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#GoodHealthNottingham
Introduction
Jennifer BurtonNottingham City Council
Insight Specialist Public Health
Key aims
Bring key stakeholders (Council, healthcare, voluntary sector and citizens) together to explore
the drivers and barriers to eating and moving for good health in children and young people.
Understand the ‘web’ of factors that influence behaviour, diet and physical activity with a
focus on Nottingham City.
Help stakeholders connect to others passionateabout improving diet and physical activity in
children and create a network of stakeholders to take forward the whole system approach.
Build a system map, that explores the links between the influential factors and can inform
future workshops into where action is required; where collaboration is mostuseful, and how
we work as a system to improve health.
Agenda
Welcome
Cllr Campbell-ClarkNottingham City Council
Portfolio holder for Health, HR and Equalities
@CllrECampbell #GoodHealthNottingham
%Year 6 childrenwithobesity
Ice breaker
Jennifer BurtonNottingham City Council
Insight Specialist Public Health
Activity 1 (10 min)
Whyareyouinterestedinhelpingthechildrenof
NottinghamCityeatandmoveforgoodhealth?
Think about any personal stories, areas within the city etc. that have
resonated with you and motivate your interest.
Childhoodobesity, Nottingham& Systemsthinking
David JohnsPhD, RD
Nottingham City Council
Consultant in Public Health
@DavidJohnsRD #GoodHealthNottingham
Localdata
Localdata
Childhoodobesity
Childhoodobesity
108causes
>300interactions
Systemsthinking
A collection of
parts that are
interdependent and
interconnected
Includes a series of
sub-systems that
influence the
broader system
Systems’ drive a
collective result
(may be +ve or -ve)
Systemsthinking
v
Rocketscience=
Complicatedbutnotcomplex! Society,cultureandhumanbehaviour= complex
Feedbackloops
Identify them
Understand which ones have a
negative/positive impact
Disrupt and reinforce where
appropriate
Consumption of
convenience foods
Manufacturing of
convenience food
De-skilling
Feedbackloops
REINFORCING
- Exponential growth
or
- Continuous decline
BALANCING
- A system that reacts
to maintain stability
Feedbackloops
Unintendedconsequences
Unplanned outcomes may occur elsewhere in a system from implementing
‘solutions’ without understanding the system and it’s relationships
Borneo unintendedconsequences:
https://www.youtube.com/watch?v=17BP9n6g1F0
Unintendedconsequences
Borneo unintendedconsequences:
https://www.youtube.com/watch?v=17BP9n6g1F0
Unplanned outcomes may occur elsewhere in a system from implementing
‘solutions’ without understanding the system and it’s relationships
Wholesystemapproach
Wholesystemapproach
Wholesystemapproach
Activity 2 (75 min)
1. Identifyfactorsthatinfluencechildren’sabilityto
eatandmoveforgoodhealthin Nottingham
2. Builda systemmaphighlightingtherelationships
betweenvariousinfluentialfactors.
Step1: Identifyinfluentialfactors
List the factors you believe influence
childhood obesity and/or eating and
moving for good health in Nottingham
One factor per post-in note
Are there any factors that are unique to in Nottingham?
Group your factors into themes
Step2: Builda systemmap
Each table will look to explore 3 influential factors one of which is
provided.
Start with your chosen influential factors and explore as a group what
other factors have a direct effect on this one.
Consider the direction of the relationship between the newly identified
factors, the chosen influential factor, and each other.
Step2: Builda systemmap
Perceived
safety of cycling
Step2: Builda systemmap
Perceived
safety of cycling
Q: As our identified factor increases, what happens to
the chosen influentialfactor?
Positive
Negative
Step2: Builda systemmap
Step2: Builda systemmap
Step2: Builda systemmap
Build up the map,
one branch at a
time…
Step2: Builda systemmap
…add the inter-
connections
Step2: Builda systemmap
Keep factors neutral
Factors should be measurable
i.e. not culture, planning, school
No map is perfect or complete
Utilise your shared perspectives & knowledge
Wholesystemapproach
Between
workshops
#GoodHealthNottingham
Activity 2 (75 min)
1. Identifyfactorsthatinfluencechildren’sabilitytoeatand
moveforgoodhealthinNottingham
2. Builda systemmaphighlightingtherelationshipsbetween
variousinfluentialfactors.
Activity 3 (25 min)
Wewantthesystemtohelpcreateitsownmissionstatement,
identifyit’ssharedvalues.
1. Individuallywritedownwordsthatrepresentthevalues,
ambitions,purpose,waysofworkingthatyou’dlikethe
systemtoshare.
2. Asa group,discussyourwordsandcreatea shortmission
statement.
Close & Next Steps
Build the map: Combining today’s system maps into one
Mapping activity: We will be in touch to find out what
you offer in your communities and what evaluation you
have completed
Workshop 2: Prioritise and plan our actions as a system
NextSteps
#GoodHealthNottingham
Thank you

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