An annual national weighing and measuring exercise, to record the heights and weights of pupils in Reception and Year 6 in primary schools, has been introduced.  The data from this exercise will enable Ministers to have a better understanding of children’s needs in this area and will enable schools, Primary Care Trusts (PCTs), Local Authorities and other partners to target resources and interventions where they are most needed.  This data will be used to track local progress and target our efforts more effectively.  Other initiatives already in place include the distribution of an Obesity Care Pathway in May 2006 (including advice for GPs and a self help guide for their patients who are concerned about their weight), proposals to change the nature and balance of food advertising and promotion to children, and development of definitive guidance on prevention and management of obesity (due in November 2006).  The first of six, monthly Obesity Bulletin publications to keep front line staff up to date with developments was also published in May 2006.  The beginning of 2007 will see the launch of a national healthy living social marketing programme, building on the Small change, Big Difference campaign.  Ministers are working with the food industry on salt, fat and sugar reduction in processed foods.In terms of schools, 75 per cent of schools have achieved, or are working towards, Healthy Schools status.  There has been greater investment in school sport and club links, and support for families through children’s centres and extended schools.  New standards for school meals were introduced in September 2006and the Government has started the development of new training qualifications for catering staff, as well as establishing the School Food Trust.  The Government has committed almost £500million between 2005 and 2011 to support the transformation of school food across the school day.  Additionally, the Department for Culture Media and Sport and the Department for Education and Skills are making good progress on the National School Sport strategy, and are on course to meet their target of at least 75 per cent of five to 16 year olds doing a minimum of two hours of PE and school sport by the end of this year. Building on progress to date, the Government is now focusing its efforts to ensure the maximum impact.  The approach to delivery is based on the following four key elements that work together to target and help those most at risk: