Eat Well Move More Shape Up Year 1 Annual Report February 2018 Eat Well Move More Shape Up Strategy 2017-2020 Year 1 Update February 2018 1 Eat Well Move More Shape Up Year 1 Annual Report February 2018 Eat Well Move More Shape Up Strategy 2017-2020: Year 1 Update Eat Well Move More Shape Up Strategy Vision: ‘For everyone in Blackburn with Darwen to move more, eat well and maintain a healthy weight’ Overview/Background In February 2017 Blackburn with Darwen Borough Council (BwDBC) adopted the Eat Well Move More Shape Up strategy as a framework to improve the health and wellbeing of residents across the Borough. Blackburn with Darwen (BwD) has some of the most challenging health statistics in the country with increasing burden on the local healthcare system and economy. The strategy is an all age, three year multi-agency plan to tackle inactivity, improve access to healthy and sustainable food and to increase the number of people with a healthy weight. Whilst one of the overarching aims of the strategy to reduce unhealthy weight across the population may take a number of years to manifest there are a number of achievements that can be celebrated in this first year of delivery. This report aims to showcase and celebrate the excellent work taking place by all the partners involved in the delivery of the aims and objectives of the action plan. What has worked well? During the development of the strategic action plan new partnerships have been forged and a strong sense of working more closely to share resource and in preventing the duplication of delivery. Regular sub group meetings and a shared online platform to share information is supporting improved communication between organisations and progress towards meaningful outcomes. Having an action plan with oversight for food, physical activity and healthy weight has ensured a cross cutting action plan with some partners working across all agendas to ensure a holistic approach is taken in policy and service development. Recognising the impact of each agenda on the other should see a more effective and sustainable approach in delivery of the action plan. All the partners involved in the delivery of the strategy share a sense of passion and pride in serving BwD and its residents and share the common goals of improving health and wellbeing and helping to reducing the burden on local health care system and in doing so protect precious resources. What have the challenges been? Tackling obesity requires a whole systems approach from all partners and stakeholders. Taking a population approach through policy change and development will have the greatest impact on obesity and not focussing on service delivery to a small number of people. The ongoing cut in funding from central government has led to the need for local authorities to generate income through other means. Competing priorities between income generation and health have, on occasion, gone against the aims and objectives of the strategy. Lack of understanding of the wider determinants affecting obesity means there is a tendency to focus on one issue as the root cause e.g. hot food takeaways, rather than looking at the whole system and mechanism involved e.g. poverty. Supporting the drive to ensure healthy weight is included in all policies is part of the Local Authority Declaration on Healthy Weight which was signed 2 Eat Well Move More Shape Up Year 1 Annual Report February 2018 in April 2017 along with the Blackburn with Darwen Clinical Commissioning Group (BwDCCG) and this intention to tackle unhealthy weight will require further awareness of the complexities of obesity and how some of the issues can be tackled locally. Further work will be done to raise awareness of both the strategy and the Healthy Weight Declaration for both elected members and senior managers across the statutory organisations to address this. What did you say you wanted to see? Prioritising action to be taken during year one has been a challenge when taking into consideration the size of the action plan and the current resource available to implement change. The work plan has developed in line with the consultation which took place and also considering the evidence base for what works. The development has also been dictated by current resources available including funding and capacity within services and also encouraging services to work together who may not have been connected before. Extensive public and stakeholder consultation took place from which has informed the development of the strategic action plan. The have been a number of developments that have been directed by the feedback from the public, service users and stakeholders that have been highlighted here but will be discussed in more detail in the body of the report and other including: Eat Well Improving access to healthy options in public places – the Royal Blackburn Hospital have been working towards the CQUIN for healthier food for staff, visitors and patients. School food policies & influencing catering in schools – a primary school food policy has been developed and is now being rolled out. Move More Improved cycle paths – the Weavers Wheel is now completed and ready to launch in March 2018. Mile a day in Primary Schools – supported training for staff to deliver the Daily Mile in schools has been delivered with more planned in 2018. More Tai Chi classes for older adults – more staff have been trained to deliver Tai Chi and Ballet. These sessions focus on strength and balance which is evidence based exercise to reduce falls. There a currently two regular Tai Chi sessions and an adapted Ballet class every week along with a number of ad hoc sessions throughout the year. Effective and sustainable use of the Pupil PE and Sport premium – Primary schools PE conference has been delivered at Ewood Park to support this. Lancashire Sport Partnership has provided funding for Lancashire County Council’s PE advisor to support BwD schools which require further input to develop their action plans to ensure they are robust and sustainable. Shape Up Wider range of activities in parks and open spaces with more organised family activities – Toddle Trails have been mapped out in Witton and Bold Venture Parks with monthly themed led walks and free family activities were delivered at Witton during the school holidays in 2017. A number of led walks, led runs and cycles and mass participation events have been supported by the National Charities Partnership providing more opportunities to be physically active. A weight management programme for men – a 12 week FitFans programme has been piloted at Blackburn Rovers Football Club with Blackburn Rovers Community Trust (BRCT) and the Council’s Health and Wellbeing team. The programme has been formally evaluated by Lancaster University Development of a Maternal pathway – a developing partnership between Blackburn Birthing Centre and the Council’s Health & Wellbeing team has seen some exciting sessions 3 Eat Well Move More Shape Up Year 1 Annual Report February 2018 being piloted and embedded in service delivery including a weekly Active Bumps class and weight management drop ins attached to ante natal clinics. Better buy in to the healthy weight agenda from Clinical Commissioning Group and Council – The Council and CCG signed the Local Authority Declaration on Healthy Weight in April 2017 - the first of kind in the country. This demonstrates a strategic level commitment to tackling unhealthy weight in the Borough is a significant step in working to ensure healthy weight in all policies. Other Settings based approach to health improvement – during this year the strategic partners are working with schools and colleges, the Royal Blackburn Hospital, GP practices and Workplaces to support behaviour change. The settings approach will continue in 2018 by embedding and developing on current partnerships along with developing a local blueprint for working with faith settings to improve health and wellbeing. What we did this year - Achievements during 2017 Eat Well 1 Promote healthy and sustainable food choices for all A Primary School Food Policy and Toolkit has been developed by the Nutritional Advisor at East Lancashire Hospitals Trust (ELHT) and Public Health which has been through a consultation process with the Eat Well Sub Group, Head Teacher’s, Governing bodies, pupils and the Healthy Child Programme team. The policy is now being rolled out into schools via the Schools Catering Manager and the School Nurses. During the roll out, schools are also receiving their National Child Measurement Programme data and details around encouraging daily activity in schools via the Daily Mile and Youth Sport Trust 30:30 programme which is supported by the Move More Network. It is hoped that this joined up approach with School Nurses, School Catering Manager, School Games Organiser, BRCT visiting schools and giving the same information and messages more schools will adopt the policy and look to increase physical activity levels throughout the school day thus supporting the Shape Up action plan alongside the Eat Well and Move more agenda. The BwDBC School Catering Manager supports 32 primary schools across the Borough with food provision across the school day. As part of this support 95% of schools have reduced sugar intake by having at least one sugar free day per week and some schools have increased this to two days a week. 2 Tackle food poverty and diet related ill-health across the life course The Baby Friendly team at ELHT have supported maternity services to achieve full UNICEF reaccreditation in April 2017 and progress to the UNICEF GOLD ‘achieving sustainability award’ in June 2018 – being the first UK service to achieve this . An action plan is now in place to develop the sustainability of breastfeeding across the Borough which is supported by the Local Authority Declaration on Healthy Weight.