Scottish Government – Page 74 – The NEN

Charities and Scottish Parliament host online event to improve how we prevent child sexual abuse in Scotland

Stop It Now! Scotland and NSPCC Scotland are today (Wednesday, March 15, 2023) hosting ‘Public Health Approaches to Preventing Child Sexual Abuse’
The online event will look at the evidence on preventing sexual abuse and what could be done in Scotland to better protect children before abuse begins and to help with their recovery

Stop It Now! Scotland and the NSPCC are calling on the Scottish Government to develop a national strategy to tackle child sexual abuse that focuses on prevention to make the country a safer place to grow up.

The two charities, which are today hosting an event in partnership with the Scottish Parliament, say working together to stop the abuse from happening in the first place will prevent the devastating impact it has on the mental health of children and adult survivors.

They are urging the Scottish Government to develop a comprehensive and coordinated national approachto prevent child sexual abuse, which involves health, police, education, community safety, children’s services, social services, housing and the wider community. The child protection charities say it is vital that everyone understands what child sexual abuse is and knows how they can be part of preventing it.

A review of UK data revealed that 15 per cent of females and 5 per cent of males will experience some form of sexual abuse before the age of 16. This means at least 80,000 children in Scotland will have been affected by this issue before they leave high school. Although this is thought to be an under-representation of the scale of the problem and the actual number of children who have experienced sexual abuse in Scotland is not known.

The charities say that to understand the numbers of children in Scotland affected and the scale of the suffering it is crucial that a prevalence survey is conducted. At the event, leading experts will discuss current evidence on preventing child sexual abuse and explore the next steps needed to make Scotland the safest country for children to grow up.

Joanne Smith, NSPCC Scotland’s Policy and Public Affairs Manager, said: “Child sexual abuse has a devastating impact on people’s lives.

“The response, to date, has focused largely on bringing perpetrators to justice and providing some children with therapy and support. But we believe that as a society our focus should be on preventing child sexual abuse before it occurs, before people at risk of abusing become offenders, and before potential victims become actual victims. Understanding child sexual abuse, and what causes it, is a vital step towards developing effective prevention strategies.”

Stuart Allardyce, Director, Lucy Faithfull Foundation / Stop It Now! Scotland, said: “We are calling on the Scottish Government to carry out a dedicated prevalence survey to identify the levels of sexual offending against children in Scotland, alongside a national strategy for tackling child sexual abuse.

“We know that sexual abuse has an enormous impact on the mental health outcomes for children and adult survivors and the economic costs for the criminal justice system.

“We believe sexual harm towards children and young people could be reduced if we focused more on prevention, including therapy being offered to adults who are worried about their sexual thoughts and feelings towards children.”

Childlight, based at the University of Edinburgh, also launches the first comprehensive global data repository today, which will look at all forms of child sexual exploitation and abuse (CSEA), with the aim of being able to show the scale and nature of this abuse.

The international team, made up of experienced individuals from academia, the private sector, law enforcement and non-governmental organisations, will produce an annual report, global dashboard and index with the data that can be used by tech companies, law enforcement agencies and those who work in child protection so they can take action to prevent CSEA.

Speakers at the online event will include:

Professor Elizabeth Letourneau, Moore Centre for the Prevention of Child Sexual Abuse, School of Public Health, John Hopkins University
Pat Branigan, Assistant Director – Together For Childhood – NSPCC
Stuart Allardyce, Director, Lucy Faithfull Foundation / Stop It Now! Scotland
MSP Clare Haughey, Minister for Children and Young People

Children and young people can contact Childline for free, confidential support and advice 24 hours a day online at www.childline.org.uk or on the phone on 0800 1111.

Anyone with concerns about a child’s wellbeing can contact the NSPCC Helpline on help@nspcc.org.uk. The NSPCC practitioners provide free and confidential help and advice and can take appropriate steps to help keep children safe. If a child is in immediate danger, please call 999.

Big Hearts: Support for kinship carers

Kinship carers urged to check Scottish Child Payment eligibility

Kinship carers are being urged to check if they could be entitled to the Scottish Child Payment, after eligibility was expanded to include more of them last year.

The call comes at the start of Scottish Kinship Care Week, which celebrates the role of extended family or friends who care for children when they cannot remain with their birth parents.

