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Report by Mark Trenfield, Public Health Intelligence Analyst, May 2017 Appendix Report on National Childhood Measurement Programme (NCMP) 2015/16 May 2017 Public Health Department

Report on National Childhood ... - Shropshire Together · Table 1 shows participation trends. In 2015/16, Shropshire’s rates are around 90% in both years which is below England,

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Page 1: Report on National Childhood ... - Shropshire Together · Table 1 shows participation trends. In 2015/16, Shropshire’s rates are around 90% in both years which is below England,

Appendix

Report by Mark Trenfield, Public Health Intelligence Analyst, May 2017 Appendix

Report on National Childhood

Measurement Programme

(NCMP) 2015/16

May 2017 Public Health Department

Page 2: Report on National Childhood ... - Shropshire Together · Table 1 shows participation trends. In 2015/16, Shropshire’s rates are around 90% in both years which is below England,

Report on NCMP in 2015/16 May 2017

Public Health Intelligence Department 1

Report on National Childhood Measurement Programme 2015/16

Contents 1 Introduction .......................................................................................................... 2

2 Method ................................................................................................................. 2

Participation in NCMP ......................................................................................... 2

3 Overall Results .................................................................................................... 3

Reception year by BMI category compared to West Midlands and England ...... 3

Year 6 by BMI category and gender compared to West Midlands and England . 3

BMI Category of Reception Year in comparison with Year 6 .............................. 4

Reception year by BMI category and gender ...................................................... 4

Year 6 by BMI category and gender ................................................................... 5

BMI category of 2009/10 Reception Cohort v Year 6 in 2015/16 ........................ 5

Trends in Obesity in children in Shropshire ........................................................ 6

Trends in Overweight and Obese children in Shropshire .................................... 6

4 Detailed results of overweight and obese children in Shropshire ........................ 7

Obese children by age and gender ..................................................................... 7

Overweight and obese children by age and gender............................................ 8

Overweight and obese children by pupil’s deprivation quintile ............................ 9

Overweight and obese children residence by old Local Authority Area ............ 10

Overweight and obese children residence by CCG Area .................................. 11

Overweight and obese children by Children’s Centre Area (CCA) ................... 12

Overweight and obese children by Urban Rural Classification ......................... 16

Overweight and obese children by Place Plan Area ......................................... 17

Obese children in Shropshire by School Development Group .......................... 19

5 Summary ........................................................................................................... 22

Page 3: Report on National Childhood ... - Shropshire Together · Table 1 shows participation trends. In 2015/16, Shropshire’s rates are around 90% in both years which is below England,

Report on NCMP in 2015/16 May 2017

Public Health Intelligence Department 2

Report on National Child Measurement Programme in 2015/16

1 Introduction

Established in 2005/06, the National Child Measurement Programme (NCMP) for England records height and weight measurements in order to work out body mass index (BMI) of children in reception (aged 4–5 years) and year 6 (aged 10–11 years) in state-maintained schools). The programme now holds nine years of reliable data (2006/07 is the first year that the data were considered an acceptable quality) with local data available from 2007/08. Public Health England (PHE) has responsibility for national oversight of the programme, and on its behalf, the central collation and analysis of the NCMP data is coordinated by the Health and Social Care Information Centre (HSCIC). Local Authorities have a statutory responsibility to deliver the NCMP. The programme provides robust data for the child excess weight indicators in the Public Health Outcomes Framework (PHOF) and is a key element of the Government’s approach to tackling child obesity. The data are regarded as a valuable tool for driving action to tackle child obesity both locally and nationally. The data help improve understanding of overweight and obesity in children and are used at a local level to inform policy, and locally to inform the planning and commissioning of services. Through provision of a child’s result to their parents, the NCMP provides local areas with an opportunity to raise parents’ awareness of child obesity as an issue, raise parents’ awareness of their own child’s weight status and potential health impacts, and provide an opportunity to provide further support to families to make healthy lifestyle changes.

2 Method

This majority of this report provides analysis of the prevalence of ‘obese’ and 'overweight and obese combined' children (which appears in the PHOF), in Reception and Year 6, measured in the NCMP in Shropshire in the school year 2015/16. The analysis of the various geographical areas is based on where the child lives, rather than the school they are at. Please note that the overall figures for Shropshire will differ slightly to the figures in the PHOF as that figure is based on all children who live in Shropshire, whereas this report is based on children who went to state schools in Shropshire.

Participation in NCMP

Table 1 shows participation trends. In 2015/16, Shropshire’s rates are around 90% in both years which is below England, however, in Shropshire 5,118 pupils were measured.

Table 1: NCMP Participation Trends for Shropshire and England

Reception 06/07 07/08 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16

Shropshire 85.8% 89.9% 92.5% 89.2% 87.1% 91.6% 89.7% 90.5% 89.8% 92.1%

England 83.0% 89.0% 91.2% 92.9% 93.4% 94.2% 94.0% 93.8% 95.5% 95.6%

Year 6 06/07 07/08 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16

Shropshire 79.9% 75.6% 91.8% 90.2% 87.6% 92.1% 92.4% 89.7% 91.6% 90.2%

England 78.0% 87.0% 89.1% 89.9% 91.8% 92.4% 92.7% 93.6% 94.0% 94.0% Source: National Childhood Measurement Programme

Page 4: Report on National Childhood ... - Shropshire Together · Table 1 shows participation trends. In 2015/16, Shropshire’s rates are around 90% in both years which is below England,

Report on NCMP in 2015/16 May 2017

Public Health Intelligence Department 3

3 Overall Results

Reception year by BMI category compared to West Midlands and England

Figure 1 shows that Shropshire has significantly fewer underweight and obese children than West Midlands and England, but has significantly more healthyweight children than West Midlands.

Figure 1: Percentage of reception children by BMI category

Source: 2015/16 National Childhood Measurement Programme

Year 6 by BMI category and gender compared to West Midlands and England

Figure 1 shows that Shropshire has similar rates of underweight and overweight children to the other two areas, however, Shropshire has significantly more healthyweight children and significantly less obese and overweight and obese children.

Figure 2: Percentage of year 6 children by BMI category

Source: 2015/16 National Childhood Measurement Programme

0.4% 78.5% 13.2% 7.8% 21.1%1.1% 75.6% 12.9% 10.4% 23.3%1.0% 76.9% 12.8% 9.3% 22.1%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

55.0%

60.0%

65.0%

70.0%

75.0%

80.0%

85.0%

Underweight Healthy Weight Overweight Obese Overweight & Obese

Perc

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Percentage of reception children by BMI category 2015-16

Shropshire West Midlands England

1.0%68.1% 13.6% 17.3% 30.9%

1.5%61.9% 14.5% 22.1% 36.6%

1.3%64.5% 14.3% 19.8% 34.2%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

55.0%

60.0%

65.0%

70.0%

Underweight Healthy Weight Overweight Obese Overweight & Obese

Perc

enta

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f Yea

r 6 ch

ildre

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Percentage of Year 6 children by BMI category 2015-16

Shropshire West Midlands England

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Report on NCMP in 2015/16 May 2017

Public Health Intelligence Department 4

BMI Category of Reception Year in comparison with Year 6

Figure 3 shows the BMI category for the two years. In Reception there are significantly more children that were healthyweight than in year 6, but significantly more children in year 6 that are obese or in the combined overweight and obese category.

