everybody active, every day...creating a social movement • changing general attitudes to make...
TRANSCRIPT
Everybody Active, Every Day
– Six (and a bit) months on
Dr Mike Brannan
Adult Life Course Lead, PHE
East on the Move conference
30 June 2015
Inactivity is killing us
• Decreasing activity levels since 1960s:
oOver 20% less physically active
oEstimated 35%↓ by 2030?
• Physical inactivity is responsible for:
o1 in 6 UK deaths
oUp to 40% of many long-term conditions
• Estimated £7.4 billion annual cost
2Sources: Ng SW, Popkin B (2012); Lee I-M, et al. (2012); Wen CP, Wu X (2012); WHO (2010); Ossa D & Hutton J
(2002); Murray et al. (2013)
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Everybody needs to be more active
every day
Source: Health Survey for England 2012 (HSE); Active People Survey 8, April 2103-April 2014 (APS); National Travel
Survey July 2014 (NTS)
The lazy man of the western world?
4Source: Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, for the Lancet Physical Activity Series Working
Group (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. The Lancet; published online July 18.
International comparison of physical inactivity (at ages 15 and over)
Note: Comparator = Not meeting any of the following per week: (a) 5 x 30 mins moderate-intensity activity; (b) 3 x
20 mins vigorous-intensity activity; (c) equivalent combination achieving 600 metabolic equivalent-min.
UK, 63.3%
USA, 40.5%
Australia, 37.9%
Finland, 37.8%
France, 32.5%
Germany, 28.0%
Holland, 18.2%
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%
% Inactive
Everybody Active Every Day
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• Consolidates international evidence and co-produced with over 1,000 local and national stakeholders
• Supports local leaders to reframe, refocus and provide leadership on:o Cross-sector partnership
o Industrial scale action across the whole system
o Focus on addressing inactivity as well as increasing physical activity to health enhancing levels
• Four domains for national and local
action
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1. Active society –Creating a social movement
• Changing general attitudes to make physical activity the
expectation or social norm
• Working across sectors in the places we live and work
• Developing a common vision of:
“Everybody Active, Every Day”
Activities to date
• Visible National leadership
oCross-government Ministerial & Officials groups
oStrong cross-sectoral engagement
• National campaigns with local tailoring
oChange4Life
oAdult behaviour change programme (in development)
• Media & communications approach
oPHE blogs & Twitter
o Infographics
oTargeted trade press
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2. Moving professionals –Activating networks
• Utilising existing network of influencers on the public,
the public & voluntary sector workforce
• ‘Making every contact count’ across sectors and
disciplines
• Starting with expertise & leadership
in key sectors:
o Education
o Sports & leisure
o Health & social care
o Planning, design, transport
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Activities to date
• Healthcare professionals
• Undergraduate spiral curriculum for medical & nursing schools
led by Nottingham university
• Free BMJ e-learning modules on physical activity & long term
conditions & motivational interviewing skills
• Expanding peer-to-peer Clinical Champions programme
• Developing similar curricula and activation approaches for:
• Sports & Leisure professionals
• Teachers
• Planners & architects
• Toolkit for Members of Parliament
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3. Active environments –Creating the right spaces
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• Developing ‘healthy’ cities, villages, towns and communities
• Linking across disciplines through planning and policy:
o ‘Active’ infrastructure planning
oCapital funding investments
• Embedding activity for all:
oAge-friendly
oDisability-friendly
Activities to date
• Transport and Health briefing paper
for travel planners will be published
in Summer 2015.
• Commissioned specific projects
looking at rural active travel
interventions and functional walking in
people with disabilities.
• Working with Active Travel
Consortium group on developing
infrastructure recommendations
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4. Moving at scale –Interventions that make us active
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• Positive change must happen at every level and must
be measurable, permanent and consistent
• Implement ‘what works’ at scale
• Maximise existing assets:
o Human
o Physical
Activities to date
• Direct support to local partnerships
through Centre teams
• Sub-national embedding events
• Standard Evaluation Framework
training programme
• Data and evidence briefings
• Updated NHS cost of inactivity tool
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Evidence for implementation
• Synthesis of existing evidence base (e.g. NICE)
• Evidence-based actions across public health system:oSettings
oLife-course
• Includes five key steps for local action:
1. Every child to enjoy & have skills to be active
2. Safe, attractive & inclusive active living environments
3. Make every contact count in public & voluntary sectors
4. Lead by example in public sector workspace
5. Evaluate and share ‘what works’
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Making it real in the East of England
1. Understand the challengeo42% (38% to 48%) not active enough
o27% (23% to 31%) ‘physically inactive’
2. Recognise & maximise assets &
opportunitieso Networks – e.g. LA commissioners, Alliance
o Initiatives – e.g. referral pathways, integrated
services, Year of cycling / Walking
o New approaches – e.g. GHGA pilots
3. Long-term cross-sector commitment and
collaboration for tangible, sustainable
action
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