Birmingham plans to test its powers to influence the social and economic determinants of health to shift towards a healthier food and physical activity economy and environment.
- Healthy Eating Planning Toolkit is out for public consultation, deadline 30 June 2021. Consultation feedback will form next iteration of toolkit and aim is to embed it into the Birmingham Development Plan (BDP)
- Spiral Curriculum - invitation to tender (ITT) for spiral curriculum content expected to go out around mid-June. Seeking provider to build a series of Health and Wellbeing(HWB) modules, based on apprenticeship model, containing varying content based on level.
- Birmingham Basket – procurement process underway for a data organisation to support baseline data delivery; (ITT) signed off by Director and Assistant Director and expected to go out to market around mid-June.
- Recruited to a graduate and a service lead role to help support COTP work, which has helped to accelerate programme activity.
The democratic process to enable embedding of toolkit into BDP is very complex and similar exercises going forward should allow longer lead in-times and a forward plan as key to support the work process.
Progress has been significantly impacted by resources required for the local response to COVID-19 and also internal role changes, however additional capacity will enable moving forward at pace.
- Toolkit Consultation feedback will form the next iteration of the toolkit and the aim is embed it into the Birmingham Development Plan (BDP)
- Birmingham City Council (BCC) have a speaking engagement about public health and COTP work at Birmingham City University
- BCC will present at an online workshop entitled ‘Early learning in developing toolkits to address childhood obesity’ in early June. The workshop is hosted by the Local Government Association and our delivery support partner (DSP), Shared intelligence (SI) and will provide an opportunity to showcase their experiences of developing the toolkit, key lessons from the process, and how these toolkits can best be embedded to deliver the greatest impact.
City of Bradford Metropolitan District Council: Year 2 Q3 update
The Childhood Obesity Trailblazer Programme is funded by the Department and Health and Social Care and administered by the Local Government Association. Public Health England also providing expert support and advice The Trailblazer will harness the potential of Islamic Religious Settings (IRS) and their communities as levers to tackle the cultural, and structural drivers of ethnic inequalities in childhood obesity in Bradford. The Trailblazer will harness the potential of Islamic Religious Settings (IRS) and their communities as levers to tackle the cultural, and structural drivers of ethnic inequalities in childhood obesity in Bradford.
- Following years of intensive and successful community engagement, the draft Bradford Trailblazer Toolkit is now available.
- Based on the test and learn approach, four place-based groups through Islamic religious settings (IRS) delivered online sessions through lockdown on physical activity and healthy diet which were attended by around 300 people in total.
- Two of the four IRS were enabled to apply for a locally available physical activity delivery fund (JUMP Awards) to become part of mainstream health promotion programmes - it was the first time that IRS entered into a competitive process of applying for funding aimed at health promotion. They were unsuccessful in receiving the award, however delivered an online session on their own initiative using the learning from participation in the toolkit test and learning session on delivery of physical activity for childhood obesity prevention.
- The Trailblazer programme lead delivered a session on ‘Ramadan and Healthy Eating’ organised by a local community group ‘The Paradise Academy’ who are working alongside one of the IRS place-based groups. It was viewed by more than 100 local people on YouTube and dozens attended the livestream on Facebook
- The Bradford Trailblazer research and work has been published in ‘Preventive Medicine Reports’ how religious settings can be used for childhood obesity prevention and has been made part of the evidence and existing body of knowledge by Public Health England in its obesity intelligence data-set and also published to PHE public library.
- Project team meeting recently took place to refresh team working and re-focus on COTP work next steps.
- Though programme delivery was built on face-to-face interactions with individuals, communities and organisations, to encourage healthy behaviours for obesity prevention, progress took place by moving to online platforms for programme delivery. Virtual engagement was a new of working for many organisations however they innovated well.
- Place-based groups required more time to process information than expected; it is important to follow the pace of the groups.
- Robust governance structure and programme direction are key elements to support continued successful work progress
- Carrying out the Trailblazer work within the three-year programme timeline.
- Capacity of the internal COTP team to carry out the work.
- Staff in mosques and madrassas are generally community volunteers with diverse backgrounds, however most of them are not equipped with training on health promotion initiatives.
- Toolkit training work is challenging and requires specialist input.
