Childhood Obesity Trailblazer Assembly pack...Food Foundation Policy Audit As part of the...
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Childhood Obesity Trailblazer Assembly 28/2/2020 www.local.gov.uk With Delivery Support Partner:
Transcript of Childhood Obesity Trailblazer Assembly pack...Food Foundation Policy Audit As part of the...
Childhood Obesity
Trailblazer Assembly
28/2/2020 www.local.gov.uk
With Delivery
Support Partner:
www.local.gov.uk
Introduction &
welcome
Andrew Hughes, Head of Care and Health
Improvement Programme, LGA
www.local.gov.uk
The Trailblazer Programme aims to:
• Test the limits of existing powers through
innovative and determined action to tackle
childhood obesity
• Share learning and best practice to
encourage wider local action
• Develop solutions to local obstacles and
consider further actions that government can
take to support local action and achieve large-
scale changes
www.local.gov.uk
The Learning
NetworkHannah Gill, LGA and Emma Diamond,
FutureGov
February 2020
Designing the purpose and mission of the Learning Network
LGA Vision for Learning Network
6
Childhood Obesity Trailblazer Program
Vision:Test - Share - Develop
Share learning and best practice to encourage local action
Local delivery Local delivery Local delivery Local deliveryLocal delivery Local delivery
Hello
8
Our mission for health and care is to
transform services, organisations and
systems to help people live more
independent, healthier lives for longer.
Our mission
Different types of communities
10
Community of Practice
Community of Action
Community of Place
Community of Inquiry
Community of Interest
Community of Circumstance
Inspired by Richard Millington’s types of communities and Lou Woodley’s: Defining Community
Different types of communities
11
Community of Practice
Community of Action
Community of Place
Community of Inquiry
Community of Interest
Community of Circumstance
Communities of people in the same profession or who
undertake the same activities
Communities of people trying to bring
about change
Communities of people brought
together by geographical boundaries
Inspired by Richard Millington’s types of communities and Lou Woodley’s: Defining Community
Different types of communities
12
Community of Practice
Community of Action
Community of Place
Community of Inquiry
Community of Interest
Community of Circumstance
Communities of people involved in
considering a problem from an empirical or
conceptual perspective
Communities of people interested in
and passionate about the same topic
Communities of people brought together shared
experience related to being in a particular
life situation
Inspired by Richard Millington’s types of communities and Lou Woodley’s: Defining Community
What is our mission?
What is your individual role in the network?
Learning Network interactive discussion
Go to www.menti.com and use the code 92 03 80
Wi-Fi: LGA-Guest-WiFi (register to use)
Learning Assembly capture tool Individual
Why have you come today? What are you looking to get out of the Network and why?
What can you bring to the Network what skills / capabilities / experiences can you / are you willing to offer? Why?
Task: Using the prompt questions, consider what you wish to get out of the Learning Network, as well as what you can offer. Reflect individually or in pairs, and we will share back as a group
What type of community would you like the COTP Learning Network to be and why?
E.g. E- bulletin / Online platform (slack) / Learning Assemblies / National events / Regional events / Knowledge library / Webinars / Themed focus groups
What kind of communication activities would you like to be involved with as part of the Learning Network?
Thank you
Learning Assembly table discussion capture tool Individual
What have you learned from hearing about this work? What will you take away for your own work?
What advice would you give to others about to embark on a similar project?
Task: Using the prompt questions, consider how you can share and learn from the experience of your fellow attendees. Note down your thoughts, and hand back to your facilitator at the end. .
www.local.gov.uk
Trailblazer Introductions
• Birmingham City Council
• City of Bradford Metropolitan District Council
• London Borough of Lewisham
• Nottinghamshire County Council
• Pennine Lancashire Consortium of Local
Authorities (Blackburn with Darwen, Burnley,
Hyndburn, Pendle, Ribble Valley, Rossendale
and Lancashire County Council)
www.local.gov.uk
Birmingham City
Council
Becoming a Healthy Food City
February 2020
Dr Justin Varney, Director of Public Health
PAGE 22
Our Ambition As A City
PAGE 23
Birmingham – a city of growth where every child, citizen and place matters
• Birmingham is an entrepreneurial city to learn, work and invest in
• Birmingham is an aspirational city to grow up in
• Birmingham is a fulfilling city to age well in
• Birmingham is a great city to live in
• Birmingham residents gain the maximum benefit from hosting the Commonwealth Games
• Birmingham as a green city
Context
▪ Cities operate at multiple different levels and scales from
households, to streets and communities of place, identity and
heritage.
▪ Within the City there are many different levers at a macro city-
wide level and at a community and household level.
▪ Citizens have told us that the food environment of the city is
not supporting them to live healthy lives and asked us to
change this.
PAGE 24
Creating A Healthy Food City
▪ Healthy food environments in communities, workplaces and schools
▪ Healthy food economies
▪ Communities of identity and place informed approaches
▪ Social narrative about food
Creating An Active City
▪ Active environments,
including making the
most of the CWG
infrastructure
opportunities.
▪ Accessible provision
▪ Community co-
production
▪ Social narrative
about activity
Three Pillar Approach
PAGE 25
Supporting Weight Management
▪ Maximise engagement with existing support and resources e.g. C4L, OneYou, NHS Weight Management course & app, HENRY in early years settings.
▪ Maximise positive opportunity of NCMP through School nursing service and NHS Health Check.
Governance
PAGE 26
Cabinet
Health & Wellbeing Board
Creating an active city forum
Creating a healthy food city forum
Creating a mentally healthy city forum
City Health Protection Forum
Creating a city without inequality forum
Cabinet Member (Chair)
Director of PH (Deputy)
Council Officers
Planning/ Procurement /
Education/ Adult Social
Care / Inclusive Growth
Academic Sector
Business Sector
Health Sector
Commissioners
Providers
Voluntary & Community
Sector
Representative Elected
Members inc. opposition
Independent Advisors
The Food Journey
Image source: https://www.eufic.org/en/food-safety/article/food-industry-standards-focus-on-haccp
Our Vision and ambition
Birmingham is a Healthy Food City with a
thriving and sustainable healthy food
economy that reflects the diversity of our
citizens and where healthy food choices
are easy, accessible, safe, affordable and
normal in every community.
PAGE 28
Becoming a Healthy Food City
Food Stories & Beliefs
Food security
Food environment
Food economy
PAGE 29
Co-Production Co-Delivery
P
L
A
C
E
S
&
P
E
O
P
L
E
Access
Safe
Nutritious
Skills
Jobs
Inclusive
growth
Advertising
Social Media
Community
conversations
Production
Retail
Consumption
Waste
Building Our Approach
▪ Stakeholder engagement
▪ Citizen engagement
▪ Accelerator opportunities:• Digital Leaders Food
Treasure Hunt
• LGA/PHE Obesity Trailblazer
• Milan Urban Food Policy Pact
• BINDI partnership
• Food Foundation Policy Audit
▪ Building on existing foundations
PAGE 30
Supplementary Planning
Guidelines on Fast Food
Birmingham Healthy Planning Toolkit
Change 4 LifeOne You
Pease Please
Environmental Health
Gov. Food Buying Standards Procurement
City Serve School Meals
Apprenticeships Levy
Healthy Start & Breastfeeding Focus
Defend Them
CHILDHOOD OBESITY TRAILBLAZER
Childhood Obesity Trailblazer
▪ Birmingham is one of 5 local authorities selected as Childhood
Obesity Trailblazer pilot to test out new ways of working to
reduce childhood obesity supported by £75,000 per annum
investment over 3 years.
▪ The focus of the work in Birmingham is:
• Develop the educational levers for a healthy food environment through
mainstream and targeted apprenticeships and undergraduate
education.
• Work with inclusive growth programmes to explore potential for healthy
food entrepreneurship and maximise impact of planning toolkit.
• Develop a ‘Birmingham Basket’ to provide an on-going city-wide retail
picture of food purchasing in the city to track impact on food choices.
PAGE 32
Education and skills
Healthy Food
Economic growth
Healthier food retail
PAGE 33
Healthier, more
affordable, sustainable
food environment
Healthier
retail
choices
Healthier
consumption
Healthier
weight
Data & Evidence
Po
licy &
Pra
ctic
e
Food Foundation Policy Audit
▪ As part of the development work for the Childhood Obesity
Trailblazer pilot we recognised a need to audit the current
policy framework against best practice policy - nationally and
internationally.
▪ Food Foundation have lead this work, which has also
developed into a policy audit tool that can be then become a
shared resources for other areas to draw on.
▪ The audit has identified lots of strong foundations but a need
to draw this together more coherently across the City and
identify some high profile ‘hooks’ to strengthen the system
confidence.
▪ We will be sharing this audit and our learning in a webinar in
March.
PAGE 34
Workstream 1:
Planning & Growth
PAGE 35
There is a clear opportunity to shape the
environment to make healthy physical
activity and food choices the easiest and
most accessible options.
Recognition that many of the levers can
be actioned today but take years to realise
into people’s lived experience.
Strong foundation with licensing and
planning in Birmingham and recognition
that some limitations are national rather
than local.
Opportunities with economic growth
corridors and places.
Ambition is to explore the
potential for using planning and
economic growth levers to
generate a better food system.
Objective
• Rollout of Healthy City
Planning Toolkit
• Utilise the East Birmingham
growth corridor to explore
potential of economic levers
to generate healthier food
businesses
• Maximise the potential of
public sector procurement as
an economic lever.
