CEHI - Centre for Enabling Health Improvement

Join National Wear Red Day on Friday 26 Feb or choose your own event - anything goes as long as it's red! For further information go to the British Heart Foundation's link below. There is also a free fundraising kit that has lots of posters, stickers, games, ideas and a little collection box. Send them your details below and they will send out your kit straight away.

Obesity is on the rise. Do you want advice on how to lose weight.
email Gail@neas.nhs.uk

Self Care for You is a 9 hour free course funded by the Department of Health. Covering 6 activities designed to support you to improve your health and change your lifestyle, this course will make your life sing!!
improve your confidence levels, learn about nutrition & exercise, manage stress and more!

Is your hubby a couch potatoe? Get him signed up now for a new weight management course at the Lyndhurst Centre, Wednesdays 6-8pm. Enrol now!

This leaflet is about encouraging good eating for young children. Includes: encouraging good eating, maintaining good eating, meal time routine, snacks and drinks.Encouraging good eating.pdf
Produced by NHS South of Tyne and Wear

20081125125819.pdf
Healthy eating is often thought to be expensive but this need'nt be the case and this booklet will give you helpful tips on how to achieve this. Practical advice to help you eat well and plan plans that all your family will enjoy.
Produced by NHS South of Tyne and Wear

The May 2009 newsletter is now available on the NHS Evidence national library for public health website

Archived newsletters are now at:
http://www.library.nhs.uk/publichealth/page.aspx?pagename=NEWSLETTER

Annual Evidence Update on Obesity (Public Health Specialist Library)
http://www.library.nhs.uk/publichealth

The Public Health Specialist Library is updating last year's Obesity Annual Evidence Update focussing on the same topic of Childhood Obesity: Surveillance and Prevention. There has been a lot of new evidence published in these areas, especially in regards to prevention in terms of diet, physical activity, and protection due to breast feeding and early childhood health and diet. The National Obesity Observatory has reviewed the evidence and written summaries about what this means for current programmes and schemes such as the National Childhood Measurement Programme.

The average wine drinker in England now consumes around 2,000 calories from booze alone each month, new figures out today show. Over a year this is equivalent to 38 extra roast beef dinners or almost 184 bags of crisps.

Read more at:
http://www.dh.gov.uk/en/News/Recentstories/DH_098315

The April 2009 newsletter is now available on the NLH Public Health Specialist Library website or you can download it here.

Archived newsletters are now at:
http://www.library.nhs.uk/PUBLICHEALTH/ViewResource.aspx?resID=313467

Mod-083 - Model of heatlhy artery and build up of plaque in the damaged Artery. (Available for loan)

DVD05-002 - Matters of the Heart - DVD about Raj, who is overweight, eats too much and does no exercise. Raj then has a near-fatal heart attack. How can Raj change his lifestyle for better. (Available for loan)

DVD14-004 - Get Active Today. Elders from the South Asian, African, African Carribbean and Chinese communities demonstrate a range of culturally senstive physical activities, which are appropriate for older people in their communities and they highlight the benefits of being active. (Available for loan)

TPK14-038 - Training pack - Its Fun to be Active - to stay healthy children should be active every day and most are but don't realise it. Other children need to more active, more often. This pack looks at some of the many different ways children can be more active. Includes literacy links and discussion points. (Available for loan)

Mod-017 - Model - Portion Patrol Activity Model Set - Teaching portion size awareness is easy with this activity of 12 faux foods. (Available for loan)

All items available from the Public Health Improvement Information Team
Tel 283 1124 / 283 1125 / 283 1126
email healthinfo@sotw.nhs.uk

eatwell.pdf
This booklet from the Food Standards Agency gives you some practical tips on eating well to help you feel your best

Over the past nine months the Kicking Bad Habits programme has produced a series of discussion papers and hosted a number of seminars exploring both the theory and practice of behaviour change interventions.

The website has been updated with:

The impact of personal skills, capabilities and confidence to change.
Discussion paper - Motivation and Confidence: what does it take to change behaviour, and seminar presentations

Strategies for identifying and targeting interventions.
Audio viewpoints from the fifth seminar and presentations.