- Funder and delivery organisations have rigid and non-flexible systems to engage with local and place-based groups that are not registered as community organisations. Funding via the JUMP Awards was rejected due to the fact that IRS’ were not registered as voluntary and community sector organisations and did not have constitutions or banks accounts.
- Digital co-production methodology developed for the Trailblazer toolkit can be shared with other local authorities.
- Begin process evaluation on digital co-production of toolkit and delivery of project activities.
- Refine contents based on learning from test and learn with place-based groups.
- Toolkit working group will be set up focusing on quality assurance and work to improve toolkit design to take place towards end of the year
- Train IRS staff in mosques and madrassas on delivery of toolkit content (which is based on learning from test and learn approach with place-based groups)
- Building capacity of IRS’ as organisations to deliver their own local obesity prevention interventions.
- Establish funding needs with place-based groups in line with their priorities.
- Capacity building of place-based groups and working with IRS leads on how to work together collaboratively to secure future funding.
- Sustainability beyond the end of the programme - COTP work to be built into wider strategic health work and continue to be funded by wider COTP agenda - looking at integrating COTP with Healthy Schools programme so schools can take work forward.
- City of Bradford Metropolitan District Council will present at an online workshop entitled ‘Early learning in developing toolkits to address childhood obesity’ in early June. The workshop is hosted by the Local Government Association and delivery support partner, Shared intelligence and will provide an opportunity to showcase their experiences of developing the toolkit, the key lessons from the process, and how these toolkits can best be embedded to deliver the greatest impact .
- City of Bradford Metropolitan District Council to speak at Food Matters event on 30 June; they will give an update and share their experience and learning about their Trailblazer work.
London Borough of Lewisham: Year 2 Q3 update
The Childhood Obesity Trailblazer Programme is funded by the Department and Health and Social Care and administered by the Local Government Association. Public Health England also providing expert support and advice. Lewisham plans to test its powers to restrict high in fat, salt or sugar (HFSS advertising and utilise donated outdoor advertising space for health promoting advertisements.
- Finalised voluntary agreement with JCDecaux that HFSS restrictions and health promotion messages on void estates in Lewisham to start from January 2020 and be monitored.
- 15 per cent of advertising time provided on digital boards in the borough for exclusive use by the Trailblazer.
- Poster campaign produced by young people launched on the digital screens on the 18 March, four screens adapted to include motion content. Communications team prepared a press release
- Next street survey conducted by local evaluation partner taking place in May and again between now and end of the year (three to four total) to check if people recognise the campaign.
- Young Mayor’s team produced first poster, which is up
- Expression of interest (EOI) for procuring co-production from local organisations opened in December. Now complete - contract awarded end March.
- Four to six weekly steering partnership group meetings continuing. Representatives attended a workshop in January to share learning and Delivery Service Partner (DSP) attended recent meeting to deliver reflections session.
- Communication webinar (or live video production) content to be agreed at sub-group meeting in early June.
- A reference group has been set up and met twice to date (membership include community representatives like food businesses, and public health representatives like nurse and patient members) and provided feedback on poster work.
- Community organisation, Food for Purpose, has linked with an African-Caribbean community organisation to carry out some insight work. They have devised draft principles of nutrition resources and are currently looking at putting together a narrative. A follow up meeting has been organised to discuss the vision and how to get the narrative across; Lewisham will feedback to the SG.
- Robust framework based on co-production work being devised.
- National impact of COVID-19 on the Out of Home (OOH) advertising estate has affected the progress of the project, however hoping to see work pick up in Q2 and Q3 (including work with other media owners). Also slowed progress on improving food offer (COVID-19 impact on food businesses) and planned evaluation (dependent on conduction street surveys but could not take place due to COVID-19 impact) However work beginning again with food businesses and evaluation partner.
- Changing from virtual methods to in-person workshops to develop co-production advertising material.
- Finding a sustainable model going forward.
- The importance of cross sector collaboration and maintaining relationships through pandemic restrictions.
- Value test and learn approach and ability to learn when things do not go as planned.
- Engaging the right stakeholders at the right time and consider capacity, competing priorities, time to plan and access to remote communication methods.