Figure 3: BMI Category of Reception Year versus Year 6

Source: 2015/16 National Childhood Measurement Programme

Reception year by BMI category and gender

Figure 4 shows there were few significant differences between boys and girls in BMI categories for the reception year, although there were significantly more overweight boys than girls. There were significantly more boys that were overweight than obese.

Figure 4: Percentage of reception children by BMI category and by gender

Source: 2015/16 National Childhood Measurement Programme

0.4% 78.5% 13.2% 7.8% 21.1%1.0% 68.1% 13.6% 17.3% 30.9%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

55.0%

60.0%

65.0%

70.0%

75.0%

80.0%

85.0%

Underweight Healthy Weight Overweight Obese Overweight & Obese

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Percentage of children by BMI category, Reception v Year 6 2015-16

Reception Year 6

0.3% 77.0% 15.3% 7.4% 22.7%0.5% 80.1% 11.2% 8.2% 19.4%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

55.0%

60.0%

65.0%

70.0%

75.0%

80.0%

85.0%

Underweight Healthy Weight Overweight Obese Overweight & Obese

Perc

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ar c

hild

ren

Percentage of reception children by BMI category and by gender 2015-16

Male Female

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Public Health Intelligence Department 5

Year 6 by BMI category and gender

Figure 5 shows there were no significant differences between genders in any category in year 6. There were significantly more boys that were obese than were overweight.

Figure 5: Percentage of year 6 children by BMI category and by gender

Source: 2015/16 National Childhood Measurement Programme

BMI category of 2009/10 Reception Cohort v Year 6 in 2015/16

Figure 6 compares the results for Shropshire from the 2009/10 NCMP with 2,312 pupils measured in reception, against this NCMP where 2,582 Year 6 children were measured, as this is broadly the same cohort. There were significantly less children of healthyweight in 2015/16 (68.1% from 74.8%), but significantly more children who were obese (17.3% from 10.3%) and in the overweight and obese category (30.9% from 24.7%),

Figure 6: Percentage of year 6 children by BMI category and by gender

Source: 2009/10 and 2015/16 National Childhood Measurement Programme

0.8% 67.2% 13.3% 18.7% 32.0%1.3% 69.2% 13.9% 15.6% 29.5%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

55.0%

60.0%

65.0%

70.0%

75.0%

Underweight Healthy Weight Overweight Obese Overweight & Obese

Perc

enta

ge o

f Yea

r 6 ch

ildre

n

Percentage of Year 6 children by BMI category and by gender 2015-16

Male Female

0.5% 74.8% 14.4% 10.3% 24.7%1.0% 68.1% 13.6% 17.3% 30.9%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

55.0%

60.0%

65.0%

70.0%

75.0%

80.0%

Underweight Healthy Weight Overweight Obese Overweight & Obese

Perc

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n m

easu

red

Comparison of 2009/10 Reception Cohort to 2015/16 Year 6 by BMI category

Reception in 2009/10 Year 6 in 2015/16

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Public Health Intelligence Department 6

Trends in Obesity in children in Shropshire

Figure 7 and Table 2 shows obesity trends in reception and year 6. In 2015/16, rates in reception in Shropshire (7.8%) were significantly lower than England (9.3%) and have dropped - but not significantly - from the previous year (8.8%). Obesity in year 6 in Shropshire has increased but not significantly from last year (15.6%) to 17.3%, although like the previous two years is significantly lower than England (19.8%).

Figure 7: Trends in childhood obesity in Shropshire and England

Source: National Childhood Measurement Programme, 2006/07 to 2015/16

Trends in Overweight and Obese children in Shropshire

Figure 8 and Table 2 shows trends in overweight and obese pupils in Shropshire and England. In 2015/16 in reception, Shropshire’s rate (21.1%) was statistically similar to England’s as has been the case since 2008/09. In Year 6 in 2015/16, Shropshire’s rate (30.9%) was significantly under England’s (34.2%) as it was in the two previous years.

Figure 8: Trends in overweight & obese children in Shropshire and England

Source: National Childhood Measurement Programme, 2006/07 to 2015/16

10.1% 11.2% 9.2% 10.3% 9.1% 9.1% 8.4% 10.0% 8.8% 7.8%

16.8%17.8% 17.5% 17.8% 17.3%

18.1%

19.2%

16.3% 15.6%17.3%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

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ear 6

Trends in Obesity rates for Reception Year and Year 6 for Shropshire v England

Shropshire Reception Shropshire Year 6 England Reception England Rec LSE

England Rec USE England Year 6 England Year 6 LSE England Year 6 USE

0.0% 26.7% 23.9% 24.4% 24.0% 23.4% 21.8% 23.5% 22.1% 21.1%0.0%

32.1% 32.1%33.6%

31.8%

32.8%33.0%

30.0% 30.2% 30.9%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

32.0%

34.0%

36.0%

2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

Perc

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ar a

nd ye

ar 6

Trends in Overweight & Obese rates for Reception Year and Year 6 for Shropshire v England

Shropshire Reception Shropshire Year 6 England Reception England Rec LSE

England Rec USE England Year 6 England Year 6 LSE England Year 6 USE

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Report on NCMP in 2015/16 May 2017

Public Health Intelligence Department 7

Table 2: Obesity and overweight & obese trends in Shropshire and England

Obesity in Reception

06/07 07/08 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16

Shropshire 10.1% 11.2% 9.2% 10.3% 9.1% 9.1% 8.4% 10.0% 8.8% 7.8%

England 9.9% 9.6% 9.6% 9.8% 9.4% 9.5% 9.3% 9.5% 9.1% 9.3%

Obesity in Year 6

Shropshire 16.8% 17.8% 17.5% 17.8% 17.3% 18.1% 19.2% 16.3% 15.6% 17.3%

England 17.5% 18.3% 18.3% 18.7% 19.0% 19.2% 18.9% 19.1% 19.1% 19.8%

Overweight & obese in Reception

06/07 07/08 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16

Shropshire 26.7% 23.9% 24.4% 24.0% 23.4% 21.8% 23.5% 22.1% 21.1%

England 22.9% 22.6% 22.8% 23.1% 22.6% 22.6% 22.2% 22.5% 21.9% 22.1%

Overweight & obese in Year 6

Shropshire 32.1% 32.1% 33.6% 31.8% 32.8% 33.0% 30.0% 30.2% 30.9%

England 31.7% 32.6% 32.6% 33.4% 33.4% 33.9% 33.3% 33.5% 33.2% 34.2% Source: National Childhood Measurement Programme, 2006/07 to 2015/16

Key: Red Text Black Text Blue Text

Shropshire is statistically significantly lower than England

Shropshire is similar to England

Shropshire is statistically significantly higher than England

4 Detailed results of overweight and obese children in Shropshire

Obese children by age and gender

There are no significant differences in obesity between boys (7.4%) and girls (8.2%) in Shropshire in reception; however, obesity rates for Shropshire boys were significantly under England’s (9.6%). Rates for girls were similar between Shropshire and England.