Heart failure (Cardiovascular Diseases Specialist Library)
http://www.library.nhs.uk/cardiovascular

The Cardiovascular Diseases Specialist Library published the 2008 Annual Evidence Update on Heart Failure on 6 October. The CVDSL team have brought together a panel of experts (Professor David Thompson, Professor Jonathan Mant, Professor John Cleland and Dr Michael Davies) chaired by Professor Tom Quinn and co-ordinated by April Coombe, to review high quality evidence published since last year's successful update.

This monthly bulletin covers national, regional and local (St Helens & Halton) news, events and other relevant information which relate to the six key areas of the 'Choosing Health' white paper, and some wider public health information.

Read the August 2008 bulletin here

The bulletin is produced collaboratively by the Health Improvement Library, the Primary Care Library, St Helens Health Partnership and Halton Health Promotion Service.

This monthly bulletin covers national, regional and local (St Helens & Halton) news, events and other relevant information which relate to the six key areas of the 'Choosing Health' white paper, and some wider public health information.

Read the July 2008 issue here

The bulletin is produced collaboratively by the Health Improvement Library, the Primary Care Library, St Helens Health Partnership and Halton Health Promotion Service.

This monthly bulletin covers national, regional and local (St Helens & Halton) news, events and other relevant information which relate to the six key areas of the 'Choosing Health' white paper, and some wider public health information.
Read the April 2008 issue here

The bulletin is produced collaboratively by the Health Improvement Library, the Primary Care Library, St Helens Health Partnership and Halton Health Promotion Service.

Department of Health news release (21 February 2008)

80 per cent of children measured

Around 80 per cent of school children - an increase of 32 per cent compared to the previous year - in Reception and Year six have been weighed and measured as part of a scheme to fight obesity ...........
http://www.gnn.gov.uk/environment/fullDetail.asp?ReleaseID=354255&NewsAreaID=2&NavigatedFromDepartment=False

How to set and monitor goals for prevalence of child obesity: guidance for primary care trusts and local authorities
Department of Health, February 2007
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_083110

This guidance follows on from the publication of the Government’s obesity strategy Healthy Weight, Healthy Lives: A Cross-Government strategy for England. The guidance provides advice to PCTs and local authorities on how to set child obesity goals as part of the Vital Signs and the National Indicator Set. This will be followed shortly with full guidance on developing local plans.
Download guidance (pdf file)

This monthly bulletin covers national, regional and local (St Helens & Halton) news, events and other relevant information which relate to the six key areas of the 'Choosing Health' white paper, and some wider public health information.
Read the October issue here

The bulletin is produced collaboratively by the Health Improvement Library, the Primary Care Library, St Helens Health Partnership and Halton Health Promotion Service.

This evaluation questionnaire has been designed to measure knowledge and behaviour regarding 5 A Day and healthy eating before and after a specific nutrition intervention. The questionnaire will provide data on:

. Change in consumption
. Knowledge of what constitutes a portion
. Confidence in preparing healthy meals
. Likelihood of changing behaviour
. Factors acting as barriers to eating morefruit and vegetables

The questionnaire also gathers demographic data, including postcode information. This will allow assessment of equality of access to healthy eating interventions across the population.

Download Diet Questionnaire

Download Questions about your diet guidance

The Infant Feeding Guidelines for South Tyneside and Gateshead are available to download HERE (pdf 370KB)

Thanks to the generosity of Gateshead Council's Leisure Services, we have a large number of swimming vouchers to give away. The vouchers entitle you to a free swim at any of the council's swimming pools. To earn one, all you need to do is make a comment on any topic on this CEHI weblog. So get commenting and get swimming! Just click below where it says "comments" and let us hear your views. All unique users who provide a comment will qualify.

As part of the Nutrition Strategy for Gateshead, a NUTRITION AGREEMENT has been developed with key partners in relation to good practice in nutrition education and directly commissioned nutrition work. The aim of this is to have a consistent and joined up approach to all nutrition/healthy eating work that takes place in Gateshead, as part of a local area agreement. A key aim of the strategy is to promote consistent nutrition messages on healthy choices for adults and children. Nutrition education encompasses key healthy eating messages, local information about services and programmes, cooking skills, addressing the barriers to healthier food consumption such as attitudes, awareness, access and availability. In addition a supporting document stating the current key messages for nutrition has been produced.

