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Strategy 2012–2017Be Active: Be HealthyCreating a Moving Culture

ContentsForeword 1

Vision: a Moving Culture 3AmbitionstomakeLiverpoolmoreactive 3

Why Physical Activity matters/benefits of activity 5Healthrelatedqualityoflife 5Physicalactivitymorbidityandlifeexpectancy 6

Liverpool’s demographic data 7HealthInequalities 8MentalHealth 8EquityandInclusion 8Data 9

Physical Activityacross the Life course 10BenefitsforChildrenandYoungPeople 10EarlyYears 105–16 10Childrenwithdisabilities 1416–19 14MaternalFitness 14AdultandFamilyFitness 14Physicalactivityandrecovery 15Easytomissgroups 16RefugeeandAsylumSeekers 16BMEgroups 16OlderPeople 16

Health Economics 17IsPhysicalActivitycosteffective 17

Health Economics of Active Travel 18CycleforHealth 18WalkforHealth 19The20Effect 19

Be Active: Be Healthy Strategy 20Increasingphysicalactivitythroughthelifecourse 21Implementation 21GuidelinesforStakeholders 22Marketingandpromotion 23OlympicLegacy 23EvaluationoftheStrategy 23Targetsforimprovedphysicalactivity 26

Summary 26IncreasephysicalactivitylevelsthrougheverydaylivingInfluenceattitudesandperceptionsofthewholepopulationPromotephysicalactivityandbenefitsforHealth,WellbeingandhappinessMeasuretheimpactofthestrategytoincreasephysicalactivityandcreateamovingculture

The success of Liverpool’sActive City Strategy 2005–2010 28Reviewofprogramme,keyoutcomesandhighlights 28ExamplesofgoodpracticeinLiverpool 28

Acknowledgements 34

Links 34

References 35

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ForewordThereisincreasingevidencethatphysicalactivityisfundamentalforafullandhealthylifeandthatconstantinactivityisbadforourhealth.Liverpoolofferschildrenyoungpeopleandadults,whatevertheirabilities,awiderangeofopportunitiestogetoutandbeactive.Alongsidetraditional‘sport’,parksandgreenspacesthroughoutthecitypromotewalking,throughlocalwalkleadersandhelpfulmaps,cyclingandplay,greengyms,fitnesseventsandarangeoffreeandlowcostactivitiesthroughouttheyear.

Leisurefacilitiesprovideindoorgyms,dance,exercise,swimmingandgroupactivitiesallyearroundandcurrentlyallyoungpeopleundertheageof17havefreeaccessundertheFuturesscheme.

Thecitytravelplanpromotesactivetravelthrougharangeofinitiativesincludingthewalkingbusscheme,trainingandmentoringtobuildconfidencewithyoungandnotsoyoungcyclists,anincreaseinthenumberofcyclelanes,localcyclingmaps,offroadcyclingandsecurebikeparking.

Trafficcalmingandspeedrestrictionsonresidentialroadsencouragepeopletobeoutonthestreetandanetworkofregularbusandrailroutesacrossthecityenablefreedomofmovementformostresidents.

TheLiverpoolBeActive:BeHealthyStrategy(2012–2017)offersafiveyearblueprintforactionthatbuildsonthesuccessoftheActiveCitystrategy(2005–2010).Theaimisforeveryonetoparticipateinphysicalactivityaspartoftheirdailyroutine,whatevertheirageorability,toincreasehealthyweightandtoreducetheburdenofoverweight,obesityandnon-communicablediseasesinthepopulation.

OverthelastfiveyearsthelevelofphysicalactivityintheLiverpoolpopulationhasincreasedbutthereismuchmoretodo.Keystakeholdersfromthepublic,privateandthirdsectorshavecometogethertodevelopthisstrategywithonesharedpriority:ToensurethatpeopleofallagesandabilitiesinLiverpoolareabletoachieveregularphysicalactivitytoincreasegoodhealth,reducetheburdenofdiseaseandcreateatrulyActiveCity.WehopethatyouwillsupportusinourvisiontocreateamovingcultureinLiverpool.

Roz GladdenAssistantMayorExecutiveMemberforHealth

Gideon Ben-TovimChairLiverpoolPCT

Paula GreyJointDirectorofPublicHealth

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Vision: a Moving Culture

Liverpool, a city where people invest in their future health and happiness; by prioritising active choices every day of their lives at home, work, school and play. Be Active: Be Healthy aims to reduce inactivity and enable everyone in the City to be more active whatever their age, ability or health status.

TheBe Active; Be Healthystrategyaimstosupportorganisations,businesses,communities,familiesandindividualstorecognisethemanybenefitsofphysicalactivity,andtoencourageeveryonetoadoptanactivelifestyle.

Introduction

Promotingactivelifestyleshasthepotentialtoimprovephysicalandmentalhealthofeveryoneregardlessofageorability,toreduceall-causemortalityandimprovelifeexpectancy.