Figure 9: Obesity in Reception by Gender

Source: 2015/16 National Childhood Measurement Programme

7.4% 8.2% 7.8%9.6% 9.0% 9.3%0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

9.0%

10.0%

Boys Girls All children

Perc

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epti

on y

ear

child

ren

Percentage of obese children in reception year by gender 2015-16

Shropshire County England

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Public Health Intelligence Department 8

The rate of obesity increases significantly for both boys (18.7%) and girls (15.6%) in year 6, although both genders are statistically similar to one another. Again, the rate for boys is significantly lower than England (21.7%), while it is similar for girls (17.9%).

Figure 10: Obesity in Year 6 by Gender

Source: 2015/16 National Childhood Measurement Programme

Overweight and obese children by age and gender

The total of overweight and obese children shows that there are no significant differences in reception between boys (22.7%) and girls (19.4%) and there is no significant difference in comparison to England for boys (22.7%) and girls (21.5%).

Figure 11: Overweight or Obesity in Reception by Gender

Source: 2015/16 National Childhood Measurement Programme

18.7% 15.6% 17.3%21.7% 17.9% 19.8%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

Boys Girls All children

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Percentage of obese children in year 6 by gender 2015-16

Shropshire County England

22.7% 19.4% 21.1%22.7% 21.5% 22.1%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

Boys Girls All children

Perc

enta

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f rec

epti

on y

ear

child

ren

Percentage of overweight & obese children in reception year by gender 2015-16

Shropshire County England

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Public Health Intelligence Department 9

In year 6, rates of overweight and obese children are similar for boys (32%) and girls (29.5%), but Shropshire’s rates are statistically lower than England for boys (36%), but statistically similar for girls (32.3%). In Shropshire there is a significant increase in rates of boys and girls who are overweight and obese in year 6 compared to reception year.

Figure 12: Overweight or Obesity in Year 6 by Gender

Source: 2015/16 National Childhood Measurement Programme

Overweight and obese children by pupil’s deprivation quintile

Figure 13 shows obesity in reception and year 6 by deprivation – this is based upon the pupil’s postcode. As opposed to last year, deprivation doesn’t affect obesity rates as all quintiles are similar in both school years. There are significantly higher obesity rates in year 6 than reception in all quintiles and the Shropshire average.

Figure 13: Obese children by deprivation quintile

Source: 2015/16 National Childhood Measurement Programme

32.0% 29.5% 30.9%36.0% 32.3% 34.2%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

32.0%

34.0%

36.0%

38.0%

Boys Girls All children

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Percentage of overweight & obese children in year 6 by gender 2015-16

Shropshire County England

10.6% 7.1% 8.0% 6.5% 6.4%18.1% 17.8% 15.8% 17.1% 17.8%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

1 Most Deprived 2 3 4 5 Least Deprived

Tota

l Per

cent

age

of ch

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n in

bot

h ye

ars

Local Index of Multiple Deprivation 2015 Quintile

Percentage comparison of obese children in reception year and year 6 by deprivation quintile 2015-16

Obesity in Reception Obesity in Year 6 Shropshire Reception Avg Shropshire Rec LSE

Shropshire Rec USE Shropshire Year 6 Avg Shropshire Year 6 LSE Shropshire Year 6 USE

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Public Health Intelligence Department 10

Figure 14 shows no statistically significant differences in overweight and obese rates between deprivation quintiles; however, rates are slightly higher in reception in the most deprived quintile than the least deprived. This is more noticeable in year 6 with rates dropping as affluence increases. Rates are significantly higher in year 6 in all quintiles apart from the second least deprived where the two years are statistically similar.

Figure 14: Overweight and obese children by deprivation quintile

Source: 2015/16 National Childhood Measurement Programme

Overweight and obese children residence by old Local Authority Area

Figure 15 shows that South Shropshire was the only old local authority area where obesity rates were not significantly higher in year 6 than in reception. In Reception, all areas were statistically similar, but in Year 6, Bridgnorth had significantly lower rates than Shropshire as well as North Shropshire, Oswestry and Shrewsbury and Atcham.

Figure 15: Obese children in reception by old local authority area

Source: 2015/16 National Childhood Measurement Programme

24.0% 19.5% 21.2% 20.8% 19.5%35.3% 31.1% 31.0% 28.6% 28.1%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

1 Most Deprived 2 3 4 5 Least Deprived

Tota

l Per

cent

age

of ch

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n in

bot

h ye

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Local Index of Multiple Deprivation 2015 Quintile

Comparison of overweight & obese children in reception year and year 6 by deprivation quintile 2015-16

Reception: O/weight & Obese Year 6: O/weight & Obese Shropshire Reception Avg Shrop Rec LSE

Shrop Rec USE Shropshire Year 6 Avg Shrop year 6 LSE Shrop year 6 USE

5.1% 7.6% 9.5% 8.2% 9.1%10.7% 20.0% 19.9% 18.2% 16.2%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

Bridgnorth North Shropshire Oswestry Shrewsbury and Atcham South Shropshire

Tota

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cent

age

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bot

h ye

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Percentage comparison of obese children in reception year and year 6 by Old LA 2015-16

Obese Reception Obese Year 6 Shropshire Reception Avg Shropshire Reception LSE

Shropshire Reception USE Shropshire Year 6 Avg Shropshire Year 6 LSE Shropshire Year 6 USE

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Public Health Intelligence Department 11

Figure 16 shows the percentage of children who are overweight and obese is higher in year 6 than in reception in all areas, however, it’s only significantly higher in the old North Shropshire, Oswestry and Shrewsbury and Atcham areas. All areas were statistically similar to one another in reception and year 6 apart from Bridgnorth being significantly lower than Shropshire and all other local authority areas in both years.

Figure 16: Overweight and Obese children by old local authority area

Source: 2015/16 National Childhood Measurement Programme

Overweight and obese children residence by CCG Area

Figure 17 show that all CCG areas have significantly more obese children in year 6 than reception. In reception, all areas are similar to one another, but in year 6 the obesity rate is significantly lower in South Shropshire than the other two areas and Shropshire.