First Minister Nicola Sturgeon met with a group of kinship carers yesterday at an annual big breakfast hosted by the Big Hearts Community Trust at Tynecastle Park to thank them and highlight the extra support available via the Scottish Child Payment and other Scottish social security benefits.

Big Hearts’ Kinship Care programme was launched in 2015 and offers a range of support for young people and their carers, including after school clubs, coffee mornings, and wellbeing advice.

The First Minister said: “We owe kinship carers an enormous debt of gratitude for the role they play in providing loving and secure homes for children and young people, and it’s vital they receive every penny of support they’re entitled to.

“In line with our commitment to tackling child poverty, we increased the Scottish Child Payment to £25 a week per eligible child last year, and expanded the eligibility criteria to include more kinship carers.

“We want to ensure everyone gets the financial support they are entitled to, so I’d encourage carers to check whether they’re entitled to receive the Scottish Child Payment and any other Scottish Government benefits.

“In addition to the fantastic support provided by charities like Big Hearts, there are a range of events for kinship carers taking place across the country this week, and free advice and guidance is also available from the Kinship Care Advice Service for Scotland website.”

Craig Wilson, Big Hearts’ General Manager said: “It was fantastic to welcome Scotland’s First Minister to Tynecastle Park for the start of Scottish Kinship Care Week.

“We are so proud to work with so many amazing kinship care families and for many years we’ve strived to raise the profile of kinship carers and highlight the support they can and should receive.

“There’s no doubt that today adds to that and we want kinship carers to know there is always a warm and welcoming place for them here at Big Hearts.”

Holyrood approves 3% rent cap

Emergency protections for tenants extended

Private rent increases will be capped at 3% and restrictions will remain on enforcement of evictions under measures approved today by MSPs.

The changes to the Cost of Living (Tenant Protection) Act will mean that from 1 April 2023:

If a private landlord chooses to increase a tenant’s rent mid-tenancy, the increase will be capped at 3%
Private landlords will alternatively be able to apply for a rent increase of up to 6% to help cover certain increases in costs in defined and limited circumstances
Enforcement of evictions will continue to be paused for up to six months except in a number of specified circumstances
Increased damages for unlawful evictions of up to 36 months’ worth of rent will continue to apply

These measures will be extended to 30 September, provided they remain necessary, with the option to extend for another six-month period if required.

As previously announced, the social sector rent freeze has been replaced with agreements from landlords to keep any rent increase for 2023-24 well below inflation. The rent cap for student accommodation is to be suspended, recognising its limited impact on annual rents set on the basis of an academic year.

Tenants’ Rights Minister Patrick Harvie said: “Our emergency legislation has given tenants across the rented sector additional protection as we continue to live through these challenging and uncertain economic times.

“It is clear that many households in the private rented sector in particular continue to struggle, which is why we are capping in-tenancy rent increases in the private sector at 3% from next month, with safeguards in place recognising the effects the cost of living crisis may have on some landlords. Our restrictions on evictions will continue across all sectors, with the social sector rent cap having been replaced with voluntary agreements from landlords to keep rents affordable.

“We will continue to keep these measures under review, ensuring they remain necessary and proportionate to the challenges at hand.”

The evictions moratorium pauses enforcement of eviction actions resulting from the cost of living crisis except in a number of specified circumstances. Evictions can be delayed for a maximum of 6 months while the measures are in force.

Landlords can apply to Rent Service Scotland (RSS) to increase rent to partially cover specific costs including increased mortgage interest payments on the property they are letting, an increase in landlords’ insurance or increases in service charges paid as part of a tenancy, subject to an overall limit. This limit is currently set at 3% of total rent. From 1 April the limit will be increased to 6%. In effect this retains the ability for landlords to raise rents at a level of 3% above the cap.

Under the agreement on social rents for 2023-24, COSLA has committed to keeping local authority rent increases to an average of no more than £5 a week. Members of the Scottish Federation of Housing Associations and Glasgow West of Scotland Forum of Housing Associations have reported planned increases averaging 6.1%.

EIS members overwhelmingly vote to accept teacher pay offer

Members of the EIS have voted overwhelmingly to accept the current pay offer proposed by local authority employers and the Scottish Government.

In an online ballot that closed today, 90% of those voting opted to accept the pay offer. Turnout in the ballot was 82% . The EIS represents over 80% of Scotland’s teachers at all grades and in all sectors of education.