Whateveraperson’sage,thereisgoodscientificevidenceoutlinedintheChiefMedicalOfficer’sreport(2012)iithatbeingphysicallyactivecanhelpindividualstoleadhealthierandevenhappierlives.Weknowthatinactivityisasilentkillerand,itisthereforeimportantthatpublichealthandwidercommunityprovidepeoplewiththeinformationandmotivationwithwhichtomakehealthylifestylechoicesinrelationtobeingactive.‘Be Active: Be Healthy’isabannerunderwhichallorganisationscanpromoteopportunitiesforphysicalactivitythataresustainable,affordableandeffective.

Recommendedactivitylevelschangeacrossthelifecourse,detailedguidancecanbefoundinNICEPHguidance17(2009)iandthe2011AnnualReportoftheChiefMedicalOfficeriioutlinedinBox1.

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Box 1How much is enough?

Early Years:physicalactivityshouldbeencouragedfrombirth,particularlyfloorbasedplayandwater-basedactivitiesinsafeenvironments.Childrenofpre-schoolage(0–4years)whoarecapableofwalkingunaidedshouldbephysicallyactiveforatleast180(threehours)spreadthroughouttheday.Allunder-5sshouldminimisetheamountoftimespentinsedentaryactivity(beingrestrainedorsitting)forlongperiods(excepttimespentsleeping).

Children and Young People:allchildrenandyoungpeopleaged5–18shouldengageinmoderatetovigorousintensityactivityatleastfor60minutesanduptoseveralhourseachday.Vigorousintensityactivityincludesactivitiessuchasrunning,jumping,ballgamesorgymnasticsthatproducehighphysicalstressesonthebonestoimprovebonehealth,musclestrengthandflexibility.Allchildrenshouldminimisetheamountoftimespentbeingsedentary(sitting)forlongperiods.

Adults 19–64:shouldbeactivedaily.Overaweekactivityshouldadduptoatleast150minutes(2.5hours)ofmoderateintensityactivityinboutsof10minutesormore.Thisdoesnothavetobecontinuous,itcanbethreeboutsof10minuteseachoralltogether–whicheverismostappropriate.Thiscanbeanytypeofactivitythatresultsinaslightly/moderatelyincreasedheartrate,andcanincludethingsthatadultsdoaspartoftheireverydaylivesincludingwalking,cycling,gardeningorhousework,aswellassport.Whilst30minutesofmoderateactivityisenoughforgeneralhealth,manypeoplearelikelytoneed45–60minutestopreventoverweightandobesity.

Older adults 65+:whoparticipateinanyamountofphysicalactivitygainsomehealthbenefitsincludingmaintenanceofgoodphysicalandcognitivefunction.Somephysicalactivityisbetterthannoneandmorephysicalactivityprovidesgreaterhealthbenefits.Olderadultsshouldaimtobeactiveforatleast150minutes,2.5hours,ofmoderateintensityactivityinboutsof10minutesormoreasforadultsabove.Olderadultsshouldalsoundertakephysicalactivitytoimprovemusclestrengthonatleasttwodayseveryweekandthoseatriskoffallsshouldincorporatephysicalactivitytoimprovebalanceandco-ordinationonatleasttwodaysaweek.Aswithallothergroupsolderpeopleshouldminimisethetimetheyspendbeingsedentary(sitting)forextendedperiods.

Box 2What if I am in a wheelchair or can’t move about much?

Everyonecanengageinphysicalactivity–thosewithrestrictedmovementmayrequiremoreskilledhelpandsupportfrompersonalcoaching,occupationalhealthorphysiotherapy.ThereareWheelchairbasedexercises–andbedexercises,somepeoplemayrequirehydrotherapyorspecialistgymequipment,thisshouldnotbeabarriertobeingphysicallyactive.

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Why Physical Activity Matters/Benefits of ActivityCulturalchangeovertimehasresultedinsocietybecominglessactive.BeActive:BeHealthyaimstosupportLiverpoolpeopletorediscoverthefunandenjoymentofphysicalactivityandtoembraceitasanormalpartofeverydaylife.In2006–07,itwasestimatediiithatdiet-relatedillhealthcosttheNHSintheUK£5.8billion;physicalinactivitycost£0.9billion,smokingcost£3.3billion,alcoholcost£3.3billion,andoverweightandobesity£5.1billion.ThesefiguresshowthatpoordietisabehavioralriskfactorthathasthehighestimpactonthebudgetoftheNHS,closelyfollowedbyoverweightandobesity,alcoholconsumption,smokingandphysicalinactivity(Scarboroughetal.,2011)iv.Thesestatisticshighlighttheeconomicimportanceofphysicalactivitytopublichealth.Inresponsetothisstatistic,physicalactivityhasbeenplacedhighupontheUKpublichealthagenda(CMO,2011).

