started received feedback from a number of parents well and the children enjoy The Healthy Weight, Healthy working with a range across the county expressing concern about the it. Some have a small piece Lives strategy for North of partners to high sugar content of school meal desserts. Yorkshire covers a range look at improving of fruit and a little yoghurt, of issues such as getting The main focus of the partnership group so far has healthy eating in others had either but they look children physically active and been on working to reduce sugar in school meals. The schools and pre- promoting healthy eating, and County Catering team have been looking at pudding forward to Wednesdays.” school settings. this focus on improving school recipes and have implemented the following changes: A new NYCC meals plays an important Suzanne, the cook from the Federation of partnership group Sugar content has been reduced by part in this overall strategy. has been formed at least 10% in all desserts. Snape & Thornton Watlass, said: called the ‘Healthy Very high sugar desserts have been taken “I have been pleasantly Next steps for the Healthy Catering in Schools Catering in Schools Group’ off the regular menus (but will still feature surprised with the outcome Group will be to look at offering the Healthier and includes representation from Public Health, on promotions and celebrations menus). Choices for a Healthier You (healthy catering) the County Catering team, Trading Standards - the children enjoy the fruit award to secondary schools, and to look at On 2 out of the 5 days, the dessert option and the Healthy Choices weight management healthy eating in early years settings. will be flavoured yoghurt and fresh fruit, and yoghurt and look forward service for children and young people. instead of a high sugar pudding. to it. Rolling it out to 2 days For more information please contact This work has come about in response to the growing Before rolling these changes out to all schools, a week in January is a step Helen Ingle, Health Improvement Manager concerns around children’s health, particularly the high they were piloted in several schools across North in the right direction.” [email protected] levels of overweight, obesity and poor oral health. Yorkshire with some very positive feedback.

2 3 North Yorkshire County Council Public Health Team Newsletter January 2019

The Responsible Retailer award/voluntary ban on supplying energy drinks to under 16’s Live Well Adult Weight Management Service

The close of 2018 marked the end physical activity offer and is There have been many of the first full year of delivery of available for residents in North successful journeys for the Adult Weight Management Yorkshire or are registered with a clients that have progressed service for 5 of the 6 Providers GP practice in North Yorkshire or through the programme. across North Yorkshire (Selby are working for an organisation commenced delivery in July 2017). based in North Yorkshire who: Below highlights the achievements of one particular client in The Service provides weekly Are aged 18 and over the Ryedale district and the weigh-ins, structured nutritional With a BMI over 25 impact his weight loss has advice and a free facilitated The Trading Standards Responsible had on his life already. Retailer scheme is a proactive approach to recognising independent retailers who are compliant with legal and social obligations associated Kane is more confident to 24 Week to the supply of age restricted prolong his weight loss journey after Assessment products. The concept began in the in the future

North Yorkshire Alcohol strategy Kane continues to find however when Richmondshire motivation by Impact Kane Johnson attending Community Safety Group associated survey of local children, finding The Responsible Retailer award is group sessions children’s energy drink consumption that the majority of young people free to local retailers and intends on: weekly Profile Kane has changed as a person. He to attention deficits in school drank energy drinks regularly: Improving staff training on has grown in confidence which is Kane was referred on to the weight Kane furthers his continuing to help with his weight and antisocial behaviour in the 73% of responders said age verification processes exercise through management service by his GP community. The award scope purchasing a loss. The weight loss also now means they bought energy drinks Ensuring compliance with because of his rapidly increasing stationary exercise that exercise is much easier for him widened to include any age restricted bike from the local shop the Tobacco Directive and weight. When he first attended Kane which in turn means that he can be product including alcohol, tobacco was quite active already but was more active in general, contributing 53% said they bought the Licensing Act 2003 and high caffeine energy drinks. lacking motivation in terms of Kane's physical Kane to further weight loss. He is much it for themselves and Whilst addressing wider legal nutrition and exercise planning. His activity levels continues to brighter and happier and extremely bad habits included fizzy drinks and increase by using lose weight 34% stated their parents compliance (proxy sales, confident moving forward that he On 31st October 2018, the takeaways. Kane was generally pretty NHSworkout and is will continue his weight loss journey. bought it on their behalf. plans age restricted sales, illicit active to begin with through dog feeling really Responsible Retailer scheme was positive walking. Since coming into the group officially launched alongside the tobacco supply) and raising Armed with the Colburn Youth Group awareness of social issues. service his activity levels increased Results introduction of a voluntary ban on immensely through the NHS workout Kane begins to Initial Assessment the supply of energy drinks to under survey results and testimonies from To date the project has been plans, investing in a stationary bike, take on board Kane looks at Weight: 172kg local partners, Trading Standards and exercising through resistance and what the advisors 16’s in Colburn, Richmondshire. very well received by the Colburn are saying and wiping out BMI: 50.8 punch bag training. looses weight takeaways and were able to show local independent community and moving forward continuously fizzy drinks Waist: 150+cm

