The latest edition of Health Matters, PHE’s professional resource, focuses on taking a whole systems approach to addressing obesity using PHE’s newly published guide, which supports local approaches to promoting a healthy weight.
This blog provides a summary of the full edition’s content.
Taking a whole systems approach to obesity
Excess weight is driven by environmental, societal and individual factors. The scale of the problem and its relationship to a number of diseases is well documented, and it is a leading cause of ill-health in England. Local authorities are committed to playing their part in tackling the problem.
A growing body of evidence suggests that a whole systems approach could help tackle complex problems, such as obesity, and an increasing number of local areas across the UK are testing and embedding a systems way of working.
PHE’s newly published guide – Whole systems approach to obesity: A guide to support local approaches to promoting a healthy weight – has been developed over the past 4 years in collaboration with local authorities, Leeds Beckett University, the Association of Directors of Public Health, and the Local Government Association.
The guide is intended to support local areas and their communities to deliver the key principles outlined in What Good Healthy Weight for all ages Looks Like. It will enable local authorities, and their partners, to start creating their own local whole systems approach to addressing obesity and promoting a healthy weight.
The identification of locally appropriate actions to include in the approach is supported by PHE’s Promoting health weight in children, young people and families: a resource to support local authorities.
The benefits of applying a whole systems approach to obesity
A local whole systems approach to obesity is a ‘Health in All Policies’ approach, which draws on local authorities’ strengths, supports their priorities, and recognises that they can create their local approaches more effectively by engaging with their community and local assets.
Most local areas interested in setting up a localised whole systems approach will already have strategies and programmes of work in place to tackle obesity. A whole systems approach can add value to this by providing the opportunity to engage stakeholders across the wider system, to develop a shared vision and actions that tackle the upstream drivers of obesity outside the realms of public health. The approach should be agreed collectively by local stakeholders to reflect the local context.
In addition to benefiting people’s health, delivering a more health-promoting and vibrant environment can contribute to issues like reducing air pollution and litter, as well as supporting local businesses and workforces. Maintaining a healthier workforce could also have positive impacts on other long term local agendas, such as employability and productivity of local populations, as well as the demand for social care.
Understanding these benefits enables engagement with different stakeholders in the whole systems approach.
Putting a whole systems approach into practice
PHE’s guide provides information on how to put a whole systems approach to obesity into practice. This includes a 6-phase process that can be used flexibly by local authorities, taking into account existing structures, relationships and actions that are already in place.
It is clear that no one organisation has all the answers or responsibility to tackle obesity. In addition to local authorities, other system partners including the NHS, local businesses, communities and the voluntary sector play a role in implementing a whole systems approach to obesity.
For example, there are various opportunities through the NHS and its commissioned services to promote healthy weight across the life course. As one of the largest employers in England, the NHS also has a role to play in keeping its own staff healthy through, for example, supporting staff access to lifestyle behaviour services.
Involving local communities in the approach will help ensure that the resulting programme of work takes account of the views, knowledge and priorities of the communities who are, ultimately, the beneficiaries of whole system efforts to address obesity.
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