This document summarizes a meeting aimed at bringing together stakeholders to address childhood obesity in Nottingham, UK. The key goals were to understand the various factors influencing children's diet and physical activity, create a network to take a holistic approach, and build a system map showing the relationships between influential factors. The agenda included presentations on local obesity data, systems thinking approaches, and group activities where attendees identified influential factors and built a preliminary system map. The meeting concluded by discussing next steps like combining individual maps and prioritizing joint actions at a follow-up workshop.

1. #GoodHealthNottingham

2. Introduction
Jennifer BurtonNottingham City Council
Insight Specialist Public Health

3. 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.

4. Agenda

5. Welcome
Cllr Campbell-ClarkNottingham City Council
Portfolio holder for Health, HR and Equalities
@CllrECampbell #GoodHealthNottingham

6. %Year 6 childrenwithobesity

7. Ice breaker
Jennifer BurtonNottingham City Council
Insight Specialist Public Health

8. 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.

9. Childhoodobesity, Nottingham& Systemsthinking
David JohnsPhD, RD
Nottingham City Council
Consultant in Public Health
@DavidJohnsRD #GoodHealthNottingham

10. Localdata

11. Localdata

12. Childhoodobesity

13. Childhoodobesity
108causes
>300interactions

14. 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)

15. Systemsthinking
v
Rocketscience=
Complicatedbutnotcomplex! Society,cultureandhumanbehaviour= complex

16. Feedbackloops
Identify them
Understand which ones have a
negative/positive impact
Disrupt and reinforce where
appropriate

17. Consumption of
convenience foods
Manufacturing of
convenience food
De-skilling
Feedbackloops
REINFORCING
- Exponential growth
or
- Continuous decline

18. BALANCING
- A system that reacts
to maintain stability
Feedbackloops

19. 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

20. 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

21. Wholesystemapproach

22. Wholesystemapproach

23. Wholesystemapproach

24. Activity 2 (75 min)
1. Identifyfactorsthatinfluencechildren’sabilityto
eatandmoveforgoodhealthin Nottingham
2. Builda systemmaphighlightingtherelationships
betweenvariousinfluentialfactors.

25. 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

26. 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.

27. Step2: Builda systemmap
Perceived
safety of cycling

28. Step2: Builda systemmap
Perceived
safety of cycling
Q: As our identified factor increases, what happens to
the chosen influentialfactor?
Positive
Negative

29. Step2: Builda systemmap

30. Step2: Builda systemmap

31. Step2: Builda systemmap
Build up the map,
one branch at a
time…

32. Step2: Builda systemmap
…add the inter-
connections

33. 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

34. Wholesystemapproach
Between
workshops

35. #GoodHealthNottingham

36. Activity 2 (75 min)
1. Identifyfactorsthatinfluencechildren’sabilitytoeatand
moveforgoodhealthinNottingham
2. Builda systemmaphighlightingtherelationshipsbetween
variousinfluentialfactors.

37. Activity 3 (25 min)
Wewantthesystemtohelpcreateitsownmissionstatement,
identifyit’ssharedvalues.
1. Individuallywritedownwordsthatrepresentthevalues,
ambitions,purpose,waysofworkingthatyou’dlikethe
systemtoshare.
2. Asa group,discussyourwordsandcreatea shortmission
statement.

38. Close & Next Steps

39. 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

41. #GoodHealthNottingham
Thank you