To get to this point and to justify retailers that participation in the intention is to continue to 12 Week Assessmen t Weight: 148.3kg the inclusion of energy drinks in the Responsible Retailer award START support the current participants Kane begins BMI: 43.8 the award, Trading Standards had and the voluntary ban of sales Kane was first group whilst introducing the initiative into referred onto Kane felt Waist: 140cm session sought to quantify consumption of energy drinks to under 16’s other areas of North Yorkshire. For the weight focused and 24 Week Assessmen t management determined Kane takes part in Weight: 128.6 levels and qualify perceptions around was justifiable and necessary. more information please contact service after his initial the group exercise assessment and feels even more BMI: 37.6 energy drinks in under 16’s. They David Miller, Divisional Trading determined Waist: 119cm Prior to launch three local retailers Kane attended have achieved this by engaging with Standards Officer Jonathon. his initial had managed to attain the award. assessment Colburn Youth Group to undertake [email protected]

4 For more information contact [email protected] 5 North Yorkshire County Council Public Health Team Newsletter January 2019

Workplace Wellbeing Take Home Naloxone Award A key priority of the North Yorkshire Adult and Young People’s Drug and Alcohol Partnership Group is to reduce the harmful The public health team are effects that drug misuse causes to individuals and communities, keen to support workplace which includes drug related deaths. North Yorkshire’s rate health in organisations across of drug related deaths is statistically similar to England. North Yorkshire, recognising

