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Creating a Healthy Food City
25th
July 2019
Our Ambition As A City
PAGE 2
Birmingham – a city of growth where
every child, citizen and place matters
• Birmingham is an
entrepreneurial city to
learn, work and invest
in
• Birmingham is an
aspirational city to
grow up in
• Birmingham is a
fulfilling city to age
well in
• Birmingham is a great
city to live in
PAGE 3
PAGE 4
PAGE 5
Whole System Action Is Needed
Research, like the
Foresight report, has
shown that tackling
obesity needs lots of
different actions.
Action is needed at
different levels of
society and by
different types of
organisations working
together in a range of
different areas.
Creating A Healthy
Food City
 Healthy food
environments in
communities,
workplaces and
schools
 Healthy food
economies
 Communities of
identity and place
informed
approaches
 Social narrative
about food
Creating An Active
City
 Active environments,
including making the
most of the CWG
infrastructure
opportunities.
 Accessible provision
 Community co-
production
 Social narrative
about activity
Three Pillar Approach
PAGE 7
Supporting Weight
Management
 Maximise
engagement with
existing support and
resources e.g. C4L,
OneYou, NHS Weight
Management course
& app, HENRY in
early years settings.
 Maximise positive
opportunity of NCMP
through School
nursing service and
NHS Health Check.
CREATING A HEALTHY FOOD CITY
Developing our approach
Context
 Cities operate at multiple different levels and scales from
households, to streets and communities of place, identity and
heritage.
 Within the City there are many different levers at a macro city-
wide level and at a community and household level.
 Citizens have told us that the food environment of the city is
not supporting them to live healthy lives and asked us to
change this.
PAGE 9
Citizen’s Perceptions of Food in the City
Qualitative focus groups,
121 interviews and
photography projects on
food over the last 2 years
have identified citizens
feel the city food
environment is disabling
healthy choices and they
want to see change.
PAGE 10
because I can’t stop them eating
rubbish at school but at home it’sup to me”
“South Asian food – the
diet itself is healthy – tell
them to reduce the
amount of oil…”
“It’s [fast food] so cheap and
it’s a treat. I think I only have
them for the kids but .. I
have them too”
“…we don’t plan them [takeaways].
If it’s getting late or I’ve got
nothing in.... its nearer than the
shop”
The Food Environment in Birmingham
Our local surroundings can
have a big impact on the
decisions we make.
Access to fresh affordable food
is important if we want to eat
more healthily.
Many of our streets are
saturated with fast food outlets
where its hard to find a healthy
option.
PAGE 11
1.2 Fast Food Outlets per
1,000 citizens.
835 food outlets in the city
only reach 2 (needs
improvement) out of 5 for
food hygiene standards.
0.97 Supermarkets/
convenience stores per
1,000 citizens.
27 food banks listed in the
city by the Tussell Trust in
2018.
The Food Journey
Image source: https://www.eufic.org/en/food-safety/article/food-industry-standards-focus-on-haccp
PAGE 13
Urban Food System
Our initial thinking on Vision and ambition
Birmingham is a Healthy Food City with a
thriving and sustainable healthy food
economy that reflects the diversity of our
citizens and where healthy food choices
are easy, accessible, affordable and
normal in every community.
PAGE 14
Becoming a Healthy Food City
PAGE 15
Co-Production Co-Delivery
P
L
A
C
E
S
&
P
E
O
P
L
E
Access
Safe
Nutritious
Skills
Jobs
Inclusive
growth
Advertising
Social Media
Community
conversations
Production
Retail
Consumption
Waste
Building Our Approach
 Stakeholder engagement
 Citizen engagement
 Accelerator
opportunities:
• Digital
Leaders
Food
Treasure
Hunt
• LGA/PHE
Obesity
Trailblazer
• Milan Urban
Food Policy
Pact
• BINDI
partnershipPAGE 16
Supplementary Planning
Guidelines on Fast Food
Birmingham Healthy Planning Toolkit
Change 4 LifeOne You
Pease Please
Environmental Health
Gov. Food Buying Standards Procurement
City Serve School Meals
Apprenticeships Levy
Healthy Start & Breastfeeding Focus
Defend Them
Existing Foundations
Some of the existing strong foundations on
addressing the food environment in the City
PAGE 17
Food Stories & Beliefs
 City specific campaigns in
partnership with the Food
Foundation
• Peas Please
(vendors)
• Eat them to
defeat them
(cyp)
• Healthy Start
Vouchers
(<2yrs)
 National campaigns
• Change 4 Life
• One YouPAGE 18
Healthy Start Vouchers
 Government-led means tested initiative
 Vouchers for milk, fruit and vegetables
 Families receiving benefits with children aged
0-4 years.
