AGENDA ITEM NO.
REPORT TO:Social Affairs, Health and Housing Scrutiny Committee
REPORT OF:Strategic & Performance Director, Philip Walton
REPORT NO:PAW/09/10s
DATE:Wednesday 10th March 2010
CONTACT OFFICER:Roger Davies (292272)
SUBJECT:Council / Improvement Priorities 2009/2012 – Target Challenge 2010/11 Healthy Eating and People Being More Active
1.PURPOSE OF THE REPORT
To provide Members with an opportunity to challenge the 2010/11 targets and milestones being proposed for the Improvement Priority ‘Healthy Eating and People Being More Active’.
2. SUMMARY
2.1As part of the quarterly performance monitoring process, Members have indicated they wish to be kept regularly informed of progress against Council Priorities and Improvement Priorities.
2.2Attached at Appendix I is the information outlining the focus for this Improvement Priority, the existing plans and strategies that support its delivery and the selected measures/targets and underpinning actions/milestones for 20010/11 that will be used to regularly monitor progress.
2.3Members are now asked to consider and challenge the target and milestone information shown in Appendix I. Scrutiny Co-chairs have also suggested that measures in this improvement priority area relating to Children and Young people be challenged by Children and Young People Scrutiny Committee scheduled for 17th March 2010.
2.4Following the Members challenge of the information in Appendix I, information will be fed back to relevant Chief Officer and Strategic and Performance Director for consideration as they finalise Service Plans for 2010/11. The information will also be used to set out the measures/targets, actions/milestones in the Council Plan – Setting our Targets 2010 to 2011 document. The agreed measures/targets and actions/milestones as part of the Setting our Targets 2010 to 2011 document will then be presented to Executive Board and full Council for final endorsement.
- RECOMMENDATIONS
Members are asked to consider and challenge the proposed targets and milestones for 20010/11 for the Improvement Priority – Healthy Eating and People Being More Active.
4.INFORMATION
Background
4.12010/11 represents the second year of the Council Priorities and Improvement Priorities agreed by Council in May 2009. Council Priorities form the highest level of priority and for these outcomes, the Council is continuing to focus direct resources and effort to deliver service change and improvement. Improvement Priorities are areas where change or improvements are needed and where work is already progressing through existing plans and strategies.
4.2At its inception in May 2009, Members challenged the information on the focus and desired outcomes of the Healthy Eating and People Being More Active Improvement Priority.
4.3As part of the quarterly performance monitoring process, Members have indicated they wish to be kept regularly informed of progress against Council Priorities and Improvement Priorities. Therefore, for each of the eight Improvement Priorities (now including the Improvement Priority ‘Safeguarding our Children), measures and actions and the underpinning targets and milestones have been selected from existing documents, to provide Members with a rounded view of progress in each particular area.
4.4As part of the Council’s Service Planning and Priority setting process, individual Scrutiny Committees have a key role to play in challenging the targets being proposed for Improvement Priorities for the coming year.
Target/Milestone Challenge
4.5Attached at Appendix I is the information outlining the focus for this Improvement Priority, the existing plans and strategies that support its delivery and the selected measures/targets and underpinning actions/milestones for 20010/11 that will be used to regularly monitor progress.
4.6Members are now asked to consider and challenge the target and milestone information shown in Appendix I. Scrutiny Co-chairs have also suggested that measures in this improvement priority area relating to Children and Young people be challenged by Children and Young People Scrutiny Committee scheduled for 17th March 2010.
4.7The following points may assist Members in this challenge activity:
- Will the measures/targets and actions/milestones give a rounded view of performance in this area in line with focus stated?
- Do the targets/milestones reflect any extra funding being invested, or conversely, any budget cuts?
- How challenging is the target considering our past performance?
- What will be the impact of not meeting the target/milestone?
Next Steps
4.8Following the Members challenge of the information in Appendix I, information will be fed back to relevant Chief Officer and Strategic and Performance Director for consideration as they finalise Service Plans for 2010/11. The information will also be used to set out the measures/targets, actions/milestones in the Council Plan – Setting our Targets 2010 to 2011 document. The agreed measures/targets and actions/milestones as part of the Setting our Targets 2010 to 2011 document will then be presented to Executive Board and full Council for final endorsement.