Workstream 1: Planning & Growth
Next Steps
PAGE 36
Healthy City Planning Toolkit• Publish final toolkit
East Birmingham Growth Strategy• Publish consultation which includes
reference to food economy
Planning & Licencing Flexibility• Explore potential for further flexibility
around planning and licensing regulation
implementation at city level.
Workstream 2: Data
PAGE 37
The Birmingham Digital Food
Hunt identified that there is very
little known about the food retail offer
in the city.
From FSA registration we know about
food production businesses and some
forms of food retail in the city.
Previous discussions with the working
group and the Forum have identified
the importance of retail and
consumption data.
Ambition is to explore the
potential for using commercially
available data on retail and
consumption of food to inform
the development of a
Birmingham suite of food
indicators.
Objective
• Access, and purchase where
appropriate, commercial food
data for Birmingham to assess
viability and usefulness for
local intelligence.
• Utilise learning from these
commercial datasets to inform
local approach
Workstream 2: Data
Next Steps
PAGE 38
Retail/Consumption Panel Data• Out to market tender for data set for
secondary analysis to explore potential
for use at city level and below city level.
Mapping Food Accessibility &
Affordability• Local FEAT map on retail outlets
mapped to IMD
• Individual food maps
• Community food maps
• Affordability and Diversity street audits
Workstream 3: Skills
PAGE 39
The skills agenda offers a significant
opportunity to improve the pipeline of
skills and education around health
and wellbeing.
Birmingham city council commissions
over £5million through the
apprenticeship lever across all seven
levels of the apprenticeships.
The food system has multiple and
overlapping skills pipelines that are
underutilised to improve health.
Ambition is to explore the
potential for maximising the skills
and education pipeline to shape
a healthier food system.
Objective
• Implement a spiral curriculum
approach for health and
wellbeing into public sector
apprenticeships.
• Understand from food system
business sector their
perspective of the skills
pipeline and opportunities to
impact on this.
Workstream 3: Skills
Next Steps
PAGE 40
Spiral Apprenticeship Curriculum• Evaluation complete ethics
• Draft spiral curriculum test with
education academics
• Pilot in Sept 2020 with BCC cohort
Food System Skills Pipeline• Convene local business focus groups
to explore skills pipeline for different
elements of the food system.
OTHER WORK IN TRAIN
Birmingham Food Conversation
A year long conversation about citizen’s relationships with food
and the food system. Launched in October 2019.
Digital survey developed in partnership with Pune, India and
LSHTM. To date almost 400 survey’s completed and analysis
completed on first 260 responses.
Team has gone out to visit a series of ward forums to talk about
the food conversations.
Community town hall piloted with the National Food Strategy
team in October and being developed for Summer 2020.
Over 30 focus groups commissioned with different minority
communities to understand their perspectives on food.
PAGE 42
Birmingham Food Survey Results
PAGE 43
AS OF WEEK ENDING: 22ND DECEMBER 2019
SURVEYS COMPLETED259
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
0
10
20
30
40
50
60
70
Under
15
15 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 or
over
Total
Percent
AGE
22%
78%
Male Female
Gender
of respondents had
Children in the
Household
Ap
pro
x.
22% 23%Of respondents
identified asBlack, Asian, or
from an
Another
Ethnic Minority
Section 1: Healthy Food CityBirmingham citizens tell us which food related policies they believe we should prioritise on our journey to
make Birmingham a Healthy Food City.
PAGE 44
Knowledge & Skills Access & Availability
Adult
education
programm
es…
Cookery
classes
for adults
20%
Cookery
classes for
children 36%
Run city
wide
marketing
campaign
s to
promote …
Increase
food
hygiene
skills and
knowledge
10%
Increase the
availability and
affordability of
locally grown food
27.8%
Make fruit and
vegetables more
affordable and
accessible
40.5%
PAGE 45
How Would You Describe Your Diet?The Eatwell Guide? Have you seen this guide?
Healthy
45%Averag
e
53%
Unhealth
y
2%
Yes
42%
No
58%
Section 4: Diet & Cooking BehavioursBirmingham citizens tell us about their diet and cooking behaviours at home.
PAGE 46
What’s The Biggest
Influence on Your
Food Choices?
Section 4: Diet & Cooking BehavioursBirmingham citizens tell us about their diet and cooking behaviours at home.
BINDI Partnership
PAGE 47
Bindi Project in partnership with Pune, India to work
together on creating food smart cities. Both are 2nd
cities with over 1million citizens and rapidly
changing economies and demographics.
The partnership is supported by the Food
Foundation through DIFID/Tata Foundation funding.
Highlights to date:
• MOU signed between two cities
• Collaboration on out of home food survey
• Collaboration on exploring parallel campaign
work targeted at specific ethnic communities.
www.local.gov.uk
Bradford Council
Keeping the Faith: Co-production of Asset based Model Harnessing the Potential of Islamic Religious Settings to Address Childhood Obesity in Multi-
ethnic Urban Areas
Dr Grainne Dickerson Bradford Council
50
23% of
population (39%
of young people)
in Bradford is
South Asian
There are over
120 Islamic
Religious
Settings within
Bradford
Over 85% of
Bradford’s
South Asian
children
identified as
Muslim.
91% attend
mosques and
madrassas
after school on
most days
Islamic Religious Settings in Bradford
Trailblazer Design
Children and families
Community, organisations and
schools
Environmental and Structural
Healthy environmentsSkilled communitiesBehaviour change
Evidence based,
manualised materials
using Islamic narrative
An embedded whole
systems partnership
approach
Trailblazer Community
Engagement Manager
Children and familiesCommunities,
organisations and schoolsEnvironmental and
Structural
Local action groups
Decrease in childhood obesity prevalence in South Asian Children
Whole Systems Trailblazer Reducing Health Inequalities
Addressing a gap: health promotion & behaviour change for children in IRS
• Co-producing a Toolkit with Islamic Religious Settings
• Grounded in behavioural science
• Developing sessions on:
o Physical activity; Healthy dietary habits; Structural/Organisational/Environmental changes within IRS
• Will provide activities, instructions and training
Involvement, engagement & ownership
Place based groups harnessing local assets, enabling local influence and action
Parents , Islamic leaders, IRS staff and community members
Groups facilitated by Trailblazer Community Engagement Manager
e.g. Introduce evaluation plan and gain their trust on administration of it
In summary…
Our trailblazer is a systems wide approach
It is grounded in behaviour change science
It is addressing a gap (working with children in IRS) and an opportunity (large no of children in the IRS setting)
It is ambitious … going beyond the ‘what’ to the ‘how’
www.local.gov.uk
Lewisham Council
Childhood Obesity
Trailblazer Programme
W o r k i n g i n P a r t n e r s h i p
Profile of Lewisham
48th most deprived
local authority in
England
More than one in
five Lewisham
children under 20
live in poverty
13th most densely
populated local
authority in
England
Lewisham is one of the
greenest parts of south-
east London with over a 5th
of the borough made up of
parkland and open space
Lewisham
Strategic priorities Obesity a long term strategic priority for Lewisham
• Health and Wellbeing Strategy (2013-23)• Children and Young People’s Plan (2015-18, 2019-21)
Inequalities persist
Our vision:1. Increase restrictions of HFSS on out of home advertising estate
50%L e w i s h a m
80% 100%a l m o s t
C u r r e n t
2 0 1 9
Y e a r 1
2 0 2 0
Y e a r 2
2 0 2 1
+ +
+
Other media owners
Broadcast
medium
2. Ability for Lewisham to promote locally co-produced healthy messages across the JCDecaux OOH estate
Our vision:
Successes:
1. Agreement to increase HFSS advertising restrictions across the JCDecaux estate
50%L e w i s h a m
OOH assets in Lewisham.
80% 100%a l m o s t
C u r r e n t
2 0 1 9
Y e a r 1
2 0 2 0
Y e a r 2
2 0 2 1
Started
January
2020
2. Access to JCDeacaux OOH estate for health promotion campaigns
Trailblazer agreement:• Digital estate – 12 screens
15% share time• Printed estate – 44 Council
Information Panels + access to any void estate
Successes:
Successes
Health Promotion Campaigns
First Health Promotion poster displayed in Lewisham February 2020
Sugar Smart poster created in conjunction with Sustain
3. Community engagement:
Piloting first co-produced campaign
Who: Young Mayor’s team
Target audience: Local businesses
Encourage behavioural change of
local businesses to become Sugar
Smart and create an environment
where there is interaction between
the campaign and the community
Successes:
Successes
4. Local evaluation partner appointed
Baseline measures agreed
Street survey undertaken
Next steps
• Further co-production (expression of interest for local community to co-ordinate)
• Appointment of a design partner
• Further evaluation
• Bringing other OOH media owners on board for Year 2
www.local.gov.uk
Nottinghamshire
County Council
Nottinghamshire
Early Years Food
Environment
About the area
• 789,000 people.
• Slightly older population than national
average.
• 46,000 children under 5.
• Variation in deprivation and childhood
obesity prevalence across the county.
• Worse to similar levels adult obesity.
Reception: Prevalence of obesity by District
2018/19
4.7%
9.6%
7.7%
9.7%10.1%
9.7%10.3%
10.7%11.3%
18.0%
17.2%
18.8%
23.1%
17.7%
22.9% 21.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Rushcliffe Gedling Broxtowe Nottinghamshire Ashfield Newark andSherwood
Mansfield Bassetlaw
Perc
en
tag
e
Area
Prevalence
doubles!
