Healthy Pla lace, , Healthy Future Pennine Lancashire Childhood Obesity Trailblazer Blackburn Youth Zone Tuesday 14 th May 2019 1
On the menu for today… Welcome and an introduction to the current picture in Pennine Lancashire The Discovery Phase - Who, What and Where - ‘AHA’ moments Trailblazer Vision - System Leadership - Social Movement - Planning - Businesses and Recipe4Health - Partners - Governance and Leadership Why invest in us? 2
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The picture in Pennine Lancashire 3 LCC Cabinet Members Pennine Lancashire has 50% of 3 BwD Executive Members its districts in top 15 in 254 Borough Elected Members England for Hot Food Across 107 Wards and Takeaway prevalence 13 Primary Care Neighbourhoods Ribble Valley Areas of embedded Childhood obesity prevalence Pendle deprivation more than doubles between 20% of wards have more Reception and Yr6 in 66% of Hynd than 40% children living wards burn Burnley in poverty Blackburn with Young and diverse Rossendale Darwen Strong partnership with population clear and demonstrable 21% under 16 governance to Pennine More than 17% BAME Lancashire Integrated (25% in BwD) Care Partnership 4
Pennine Lancashire Discovery Phase Outline LEVERS TO EXPLORE GROUPS TO ENGAGE TECHNIQUES Creative workshops System Planning Leadership Policy Interviews Focus groups Business Incentives Community Support Questionnaires 5
WHAT WE DID: Where Bradley and Whitefield (in Nelson) 3% most deprived Primrose and Littlemore Business interviews (in Clitheroe) One-to-one interviews 45% most deprived Focus group Ribble Valley One-to-one interviews Trinity 1% most deprived St Andrews, St Oswalds and Pendle Focus groups Immanuel (in Oswaldtwistle) Creative engagement 30% most deprived Hynd Creative consultations burn Burnley Business interviews Blackburn with Rossendale Audley and Queens Park Darwen Greensclough and Irwell 5% most deprived (in Bacup) Creative engagement 25% most deprived Focus groups Business interviews One-to-one interviews 6
WHAT WE DID: Consultations Waffle Dessert There are lots of (dessert bars) in Blackburn now Do you… but no low- fat ones. It’s all high fat. You want to go somewhere where sometimes you can have low-fat. or The dessert bars are a very social thing. We’d go out to a movie and then go on to a dessert bar. It’s a place where I can chat to my mates 15 RATES / 5 slates Chicken and it? I love it. Rate all day Veg Pasta Salad long. 5 stars. Provided groups of C&YP with images of different types of A3 and A5 food I like everything on there and it all and drinks and asked whether they looks yummy and healthy. would Slate (like or buy) or Rate (dislike or avoid) it and then explore the reasons why It looks healthy. 7 8 RATES / 12 slates
WHAT WE DID: Consultations Map ap the he food od an and drink ink avail ailable able on your r jour urne ney y to to an and fr from m scho sc hool! ol! Take a look at some of the children’s work! Using flipchart paper and cut outs of a range of different food and drink available at A3s and A5s, groups of C&YP were asked to stick all the different types of food and drink they see on their journey to and from school. Once finished, pupils were asked what they could see on the map and what they would like to see differently. We even had a star appearance from Blackburn Rovers player Joe Rothwell! 8
WHAT WE DID: Consultations PHOTO ELICITATION ACTIVITY • Based on research methods from Gangemi et al., (2018) ‘Youth speak out on school food environment’ • Older age groups of young people • Given photographs of different A3 and A5 outlets and asked a series of exploratory questions Tell me the story of this photograph… How you feel when you see these outlets? How do these places affect your health? What would you like to see differently in these places? 9
Parent’s Cook and Eat session Pendle Women’s Group Burnley Focus groups were held with around 40 parents, carers and grandparents in the pre-determined wards. Exploratory questions were asked around density of takeaways locally, consumption patterns and perceptions of healthier food provision. All focus groups were audio recorded and transcribed. Inter Madrasah Women’s Group Blackburn 10