Figure 17: Obese children in reception and year 6 by CCG area

Source: 2015/16 National Childhood Measurement Programme

14.5% 22.1% 22.8% 21.8% 24.8%21.8% 34.3% 35.9% 30.6% 31.6%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

32.0%

34.0%

36.0%

38.0%

40.0%

42.0%

Bridgnorth North Shropshire Oswestry Shrewsbury and Atcham South Shropshire

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Percentage comparison of overweight and obese children in Reception and year 6 by old Local Authority 2015-16

O/weight & Obese Reception O/weight & Obese Year 6 Shrop Rec Avg Shrop Rec LSE

Shrop Rec USE Shrop Year 6 Avg Shrop Year 6 LSE Shrop Year 6 USE

8.2% 8.4% 6.7%18.2% 20.0% 13.0%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

Central North Shropshire South Shropshire

Perc

enta

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f chi

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Percentage comparison of obese children in Reception and Year 6 by CCG area 2015-16

Obese Reception Obese Year 6 Shropshire Reception Avg Shrop Rec LSE

Shrop Rec USE Shropshire Year 6 Avg Shrop Year 6 LSE Shrop Year 6 USE

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Public Health Intelligence Department 12

Figure 18 shows there are significantly more overweight and obese children in all areas in year 6 than reception. In reception, all areas are similar to each other, while in year 6, North Shropshire is significantly above South Shropshire.

Figure 18: Overweight and obese children in reception and year 6 by CCG area

Source: 2015/16 National Childhood Measurement Programme

Overweight and obese children by Children’s Centre Area (CCA)

Figure 19 show that all children’s centre areas have statistically similar obesity rates to Shropshire and one another, apart from Mortimer Forest which has a significantly higher rate of children’s obesity than Severn Valley.

Figure 19: Obese children in reception by CCA

Source: 2015/16 National Childhood Measurement Programme

21.8% 22.3% 18.7%30.6% 34.9% 25.9%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

32.0%

34.0%

36.0%

38.0%

40.0%

Central North Shropshire South Shropshire

Perc

enta

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Percentage comparison of overweight and obese children in Reception and year 6 by CCG 2015-16

Obese & O/weight Reception Obese & O/weight Year 6 Shropshire Rec Avg Shropshire Rec LSE

Shropshire Rec USE Shropshire Year 6 Avg Shropshire Year 6 LSE Shropshire Year 6 USE

11.3% 10.0% 9.6% 9.5% 8.9% 8.3% 6.9% 6.8% 6.1% 6.1% 5.7% 3.8%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

MortimerForest

Oswestry Borders MarketDrayton

SouthOswestry

ShropshireHills

RomanWay

River Rea Ellesmere& Wem

PebbleBrook

Whitchurch SevernValley

Perc

enta

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Percentage of obese children in reception year by Childrens Centre area, 2015-16

Reception obese Shrop Obesity Rec Shrop Obese Rec LSE Shrop Obese Rec USE

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Public Health Intelligence Department 13

Figure 20 shows that Severn Valley children’s centre area is the only one to have significantly less overweight and obese children than the Shropshire average, as well as three of the other areas.

Figure 20: Overweight and obese children in reception by CCA

Source: 2015/16 National Childhood Measurement Programme

Figure 21 show that all children’s centre areas have statistically similar obesity rates in Year 6 to one another and Shropshire, apart from Pebble Brook which is significantly below Shropshire and three other areas.

Figure 21: Obese children in Year 6 by CCA

Source: 2015/16 National Childhood Measurement Programme

27.6% 27.1% 24.0% 22.8% 22.6% 22.1% 21.1% 19.6% 19.5% 15.6% 15.3% 13.4%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

32.0%

34.0%

36.0%

MarketDrayton

MortimerForest

Borders SouthOswestry

Oswestry ShropshireHills

Ellesmere& Wem

RomanWay

River Rea Whitchurch PebbleBrook

SevernValley

Perc

enta

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f chi

ldre

n in

rec

epti

on y

ear

Percentage of overweight & obese children in reception year by Childrens Centre area, 2015-16

Rec O/weight & Obese Shrop O/weight & Obese Rec Shrop O/weight & Obese Rec LSE Shrop O/weight & Obese Rec USE

22.3% 22.1% 21.7% 19.7% 17.6% 16.7% 16.7% 15.4% 14.4% 14.0% 11.4% 8.8%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

MarketDrayton

Oswestry Borders Ellesmere& Wem

Whitchurch RomanWay

ShropshireHills

MortimerForest

SouthOswestry

River Rea SevernValley

PebbleBrook

Perc

enta

ge o

f ch

ildre

n in

yea

r 6

Percentage of obese children in Year 6 by Childrens Centre area, 2015-16

Year 6 obese Shrop Obesity Year 6 Shrop Obese Year 6 LSE Shrop Obese Year 6 USE

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Public Health Intelligence Department 14

Figure 22 shows that Severn Valley is the only area to be significantly below Shropshire and it is also significantly below five other areas in terms of overweight and obese children in Year 6.

Figure 22: Overweight and obese children in Year 6 by CCA

Source: 2015/16 National Childhood Measurement Programme

Figure 23 shows that all CCAs have more obese children in year 6 than reception, but it is only significantly higher in the Borders, Ellesmere & Wem, Market Drayton, Oswestry, Roman Way, Severn Valley and Whitchurch areas.

Figure 23: Obese children in reception and year 6 by CCA

Source: 2015/16 National Childhood Measurement Programme

37.8% 36.0% 36.0% 35.4% 34.4% 32.2% 28.9% 28.8% 27.7% 25.6% 24.8% 21.1%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

32.0%

34.0%

36.0%

38.0%

40.0%

42.0%

44.0%

46.0%

Oswestry Whitchurch MarketDrayton

Borders Ellesmere& Wem

MortimerForest

ShropshireHills

SouthOswestry

RomanWay

River Rea PebbleBrook

SevernValley

Perc

enta

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f chi

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Percentage of overweight and obese children in year 6 by Childrens Centre area, 2015-16

Year 6 O/weight & Obese Shrop O/weight & Obese Year 6Shrop O/weight & Obese Year 6 LSE Shrop O/weight & Obese Year 6 USE

9.6% 6.1% 9.5% 11.3% 10.0% 6.1% 6.8% 6.9% 3.8% 8.3% 8.9% 5.7%

21.7%19.7%

22.3%

15.4%

22.1%

8.8%

14.0%

16.7%

11.4%

16.7%

14.4%

17.6%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

Borders Ellesmere &Wem

MarketDrayton

MortimerForest

Oswestry PebbleBrook

River Rea Roman Way SevernValley

ShropshireHills

SouthOswestry

Whitchurch

Perc

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bo

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Percentage of obese children in reception year and year 6 by Childrens Centre area, 2015-16

Reception obese Year 6 obese Shrop Obesity Rec Shrop Obese Rec LSEShrop Obese Rec USE Shrop Obesity Year 6 Shrop Obese Year 6 LSE Shrop Obese Year 6 USE

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Public Health Intelligence Department 15

Figure 24 shows that in all areas, the percentage of children who are overweight and obese is higher in year 6 than in reception, but only significantly higher in the Borders, Oswestry and Whitchurch areas.

