Physical Activity within a new Public Health Framework Wright Foundation 2011 Conference

1. Physical Activity within a new Public Health FrameworkWright Foundation 2011 Conference Paul Stonebrook Physical Activity Policy Manager Department of Health

2. Healthy Lives, Healthy People Our strategy for public health in England

3. A new public health system • Public Health England – a national public health service • A return of public health leadership to Local Government • Professional leadership nationally and locally • Dedicated resources for public health at national and local levels • Focus on outcomes and evidence based practice supported by a strong information & intelligence system • Maintaining a strong relationship with the NHS, social care and civil society • Set out in the Health and Social Care Bill

4. A new public health service- Public Health England • New public health service directly accountable to the Secretary of State for Health with a clear mission to; • Achieve measurable improvements in public health outcomes; and • Provide effective protection from public health threats • It will do this by; • Protecting people from infectious disease and biological, chemical and radiological threats; • Helping people and families to be able to take care of their own health and wellbeing; and • Inspiring challenging and commissioning partners from all sectors.

5. Key Route for funding Route for accountability Public health funding and commissioning Local communities Local Authorities, including HWBs GP Consortia Providers Department of Health including Public Health England NHS Commissioning Board

6. Defining commissioning responsibilities – examples

7. Physicalactivity – related indicators? • Domain 2: tackling the wider determinants of health • Reference: D2.21 • Outcome Indicator: Cycling participation • Rationale/Description: Measures the percentage of the population cycling by frequency (no of days) during the previous 4 weeks (good proxy for physical activity participation?) • Data Source: Sport England’s Active People Survey • Domain 3: health Improvement • Reference: D3.5 • Outcome Indicator: Percentage of adults meeting the recommended guidelines on physical activity (5 x 30 min per week) • Rationale/Description: Physical inactivity costs the NHS approximately £1.8bn per annum and WHO reports that it is one of the 10 leading causes of death in developed countries • Data Source: Sport England’s Active People Survey

8. Listening exercise • We’ve set how we think the health and social care system needs to be modernised, but we recognise that there are some questions and concerns about what we’re doing, and about the mechanics of putting these principles into practice; • So now we’ve got a natural break in the Health and Social Care Bill, we’re taking this time to pause, listen, reflect on, and improve the NHS modernisation plans; • We’ve created the NHS Future Forum - a group of 40 patient representatives, doctors, nurses and other health professionals - who will listen and then share their conclusions with Government.

9. Transition- a timetable (subject to the Listening Exercise)

10. Transition- a timetable (subject to the Listening Exercise)

11. Future Direction for Physical Activity • Locally determined • Embracing a ‘Big Society’ approach • Achieving more with less • Evidence driven and evidence based • Focusing upon behaviour change

12. Children and Young People • Change4Life Clubs in Schools • DH investment of £6.4m in 11/12 and 12/13 • Expansion to primary schools • School Games • DH investment of £14m in 11/12 and 12/13 • Four levels of competition • Inclusive • Brochure to all schools in March 2011 • Bikeability Training • Funded for the remainder of this parliament • Sportivate • Six weeks coaching for teenagers and young adults in the sport of their choice

13. Adults / Older Adults • Walking for Health • 60,000 regular walkers • Moving out of Government • 2012 x 2012 • NHS Workplace initiative • 300,000 staff, £555m potential savings • Active Travel • Local Sustainable Transport Fund • £560 million available to the Fund over the 4 year period to 2014-15 • Sport • Gold Challenge • 10,000 adults

14. Responsibility Deal • Physical Activity Network chaired by Fred Turok and Simon Burns • 50 Network members • 5 ‘Collective Pledges’ • Workplace • Active commuting • Community hubs • Tacking inequalities • Disseminating physical activity guidelines • Ambition for 1,000 members signed up to 100 pledges!

15. UK Physical Activity Guidelines • Whole life-course • Early Years • Children and Young People • Adults • Older Adults • ‘Sedentary’ guidelines • Joint UK CMO Report • Reflected through Change4Life as the main communication channel

16. Physical Activity in Healthcare • Let’s Get Moving • Exercise referral • Exercise Referral Toolkit • New guidelines under development • Evaluation of the National Exercise • Referral Scheme in Wales • Sports and Exercise Medicine • PAR-Q+?

17. Questions • Paul Stonebrook • E-mail: paul.stonebrook@dh.gsi.gov.ik