22.6% 23.0%
20.8%19.8%
20.8%
19.0%
15.8%14.8%
10.9% 10.4%
11.0% 11.4% 11.0% 10.8% 9.9%7.6%
8.8%7.3% 6.9%
5.4%
0%
5%
10%
15%
20%
25%
30%
Mostdeprived
Leastdeprived
Ob
ese
(p
erc
en
t)
Nottinghamshire deprivation decile(1 most deprived ... 10 least deprived)
Obese for Reception and Year 6 by deprivationMSOA level pooled 2015/16 to 2017/18 (local analysis)
Year 6
Reception
Reception Obesity and social gradient
Joint Health & Wellbeing Strategy 2018 -2022
Vision‘Working together to enable the people of Nottinghamshire, from the youngest to the oldest, to live happier and healthier lives in their communities, particularly where the need is greatest.’
Ambitions• To give everyone a good start in life
• To have healthy and sustainable places
• To enable healthier decision making
• To work together to improve health and care services
To have healthy and sustainable places
• Influencing wider factors – 90% health & wellbeing
• 14 priorities with emerging delivery plans– FOOD ENVIRONMENT
– PHYSICAL INACTIVITY
– SPATIAL PLANNING HEALTH
Our Initial Driver Diagram
Understanding the system and drivers
School Meals
Uptake
Children’s
Centres,
Early Years
Settings
School Meals
Supply Chain
Parents
feeding style
and role
modelling
Nottinghamshire Children’s Centre ServiceGiving Children the Best Start
Children are ready for
school and achieve
developmental milestones
Parents have high
aspirations and are
supported to be Job
Ready
Children and Families are
Happy and Healthy
Children are safe and families
supported as early as
possible
• Volunteering
• Building Confidence
• Preparing for Work
• Help with childcare
• Addressing speech, language
and communication needs
• Home learning and play
• Children’s Development
• Preparing for nursery & school
• Healthy pregnancy
• Help with breastfeeding and
weaning
• Promoting healthy lifestyles e.g.
healthy diet on a budget
• Emotional health and wellbeing
• Home safety
• Parenting programmes
• 1-2-1 Family Support
• Home learning and play
• Targeted health interventions
Who Provides the
Service?
Co-ordinators, Early
Years Practitioners, Child
and Family Support
Workers, Volunteer Co-
ordinators, Volunteers
and Administrators.
Where do we deliver our Service?
Dedicated Children’s Centre buildings,
people’s homes and community venues.
Who is the service for?
Expectant mums and
dads, children under the
age of 5, and families with
children aged 0-4.
How can you access the service?
Telephone, Email, website, speak to a
worker, or just walk in.
NCC Early Childhood Service- proud partner in Nottinghamshire’s Childhood Obesity Trailblazer
• 1138 early years providers in Nottinghamshire, or which 85% are graded Good or Outstanding by Ofsted.
• 100% of 3 and 4 year olds access their universal (15 hours) early education place
• 93% of 3 and 4 year old children with 30 hours eligibility codes take up their extended hours
• Take up of 2 year entitlement (15 hours) for eligible vulnerable 2 year olds is 80%
Dr Alison Tedstone, chief nutritionist at Public Health England, said:
“With far too many children entering school already overweight or obese, early years settings play an important role in helping children to develop good habits and avoid poor health later in life.”
Parents Challenges and Solutions
Children's Centres as community
food assets
1: Making
access to
affordable
healthy food
easier
3: Enable
parents to
develop
good eating
habits with
their
children
2: Improve
quality of
food
provision
through
early years
settings
4: Promoting
consistent
messages
School food supply chain recipe and ingredients
Increase Healthy start
vouchers uptake
Development of an
affordable healthy meals
offer for childcare using
school food supply
Supporting food &
nutrition knowledge and
skills of early years providers
Food & nutrition community of
practice
Healthy eating
messages & support
PROCUREMENT,
PURCHASING, BUYING
POWERS
PROVIDING AND
COMMISSIONING SERVICES
STEWARDSHIPLEADING, INFLUENCING,
INFORMING
Catering
Next steps• Work with local communities within x 2 Children’s
Centres to co-design and prototype recipe bag/box
concept.
• Release survey to early years sector (Nurseries,
childminders etc) to ascertain baseline of current food
provision within settings and appetite for collaborative
working with school meals team going forward.
• Review and revise existing information about Healthy
Start to families and communities, community
organisations, health professionals, early years, social
care and benefits advice services.
www.local.gov.uk
Pennine Lancashire
Consortium of Local
Authorities
88
LGA Learning Assembly, 28/2/20Kenneth Barnsley, Public Health Specialist, Blackburn with Darwen Council
89
90
Childhood obesity prevalence more than doubles between Reception and Yr6 in 66% of
wards
Areas of embedded deprivation
20% of wards have more than 40% children living in poverty
Strong partnership with clear and demonstrable governance to Pennine
Lancashire Integrated Care Partnership
Ribble Valley
Pendle
Burnley
Rossendale
Blackburn with
Darwen
Hyndburn
3 LCC Cabinet Members3 BwD Executive Members
254 Borough Elected MembersAcross 107 Wards and
13 Primary Care Neighbourhoods
Young and diverse population
21% under 16More than 17% BAME
(25% in BwD)
Pennine Lancashire has 50% of its districts in top
15 in England for Hot Food Takeaway prevalence
Our Trailblazing Vision
Positive planning
possibilities
Community-led action
System Leadership is
key
Business engagement and support
91
92
Lever One: System Leadership
It will be the norm for all Elected Members in
Pennine Lancashire to be informed and
empowered to advocate for
healthy weight
It will be the norm for all Elected Members in
Pennine Lancashire to be informed and
empowered to advocate for
healthy weight
Declaration on Healthy Weight
adopted by all Local Authorities in
Pennine Lancashire with the
commitments embedded in their
daily business
We will use a positive approach to planning
regulation which actively promotes a healthier
food environment in all our districts
There will be a memorandum of
understanding between districts on how to use planning to promote
health
Each Borough in Pennine Lancashire will have a
complementary Planning for Health SPD which
improves access to healthier food
93
Lever Two: Planning
Businesses signed up to Recipe 4
Health will receive a package of
support which enables them to
grow their business and in turn boost the local economy
Pennine Lancashire will have a network of empowered
food businesses providing
healthy and affordable food
Pennine Lancashire will benefit from
socially responsible food
outlets who contribute to the
health and wellbeing of the
community it serves
94
Lever Three: Business Support
We will have empowered local communities across Pennine Lancashire who will drive the demand for
healthier food
Young people in Pennine Lancashire will be at the forefront of driving the
change to influence both the out of home and
home food environments
95
Lever Four: Social Movement
96
PLANNINGProgress to date…
97
PHE/CEDAR Planners Session Day• Event held with planners from across Pennine Lancashire• Michael Chang from PHE and Dr Thomas Burgoine from CEDAR
Ward Mapping • A3/A5/A1 (food) density• Population size• NCMP data• School/ places young people go
Deep dive into planning applications• All planning applications from past 5 years• Refused / granted / appealed• Cross-referenced with mapping data
98
BUSINESS SUPPORTProgress to date…
99
Recipe 4 Health Review Meeting• Representation from Trading Standards,
Environmental Health, Public Health • Plans to strengthen the nutrition and environmental
aspects of the award• Background reports produced on Healthy catering
awards from across the UK; Review of the nutrition criteria; Calorie / Energy requirement labelling options
Environmental Health Leads Meeting• Met with EH Leads from across Pennine Lancashire• Positive and engaged with the plans
System Leaders Engaged• Elected Members in the Audley and Queens
Park ward keen to use their
100
SOCIAL MOVEMENTProgress to date…
101
Building on the Discovery Phase• Using contact from the four wards we engaged
with in the discovery phase• Meeting with new community groups and
schools
Our initial target groups• Using consultation with FutureGov we
identified young people and parents of young children as our starting point
Ribble Valley
Pendle
Burnley
Rossendale
Blackburn with
Darwen
Hyndburn
Bottom-up approach• “What does the Great Big Junk Food Debate
mean to you?”
Shared learning • Bradford’s work with Madrassahs
102
SYSTEM LEADERSHIPProgress to date…
103
Dean Langton, Chief Executive of the Council and Councillor Mohammed Iqbal, Leader of the Council sign up to the Local
Government Declaration on Healthy Weight, November 2019
Pendle is part of a Trailblazer area to tackle childhood obesity and we’re also involved in a Sport England pilot which
aims to increase physical activity.These two national programmes dovetail well, bringing healthy weight to the fore
104
Elected Member Health and Wellbeing
Forum28.1.20
Next steps
Test Elected Member resources
Online Health and Wellbeing
modules
Consult, consult, consult!
Memorandum of
Understanding
Business engagement
event
Revised Recipe 4 Health
Healthier Place,
Healthier Future online
hub
105
106
Thank you!Kenneth Barnsley, Public Health Specialist, Blackburn with Darwen Council
www.local.gov.uk
LUNCH
Smith Square 3 & 4
Afternoon session begins at 1pm
Harriet Becher
Deputy Director, Obesity, Food and Nutrition Department of Health and Social Care
www.local.gov.uk
Breakout sessions
1.15pm – 2.20pm
1. Smith Square 1 & 2: Pennine and Lancashire
Consortium of Local Authorities - Elected
members/System Leadership
2. Bevin Hall: Nottinghamshire County Council -
Early Years
3. Westminster Room (8th floor): Bradford
Metropolitan Council - Faith Settings
Elected Members/System
Leadership
Pennine and Lancashire
Consortium of Local
Authorities28/2/2020 www.local.gov.uk
With Delivery
Support Partner:
LGA Trailblazer Learning Assembly Workshop
CC Shaun Turner, Cabinet Member for Health & WellbeingCo-Chair Healthier Place, Healthier Future Steering Board
112
Burnley
Pendle
Ribble Valley
BLACKBURN
DARWEN
Pennine Lancashire
Lancashire County Council
113One Sustainability and Transformation Programme
Five Integrated Care Partnerships
One Childhood Obesity Trailblazer Programme
One Sport England Local Delivery Pilot
The Role of a Councillor with specific reference to health and well-being/childhood obesity.