The agreement has been made specific to commissioning independent agencies, and the CHECKLIST (appendix 1) is almost a good practice guide for individuals, groups or organisations such as schools that may invite in guest speakers or external agencies. The KEY MESSAGES LEAFLET (appendix 2) for professionals forms an appendix to both the agreement and checklist.

The 7 Steps to Healthy Eating Course is the key training course for all health community and voluntary staff across Gateshead, working to promote healthy eating in the community through group work.

The course supports local strategies for Nutrition and Obesity and contains all the key messages and methods required to support people in eating healthily.

Dowload a poster containing information about future training courses.

For further information please contact;

Elaine Dickson
Gateshead Health NHS Foundation Trust
Nutrition and Dietetic Services Manager
Queen Elizabeth Hospital
Sheriff Hill
Gateshead
NE9 6SX

Tel: 445 2074
Email: elaine.dickson@ghnt.nhs.uk

PCC (NHS Primary Care Contracting) has published four Primary Care Service Frameworks:

Long term conditions
Support for self care
Sexual health
Obesity (NEW)

Each framework is a generic, comprehensive and enhanced service specification for PCT commissioners and practice based commissioners for 2007/08 - see the PCC website for much more information on what they are and how to use them:
http://www.pcc.nhs.uk/204.php
The frameworks, supportive statements, a blank framework for local adaptation, and a feedback questionnaire are all available for download.

Effectiveness of interventions to promote healthy eating in preschool children aged 1 to 5 years.
Health Education Authority, 1998

An older review which is still a valid and useful part of the evidence base.
It's available on the NICE website under HDA publications at:
http://www.nice.org.uk/page.aspx?o=501975
or you can download it here:
Download review (65 pages)
The full review contains a useful 3 page Executive Summary

Health promotion interventions to promote healthy eating in the general population - a review.
Health Education Authority, 1997

An older review which is still a valid and useful part of the evidence base.
It's available on the NICE website under HDA publications at:
http://www.nice.org.uk/page.aspx?o=502219
or you can download it here:
Download review (198 pages)
The full review contains a useful 11 page Executive Summary

Three documents of interest;
SFT Letter to Stakeholders
Updated Parent's Guide
School Lunch Guide

What do you think of the new school meals? Click on 'comments' and let us know...

The Government has developed a booklet for parents: "Why your child's weight matters�?, which includes information for parents about:

• The National Child Measurement Programme
• Why maintaining a healthy weight is important
• Steps that parents can take to help their family lead a healthy lifestyle

You can download the booklet HERE or contact Health Promotion Resources on 0191 4335684 for your copy.

This is a locally developed resource by a multi agency group, to promote a Healthy Balanced Diet based on the Balance of Good Health. This is now available from the Health Promotion Resource Service (Tel: 0191 433 5684) or can be downloaded below. Please feel free to use and share.

Download Balance It leaflet

The 'Healthy Living' social marketing initiative: a review of the evidence.
Susan Jebb, Toni Steer, Christopher Holmes.
MRC Human Nutrition Research, March 2007
Download report

An independent report commissioned by the Department of Health.
Contents:
Background
Lifestyle determinants of obesity
Making healthier choices
Barriers to healthy living in families
Limited parental awareness of weight status and associated health risks
Parental beliefs that healthy lifestyles are too challenging
Pressure on parents that undermines healthy food choices
Pressure on parents that reduces the opportunities for active lifestyles 24
Driving change
References

Communities for health: learning from the pilots.
Department of Health, Februrary 2007
Best practice guidance
Download report

Learning case examples and best practice from the pilot areas of Communities for Health. These pilots detail how communities have addressed a wide range of health issues and tackled health inequalities. Rural and urban deprived areas have worked to address obesity, healthy eating, mental health and sexual health.