- Local evaluation partner shared revised evaluation process with the steering group. Evaluation measures to be confirmed by steering group following March meeting. Proposals include:
- Repeat baseline survey April/May (200 person sample) subject to no changes to roadmap timescale;
- Semi structured interviews with key stakeholders (via steering group) (ongoing);
- 1 x 200 person survey in June following launch of next campaign material
Then to liaise with national evaluation partner. Detailed plans in place for rest of 2021.
- Outsmart to develop process to engage other media owners into the Lewisham voluntary restrictions.
- Lewisham Council’s Communication team to review communications plan for the Trailblazer to include timings of displaying campaign materials across the whole council estate and press release. Communications on new campaign materials forthcoming.
- Schedule reflective learning session with Delivery Service partner.
- Produce Lewisham COTP case study.
- Celebrating diversity of borough event to take place - will help engage
- Waiting for confirmation that all 44 council owned billboards can be used for COTP campaign shortly, and then again in September and October. Alongside this, 4 (of 12) motion content billboards are still being used to display COTP content.
Pennine Lancashire consortium of local authorities: Year 2 Q3 update
The Childhood Obesity Trailblazer Programme is funded by the Department and Health and Social Care and administered by the Local Government Association. Public Health England also providing expert support and advice. Pennine Lancashire Consortium of Local Authorities plan to test their planning powers to restrict food retailers that do not offer healthier options and to test a range of levers to incentivise them to improve their offer.
- Third draft of Deep dive work produced following feedback and getting to final stages (sent to planners for further feedback)
- Developed Planners Joint Agreement (formerly called the Memorandum of Understanding - MOU) to support adoption process once the project ends complete and sent to planners for feedback.
- Supported Blackburn with Darwen Council (BwD) in youth engagement element of the local plan consultation. Social Sense (SS) conducted an online survey (n=50) and three virtual consultation sessions with Children and Young People (CYP). This has now been written into a report and key learnings shared. SS holding two sessions with Burnley and Hyndburn and will write up work on proactive behaviour change into a toolkit around June /July.
- Continued to work with public health colleagues at BwD to pull together the data for the planning evidence base. Using MapInfo to overlay data and provide districts with detailed information on childhood overweight/obesity and a variety of data including hot food takeaways and convenience stores, greenspace and opportunities for physical activity, and food growing.
- Working closely with Pendle BC (planning and policy leads) to support their local plan consultation. Funding has been allocated to develop a health and wellbeing video to support the consultation.
- Recipe4Health (R4H)/Business Incentives work ongoing (gathering insight about other catering schemes nationally)
- Renewed content of R4H Award to include portion sizes, food waste, nutrition, environmental factors. Passed to Lancashire CC Trading Standards for review. Based on agreement of the renewed R4H Award approved, we will contact businesses more widely.
- We have contacted existing businesses with the R4H Award to understand whether the current award branding is attractive to help built a case for rebranding of the award.
- Menu analysis of A5s in the pilot sites continues.
- Continued relationship with Just Eat, meeting every eight x weeks re R4H scheme business engagement
- Engaged with local food growers regarding their current relationship with local food businesses.
- Work with councils to develop support packages for businesses
Elected Members/System Leadership
- Held ninth successful virtual Pennine Lancashire Health and Wellbeing Elected Member Forum meeting – continue to hold regular catch ups (next meetings scheduled to take place in March and May).
- Providing targeted support to local authorities woo have not adopted Healthy Weight declaration.
- Developed Elected member roadmap to explain how they can get involved in HPHF.
- Elected Member physical activity challenge developed encouraging Elected Members to map out a local walk suitable for CYP and families; currently connecting this campaign to national Public health England (PHE) Better Health Campaign and Change4life before launching.
- Participation of 2 Elected Members in the Food Active Annual Conference (+ 300 attendees) and 3 elected members in the LGA webinar (+ 40 attendees).
- Two 30-minute ‘Trailblazer Taster’ sessions held in March and Elected Members will work with district leads to look at district specific areas of need.
- Further briefing sessions around COVID recovery to be arranged every 6 weeks based on 6 EM proposed themes including mental wellbeing, resilience, digital etc
- Six to eight weekly meetings with district leads, beginning to set action plans for each district in relation to 4 levers
- Three #burnleygetshangry campaigns due to commence in early March with consultation sessions run by Burnley Youth Theatre. #hyndburngetshangry planned to begin once the Civic Arts Theatre Oswaldtwistle reopens. Interest from Elected Members in attending #getshangry consultation sessions with young people in Burnley and Hyndburn.