Speaking after the ballot result was announced at a meeting of the EIS national Council in Edinburgh yesterday, EIS General Secretary Andrea Bradley said: “EIS members have voted overwhelmingly in favour of the current pay offer, with 90% of those voting opting to accept in an online ballot.

“Turnout in the ballot was also high, confirming that Scotland’s teachers believe that it is now time to accept the offer and bring an end to the programme of industrial action in our schools.”

Ms Bradley added, “The acceptance of this offer will mean that, for most teachers, their pay will increase by 12.3% by next month in comparison to current pay levels. This includes a backdated 7% increase from April 2022, and a 5% increase from this April.

“Teachers will also receive a further 2% increase in pay from January next year, with the next pay settlement then scheduled to be negotiated and payable from August 2024 onwards. The total current package will amount to a 14.6% increase in pay for most teachers by January 2024.”

Ms Bradley continued, “EIS members have taken a pragmatic decision in voting to accept the current pay offer. While it does not meet our aspirations in respect of a restorative pay settlement for Scotland’s teachers, it is the best deal that can realistically be achieved in the current political and financial climate without further prolonged industrial action.

“It compares favourably with recent pay settlements across the public sector, and does provide pay certainty for Scotland’s teachers for the next 16 months until the next pay settlement is scheduled to be delivered in August 2024.”

Ms Bradley concluded, “It is deeply regrettable that it took a sustained industrial dispute, and the first programme of national strike action on pay by teachers in forty years, for the Scottish Government and COSLA to finally come up with an acceptable pay offer for Scotland’s hard-working teaching professionals.

“Scotland’s pupils, parents and teachers deserve better, and the Scottish Government and Scotland’s local authorities must commit to ensuring that education is properly funded, and that teachers are fairly paid, in all future years in order that Scottish Education can provide as it should for our young people and for the good of our whole society.”

Misogyny law consultation

Proposals to criminalise abusive and humiliating behaviour routinely directed at women and girls

Misogynistic harassment could become a criminal offence as part of proposals aimed at providing greater protection for women and girls in Scotland.

A consultation has been launched on the draft reforms, which would create five new laws to provide police and prosecutors with new powers to tackle the corrosive effects of misogyny.

The proposals are based on the recommendations made by the Working Group on Misogyny led by Baroness Kennedy. This concluded that the harmful effects of misogyny meant women and girls required new protection through the criminal law.

Under the proposals, the scope of how current laws tackle misogynistic abuse would be expanded to include threatening, abusive or sexual behaviour directed towards women or girls – because of their gender– which is likely to cause them to feel degradation, humiliation or distress.

It would also be used to tackle situations where women or girls are subjected to threatening or abusive messages about rape, sexual assault or disfigurement – either in person, or online.

Justice Secretary Keith Brown said: “Baroness Kennedy’s report was stark in its assessment of the level of misogyny that exists in Scotland. Women and girls are routinely humiliated, touched, groped, undermined, trolled and objectified both online and off, and subjected to threats, harassment and abuse about their looks or desirability – stopping them from fully participating in society.

“Although there are already a range of laws that can be used to prosecute aspects of misogynistic harassment and abuse, these do not accurately identify the particular harm caused by misogyny. They also fail to adequately respond to problems faced by women, which is why we are consulting on further criminal reforms.

“And while criminal law reform alone cannot be expected to eliminate misogynistic abuse, or the attitudes which perpetuate it, these specific criminal protections are an important step in challenging society’s – and particularly men’s – tolerance of misogyny. I encourage everyone with an interest to consider what is proposed and offer their views.”

Baroness Helena Kennedy KC said: “ I strongly encourage as many women as possible to participate in this consultation.

“For too long the law has not been drawn from the experience of women. It is time to hear from girls and women about what they think should be included in law so that they can be treated as equals and live free from abuse and denigration.”

The consultation will run from 8 March to 2 June 2023.

Take part in the consultation.