 Purchase food items to the value of £3.10 per
week, per child.
 Current under-claim of £1.5 million in
Birmingham
 Reduction in nutrition in these families and a
loss of retail revenue in these communities
PAGE 19
 Obesity Specialist funded by BCC for early years projects
including initiative to increase uptake of HSV, through working
with retailers and voucher providers (e.g. health visitors)
Uptake of Healthy Start Vouchers
PAGE 20
• April 2018 – Dec 2018
saw a 5% rise in
uptake, from 70% to
75% as a result of this
work
Breastfeeding in Birmingham
 Breastfeeding and healthy weaning
lays the foundation for children’s
nutrition and wellbeing.
 58% of babies start breastfeeding
within 48hrs of birth (2018/19,
local data)
 Only 44% are still being breastfed
at 6-8wks old (2018/19 local data).
PAGE 21
Breastfeeding in Birmingham
 BUMP maternity service providers
are delivering ‘infant feeding’ as
part of parent preparation classes
(ante-natal)
 Birmingham Forward Steps(BFS)
is leading work with mothers to
support breastfeeding initiation and
continuation
 BUMP/BFS/Solihull health visiting
intention to develop joint proposal
to provide BF support postnatally
on wards and in the early days at
home
PAGE 22
Other Early Years Interventions
PAGE 23
• Health & wellbeing
initiative from
pregnancy to school
• Health Visitors and
Children’s Centre
staff provide advice
and support around
breastfeeding as
part of their role
• Supports early years
settings
• Based around seven
key messages
• Aims to create a
healthier environment
for children and
families
• Key food messages :
• Two Snacks
Max,
• Me Size Meals
• Five a Day
• Work with partners to
support families to
transform family life,
including: improved
nutrition, emotional
wellbeing, parenting
skills, breastfeeding,
and getting more
active.
 Pilot intervention over two
years giving insight to the
local food environment and
customers perceptions
towards food
 SHIFT’s food team developed
a deep understanding of:
• people’s use of
fast food,
• the
motivations of
the owners of
Quick Service
Restaurants
(QSR)
• the impact of
technology on
the market
• the nutritional
SHIFT - Better Everyday Takeaway
PAGE 24
Food Security
On the Environmental Health
database there are currently:
8842 food premises
166 food manufacturers
2230 food retailers
In 2018/19, Environmental
Health inspected 3809 food
premises in the city
PAGE 25
 Birmingham Planning
Toolkit builds on this to
consider the wider health
promoting environment,
including access to green
space as well as retail and
restaurant footprint.
 It has been applied well to
date and is being applied to
the Commonwealth Games
developments at Perry
Barr.
 Supplementary Planning Guidelines on
Hot Food Takeaways (A5) in place since
2012.
 “…avoid an overconcentration of A5 hot
food take-away uses by restricting their
number to no more than 10% of the total
units in a centre or individual parade…”
Food Environment
PAGE 26
Since then:
A5 refusals 36
A5/A3 refusals 10
TOTAL 46
Appeals 18
Of which dismissed 15
Exercise 1: Mapping the Asset Base
 Using the post-it notes map out your organisations work
around food activity/food environment in Birmingham
 Include:
• Name of organisation
• Summary of delivery approach
• Delivering in Birmingham,
Birmingham + other LA, West Mids,
National, International
PAGE 27
Exercise 2: Who isn’t in the room
 Using the post-it notes map out other organisations linked to
food activity and the food environment in Birmingham who
aren’t here
 Include:
• Name of organisation
• Summary of delivery approach
• Delivering in Birmingham,
Birmingham + other LA, West Mids,
National, International
PAGE 28
What’s in your food?
We asked you to estimate how much sugar, salt and fat were in
the products around the room.
Did you guess correctly?
PAGE 29
Accelerator Opportunities
Acceleration projects currently active in the City
PAGE 30
Great City Food Digital Treasure Hunt
 As part of Digital Leaders week BCC partnered with the WM
Innovation Alliance and the WM Academic Sciences Network
to host a Great City Food Digital Treasure Hunt.
 The treasure hunt brought together academics, activists,
policy makers and business partners to ‘hunt down’ the data
on food in the city.
 Out of the event we identified a range of new data sources to
explore to create a better food picture for the city and we have
started to explore a significant partnership opportunity with a
major food retailer in the city.
