ADPH London London Childhood Obesity Exchange Adapting the Environment to Enable Healthy Activity 1
Outline of the Event Introductory Presentations 9.30 Welcome and Introduction to the event 9.40 What is the Problem and the Opportunity? Healthy Activity within a whole systems approach 9.55 Opportunities to build a healthy environment - TCPA 10.20 Examples of enabling a healthier environment in London & beyond 11.00 Coffee and Exchange of Knowledge & Ideas Facilitated Actions... 11.15 Working together to identify what is happening or could happen in your borough / area 11.45 Developing ideas and commitments to make small changes to make a big difference. 12.20 Into Action ... Resources and support to implement change 12.30 Close & Networking Lunch 2
ADPH London Healthy Activity within a Whole Systems Approach 3
What’s the problem? 4
Physical Activity – Children aged 5-15 Health Survey for England 2015 • In London 16% of children meet the CMOs physical activity guidelines • This is lower than the England average of 22% of children meeting the CMOs physical activity guidelines. London Obesity Leadership Group: Strategic workshop
Active travel: Transport to/from school National travel Survey 2014/15 Main mode of transport to and from school for children aged 5-16years (National Travel Survey 2014/15 combined) 45 London % of children aged 5-16years 40 England 35 30 25 20 15 10 5 0 Walk Bicycle Car/ van Private bus Local bus Surface rail Other transport In London, 39% of children report walking as the main mode of transport to/from school. This is lower than the England average. 6 London Obesity Leadership Group: Strategic workshop
The Problem... 8 in 10 Children in London do not get the recommended levels of physical activity every day Mackett, R. and Paskins , J. 2004. Increasing Children’s Volume of Physical Activity Through Walk and Play. Contribution to 7 the Department of Culture, Media and Sport and Department of Health Consultation on ‘Choosing Health, Choosing Activity: A Consultation on How to Increase Physical Activity’
The Opportunity Children burn most energy playing outdoors, walking and cycling 8 Active People Survey data in Public Health Outcome Framework’. Public Health England. Available online
What do Londoners say is the problem... What makes it hard to be healthy? • 1. Too many cheap unhealthy food and drink options (60%) • 2. Too many fast food shops (44%) • 3. Safety concerns about children (not letting them play outside unsupervised) (33%). • 4. Too much advertising of unhealthy food and drink options (30%) Great Weight Debate, 2016
Cultural Insights from Literature Study with children from ethnically diverse sample of young children and parents in London: • Lack of knowledge of guidelines and negativity towards physical activity education at school among girls. • Parents feel physical activity is role of schools. • Influence of neighbourhood (lack of safety – gangs & dogs, fast food outlets). • Places of workshop key focal points for social support - more focus between healthy eating and religion than physical activity and religion. • In South Asian families homework prioritised over physical activity. Rawlins et l, 2012 10
Other Insights.... What stops access to open / green spaces? Insights from Portsmouth Project... Positive Attitudes.... Parents and carers in Portsmouth had strong positive attitudes to physical activity and outdoor play. 92% agreed that ‘it is vital that children take regular exercise outside’ and 88% agreed that ‘children that play outside with nature around them are happier’. Children Want to Play Outside 93% of parents or carers claiming that it is very easy or fairly easy to encourage children to play in the park. Need a purpose ... Having things to do while at the open and green space (e.g. feeding animals or play areas) was both a main reason to visit and, where they were not present, a main barrier to visiting Perception that is not safe... Dogs, dog fouling, antisocial teenagers... 11 Portsmouth City Council & Portsmouth Primary Care Trust… Scoping Report 2009 by BrilliantFutures Limited
Insight-Driven Recommendations Capitalise on motivation amongst our audience to increase use of open and green spaces through reducing barriers and providing opportunities to enjoy and use them locally. Overall Proposition It’s easy, fun and safe for their children to play outdoors in Portsmouth. Enabling this.... • Creating activity packs that can be hired (at low cost) at open and green spaces and from selected partners (e.g. local retailers/cafes etc) near open spaces, with fun activities – e.g. Treasure hunts / ball games... • ‘Happiness on your doorstep’ - communications activity to make people aware of local open and green spaces and events and activities just around the corner. • Communicating what the Council has been doing to increase safety in local areas. Developing high visibility clothing for PCC recreation and parks team to wear communicating the ‘easy, fun, safe’ message. 12