- Plan to partner with Together an Active Ribble Valley to start activities for the Great Big Junk Food Debate.
- Written up our Creative Consultation activities with CYP so far into a toolkit. Bite Back 2030 and Sustain have shown interest in sharing this learning.
- Completed five-week delivery with students in Rossendale. Worked with one school in areas like making healthier takeaway choices and cooking (no food technology classes have been taught for one year) Key consultation to be written into a report and include learnings.
- The children’s book ‘Max’s Not So Sweet Dream’ is complete and ready to print - campaign launch currently in planning phase.
- Seven podcasts recorded, three with elected members and been featured on website.
- Produced two newsletters and increased social media following.
- ‘Assets and opportunities’ infographics are complete and ready to launch.
- Continued work with PH colleague at BwD on Evidence Base.
- Healthier Place Healthier Future Steering Board meeting held in March
- Mid-project process evaluation underway and working on Theory of Change.
- Met with Steering Board to specifically look at action planning for year 3 – mid-way process evaluation and key findings were presented. Basis of discussion was key objectives per lever and what can be achieved by the programme end, based on the process evaluation.
- Using MapInfo to overlay data and provide districts with detailed info on childhood overweight/obesity - now have maps complete for obesity levels of 11-year olds and takeaways and looking to layer with other place-based detail
- Feedback from youth consultation in Blackburn with Darwen highlights value of community spaces, parks, the need for subsidised youth activities and a desire for local cooking classes
- Consultation key learnings to be identified and shared widely
- Elected members give very valuable feedback and need to be liaised/communicated with well in advance of meetings/events (due to availability constraints)
- Numerous conversations with various healthier catering schemes nationally allowed learning sharing in contacting businesses, attracting new businesses, supporting (EHOs).
- Need to build in time for learning and evaluation
- Due to the lack of current engagement in businesses, currently looking at other routes of attracting businesses to serve a healthier offer - looking at working in schools In Rossendale to educate children around nutritional menus in a creative way.
- Maintaining regular communication (e.g. via a monthly update) for districts ensures leads and stakeholders feel involved.
- Partnering with local organisations (such as youth theatres) has been an invaluable way of connecting to communities in areas and engaging CYP.
- Creative methods of communication have worked well to win over stakeholders, e.g. through podcasts.
- New planning white paper = potential implications for programme around supporting Councils with Local Plan making and developing.
- Supplementary planning docs to restrict A5s - to be considered post consultation/regulations in place.
- The end of the Trailblazer programme in June 2022 means Environmental Health Officers (EHOs) will pick up ongoing work; looking at ways to facilitate whilst considering impact of COVID on their ‘day job’.
- R4H work delayed recently, has been difficult time for many businesses – work will resume at pace when shops begin to open.
- COVID-19 has brought much disruption, reduced capacity inc Food Active Programme lead leaving earlier this year - new lead now in place (Local impact) and good virtual engagement with groups now.
- Digital literacy and inclusion with many CYP not having devices to join – impact on social movement.
- Planners Joint Agreement waiting for ratification and will be sent out to district leads and planners for comment.
- Complete healthy weight module (momentum building).
- Develop action plans for district leads, elected member champion role (responsibility across PCN and LA, role description being developed) and peer to peer model.
- Produce case studies from Elected member physical activity challenge.
- Communicate with and onboard new Elected members following election inc running another 30 minute ‘Trailblazer’ in June.
- Deploy renewed R4H award with businesses.
- Engage with local food growers re their relationship with local food businesses.
- Work with councils to develop support packages for businesses.
- Work with Shift to ask them to mentor a business in each pilot site (near a school).
- Data collection - will review evaluation framework and define key metrics to capture.
- Capture the learnings and produce case studies through the #getshangry campaigns.
- Connect with national campaigns/organisations on various projects – e.g. Food Waste Action Week, Bite Back 2030.
- Update toolkit every 6 months.
- Continue to support the Food Active Programme lead in transitioning to the project.
- Run community projects in Ribble Valley for the Great Big Junk Food Debate.
- Launch all EM learning resources (portal, HWB module, HW module, infographs).
- Aim to run face-to-face consultation in the social movement and business engagement (when restrictions allow).
- Host a steering group and expert panel meeting in early June.