Where do we add value as Councillors?
• We are the eyes and ears in our communities who can connect people to the different resources/assets available, gather feedback from Parish/ Town Councils; Primary Care Networks; Private Sector.
• We can highlight perceived deficits, i.e. what is missing in communities and are at a disadvantage because of it.
• We can lobby for change and make a case for investing in health.
• We can raise the profile of issues such as health and wellbeing and childhood obesity
• We can encourage/engage our local communities and identify key community figures.
114
The Role of a Councillor with specific reference to health and well-being/childhood obesity.
Where do we add value in the Trailblazer as Councillors?
• Political leadership through co-chairing the board and democratic oversight
• Early adopter and lead from the front & be an example for peers,
• Sounding board for officers and project lead,
• Advice on political landscape and how best to negotiate
• Engaging with senior officers in LCC to support the programme
• Links to Pennine Lancashire Integrated Care Partnership – strategic role across a number of organisations
• Having conversations with as many peers and officers as possible to raise the profile of the programme and support the officers’ work
115
Highlight any differences of the approach as part of the Trailblazer project. Why have they worked?
• Committed group of elected, cross party, members, fully involving district councillors and encouraging active/leading roles in their respective authority
• Commitment to plug into health partners/businesses outside of LAs .e.g. PCNs
• Raising awareness of the role of the wider system
• Meeting Lancashire LEP Chair to discuss joint approach to raising the profile of health & wellbeing for local businesses
• Fully engaging EMs and giving ‘ownership’ about an issue not traditionally seen as districts responsibility
• Cross party working – there is never a reference to any party’s policy in this work
• Co-production and cross boundary working – acknowledging similar challenges and potential for provide peer support
116
Provide advice on how other council officers should look to engage with their Councillors.
• Elected members want to champion causes - They just need to know what the challenges are and how they can help
• Keep information jargon free - assume zero baseline knowledge
• Where possible keep locality/ward specific
• Remember, Councillors often have a day job, other duties, etc. Don't overload with information and be clear and concise
• Don’t be scared of approaching Elected Members – they won’t know what’s going on or how they can help if you don’t ask!
• Always leave your Elected Members with a ‘to-do’ don’t just brief them for information giving’s sake
117
Accessing LGA training as an Elected Member – why do it?
• Benefit of sharing approaches/what works/good practice with other areas.
• Gives a different perspectives.
• Led by interesting/ informative speakers.
• Give updates on latest national situations.
• Come away with things you can practically do.
118
www.local.gov.uk
Leading Healthier Places SLI offer
Our FREE offer for individual political and clinical leaders:
• Annual Summit for Political and Clinical Leaders with NHSCC: 18th March 2020, LGA. To book a place contact: [email protected]
• Induction for new Health and Wellbeing Board (HWB) Chairs, Vice Chairs and Lead members 16th June 2020, LGA. Contact: [email protected]
• Leadership Essentials with NHSCC: 2-day residential session:
14th-15th July and 15th-16th October 2020, Warwick Conference Centre
Contact: [email protected]
• Prevention Matters – one day workshop for all council elected members on site (districts, group of councils) Contact: [email protected]
• Regional leadership networks – with NHS partners e.g. West Midlands
Contact: [email protected]
Free support for HWBs and leading health and care partnerships:
• Tailored support including for HWBs to reshape their role in leading healthier places and engaging effectively with partners
• System wide care and health prevention peer challenges
• Heath in all policies peer support sessions with a flexible approach
120
LGA Learning Assembly, 28/2/20Beth Wolfenden, Public Health Development Manager, Blackburn with Darwen Council
County Cllr Shaun Turner, Elected Member, Lancashire County Council
On the menu today
1. System Leadership: our ambition
2. Successes so far
3. Learning to date
4. Challenges
5. Workshop
121
122
System Leadership: Our Ambition
“To inspire and empower members to advocate for health and wellbeing as
part of their role, developing a ‘volunteer’ workforce”
Engaging
our
Champions
Healthy
Weight
DeclarationsWhole-Systems Approach
Training
which is
relevant &
meaningful
123
A Whole-Systems Approach
System Leadership
Planning System Social Movement
Business Support
124
A Whole-Systems Approach
125
SYSTEM LEADERSHIP
Our Successes…
126
Elected Member Health and Wellbeing
Forum28.1.20
Learning experienceGOOD BAD
Interactive- engaging, participative Lack of subject knowledge
Bitesize key messages Bad timekeeping
Mix of presentation/conversation/activities Being talked at
Considerate of audience- accessibility, learning style, knowledge base Information overload
Facts and figures- takeaway message- shock factor Poor facilitation- group management skills
Tailored data/information Poor delivery of content- not engaging
Consider cultural issues Lengthy training
Share experience- best practice Was assumed that people know what PCN’s are
Knowledgeable trainer who understands audience
Case studies/scenarios to discuss
Relevant examples of good practice
Easy to read information
Not too many slides
60-minute twilight sessions
Having break out sessions so you can choose what you want to be involved in
Elected Members Health and Wellbeing Development Forum
128
Elected Member Health and Wellbeing
Forum 224.2.20
Keep the information
easy to understand –
no jargon!
We’d like to see the positives too – how
our community assets can impact
on health & wellbeing
We all work differently, I
don’t even have a mobile phone
The health system is like an octopus, with many more areas of
work than I had appreciated
What do you need from us?
Evidence
Data
Sign posting
Key messagesWord/Borough data/briefings
Central resource hub and paper-
based access if required
Podcasts Elected
Members
Health and
Wellbeing
Development
Forum
130
1. Appointing a lead member for health
2. Appointing Director with responsibility for health within their remit
* Fantastic for a District Council *
Our Successes
131
1. Two ward members engaged in the business support and social movement levers
2. Exec Member for Regeneration – co-chair of Healthier Place, Healthier Future Steering Group
Our Successes
132
SYSTEM LEADERSHIP
Our Learning…
133
1. Elected Members are keen to be involved – less resistance than anticipated
2. Members understand that health and wellbeing is important, but many do not
understand the wider determinants
3. Effected Local Authorities depend on informed and active members to drive
decision making
4. Learning how members want to be engaged
5. There is not a ‘one size fits all’ approach
6. There is value in shared-learning / peer support
Our Learning
134
SYSTEM LEADERSHIP
Challenges so far…
135
1. Changes in portfolio leads since the discovery phase
2. Engaging districts with complex political environments
3. Leader decision making
4. Identifying the right members to approach
5. Establishing the correct protocol for engagement
6. Reduced LA capacity means little support for new members
Challenges so far
136
7. Districts have no responsibility for health
8. Complexity of town and parish councils
9. Depoliticising the agenda and developing cross-party working
10. Personal barriers to engagement
11.Turnover of members
12.Capacity of Democratic Services is limited
Challenges so far
137
SYSTEM LEADERSHIP
Time to reflect…
138
What advice would you give to yourselves if you could go back in time to the start
of the project?
• Perhaps we would have given the system leadership lever more weighting
within the Trailblazer Plan?
What will you keep doing?
• Coordinate elected member forums beyond the learning and development
element; make this an established cross-district forum for health and
wellbeing
• Use already engaged elected members to bring others to the table
• Keep learning and adapting
ReflectionWe have been asked:
139
What will you stop doing?
• Nothing (yet!)
What will you start doing?
• Learn from our peers - bring in learning and best practice from outside of the
region (which is what we hope to do today ☺)
What will you celebrate?
• The engagement of members not necessarily associated with health, and the
success we have had so far working with them on the health vs wealth agenda
ReflectionWe have been asked:
140
SYSTEM LEADERSHIP
Workshop
141
Workshop
1
2
3
Thinking about your authority, what do you find works well when engaging elected members in public health issues, and/or in issues outside of their remit/portfolio?
What examples do you have of working with EMs in engaging the local community around health and wellbeing?
Can you provide any examples of good practice emerging with the development of Primary Care Networks in the engagement of elected members as voices of their community?
What approaches to elected member learning and development has worked well in your authority, and what hasn’t worked well locally?
142
Thank you!Beth Wolfenden, Public Health Development Manager, Blackburn with Darwen Council
County Cllr Shaun Turner, Elected Member, Lancashire County Council
www.local.gov.uk
Group Discussions1. Thinking about your authority, what do you find works well
when engaging elected members in public health issues,
and/or in issues outside of their remit/portfolio? What
examples do you have of working with EMs in engaging the
local community around health and wellbeing?
2. Can you provide any examples of good practice emerging
with the development of Primary Care Networks in the
engagement of elected members as voices of their
community?
3. What approaches to elected member learning and
development has worked well in your authority, and what
hasn’t worked well locally?
Early Years
Nottinghamshire County
Council
28/2/2020 www.local.gov.uk
With Delivery
Support Partner:
How do we embed healthy eating habits early?
