Greenwich Council

Agenda and minutes.

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Note: With Healthier Communities and Adult Social Care Scrutiny Panel 

No. Item


Apologies for Absence

To receive apologies for absence from Members of the Panel.



Apologies for absence were received from Councillor Radha Rabadia.


Urgent Business

The Chair to announce any items of urgent business circulated separately from the main agenda.


There was no urgent business.


Declarations of Interest pdf icon PDF 38 KB

Members to declare any personal and financial interests in items on the agenda.  Attention is drawn to the Council’s Constitution; the Council’s Code of Conduct and associated advice.

Additional documents:


With regard to Item 4 Councillors  Barbara Barwick and Linda Bird stated that they were trustees of Greenwich Starting Blocks but that it did not constitute an interest.


With regard to Item 4 Councillor Clive Mardner stated that he was a member of Healthwatch Greenwich but that it did not constitute an interest.


Resolved –


That the list of Councillors’ memberships as Council appointed representatives on outside bodies, joint committees and school governing bodies be noted.


Review of obesity - Mapping work to address child obesity in Greenwich pdf icon PDF 276 KB

To consider the key findings from the RBG obesity self-assessment that relate in particular to child obesity in Greenwich

Additional documents:


The Chair explained that the item was also in relation to work being undertaken by the Healthier Communities and Adult Social Care Scrutiny Panel.


The meeting was addressed by the Associate Director of Public Health.  The Associate Director highlighted that:


·        there was a high rate of childhood obesity in the Borough; this was similar to areas with the same level of deprivation.  The data seemed to indicate that obesity rates were stabilising but that it was still at the high end nationally. The Associate Director clarified the difference between ‘overweight’ and ‘obese’ and noted that the proportion of overweight children was going down slightly but not that of obese children.

·        there were high levels of obesity with adults.

·        the levels were related to deprivation and ethnicity.

·        the national evidence indicated that there was no one single way to solve it.  It had to be a whole system approach and that a range of causes or factors needed to be addressed.



The Chair, Councillor Barwick, asked what local hospitals were doing to facilitate or encourage breast feeding.  The Associate Director of Public Health stated that the local maternity units had a baby-friendly initiative and were working with midwives to encourage breast feeding.  It stated that a collaborative approach was being followed.


Councillor Offord questioned what the current staffing situation was in relation to midwives.  In response the Director of Integrated Governance stated that there was circa one midwife per 29 mothers and that this was about the London average.  All midwives received annual training and they had to demonstrate that they had been fully trained to be re-registered.  The Director undertook to inform Members of the situation compared to ten years ago.


In response to further questions the Director stated that mothers of an African descent generally had higher rates of breast feeding but they also had a high rate of mixed feeding; and white working class women were less likely to breast feed.  As a result material encouraging breast feeding was suitably tailored.  The importance of peer pressure was also stressed.


Members were also informed that local policies recognised the importance of support groups for breast feeding mothers and that these were encouraged.  The Panel welcomed the initiatives to encourage breast feeding and to address the discrimination experienced by mothers regarding feeding in public, however, it was recognised that further work was required


In relation to ante-natal planning the Associate Director of Public Health stated that an assessment had been undertaken and areas for improvement identified.  The Panel noted that action plans would be part of the Health and Wellbeing Strategy.


In response to questions regarding the difference between childhood obesity and being overweight and how this related to age the Associate Director of Public Health stated that it depended on the age of the child as children developed at different rates, i.e. some would grow out of it. Members were informed that to reduce obesity required weight management programmes and behavioural changes.  It was noted that currently all children  ...  view the full minutes text for item 4.