Second Choosing Health progress report
Department of Health, October 2006
Download report (84 pages)

Tabular report in topic sections showing Commitment/Action achieved in May 2006 report; Commitment/Action achieved in this report; Commitment/Action still outstanding

Care pathway for the management of overweight and obesity.
Department of Health, May 2006
Best practice guidance
Download document

Includes asssessment, management, parental awareness, obesity care pathways for adults and children, 'Raising the issue of weight' tool for adults and children, centile BMI charts for children.

Factsheets covering specific topics on health improvement including the Public Service Agreement target areas specifically associated with the achievement of improvement of overall public health, and the reduction of health inequalities.

Download factsheets file
Contains the following 13 factsheets:

Alcohol misuse
Helping children and young people lead healthy lives
Diet and nutrition
Health inequalities
Health, work and well being
Obesity
Physical actvity
Sexual health
Tobacco
Workforce
Mental health
Social marketing
Local government & communities

or download individual factsheets from the Department of Health web site at:
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4139513

The recent Active People's survey reported that Gateshead's level of participation in Sport and Physical Activity was that 17.7% of the population participated in 3 lots of 30 mins activity per week. This result was surprisingly low considering other surveys which suggested that our level of participation was around 26%.

This booklet has been developed in response to one of the key objectives of the Gateshead Nutrition Strategy: to promote clear, accurate and consistent messages about healthy eating to the residents of Gateshead.

The booklet provides guidance for professionals working across Gateshead who have the opportunity to pass on healthy eating advice in the course of their work. Key Nutrition Messages outlines the main points of the Balance of Good Health and 5 A Day healthy eating messages, and the aim is to make sure that these messages are promoted consistently to all residents of Gateshead wherever they are given nutrition advice.

If you would like copies of this leaflet please contact the Health Promotion Dept on 0191 497 1568

Physical activity
Four commonly used methods to increase physical activity: brief interventions in primary care, exercise referral schemes, pedometers and community-based exercise programmes for walking and cycling.
Quick reference guide
Public health intervention guidance 002
NICE, March 2006
Download Quick reference guide

For the full guidance, in pdf and Word versions, patient information, background and associated documents, see the NICE web site at:
http://guidance.nice.org.uk/PHI2

Sexual Health Awareness Week (12th to 18th February)
No Smoking Day (14th March)
Breastfeeding Awareness Week (13th to 19th May)
Cancer Prevention - Fruity Friday (25th May)
Heart Health Week (2nd to 10th June)
Immunisation Awareness Week (10th to 16th September)
World Mental Health Day (10th October)
Alcohol Awareness Week (10th to 16th December)

These health promotion campaigns will be promoted across the borough of Gateshead in 2007. To register to receive an awareness pack of resources please complete the attached Campaign Resources form.

Download campaigns and dates (PDF 70KB)
Download campaign resources order form (Word 30KB)

Recently NICE (the National Institute for Health and Clinical Excellence) published Guidance on the prevention, identification, assessment and management of overweight and obesity in children and adults (2006).

The guidance makes recommendations to the NHS in its strategic role, employer role and delivery role. In addition the guidance makes recommendations to non-NHS organisations and the public.

This is the first 'full-system' guideline developed by NICE, covering prevention, identification and management. Follow this link for the NICE Obesity Guideline

Within Gateshead we will be looking at the guidance in detail and making the necessary adjustments to our local policies, programmes and strategies. So watch this space for further developments!

If you would like further information then please post a comment or email tom.hall@ghpct.nhs.uk (Health Promotion Specialist).

Have the new standards for school food been raising some questions? Well they have for other people too. Our National Healhy School colleagues from Newcastle have kindly shared some questions and answers from the School Food Trust. Click here to download the Q&As

You can download further information about the new standards for school food from www.schoolfoodtrust.org.uk or
They can be ordered in quantities of up to 2000 from Rachel Underwood by email at the address below. Please give your full postal address, list which of the guides you would like and how many of the resources you would like.
Rachel Underwood
N9 Moorfoot
Sheffield S1 4PQ
Ph 0114 259 1169
Fax 0114 259 1291
rachel.underwood@sft.gsi.gov.uk
The booklets and leaflets that are available to date are;
•A guide to introducing the Government’s new food based standards for school lunches. (for lunchtime caterers and heads).
•School Food changing for the better – new school food standards and healthier packed lunches – a guide for parents and carers.
•A4 leaflet for parents on school food and healthier packed meals
•Various posters for the dining room environment

Between April and July 2006, the Community Nutrition Assistants (CNAs) piloted a new cooking skills course across a range of venues in Gateshead. Based on the Get Cooking course, produced by Food Standard Agency Wales, the programme offered participants healthy eating advice combined with practical hands on cooking experience.