The importance of childcare settings
Local Government Association – Obesity Trailblazer Conference
28 February 2020
Dr Patricia Mucavele, former Head of Nutrition, Children’s Food Trust
146
• Why invest in nutrition – how will it improve outcomes
• Priorities for improving nutrition – key interventions
during the life course
• Infants and young children’s diets and the impact on
health
• Helping children eat better in childcare
• Rationale for and development of the HM Government
example menus for early years settings in England
• Eat Better, Start Better programme - key elements for
successful implementation
Overview of presentation
147
Making the case
Adolescents
learn better &
achieve higher
grades
in school
Girls & women
are well-
nourished and
have healthy
newborn babies
Families &
communities
emerge out of
poverty
Communities
& nations are
productive &
stable
The world is a
safer, more
resilient &
stronger place
Young adults
are better able
to obtain
work & earn
more
Why invest in nutrition?
Because when..
Children
receive proper
nutrition and
develop strong
bodies &
minds
Source: Adapted from
WHO (2013)
Scaling up nutrition148
We need to break the intergenerational cycle of poor nutrition
• Infants and young children consumed a varied diet
• Dietary recommendations generally met by the majority
• Estimated average energy requirements exceeded by
three quarters and mean protein intakes well above
Reference Nutrient Intake (RNI)*
• Mean intakes of most key vitamins and minerals above
RNI*
• Proportion of children over 6 months with intakes of
vitamins/ minerals below LRNI** low, except for iron
* RNI values are set at levels of intake considered likely to meet the requirements of 97.5% of the population.
** LRNI is amount of nutrients sufficient for only a small number of people; those below LRNI likely to have
insufficient intakes.
14
9
Diet and Nutrition Survey of Infants
and Young Children (2011)
DH, FSA, NatCen (2011)
Measured food consumption, energy and nutrient intakes and nutritional status of infants and
young children aged between 4-18 months
• Mean daily energy intake -114% of estimated average
requirement for age group
• Energy from carbohydrate (50.2%) and fat (34.3%) in line
with dietary guidelines
• Energy from free sugars (11.3%) above 2015 SACN
recommendation (as free sugars)
• Intakes of salt (3.3g) higher than SACN recommendation
for children aged 1-3 years (2g)**
• Intakes of many micronutrients appear adequate, but
more than 5% children had intakes of vitamin A and iron
below the LRNI* (therefore unlikely to be adequate).
*LRNI is amount of nutrients sufficient for only a small number of people; those below LRNI
likely to have insufficient intakes. ** NDNS Years 1-4; 2008-9 to 2011-12
150
National Diet and Nutrition Survey (Years
7-8 combined; 2014-15 to 2015-16)
PHE, FSA (2018)
Measured food consumption, energy and nutrient intakes and nutritional status of
children aged 18 months to three years
What can this diet lead to?
The health and nutrition consequences of these
eating patterns are:
• Almost a quarter of reception children were
overweight including obese (NCMP, 2019).
• Poor dental health
• 12% of 3 year olds had visible tooth decay
with on average 3 teeth affected (PHE,
2014)
• just under a quarter of 5 year olds have
tooth decay (PHE, 2018)
• Almost 9 out of 10 hospital tooth extractions
among children aged 0 to 5 years are due to
preventable tooth decay (PHE, 2019)
RCPCH (2017 & 2018)
Address heath inequalities – obesity/tooth decay affects children
from all backgrounds, but it is the poorest children who are
disproportionately more likely to be affected. NCMP (2019)
RCPCH (2019)
151
Priorities for improving nutrition
Source: Adapted from Francesco Branca et al. BMJ 2015
Range of interventions at different stages of the life course
Early years
settings - a
vital route to
encourage
children and
their families
to eat well
152
153
Helping children eat better
in childcare
Education
• 3-4 year olds: 15 hrs free education
(universal); 30 hrs free childcare (working
parents, rolled out nationally in Sep-17)
• Two year old offer: 15 hrs funded early
education (means tested)
• Early Years Pupil Premium (EYPP)
• Early Years Foundation Stage (EYFS) –
includes a welfare requirement for food
and drink
• Ofsted Common Inspection Framework
includes a judgment on personal
development, behaviour and welfare
which looks at the extent that settings
promote and support healthy eating
Health
• Childhood Obesity Plan
• Healthy Child Programme
• Early Years High Impact Area 4
– Healthy weight, nutrition
• 2-year integrated reviews
Why early years settings?
154
154
Early years settings - vital route to encourage young children and their families to eat well,
so it’s important to equip the whole childcare workforce to make every contact count
154
Extension of free childcare means children are eating more meals in early years settings –
an unprecedented opportunity to improve children’s eating habits?
155
Rationale for and development of the
Government’s new example menus for
early years settings
Meeting the welfare requirement
for food and drink
Statutory Framework for the Early
Years Foundation Stage (EYFS)
section 3.47 states ‘Where children are
provided with meals, snacks and drinks,
they must be healthy, balanced and
nutritious’. (2017)
156
National guidance Voluntary Food and Drink
Guidelines for Early Years Settings
in England (2012, updated 2017)
Example menus for early years settings in England
In 2016, Public Health England commissioned the Children’s Food Trust to develop new example
menus for early years setting in England to reflect recent changes to government dietary
recommendations and help promote appropriate amounts and types of food for young children.
157
HM Government (2017)
Children’s Food Trust
(2012)
Why develop new early years menus?
Menus need updating to reflect current
government dietary recommendations:
• Lower energy intakes
• Reductions in the amount of ‘free
sugars’* (added sugars)
• Increases in the amount of dietary fibre
Outcome: to help promote appropriate amounts and types of food for young children,
thereby helping to support key national priorities including reducing childhood obesity,
addressing health inequalities, and ensuring the best start in life for all children
SACN (2011) SACN (2015)
*Free sugars’ includes all monosaccharides and disaccharides added to foods by the manufacturer, cook or
consumer, plus sugars naturally present in honey, syrups and unsweetened fruit juices. Under this definition
lactose (milk sugar) when naturally present in milk and milk products and sugars contained within the cellular
structure of foods (particularly fruits and vegetables) are excluded.158
159
Government’s new example menus
for early years settings in England
HM Government (2017) HM Government (2017)Children’s Food Trust (2016)
The technical report and new example menus for early years settings in England can be
downloaded from: www.gov.uk/government/publications/example-menus-for-early-years-
settings-in-england
160
Technical report
• Outlines the agreed set of nutrition and
menu planning principles and the rationale
used to develop the example menus
• Details the protocol and the revisions to the
nutrient framework
• Lists the changes made to the Voluntary
Food and Drink Guidelines for Early Years
Settings in England to ensure current
dietary requirements were met
• Summarises dietary recommendations
applying to infants and children 6 months to
four years in the UK Children’s Food Trust (2016)
161
Part 1: Guidance
HM Government (2017)
• Menu planning principles
• ‘At a glance’ information for meals and snacks - based on
the Voluntary Food and Drink Guidelines for Early Years
Settings in England, published in 2012 with revisions to reflect
current dietary recommendations for children aged 1-4 years
• Advice on
o eating well for children aged 1-4 years and infants aged
6-12 months
o menu planning
o food safety and managing food allergies
o reading food labels
• Sign posts to other resources which give more detailed
information on how to encourage children to eat well.
Useful information for early years settings to help them to meet the Early Years Foundation
Stage welfare requirement to provide “healthy, balanced and nutritious” meals for children
‘At a glance’ information by
meal occasion
Use the ‘at a glance’ information and menu planning checklist to plan meals and snacks
• Lists the food and drink guidelines by meal
occasion
• Breakfast
• Mid-afternoon and mid-afternoon
snacks
• Lunch
• Tea
• Particularly useful if catering for one meal or
snack
162
163
Part 2: Recipes
• Two example 3-week seasonal menus including all recipes
for breakfasts, snacks, lunches and teas; plus additional
recipes that can be substituted
• Each recipe includes:
o list of ingredients: for 5 or 20 portions, in line with
dietary advice and good practice guidance.
o typical portion sizes: for children aged 1-4 years.
o allergen information: for 14 allergens covered by EU
and UK food labelling legislation (based on allergens
typically included in commonly available brands)
o recipe adaptations for infants aged 7-12 months:
with a typical portion sizes and any additional
information for preparation and serving of the recipe for
7-9 months and 10-12 months for example if particular
ingredients should be omittedHM Government (2017)
Menus and recipes illustrate the types and amounts of food and drink that can be provided
to meet the nutritional requirements of infants and children aged six months to four years
and how meals for 1-4 year olds can be adapted for infants aged 7-12 months.
Practical resources to help
early years settings provide
‘healthy, balanced and nutritious’
meals and snacks
164
Accompanying infographics
165
Download from Action for Children website www.foundationyears.org.uk/eat-better-start-better/
HM Government (2017)
166
Useful resources
Action for Children (2017) First Steps Nutrition Trust (2017)
www.foundationyears.org.uk/e
at-better-start-better/
www.firststepsnutrition.org www.nhs.uk/start4life/
Start4life (2017)
Eat Better, Start Better programme (2011-13) to support young children and their families to cook and eat well
Working in partnership to implement the voluntary food and drink
guidelines to improve health outcomes for children in the early years
167
1. National guidance - Voluntary Food and Drink Guidelines for
Early Years Settings in England
2. Accredited training - (face to face and online) - to help
childcare providers use the guidelines
3. Evaluation (tools) - to monitor the outcome and impact of the
guidelines and training
1. practitioners knowledge, skills and confidence (pre and
post training questionnaires)
2. approach to and provision of food (baseline and follow up
audits)
3. family eating habits (online cooking reports, baseline and
follow up family food behaviours questionnaire)
Eat Better, Start Better (2011-13)
168
Aim: to support healthier food provision in early years settings and families with young children
Children’s Food Trust
(2012)
Three key outcomes for the programme
1. Improved healthier food provision for children under five in
early years and childcare settings and at home
2. Increased food, nutrition and healthy cooking knowledge and
skills for the early years and childcare workforce
3. Increased food and nutrition knowledge and practical cooking
skills for parents and families attending early years settings
169
Feedback from programme participants
Local authority commissioners “it helps to deliver in partnership
• Health and Wellbeing strategy
• Obesity strategy
• Early Years Foundation Stage
• Healthy Child Programme
Childminder “I was over facing
the children with big portion sizes.
