HEALTH AND SOCIAL
SERVICES DEPARTMENT
DRAFT HEALTHY WEIGHT
STRATEGY 2016-2023
ACTION PLAN
HEALTHY WEIGHT STRATEGY ACTION PLAN 2016 - 2023
MAKING HEALTHY EATING CHOICES EASIER AND NORMALISING HEALTHY EATING FOR ADULTS AND CHILDREN
Associated outcomes – By 2023, a reduction in obesity-related preventable mortality and in the prevalence of Type 2 diabetes: a reduction in
the number of adults and children who are obese and overweight: and an increase in the number of people eating a healthy diet.
1
What
Who leads
How done
How measured
Protect the population,
especially children, from the
negative health effects of
sugar-sweetened beverages
(SSBs)
Implement quality standards for
nutritious food provided in preschool environments
HSSD / T&R
/HomeCustoms&
Excise/ Law
Officers
HSSD /
OEHPR/
Dietetics
Working party to investigate the
implementation and administration of
a tax on SSBs.
States Report and
Enabling Law in place
In partnership with providers, draw up
and implement quality standards to
ensure food provided in pre-school
environments is nutritious and of good
quality, meeting appropriate healthy
eating guidance
Consultation with
Providers: scheme
design: implementation
achieved: quality
standards monitored
At two year
review and
five year
review
Improve the health quality of
locally produced food (reduce
fat and sugar content)
HSSD / OEHPR
In partnership with producers, design
and implement a charter-mark scheme
to designate healthy local food
products and promote healthy portion
size
Consultation with
Producers: scheme
design: implementation
achieved
At two year
review and
five year
review
Further improve the options to
eat healthily in schools
HSSD Health
Promotion /
Dietetics /
Education /
FIGS
Food in Guernsey Schools (FIGS) group
progress improvements in the food
offer to children in schools
Consultation with
Providers and Education:
standards monitored.
Annual
Young People’s Survey
Three yearly
2
3
4
2
Frequency of
reporting
At two year
review and
five year
review
HEALTHY WEIGHT STRATEGY ACTION PLAN 2016 - 2023
5
6
What
Who leads
How done
How measured
Improve the options to eat
healthily on States premises;
acting as a role model for
healthy workplaces
HSSD Health
Promotion /
Dietetics /
States HR /
States Estates
HSSD / OEHPR
Audit and plan for a phased approach
to introduce healthier food options on
all States premises for employees and
visitors
Audit completed and
proposed plan presented
and implemented.
Launch a Healthy Eating Forum with
café and restaurant managers to
promote healthy portion control and
develop simple and workable ways of
labelling menus to advise customers of
calorie content
In partnership with retailers, draw up
and implement a healthy eating award
scheme to enable customers to make
informed choices. Explore voucher
schemes to promote fruit and
vegetable consumption. Also explore
‘Eat well for less’ promotions.
Use population-level campaigns to
promote healthy eating.
Use social marketing to target parents,
carers and those in need of additional
support.
Set up Forum and
establish reporting
arrangements.
Scheme design.
Implementation achieved
At two year
review and
five year
review
Consultation with
Providers: scheme
design: implementation
achieved: standards
monitored
At two year
review and
five year
review
Campaigns delivered:
Evaluation shows
increased awareness in
target populations
At two year
review and
five year
review
Improve the information
available to customers in cafes
and restaurants to enable them
to make healthier choices
Work with food retailers to
promote healthy food choices
HSSD Health
Promotion /
Dietetics
Raise awareness in adults and
children of the benefits of
meeting healthy eating
guidelines
HSSD Health
Promotion /
Dietetics
7
8
3
Frequency of
reporting
At two year
review and
five year
review
HEALTHY WEIGHT STRATEGY ACTION PLAN 2016 - 2023
MAKING ACTIVE LIFESTYLE CHOICES EASIER AND NORMALISING AN ACTIVE LIFESTYLE FOR ADULTS AND CHILDREN
Associated outcomes –By 2023, a reduction in obesity-related preventable mortality and in the prevalence of Type 2 diabetes: a reduction in
the number of adults and children who are obese and overweight: and an increase in the number of people who are regularly physically active.
What
Who leads
How done
How measured
In partnership, design and
implement a ‘Healthy Bailiwick’
Project to lead on delivery of
making physically active
lifestyle choices easier
Guernsey Sports
Commission /
HSSD / Education
& Environment
Departments /
Commercial &
Third Sector
representatives
Establish a partnership Action Group
with appropriate governance and
reporting arrangements.
Design projects, establish project
funding streams and contract or
deliver a programme of evidencebased and socially-marketed
programmes to reduce physical
inactivity, with particular emphasis on
targeting those in additional need of
support and the most inactive.
Individual project
evaluation records
Environment
Department /
HSSD / Education
Department –
Guernsey Sports
Commission /
Third Sector
In partnership and in accordance with
the Integrated On-Island Transport
Strategy, develop evidence-based
projects to support the work of the
Active Travel Unit and to promote
active travel amongst children and
adults.
Support is given to the Environment
Department where planning and land
use strategies are likely to make
physical activity choices easier.
9
Promote active travel and
planning strategies that
support physical activity
10
4
Frequency of
reporting
Annual
Guernsey and Alderney
Healthy Lifestyle survey
Five yearly
Young People’s Survey
Three yearly
Project evaluation
records
Annual
Integrated On-Island
Transport Strategy
evaluation
Five yearly
HEALTHY WEIGHT STRATEGY ACTION PLAN 2016 - 2023
What
Who leads
How done
How measured
Further improve the options to
be physically active in schools
HSSD / Education
Department /
Guernsey Sports
Commission /
Voluntary Sector
Review Education programmes on a
rolling basis and provide further
support to Primary and Secondary
schools to encourage regular
participation in physical activity for 60
minutes a day for all children.
Guernsey and Alderney
Project evaluation
records
11
12
13
Frequency of
reporting
Annually
Annual
Guernsey Child
Measurement
Programme
Annual
Young People’s Survey
Three yearly
Improve the options to increase
physical activity on States
premises; acting as a role
model for healthy workplaces
HSSD Health
Promotion /
States HR /
States Estates
Audit and plan for a phased approach
to introduce options to increase
physical activity on all States premises
for employees and visitors.
Audit completed and
At two year
proposed plan presented review and
and implemented.
five year
review
Raise awareness in adults and
children of the benefits of
meeting physical activity
guidelines and of minimising
sedentary behaviour
HSSD Health
Promotion /
Sports
Commission /
Sports
Organisations
Use population-level campaigns to
promote physical activity and inform
in relation to physical inactivity and
sedentary behaviour.
Use social marketing to target
parents, carers and those in need of
additional support.
Campaigns delivered;
Evaluation shows
increased awareness in
target populations
5
Annual
HEALTHY WEIGHT STRATEGY ACTION PLAN 2016 - 2023
HELPING ADULTS AND CHILDREN TO ACHIEVE AND MAINTAIN APPROPRIATE WEIGHT GOALS
Associated outcomes – By 2023, a reduction in obesity-related preventable mortality and in the prevalence of Type 2 diabetes: A reduction in
the number of adults and children who are obese and overweight: and an increase in the number of overweight and obese people moving
successfully to appropriate weight goals and maintaining them
What
Who leads
How done
How measured
Increase the number of
overweight and obese adults
moving successfully to
appropriate weight goals and
maintaining them
HSSD /
Dietetics /
Health
Promotion
In partnership with others, including
Primary Care and Dietetic Services,
review and redesign, as necessary,
adult weight management service
provision. This to include mapping by
tier against NICE guidance, identify
gaps in provision and recommend
services to respond, together with
associated referral and care pathways,
including for binge eating disorders.
Produce business case for change
(likely to include provision for bariatric
surgery and for appropriate
psychological support).
Review report produced
Recommendations /
business cases made to
CMT / Board
Implement change
In partnership with others, including
Primary Care and Health Visitor and
School Nursing Service, review and
redesign, as necessary, child / family
weight management service provision.
This to include mapping by tier against
NICE guidance, identify gaps in
14
15
Increase the number of
overweight and obese children
moving successfully to
appropriate weight goals and
maintaining them
HSSD / School
Nursing
Service/
Dietetics
6
Frequency of
reporting
Annual
HSSD/Dietetics Service
records
Annual
Weight Management
Course records
Annual
Health Trainer records
Annual
Review report produced
Recommendations /
business case made to
CMT – Board, Implement
change, monitor and
review.
Annual
HEALTHY WEIGHT STRATEGY ACTION PLAN 2016 - 2023
What
16
17
18
Who leads
How done
How measured
provision and recommend services to
respond, together with associated
referral and care pathways, including
binge eating behaviours in young
people. Produce business case for
change, as appropriate.
Child/family weight
management Service
records
Frequency of
reporting
Annual
Research and tailor appropriate
weight management
interventions for pregnant
women with particular
emphasis on targeting those in
need of additional support
HSSD /
Dietetics /
Maternity /
Health
Promotion
Work with appropriate multidisciplinary group, including Dietetic
and Maternity Services and Primary
Care, mapping against NICE guidance.
Identify gaps in provision and
recommend holistic and accessible
services to respond. Design associated
referral and care pathways.
Model of care developed
and implemented.
Provide support for people who
want to change their healthy
eating, physical activity and
weight management behaviours
HSSD Health
Promotion
Further develop the Health Trainer
service to support and maintain
demonstrable behaviour change.
Research and implement opportunities
for Health Trainers to further
complement other existing health
services.
Health Trainer service
records.
Annual
Referral patterns
Annual
Provide training and support for
health professionals in relation
to weight management support
HSSD /
Dietetics /
Health
Promotion /
Research and design tailored training
provision for health professionals both
directly involved in weight
management support and those in a
Training programme
design report
Initial
Training programme
Annual
7
Reduced prevalence of
overweight / obesity and
inappropriate weight
gain in pregnant women
Annual
Five-yearly
HEALTHY WEIGHT STRATEGY ACTION PLAN 2016 - 2023
What
19
Reduce health inequity in adults
and children in relation to
weight management services
Who leads
How done
How measured
Psychology
Services /
Primary Care
position to ‘signpost’ people towards
action to manage their weight.
delivery report
HSSD /
Dietetics
Audit equity of access and identify
groups under-represented in services;
develop and deliver interventions to
meet their needs through targeted and
tailored services.
Audit report for baseline
(2014)
Initial
Access report
Annual
8
Frequency of
reporting