PAGE 31
 Birmingham is one
of five LA’s selected
as Childhood
Obesity Trailblazer
pilot to test out new
ways of working to
reduce childhood
obesity, supported
by £75,000 a year
over a 3-year
period.
LGA/PHE Childhood Obesity Trailblazer
PAGE 32
PAGE 33
LGA/PHE Childhood Obesity Trailblazer
The focus of the work in Birmingham is:
1.Develop the educational levers for a healthy food environment
through mainstream and targeted apprenticeships and
undergraduate education.
2.Work with inclusive growth programmes to explore potential
for healthy food entrepreneurship
3.Develop a ‘Birmingham Basket’ to provide an on-going city-
wide retail picture of food purchasing in the city to track impact
on food choices.
PAGE 33
Milan Urban Food Policy Pact
 Milan Urban Food Pact which is
a European partnership for
action on creating healthy food
environments in cities and
towns.
 Birmingham joined as one of
the founding partner cities and
has been awarded for its work
on food in 2015.
 The partnership enables
connection with a network of
193 cities across the world to
share learning on approaches
to food in urban environments.
PAGE 34
BINDI Partnership
 Bindhi Project in
partnership with
Pune, India to
work together
on creating food
smart cities.
 Both Pune and
Birmingham are
second cities in
their respective
countries, both
have significant
educational
footprints of
universities and
schools, strong
links to
manufacturing
and industry andPAGE 35
Exercise 3: What do we need?
 As a table, brainstorm the things that you would like to see
that would make a difference to the food environment in the
city at a population level?
• What are the strategic actions?
• Policy levers?
• Action at WMCA?
• Action at BCC?
• Action for others?
PAGE 36
Next Steps
PAGE 37
Next steps
 Citizen engagement
• Partnership with Birmingham Food
Council on community
conversations about food security
in 19/20
 Stakeholder engagement
• Creating a Healthy Food City
working group to meet in
June/July to refine vision and
framework for action
 Governance
• Establish Creating a Healthy Food
City Forum reporting to the
Health and Wellbeing Board to
oversee and enable delivery at
pace.
PAGE 38
Creating a healthy food city Workshop Slides

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Creating a healthy food city Workshop Slides

  • 1. Creating a Healthy Food City 25th July 2019
  • 2. Our Ambition As A City PAGE 2 Birmingham – a city of growth where every child, citizen and place matters • Birmingham is an entrepreneurial city to learn, work and invest in • Birmingham is an aspirational city to grow up in • Birmingham is a fulfilling city to age well in • Birmingham is a great city to live in
  • 6. Whole System Action Is Needed Research, like the Foresight report, has shown that tackling obesity needs lots of different actions. Action is needed at different levels of society and by different types of organisations working together in a range of different areas.
  • 7. Creating A Healthy Food City  Healthy food environments in communities, workplaces and schools  Healthy food economies  Communities of identity and place informed approaches  Social narrative about food Creating An Active City  Active environments, including making the most of the CWG infrastructure opportunities.  Accessible provision  Community co- production  Social narrative about activity Three Pillar Approach PAGE 7 Supporting Weight Management  Maximise engagement with existing support and resources e.g. C4L, OneYou, NHS Weight Management course & app, HENRY in early years settings.  Maximise positive opportunity of NCMP through School nursing service and NHS Health Check.
  • 8. CREATING A HEALTHY FOOD CITY Developing our approach
  • 9. Context  Cities operate at multiple different levels and scales from households, to streets and communities of place, identity and heritage.  Within the City there are many different levers at a macro city- wide level and at a community and household level.  Citizens have told us that the food environment of the city is not supporting them to live healthy lives and asked us to change this. PAGE 9
  • 10. Citizen’s Perceptions of Food in the City Qualitative focus groups, 121 interviews and photography projects on food over the last 2 years have identified citizens feel the city food environment is disabling healthy choices and they want to see change. PAGE 10 because I can’t stop them eating rubbish at school but at home it’sup to me” “South Asian food – the diet itself is healthy – tell them to reduce the amount of oil…” “It’s [fast food] so cheap and it’s a treat. I think I only have them for the kids but .. I have them too” “…we don’t plan them [takeaways]. If it’s getting late or I’ve got nothing in.... its nearer than the shop”
  • 11. The Food Environment in Birmingham Our local surroundings can have a big impact on the decisions we make. Access to fresh affordable food is important if we want to eat more healthily. Many of our streets are saturated with fast food outlets where its hard to find a healthy option. PAGE 11 1.2 Fast Food Outlets per 1,000 citizens. 835 food outlets in the city only reach 2 (needs improvement) out of 5 for food hygiene standards. 0.97 Supermarkets/ convenience stores per 1,000 citizens. 27 food banks listed in the city by the Tussell Trust in 2018.
