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Agenda item

National Child Management Programme - Childhood Obesity Data

Ward Data Update 2012/13

Catherine Homer

Minutes:

Catherine Homer and Joanna Saunders, Public Health, gave the following powerpoint presentation on the National Child Measurement Programme – Rotherham summary 2006/07 to 2012/13:-

 

-          The Programme measured the weight and height of children in Reception class (4-5 years of age) and Year 6 (10-11 years of age)

-          It assessed overweight children and obese levels within primary schools

-          Operational since 2006

-          It had been the responsibility of Primary Care Trusts to collect the data but had now passed to local authorities

-          Trend data now available for the 7 years 2006-07 to 2012/13

 

Participation Rates

-          Robustness of the data was highlighted using participation rates comparing Rotherham against England and statistical neighbours

-          Rotherham’s Reception Year participation rate had increased from 87.6% to 95.5% in 2012/13 comparing well with England (94.0% in 2012/13) and its main statistical neighbours

-          Rotherham’s Year 6 rate had increased from 78.6% to 92.8%. This was almost identical to the England average for 2012/13 and was second highest among its main Statistical Neighbours.

 

Prevalence of Overweight and Obese Children in Reception and Year 6

-          Performance had fluctuated over the 7 year period

-          It was cohort data and therefore did not measure the same children year on year

-          Reception

Percentages for Rotherham for obese and overweight/obese combined increased sharply in 2012/13 reversing a prolonged downward trend in previous years

No explanation but needed to be kept under review to ascertain if it was a reversing trend

Percentage for overweight and obese combined was now the same as the England average at 22.2%

-          Year 6

Prevalence of obesity and overweight combined in Rotherham was higher (35.5%) than the England average (33.7%)

It was clear that the increase in levels of excess weight was from Reception to Year 6 and was an area of focus

Whilst some children in 2012/13 would have been weighed and measured in Reception and Year 6, their first measurement was when the NCMP was in its infancy and participation rates were lower

Data over the coming years was much more robust with over 90% participation rates of measurements.  This would give a clearer picture of the change in weight between Reception and Year 6

 

Excess Weight Prevalence amongst Children in Reception Year and Year 6

-          The chart showed Reception excess weight prevalence by Rotherham Wards (based on residence of the children) 2010/11 to 2012/13 – residence data not available prior to those years

-          Highlighted the variation by Ward and whether the Ward percentage was significantly different from the Rotherham average

-          As the majority of children would attend their local school this also indicated which Wards had schools with greater levels of obesity (excluding schools with wide catchment areas e.g. Catholic schools)

-          Need to continue working with schools across the Borough with a focus on these areas

-          The HWF Services would be requested to target those areas in the marketing of their services

 

Rotherham Healthy Weight Framework

-          Current Framework to help reduce levels of excess weight

-          The tiered model included a range of interventions to support children and their families to lose excess/maintain weight

-          Tier One – non-commissioned activity – NCMP Programme sat within their Tier.  Children identified as being overweight/obese were given information about the interventions in the HWF

-          Tier Two – MoreLife Clubs (1,056 children).  Weekly club base session with  1 hour intense physical activity and 1 hour of educational input.  It was a very structured programme that lasted for 12 weeks

-          Tier Three – Rotherham Institute for Obesity (712 children).  Much more specialised and led by a GP.  It included physical activity, support of nurses and specialist GP dietary support

-          Tier Four – MoreLife Residential Camps (176 children).  20 children had gone to the camp this year where they received very intensive intervention and achieved very good results.  When they returned they were put onto Tier 2 to maintain the weight loss

-          The numbers showed how many children had access the Service in Rotherham since 2009

-          The Framework was commissioned until 31st December and was currently subject to the procurement process

-          The new Service specifications had been extended to include children from the age of 4 years to tackle the number of children that became overweight or obese between Reception and Year 6

 

Foresight Report

-          The slide highlighted the need for a systems approach to reduce levels of excess weight

-          The HWF was a small part of the map but, moving forward, needed to continue to ensure that obesity and obseogenic environment was a part of everyone’s role

 

Discussion ensued on the presentation with the following issues raised/clarified:-

 

·           There was a 97% participation rate across Rotherham’s educational establishments for the whole year cohort

·           The link between rates of obesity and deprivation was a means of analysing need and targeting resources to reduce inequality

·           The figures for Reception was based on a smaller cohort as there had only been access to statistics from 2010

·           A substantial data audit had taken place approximately 15 months ago which had shown that the work was reaching the most deprived areas of the Borough but more work was required with the ethnic and minority community

·           Service providers met with schools and children’s centres and had received a good reception.  They were given a sense of what service would be provided if they joined the Service

·           The statistics did not reflect the impact of Welfare Reform as yet

·           There had to be some caution until the data set was more robust – a lot of work was taking place nationally to iron out some of the discrepancies

 

Catherine and Joanna were thanked for their presentation.

Supporting documents: