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IMPROVEMENT PRIORITY Wrexham County Borough Council

VIEWS: 5 PAGES: 10

									                                                                  AGENDA ITEM NO.




     REPORT TO:                Children and Young People Scrutiny Committee

     REPORT OF:                Strategic & Performance Director, Philip Walton

     REPORT NO:                PAW/11/10s

     DATE:                     Wednesday 17th 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

 2.1   As 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.

 2.2   Attached 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.

 2.3   Members 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 17 th
       March 2010.

 2.4   Following 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

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      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.

3.    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

 4.1 2010/11 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.

 4.2 At 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.

 4.3 As 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.

 4.4 As 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

 4.5 Attached 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.

 4.6 Members 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 17 th
     March 2010.




                                          -2-
 4.7 The 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

 4.8 Following 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.

 4.9 As 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

                                        -3-
                                                                              Appendix I

Improvement Priority - Healthy Eating and People Being More Active

Accountable Officer: Philip Walton

Background

Wrexham currently has one of the highest levels of Coronary Heart Disease (CHD) in
Wales and therefore Key Aim 1 of Caring for our Health 2008 - 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 and physical activity plays 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


                                          -4-
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.




                                          -5-
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,
      congestion charging, 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.




                                               -6-
Outcome: Improve the health and well-being of children, young people and adults

ref    Measures                                 Actual Performance         Target        Responsible
                                                and Target 2009/10        2010/11        Department
m1.1   Total number of adults                    To Q3 = 438,163          576,500           Leisure,
       engaging in physical activities                                                   Libraries and
       provided by Leisure Libraries           Annual Target =557,000                       Culture
       and Culture.
m1.2   The number of visits to local                 Q3 = 7035              9285            Leisure,
       authority sport and Leisure                                                       Libraries and
       centres during the year where            Annual Target = 9,000     Per 1000          Culture
       the visitor will be participating in
       physical activity, per 1000
       population
m1.3   Number of people participating                To Q3 = 576             750            Leisure,
       in the exercise referral scheme                                                   Libraries and
                                                Annual Target = 657                         Culture
m1.4   Percentage of active referrals             New Measure            Baseline to        Leisure,
       after 4 months (exercise                                              be          Libraries and
       referral scheme)                                                  established        Culture
                                                                           during
                                                                          2010/11
m1.5   Numbers attending the visitors             To Q3 = 182,615         200,000        Environment
       centres at Ty Mawr, Alyn
       Waters and Nant Mill                   Annual Target = 204,600       (Lower
                                                                         Target Due to
                                                                         reduced staff
                                                                           levels to
                                                                            deliver)
m1.6   Number of school pupils visiting 2008/9 Baseline = 5,151             5000         Environment
       the parks (in organised school
       groups) to carry out             New Measure                         (Lower
                                                                         Target Due to
       environmental educational                                         reduced staff
       activities.                                                         levels to
                                                                            deliver)
m1.7   Number of people attending a           2008/9 Baseline = 25,712     25,000        Environment
       park event or activity during the
       year.                                  New Measure                   (Lower
                                                                         Target Due to
                                                                         reduced staff
       (Includes guided walks,                                             levels to
       biodiversity events, compost                                         deliver)
       giveaways, craft activities, sports
       events, community fun days,
       conservation practical activities,
       music events in the parks, sports
       coaching in the parks)
m1.8   Volunteering in the Parks              2008/9 Baseline = 6,775    3,500 hours     Environment
       Number of volunteer hours              hours
                                                                            (Lower
       spent in the parks carrying out
                                                                         Target Due to
       voluntary activities.                  New Measure
                                                                         reduced staff
                                                                           levels to
                                                                            deliver)




                                               -7-
ref    Measures                            Actual Performance             Target    Responsible
                                            and Target 2009/10           2010/11     Department
m1.9   Occupancy rate for WCBC           Currently 100%                   100%      Environment
       managed Allotments                occupancy rate