Opportunities within the complex system Media and Community voice and social norms Urban Planning – density and ‘visibility’ and Active normalisation of physical activity in the journeys / environment Active Streets Parks and green / blue spaces – Increase PLAY – upskill community and voluntary sector Housing – ‘no ball games’, play streets.... Education – Schools and Early Years Activity in and around school – Daily Mile, Active Lessons, School Sports Premium 13
Enabling Change... Making it Easy, Attractive, Normal.. Bristol … . Make Sundays Special … .closed streets to pedestrianise town centre Use of Gamification – Pokemon Go / Beat the Streets – tie into children’s existing worlds. Community-led ideas – Hammersmith & Fulham hackathon for proposal to develop local parks / open space to encourage greater physical activity. Play Streets – London Play The Daily Mile Beat the Streets East London funded by Tesco Charity Partnership
How can we engage other partners to make it possible? At school or After school At home early years and settings weekends
HM Government Childhood Obesity A Plan for Action 1. Soft drinks industry levy 2. Taking out 20% of sugar in products 3. Supporting innovation to help businesses to make their products healthier 4. Developing a new framework by updating the nutrient profile model 5. Making healthy options available in the public sector 6. Continuing to provide support with the cost of healthy food for those who need it most 7. Helping all children to enjoy an hour of physical activity every day 8. Improving the co-ordination of quality sport and physical activity programmes for schools 9. Creating a new healthy rating scheme for primary schools 10.Making school food healthier 11.Clearer food labelling 12.Supporting early years settings Food actions in red Schools actions in blue 13.Harnessing the best new technology Other actions in brown 14.Enabling health professionals to support families 16 Childhood Obesity Plan for Action: PHE Networks Briefing. Loretta Sollars Public Health England
Align with Other Priorities.. Planning.... Healthy Urban Planning Checklist – NHS Healthy urban Development Unit
Transport..... Transport for London’s Healthy Streets 18 http://content.tfl.gov.uk/healthy-streets-for-london.pdf
A Shift in Focus... Enabling Change Upstream Downstream Encouraging Change... 19
ADPH London Engaging with Planning to Enable a Healthier Environment 20
Reuniting Health with Planning #healthyplanning Tackling obesity through planning and development Michael Chang MRTPI, Town and Country Planning Association (TCPA) www.tcpa.org.uk/Pages/Category/health @TCPAHealth
About the TCPA An independent planning charity campaigning to improve the planning systems in accordance with the principles of sustainable development. We have a legacy of more than 120 years of championing planning for good place-making. Cross sector membership organisation Work programmes and networks addressing issues of strategic planning, housing delivery and place-making. Our objectives are to: • Secure a decent, well designed home for everyone , in a human-scale environment combining the best features of town and country • Empower people and communities to influence decisions that affect them • Improve the planning system in accordance with the principles of sustainable development
Reuniting Health with Planning OBJECTIVES ACTIVITIES To support and improve local capacity C apacity building in planning for and improving wellbeing through the planning system. Building To identify gaps in current guidance, then develop and provide accessible information to practitioners. G uidance To further planning for health and wellbeing research and reviews of statutory instruments to facilitate systems integration. R esearch To facilitate national engagement and conversations with key stakeholder organisations. To continue to promote, share and R aising disseminate good practice around the country Awareness and to target groups.
Chandler: ..apparently, walking, is too much exercise. Kids, kids, roll your way to childhood obesity! Monica: Wow, kids today have such an easier time getting fat.
2007 Foresight Tackling Obesities
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