- Share and review district action plans.
- Set small projects for each district (design school meal/poster)
- Share learning from the BwD Local Plan Consultation with young people.
- Following the symposium, a local event has been planned for the autumn.
Nottinghamshire County Council: Year 2 Q3 update
Nottinghamshire County Council (NCC) plans to build on their broader whole system approach around the community food environment, to develop food skills, access and support for families with children in the early years. The Childhood Obesity Trailblazer Programme is funded by the Department and Health and Social Care and administered by the Local Government Association. Public Health England also providing expert support and advice.
- Formulated early years nutritional offer with school meal branding incorporated (in design of recipe cards along with children’s centres strap line)
- Utilised learning from the Venner prototype and incorporated into next phase of meal kit planning concept along with learning from service user journey and focus groups to further refine prototypes (10 week pilot) Recruited 10 Children’s Centres to use school meal recipes to provide meal kits over 10 weeks (aim to find out if children are eating the food, is the pricing acceptable etc.) Working with delivery support partner (DSP) to mobilise meal kit (defined timeline and process map for meal kit). On 18 May, 10 families will receive meal kits and will feedback
- Brand identity for the meal kit unique to Nottinghamshire; selection of three designs to be tested out to finalise logo. Working Group in Children’s Centre set up to work through next steps
- Food Box/Venner – learning has enabled reciprocal relationship with Morrisons. five-day meal kit going live on Morrisons website. Notts CC will put Morrisons in touch with integrated well-being team and facilitate.
- Children’s Centres taken the lead on evidencing and data collection – should have a snapshot available in September. County wide survey to take place in March 2022 then annually
- Food club roll out very successful. Resulting from Trailblazer team/county partners and Family Action discussions, a fully funded model of FOOD club delivery across the County available. Finalising plans for phase two rollout of Food on Our Doorstep (FOOD) clubs in two new areas of the County, commencing after Easter – one in a Children’s Centre which learning from phase 1 has helped plan and 2. a partnership between a local college and Children Centre. Final prioritisation plan agreed for remaining phases of roll out.
- Up to 30 FOOD clubs operational in Notts by March 2022. Most of these clubs will be in Children Centres, demonstrating the community asset that Children centres are
- Utilised COTP learning to support county wide approach to HAF (Holiday Activity and Food) programme including recipe booklet to be used in those sessions that are able to be delivered face to face in Children’s Centres and Youth Centres
- Evaluation framework – have a local evaluator in place and work will be ongoing
- A pack of Healthy Start promotional materials including a poster, social media post, newsletter article and presentation to share with teams has been widely circulated across Nottinghamshire County Council, including Early Years, Food Insecurity, Local Resilience Forum and child poverty networks. Report at end June
- Family Action supported in registering as a Healthy start retailer so Families can use their Healthy start vouchers as payment for the Food supplied when attending the club. Family Action recruiting for people to support food club work
- Partnership formed with Feeding Britain who will be supporting District and Borough Council colleagues to set up food specific networks of support within each district. Networks started in Mansfield, Newark and Sherwood with remaining five districts to follow which will help the work of the newly established county wide Food Insecurities Network. Putting out feelers to Local Authorities to be involved in conversations, particularly around Ministers free school meals to be opt out
- Plans to deliver vitamin starter packs to all pregnant women in the Bassetlaw area finalised, with start date of April 2021
- Holding Early Years (EY) providers event in autumn, in discussions with school chef and examining costings.