The practical guide gives clear,
visual advice on the types and
amount of food to provide; the
recipes are simple too you don’t
have to be superstar chef!”
Early years quality
improvement team ‘it
provides a national
benchmark for us to measure
good quality food provision’
Health visitor “I have used the practical
guide, menu/recipe books in one to one
sessions with parents at home and in
the clinic to help them read labels and
plan their menus”.
Nursery manager “displaying
the Early Years Code of
Practice is a clear sign to
parents that our setting is
committed to continually raising
quality of food and drink
standards for children in our
care.”
Children centre “we
now feel confident to help
them (families with young
children) to cook healthy
meals - it really is easier
than they think”
Observation of parents attending
cooking sessions – “both adults and
children are making new friendships, they
are planning to do cooking sessions in each
others homes.”
170
171
Key elements for successful implementation
• Leadership and joint action: public health and early years professionals working in
close collaboration, to develop a shared vision, commitment and an integrated whole
systems approach to early years food and nutrition
• Developing a knowledge base: creating awareness and consistent use of evidence-
based age appropriate nutrition information
• Capacity building: increasing the competence and confidence of the whole childcare
workforce via accredited face to face or online training, peer to peer mentoring and
networking – to help make every opportunity count
• Engaging settings and parents: when developing and implementing food policies
and programmes consultation, communication and building relationships with and
between settings and parents around food provision and practice
• Monitoring and accountability: measuring and evaluating the outcomes and impact
of the programme on the knowledge, skills and confidence of the workforce and
parents, the change in food provision and practice in settings, and the eating habits of
families
• Awards: know and celebrate success
Forthcoming
172
Food provision and practices in early years’ settings in England
Cécile Knai (PI), Manuela Scherer, Emily Warren, Lorraine Williams (LSHTM)With Patricia Mucavele (consultant)
Project aim: To evaluate the approach to and provision of food in early years’ settings across England, exploring ways to address any
inequalities and ensure equity.
This research is funded by the National Institute for Health and Research (NIHR) Policy Research Programme, conducted through the Policy Research Unit in Policy Innovation and Evaluation (reference 102/0001). The views expressed are
those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.
Methods (Jan 2020 – Dec 2022)
Workshops to co-produce a change strategy on improving early years food provision
System mapping workshops using Group Model Building method with stakeholders
In-depth case studies of sub-sample of EYS
A nationally representative survey of food provision and practices in EYS
Stakeholder interviews on food provision and practices in EYS
Scoping review of food provision and practices in early years’ settings (EYS) in England
More information on study at piru.lshtm.ac.uk
School Food Supply Chain in Early
Years and Recipe Bag Concept
Andy White – Public Health Support Officer
Children's Centres as community
food assets
1: Making
access to
affordable
healthy food
easier
3: Enable
parents to
develop
good eating
habits with
their
children
2: Improve
quality of
food
provision
through
early years
settings
4: Promoting
consistent
messages
School food supply chain recipe and ingredients
Increase Healthy start
vouchers uptake
Supporting food &
nutrition knowledge and
skills of early years providers
Food & nutrition community of
practice
Healthy eating
messages & support
PROCUREMENT,
PURCHASING, BUYING
POWERS
PROVIDING AND
COMMISSIONING SERVICES
STEWARDSHIPLEADING, INFLUENCING,
INFORMING
Catering
Development of an
affordable healthy meals
offer for childcare using
school food supply
Development of an affordable healthy
meals offer for childcare using school food
supply
Parents Challenges and Solutions
School food supply chain recipe and ingredients
Process Learning
Customer Insights
A human-centred approach to innovation that integrates the needs of people, the possibilities of technology, and the requirements of business/social outcomes.
Do people want it?
Is it possible?Is it
financially doable?
184
Introduction
We will now Follow the journey of
young parents Martha and Jake and
use this opportunity to answer the
prompts on each page.
185
Meet the Notts
Martha & Jake Notts
Martha and Jake are busy parents
of two young children who can buy
frozen chicken nuggets and chips
for £3 which will feed the family
quickly without much thought or
preparation to prepare this meal.
They know this meal has low
nutritional value but they don’t have
the skills or inspiration to cook
healthier meals.
186
Becoming aware
After seeing a poster about it at the
school gate, Martha sees a post in a
local parenting Facebook group
about a new service, Family
FoodBox, and the launch event
being hosted at the local children’s
centre
● What would you change / add /
remove from this stage in the
journey?
Posters Don’t really work
anymore, how can we
use our SM platforms to
Greatest effect
Engage Health Visitors,
midwives and GP’s to
refer with free Voucher
for first box?
187
02
Attending the event
Martha takes the family to the
event, where Rahim talks them
through the service. The kids visit
recipe stations to try new foods
while their parents watch live
cooking skills demonstrations.
Prompts
● What would you change / add /
remove from this stage in the
journey?
Martha &
Jake
I Don’t want to complete
a load of paperwork to
sign up
I Don’t want to be
stigmatised as a
bad mum
I Want my children to be
entertained and engaged
at the event
188
03
Attending the event
Martha signs up to the service with
Rahim’s help, he tailors the box to
their needs by asking about the size
of their family, how many times a
week they can cook and their
dietary requirements
Prompts
● What would you change / add /
remove from this stage in the
journey?
Martha &
Jake
I Want to know my
children will actually eat
it?
I Want to know I’m
getting value for money
I want to Learn How to
cook I’m not bothered
about learning about
eatwell plate and stuff
189
04
Taking the box home
Martha & Jake take home their first
box from the event, in the future
they can go and collect boxes from
the children’s centre.
Prompts
● What would you change / add /
remove from this stage in the
journey?
Martha &
Jake
I want to be able
to get it home
easily
I Need basic
equipment cos I
don’t have nowt at
Hom
190
05
Cooking the first meal
That night, the family cooks their
first meal using the ingredients and
following the recipe cards, using the
skills they learnt at the launch event
Prompts
● What would you change / add /
remove from this stage in the
journey?
Martha &
Jake
I want easy to
follow recipes in
plain English.
I want tips to get
children involved
but also be safe
191
06
Sharing on Social Media
Jake joins the Facebook page he
learnt about at the launch event, he
sees similar posts from other
families cooking their own recipes
and comments on a few
Prompts
● What would you change / add /
remove from this stage in the
journey?
Martha &
Jake
I want a closed
group to keep me
and my family
safe
I want to share
one post on all my
SM platforms
192
06
Returning ..
At the weekend, Martha goes back
to the children’s centre to return
their tupperware and collect their
second FoodBox, with new recipe’s
based on Rahim’s research at the
launch event.
Prompts
● What would you change / add /
remove from this stage in the
journey?
Martha &
Jake
I want to know
what meal we will
be buying each
week
I want a
consistent service
each week.
I want to build up
relationships with
other users and
volunteers
Next steps• Working with communities in x 2 children’s
centres to prototype and text various
elements – What does this mean for
changing? What does this mean for
testing? Who will do this?
• Test out recipe ideas with families to
finalise 400 seasonal recipes.(April – July)
• Lunch event and full pilot in 2 Children’s
Centres Sep 2020.
• Take learning to roll out to further centres.
www.local.gov.uk
Group Discussions
1. How are councils working with independent
early years providers/settings to improve their
food provision and practice?
2. How are councils using the Healthy Start
Vouchers to increase families access to
healthy food?
3. How can we use food as a leveller to reduce
inequalities in early years settings?
Faith SettingsCity of Bradford Metropolitan
District Council
28/2/2020 www.local.gov.uk
With Delivery
Support Partner:
Keeping the Faith: Co-production of Asset based Model Harnessing the Potential of Islamic Religious Settings to Address Childhood Obesity in
Multi-ethnic Urban Areas
Mr Zulfi Karim – President, Bradford Council of Mosques
196
Bradford Council of Mosques
• History and background
• Journey of British Muslims in Bradford
• Emergence and Evolution of Mosques in Bradford Urban Eco-system/Landscape
• Deprivation and health issues among Bradford Muslim population
Bradford Council of Mosques – Community Assets
• Integration: Services provided by Mosques to local communities
• Madrassas: Most effective after-school engagement with children in Britain on daily basis
• Islamic Religious Settings: Social Infrastructure and how to engage?