Figure 24: Overweight and obese children in reception and year 6 by CCA

Source: 2015/16 National Childhood Measurement Programme

Tables 3 and 4 shows the breakdown for each CCA for reception and year 6 children in terms of the number measured, the percentage the area accounted for out of the year, the actual number of children who were obese and in the overweight and obese category and the percentage this was in those categories in each area.

Table 3: NCMP by CCA for Reception Year in 2015/16

Children’s Centre Area

2013 Number

measured

% of children

measured Number obese

% Obese

Number overweight and obese

% Overweight and obese

Borders 384 15.1% 37 9.6% 92 24.0%

Ellesmere & Wem 147 5.8% 9 6.1% 31 21.1%

Market Drayton 199 7.8% 19 9.5% 55 27.6%

Mortimer Forest 177 7.0% 20 11.3% 48 27.1%

Oswestry 221 8.7% 22 10.0% 50 22.6%

Pebble Brook 131 5.2% 8 6.1% 20 15.3%

River Rea 118 4.7% 8 6.8% 23 19.5%

Roman Way 449 17.7% 31 6.9% 88 19.6%

Severn Valley 239 9.4% 9 3.8% 32 13.4%

Shropshire Hills 181 7.1% 15 8.3% 40 22.1%

South Oswestry 101 4.0% 9 8.9% 23 22.8%

Whitchurch 122 4.8% 7 5.7% 19 15.6%

#N/A 67 2.6% 4 6.0% 13 19.4%

2015/16 Total 2,536 198 7.8% 534 21.1% Source: 2015/16 National Childhood Measurement Programme

24.0% 21.1% 27.6% 27.1% 22.6% 15.3% 19.5% 19.6% 13.4% 22.1% 22.8% 15.6%

35.4% 34.4%36.0%

32.2%

37.8%

24.8% 25.6%27.7%

21.1%

28.9% 28.8%

36.0%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

32.0%

34.0%

36.0%

38.0%

40.0%

42.0%

44.0%

46.0%

Borders Ellesmere &Wem

MarketDrayton

MortimerForest

Oswestry PebbleBrook

River Rea Roman Way SevernValley

ShropshireHills

SouthOswestry

Whitchurch

Pe

rce

nta

ge o

f ch

ildre

n in

bo

th y

ear

s

Percentage of overweight & obese children in reception & year 6 by Childrens Centre area, 2015-16

Rec O/weight & Obese Year 6 O/weight & obese Shrop O/weight & Obese RecShrop O/weight & Obese Rec LSE Shrop O/weight & Obese Rec USE Shrop O/weight & Obesity Year 6Shrop O/weight & Obese Year 6 LSE Shrop Obese Year 6 USE

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Public Health Intelligence Department 16

Table 4: NCMP by CCA for Year 6 in 2015/16

Children’s Centre Area

2013 Number

measured

% of children

measured Number obese

% Obese

Number overweight and obese

% Overweight and obese

Borders 345 13.4% 75 21.7% 122 35.4%

Ellesmere & Wem 183 7.1% 36 19.7% 63 34.4%

Market Drayton 211 8.2% 47 22.3% 76 36.0%

Mortimer Forest 149 5.8% 23 15.4% 48 32.2%

Oswestry 222 8.6% 49 22.1% 84 37.8%

Pebble Brook 125 4.8% 11 8.8% 31 24.8%

River Rea 129 5.0% 18 14.0% 33 25.6%

Roman Way 408 15.8% 68 16.7% 113 27.7%

Severn Valley 246 9.5% 28 11.4% 52 21.1%

Shropshire Hills 204 7.9% 34 16.7% 59 28.9%

South Oswestry 139 5.4% 20 14.4% 40 28.8%

Whitchurch 136 5.3% 24 17.6% 49 36.0%

#N/A 85 3.3% 13 15.3% 27 31.8%

2015/16 Total 2,582 446 17.3% 797 30.9% Source: 2015/16 National Childhood Measurement Programme

Key: Red Text Black Text Blue Text

Is statistically significantly lower than Shropshire

Is similar to Shropshire Is statistically significantly higher than Shropshire

Overweight and obese children by Urban Rural Classification

Figure 25 shows obesity by urban rural classification and none of the categories differ from each other for the two year groups. However, in each of those classifications there are significantly more obese children in year 6 than there are in reception.

Figure 25: Obese children in reception and year 6 by Urban Rural Classification

Source: 2015/16 National Childhood Measurement Programme

Figure 26 shows that in all areas, the percentage of children who are overweight and obese is significantly higher in year 6 than in the reception. No categories significantly

8.5% 6.1% 8.3%15.8% 17.5% 18.1%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

Rural Town Urban

Perc

enta

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ars

Percentage of obese children in reception year and year 6 by Urban Rural Classification, 2015-16

Reception obese Year 6 obese Shrop Obesity Rec Shrop Obese Rec LSEShrop Obese Rec USE Shrop Obesity Year 6 Shrop Obese Year 6 LSE Shrop Obese Year 6 USE

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Public Health Intelligence Department 17

differ from others in terms of the percentage of children who were overweight or obese and in year 6 all areas have nearly equal rates.

Figure 26: Overweight and obese children in reception and year 6 by Urban Rural Classification

Source: 2015/16 National Childhood Measurement Programme

Overweight and obese children by Place Plan Area

Figure 27 shows obesity in reception by place plan area and all of the areas are statistically similar to one another and the Shropshire average due to the small number of children who were obese in the year – 198 (7.8%).

Figure 27: Obese children in reception by Place Plan Area

Source: 2015/16 National Childhood Measurement Programme

22.4% 19.4% 21.0%30.6% 30.8% 30.6%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

32.0%

34.0%

36.0%

Rural Town Urban

Perc

enta

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bot

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ars

Overweight & obese children in reception & year 6 by Urban Rural Classification, 2015-16

Rec O/weight & Obese Year 6 O/weight & Obese Shrop O/weight & Obese RecShrop O/weight & Obese Rec LSE Shrop O/weight & Obese Rec USE Shrop O/weight & Obese Year 6Shrop O/weight & Obese Year 6 LSE Shrop O/weight & Obese Year 6 USE

11.8% 11.5% 11.4% 10.5% 9.7% 9.6% 9.4% 9.3% 8.6% 8.1% 7.8% 7.5% 7.4% 7.4% 6.2% 5.7% 5.6% 5.4% 5.2% 5.2% 4.8% 4.3% 1.8%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

Nor

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Osw

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Mar

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Chur

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Cleo

bury

Mor

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Percentage of obese children in reception year by Place Plan Area, 2015-16

Reception obese Shrop Obesity Rec Shrop Obese Rec LSE Shrop Obese Rec USE

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Public Health Intelligence Department 18

Figure 28 shows overweight and obese children in reception by place plan area and all areas are statistically similar to the Shropshire average besides ‘Albrighton’, which is significantly below it, and it is also significantly below four other place plan areas.