4.9As the information for this Improvement Priority is being drawn from existing plans and strategies, some of which are ‘owned’ by Partnership Groups e.g. Community Safety Partnership, any recommendations made by Members will also be fed back to the relevant Partnership Groups for consideration.
5.EQUALITIES IMPACT ASSESSMENT
N/A
6.RESOURCE IMPLICATIONS
N/A
7. LEAD MEMBER COMMENT
This report has been shared with the Lead Member and the Improvement Priorities are being challenged by Lead Members at a collective lead member meeting on the 8th of March, therefore no comments have been received to date.
BACKGROUND PAPERS / LOCATION / WEBSITE INFO.Executive Board Report –CFPO/85/08
CG&PSC Report – CFPO/080/08S Council Priorities 2009-2012
Executive Board Report – CFPO/39/08
SAHHSC Report - PAW/26/08S
Appendix I
Improvement Priority - Healthy Eating and People Being More Active
Accountable Officer: Philip Walton
Background
Wrexhamcurrently has one of the highest levels of Coronary Heart Disease (CHD) in Wales and therefore Key Aim 1 of Caring for our Health2008 - 2011, The Health Social Care and Well-being Strategy for Wrexham, targets reducing CHD as a major priority. A Healthy Eating and Being More Active Strategy (HEBMA)has been developed to contribute to reducing CHD in Wrexham through an emphasis on reversing current trends for overweight and obesity – an important but preventable risk factor for CHD – through diet and physical activity.
The health risks associated with overweight and obesity are well documented, and pose significant risks both in terms of individual suffering through increases in levels of morbidity and mortality due to preventable conditions and societal burdens associated with treating and managing chronic conditions and lost economic productivity through absence from work.
Diet andphysical activityplays a significant role in maintenance of a healthy weight, and contributes to the prevention of many chronic conditions. In terms of access to a healthy diet, the recommendations focus on a balanced diet. In Wales, and the UK, current advice recommends a diet that is sufficient in energy intake (to maintain a healthy weight), low in total and saturated fat; low in salt; high in complex carbohydrates (pulses and grains), high in fruits and vegetables; moderate in low fat dairy foods and meat/poultry/fish/eggs. Breastfeeding is important to give infants the best start in life and ensures a lower risk of overweight and obesity later in life. Being physically active is influential in having a positive impact on the risk factors for a range of chronic conditions and maintaining a healthy weight.
Available population data has been analysed to identify current trends in rates of overweight and obesity in Wrexham County Borough. Consideration has also been given to trends in behaviours and lifestyle choices, such as eating five portions of fruit and vegetables per day. There are gaps in data from a local perspective, and in some instances Wales wide or even UK data sets have been utilised to gain a picture of national trends. It is clear that action is needed to reduce the levels of overweight and obesity in both adults and children. With reference to lifestyle choices, there is a need to improve diet and breastfeeding rates, and despite positive indications of levels of physical activity increasing further development is needed with a range of targeted groups. Health inequalities exist, and populations subject to depravation are more likely to be affected by overweight and obesity and more likely to experience barriers to accessing healthy food and physical activity opportunities.
The scientific model of health focuses very much on the role of the individual and energy balance as the primary explanation for the so-called global ‘obesity epidemic’. High fat, energy dense diets and sedentary lifestyles of the last 20 to 30 years, along with economic growth, urbanisation and the globalization of food markets have all contributed to the problem of obesity. In order to halt the rise in levels of obesity and overweight, it is necessary to adopt a multi agency population based approach.
The key areas identified for the HEBMA strategy are:
- Tackling the obesogenic environment to make the healthy option the easier option.
- Encouraging people to build physical activity into their daily routines.
- Promoting children’s health through maternity, parenting, early years and school settings.
- Supporting healthy eating and being more active in the school, home, community and work place.
- Providing more effective treatment and support when people become overweight or obese.
There are a range of interventions and programmes in operation throughout the Wrexham County Borough. The Strategy aims to brings together existing initiatives and allows for more effective and efficient use of resources, highlighting areas of risk. Results Based Accountability will be used to contribute to monitoring and evaluating the strategy and action plan.
The overall desired outcome of the Strategy is that:
‘The People of Wrexham Eat Healthily and are Physically Active ‘
The aim of the Strategy is to improve the general health and wellbeing of the people of Wrexham, by reducing the levels of obese and overweight adults and children and reducing the levels of CHD in the adult population. There is also a need for targeted action among key population groups that stand to gain the most benefit from these improvements to diet, physical activity and healthy weight: children and families from socially deprived communities including vulnerable groups such as the elderly.