Therearesomeveryeasychangesthatchildren,youngpeopleandadultscanmaketoincreasephysicalactivity,forexample,takingthestairsinsteadoftheliftorescalator;breakuplongsittingtimesbystandingandmovingabouteveryhour;spendtimeoutinthefreshairwithfamilyandfriends;embracesportanddanceopportunitiesandchallenges,andengageinplayfulsocialactivities.Buildingtimeforphysicalactivityintodailyroutinesthroughoutthelifecoursedefineswhatwemeanbyamovingculture.

Health-related Quality of Life

TheChiefMedicalOfficer’sreport2009(ibid)clearlysetoutthebenefitsofphysicalactivityacrossthelifecourse.HoweverarecentreportfromtheLancetrecognizesthat:

“ The global challenge of making physical activity a public health priority will not be easy to undertake, nor should it be taken lightly. Lessons can be learned from advances made in nutrition and tobacco control, but physical activity should be a separate and equal concern, and recognised as a unique speciality in public health. It is especially important to address physical activity and non-communicable diseases in low-income and middle-income communities. The largest increases and burden of non-communicable diseases are now seen in low-income areas where participation levels in sport and physical activity are poor. Altering this situation must be a priority in the next decade.”v

Sustainingmoderatephysicalactivityeverydayhelpstopreventandmanageover20chronicconditions(Box3),includingcoronaryheartdisease,stroke,type2diabetes,cancer,obesity,hypertension,mentalhealthproblemsandmusculoskeletalconditionsvi.

Ingeneralterms,physicalactivityplaysasignificantroleincontrollingweightandreducestheriskoftheconditionslistedbelow,inadditiontohavingapositiveeffectonmentalwellbeing.RecentresearchviihasshownthatinLiverpoolonly21%ofadultsareactiveenoughtobenefittheirhealth.Thisisalliedtothefactthatonly1-in-3boysand1-in-5girlsaged9–11areachievingthetargetforchildrenofatleastonehourofphysicalactivityperday.

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IfcurrenttrendsinLiverpoolcontinuethenitisprojectedthatby2020nearlyonethirdofthepopulationwillbeseriouslyoverweight.Regularphysicalactivityhasasubstantialtherapeuticroleforadultsandolderpeoplesufferingarangeofconditions.Beingphysicallyactivehasanimpactonotherconditionssuchasdepressionandanxiety,dementia,pain,stroke,backpainandconstipation.Itcanhelpwithlifechangingdecisionssuchaschangeofeatingpatterns,smokingcessationandalcoholreduction.

Thestrengthoftherelationshipbetweenphysicalactivityandhealthoutcomespersiststhroughoutlife,highlightingthepotentialhealthgainsthatcouldbeachievedifmorepeoplebecomemoreactivemoreoften.

Physical Activity Morbidity and Life Expectancy

Box 3Physical activity is associated with:

wImprovedgeneralfitnessw Improvedcardiovascularfitness,muscularstrengthandendurance,

flexibilityandmotorskills.w Reducedbackpain.w Improvementsinbalance,co-ordinationandstrengthhelptoreducefalls

andfracturesinolderpeople.w Improvedmobilityforpatientswithosteoarthritisw Improvedbonedensityandreducedriskofosteoporosisw Improvementintheabilitytodoeverydaytasks.Canhelpolderpeople

tomaintainindependentlivingw ReducedchancesofsufferingfromCoronaryHeartDisease(CHD),

Stroke,someformsofDiabetes,Osteoporosis,ObesityandDepressionw Improvedcardio-respiratoryfunctionw Reducedriskofrepeatheartattacksw Reducedriskofcardiovasculardiseasew Reducedriskofhypertension(highbloodpressure)w Reducedriskofall-causecancerspecificallycoloncancerw ReducedriskofdevelopingType2diabetesw Reducedcholesterollevelsw Reducedsymptomsofdepressionandanxietyw Enhancedfeelingsofwell-beingw Minimisedsocialisolationandprovidessocialisingopportunitiesw Maintenanceofahealthybodyweight,toloseexcessweightandpreventobesity.

Reducedriskofbreastcancerinpost-menopausalwomenw Encouragementforsomepeopletogiveupsmoking

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Health related quality of life Thereisapositiveassociationbetweenleisuretime,physicalactivityandhealthrelatedqualityoflife(HRQoL)foreveryone.Physicalactivityisspecificallyapplicabletoarangeofdiversepopulations’e.g.elderlypeople,andthosewitharangeofconditionssuchasdiabetes,cancer,osteoarthritisandchronicobstructivepulmonarydisorder(COPD).

Physical activity and life expectancy Physicalactivity,fromlowtomoderateandhighintensity,isassociatedwithincreasedlifeexpectancy.Peoplewhoaresufficientlyactivecanliveaqualitylifebetween7–14yearslonger.Inaddition,avoidingasedentarylifestyleduringadulthoodpreventscardiovasculardisease,independentlyofotherriskfactors;thussubstantiallyincreasingtotallifeexpectancy,andcardiovasculardisease-freelifeexpectancyformenandwomenviii.