Figure 28: Overweight and obese children in reception by Place Plan Area

Source: 2015/16 National Childhood Measurement Programme

Figure 29 shows obese children in year 6 by place plan area and all areas are statistically similar to the Shropshire average with the exception of the ‘Bridgnorth’ place plan area, which is significantly below it and five other place plan areas.

Figure 29: Obese children in year 6 by Place Plan Area

Source: 2015/16 National Childhood Measurement Programme

30.2% 27.1% 26.9% 25.9% 25.0% 24.4% 23.8% 23.4% 22.9% 22.6% 20.9% 20.5% 20.1% 20.0% 19.6% 19.0% 19.0% 16.2% 15.5% 15.2% 14.5% 9.3% 7.1%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

Bis

hop'

s C

astl

e

Mar

ket

Dra

yton

Crav

en A

rms

Nor

th O

swes

try

Ludl

ow

Nor

th E

ast

Shre

wsb

ury

Wem

Sout

h &

Eas

t O

swes

try

Hig

hley

Shif

nal

Chur

ch S

tret

ton

Osw

estr

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wn

Sout

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rew

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Wes

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Shre

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Muc

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Pont

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inst

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Cleo

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Mor

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Whi

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Bro

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Alb

righ

ton

Perc

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rec

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r

Percentage of overweight & obese children in reception year by Place Plan Area, 2015-16

Rec O/weight & Obese Shrop O/weight & Obese Rec Shrop O/weight & Obese Rec LSE Shrop O/weight & Obese Rec USE

22.9% 22.4% 22.4% 21.8% 20.4% 20.2% 20.0% 19.0% 18.8% 17.9% 17.3% 16.9% 16.9% 15.8% 15.7% 15.2% 14.6% 14.6% 10.9% 10.5% 9.3% 8.6% 7.3%0.0%2.0%4.0%6.0%8.0%

10.0%12.0%14.0%16.0%18.0%20.0%22.0%24.0%26.0%28.0%30.0%32.0%34.0%36.0%38.0%40.0%42.0%

Nor

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ast

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Mar

ket

Dra

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Elle

smer

e

Nor

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swes

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Osw

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wn

Whi

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Muc

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Crav

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Hig

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Sout

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Sout

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Bis

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Percentage of obese children in year 6 by Place Plan Area, 2015-16

Year 6 obese Shrop Obesity Year 6 Shrop Obese Year 6 LSE Shrop Obese Year 6 USE

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Public Health Intelligence Department 19

Figure 30 shows that the majority of areas are statistically similar to Shropshire in the percentage of children who are overweight and obese. The exception is the ‘Bridgnorth’ area, which is significantly lower than the Shropshire average, and eleven other areas.

Figure 30: Overweight and obese children in year 6 by Place Plan Area

Source: 2015/16 National Childhood Measurement Programme

Obese children in Shropshire by School Development Group

As opposed to previous analysis which was based on the pupil’s postcode, this section is based on the school the pupil was at. The schools in Shropshire are bracketed together into 13 school development groups (SDG) – a breakdown is in the appendix. Figure 31 shows obesity in reception by these groups and all are statistically similar.

Figure 31: Obese children in reception by SDG

Source: 2015/16 National Childhood Measurement Programme

40.2% 38.1% 37.8% 36.8% 36.1% 36.0% 35.8% 35.4% 35.2% 33.3% 31.6% 30.9% 30.3% 29.2% 28.5% 28.4% 28.3% 25.0% 24.0% 22.6% 21.7% 21.1% 16.0%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

55.0%

60.0%

Nor

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Crav

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Whi

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Mar

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Percentage of overweight & obese children in Year 6 by Place Plan Area, 2015-16

Year 6 O/weight & Obese Shrop O/weight & Obese Year 6 Shrop O/weight & Obese Year 6 LSE Shrop O/weight & Obese Year 6 USE

12.0% 10.6% 10.0% 9.9% 9.2% 7.8% 7.6% 6.8% 6.1% 6.0% 5.7% 4.9% 4.8%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

SDG-

13 S

outh

Wes

t

SDG-

09 N

orth

Eas

t

SDG-

07 C

entr

al

SDG-

02 S

outh

Wes

t

SDG-

01 N

orth

Wes

t

SDG-

12 S

outh

Wes

t

SDG-

05 C

entr

al

SDG-

06 N

orth

Wes

t

SDG-

04 S

outh

Eas

t

SDG-

11 S

outh

Wes

t

SDG-

10 N

orth

Eas

t

SDG-

03 S

outh

Eas

t

SDG-

08 S

outh

Eas

t

Perc

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ar

Percentage of obese children in reception year by School Development Group, 2015-16

Reception obese Shrop Obesity Rec Shrop Obese Rec LSE Shrop Obese Rec USE

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Public Health Intelligence Department 20

Figure 32 shows overweight and obese children in reception by SDG. The majority of these are statistically similar to the Shropshire average, however, SDG09 – North East is significantly higher, while SDG03 - South East is significantly lower.

Figure 32: Overweight and obese children in reception by SDG

Source: 2015/16 National Childhood Measurement Programme

Figure 33 shows obese children in year 6 by school development group and all groups are statistically similar to the Shropshire average with the exception of ‘SDG 08 - South East’ which is significantly below it and four other groups.

Figure 33: Obese children in year 6 by SDG

Source: 2015/16 National Childhood Measurement Programme

30.2% 28.6% 28.1% 26.6% 22.1% 20.8% 20.4% 19.3% 17.4% 16.9% 16.7% 15.4% 12.2%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

32.0%

34.0%

36.0%

38.0%

40.0%

42.0%

SDG

-09

Nor

th E

ast

SDG

-13

Sout

h W

est

SDG

-12

Sout

h W

est

SDG

-07

Cent

ral

SDG

-01

Nor

th W

est

SDG

-02

Sout

h W

est

SDG

-05

Cent

ral

SDG

-06

Nor

th W

est

SDG

-10

Nor

th E

ast

SDG

-11

Sout

h W

est

SDG

-04

Sout

h Ea

st

SDG

-08

Sout

h Ea

st

SDG

-03

Sout

h Ea

st

Perc

enta

ge o

f chi

ldre

n in

rec

epti

on y

ear

Percentage of overweight & obese children in reception year by School Development Group, 2015-16

Rec O/weight & Obese Shrop O/weight & Obese Rec Shrop O/weight & Obese Rec LSE Shrop O/weight & Obese Rec USE

23.4% 20.8% 20.8% 19.0% 18.3% 16.8% 16.5% 16.3% 16.3% 15.8% 15.5% 15.4% 9.5%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

22.0%

24.0%

26.0%

28.0%

30.0%

32.0%

SDG

-07

Cent

ral

SDG

-09

Nor

th E

ast

SDG

-01

Nor

th W

est

SDG

-12

Sout

h W

est

SDG

-10

Nor

th E

ast

SDG

-13

Sout

h W

est

SDG

-04

Sout

h Ea

st

SDG

-02

Sout

h W

est

SDG

-06

Nor

th W

est

SDG

-03

Sout

h Ea

st

SDG

-11

Sout

h W

est

SDG

-05

Cent

ral

SDG

-08

Sout

h Ea

st

Perc

enta

ge o

f ch

ildre

n in

yea

r 6

Percentage of obese children in year 6 by School Development Group, 2015-16

Year 6 obese Shrop Obesity Year 6 Shrop Obese Year 6 LSE Shrop Obese Year 6 USE

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Public Health Intelligence Department 21

Figure 34 shows that in all areas, the percentage of children who are overweight and obese is statistically similar and to Shropshire apart from ‘‘SDG – 08 South East’ which is significantly below Shropshire and six other groups.

