Who should take action?

• Local authority, NHS and other local commissioners

• Directors of public health and public health teams

Actions

• Commissioners and public health teams should foster an integrated approach to local commissioning that supports a long-term (beyond 5 years) system-wide health and wellbeing strategy.​

• Public health teams should ensure commissioners understand the demographics of their local area, and consider local insight on the motivations and characteristics of subgroups within local communities that may impact on obesity levels.​

• Commissioners and public health teams should create an environment that allows the local system to take a truly community-wide approach to obesity. They should consider:​

•  which 'packages' of interventions are most effective (including cost effective)​

• the 'intensity' of effective programmes (for example, the number of interventions which make up an effective programme or the percentage of the population that should be reached)​

• synergies between common actions to tackle obesity.