  • 12. The Food Journey Image source: https://www.eufic.org/en/food-safety/article/food-industry-standards-focus-on-haccp
  • 14. Our initial thinking on Vision and ambition Birmingham is a Healthy Food City with a thriving and sustainable healthy food economy that reflects the diversity of our citizens and where healthy food choices are easy, accessible, affordable and normal in every community. PAGE 14
  • 15. Becoming a Healthy Food City PAGE 15 Co-Production Co-Delivery P L A C E S & P E O P L E Access Safe Nutritious Skills Jobs Inclusive growth Advertising Social Media Community conversations Production Retail Consumption Waste
  • 16. Building Our Approach  Stakeholder engagement  Citizen engagement  Accelerator opportunities: • Digital Leaders Food Treasure Hunt • LGA/PHE Obesity Trailblazer • Milan Urban Food Policy Pact • BINDI partnershipPAGE 16 Supplementary Planning Guidelines on Fast Food Birmingham Healthy Planning Toolkit Change 4 LifeOne You Pease Please Environmental Health Gov. Food Buying Standards Procurement City Serve School Meals Apprenticeships Levy Healthy Start & Breastfeeding Focus Defend Them
  • 17. Existing Foundations Some of the existing strong foundations on addressing the food environment in the City PAGE 17
  • 18. Food Stories & Beliefs  City specific campaigns in partnership with the Food Foundation • Peas Please (vendors) • Eat them to defeat them (cyp) • Healthy Start Vouchers (<2yrs)  National campaigns • Change 4 Life • One YouPAGE 18
  • 19. Healthy Start Vouchers  Government-led means tested initiative  Vouchers for milk, fruit and vegetables  Families receiving benefits with children aged 0-4 years.  Purchase food items to the value of £3.10 per week, per child.  Current under-claim of £1.5 million in Birmingham  Reduction in nutrition in these families and a loss of retail revenue in these communities PAGE 19
  • 20.  Obesity Specialist funded by BCC for early years projects including initiative to increase uptake of HSV, through working with retailers and voucher providers (e.g. health visitors) Uptake of Healthy Start Vouchers PAGE 20 • April 2018 – Dec 2018 saw a 5% rise in uptake, from 70% to 75% as a result of this work
  • 21. Breastfeeding in Birmingham  Breastfeeding and healthy weaning lays the foundation for children’s nutrition and wellbeing.  58% of babies start breastfeeding within 48hrs of birth (2018/19, local data)  Only 44% are still being breastfed at 6-8wks old (2018/19 local data). PAGE 21
  • 22. Breastfeeding in Birmingham  BUMP maternity service providers are delivering ‘infant feeding’ as part of parent preparation classes (ante-natal)  Birmingham Forward Steps(BFS) is leading work with mothers to support breastfeeding initiation and continuation  BUMP/BFS/Solihull health visiting intention to develop joint proposal to provide BF support postnatally on wards and in the early days at home PAGE 22
  • 23. Other Early Years Interventions PAGE 23 • Health & wellbeing initiative from pregnancy to school • Health Visitors and Children’s Centre staff provide advice and support around breastfeeding as part of their role • Supports early years settings • Based around seven key messages • Aims to create a healthier environment for children and families • Key food messages : • Two Snacks Max, • Me Size Meals • Five a Day • Work with partners to support families to transform family life, including: improved nutrition, emotional wellbeing, parenting skills, breastfeeding, and getting more active.