The five new proposed criminal laws are:

An offence of misogynistic harassment. This would make it a criminal offence for a person to behave in a way that amounts to misogynistic harassment directed at a woman or girl or group of women and girls.
An offence of misogynistic behaviour. Intended to deal with misogynistic behaviour which is likely to have the effecting of causing a woman or girl to experience fear, alarm, degradation, humiliation or distress where that behaviour is not directed at a specific woman or girl (or group of women and girls) and so could not be described as ‘harassment’.
A statutory aggravation concerning misogyny. This would be used where an offence had a misogynistic motive or a person demonstrates misogyny whilst committing a crime. The statutory aggravation would ensure that this motive is recorded and taken into account when sentencing.
An offence of threatening or abusive communications to women or girls that reference rape, sexual assault or disfigurement. This offence criminalises sending an abusive message to a woman or girl that refers to rape, sexual assault or disfigurement
An offence of stirring up hatred against women and girls. This offence is concerned with the effect that the behaviour may be likely to have on the people in whom the perpetrator is seeking to stir up hatred of women and girls.

Clinical trial for new endometriosis treatment offers hope to millions of women

UK clinical trial for potential new endometriosis treatment, funded by Wellbeing of Women and the Scottish Government, offers hope to millions of women

Researchers have been awarded nearly £250,000 by Wellbeing of Women and the Scottish Government to investigate if a drug called dichloroacetate is an effective treatment for endometriosis
If successful, the drug could be the first ever non-hormonal and non-surgical treatment for endometriosis – and the first new treatment in 40 years
Endometriosis is a debilitating condition that affects around 1.5 million women in the UK, yet it is chronically under-funded and treatment options are limited
Wellbeing of Women and the Scottish Government are working in partnership to improve endometriosis treatment and care – a key aim of Scotland’s Women’s Health Plan.

A clinical trial to study a potential new treatment for endometriosis is set to go ahead thanks to funding made possible by a partnership between leading women’s health charity Wellbeing of Women and the Scottish Government.

Researchers from the Universities of Edinburgh, Aberdeen and Birmingham will set up and run the clinical trial, called EPIC2, which will involve 100 women with endometriosis in Edinburgh and London. They will investigate whether a drug called dichloroacetate is an effective pain management treatment for those with the condition.

Endometriosis affects 1.5 million women and those assigned female at birth in the UK. It occurs when tissue similar to the lining of the womb grows elsewhere in the body, most commonly in the pelvic area. This tissue (known as endometriosis lesions) bleeds during a period but has nowhere to go – and causes inflammation, pain and the formation of scar tissue.

Earlier research, funded by Wellbeing of Women, discovered that cells from the pelvic wall of women with endometriosis behave differently compared to those without the condition. Researchers from the University of Edinburgh found that these cells produce higher amounts of lactate, a chemical generated by the body to give us energy when there is a lack of oxygen. This creates an environment that supports the development and growth of endometriosis.

When these endometriosis cells were treated with dichloroacetate, a drug previously used to treat rare metabolic disorders in children, lactate production decreased to normal levels and the size of the endometriosis lesions were reduced.

The EPIC2 research team will build on this knowledge with their clinical trial to determine the optimum dose of dichloroacetate that will provide the most benefit, both in terms of tackling painful endometriosis symptoms and limiting side-effects.

Dr Lucy Whitaker, Wellbeing of Women researcher and Clinical Lecturer in Obstetrics and Gynaecology at The MRC Centre for Reproductive Health, University of Edinburgh, is leading the research.

She said: “We’re grateful to Wellbeing of Women and the Scottish Government for giving us the opportunity to progress our research and hopefully move another step closer to the reality of a new, non-hormonal and non-invasive endometriosis treatment.

“We know women with endometriosis desperately want more treatment options and better ways to manage the often-debilitating pain that it causes. Our research so far shows promising results that dichloroacetate can make a huge difference. I hope our new trial will confirm this and give women hope that new treatments and a better quality of life are on the horizon.”

In the EPIC2 clinical trial, which will start recruiting this autumn, half of the women will receive dichloroacetate while the other half will be given a placebo. These will be allocated at random and taken for 12 weeks. Every woman will complete a series of questionnaires and give blood samples over the course of two-and-a-half-years.

In a move towards personalised medicine, the dose of dichloroacetate for each woman will be determined by which version of a gene called GSTZ1 they carry. This gene is responsible for the speed at which dichloroacetate is metabolised by the body. Some variants do this more slowly than others, which could lead to a build-up of the drug in the bloodstream and increase the risk of side effects unless the dosage is tailored appropriately.