Alackofphysicalactivityisassociatedwithoverweightandobesity.Asmanyas2.8millionadultsdieeachyearasaresultofbeingoverweightorobese.Addtothis44percentofthosewithdiabetes,23percentofthosewithischemicheartdiseaseandbetween7and41percentofcertaincancerburdensareattributabletooverweightandobesity(WHO,2011)ix.

Box 4What stops people participating in physical activity?

Thiscanbethroughlackof:

w Knowledgeandinformationabouthowtheycanbenefitfrombecomingmoreactive

w Knowledgeandinformationaboutfacilitiesandprogrammesavailable

w Timeoftenduetootherpriorities(e.g.workandfamilycommitments,othersocialorleisureoptions)

w Anexercisepartnerorsocialsupport

w Availableor‘welcoming’facilities/resources

w Motivationandpositiveattitude

w Financialconstraints

Liverpool demographic and health dataThepopulationofLiverpoolisabout445,200.Therearesignsthathealthisimprovingacrossthecity,withsomeencouragingdataonhealthimprovementbeingreported.Althoughlifeexpectancyisstillthreeyearsbelowthenationalaveragetherehasbeenagradualincreaseintheyearsoflifelived.GoodnewsstoriesincludeareductioninSmokingprevalencefrom35%to27%since2005andareductioninCVDratesoverthesameperiod,andincreasedsurvivalratesforsomeCancers,Inadditionchildren’sattainmentlevelsinphysicalactivityandacademicworkisincreasing.In2011allschoolsinthecitywerecategorisedsatisfactory,goodoroutstandingbyOfsted.In201287%ofchildreninprimaryschoolswereabletoswim25metresx.

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Health Inequalities

Liverpoolisacitychallengedbytheseverityandextentofdeprivationacrossmostareasinthecity;thisisreinforcedbythenumberofsmallgeographicalareaswhichfallwithinthemostdeprived1%acrossthecountry.Liverpoolhas22suchareas(LocalSuperOutputAreasorLSOAs)xi.

CancerratesforthecityareimprovingbuttheyarestillthehighestinEngland,38%abovethenationalaveragexii.Approximately80,000adultsand13,000childrenareobese,withdirectcoststoLiverpoolNHSaround£5millionperyearandafurther£15milliontothewidereconomy.Inadditionhipfractureanddementiaprevalencearemuchhigherthanthenationalaverage.

HealthinequalitiesacrosstheUKarewideningespeciallyinareasofhighdeprivation(MarmotReport,2010)xiii.Inequalitiesareevidentinphysicalactivitylevelsxiv(ActivePeoplesSurvey,2011)andchildren’sfitnessxv(Sportslinx,2010).

Mental Health

Physicalactivitycanimprovementalhealthandwellbeing.Howthishappenswearenotyetexactlysure,theRoyalCollegeofPsychiatristssuggestseveralpossibilities,seeBox 5.

Box 5

w Mostpeopleintheworldhavealwayshadtokeepactivetogetfood,waterandshelter.Thisinvolvesamoderatelevelofactivityandseemstomakeusfeelgood.Wemaybebuilttoenjoyacertainamountofexercise.

w Exerciseseemstohaveaneffectoncertainchemicalsinthebrain,likedopamineandserotonin.Braincellsusethesechemicalstocommunicatewitheachother,sotheyaffectyourmoodandthinking.

w Exercisecanstimulateotherchemicalsinthebraincalled‘brain-derivedneurotrophicfactors’.Thesehelpnewbraincellstogrowanddevelop.Moderateexerciseseemstoworkbetterthanvigorousexercise.

w Exerciseseemstoreduceharmfulchangesinthebraincausedbystressxvi.

Equity and Inclusion

Participationinsportandphysicalactivityisnotequitableandtherecontinuestobesectorsofthecommunitythatfaceadditionalbarriers,whichrestricttheiropportunitiestotakepartintheseactivities.EvidencefromtheActivePeoplesurveyshowsthatthereisamarkedunderrepresentationoffemalesandpeoplewithdisabilitiesparticipatinginregularphysicalactivityacrossthecity;olderpeople,peopleonlowincomeandsomeethnicminoritygroupsalsofacebarrierstoparticipation.

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Approaches to tackle these inequalities include:

w Reducingthefinancialbarriertoparticipationbyprovidingfreeaccessorlowerpricesforlowincomegroups.

w Ensurethattheneedsofidentifiedtargetgroupsaretakenintoaccountinthedesignanddeliveryofnewsportandactivityprogrammesandfacilities.

w Regularmonitoringofparticipationratesbytargetgroupscitywide,atneighbourhoodlevelandwithinspecificfacilitiesandsportsprogrammesdeliveredbyarangeofpartnerorganisations.