their achievements in A key initiative championed by Public Health England Healthy Vending improving the health and to tackle drug related deaths is availability of Naloxone. Alcohol Social wellbeing of their employees. North Yorkshire County Council Trading Standards Naloxone is an emergency medication that can be given division are developing healthy vending guidance The 2016 DPH Annual to an individual who has or is suspected to have taken an Marketing – to improve the food offer to the residents of North Report focussed on the overdose of opiates. It reverses the effects, providing an Yorkshire when accessing leisure and NHS facilities. working age population, opportunity for immediate medical treatment until further reducing alcohol harms Early work has been with the leisure provider in North Yorkshire County medical help can be provided, ultimately preventing death. Scarborough Borough, Everyone Active, which has Council’s Economic Growth plan 2017 refers to We have just appointed Hitch Marketing already seen improvements in the vending offered ‘keeping the workforce healthy and happy’ as an to develop a bespoke North Yorkshire On the 1st of July, North Yorkshire Horizons launched at Whitby Leisure Centre. Despite some restrictions enabler to achieve the specified aims and a healthy campaign aimed at those drinking at a Take Home Naloxone programme. The programme associated with vending contracts and agreements workforce is part of the ‘Live well’ theme in the Joint harmful and hazardous levels, with a developed in partnership with the North Yorkshire Public with suppliers, Everyone Active are working hard Health and Wellbeing Strategy. Last year’s Wider focus on those aged 18-40 in areas of Health team, and funded by the North Yorkshire Police and to achieve the following by January 2019: Partnership conference also picked up the theme high density drinking and incidents. The Crime Commissioner Community Fund, aims to reduce project will run over 2 years with the All snacks in the vending machines to be under of workplace health and created the vision that the number of drug related deaths across the county. first year focusing on further audience 250 calories with a selection under 100 calories “A healthy workplace is everyone’s business”. Through the programme individuals at risk of opiate overdose, segmentation (for example by drinking 85% of drinks to be sugar free or their close family members and friends are provided with a Take behaviour or by attitude and awareness), no added sugar; with the remainder North Yorkshire’s Workplace Wellbeing Award has Home Naloxone kit. All individuals receiving the kit complete insight work to understand motivation being under 20g per unit been developed to meet the objectives set out in these training on recognising the signs of a drug overdose, basic first aid and effectiveness of different approaches, reports and will soon be available to any business No non-healthy promotions in and step by step guidance on how to administer the Naloxone. co-creation and the development and irrespective of size or whether it is in the public, the vending provision testing of a new campaign. The second private or voluntary sector. Whilst organisations work To date over a hundred kits have been allocated and four Kids drinks range to be no added year will focus on the delivery of the their way through the 3 levels of the award – bronze, occasions of use have been reported. Options to widen sugar and under 2g natural sugar campaign and evaluation of results. silver and gold they should see improvements the availability of naloxone are currently in development. Drinks marketing to focus on the zero in staff satisfaction and productivity levels. For more information contact Phillippa Sellstrom, Health calories and sugar free ranges Improvement Officer [email protected] Hitch Marketing come with a fine 85% of the ranges within the vending pedigree; they have worked on many In order to be successful and achieve an award, an machines to be the healthier options campaigns linked to reducing alcohol organisation needs to demonstrate that it meets and good for customer health. consumption such as ‘Dry January’ and the elements relating to a number of topics such a ‘Glass half full’. As well, they have Trials on sugar free swaps have been implemented as leadership, workplace culture, communication developed an evaluation framework with since August 2018 and Everyone Active are reporting and healthy lifestyle themes, e.g. healthy eating, the National Social Marketing Centre that sugar swaps have not had an impact on the physical activity and improving mental health. for an alcohol reduction campaign in income performance from the leisure centre. The Derbyshire and developed strategy cost implication in purchasing the items has not been For further information, or if you work with around Minimum Unit Pricing (MUP). compromised; the cost per unit is like for like of the businesses that would be keen to know more non-sugar free versions. This is significant when The projects commences in January 2019. about the Award scheme please contact working with other leisure providers in reviewing their For further information contact Claire Yvonne Pottinger, Health Improvement Officer vending offer. Everyone Active have been invited to Robinson, Health Improvement Manager [email protected]. share their learning at the next Healthy Weight, Healthy [email protected] Lives Strategy Steering Group meeting in January 2019.

