Childhood obesity in Southwark Findings from the National Child Measurement Programme Southwark’s Joint Strategic Needs Assessment People & Health Intelligence Section Public Health November 2017 GATEWAY INFORMATION Report title: Childhood obesity in Southwark: Findings from the National Child Measurement Programme Status: Public Prepared by: M Chau & C Williamson Contributors: S Kwaa Approved by: K Fenton Suggested citation: Childhood obesity in Southwark. Southwark’s JSNA. Southwark Council: London. 2017. Contact details: [email protected] Date of publication: 30 November 2017 Slide 2 Health Needs Assessments form part of Southwark’s Joint Strategic Needs Assessment process BACKGROUND The Joint Strategic Needs Assessment (JSNA) is the ongoing process through which we seek to identify the current and future health and wellbeing needs of our local population. The purpose of the JSNA is to inform and underpin the Joint Health and Wellbeing Strategy and other local plans that seek to improve the health of our residents. The JSNA is built from a range of resources that contribute to our understanding of need. In Southwark we have structured these resources around 4 tiers: Tier I: The Annual Public Health Report provides an APHR overview of health and wellbeing in the borough. JSNA Tier II: JSNA Factsheets provide a short overview of Factsheets health issues in the borough. Health Needs Tier III: Health Needs Assessments provide an in- Assessments depth review of specific issues. Other Intelligence Sources Tier IV: Other sources of intelligence include Local Health Profiles and national Outcome Frameworks. This document forms part of those resources. All our resources are available via: www.southwark.gov.uk/JSNA Slide 3 CONTENTS Introduction Policy Context The Local Picture The Local Response Future Action & Next Steps Slide 4 Approximately 6,000 children in Southwark are weighed and measured each year as part of the NCMP INTRODUCTION The National Child Measurement Programme (NCMP) measures the height and weight of children in Reception (aged 4-5 years) and Year 6 (aged 10-11 years) in state maintained primary schools across England. Following the transfer of Public Health from the NHS to local government, Local Authorities have a statutory responsibility to deliver the NCMP. The NCMP has been running since 2005-06 and is designed to support population surveillance, local planning and the delivery of services. The participation rate in Southwark in 2016-17 was 94.3% compared to the England rate of 95% . Southwark parents and carers receive a letter to inform them of the weight status of their child and are signposted to relevant services to support the achievement and maintenance of a healthy weight. References 1. NHS Digital: https://digital.nhs.uk/catalogue/PUB30113 Slide 5 This report provides an overview of the latest NCMP results and outlines our local response to childhood obesity AIMS & OBJECTIVES This report forms part of the Joint Strategic Needs Assessment (JSNA) for Southwark and aims to provide an overview of childhood obesity in the borough and has the following objectives: . To provide an understanding of the current policies relating to obesity and factors that may influence it . To describe the extent of childhood obesity in Southwark . To identify communities that may have a higher prevalence of childhood obesity in the borough . To highlight the current actions being taken to reduce childhood obesity in Southwark . To identify additional needs within our local population and offer recommendations to promote healthy weight among children and young people Slide 6 CONTENTS Introduction Policy Context The Local Picture The Local Response Future Action & Next Steps Slide 7 The NCMP is a key element of the Government’s strategy to tackle childhood obesity POLICY CONTEXT The NCMP is a statutory public health function of local authorities . Introduced in 2005, the NCMP is a key element of the Government’s strategy to tackle childhood obesity . The NCMP measures the height and weight of children in Reception (aged 4-5 years) and Year 6 (aged 10-11 years) in state maintained primary schools across England. Local authorities are responsible for data collection . School participation is not compulsory but for those that do partake, the required pupil participation rate is 85% . It is recommended results are communicated to parents within six weeks of measurement . Data are not shared with school staff or other pupils This programme is a unique public health intelligence resource and has UK National Statistics status. The collected data are used to: . Inform local service planning and delivery . Provide robust surveillance data on the prevalence and trends in the weight of children . Engage with children and families about healthy lifestyles and weight issues References 1. NHS Digital: https://digital.nhs.uk/catalogue/PUB30113 Slide 8 2. Public Health England (2016) National child measurement programme operational guidance. CONTENTS Introduction Policy