Figure 34: Overweight and obese children in year 6 by School Development Group

Source: 2015/16 National Childhood Measurement Programme

Table 5 shows the breakdown of BMI results for each school development group in Reception and Year 6 for obese and the combined overweight and obese categories.

Table 5: NCMP by SDG for Reception Year in 2015/16

Reception Year 6

School development code

No measured % Obese

% Overweight and obese

No measured % Obese

% Overweight and obese

SDG-01 North West 358 33 (9.2%) 79 (22.1%) 380 79 (20.8%) 140 (36.8%)

SDG-02 South West 101 10 (9.9%) 21 (20.8%) 98 16 (16.3%) 27 (27.6%)

SDG-03 South East 123 6 (4.9%) 15 (12.2%) 114 18 (15.8%) 32 (28.1%)

SDG-04 South East 66 4 (6.1%) 11 (16.7%) 79 13 (16.5%) 23 (29.1%)

SDG-05 Central 382 29 (7.6%) 78 (20.4%) 416 64 (15.4%) 116 (27.9%)

SDG-06 North West 88 6 (6.8%) 17 (19.3%) 123 20 (16.3%) 33 (26.8%)

SDG-07 Central 301 30 (10.0%) 80 (26.6%) 286 67 (23.4%) 103 (36.0%)

SDG-08 South East 332 16 (4.8%) 51 (15.4%) 347 33 (9.5%) 71 (20.5%)

SDG-09 North East 189 20 (10.6%) 57 (30.2%) 197 41 (20.8%) 69 (35.0%)

SDG-10 North East 316 18 (5.7%) 55 (17.4%) 262 48 (18.3%) 88 (33.6%)

SDG-11 South West 83 5 (6.0%) 14 (16.9%) 116 18 (15.5%) 40 (34.5%)

SDG-12 South West 64 5 (7.8%) 18 (28.1%) 63 12 (19.0%) 24 (38.1%)

SDG-13 South West 133 16 (12.0%) 38 (28.6%) 101 17 (16.8%) 31 (30.7%)

2015/16 Total 2,536 198 (7.8%) 534 (21.1%) 2,582 446 (17.3%) 797 (30.9%) Source: 2015/16 National Childhood Measurement Programme

Key: Red Text Black Text Blue Text

Is statistically significantly lower than Shropshire

Is similar to Shropshire Is statistically significantly higher than Shropshire

38.1% 36.8% 36.0% 35.0% 34.5% 33.6% 30.7% 29.1% 28.1% 27.9% 27.6% 26.8% 20.5%0.0%2.0%4.0%6.0%8.0%

10.0%12.0%14.0%16.0%18.0%20.0%22.0%24.0%26.0%28.0%30.0%32.0%34.0%36.0%38.0%40.0%42.0%44.0%46.0%48.0%50.0%52.0%

SDG

-12

Sout

h W

est

SDG

-01

Nor

th W

est

SDG

-07

Cent

ral

SDG

-09

Nor

th E

ast

SDG

-11

Sout

h W

est

SDG

-10

Nor

th E

ast

SDG

-13

Sout

h W

est

SDG

-04

Sout

h Ea

st

SDG

-03

Sout

h Ea

st

SDG

-05

Cent

ral

SDG

-02

Sout

h W

est

SDG

-06

Nor

th W

est

SDG

-08

Sout

h Ea

st

Perc

enta

ge o

f chi

ldre

n in

yea

r 6

Percentage of overweight & obese children in Year 6 by School Development Group, 2015-16

Year 6 O/weight & Obese Shrop O/weight & Obese Year 6 Shrop O/weight & Obese Year 6 LSE Shrop O/weight & Obese Year 6 USE

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Public Health Intelligence Department 22

5 Summary

• Participation in the NCMP remains around 90% for the combined school years, which is below the national rate. 5,118 children were measured in Shropshire.

• In Shropshire, 78.5% of reception children measured were a healthyweight which is significantly higher than the West Midlands (75.6%). Shropshire has significantly fewer underweight and obese children than both the West Midlands and England.

• In Year 6 in Shropshire there are again significantly more children of healthyweight (68.1%) than West Midlands (61.9%) and England (64.5%), while there are significantly less children who are obese or in the overweight and obese (combined) category than the West Midlands and England.

• In Shropshire there are significantly more reception children that are overweight (13.2%) than are obese (7.8%), however, this reverses in Year 6 as there are significantly more obese (17.3%) children than there are overweight (13.6%).

• There are no significant differences between boys and girls in either year in the various BMI categories with the exception of there being significantly more overweight boys (15.3%) than there are girls (11.2%).

• Shropshire’s obesity rates in reception dropped in 2015/16 (7.8%), but these were statistically similar to last year (8.8%) and also the previous 5 years. Obesity rates in year 6 in 2015/16 (17.3%) increased from the previous year (15.6%), but this isn’t a statistically significant rise. Rates continue to be significantly under England’s as they were for the two previous years too.

• In reception in Shropshire, the rate in the combined category (21.1%) decreased from the previous year, but it is not a significant drop. In year 6, Shropshire’s rate in the combined category (30.9%) increased from the previous year (30.2%) but it is again not a statistically significant rise, and Shropshire’s rate is significantly below England’s as it was the two previous years.

• Comparing this cohort now to where they would have been in reception back in 2009/10, revealed that there were significantly less children who were a healthyweight now (61.1% in 2015/16 versus 14.4% in 2009/10), but significantly more obese children (17.3% versus 10.3%) and significantly more children in the combined overweight and obese category (30.9% compared to 24.7%).

• In all local deprivation quintiles there are significantly more obese children in year 6 than in reception, and this is the same in the combined category - apart from the second least deprived where the two years are statistically similar.

• In both years, all deprivation quintiles have statistically similar obesity rates. Similarly there are no statistically significant differences between quintiles in either year in the combined category, however, in reception, rates are slightly higher in the most deprived quintile compared to the least deprived, and this is more noticeable in year 6 with rates dropping as affluence increases.

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Public Health Intelligence Department 23

• Obesity rates in Year 6 are significantly higher than reception in all of the old local authority areas apart from South Shropshire which is statistically similar. Whereas in the combined category Year 6 is only significantly higher than reception in the old North Shropshire, Oswestry and Shrewsbury and Atcham areas.