6 7 North Yorkshire County Council Public Health Team Newsletter January 2019

The profiles for Clinical Commissioning Groups Work experience students (CCGs) have a greater emphasis on healthcare Since the last newsletter, NYCC Public Health public health, with a more detailed look at disease team have supported seven students on work prevalence and reasons for hospital admissions. Connected Communities experience during the period July 2018 - October Both sets of profiles are available at: 2018. All of the students have come from http://hub.datanorthyorkshire.org/dataset Friendly calls offer reassurance on the doorstep various backgrounds wishing to gain further understanding of Public Health in North Yorkshire. As winter draws in, a familiar face to call twice a week on days talk about their concerns and Within the district profiles, there is a look at variation on the doorstep checking you’re agreeable to both of us to check discuss what support is required. • Four of the students were studying for a in healthy life expectancy (HLE) and life expectancy all right is providing welcome up to see if I am well and if there’s Many customers have already degree in a range of subjects - anthropology, (LE) between wards. For all districts, this shows reassurance for older people anything I need help with. A lot of received advice, reassurance biomedical science, nutrition and psychology that males have lower HLE and LE than females, in the Whitby, Sleights and people find it difficult to ask for and help with GP appointments, and that there is significant inequality between • One was having a gap year post A ‘levels and Goathland areas. The Safe and help, but this scheme is so good. practical tasks and connections wards, where life expectancy can vary by more than • One had just completed a Connected trial sees Royal Mail To anyone thinking of it, I’d say to local voluntary services. ten years, depending upon where people live. Master’s in Public Health. postmen and postwomen call don’t hesitate, get involved.” on people on their rounds. The The trial, which will run until The students commented on how they gained a In the CCG profiles, there is a look at reasons for responses to the questions they When the postman or postwoman March, is funded by the Home good insight into the work of the team and attended non-elective (i.e. emergency) admissions. This can ask are passed back to North from the Whitby delivery office Office and is running in three various meetings and events, gaining understanding help us to tackle the reasons behind these unplanned Yorkshire County Council’s Living calls, they ask about the person’s locations, the others being parts of the different roles people had in the respective admissions, improving people’s lives and saving Well team to assist as necessary. health and happiness, whether of Liverpool and New Malden jobs. This also demonstrated how the team link scarce public resources. Respiratory diseases, such they have had difficulty taking in Kingston-upon-Thames. with other departments within the council. They as pneumonia, acute lower respiratory infections Among the first people to sign up part in social activities, had felt they had a good experience and that it had and chronic obstructive pulmonary disease are the to the trial was Brenda Simpson, problems with anyone bothering The trial is based on the met with their expectations, also commenting on most common reason for unplanned admissions. 76, from Whitby. She says: “My them or would like to speak Call and Check scheme operated how welcoming and friendly the team were. daughter saw the scheme on to someone about anything in Jersey. For more information These profiles are intended to provide the reader with For more information please contact Facebook and she thought it they need help with or that is contact Sally Anderson, Business a broad overview. There is a range of detailed topic- Ruth Hine (Health Improvement Officer) would give her and I peace of worrying them.Often people Development Officer Living based analyses available through the North Yorkshire [email protected] mind if I should fall. I think it is don’t need further support, but if Well Sally.anderson@ Joint Strategic Needs Assessment (JSNA): absolutely brilliant. It is reassuring they do a member of the Living northyorks.gov.uk http://hub.datanorthyorkshire.org/dataset/jsna-data to know the postman is going Well team will call or visit to District and CCG We are continuing to develop the range of topic- specific detailed health needs assessments for JSNA profiles JSNA. Work is underway on subjects including learning disabilities, mental health and housing. If The Public Health Intelligence Team has produced you wish to contribute towards any of these topics, two sets of summary profiles to support strategic please contact: [email protected] planning in North Yorkshire. The District profiles are produced for The profiles may also be used in conjunction each of the District with other sources of intelligence, such as: Council areas in North Yorkshire and focus Local Authority Health Profiles from on wider determinants Public Health England: https://fingertips. of population health phe.org.uk/profile/health-profiles including poverty, CCG Outcomes Data Tool from NHS England: http:// education, employment, housing and transport. tools.england.nhs.uk/ccgoutcomes/html/atlas.html They also look at some lifestyle and behavioural factors: smoking; alcohol consumption; nutrition; If you have any feedback on the District and physical activity; and sexual health. They conclude CCG profiles or would like further details, by looking at the main causes of illness and death. contact Leon Green, Senior Public Health Intelligence Specialist, North Yorkshire County Council: [email protected]