• Joining hands with Trailblazer Childhood Obesity Prevention Programme
Bradford Council of Mosques – Lever and partnerships
• Organisations: A lever for Bradford Trailblazer
• Harnessing CoMs as Organisation: Partnership with Bradford Council
• Harnessing CoMs as Organisation: Partnership with Born in Bradford Study and conception of trailblazer
• Harnessing CoMs as Organisation: Partnership with Well Bradford
• Harnessing CoMs as Organisation: Partnership with whole system to bring about positive change
• Bonfire night management: effectiveness for positive change
Keeping the Faith: Co-production of Asset based Model Harnessing the Potential of Islamic Religious Settings to Address Childhood Obesity in
Multi-ethnic Urban Areas
Dr Sufyan Abid DograBorn in Bradford Study, Bradford Institute for Health Research
200
• Describe health and ill-health and their causes• Design and evaluate interventions to promote health• Provide a model for integrating research into practice• Build and strengthen local research capacity
From Research to Practice
Knowledge: existing resources Skills:
Social opportunity:Physical environment:
Creating behaviour change in IRS –present
Knowledge: Manualised toolkit Skills: training for IRS teachers
Co-production, involvement, engagement e.g, Place based groups
Physical environment: improved via place based action groups and strategic links with Council planning dept etc.Social environment: Role models within IRS, creating new behavioural norms in IRS settings
Creating behaviour change in IRS –Bradford COTB
Keep doing
1- Strong community engagement with IRS
2- Giving leadership to IRS
3- Test and learn while developing toolkit
(COM-B Model)
4- Developing Evaluation plan
Start Doing
1- Recruitment for place-based
groups
2- Write up for toolkit
3- Research ethics application
approval from University of Bradford
Bradford Trailblazer Learning
Toolkit Resources
• Guide to Healthy Living: Mosques by PHE, Birmingham (attached)• Get, Set, Go: Standing and Moving after Stroke: A stroke service staff
manual developed by Bradford Teaching Hospital NHS Foundation Trust• AME (awareness, motivation, environment) for Activity: Facilitating
Training Manual (2010). This training manual is designed by University of Leeds researchers for people to become healthier and active
• Ilm to Amal (knowledge to practice): A Curriculum Handbook for Madrassas in UK. This toolkit is designed by a Muslim organisations 1st
Ethical, and Al Qalam. This toolkit is designed to enable Muslim children to understand Islam, social responsibilities, financial literacy, and being active and ethical.
• A Healthy Start: A best practice handbook for health and early years practitioners. A toolkit developed by HENRY, UK
• HAPPY (Healthy & Active Parenting Programme for early years) by Born in Bradford Study
Take Away Messages
• System wide approach
• Focused upon madrassa/children which has not been done to date
• Individual lever based on what has already been produced and layers on top of the what (Which is what already exists) to the how in a behavioural approach than means adoption is more
Story: When Science Keeps Faith In Addressing Childhood Obesity
• Scientists shaking hands with Imams
• https://vimeo.com/335680181
www.local.gov.uk
Group Discussions
1. How are other councils engaging faith settings around
childhood obesity or any other health behaviours? What
have been the challenges/successes?
2. How have you locally harnessed the influence of faith
leaders to model healthier behaviours and encourage
families to adopt them within and outside of Islamic
Religious Settings?
3. Are there any other resources that may be helpful in
these settings? (please see handout)
www.local.gov.uk
RefreshmentsSmith Square 3&4
Next breakout sessions start at 2.45
1. Bevin Hall: London Borough of Lewisham -
Advertising
2. Smith Square 1&2: Birmingham City Council -
Economic Growth
Advertising
London Borough of Lewisham
28/2/2020 www.local.gov.uk
With Delivery
Support Partner:
Healthier Food Advertising Policy
Jamie IzzardSenior Manager, Food Policy Team Greater London Authority
Fran Bernhardt,Children’s Food Campaign Coordinator,Sustain
Agenda
• National outdoor advertising regulations
• TfL policy• Implementation in other
areas• Helpful resources
2017 CAP code • Uses the Nutrient Profiling
Model• Restricts HFSS advertising
with child-friendly techniques
• Restricts HFSS advertising in children’s media
• Restricts HFSS advertising in other media where children make up over 25% of the audience
CAP code is limited• Self regulation• Limited interpretation• Only 100 metres• Slow process• Lenient rulings• No monitoring• No penalties
…so companies putting up HFSS adverts targeting children are getting away with it on a regular basis
The Mayor of London’s policy
1. Only non-HFSS food and non-alcoholic drink advertisements accepted on TFL
2. Brand-only advertisements for food and non-alcoholic drinks will not be accepted unless promoting non-HFSS items
3. HFSS food and non-alcoholic drink products may be able to advertise on TFL if their product is not considered to contribute to HFSS diets in children
Policy Timeline
Summer 2018
Public consultation on draft plan
November 2018
Announcement of Policy
February 2019
Policy came into force
Rationale
• London has highest rates of childhood obesity of any city in Europe
• Huge impact on NHS and economic productivity
• Disproportionately affects people from poorer backgrounds
• Advertising impacts on children’s food choices
• Mayor has direct control of TFL, which carries 40% of out-of-home advertising in London
• Massive support for ban from Londoners during 2018 consultation
Questions about finances• Not expecting big losses as
advertisers switch to healthier products
• Recent data shows revenue has increased by £1 million since policy introduced• Health and Social Care
Committee• Mediatel article
Lessons learned • Political will and public
support • Plan carefully and do not
rush• Importance of evidence
base – experts, academics and robust data
• Exceptions• Take a consistent clear line
Difficulty 1: Incidental advertising
E.g. Go Compare featuring pizza & spaghetti• Advertisement features products
which cannot be assessed for HFSS status but pizza is likely to be HFSS
• Advertisement copy may be rejected on the basis that it promotes consumption of HFSS products
Difficulty 2: Exceptions• Exceptions panel• Difficult to apply and
communicate• Advertiser/brand relations
How’s it going?
• No data yet – annual review results expected spring/summer 2020.
• Lots of lessons to learn from implementation
• Anecdotally, far fewer non-HFSS adverts on TFL network. Hard to notice adverts we are no longer seeing.
Implementation elsewhere
• London boroughs• Other national regions• International interest
Council advertising• Bus stops, lamp posts and
advertising screens• Telephone boxes –
planning teams
Resources• Taking Down Junk Food Ads
report–www.sustainweb.org →Publications
• TFL policy available online• TFL consultation report
available online as part of London Food Strategy
Childhood Obesity
Trailblazer Programme
W o r k i n g i n P a r t n e r s h i p
Introduction: Collaborative approach
Lewisham Childhood Obesity Trailblazer
Steering Group
Lewisham BME
Network
Lewisham
Health Watch
Young
Mayor’s
team
Representatives of steering group at Birmingham workshop
Our vision:
1. Increase restrictions of HFSS on out of home advertising estate
50%L e w i s h a m
80% 100%a l m o s t
C u r r e n t
2 0 1 9
Y e a r 1
2 0 2 0
Y e a r 2
2 0 2 1
+ +
+
Other media owners
Broadcast
medium
2. Ability for Lewisham
to promote locally
co-produced healthy
messages across the
JCDecaux OOH estate
Our vision :
Our vision:
3. Ability to evaluate impact of the Lewisham Trailblazer
• OOH HFSS restrictions
• OOH health promotion campaigns
• ‘Civic pride’
• Qualitative
• Quantitative
Successes:
1. Agreement to increase HFSS advertising restrictions across the JCDecaux estate
50%
OOH assets in Lewisham.
80% 100%a l m o s t
C u r r e n t
2 0 1 9
Y e a r 1
2 0 2 0
Y e a r 2
2 0 2 1
*Started
January
2020
* Voluntary undertaking by
JCDecaux to restrict
advertising of HFSS products
on the Lewisham advertising
estate as part their commitment
to work in partnership with the
Council to deliver the agreed
Trailblazer
strategy
< ------------ TFL + JCDecaux estate 2020 = 80% --------------- > → 100% in 2021?
2. Access to JCDeacaux OOH
estate for health promotion
campaigns
Trailblazer agreement:
• Digital estate – 12 screens
15% share time
• Printed estate – 44 Council
Information Panels +
access to any void estate
Successes:
Successes
2. Ability to promote health
promotion campaigns
Health Promotion poster
displayed across
Lewisham 2020
Sugar Smart poster created
in conjunction with Sustain
Sugar Smart poster displayed on Lewisham OOH estate starting 10th February 2020
Vegpower artwork
competition ran borough-
wide for all KS2 children
The winning artwork was
launched across Lewisham’s
OOH estate in September
2019
Successes:
3. Communityengagement
Briefing
The purpose of the co-production is to involve young people to be a part
of creating and designing a poster which will be advertised in the
borough to encourage behavioural change of local businesses to become
sugar smart and kick start a social environment where there is new
interaction between the campaign and the community.
Co-design session with young people
You
ng
Ma
yor Te
am
Before the co-production began the young people where given information about
the campaign and a brief to follow.
Setting the Scene
During our first session we worked with the young
people to lay out our plans for the project.
CO
-DE
SIG
N S
ES
SIO
N P
RO
JEC
T
Weekly Tuesday sessions to
create poster starting tomorrow!
5:30pm - 6:30pm.
Exploring the sugar smart
campaign and starting to put
together design ideas.
Visiting an creative agency to
learn about the industry and gain
inspiration.
Working with our partners
As part of preparing the group to deliver a poster from
the brief, we also worked with our partners from
OUTSMART to give young people some training and
information to encourage them to see themselves as
creatives.
Creating their first versions
Currently the young people have used the training
and insights they've received to make the first
versions of their poster designs.
Going forward they will be working with a graphic
designer to develop their mockups into digital
versions with further refining of their chosen
concepts to meet the brief of the co-production.
Successes
4. Local evaluation partner appointed(Ottaway Strategic Management Ltd)
• Baseline measures agreed
• Street survey undertaken
• Baseline Report being drafted
Evaluation plan for the duration
of the programme in place
Qualitative and Quantitative
measures
Covering:
• OOH HFSS restrictions
• OOH health promotion
campaigns
• ‘Civic pride’
Learning
Governing Principles
Important to agree governing
principles for the steering group
This is particularly important when
the project consists of multiple
components
6 principles in place for Trailblazer
Learning
Co-production
• True co-production takes time and must not be rushed.
• Important that all partners in the programme have a shared understanding and agreement on the approach.