This evaluation looks at the processes involved in establishing and running the groups, and the short term impact of the groups on the knowledge and behaviour of the participants.

The results of the pilot groups were promising, with participants demonstrating improved knowledge of healthy eating and food preparation skills. The evaluation data also showed a small increase in fruit and vegetable consumption following the intervention.

Download Cooking Skills Evaluation

For more information about Get Cooking please contact the CNAs on 0191 445 5218.

Photograph by Klabhead.

Back in February 2005 Gateshead launched its Obesity Strategy and its Nutrition Strategy. Both of these health improvement strategies have joined the Physical Activity Strategy in aiming to improve the health of individuals and communities, living and working within Gateshead. You can now download these three strategies below.

Obesity Strategy
Nutrition Strategy
Physical Activity Strategy

As we speak, action plans for the strategies are under development and consultation. The action plans will be availible on the website in due course, so watch this space. However, in the mean time if you have any comments or questions then please contact...

Tom Hall, Health Promotion Specialist for Obesity
tom.hall@ghpct.nhs.uk
Angela Hannant, Health Promotion Specialist for Cancer Prevention angela.hannant@ghpct.nhs.uk
Michael Chappell, Health Promotion Specialist for Physical Activity michael.chappell@ghnt.nhs.uk

Picture - Stary_kashki playing chess in the park

Food support programmes for low-income and socially disadvantaged childbearing women in developed country settings. Systematic review of the evidence
Lalitha D'Souza, Mary Renfrew, Felicia McCormick, Lisa Dyson, Kath Wright, Jane Henderson, James Thomas
National Institute for Health and Clinical Excellence (NICE), July 2006

Read the systematic review (109p.)
Read review summary

Transport interventions promoting safe cycling and walking: review of the evidence
Evidence briefing
Amanda Killoran, Nick Doyle, Seta Waller, Clare Wohlgemuth and Hugo Crombie
National Institute for Health and Clinical Excellence (NICE), July 2006
Read the briefing

Introduction
This evidence briefing aims to answer two related research questions:
• what transport interventions are effective in increasing active travel, specifically walking and cycling?
• what transport interventions are effective in increasing the safety of walking and cycling?

This ESRC fact sheet gives an overview of diet and obesity in the UK. It is designed to introduce the topic rather than be a comprehensive summary. (includes references and hyper links)
http://www.esrcsocietytoday.ac.uk/ESRCInfoCentre/facts/index55.aspx#footnote

Then you can download the New School Food Standards.

This includes the interim food-based standards (from Sept 06), the nutrient-based standards (from Sept 08 for primary schools and from Sept 09 for secondary and special schools), and the food-based standards (from Sept 08 for primary schools and from Sept 09 for secondary and special schools).

Trust me, it all makes more sense when you look at the document!

22nd – 28th May is Cancer Prevention Week, with the highlight of the campaign being Fruity Friday on Friday 26th May. The focus of the campaign this year is the 5 A DAY message, and how eating more fruit and vegetables can reduce your risk of cancer.

If you would like copies of campaign materials to help promote this campaign message, please contact the Health Promotion Resources Service for Gateshead on 0191 433 5684.
If you are doing anything for the campaign or if you have any comments about the resources…please let us know.

Dear colleague,

The evaluations for the above journey have been collated.

Your journey today!

Your postcards!

