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HealthyWeight,HealthyLives

Healthy Weight, Healthy Lives:

a cross-Government strategy for

England

Will Cavendish

Director of Health and Well-BeingDepartment of Health

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Oesity is gro!ing at an alarming rate, !ith a significant impact on

individ"als, o"r #ational Health $ervice and society as a !hole

%& 'oresight report: By ()*), +) of

men and *) of !omen co"ld e

clinically oese

Health impact of oesity:

* type-( diaetes

(. of heart disease

.) of non-smo/ing related cancers

0,))) premat"re deaths a year inEngland

1ed"ces life e2pectancy y, onaverage, 0 years3

Costs of oesity:

#ational Health $ervice - 453(n

Wider economy - 4.*3n

'oresight estimate costs toeconomy of 4*)n y ()*)

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Oesity is primarily driven y individ"al decisions, and

the !ay society infl"ences them

.6 H"man iology- genetics plays a part but does not pre-destine us to be

obese

(6 C"lt"re78ndivid"al psychology- it is difficult to break habituated unhealthy

eating patterns, especially when common to those around us

96 he food environment- there has also been a huge increase in the

quantity of quick convenience foods, which tend to be high in saturated fat,

salt and sugar.

4) he physical environment- our lives have become increasingly sedentary.

or e!ample, the last " decades have seen a #$% drop in children walking

to school

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B"t a ne! approach is needed, !ith a !ider foc"s on

healthy !eight, not ;"st oesity

$hifting !eight distri"tion in the pop"lation to a healthy !eight

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$o as part of the recent C$1 )> anno"ncement, !e

anno"nced o"r ne! long-term amition

Our ambition is to be the first major nation to reverse the rising tide of

obesity and overweight in the population by ensuring that everyone is able

to achieve and maintain a healthy weight. Our initial focus will be on

children: by 2020, we aim to reduce the proportion of overweight and

obese children to 2000 levels.

his new ambition was announced in (ctober "$$ and forms part of

the /overnment0s new commitment to 1hild 'ealth and 2ell-being

3children under ##)

ackling child obesity will be a national priority for the ational 'ealth

5ervice 3'5) and local health care and delivery providers, from 6pril

"$$7.

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Chart of red"ction in average B=8 in children y aggregating evidence on tac/ling the

prolem ? ra;ectory is indicative

educed consumption of !"## foods e.g.

through reformulation and clear labelling

$argeted support for at ris% families

&hildren's centres (including

activity and nutrition) to 2yrs

*reastfeeding

#chool+based prevention (including

activity, nutrition, reduced soft drin%

consumption and education to

reduce $ viewing)

.-

-/

2000 2020 2007

$rend average *1 growth

2010 2015

he amition is s"pported y evidence on !hat !or/s

educed !"## advertising to children

&ommunity interventions all ages( million strategy: @Healthy Weight,

Healthy LivesA

his strategy for 9ngland is fairly unique inbeing a cross-/overnment enterprise

he /overnment is responsible for representingall four nations of the &nited :ingdom in9urope. 2e therefore understand that tacklingthe increasingly global problem of obesity

requires a comprehensive approach to workingwith and sharing best practice and researchfrom both within the &: and partners outside

(ur strategy is all encompassing and draws onwork going on across 9urope and the rest of theworld including the rench 9;(

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he strategy sets o"t action in * themes, follo!ing the

evidence provided y 'oresight

&hildren: healthy growth and healthy weight - early prevention of weight problems to avoidthe =conveyor-belt0 effect into adulthood, with the focus on children part of government0s

>duty of care? to minors

romoting healthier food choices - reducing the consumption of foods that are high in fat,

sugar and salt and increasing the consumption of healthier food such as fruit and

vegetables

*uilding physical activity into our lives - getting people moving as a normal part of their day

&reating incentives for better health - increasing the understanding and value people place

on the long-term impact of decisions

ersonalised advice and support - complementing preventative care with treatment for

those who already have weight problems

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heme .: Every Child sho"ld gro! "p !ith a healthy