- Linking with meals on wheels in September and looking forward to working more with childminders (represented 60 per cent of survey response rate)
- Putting together webinars and business case for Healthier at home meals toolkit
- Community field hub will be set up, represents an amalgamation of all work carried out. Several partners will be members of the hub including Family Action, Feeding Britain, Food for Life etc. Meeting took place end of May to further discuss what partners could bring to the hub
- Health and Wellbeing Board - new start from 2022, requested COTP team put together a story around each Trailblazer activity area – interested in how the team worked through COVID-19 and whole systems approach
- Thematic analysis of meal kit journey so far to consider and using learning from the testing of different meal kits
- Utilising learning from how the Early Childhood Services engage with childminders
- Discuss at next project meeting how engagement has worked previously and to see if any established routes/forums we can link in to for further learning
- Working with county council leadership team to get better mutual understanding of shared priorities to enable roll out of different initiatives has been helpful
- Local knowledge/history/culture/personalities determines approach to engage and enable change. Situational leadership approach important
- Role of public health support officer important as bridges gap between strategic commissioning and provider into delivery at local level
- Notts COTP has helped influence offer and culture of work in Children’s centres and buy in from senior leadership in children’s services very important to bring about alignment
- Whole systems approach to tackling childhood obesity very fragile – external factors can impact the work undertaken (McDonalds being built in Bassetlaw)
- Partnership working provides excellent example to other parts of council and influencing a public health approach to other areas
- Linking different organisations allows discussions to take place across more platforms
- Utilising students in a college setting to help support Children’s Centres work – co-production learning gained by working with student support
- Registration process for Family Action was very difficult – each Food Club had to be registered separately, which was a barrier. A valuable lesson learned was understanding who was best to work with and seeking out those who were willing to help overcome barriers. Notts success in overcoming barriers is proof that Trailblazer work can be successful in all councils
- Meal kit learning – time it takes to put kits together (measuring ingredients etc – FOUR hours for 10 kits) and storage space for ingredients was a challenge. Raised questions about viability, highlighted team’s lack of food supply chain experience and highlighted co-production issues.
- To continue work post 2022, it is important to have strategic senior management buy in
- Shout about TB work – it is valued
- On-going effects of COVID restrictions
- Digitalising Healthy Start scheme by October 2021, may slow work down, however it is anticipated to streamline work and make it more efficient
- Following election, engaging with new leaders re COTP, want their buy in but need to be aware that they will have COVID-19 responsibilities as well, so capacity restricted
- Due to COVID impacting on the capacity of the school meals team we have been unable to prototype the recipes with families during 2020 as per the original plan
- Delays and barriers to delivery of meal kit means it was a challenge to fully prototype/test all aspects to move learning forward for development and delivery
- Good engagement with Childminders through Early years survey but not had opportunity to engage with them yet re Food for Life work
- Mobilising various Public Health initiatives within Children Centres at the same time as other wider initiatives, impacting on capacity of CC team and others
- Notts CC project delivery expectations/plans not being in line with project partners response to lifting of COVID restrictions
- Trailblazer work to date may not be sustainable at current rate without thought and planning
- Nottinghamshire County Council to speak at Food Matters event on 30 June; they will give an update and share their experience and learning about their Trailblazer work
- Test the recipes with a large cohort of families and form a co-productive and robust feedback mechanism with these families to ensure the development of the meal kit intervention is in line with family’s needs
- Deliver a County wide Healthy Start promotional campaign using a range of locally produced materials based on recent changes to the scheme
- Embed Healthy Start into Community of Practice (CoP)
- Liaise with District Council leads to scope work with businesses/retailers in defined Trailblazer areas, to raise awareness of Healthy Start and increase opportunities for people to use their vouchers locally
- 1st Phase of Child Feeding guide training roll out with 50 licenses used by end of next quarter
- Process mapping complete with meal kit working group and process prototypes with families receiving meal kit and intelligence collated. Plan to recruit a large cohort of parents who will use the meal kits and provide some invaluable feedback and intelligence
- Development of Healthy School meals supply chain work progressing and exploration to identify healthier affordable food. Focusing work on the school meals supply chain with Childminders, planned for the Autumn. Once meal kit fully prototyped, plan to move into the utilisation of the school meal supply chain to childminders (prioritised meal kit Autumn 2021)
- Establishing standard evaluation/data collection for County to enable us to assess the impact of this work at a county wide level
- First Draft of Revised Cook and Eat lesson plans written with a view to small prototypes to in selected Children’s Centres
- Continuing to roll out the vitamin starter packs across the whole of Nottinghamshire, with County wide coverage anticipated early 2021
- Raise sustainability of Trailblazer work and vision beyond 2022 at next Governance meeting
- Discuss at monthly LGA meetings/seek feedback from PHE/DHSC via LGA re programme delivery plans to ensure mutual understanding of direction of Notts trailblazer
- Continue discussion with partners re how lifting of COVID restrictions translates into working practices and timelines (standing agenda item at project and all sub-group meetings)
- Further scoping completed to set up North Notts (COTP districts) Food growing network
- Mid project strategic review of project action areas