StreetGames & Public Health Commissioning

Public Health Commissioning:

Public Health Commissioning

Slide 2:

“The potential benefits of physical activity are huge. If a medication existed which has a similar effect, it would be regarded as a wonder drug or miracle cure” Professor Sir Liam Donaldson Chief Medical Officer, March 2010

What is commissioning?:

What is commissioning? A structured way of deciding how public money should be spent strategically . It involves: Assessing need Identifying resources available Procuring services Monitoring and evaluating It is more than just contracting.

Who commissions?:

Who commissions? Currently: PCTs and some local authorities With Discretionary budgets Coming soon: Local authorities and Health & Wellbeing Boards With Ring-fenced funding

‘Must haves’:

‘Must haves’

Demonstrating the impact:

Demonstrating the impact Baseline data is essential Participant Outcomes Doing more sport/PA Feeling more confident Better connected with friends More knowledgeable about health More training & qualifications What else? Community Outcomes Less anti-social behaviour More empowerment Safer environment Better trained workforce What else? Sector Outcomes More knowledge Stronger partnerships Better pathways & transitions More sustainable, social enterprises What else? Which impacts will you have? How will you do it? How will you know you’ve done it?

The truths:

The truths You don’t need to be experts in public health You don’t need to know how the body works medically You do need to understand what Directors of Public Health want You do need to prove you can help e.g. by getting people active long-term

The facts:

The facts Young people living in areas of high deprivation are half as likely to participate in sport compared with those from better-off families. Yet there is no shortage of demand. Participation in sport is profoundly skewed by socio-economic status. Inactivity in the UK costs the economy £8.3 billion per year and increases the risk of developing six major diseases. Physical activity declines with age, 16-19 year olds drop out of activity at an alarming rate, but drop-off is not inevitable Sources: Sport England Active People Survey Be Active, Be Healthy, HM Government 2008 2009 Annual Report of the Chief Medical Officer, Department of Health

The benefits:

The benefits Physical activity saves, extends and improves the quality of lives. It is: Preventative – e.g. reducing risks of disease Therapeutic – e.g. alternative to drugs Enhancing – e.g. post-operative recovery Investing in physical activity saves money

Slide 11:

% of children meeting CMO recommended levels % of children spending 6 hours sedentary Sedentary behaviour

Slide 12:

Active people live longer Physical Fitness & Longevity: a Little goes a Long Way, Blair et all A prospective study of healthy men and women JAMA 262:2395, 1989

The data:

The data 2010 Community Health Profiles http://tiny.cc/healthprofile 2010 Child Health Profiles http://tiny.cc/childhealthprofile 2011 Inequalities Indicators http://tiny.cc/inequalitydata Active People Diagnostic http://tiny.cc/activepeople

The evidence:

The evidence NICE Guidance PH17 ‘Promoting physical activity for children and young people’ http://guidance.nice.org.uk/PH17 Active Celebration ‘Using the London 2012 Olympic & Paralympic Games to get the nation moving’ http://tiny.cc/activecelebration Let’s Get Moving ‘A physical activity care pathway for primary care’ http://tiny.cc/lgm Fair Society, Healthy Lives Professor Sir Michael Marmot’s evidence-based strategies for reducing health inequalities www.marmotreview.org

Recognition:

Recognition “ StreetGames operates in our areas of highest inequalities. Large numbers of young people are more active on a regular basis and the activity is sustained.” Dr Felicity Owen Director of Public Health NHS Cornwall and Isles of Scilly In 2010, in recognition of the contribution the StreetGames network has made to improving public health, we received the Sir James Wilson medal at the Chief Medical Officer’s Public Health Annual Awards

Slide 16:

Reaching at risk families Promoting health literacy Convincing families it’s for them Promoting activity literacy Inspiring people to believe they can do it Creating desire to change Triggering action Supporting sustained change Local network Incentives Volunteers Learning by doing Social marketing Style, time, place Empowerment Making it fun Behaviour change cycle StreetGames input Behaviour change

Slide 17:

Employment Training Inclusion Positive Activities Coaching Talent Development Volunteering Participation Wellbeing Drugs & Alcohol Teenage pregnancy Obesity Health Crime Sport Regeneration StreetGames Wider determinants of health

Next steps:

Next steps Get the data for your local area Find out who commissions sport in your area and what their strategic priorities are Work out, and present what you are going to do, who for, who with, when and how (use the evidence base) Understand the impact you will have and how you will show this (know the baseline)