Janet Lindsay, Chief Executive of Wellbeing of Women, said: “It is completely unacceptable that there have been no new treatments for endometriosis in 40 years. Too many women and girls are suffering from debilitating symptoms, such as chronic pelvic pain, fatigue and even fertility problems, and current hormonal and surgical treatments aren’t suitable for everyone.

“Endometriosis is an extremely under-funded area of women’s health, so we are very pleased to partner with the Scottish Government and invest in medical research that could transform how the condition is treated for millions of women.

“Dichloroacetate has the potential to be the very first non-hormonal and non-invasive treatment for endometriosis, which will be truly ground-breaking.

With limited options currently available and no cure, advances like this are long overdue.”

Maree Todd, Women’s Health Minister for Scotland, said: “Scotland is the first country in the UK to introduce a Women’s Health Plan, with endometriosis being one of its early priorities.

“The Plan includes several actions to help improve care and support for those with endometriosis, including a vital action to invest in further research to develop much needed improvements into treatment and management options for the condition.

“I am pleased that we are jointly funding research with Wellbeing of Women into what could be the first non-hormonal treatment for endometriosis. It is a stepping stone to ensuring that those with endometriosis are given treatment choices that suit their needs.”

Dr Ranee Thakar, President of the Royal College of Obstetricians and Gynaecologists, said: “It is really positive news that funding has been secured to research this potential new drug treatment.

“We know current endometriosis treatment options don’t work well for everyone, leaving many women with symptoms that can have a serious impact on their quality of life, affecting their physical and mental health.

“We look forward to the results of this trial and its potential to improve the day-to-day lives of women and people living with endometriosis.”

First Minister kicks off Scottish Apprenticeship Week

First Minister Nicola Sturgeon officially opened a new training college in Glasgow today to mark the beginning of Scottish Apprenticeship Week.

City Building’s new state-of-the-art training college in Springburn will house up to 250 apprentices across a range of disciplines, providing hands-on training opportunities in plumbing, furniture making, decorating and joinery.

The building’s solar panels will power the entire building with air-source heat pumps providing low-cost, environmentally-friendly heat.

Touring the facility, the First Minister met young people who shared their positive experiences of their apprenticeships and heard of the work being carried out through the college, which was constructed entirely by staff and apprentices.

The First Minister said: “People from all backgrounds and abilities can use apprenticeships to gain skills that will support them not only in work, but throughout their life. At the end of last year, there were almost 40,000 Modern Apprentices training in Scotland.

“The Scottish Government recognises the role apprenticeships play in unlocking potential for the benefit of Scotland’s economy. Growing our workforce is crucial, which is why we must continue our work to increase opportunities for young people by providing them with quality work-based training.

“Apprenticeships also support economic renewal and key priorities, including our Net Zero ambitions. A skilled workforce is vital to our economic growth and we want as many businesses as possible to benefit – I would encourage all employers to find out more about the opportunities available to them.”

Chair of Skills Development Scotland, Frank Mitchell, said: “Designed by industry, for industry, apprenticeships not only help the economy but also create sustainable jobs across all parts of Scotland.

“These opportunities have been taken by individuals from across society, including many young people traditionally with restricted opportunities to progress who have gone onto flourish in the workplace.

“These are real jobs backed by employers who contribute £10 for every £1 spent by government, and at the same time apprentices contribute by paying their taxes.

“Creating a diverse and inclusive workforce through work-based learning is benefiting employers as apprentices enable them to adapt and sustain their business.”

Scottish Apprenticeship Week 2023 runs from Monday 6 March to Friday 10 March.

£500,000 to support humanitarian efforts in East Africa

£500,000 funding is to be shared amongst four charities to support projects affected by the extreme drought in South Sudan, Kenya and Ethiopia.

Christian Aid, Mercy Corps, SCIAF and Tearfund will each receive £125,000 from the Scottish Government’s Humanitarian Emergency Fund. The support is targeted at projects that will alleviate the most urgent concerns relating to the food crisis including:

distributing food packages
enhancing access to water supplies
training hygiene promoters
providing cash transfers to households

East Africa is facing one of its most severe episodes of drought in decades, with the driest conditions seen in 40 years. The fifth consecutive rainy season is lower than expected and the forecast for the March-May 2023 season indicates below-average precipitation, further exacerbating the situation.

International Development Minister Neil Gray said: “The drought affecting countries in East Africa is one of the worst in decades and the situation is becoming ever more desperate.