  • 24.  Pilot intervention over two years giving insight to the local food environment and customers perceptions towards food  SHIFT’s food team developed a deep understanding of: • people’s use of fast food, • the motivations of the owners of Quick Service Restaurants (QSR) • the impact of technology on the market • the nutritional SHIFT - Better Everyday Takeaway PAGE 24
  • 25. Food Security On the Environmental Health database there are currently: 8842 food premises 166 food manufacturers 2230 food retailers In 2018/19, Environmental Health inspected 3809 food premises in the city PAGE 25
  • 26.  Birmingham Planning Toolkit builds on this to consider the wider health promoting environment, including access to green space as well as retail and restaurant footprint.  It has been applied well to date and is being applied to the Commonwealth Games developments at Perry Barr.  Supplementary Planning Guidelines on Hot Food Takeaways (A5) in place since 2012.  “…avoid an overconcentration of A5 hot food take-away uses by restricting their number to no more than 10% of the total units in a centre or individual parade…” Food Environment PAGE 26 Since then: A5 refusals 36 A5/A3 refusals 10 TOTAL 46 Appeals 18 Of which dismissed 15
  • 27. Exercise 1: Mapping the Asset Base  Using the post-it notes map out your organisations work around food activity/food environment in Birmingham  Include: • Name of organisation • Summary of delivery approach • Delivering in Birmingham, Birmingham + other LA, West Mids, National, International PAGE 27
  • 28. Exercise 2: Who isn’t in the room  Using the post-it notes map out other organisations linked to food activity and the food environment in Birmingham who aren’t here  Include: • Name of organisation • Summary of delivery approach • Delivering in Birmingham, Birmingham + other LA, West Mids, National, International PAGE 28
  • 29. What’s in your food? We asked you to estimate how much sugar, salt and fat were in the products around the room. Did you guess correctly? PAGE 29
  • 30. Accelerator Opportunities Acceleration projects currently active in the City PAGE 30
  • 31. Great City Food Digital Treasure Hunt  As part of Digital Leaders week BCC partnered with the WM Innovation Alliance and the WM Academic Sciences Network to host a Great City Food Digital Treasure Hunt.  The treasure hunt brought together academics, activists, policy makers and business partners to ‘hunt down’ the data on food in the city.  Out of the event we identified a range of new data sources to explore to create a better food picture for the city and we have started to explore a significant partnership opportunity with a major food retailer in the city. PAGE 31
  • 32.  Birmingham is one of five LA’s selected as Childhood Obesity Trailblazer pilot to test out new ways of working to reduce childhood obesity, supported by £75,000 a year over a 3-year period. LGA/PHE Childhood Obesity Trailblazer PAGE 32
  • 33. PAGE 33 LGA/PHE Childhood Obesity Trailblazer The focus of the work in Birmingham is: 1.Develop the educational levers for a healthy food environment through mainstream and targeted apprenticeships and undergraduate education. 2.Work with inclusive growth programmes to explore potential for healthy food entrepreneurship 3.Develop a ‘Birmingham Basket’ to provide an on-going city- wide retail picture of food purchasing in the city to track impact on food choices. PAGE 33
  • 34. Milan Urban Food Policy Pact  Milan Urban Food Pact which is a European partnership for action on creating healthy food environments in cities and towns.  Birmingham joined as one of the founding partner cities and has been awarded for its work on food in 2015.  The partnership enables connection with a network of 193 cities across the world to share learning on approaches to food in urban environments. PAGE 34
  • 35. BINDI Partnership  Bindhi Project in partnership with Pune, India to work together on creating food smart cities.  Both Pune and Birmingham are second cities in their respective countries, both have significant educational footprints of universities and schools, strong links to manufacturing and industry andPAGE 35
  • 36. Exercise 3: What do we need?  As a table, brainstorm the things that you would like to see that would make a difference to the food environment in the city at a population level? • What are the strategic actions? • Policy levers? • Action at WMCA? • Action at BCC? • Action for others? PAGE 36
  • 38. Next steps  Citizen engagement • Partnership with Birmingham Food Council on community conversations about food security in 19/20  Stakeholder engagement • Creating a Healthy Food City working group to meet in June/July to refine vision and framework for action  Governance • Establish Creating a Healthy Food City Forum reporting to the Health and Wellbeing Board to oversee and enable delivery at pace. PAGE 38

Editor's Notes

  1. Fast Food – CEDAR FEAT Tool 2017 Data - https://www.feat-tool.org.uk/map/ Food Hygiene Ratings - https://ratings.food.gov.uk/authority-search/en-gb/%5E/Birmingham/desc_rating/0/402/LessThanOrEqual2/1/1/10 Food Banks - https://www.trusselltrust.org/get-help/find-a-foodbank/
  2. Source:
  3. 71% of babies start breastfeeding within 48hrs of birth (74% England) , but only 51% are still being breastfed at 6-8wks old ( 43% England average) – this is PHOF 2015 published data. Most recent England PHOF data is 74.5% at BF initiation and 42.7% at 6-8 weeks. Above Birm data is local performance management data from provider.
  4. BFS using health visitors and children’s centre staff to provide help and support to breastfeed First few days after birth on ward and at home is a critical time to help to initiate/maintain breastfeeding hence joint proposal for consistent support Meetings being planned to develop joint approach to post-natal BF support.