If you have any comments, please follow "comments" link below

Regards

Clare Ross
Secretary for Health Promotion

Physical activity
Public health intervention guidance PHI 002
NICE, March 2006

You can download the Quick Reference Guide below:
Quick reference guide (4 pages)

Full the full guidance, in pdf and Word versions, patient information, background etc., go to the NICE web site at:
http://www.publichealth.nice.org.uk/page.aspx?o=PHI002

Promotion of physical activity among adults: evidence into practice briefing
Nick Cavill, Kim Buxton, Fiona Bull, Charlie Foster
NICE, March 2006
(Originally commissioned by HDA)

Download Physical Activity briefing

Summaries of intelligence:

Diet and nutrition

Obesity

Physical activity

The Gateshead Millennium Study (GMS; originally the Gateshead Millennium Baby Study) is a longitudinal research project of 1029 babies born in Gateshead in 1999/2000.

The original research looked into feeding and growth in infancy, and has now evolved tracking the weight, eating behaviours, and maternal approaches to feeding of these children from birth.

Now that the children are of school age the GMS is entering an exciting new phase. A further aim is investigate the development of child obesity which, you will be aware, is a key public health priority. The enquiry will investigate the development of common emotional and behavioural difficulties in children, and the relationship between such difficulties and eating/ weight problems.

This project is significant and exciting for Gateshead. More information, plus the contact details of the research team can be found on www.ncl.ac.uk/gms/

Consultation on obesity care pathway and resources for primary care.

A comprehensive guidance on prevention and management of obesity is currently under preparation by the National Institute of Clinical Excellence and is expected in early 2007. Pending this guidance, the public health white paper, Choosing Health, is committed to developing an obesity care pathway and a weight loss guide to support weight management in primary care.

The Department of Health is therefore carrying out a time limited consultation over a three week period.
The deadline for responses to this consultation is 22 December 2005, however responses will be able to be accepted until 3 January 2006.

Further details and consultation response forms are at:
http://www.dh.gov.uk/Consultations/
LiveConsultations/LiveConsultationsArticle/fs/en?CONTENT_ID=4124081&chk=ROnM70

Unless you've been living in a box you will have heard about the obesity epidemic which seems to have gripped the nation. Unfortunately Gateshead is not exempt from this. You may have already found Gateshead's Body Mass Index Study on this website, which tells us that 18% of adults in Gateshead are obese. The picture isn't any brighter for Gateshead's children either. From 2001-2003 paediatric referrals (due to obesity) to dietetic services at the Queen Elizabeth Hospital were up 150%, from 20 per annum to 50. More recently the referrals between May 2004 and February 2005 stand at 108.

With this in mind, a partnership programme has been launched in Gateshead looking at physical activity, nutrition and behaviour of overweight and obese children. 'Balance it! Getting the balance right' is a holistic programme aimed at overweight and obese children, but also includes support for the child's family.

The programme uses health professionals as the contact and referral point. Details of the programme can be found below. Please feel free to make comments or get in touch with Tom Hall (Project Co-ordinator) on tom.hall@ghpct.nhs.uk if you require any more info or would like to be refer onto the programme.

Download file Programme Outline
Download file Information for Parents/ Carers

Back in February 2005 Gateshead launched its Obesity Strategy and its Nutrition Strategy. Both of these health improvement strategies have joined the Physical Activity Strategy in aiming to improve the health of individuals and communities, living and working within Gateshead. You can now download these three strategies below.

Download file Obesity Strategy
Download file Nutrition Strategy
Download file Physcial Activity Strategy

As we speak, action plans for the strategies are under development and consultation. The action plans will be availible on the website in due course, so watch this space. However, in the mean time if you have any comments or questions then please contact...

Tom Hall, Health Promotion Officer for Obesity tom.hall@ghpct.nhs.uk
Angela Hannant, Health Promotion Specialist for Cancer Prevention angela.hannant@ghpct.nhs.uk
Michael Chappell, Health Promotion Specialist for Physical Activity michael.chappell@ghnt.nhs.uk

Over 50 people attended this multi agency event at the Media Centre, Stonehills, to explore next how we can work together to tackle obesity, improve nutrition and increase levels of physical activity.

Thank you to all those who attended and feedback from the event (attached) will assist with planning future events.

Our next events on Sexual Health, June 21st and Smoking, July 11th are currently being planned. Details of these events will be posted on the weblog.

Download Evaluation