The HEBMA strategy and Health, Social Care and Well-being Partnership aim to:
- Reduce the levels of obese and overweight adults and children living in Wrexham.
- Increase breastfeeding rates in Wrexham.
- Increase the number of people in Wrexham who report to have consumed 5 portions of fruit and vegetables the previous day.
- Increase the number of people in Wrexham who report to reach the recommended level of physical activity in the previous week.
Achieving this will contribute towards achieving the following HSCWB Strategy objective:
- Reduce Coronary Heart Disease mortality rates (EASR) for residents (<75) with an underlying cause of death of Coronary Heart Disease.
In addition to the HEMBA Strategy a number of existing key strategies that will support this work are:
- Health, Social Care and Well Being Strategy
- Children and Young People Plan
- Regional Transport Plan (currently under development)
The Local Authority has a key role in delivering in this Strategy.
The National Institute for Clinical Excellence (NICE) guidance on Obesity states:
Local authorities should work with local partners, such as industry and voluntary organisations, to create and manage more safe spaces for incidental and planned physical activity, addressing as apriority any concerns about safety, crime and inclusion, by:
- Providing facilities and schemes such as cycling and walking routes, cycle parking, area maps and safe play areas
- Making streets cleaner and safer, through measures such as traffic calming, congestioncharging, pedestrian crossings, cycle routes, lighting and walking schemes
- Ensuring buildings and spaces are designed to encourage people to be more physically active (for example, through positioning and signing of stairs, entrances and walkways)
- Considering in particular people who require tailored information and support, especially inactive, vulnerable groups.
NICE Obesity Quick reference guide for local authorities, schools and early years providers, workplaces and the public (2006)
The measures/targets and actions/milestones we will monitor on a quarterly basis in 20010/11, to assess if we are moving towards our aims are detailed in the following tables.
Outcome: Improve the health and well-being of children, young people and adults
ref / Measures / Actual Performanceand Target 2009/10 / Target 2010/11 / Responsible
Department
m1.1 / Total number of adults engaging in physical activities provided by Leisure Libraries and Culture. / To Q3 = 438,163
Annual Target =557,000 / 576,500 / Leisure, Libraries and Culture
m1.2 / The number of visits to local authority sport and Leisure centres during the year where the visitor will be participating in physical activity, per 1000 population / Q3 = 7035
Annual Target = 9,000 / 9285
Per 1000 / Leisure, Libraries and Culture
m1.3 / Number of people participating in the exercise referral scheme / To Q3 = 576
Annual Target = 657 / 750 / Leisure, Libraries and Culture
m1.4 / Percentage of active referrals after 4 months (exercise referral scheme) / New Measure / Baseline to be established during 2010/11 / Leisure, Libraries and Culture
m1.5 / Numbers attending the visitors centres at Ty Mawr, Alyn Waters and Nant Mill / To Q3 = 182,615
Annual Target = 204,600 / 200,000
(Lower Target Due to reduced staff levels to deliver) / Environment
m1.6 / Number of school pupils visiting the parks (in organised school groups) to carry out environmental educational activities. / 2008/9 Baseline = 5,151
New Measure / 5000
(Lower Target Due to reduced staff levels to deliver) / Environment
m1.7 / Number of people attending a park event or activity during the year.
