Six (and a bit) months on Dr Mike Brannan Adult Life Course Lead, - - PowerPoint PPT Presentation

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:
• Over 20% less physically active
• Estimated 35%↓ by 2030?
• Physical inactivity is responsible for:
• 1 in 6 UK deaths
• Up to 40% of many long-term conditions
• Estimated £7.4 billion annual cost

2 Sources: 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?

4 Source: 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:

• Cross-sector partnership
• Industrial scale action across the whole

system

• 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
• Cross-government Ministerial & Officials groups
• Strong cross-sectoral engagement
• National campaigns with local tailoring
• Change4Life
• Adult behaviour change programme (in development)
• Media & communications approach
• PHE blogs & Twitter
• Infographics
• Targeted 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:

• Education
• Sports & leisure
• Health & social care
• 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:
• ‘Active’ infrastructure planning
• Capital funding investments
• Embedding activity for all:
• Age-friendly
• Disability-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:
• Human
• 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:
• Settings
• Life-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 challenge

• 42% (38% to 48%) not active enough
• 27% (23% to 31%) ‘physically inactive’

2. Recognise & maximise assets &

• pportunities
• Networks – e.g. LA commissioners, Alliance
• Initiatives – e.g. referral pathways, integrated

services, Year of cycling / Walking

• New approaches – e.g. GHGA pilots

3. Long-term cross-sector commitment and collaboration for tangible, sustainable action

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Let’s get Everybody Active Every Day!

Michael.brannan@phe.gov.uk