“This funding will support four essential projects in South Sudan, Ethiopia and Kenya, ensuring people suffering from the drought receive necessary food supplies and enhanced access to clean water – a vital measure in preventing water borne diseases.

“The Scottish Government is committed to fulfilling its role as a responsible and compassionate global citizen and this aid from our Humanitarian Emergency Fund will provide essential help to those in desperate need.”

Christian Aid will target funding at communities in South Sudan to provide emergency food access and sanitation to over 4,000 people in Kodok, Upper Nile State. 681 households will receive cash transfers to meet their immediate food needs, in addition to sanitation facilities and hygiene promotion.

Mercy Corps will support vulnerable communities in north-eastern Kenya. 420 households will be supported with cash transfers for three months as part of a longer-term focused intervention.

The SCIAF project in Ethiopia will provide food supplies and access to safe water in Dasenech Woreda, South Omo Zone. 315 households will receive cash transfers for four months while the rehabilitation of shallow wells and water points, and the provision of water purification materials, will improve access to safe water for 7,000 households.

Tearfund’s proposed project in Ethiopia will deliver emergency food assistance in Moyale District, Oromia Region. Three packages of food supplies will be provided to 334 households over a three-month period. In addition, supplementary blended food will be distributed to 70 individuals.

The Humanitarian Emergency Fund Panel is made up of eight leading humanitarian aid organisations in Scotland who advise and access the fund: Mercy Corps; Oxfam; British Red Cross; Islamic Relief; SCIAF; Christian Aid; Tearfund; and Save the Children.

Improving children’s health

Almost £600,000 funding to help prevent childhood obesity

Children up to the age of five and their families are being given the tools to develop healthy habits through six projects aimed at preventing childhood obesity and reducing health inequalities.

Almost £600,000 is going to programmes such as JumpStart Tots – run by NHS Ayrshire & Arran – which has already seen a number of young children and families in the area benefit from this healthy weight programme.

The funding is part of the Scottish Government’s commitment to ensure all children have the best start in life and the projects support the ambition to halve childhood obesity in Scotland by 2030.

This builds on the range of actions being taken as a result of the 2018 Diet and Healthy Weight Delivery Plan to ensure everyone eats well and has a healthy weight.

Public Health Minister Maree Todd said: “On World Obesity Day we reiterate the importance of improving health and reducing health inequalities across Scotland.

“We want Scotland to be the best place in the world for a child to grow up and we know good nutrition and physical activity is crucial for children’s health and development.

“These projects are crucial to our bold ambition to halve childhood obesity in Scotland by 2030. They tackle inequalities working with families and communities to encourage healthy eating and offering support for those experiencing food insecurity.

“We will continue to support local partners to develop these ambitious and effective plans to help prevent and reduce childhood obesity, alongside policies such as our Diet and Healthy Weight Delivery Plan and Best Start Foods payment, which are central to our commitment to ensure everyone in Scotland has access to healthy, nutritious food.”

Consultant Dietitian in Public Health Nutrition for NHS Ayrshire& Arran, Dr Ruth Campbell said: “The continued early years funding from Scottish Government has enabled NHS Ayrshire & Arran to extend the Jumpstart Tots programme to more families across Ayrshire.

“Jumpstart Tots is an interactive healthy lifestyle programme which offers families with children aged between two and five, a minimum of eight one hour sessions that are planned to suit each individual family’s needs.

“Local parents feedback has been that the Jumpstart Tots programme has helped them make changes that their whole family has been able to benefit from as a result of finding out more about the food they eat.”

Projects receiving funding are:

NHS Ayrshire & Arran: JumpStart Tots – £53,769

NHS Lanarkshire: ‘Little n Lively’ programme in partnership with Healthy Valleys – £150,000

NHS Greater Glasgow & Clyde: ‘Thrive Under Five’ programme – £305,448

NHS Grampian: Training and support for a group of multi-agency professionals across Aberdeenshire to deliver the HENRY approach – £17,028

NHS Lothian and NHS Fife: Continued delivery of HENRY core training to early years workforce – £57,000 (£48,500 for Lothian, £8,500 for Fife)

NHS Lothian: Improving and increasing weaning support £10,000

The Scottish Government published the Diet and Healthy Weight Delivery Plan in July 2018.