(Includes guided walks, biodiversity events, compost giveaways, craft activities, sports events, community fun days, conservation practical activities, music events in the parks, sports coaching in the parks) / 2008/9 Baseline = 25,712
New Measure / 25,000
(Lower Target Due to reduced staff levels to deliver) / Environment
m1.8 / Volunteering in the Parks
Number of volunteer hours spent in the parks carrying out voluntary activities. / 2008/9 Baseline = 6,775 hours
New Measure / 3,500 hours
(Lower Target Due to reduced staff levels to deliver) / Environment
ref / Measures / Actual Performance
and Target 2009/10 / Target 2010/11 / Responsible
Department
m1.9 / Occupancy rate for WCBC managed Allotments / Currently 100% occupancy rate
(354 tenants for the WCBC managed 4 allotment sites and a and waiting list of approximately 160 people)
New Measure / 100% / Environment
ref / Actions 2010/11 / Responsible Department
a1.1 / Implement the Healthy Eating and Being More Active Strategy, to include:
-Review the Council’s policies on providing refreshment/food at meetings and events
-Engagement with Planning and Economic Development Departments to explore their role regarding the obesongenic environment
-Promote Health Challenge Wrexham, including a minimum of 5 events. / Health Social Care and Well-being Partnership
a1.2 / Support delivery of Workplace Health activities/events
Q2 – Report to be taken to SMT
Q3 – Delivery of events
Q4 – Delivery of events / Public Protection
a1.3 / Implement a Work Place Travel Plan to promote sustainable travel within WCBC / Transport and Asset Management
(linked to Carbon Emissions Priority)
a1.4 / Coordinate travel planning with LSB partners
a1.5 / Develop and implement policies within the Local Transport Framework that will ensure walking and cycling are a viable option for short journeys
a1.6 / Develop and implement a policy to improve the standard efficiency, accessibility and integration of public transport
a1.7 / Investigate the introduction of a Wrexham Travel Card
MeasureRemoved
Number of healthy meetings held in WCBC – was to be reported from 2010/11 / Superseded by need to review the Council’s policies on providing refreshment/food at meetings and events(Action a1.1 above)
Outcome:All Children and Young People are eating meals with higher nutritional value, including in school and fewer Children and Young People are obese
ref / Measures / Actual Performanceand Target 2009/10 / Target 2010/11 / Responsible
Department
m2.1 / Increase current uptake of Primary school meals
(Sept 2009 – July 2010) / 35%
(2008/2009)
New measure / Targets to be set for
Q3 and Q4 after evaluation of Appetite for Life at the end of the academic year / Learning & Achievement
m2.2 / Increase current up take of free Primary school meals
(Sept 2009 – July 2010) / 82%
(2008/2009)
New measure / Learning & Achievement
m2.3 / Increase current uptake of Secondary School meals by 5%
(Sept 2009 – July 2010) / to be determined / Learning & Achievement
m2.4 / Increase current uptake of school meals by 5%
(Sept 2009 – July 2010) / to be determined / Learning & Achievement
ref / Actions 2010/11 / Responsible Department
a2.1 / Continue to implement 'Appetite for Life' pilot :
(note: initial project runs in line with the academic year until July 2010) / Learning & Achievement
a2.2 / Complete the pilot (two schools) review of current menus for breakfast and mid-morning break by the end of the academic year
(by Quarter 2)
a2.3 / Complete the pilot (two schools) review of current menus for lunchtime provision by the end of the academic year
(by Quarter 2)
a2.4 / Following implementation of each intervention, measure the uptake in school meals over the remainder of the academic year up to July 2010
(by Quarter 2)
a2.5 / Assess pupil satisfaction with dining environment and access to lunchtime meals
(by Quarter 2)
a2.6 / Evaluate the impact of the Appetite for Life pilot following the end of the academic year
(by Quarter 2)
a2.7 / Dependent on evaluation, develop an action plan for the roll out of the pilot initiative to further sites
(by Quarter 2)
Outcome: More Children and Young People are walking/cycling to school and taking part in other physical activities
ref / Measures / Actual Performanceand Target 2009/10 / Target 2010/11 / Responsible
Department
m3.1 / Total number of under 16’s engaging in physical activities provided by Leisure, Libraries and Culture. / To Q3 = 564,072
Annual Target = 490,000 / 769,000 / Leisure, Libraries and Culture
m3.2 / Number of under 16’s participating in the activ8 2 16 referral scheme / To Q3 = 125
Annual Target = 125 / 125 / Leisure, Libraries and Culture
m3.3 / Number/Percentage of activ8 2 16 referrals still active after 20 weeks. / New Measure / Baseline to be established during 2010/11 / Leisure, Libraries and Culture
m3.4 / Number of Children participating in Mend Scheme / New Measure / 30 / Leisure, Libraries and Culture
m3.5 / Percentage of Children Completing MEND scheme / New Measure / Baseline to be established during 2010/11 / Leisure, Libraries and Culture
ref / Actions 2010/11 / Responsible Department
a3.1 / Implement 3 further safe routes (cycling & walking) in the community programmes by March 2011
(subject to WAG Grant funding – bid made for 3 schemes
- Penycae Infants (£56k)
- Tanyfron Primary (£77.5k)
- Black Lane Primary (£78.7k)
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