HoB PCT Streetgames Presentation

The Importance of Physical Activity on the Health Agenda : 

The Importance of Physical Activity on the Health Agenda Mark Roscoe Commissioning and Development Manager – Physical Activity Heart of Birmingham teaching Primary Care Trust Friday 19th November, 2010

Contents : 

Contents Health impact of sedentary behaviour PCT commissioning Future of the PCT Future commissioning in health

The case for Physical Activity (PA) : 

The case for Physical Activity (PA) Active adults have: 20–30% reduced risk of premature death Reduce the risk of over 20 chronic conditions 50% reduced risk of developing chronic diseases such as CHD, stroke, Type 2 diabetes and some cancers. 37% of CHD deaths attributed to PA Activity reduces the risk of depression and overall mental wellbeing Modest effect on anxiety and stress Only 40% of men and 28% of women meet the health recommendations nationally. Use Active People Survey data 19.5% adults are physically active in Birmingham.

The case for Physical Activity (PA) : 

The case for Physical Activity (PA) It is important to engage people of all ages Biggest public health gain is to get someone from doing no exercise to one activity a week 9% of deaths could be avoid if people raised activity status from low to moderate Younger we start the more likely we will continue In children health benefits are seen through: Reduced prevalence of risk factors Control of weight Adequate peak bone mineral density Mental well being Physical inactivity cost the NHS between £1 and £1.8 billion per year (does not include the cost of obesity) The wider economy it is estimated to be £8.3 billion per year. Average cost to each PCT is £5 million / year

Are we less physically active? : 

Are we less physically active? Compared with 1980: people in the UK now travel 25% less on foot and by bicycle people watch twice as much television half as many young people play extracurricular sport half as many people work in physically active employment If we are less active we are at greater risk of obesity!! Source: Foresight (2007) Tackling Obesities: Future Choices – Project Report, London: Government Office for Science.

Rising trend in Obesity : 

Rising trend in Obesity Source: Health Survey for England, 2005 Figure 1: Obesity prevalence trends from 1993 to 2005 adults, and children aged 2–15 Figures likely to underestimated levels. Foresight Tackling Obesity Report (2007) highlighted that obesity in adults has nearly doubled in the last twenty years Nearly 25% of adults are obese With a further 20-25% who are overweight Should the trend continue, by 2050 over half the UK adult population will be obese

Comparison to West Midlands and England - Reception : 

Comparison to West Midlands and England - Reception Source: Places Analysis Tool http://www.pat.communities.gov.uk/pat/ Last Accessed 05/05/10 Figure 3:

Comparison to West Midlands and England – Year 6 : 

Comparison to West Midlands and England – Year 6 Source: Places Analysis Tool http://www.pat.communities.gov.uk/pat/ Last Accessed 05/05/10 Figure 4:

Health Consequences of obesity : 

Health Consequences of obesity Mortality WHO estimates that in developed countries 9.6% of deaths among men and 11.5% among women are due to overweight and obesity. Applying these rates to deaths in England in 2001 gives a total of 52,500 The rapid rise in childhood obesity is likely to further multiply such effects as their exposure to risk is increased over a longer period

Economic Cost of Obesity : 

Economic Cost of Obesity Costs of obesity Source: House of Commons Select Committee on Health – Third Report Nearly £4bn to the economy and £1bn to the NHS

Update to PA Recommendations : 

Update to PA Recommendations Establish a Physical Activity Guidelines Editorial Group (PAGEG) which will develop the final set of (public facing) guidelines for use across the four home countries. Review of latest scientific evidence on PA and health (and for sedentary behaviours) undertaken for four population groups: Early Years (0 -<5 years) Children and Young People (5-<19 years) Adults (19-<65 years) Older Adults (≥65) UK-wide CMO report to release PA guidelines – tentative launch date March 2011

PCT Commissioning : 

PCT Commissioning Comm’ framework for Health and wellbeing: Stay healthy/independent Choice Closer to home Tackle inequalities Aim to: Personalise service Proactive prevention Partnership Reduce inequalities How / Challenges: Patient centred Understand need High quality service providers Incentivise commissioning

National and Regional Priorities : 

National and Regional Priorities NI8 - adult participation in sport and PA NI 55 - obesity in reception age school children NI56 – obesity in primary aged children NI54 - services for disabled children NI120 – reduce health inequality NI137 - life expectancy at 65 NI57 - children and young people participating in high quality PE NI199 - children and young peoples satisfaction with parks and play areas National policy and strategy Healthy Weight, Healthy Lives Strategy Health inequalities strategy Change 4 Life Campaign National Childhood Measurement Programme National Play Strategy Phys Education Strat’ for Children and Young People Healthy Schools Programme Every Child Matters Child Health Promotion Framework Forthcoming Child Health Strategy At least five a week Be Active Be Health Let’s Get Moving Sport England Strategy 2008 - 2011 Local targets and action Local Area Agreements Local Development Framework Physical activity and sport strategies Community Strategies Implementing Healthy Schools Programme PCT Obesity and Health strategies and plans

NICE Guidance : 

NICE Guidance NICE guidance Promoting PA, active play and sport for pre school to community settings Promoting PA for children and young people Obesity Adult PA Physical activity and the environment Promote and create built or natural environments that encourage and support physical activity Four commonly used methods to increase PA Promoting PA in the workplace

The Future of the NHS : 

The Future of the NHS NHS White Paper: ‘Equality and Excellence: Liberating the NHS’ Patients at the heart of everything we do Give patients more choice and information required to make them GP’s in charge of local commissioning What does this mean? Create a independent commissioning board to allocate money to local GP consortia PCT’s abolished by 2013 - GP consortia will set up in shadow form. SHA will be abolished by 2012 Services will be commissioned locally by GP consortia Local Authorities will take responsibility for health improvement, currently held by PCT’s (Public Health will move to the LA) For Public Health this is unclear until the Public Health White Paper is published in December.

The new environment : 

The new environment Future funding opportunities are unclear: Dependent on new public health white paper and local priorities of GP consortia/Local Authority. Development of appropriate business case: Need to focus on outcomes and PA impact Consider the wider impact that sport and physical activity can have on Coalition policy Communities and Local Government/ Culture, Olympics, Media and Sport/ Environment, Food and Rural Affairs/ Government Transparency/ Jobs and Welfare/ Justice/ NHS/ Political Reforms/ Public Health/ Schools/ Social Action/ Social Care and Disability/ Transport/ Universities and Further Education Need to demonstrate the health impact/cost saving QIPP – Quality, Innovation, Proactive and Prevention Need to build partnerships shadow GP consortia’s/Local Authority to influence decision making and emerging priorities

The new environment : 

The new environment GP’s will be given greater incentives to tackle public health Government will investigate preventative healthcare for those in disadvantaged areas to tackle inequalities: Based on community need – Need to attract those not engaged Outreach services could be developed from clubs Support for areas of high importance – disease prevalence Sustainability is highly important Evidence of effectiveness Cost efficiencies Robust contract/performance management Funding based of outcome deliver

Thank You for listeningAny Questions? : 

Thank You for listeningAny Questions? Mark Roscoe Commissioning and Development Manager – Physical Activity Heart of Birmingham teaching NHS Primary Care Trust Bartholomew House 142 Hagley Road Birmingham B16 9PA Tel: 0121 255 0748 Mob: 07872 416379 Email: mark.roscoe@hobtpct.nhs.uk