Box 6Being active can bring social benefits

w Improvedself-esteemandconfidencew Opportunitiestomeetnewpeopleand

developfriendshipsw Wideningsocialnetworksw Intergenerationalactivityincludingplay,

dance,singing,cyclingandwalkingw Promotionofamorepositiveandactive

imageofolderpeoplew Maintenanceofcaringskillsw Physicalactivityprovidesopportunities

forrelaxationandenjoymentandw Itisagreatwaytoletoffsteamandjust

havefun

Data

TheLiverpoolActivePeople’sSurvey(2011),demonstrateda3%increaseinthenumberofinhabitantswhoweresufficientlyactivebetween2005and2011thiswasalmostfourtimeshigherthanthenationalchangeof0.7%.Thereismuchdiscussionwhetheroverweightandobesityisanoutcomeofpopulationphysicalinactivity,orifthereductioninphysicalactivityisduetooverweightandobesity.WhicheveristruethenumberofobesepeopleinLiverpoolhasincreasedduringthepastyear.Between2008–9and2009–10,theamountofadultsrecordedasobeseinLiverpoolroseby4,446(to45,843)–thefifthhighestincreaseinEngland(PCT,2010).

TheActivePeopleSurvey4demonstrateda5.2%increaseinthenumberofparticipantssufficientlyactiveinCityandNorthareaofLiverpoolhelpingtoreducephysicalactivityinequalitiesinthatpartofthecity.

Figure 1: Number of adults in Liverpool who participate in physical activity at least three days-a-week x 30 minutes moderate participation per week

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Physical Activity across the life course

Benefits of Sport and Physical Activity for Children and Young People

Sportandphysicalactivityarefundamentaltothedevelopmentofchildrenandyoungpeoples’healthandwellbeing,andtheirabilitytoleadhealthy,activelifestyles.Healthypupilsaremorelikelytobemoreeffectivelearners.

Regularparticipationinsportandphysicalactivitycanimpactonchildrenandyoungpeople’sattainmentthrough:

w Increasedattendanceatschool

w Improvedbehaviour

w Increasedconfidence

w Increasedsenseofbelonging

w Raisedaspirations

w Developlife/employabilityskills

w Supportforcross-curricularlearning

w Increasedknowledgeofhealthylifestyles

Sportandphysicalactivityisalsoapowerfulwaytodeveloppupils’widerskills,qualitiesandaspirationsasparticipants,leadersandorganisers,whichimprovetheoverallschoolenvironment.AllchildreninLiverpoolhaveaccesstothefuturesprogramme.TheBe Active: Be Healthystrategyaimstointroduceamovingcultureacrossthegenerations.

Early Years

Children’sCentresinLiverpoolofferawidevarietyofactivitiesforchildrenaged0–5andtheirfamiliesprovidingopportunitiesforthemtodeveloptheirphysicalskillsandenjoyhealthierlifestyles.

Children’scentreshaveawholefamilyapproach,recognisingtheimportanceoftheparental/carerroleininfluencinghealthyoutcomesfortheirchildren,andsoencouragingwholefamilyparticipation.

Bothaccreditedshortinterventionprograms,suchasHENRY(HealthyEatingandNutritionfortheReallyYoung)andwellasawealthofotherphysicalactivityprogramssuchasJumpingJacks,Zumba,swimmingsessions,gymtots,activeplayandmusicalsongandrhymesessions.Physicalactivitysessionsarecomplementedbyhealthyeatingsessionssuchas‘Cookingonabudget’,‘5-a-day’,‘Littlechefs’,foodbanksand,forthosewhoareeligible,accesstoHealthyStartvitamins.

Children 5–16

ThereareawiderangeofopportunitiesforLiverpoolchildrenandyoungpeopletobeactive:

TheFuturesProgrammeoffersfreeaccesstotheLifestylesLeisureCentresforchildrenandyoungpeopleagedupto17years.Thenew‘Futuresoffer’wasintroducedattheendofJuly2011.Theofferincludesfreeswimmingforthedurationofthemembershipplusfreefitnesssuiteusageforonemonthafterregistration,afterwhichFuturescustomerspayagreatlydiscountedamountof£1persession.Futurescustomerscanbookfreebadminton,squashandindoorcourtsforsometeamsports.

Percentage of 11 year olds able to swim at least 25m

Source:LiverpoolCityCouncildatafromschoolswimmingprogramme-validatedbyAmateurSwimmingAssociation.

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SincethenewFuturesofferwasintroduced,thenumberofvisitstotheendofMay2012hadincreasedby57,000comparedwiththeperiodfromAugust2010toMay2011:

w Thenumberofyoungpeoplejoiningtheschemehasbeenconsistentatanaverageof1,000permonth.

w ThefreeSwimmingofferhasresultedin26,950morevisits.

w TheFitnessSuiteofferhasresultedin26,095morevisits.

w Over80%ofLiverpoolchildrenachievea25mswimbeforetheyleaveprimaryschool.

Liverpoolschoolsoffertwohoursofphysicalactivityperweekforallpupils.Thisisco-ordinatedbytheSchoolsportspartnership.Arangeoforganisation’sworkwithschools,forexamplethefireserviceofferafirefitprogramme–engagingyoungpeopleininnovativewaysbyusingfungamestoencourageincreasedactivity.