Context The Local Picture The Local Response Future Action & Next Steps Slide 9 A significant number of children in Southwark are overweight or obese FINDINGS FROM 2016-17 PROGRAMME . Fewer than 3 in 10 children in Reception are overweight or obese (excess weight). By Year 6 this increases to more than 4 in 10 children. The increase in obesity between Reception and Year 6 is statistically significant, while there is only a marginal increase in the prevalence of children who are overweight. Percentage of Children Southwark London 90% England 80% 72.7% 70% 55.9% 60% 50% 43.0% 40% 30% 26.3% 27.2% 15.8% 20% 13.1% 13.3% 10% 1.1% 1.0% 0% Underweight Healthy Overweight Obese Excess Underweight Healthy Overweight Obese Excess Weight Weight Weight Weight Reception Year 6 References 1. NHS Digital: http://content.digital.nhs.uk/catalogue/PUB19109 Slide 10 Levels of obesity among children in Southwark are significantly above the London and national average TRENDS IN OBESITY . Levels of obesity among children in Southwark have been significantly above national levels since measuring began. Trends indicate there has been no statistically significant change in the gap between Southwark and London since the start of the measurement programme, with the exception of children in Reception Year in 2011-12. The Healthy Weight Strategy aims to reduce obesity by 2020-21 to 11.3% among children in Reception and 24.9% among Year 6 children. 50% Reception Southwark 50% Year 6 London 40% 40% England 27.8% 26.8% 27.8% 27.2% 30% 30% 26.5% 25.5% 25.7% 26.3% 26.0% 26.7% 23.6% 20% 20% 23.2% 20.0% 13.7% 13.8% 14.2% 13.4% 13.8% 13.3% 19.8% 11.9% 12.8% 12.9% 12.2% 10% 10.3% 10% 10.3% 9.6% 9.3% 0% 0% References Slide 11 1. NHS Digital: http://content.digital.nhs.uk/catalogue/PUB19109 Excess weight among children in Southwark is significantly above London and national average TRENDS IN EXCESS WEIGHT . Levels of excess weight among children in Southwark have been significantly above London and national levels since measuring began. Trends indicate there has been little change in the gap between Southwark and London since the start of the measurement programme. The Health Weight Strategy aims to reduce excess weight by 2020-21 to 23.6% among children in Reception and 38.9% among Year 6 children. Southwark 60% Reception 60% Year 6 London 50% England 50% 42.3% 42.8% 43.3% 43.6% 43.2% 43.0% 40.9% 40.9% 42.1% 39.0% 40% 40% 38.5% 38.1% 34.2% 27.9% 28.7% 27.8% 27.8% 27.1% 27.0% 26.4% 26.3% 30% 25.3% 25.2% 30% 34.2% 22.6% 20% 22.1% 22.3% 20% 22.0% 10% 10% 0% 0% References Slide 12 1. NHS Digital: http://content.digital.nhs.uk/catalogue/PUB19109 Levels of obesity among children in Southwark are amongst the highest in London LONDON RANKING: OBESITY . Nationally, Southwark was among the top twenty local authorities with the highest prevalence of obesity in both Reception and Year 6 children. Having been highest for obesity prevalence in Reception and Year 6 children in 2007-8, Southwark has fallen to 2nd and 5th highest respectively compared to other London boroughs. 2007-8 Reception 2016-17 2007-8 Year 6 2016-17 Southwark Barking and Dagenham Southwark Brent Newham Brent Newham Southwark Lewisham Greenwich Hackney Barking and Dagenham Tower Hamlets Hackney Westminster Barking and Dagenham Barking and Dagenham Richmond upon Thames Tower Hamlets Southwark Islington Newham Hounslow Newham Enfield Tower Hamlets Wandsworth Tower Hamlets Kensington and Chelsea Greenwich Barking and Dagenham Hackney Westminster Redbridge Hackney Enfield Hammersmith and Fulham Enfield Lambeth Islington Lambeth Havering Haringey Lambeth Redbridge Croydon Waltham Forest Waltham Forest Croydon Hounslow Hammersmith and Fulham Hounslow Merton Islington Hounslow Richmond upon Thames Ealing Lambeth Greenwich Redbridge Brent Barking and Dagenham Brent Lewisham Lewisham Camden Enfield Croydon Waltham Forest Lewisham Camden Ealing Islington Haringey Merton Hillingdon Wandsworth Waltham Forest Croydon Camden Greenwich Hillingdon Ealing Havering Havering Hammersmith and Fulham Redbridge Hammersmith and Fulham Haringey Barnet Kensington and Chelsea Haringey Camden Merton Bexley Merton Bexley Harrow Hillingdon Harrow Harrow Ealing Havering Wandsworth Barnet Bromley Barnet Kensington and Chelsea Hillingdon Kensington and Chelsea Harrow Barnet Sutton Wandsworth Kingston upon Thames Sutton Kingston upon Thames Sutton Sutton Bromley Bromley Richmond upon Thames Bromley Kingston upon Thames Richmond upon Thames Kingston upon Thames Richmond upon Thames Richmond upon Thames References 1. NHS Digital: http://content.digital.nhs.uk/catalogue/PUB19109 Slide 13 Excess weight among children in Southwark is significantly above London and national average LONDON RANKING: EXCESS WEIGHT . Southwark has the 3rd highest prevalence of excess weight in both reception and year six children compared to London boroughs. While the Southwark ranking has remained stable for children in Reception since 2007-08, the borough ranking has improved for those in Year 6.