8 9 North Yorkshire County Council Public Health Team Newsletter January 2019

Age Well Winter Health The Public Health Team Cold weather can have a significant and Age-friendly communities predictable impact on people’s health. However, for the vast majority of people New members of the team the real extent of the effects of the cold One of the are not appreciated and few people realise recommendations in they are largely preventable. A winter the 2017 Director health strategy has been developed setting of Public Health out how we will work together to improve Annual Report was to and maintain health during the winter develop age-friendly and to reduce excess winter deaths. communities in North Yorkshire. As a result, a Helen Ingle Catherine Baker Cheryl Squire Yvonne Pottinger A number of programmes have multi-agency age-friendly been established, including: Helen joined the public Catherine Baker joined the Cheryl joined the Yvonne joined the communities steering health team in June Public Team in November team in June and team on a 2 year Holding a winter health conference group has been established, 2018 as the new Health 2018. Catherine has has working in secondment from that was well attended by a range of which includes representation Improvement Manager worked in Children and public health for the accommodation professionals and shared progress made from the older people’s forum, Age UK, Community for Childhood Obesity. Young Peoples Services the last 18 years team (extra care so far whilst also identifying priorities First North Yorkshire, elected members and Helen has worked for for the last 18 years. in sexual health, housing) within HAS. for the next two years. A two year winter the district, borough and county councils. over 21 years in various Initially working as a health protection She has 13 years’ health action plan has been written public health roles in Regional Development and healthy living. experience of working Age-friendly communities is a concept developed Commissioning the warm and well single North, West and East Officer for the National Cheryl will be in older persons’ by the World Health Organisation (WHO) in 2006. In point of contact (SPOC) to help people Yorkshire – in NHS/ Sure Start Programme working on the housing related an Age-friendly Community, services, local groups, who live in cold homes to access support PCT, local authority before moving into the children and family support services businesses and residents all work together to around fuel poverty and energy bills and also as a lecturer in operational management agenda including which followed 20 identify and make the changes in both the physical Warm and well have been Public Health at Leeds of a Sure Start Local teenage pregnancy, years of financial environment (e.g. transport, housing, outdoors successful in securing additional Beckett University. Her Programme in the London infant feeding, and management roles spaces) and social environment (e.g. volunteering, funding for North Yorkshire previous roles have Borough of Tower Hamlets. maternal health. and guidance to small leisure, employment, and services). These changes Providing free flu jabs for health and focused predominantly Catherine joined North businesses. Her role is are relevant to the local context of each area and social care staff. This year we have on physical activity and Yorkshire County Council to support businesses enable people to lead healthy and active later lives. offered additional drop-ins to encourage weight management, in 2010 as a Children’s to achieve North In order to achieve age-friendly community status, an increased uptake of the vaccine but she has also worked Centre Manager before Yorkshire’s workplace area needs to focus on the following eight domains: Providing training and updates for on older people, falls becoming a Team Leader wellbeing award. prevention, diabetes in the 0-19 Prevention We envisage that age friendly communities will staff working with vulnerable groups prevention and mental Service. Catherine’s become an umbrella to support all work around so that they can identify people health. She is very portfolio areas include healthy ageing in North Yorkshire and will be led by who might be at risk of fuel poverty committed to ‘research Unintentional Injuries, older people. Locality events are planned for 2019 and refer into support services into practice’, and in Road Safety, Oral Health to start to build on what is happening already and Developing an easy read leaflet for ensuring links between and Falls Prevention. also enable local communities to identify issues and people with learning disabilities practitioners and priorities for their area to take forward. North Yorkshire around winter health academics / universities. County Council will be applying to join the UK network Promoting flu messages through our for age-friendly communities in the New Year. residential care homes, such as the importance of being vaccinated and For more information contact Carly Walker, Health also messages to visitors around Improvement Manager [email protected] staying away if they are poorly.

10 11 North Yorkshire County Council Public Health Team Newsletter January 2019

Nominations and Awards Case study - Helping local families to develop a healthy weight Health and Adult Services Awards 2018 One young person who has been supported by the Healthy Choices service is 15 year-old Brad from Service evaluation Health Improvement Manager, Angela Hall, Health Improvement North Yorkshire. Brad’s mum Gina had been getting Emma Davis, was announced Manager was nominated for, and In 2017-18 Teesside University were commissioned concerned as he had started gaining excess weight the winner of the Public Health commended in the ‘Innovation by North Yorkshire County Council to undertake around the age of 5 and it had “spiralled upwards” Practitioner of the year. and Improvement’ category for her an academic evaluation of the service, to ¬find out once he started secondary school: leadership role in the commissioning whether it works, and what can be improved in the This was in recognition of her of the North Yorkshire Horizons (adult “I was worried his weight would future. This involved looking at how diet, physical taking responsibility for driving drug and alcohol) service. activity levels, and body weight status has changed communications work in the public damage his health and I’d also over time in the children and young people that health team to deliver health Angela’s nomination recognised noticed it was impacting on took part. The researchers also looked at responses improvement across North Yorkshire. her role in leading the redesign and to the parent and child feedback surveys, and It was also for her contribution improvement of the adult substance his confidence, but I wasn’t spoke to the staff and families who took part, to to Tobacco Control including misuse service, and commented sure how to tackle it – I didn’t fi¬nd out what they thought about the programme. Smokefree places, promoting the that it is a shining example of The Healthy Choices team are currently working Breathe 2025 vision, to see the next public health service improvement, want him to get a complex alongside Public Health to implement service generation of children born and providing better outcomes and Emma Davis pictured above developments based on the recommendations raised in a place free from tobacco. services for people locally. with her award by making a big deal of it”. from the evaluation report, including: Gina spoke to her GP, who gave her a leaflet about Developing new models for service delivery North Yorkshire County Council’s “Healthy Choices” (e.g. clinics, groups) to increase weight management service. Gina had felt a bit cost effectiveness. Featured Service anxious at the start of the programme, but is so Increased focus on the promotion helping them to stay on track. pleased that they joined the service, and is delighted of physical activity. The service was developed by with how it has helped Brad: Delivery of service over an extended North Yorkshire County Council “I wasn’t sure how Brad would period (longer than 12 weeks) to allow in 2015 to help address the behaviour change to embed. high levels of childhood obesity react to starting the programme. More promotion and marketing of among children and young But our healthy lifestyle advisor the service – press campaign being people in North Yorkshire. planned for January 2019. Joanne was fantastic at putting Recent data suggests that around Currently working with Public Health and one in five children in North us at ease and making the Technology & Change to plan a trial of the use of digital technologies in delivering the Yorkshire are overweight or obese programme fun. By the end of when they start school, and by the weight management service to families.