WiththesupportoftheSportandOutdoorRecreationDivision3,600LiverpoolJuniorsplayfootballinlocalleaguesacrossthecityeveryweekendfromthemiddleofAugustthroughtothemiddleofMay.Thisequatestoapproximately400JuniorFootballTeams,agesrangefrompre-7stoUnder-18s.

Percentage of Children and Young People taking part in at least two hours PE and Sport a week

Source:PESSCLsurveyandLiverpoolSchoolSportsPartnershippupilquestionnaire.

Merseyside School Games

TheSchoolGamesvisionprovidesopportunitiesforeveryyoungpersontoachievetheirpersonalbestinandthroughsport,ithelpsraiseaspirations,self-confidence,andteamwork;winningwithgraceandlosingwithpride.TheSchoolGamescontributetosportperformance,healthandwellbeingandwholeschoolattainment.SchoolGamesprovidesastrategicpriority,itistheGovernmentpolicyforSchoolSportcompetition.ItisfundedbytheDepartmentofCulture,MediaandSport(DCMS),DepartmentofHealth(DH),DepartmentforEducation(DfE)andSportEngland(SE)LotteryFunding.

Thismulti-sportsfestivalattractsoverathousandchildrenandyoungpeopleeachyeartotheWavertreeSportsComplex.Thecompetitorsparticipateintensportsincludingfootball(girls),golf,netball,pentathlon(disabilitymulti-sportsevent),athletics,rounders,rugbyunion,swimming,tabletennisandtennis.

TheannualMerseysideSchoolSportsCalendarconsistsofacombinationoftwohighprofilecountywidemultisportsfestivals(WinterandSummerSchoolsGamesFestivals),complementedbyacomprehensiveyearroundsetofsportsspecificprogrammes.

Movement and Dance

Merseyside dance initiative, rise and shine(breakfastactivityclubs)BetweenSeptember2011andJuly2012‘RiseandShine’sessionstookplacein82primaryschoolsengaging24,600children.238PrimarySchoolTeachersarenowqualifiedtodeliverthisprogramme.OtherLocalopportunitiesincludemusicwiththeLiverpoolPhilharmonic’s‘InHarmony’xviiprogram,localcommunityactivitiessuchasdrumming,majorettesandarangeofinnovativeactivities.

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Specialist services for children with additional needs:

LiverpoolintegratedcarepathwayChildrenwithmildtomoderatedisabilities–inclusivefitnessinitiative,thisisbasedonanationalaward.ItisdeliveredinKensingtonthroughthepediatricphysiotherapyservicewithpsychologicalsupportfromtheHavenprojectandtheCAMHSteam.

Specialistsupportforchildrenwithseveredisabilitiesisprovidedthroughpassionateanddedicatedteachersandhealthstaffwhoworktogethertoensureallchildrenhavetheopportunitytobeactiveandhavefun.ManyofLiverpool’sspecialschoolsprovideactivitiessuchasafterschoolclubs,horseriding,cycling.Childrenandtheirfamiliesareabletoaccessphysiotherapy/psychologysupport.TheHavenprojectxviiioffersarangeofactivitiesandsupportforrefugeeandasylumseekingchildrenfamilies.

ThelocalfootballclubsEvertonandLiverpoolarebothengagedinsupportingchildrenandfamiliestoengageinmorephysicalactivitiesthroughtheircommunityfoundations.Thecityboastsaflagshipfordisabledleisurefacilities,theGreenbankSportsAcademy(seepage28).

Opportunities for16–19 year-olds

Youthservicesthroughthe0–19networkbringtogetheropportunitiesthroughorganisationsandcommunities.TheYouthserviceisnowlinkedwithplayservices–aspartofanintegratedserviceacrossthecityincollaborationwithLiverpool’s12LifestylesCentres.Athleticsandsportsclubsplayavitalroleinencouragingyoungpeopletoreachtheirfullpotentialandengageinlocal,nationalandinternationalsport.

Role Models

TheLondonOlympicandParalympicgames2012hasbeenatremendousopportunitytoseeyoungathletesfromlocalclubsgaininginstrengththroughcycling,athletics,boxing,tai-quando,swimminganddiving.Thegamesshowedhowbarrierscanbeovercomeandsuccessachievedbypeopleofallageswithawiderangeofconditions.Themessagefromtheseyoungpeopleisthatwithhardworkanddedicationanyonecansucceedintheirchosenactivityorsport.

Maternal fitness

LiverpoolisdevelopingafitnessprogrammewiththeLiverpoolWomen’sHospitaltopromotephysicalactivityandbuildstrengthduringpregnancy.Mama-fitxixisaninnovativesix-weekanteandpostnatalprogrammedeliveredinthreechildren’scentresacrossthecity.ItisfocussedonpregnantwomenwithaBMIover30butanypregnantwomanwhowishestoengageintheprogrammeiswelcome.

