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Who should adopt a whole systems approach to obesity?
RELATED ARTICLES
Explain
⌅
Tackling obesity in the UK
Tackling obesity in the UK☜With concern growing that the Foresight analysis—that 50% of the UK population could be obese by 2050, at an annual cost to the nation of around £50 billion per year [2]—substantially underestimates the scale of the unfolding obesity crisis, the College of Contemporary Health is working with the wider policy community to develop a whole systems map of the obesity crisis and the potential responses.☜F1CEB7
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Tackling obesity
Tackling obesity☜Many policy interventions have been suggested to address the obesity crisis across multiple studies—and indeed many such measures have been implemented, and are being implemented, now. Theres recognition too that these interventions need to be part of a coherent and comprehensive whole systems strategy [4]; with some grounds for optimism that such an approach has the potential to accomplish a significant reduction in the prevalence of obesity in the UK across the next decade. [2]☜5CA4D9
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Adopt a whole systems approach to obesity
Adopt a whole systems approach to obesity☜Tackling obesity effectively—accomplishing a population wide-shift—requires a comprehensive and integrated whole systems approach, involving a range of measures focusing on individuals, social and other systems, including at the local and community level, and on the interrelated physical, physiological, social and cognitive factors that determine health outcomes.☜5CA4D9
■
Who should adopt a whole systems approach to obesity?
Who should adopt a whole systems approach to obesity?☜☜D3ABAB
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Actions – Central Government
Actions – Central Government☜☜FFFACD
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Actions – Local Authorities
Actions – Local Authorities☜☜FFFACD
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Actions – Regulators
Actions – Regulators☜☜FFFACD
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Actions – NGOs
Actions – NGOs☜☜FFFACD
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Actions – Health Professionals
Actions – Health Professionals☜☜FFFACD
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Actions – Educators
Actions – Educators☜☜FFFACD
⇤
Actions – Researchers
Actions – Researchers☜☜FFFACD
⇤
Actions – Industry
Actions – Industry☜☜FFFACD
⇤
Health and Wellbeing Boards
Health and Wellbeing Boards☜Health and wellbeing boards are based in upper tier and unitary local authorities, and develop a needs-based health and wellbeing strategy to improve local health and care services and the health and wellbeing of local people. The boards bring together key commissioners in the locality—including representatives of clinical commissioning groups, public health, childrens services and adult social services, and include at least one elected councillor and a representative of HealthWatch.☜FFFACD
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Deploy and integrate as many interventions as possible at scale
Deploy and integrate as many interventions as possible at scale☜Commission and deploy as many interventions as possible at scale and delivered effectively, and integrated way, by the full range of sectors in society.☜5CA4D9
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Improve collaboration across organisational boundaries
Improve collaboration across organisational boundaries☜Effective collaboration across organisational boundaries is vital to achieving and sustaining constructive progress in the face of complex, systemic problems—and to leveraging the energy, insight and resources distributed across the network of organisations to maximum effect.☜5CA4D9
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Involve all stakeholders in the process of change
Involve all stakeholders in the process of change☜Reversing the rising trend and addressing the prospect of the rising health burden and societal costs will be demanding and will necessitate major changes in behaviour – not only in individuals, but also in families, communities, organisations and economic markets.☜5CA4D9
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Target interventions across the whole course of life
Target interventions across the whole course of life☜Tackling obesity effectively requires the adoption of a life course approach – from pre-conception through pregnancy, infancy, early years, childhood, adolescence and teenage years, and through to adulthood and preparing for older age. There are specific opportunities and challenges at each stage of the life course and action is needed at all ages to avert the short- and long-term consequences of excess weight and to ensure that health inequalities are addressed. ☜5CA4D9
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Set clear, long-term societal goals and deepen the sense of urgency
Set clear, long-term societal goals and deepen the sense of urgency☜Establish both a clear aim-statement for long-term, systemic change and the sense of urgency to achieve this systemic change.☜5CA4D9
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Changes required across many different policy areas
Changes required across many different policy areas☜Obesity has to be seen as not just a technical, food, physical activity or healthcare problem but a challenge for what sort of society is being built. Small, incremental, publicity-driven (i.e. social market-based) changes might suit the existing balance of policy interests, but a more extensive, co-ordinated, cross-sectoral action would be more effective.☜98CE71
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Causal factors in one domain thwart progress in other domains
Causal factors in one domain thwart progress in other domains☜Current policies are failing because they do not cover the range and depth of interventions needed. New policy on obesity has to cover the entire terrain, or continued drivers in one dimension might undermine positive action in others. There may be little payoff from working on one aspect of obesity without tackling other determinants as well.☜98CE71
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Graph of this discussion
Graph of this discussion☜Click this to see the whole debate, excluding comments, in graphical form☜dcdcdc
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