• In reception, all old local authority areas had statistically similar obesity rates to each other, whereas in Year 6, Bridgnorth had significantly lower rates than North Shropshire, Oswestry and Shrewsbury and Atcham and Shropshire as a whole. In the combined category, all areas were statistically similar in both years besides the Bridgnorth area which was significantly lower than other areas in both years.

• All CCG areas had significantly more obese children in year 6 than reception and all areas are similar in reception, but in year 6, the obesity rate is significantly lower in South Shropshire compared to the other two areas and Shropshire.

• In the combined category there are significantly higher rates in year 6 than reception in each CCG area. All areas are similar to each other in reception, but in year 6, North Shropshire (34.9%) is significantly above South Shropshire (25.9%).

• In reception, all Children’s Centre Areas (CCA) have statistically similar obesity rates to Shropshire and to one another besides Mortimer Forest having a significantly higher rate to Severn Valley. In Reception in the combined category, Severn Valley (13.4%) had a significantly lower rate to Shropshire and three other areas.

• In Year 6, Pebble Brook (8.8%) is the only CCA that had an obesity rate significantly below Shropshire as well as three of the other CCAs. In terms of the combined category, Severn Valley (21.1%) is again significantly below Shropshire as well as five other CCAs.

• For both obesity and the combined category, rates were significantly higher in year 6 than reception and each of the three urban rural classifications have similar rates to one another in reception and year 6.

• All place plan areas have similar obesity rates in reception. In the combined category in reception, the Albrighton place plan area was the only one that was significantly below Shropshire, and it is also below four other place plan areas.

• In year 6, all place plan areas had statistically similar obesity rates apart from Bridgnorth (8.6%) which is significantly below Shropshire and five other areas. Bridgnorth (16%) is the only area that is significantly lower than Shropshire in the combined category – it is also significantly below eleven other areas.

• In reception, all 13 of the school development groups (SDGs) have statistically similar obese rates and this is the same for the combined category, besides ‘SDG09 – North East’ which is statistically higher than Shropshire, while ‘SDG03 - South East’ is significantly lower than Shropshire.

• In year 6, ‘SDG 08 – South East’ (9.5%) had a significantly lower rate of obesity than Shropshire and four other groups. This same SDG (20.5%) – is the only one to be significantly below Shropshire in terms of the percentage of children in the combined category, and it is also significantly below six other SDGs.

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Appendix

Report by Mark Trenfield, Public Health Intelligence Analyst, May 2017 Appendix

School Development Code by School

SDG-01 North West SDG-02 South West SDG-03 South East

• Bryn Offa CofE Primary

• Cockshutt CofE Primary

• Criftins CofE Primary

• Ellesmere Primary

• Gobowen Primary

• Holy Trinity CofE Primary

• Morda CofE Primary

• Our Lady & St Oswald's Catholic Primary

• Selattyn CofE Primary

• St Martins (3-16 Learning Community)

• The Meadows Primary

• Trefonen CofE Primary

• Welshampton CofE Primary

• Weston Rhyn Primary

• Whittington CofE (Aided) Primary

• Woodside Primary

• Longden CofE Primary

• Minsterley Primary

• Pontesbury CofE Primary

• St Marys CofE Primary

• St Thomas & St Anne CofE Primary

• Stiperstones CofE Primary

• Trinity CofE Primary

• Worthen CofE Primary

• Barrow 1618 CofE Free

• Brockton CofE Primary

• Broseley CE Primary

• Buildwas Primary

• Christ Church CofE Primary

• Church Preen Primary

• John Wilkinson Primary

• Much Wenlock Primary

SDG-04 South East SDG-05 Central SDG-06 North West

• Burford CofE Primary

• Clee Hill Community Primary

• Cleobury Mortimer Primary

• Farlow CofE Primary

• Kinlet CofE Primary

• Stottesdon CofE Primary

• Belvidere Primary

• Coleham Primary

• Crowmoor Primary and Nursery

• Meole Brace CofE Primary & Nursery

• Mereside CofE Primary

• Oakmeadow CofE Primary & Nursery

• Oxon CofE Primary

• Radbrook Primary

• St George's Junior

• St Giles CofE Primary

• Baschurch CofE Primary

• Bicton CofE Primary

• Bomere Heath CofE Primary

• Kinnerley CofE Controlled Primary

• Myddle CofE Primary

• St Andrew's CofE Primary

• St John the Baptist CofE (Controlled) Primary

• West Felton CofE Primary

• Weston Lullingfields CofE

SDG-07 Central SDG-08 South East SDG-09 North East

• Grange Primary

• Greenacres Primary

• Greenfields Primary

• Harlescott Junior

• Mount Pleasant Primary

• Shrewsbury Cathedral Catholic Primary

• St Lucia's CofE Primary

• Sundorne Infant

• The Martin Wilson

• The Wilfred Owen

• Albrighton Primary

• Alveley Primary

• Beckbury CofE Primary

• Brown Clee CofE Primary

• Castlefields Primary

• Claverley CofE Primary

• Highley Community Primary

• Morville CofE (Controlled) Primary

• Sheriffhales Primary

• Shifnal Primary

• St Andrew's CofE Primary

• St John's Catholic Primary

• St Leonard's CofE Primary

• St Mary CofE Primary

• St Mary's Bluecoat CofE (VA) Primary

• Worfield Endowed CofE Primary

• Adderley CofE Primary

• Buntingsdale Primary & Nursery

• Cheswardine Primary

• Hinstock Primary

• Hodnet Primary

• Longlands Primary

• Market Drayton Infant

• Market Drayton Junior

• Moreton Say CofE Controlled Primary

• Norton-in-Hales CofE Primary

• Woore Primary

SDG-10 North East SDG-11 South West SDG-12 South West

• Clive CofE Primary

• Hadnall CofE Primary

• Lower Heath CofE Primary

• Newtown CofE Primary

• Prees CofE Primary

• St Mary's CofE Primary

• Condover CofE Primary

• Dorrington CofE (Aided) Primary

• Longnor CofE Primary

• Rushbury CofE Primary

• St Lawrence CofE Primary

• Stokesay Primary

• Bishops Castle Primary

• Chirbury CofE VC Primary

• Clunbury CofE Primary

• Hope CofE Primary

• Lydbury North CofE (A) Primary

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Public Health Intelligence Department 1

• St Peter's CofE Primary

• Stoke-on-Tern Primary

• Tilstock CofE Primary and Nursery

• Whitchurch CofE Infant

• Whitchurch CofE Junior

• Whixall CofE (Controlled) Primary

• Woodfield Infant

• Wistanstow CofE Primary • Newcastle CofE Primary

• Norbury Primary

• St George's CofE Primary

SDG-13 South West

• Bishop Hooper CofE Primary

• Bitterley CofE Primary (Aided)

• Corvedale CofE Primary

• Ludlow Infant

• Ludlow Junior

• Onny CofE (A) Primary

• St Laurence CofE Primary

• St Mary's CofE Primary