!eight

Our vision for the future is one where every child grows up with a healthyweight, through eating well and enjoying being active

@ust under half of children are participating in the 5chool ruit and

Aegetable 5cheme- B 6

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Healthy Weight, Healthy Lives sets o"t a series of plans

to ta/e this !or/ f"rther3

identifying at-risk families and promoting breastfeeding through the 1hild

'ealth ;romotion ;rogramme

investing in >healthy schools? and making cookery classes compulsory

tailoring programmes to increase overweight pupil participation in school sport

and ;9

investing DB million in a social marketing campaign to inform, support and

empower parents to change their children0s diets and physical activity patterns

providing funding of D#4$ million from

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revalence of oese children y parental oesity

Of co"rse it is partic"larly important to engage parents

)

*

.)

.*

()

(*

9)

#o oese parents One parent oese Both parents

oese

,o

fOeseChildren

Boys

Girls

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heme (: he need to promote healthier food choices

Our vision for the future is one where the food we eat is far healthier,3ith major reductions in the consumption and sale of unhealthy foods

such as those high in fat, salt or sugar, and everyone eating their 4 5

6ay

6lready we have established

new regulations on front of pack food

labelling

he /overnment0s advertising and

communications regulator has placed

restrictions on broadcast advertising

during programmes targeted at under #Es

he >traffic-light? model3as recommended by the /overnment0s

ood 5tandards 6gency) has been adopted

by many ma8or retailers and manufacturers

across the &:.

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he Governments 'ood $tandards

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$ince ())9-5 !e have seen a n"mer of positive changes to the

p"rchase patterns of food cons"mers in England:

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Contin"ing the good !or/ the strategy lays o"t o"r

plans to:

"inalise a !ealthy "ood &ode of 7ood ractice aims to set a challenge to industry to

provide healthier food choices through:

#. 6 single, simple and effective approach to food labelling

". 5maller portion siFes for energy dense and salty foods

93 1ealanced mar/eting, promotion, advertising and point of sale placement to red"ce thee2pos"re of children to the promotion of H'$$ foods, and increase their e2pos"re to the

promotion of healthier options

4. eductions in consumption of and levels of saturated fat and sugar in food particularly drinks

with added sugar, along lines of the continuing action on salt

B. ncreased consumption of healthy foods, particularly fruit and vegetables

E. 6ll food businesses working with the 56,

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heme 9: B"ilding physical activity into o"r lives

Our vision for the future is one where all individuals and families areable to e8ercise regularly and to stay healthy throughout their lives

6lready the ational Gottery - overseen by /overnment - has put D#BB millioninto the 1hildren0s ;lay initiative. his is helping to create more friendly publicspaces that encourage unstructured or informal play

7E% of school children do at least " hours of ;9Jsport a week beating the7B% target for "$$7. 2e are now aiming to offer every child and young personthe chance of B hours sport a week by "$##.

2e have also put D#EB million into the 2ell-being programme to assistemployers to balance work and life issues for individual wellbeing and to

improve school performance

he /overnment0s sport agency, 5port 9ngland will receive over D$$ million3$$7-##) towards building world class community sport infrastructure toincrease participation in sport

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o go f"rther faster in promoting participation in physical activity,

and creating a s"pportive "ilt environment, !e !ill

Physical Activity

Built Environment

invest in a @Wal/ing into HealthA campaign - a third of England

!al/ing at least .))) more steps daily - an e2tra .* illion steps a

day!or/ !ith the entertainment technology ind"stry to develop tools

to allo! parents to manage the time that their children spent online

playing games"se the ().( Olympics to inspire people to ecome more activeloo/ at setting "p a ne! agency,

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heme 5: We need to create incentives for etter health