Adult and Family fitness

Active Parks

Liverpoolhassomeofthemostattractiveparksinthecountrywithmanyofthemhavingachieved‘GreenFlag’status.TheActiveParksinitiativeaimstoencouragelocalcommunitiestomakeuseoftheirlocalparkforarangeofsportorotherphysicalactivityrelatedinitiatives.Thiscouldbeforteamgamessuchascricketorrounders,orforindividualpursuitssuchastennis,running,walking,cyclingorbowls.Liverpoolparksfacilitatefunactivitiesforallthefamilyincludingtheuseoffamilybikesandspeciallydesignedboatingactivities.

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TheparkshaveplayedhosttoanumberoflargescalehealthandwellbeingrelatedeventsincludingtheParksRunserieswhichfeatureseliteracesandfunrunscoveringavarietyofdistances.ThesehavesignificantlyincreasedinpopularityandeveryweekendtheParksRunningClubsmeettoeitherholdarunningeventorhaveatrainingsession,withseveralhundredpeopleparticipatingonaregularbasis.

Liverpool Sport Relief Mile

OneoftheUK’sbiggestfundraisingevents,SportsReliefbringstheentirenationtogethertogetactive,raisecashandchangelives.StartingattheEchoArena,theroutefortheLiverpoolMilefollowstheMerseyWaterfrontwiththousandsofparticipantsofallagesandabilitiesrunningorwalkingone,threeorsixmiles.

Professional Sports Clubs Partnerships

PartnershipshavebeenformedwithanumberofprofessionalsportsclubsinthecitytooffersupportinraisingtheprofileofsportandphysicalactivityinLiverpool.ThisincludesLiverpoolandEvertonFootballClubswhofeatureActiveCityinitiativesontheirrespectivewebsites.ThroughtheirCommunityDevelopmentDepartmentstheywillconveyActiveCityrelatedmessagestolocalresidents.PlayersfromtheseClubsmayattendeventssuchaslaunchesandprizegivingceremoniesasappropriate.

Physical Activity for health

Phase 4 Cardiac Rehabilitation Scheme

Thisschemestartedin2009whentheannualnumberofparticipantswas1,177themostrecentannualdata(2011)identified1,826participants.

AtpresenttheschemeisavailableatthreeoftheLifestylesLeisureCentresacrossthecity,Garston,EvertonParkandthePeterLloydLeisureCentre,Tuebrook.TheschemeisfreetoparticipantswithsessionsdeliveredbyfullyqualifiedLifestylesFitnessInstructors.OncompletionoftheschemeparticipantsaresignpostedontootherappropriateexercisesessionssuchastheExerciseforHealthScheme.

Exercise for Health

Theschemestartedin2000.ItisajointinitiativebetweenLiverpoolSportandOutdoorRecreationDivisionandLiverpoolPrimaryCareTrust.Itoffersaspeciallytailored12weekexerciseprogrammethrough8LifestylesLeisureCentresacrossthecityand3CommunityCentresforpeoplethathavespecificmedicalproblemsthatcanbeimprovedbyincreasingphysicalactivitylevels.Atpresent,over90GPsreferanaverageofover2,500peopleperannumtotheschemewhichoffersuseoftheFitnessSuites,Swimming,TaiChiandarangeofotherappropriateactivityclasses,supervisedbyfullyqualifiedstaff.Theschemeisoneofthebiggestofitstypeinthecountryandasaresultofitssuccessadditionalsessionshavebeenmadeavailableintheeveningsandatweekendstoincreasecapacity.

Workplace Wellbeing Charter

TheWorkplaceWellbeingCharterisanopportunityforemployerstodemonstratetheircommitmenttothehealthandwellbeingoftheirworkforce.Thepositiveimpactthatemploymentcanhaveonhealthandwellbeingiswelldocumented.Thereisstrongevidencetoshowthathavingahealthyworkforcecanreducesicknessabsence,lowerstaffturnoverandboostproductivity–thisisgoodforemployers,workersandthewidereconomy.

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TheWorkplaceCharterprovidesemployerswithaneasyandclearguideonhowtomakeworkplacesasupportiveandproductiveenvironmentinwhichemployeescanflourish.Ittakesanholisticapproachthatincludesphysicalandmentalhealthandhealthpromotion.TheCharterfocusesonthreekeyareas–leadership,cultureandcommunication–whereevensmallchangescanmakeabigdifferencetothehealthofstaff.

TheCharterincorporatesallaspectsofhealthylivingincludingincreasingparticipationinsportandphysicalactivity.Over300Liverpoolbusinesseshaveregisteredtobepartofthechartersincetheschemewaslaunchedin2011.

Easy to miss groups

LiverpoolisadesignatedareaforRefugeeandAsylumseekersmanyofwhomareinthecityforashorttimebutsomemaketheirhomehere.AsylumLinkandRefugeeActionaimtosupportthesegroupsintophysicalactivitybyengagingwithlocalLeisureservicesandasmallnumberofbicyclesmaybeaccessedforasmallcharge.