• Shared understanding means that the principles used for the co-design sessions is based on building trust within the community.
• Need to agree how much power we are willing to give residents
Co-production? Collaboration?
Lewisham decision – co-production (within remit of advertising regulations)
Challenges
• Recruitment of personnel/services takes time
• Agreement of outcome measures and undertaking baseline measures prior to launching the health promotion campaigns
www.local.gov.uk
Group Discussions
1. How are your council taking action on
outdoor advertising? What challenges have
you faced? What have been the successes?
2. If you haven’t – any reasons why? What is
stopping you – any resource that can be
provided that would help you in your council?
3. How have you measured impact of local
health promotion campaigns?
Food Systems & Economic
Growth
Birmingham City Council
28/2/2020 www.local.gov.uk
With Delivery
Support Partner:
Creating a Healthy Food City:
Developing the Birmingham Basket
February 2020
Dr Justin Varney, Director of Public Health
Childhood Obesity Trailblazer
The focus of the work in Birmingham is:
• Develop the educational levers for a healthy food environment through mainstream and targeted apprenticeships and undergraduate education.
• Work with inclusive growth programmes to explore potential for healthy food entrepreneurship and maximise impact of planning toolkit.
• Develop a ‘Birmingham Basket’ to provide an on-going city-wide retail picture of food purchasing in the city to track impact on food choices.
PAGE 255
Outline
Theory
Change
Education and skills
Healthy Food
Economic growth
Healthier food retail
PAGE 256
Healthier, more
affordable, sustainable
food environment
Healthier
retail
choices
Healthier
consumption
Healthier
weight
Data & Evidence
Context
▪ Birmingham Digital Food Hunt in June 2019 identified very limited access or availability of local level data on the food system.
▪ Birmingham has been mapping food indicators against the Milan Urban Food Policy Pact indicator suite and found many gaps.
▪ Food consumption is the single most important driver of childhood obesity yet it is the area we have least local or granular data.
▪ Birmingham is committed to developing a new strategy to Create a Health Food City and through this we need to be able to track impact and progress in terms of food consumption at meaningful scale.
PAGE 257
MUFPP Framework for Action: 6 Pillars
1. Governance
2. Sustainable diets and nutrition
3. Social and economic equity
4. Food production
5. Food supply and distribution
6. Food waste
PAGE 258
44 indicators linked to the six pillars of the
framework for action to track progress
Further work being piloted with three cities to
develop more granular framework of
indicators to track progress and impact
Milan Urban Food Pact which is an international partnership for action on creating healthy food environments in cities and towns.
Birmingham joined as one of the founding partner cities and won an award for its work with Pune on food in 2015.
The partnership enables connection with a network of 206 cities across the world to share learning on approaches to food in urban environments.
The Ambition
PAGE 259
To establish a retail basket tracker to
provide timely insight into the food
purchasing behaviour of
Birmingham.
The basket will provide a mechanism
to understand impact on the food
culture and behaviours of the city.
Secondary ambition….
The Basket tracks the
cost of a healthy diet in
Birmingham….
October Workshop: What do people eat?
Cross-organisational group of academics, analysts and stakeholders came
together to discuss what food products to put in the basket, whether where it
was purchased mattered, and whether we needed to understand who bought
what.
The workshop developed a matrix of food products that reflect some of the
cultural diversity of Birmingham as well as drew on the evidence base and
knowledge of current surveys.
PAGE 260
Key Reflections
• Diversity matters a lot, some products may not be diet
staples in some communities.
• Affordability is an important dimensions as well as access.
• Important to consider dimensions of diversity beyond
ethnicity.
Delivery Work: Commercial Dataset explorationOpen tender call for companies with food consumption panels to purchase date for secondary analysis. The objective being to understand how much granularity can be secured from these commercial data sets. Looking to explore the following dimensions:
▪ Volume and spend on these products▪ Volume and spend by variables such as:▪ size of household, number of children in household, social class/deprivation status of
respondent/panel member, age group, household family stage▪ Percentage share of nutrient volume by these products▪ e.g. saturated fat, sugar, sodium, calories, protein, fibre▪ Household demographic profile of nutrient volume▪ Birmingham panel members compared to England average, baseline figures and 1 year later▪ The percentage share of spend and volume of take home food and drink market by a wide variety
different food and drink types – The analysis must compare Birmingham (as defined by the official council boundary) to a national figure, for example England or Great Britain.
▪ As 1 above, but by household demographics – such as size of household, number of children in household, social class/deprivation status of respondent/panel member, age group, household family stage
▪ Percentage share of nutrient volume (for instance saturated fat, sugar, sodium, calories, protein, fibre) of take home food and drink market by a wide variety of different food and drink types – The analysis must compare Birmingham to a national figure, for example England or Great Britain.
▪ As 3 above, but by household demographics – such as size of household, number of children, social class, age group, family stage
PAGE 261
January Workshop: Where do they buy?
Cross-organisational group of academics, analysts and stakeholders came together to discuss approaches to mapping food access and affordability. Focus is on trying to understand the geo-spatial relationships between food availability, affordability and socio-economic profile of local populations in Birmingham.
The workshop looked at different models of food mapping for access and affordability building on the FEAT tool and international city based food system work.
PAGE 262
Key Reflections
• Difference between food availability and affordability
is key to understanding food purchasing potential.
• Food deserts are less important perhaps than food
swamps in the context of obesity.
• Food mapping is really important to understand food
retail and consumption.
Delivery Progress: Food Mapping Pilot
PAGE 263
Individual Mapping (Albon 2007)
Community Mapping (Sustain/Oxfam 2000)
Price & Availability Mapping (Seattle 2019/ Syria 2015)
Working with 8 students from University College Birmingham we are piloting a three
stage food mapping approach which starts with individual food maps then evolves into
local community mapping (matrixed with FEAT data) and then a price, diversity and
availability mapping audit.
Next steps….
▪ Build relationships with retailers across the food system to try
to access live retail relationships.
▪ Use potential of partnership with WHISK to establish sentinel
hot food retail outlets for behaviour tracking.
▪ Strengthen partnership working with Environmental Health
through joint posts.
▪ Explore potential to use civic food and vending data as part of
the data picture.
PAGE 264
BIRMINGHAM FOOD POLICY AUDIT
Birmingham Healthy Food Economy Policy Audit
Conducted by The Food Foundationfor Birmingham City Council
January 2020
Photo by Peter Wendt on Unsplash
The Food Foundation is an independent organisation working to influence food policy and business practice, shaping a sustainable food system which makes healthy diets affordable and accessible for all.
Four streams of work:
• National and local food strategies
• Children’s #Right2Food campaign
• Peas Please
• Plating Up Progress
Statutory Responsibilities of Local Authorities
• Duty to improve public health
• “Section 12 of the Act lists some of the steps to improve public health that local authorities and the Secretary of State are able to take, including…providing assistance to help individuals minimise risks to health arising from their accommodation or environment (for example a local authority may wish to improve poor housing where this impacts on health).”
Photo by Thomas Gamstaetter on Unsplashhttps://researchbriefings.files.parliament.uk/documents/SN06844/SN06844.pdf
Policy levers for local authorities to
build a healthy food economy
Conceptual Framework
Assessing progress with a food policy
audit
Audit Tool
Conducting the Audit
• 18 interviews with officers and officials across all areas of the audit tool
• Semi-structured interviews on existing policies, levers for change and policy gaps
Interviews
• Internet research on each of the policy areas in the audit tool to identify written policies not mentioned in the interviews
Policy document review of policies mentioned in the interviews
Desk Research
Photo by Louis Hansel on Unsplash
Positive Starting Place - Existing Policies
• City planning policy includes a 10% limit on hot food takeaways
• “…we have a very clear policy that we have been applying since 2012 and it’s helped to reduce or manage concentration of hot food takeaways…”
• Some advertising restrictions on council owned or managed estates
• However… “We also put in that no advertising could be within 100 metres of school. That got difficult when you started saying bus stops and things like that, it’s pretty much the whole of the city…and we were unable to procure.”
• Applying the Government Buying Standards (procurement) in many settings
• Working to increase the uptake of Healthy Start
• Emerging Healthy Food City Working Group and citizen engagement
Photo by Hello I'm Nik 🇬🇧 on Unsplash
Trade off and tensions
• “Birmingham is such a big authority; we don’t have the resource available to us to deliver it on the same scale everywhere across the city.”
• “Originally public health wanted to do no advertising on food at all but that’s what 90% of advertising is, its food and beverage advertising. To have no advertising, there would be no commercial value so we would be wasting our time.”
• “sometimes you have to win them over as they are scared to challenge some of their behaviours because they don’t want to lose business”
Photo by Helloquence on Unsplash
Find Out More
• Find out more about using the Food Policy Audit Tool at an upcoming webinar
• Wednesday March 18th 3:30-4:30pm
• Tool will be published on our website soon
National Context
What’s next? People’s engagement
• Recruiting 100 new Veg Advocates from across the UK during 2020-2023.
• People as agents of change in local communities, encouraging the food system to up its veg game.
• Workshops across the country, via Veg Cities, spreading the word and visiting pledgers across the country to encourage them to engage in new activities and continue to work for more veg.
www.local.gov.uk
Group Discussions
• Have you tried food mapping in your local
area? What are your experiences? If not, do
you feel there is value to taking this approach?
• Initial learning has been that available data for
local areas on the food economy (including the
idea of food baskets) has been sparse. Is this
an approach you have tried and what data
would you be looking to utilise?
www.local.gov.uk
Closing remarks
Andrew Hughes, Head of Care and Health
Improvement Programme, LGA