Our vision for the future is where all employers value their employees'health and where this is at the core of their business plans. $here

will be stronger incentives for people, companies and the 9ational !ealth

#ervice to invest in health

he /overnment0s ood 5tandards 6gency has produced a practical guide

to caterers including weekly sample menus to help caterers provide foodthat meets people0s nutritional needs

here are a number of e!isting >2ellK2ork? schemes up and running

designed to deliver incentives to employees to lose weight

6 recently published review of the health of *ritain0s working age population

sets out the case for employers to invest in wellness programmes for their

staff

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o s"pport this !e3

Emloyee incentives !ncentives across society

will look at piloting schemes

that provide financial

incentives e.g. payments,

vouchers and rewards to

encourage healthy living and

sustain weight loss 3as have

been effective in the &56)

will look at ways to better

structure health funding flows

to use healthy living resources

more fle!ibly

will work with employers to see how

companies can best promote wellnessamong their staff - healthy workplaces

will e!plore with the fitness and leisureindustries how they can

launch pilots throughout the '5 this

spring offering staff personalised health

advice and lifestyle management

programmes.

will test approaches to using financialincentives to encourage weight loss and

healthy living more generally

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heme *: 8ndivid"als sho"ld have easy access to highly

personalised feedac/ and advice on their diet, physical

activity and health

Our vision for the future is where all employers value their employees'!ealth and where this is at the core of their business plans. $here will

be stronger incentives for people, companies and the 9ational !ealth

#ervice to invest in health

+any areas in 9ngland are already commissioning weight management

services to support overweight and obese children in moving towards a

healthier weight.

6dditional resources over the ne!t three years will see a greater focus on

more families. 5uch services may be one-to-one or group-based and may

be provided by voluntary not for profit and commercial organisations

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We aim as a first step to!ards achieving this3

to e!pand and develop the

ational 'ealth 5ervice0s

>1hoices? website to provide

highly personalised advice on

diet, activity and how to maintaina healthy weight.

and may use the 1hoices site

to display information on

companies that meet parts of the

codes of practice in food andentertainment

5upporting the commissioning

of more weight management

services by ;1s, through

providing funding as part of the

national bundle, increasing over

the ne!t three years1onsidering how to support

local areas in widening the

numbers and types of staff that

can play a role in referring

overweight and obese children

appropriately

unding research into weightmanagement for under-fives

Get0s /et +oving?

pack for doctors and nurses to

help sedentary adults to become

more active

Care for o"ese and overweight

individuals Personalised advice for all

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Ho!ever, Government action alone !ill not e s"ccessf"l, and

Healthy Weight, Healthy Lives follo!ing 'oresight, ma/es clear that

everyone m"st play their part

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he cross-/overnment programme in 9ngland has the e!tra financialresources it needs - an additional DL"mn over "$$7JI to "$#$J##

31hildhood) obesity will be a priority for local healthcare providers from 6pril$7, with far greater accountability

1lear local guidance has 8ust been published setting out how local partnerscan develop their own plans to promote healthy weight and tackle obesity intheir communities and in choosing the right interventions while monitoringprogress against local goals

he cross-/overnment programme is being reinforced and given e!tra

impetus via a 1abinet 1ommittee on 'ealth and 2ell-being

6 comprehensive marketing programme to support individuals and familiesin making healthier decisions about food and activity designed to recruitthem to a positive lifestyle campaign

B"t the Government !ill see/ to provide clear leadership

and s"pport

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he government is committed to an ann"al revie! of

progress, and to developing the evidence of !hat !or/s

2e will develop leading indicators of success to support e!isting measures

of progress in informing the annual review of progress

nvest in research to improve our understanding of the causes and

consequences of the rise in e!cess weight and what works in tackling it

+onitor and evaluate progress of new and e!isting programmes, both to

inform the annual review and guide research

esearch and evaluation will be led by e!isting /overnment M< bodies,

supported by the new (besity (bservatory

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O"r c"rrent foc"s is on s"pporting the development of

local goals and plans

C"rrent foc"s

2e have 8ust published guidance on developing local plans to promote

healthy weight will follow in +arch, with a toolkit shortly afterwards

Beyond this, !e !ill egin p"tting centrally led programmes in place

1omplete new regulations to provide routine feedback of child0s height and

weight data to parents on an opt-out basis from the ational 1hild

+easurement ;rogramme in the 'ealth and 5ocial 1are *ill

;lan and commission an e!tensive social marketing campaign, to be

launched late summer