                                         (354 tenants for the
                                         WCBC managed 4
                                         allotment sites and a and
                                         waiting list of
                                         approximately 160 people)

                                         New Measure


ref    Actions 2010/11                                                    Responsible
                                                                          Department
a1.1   Implement the Healthy Eating and Being More Active                 Health Social Care and
       Strategy, to include:                                              Well-being Partnership
       -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.
a1.2   Support delivery of Workplace Health activities/events             Public Protection

       Q2 – Report to be taken to SMT

       Q3 – Delivery of events

       Q4 – Delivery of events
a1.3   Implement a Work Place Travel Plan to promote sustainable          Transport and Asset
       travel within WCBC                                                 Management
a1.4   Coordinate travel planning with LSB partners
a1.5   Develop and implement policies within the Local Transport          (linked to Carbon
       Framework that will ensure walking and cycling are a viable        Emissions Priority)
       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


Measure Removed
Number of healthy meetings held         Superseded by need to review the Council’s policies on
in WCBC – was to be reported              providing refreshment/food at meetings and events
from 2010/11                                              (Action a1.1 above)




                                          -8-
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 Performance              Target       Responsible
                                             and Target 2009/10             2010/11       Department
m2.1   Increase current uptake of                    35%                  Targets to       Learning &
       Primary school meals                      (2008/2009)               be set for     Achievement
                                                                          Q3 and Q4
     (Sept 2009 – July 2010)                     New measure                  after
m2.2 Increase current up take of free                82%                  evaluation     Learning &
     Primary school meals                         (2008/2009)             of Appetite    Achievement
                                                                           for Life at
     (Sept 2009 – July 2010)                     New measure              the end of
m2.3 Increase current uptake of                to be determined                the       Learning &
     Secondary School meals by 5%                                         academic       Achievement
                                                                              year
     (Sept 2009 – July 2010)
m2.4 Increase current uptake of school         to be determined                          Learning &
     meals by 5%                                                                         Achievement

       (Sept 2009 – July 2010)

ref    Actions 2010/11                                                       Responsible
                                                                             Department
a2.1   Continue to implement 'Appetite for Life' pilot :                     Learning & Achievement
       (note: initial project runs in line with the academic year until
       July 2010)
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)




                                           -9-
Outcome: More Children and Young People are walking/cycling to school and taking part
in other physical activities

ref    Measures                               Actual Performance      Target      Responsible
                                              and Target 2009/10     2010/11      Department
m3.1   Total number of under 16’s              To Q3 = 564,072       769,000         Leisure,
       engaging in physical activities                                            Libraries and
       provided by Leisure, Libraries            Annual Target =                     Culture
       and Culture.                                 490,000
m3.2   Number of under 16’s                       To Q3 = 125          125           Leisure,
       participating in the activ8 2 16                                           Libraries and
       referral scheme                        Annual Target = 125                    Culture

m3.3   Number/Percentage of activ8 2                 New Measure    Baseline to      Leisure,
       16 referrals still active after 20                               be        Libraries and
       weeks.                                                       established      Culture
                                                                      during
                                                                     2010/11

m3.4   Number of Children                            New Measure        30           Leisure,
       participating in Mend Scheme                                               Libraries and
                                                                                     Culture

m3.5   Percentage of Children                        New Measure    Baseline to      Leisure,
       Completing MEND scheme                                           be        Libraries and
                                                                    established      Culture
                                                                      during
                                                                     2010/11


ref    Actions 2010/11                                                Responsible
                                                                      Department
a3.1   Implement 3 further safe routes (cycling & walking) in the     Transport and Asset
       community programmes by March 2011                             Management

       (subject to WAG Grant funding – bid made for 3 schemes
        Penycae Infants (£56k)
        Tanyfron Primary (£77.5k)
        Black Lane Primary (£78.7k)
       Announcement expected by WAG by end March)




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