time they leave primary school this the programme Brad had made For more information please contact: increases to one in three children. Michelle Hanchard, Healthy Choices Service Children who are overweight are amazing progress, losing nearly Manager, NYCC (Children & Families) more at risk of poor emotional Healthy Choices is a 12-week, Support is offered to families to help a stone in weight, and we all [email protected] family-based healthy lifestyle them to achieve a healthier diet, health, poor behaviour, bullying, low self-esteem and school absence, learnt lots – as a family we’re all programme that is delivered at home increase activity levels, and improve Helen Ingle, Health Improvement Manager, NYCC and thus it is important that we have or in a community setting in North how children and young people feel eating more healthily now and (Public Health) [email protected] Yorkshire. The free and confidential about themselves. After completion a range of support and services programme aims to support of the 12-week programme, families in place to both help prevent we’re much more active too. No Or visit www.northyorks.gov.uk/healthy-choices overweight and obesity developing, overweight or obese children and are offered continued support and more sofa days for us!” Twitter @nyhealthchoice or call 01609 798081 young people aged 4-19 years to guidance via motivational phone but also to help those who are work towards a healthy weight. calls and follow up appointments, already struggling with their weight.

12 13 North Yorkshire County Council Public Health Team Newsletter January 2019

What’s on the Horizon? Locality Working North Yorkshire’s Childhood Obesity Measuring and Evaluating impact in Scarborough

Healthy Weight, Healthy Trailblazer Programme Feedback from our locality partners in the The learning event was attended by some 56 Scarborough and Ryedale area identified a participants from a wide range of organisations Lives Strategy second We are very pleased to report that North Yorkshire shared learning need around measuring and working in the Borough. The event was a high annual report County Council has been successful in securing evaluating the impact of their programmes. quality learning experience and we have agreed £10,000 of funding to develop a local solution to to maintain a virtual network of participants. The second North Yorkshire Healthy Weight, Healthy childhood obesity as part of the discovery phase of the The Public Health team worked with colleagues Lives Strategy (2016-2026) annual report will be national Childhood Obesity Trailblazer Programme. from Scarborough and Ryedale CCG, Skyblue For more information about the event published in January 2019. The report will provide Research Ltd, Coventry University Scarborough or to join the Knowledge Hub Network 13 local authorities were selected out of 102 to an update on the patterns and trends of obesity, Campus and Public Health England to organise email Yvonne Parkes in the first instance: receive this funding and expert advice to develop nationally and locally, and report activity within each and deliver a full day of key note speeches and [email protected]. innovative plans that can be shared across the priority area of the Strategy. The report also provides workshops to support evaluation in practice. country. In spring next year, 5 of the 13 local information on planned action moving forward into authorities will then be selected to take their plans year three of the Strategy implementation. The Some of the topics covered included the forward over 3 years with additional funding. whole system approach to action over the coming evaluation cycle, principles and frameworks year will aspire to create an environment where the of evaluation, how and where data and We are looking to develop a programme that supports healthy choice is truly the easy choice for all those information fits within the evaluation cycle, children and young people to make healthier choices that live and work in North Yorkshire. For more practical approaches to measuring soft on their journey to and from school and during lunch information contact Ruth Everson, Health Improvement outcomes and distance travelled and finally times. We will look at creating healthier environments Manager [email protected] sharing good practice on communicating around schools; for example looking at influences the difference organisations make. on healthy weight such as takeaways, food outlets Whitby and opportunities and barriers to physical activity.