WHAT WE FOUND OUT: Top line findings Elected Members Businesses N = 22 N = 6 N = 20 Planners Felt they have a Most felt they had a responsibility for More regulation responsibility for healthy weight potential than community health previously Knowledge gaps of Most rated their considered CYP health food offer as healthy Strong support Peer-to-peer Enthusiasm for among planners support viewed incentives ‘Healthy Place’ positively C&YP Community Leaders Parents 93% ate fast food. N = 290 Most because it was Availability, cost, 80% used tasty and advertising, takeaways, 83% convenient. education, classed them as community unhealthy. 92% Few healthy options demand are all wanted to see around, 83% would key more healthy N = 107 N = 50 welcome more options 11
WHAT WE FOUND: What the people said! https://spark.adobe.com/video/RntQePkWhLfzb 12
WHAT WE FOUND: ‘AHA’ Moments Positive System planning Leadership is a possibilities key lever Overwhelming Business community engagement Support challenging 13
Trailblazer Vision – System Leadership Declaration on It will be the norm Healthy Weight for all Elected adopted by all Local Members in Authorities in Pennine Lancashire Pennine Lancashire to be informed and with the empowered to commitments advocate for embedded in their healthy weight daily business 14
Trailblazer Vision - Planning We will use a positive Each Borough in Pennine approach to planning Lancashire will have a regulation which actively complementary Planning promotes a healthier for Health SPD which food environment in all improves access to our districts healthier food 15
Trailblazer Vision – Recipe 4 Health Business Support Businesses signed up to Recipe Pennine Lancashire will benefit Pennine Lancashire will have a 4 Health will receive a package from socially responsible food network of empowered food of support which enables them outlets who contribute to the businesses providing healthy to grow their business and in health and wellbeing of the and affordable food turn boost the local economy community it serves 16
Trailblazer Vision – Social Movement Young people in Pennine We will have empowered Lancashire will be at the local communities across forefront of driving the Pennine Lancashire who change to influence both will drive the demand for the out of home and healthier food home food environments 17
Trailblazer Vision – Our Partners 18 18
Trailblazer Vision – Governance & Leadership Pennine Leaders Forum - Pennine Plan and Place Based Prevention Framework Healthy Place Healthy Future Steering Board Healthy Place Healthy Future Expert Advisory Panel Healthy Place Healthy Future Project Team District Team represented by nominated District Lead 19
Trailblazer Vision – The Role of Districts Elected Member WHAT’S IN OUR GIFT? Development Community Leaders Healthy LCC led Health Place, Healthy Leads Forum – Future Planning to share good Policy practice across the county Environmental Health Economic Development and and Waste Services Regeneration 20
Trailblazer Vision – The HPHF Team ORGANISATIONAL CHART HPHF Project Manager HPHF Project Officer District District Environment VCFS Rep Nutritionist Planners Leads al Health R4H Business Rep 21
Trailblazer Vision – What will success look like? OUPUTS/OUTCOMES/IMPACTS Short term Intermediate Long term Evidence-base for Aligned Planning for Regularly reviewed Planning for Health Health SPD in all PL Planning for Health SPDs developed for districts including a SPD which becomes all districts number of tools to regulate embedded in Local A3 and A5 establishments Plans BwD Planning for Health SPD Improved ratio of Mandatory learning and reviewed and healthy:unhealthy A3 support for EMs on healthy strengthened and and A5 outlets, with learning used to weight embedded more healthy options support roll out EM engagement Informed and EMs actively participating and development empowered system in Primary Care programme leaders/champions Neighbourhoods prototyped and who advocate for tested in selected healthy weight and Youth and Deputy Youth districts change within and MPs and school council outside of their peer-led Great Big Food Healthy Weight organisation or Debate launched plus Declaration signed community #XXXgetshangry in all districts Children and families Business support package Business have access to roll out across PL including development healthy, sustainable celebrity chef activities support package and affordable prototyped and fast/takeaway food in tested in selected Share learning across PL their neighbourhoods wards 22
Why invest in us? Large area with a diverse geography and population Collaboration of 7 Councils, 2 CCGs, 2 NHS Hospital Trusts, VCFS Track record for partnership working – Sport England Local Delivery Pilot Strong embedded links to Pennine Lancashire Integrated Care Partnership Political support Ready and raring to get started on our Trailblazer plan!! 23
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