This programme is being delivered Richmonin partnershipmond with the Local Government Association (LGA), supported by SCARBOROUGH Public Health England, and forms part of the second chapter of the government’s childhood obesity plan. Northallerton

We will keep partnersRIC updatesHM aboutOND our SworkHI RE as part of this exciting opportunity, however Pickering ScarborScarbo ough for more information please contact Helen Ingle, Health Improvement Manager, in the first HAMBLETON instance [email protected]

 RYEDALE Thirsk Ripon CRAVEN Malton HARROGATE 14 15 Skipt Public Health Grant Funded Services This list gives the commissioned services as of January 2019

Integrated Health and via GP surgery Stronger Communities Discoveries on your Doorstep Smoking Cessation Wellbeing Service

North Yorkshire

Contact your local GP surgery for Tel: 01609 780780 Email: [email protected] Tel: 0800 2465215 or 01609 663023 Tel: 01609 780780 more information or visit www.northyorks.gov.uk/ Email: [email protected] or text QUIT to 66777 www.northyorks.gov.uk/livingwell www.healthcheck.nhs.uk stronger-communities www.northyorks.gov.uk www.smokefreelifenorthyorkshire.co.uk

Winter Health Drug and Alcohol Service – Drug and Alcohol Service – Adults Sexual Health Healthy Eating Business award Children & Young People

Tel: 01609 777662 or freephone 0800 008 7452 Tel: 01723 330730 Tel: 01609 767555 Tel: 01904 721111 Tel: 01609 534810 Email: [email protected] Email: [email protected] www.warmandwell.org.uk www.compass-uk.org www.nyhorizons.org.uk www.yorsexualhealth.org.uk www.northyorks.gov.uk

Road Safety Healthy Child Programme Weight Management – Children Weight Management – Weight Management – Adults in Craven district Adults in Hambleton district

Take That Step Tel: 01609 767241 Tel: 01609 780780 Healthy Lifestyles Tel: 01756 792805 www.hambleton.gov.uk/ Tel: 01609 798120 www.hdft.nhs.uk/services/childrens- Tel: 01609 798081 www.cravendc.gov.uk/craven-leisure/ zest/homepage/72/weight_ www.roadwise.co.uk services/0-5-childrens-service-ny www.northyorks.gov.uk healthy-lifestyles/weight-management management_scheme

Weight Management – Weight Management – Weight Management – Weight Management – Weight Management – Adults in Harrogate district Adults in Richmondshire district Adults in Ryedale district Adults in Whitby,Scarborough & Filey Adults in Selby district

Humber Teaching Humber Teaching NHS Foundation Trust NHS Foundation Trust

Fit 4 Life Healthy Futures Humber Teaching NHS Foundation Trust Humber Teaching NHS Foundation Trust Move It Lose It Tel: 01942 404799 Tel: 01942 404799 Tel: 0330 120 0544 Option 3 Tel: 0800 9177752 Tel: 0800 9177752 www.inspiringhealthylifestyles.org/selby/ www.harrogate.gov.uk/fit4life www.richmondshire.gov.uk www.ready-to-lose-weight.co.uk www.ready-to-lose-weight.co.uk sports-development/move-it-lose-it

Contact us Dr Lincoln Sargeant, Director of Public Health for North Yorkshire, County Hall, Northallerton DL7 8DD Tel: 01609 532476 Email: [email protected] Web: www.northyorks.gov.uk/public-health If you would like this information in another language or format please ask us. Tel: 01609 780 780 email: [email protected]

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