Black and Minority Ethnic groups

ArangeofactivityprogrammesspecificallyforpeoplefromBlackandEthnicminority(BEM)communitiesaretakingplaceinanumberoflocationsacrossthecity.ForexampletheAquaticsCentreoffersswimmingsessionswhichareexclusivelyforMuslimWomenwiththesessionsbeingsupervisedbyfemaleInstructorsandLifeguards.InNovember2012thenewFirefitCentrewillopentothepublic.ThisstateoftheartfacilityisbeingoperatedthroughapartnershipbetweenMerseysideFireandRescueServiceandtheSportandOutdoorRecreationDivisionoftheCityCouncil.

ItislocatedintheheartoftheToxtethareaofthecitywhichhasasignificantnumberofresidentsfromBEMcommunities.Thecentrewilloffersportingactivities,fitnessstudio,coachedactivityclassesandhasbeenconsultingwithlocalpeoplearoundwhatactivitiestheywouldliketoseeoffered.

BoththeWalkandCycleforHealthSchemesalsohavegoodparticipationlevelsfrompeoplefromBEMcommunitiestogetherwithanumberofpeoplefromthesecommunitiesnowbeingqualifiedasWalkandCycleLeaders.

Older People

Manypeopleacceptweaknesspainandlossoffunctionasaninevitableconsequenceoftheageingprocess.Manyofthesearenotduetoageingbutareduetolackofphysicalactivity.Bymaintainingstrengththroughphysicalactivityfallscanbereducedandolderpeopleareabletoenjoyactivephysicalfunctioningwellintotheireightiesandnineties.Anexampleofhowintergenerationalbenefitscanbeledbymeetingtheneedsofolderadults:

“ The Austin Rawlinson Lifestyles Centre in South Liverpool has introduced the Liveability service. The Scheme provides a range of physical activity sessions to older people including use of the Fitness Suite, Swimming, Dance, Chair Based Exercise. These sessions are supervised by qualified Instructors. Together with the physical health benefits which Liveability provides there are also mental health benefits as the service provides opportunities for people to socialise, make new friends and have fun.”

FurtherinformationontheLiveabilityprogrammecanbeseenonpage28.

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Health Economics:is physical activity promotion cost-effective?ArecentreportonhealtheconomicsundertakenonbehalfoftheLiverpoolPublicHealthObservatoryconcludedthatallapproachestopromotingphysicalactivitywerehighlycosteffective(Lewisetal.,2010)xx.Table1summariseskeyfindingsfromaliteratureanalysisonthehealtheconomicsofphysicalactivitypromotionthroughbriefinterventions,schoolandworkplace,environmentandmassmedia.Alltypesofphysicalactivitypromotionwerewellwithinthe£25000costperQualityAdjustedLifeYear(QALY)cutoffrecommendedbytheNationalInstituteforHealthandClinicalExcellence.

Table 1: Examples of health promotion economic analysis

Type of promotion Economic Analysis

Brief interventionsBriefintervention:anyinterventioninvolvingverbaladvice,encouragement,negotiationordiscussionwiththeoverallaimofincreasingphysicalactivity.Theinterventionshouldbedeliveredinaprimarycaresettingbyahealthorexerciseprofessional,withorwithoutwrittenorothersupportorfollow-up.

Briefinterventionsinprimarycarehaveproventobeexceptionalvalueformoney,atbetween£20and£440perQALY.Briefinterventionandonemotivationalinterviewwithahealthvisitorcomparedtobriefadvicealone(matrix2006,basedonHarland1999).YieldedanadditionalQALYof1.52perperson–costsavingof£3,301perperson.

The environment

Thereisstrongeconomicevidencetosupportthecosteffectivenessofthebuiltenvironmentinpromotingphysicalactivity.Healthandeconomicbenefitsofactivetraveloutweighthecosts9fold.The‘LivingStreets’programmeisagoodexampleofthis–theprogrammetookplacein2012acrossseveralpartsofthecountry.Costsrangedfrom£90to£25000perQALYwww.livingstreets.org.uk

School and workplace

WorkplacehealthpromotionreviewedbyNICEcost£56,000butsaved£311,547.Workplacewellbeingcharterover300businessesregisteredaspartofthecharterwhichincludesphysicalactivityaspartofworkplaceimprovements.Thisincludedcycleandwalktoworkschemes

Mass Media

Massmediacampaignswerethemostcosteffectiveofsixinterventionsusingacost-utilityanalysis.A7weekBBCmass-mediacampaignincreasedadultschancesofbeingphysicallyactivebynearly17%.

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Health economics of an Active Travel strategy Merseyside’sthirdlocalTransportPlanbasedonanactivetravelcultureoutlinedtheneedtodemonstratevalueformoney.Itidentifiedthatwalkingandcyclingcoulddeliverhealth,environmental,socialandeconomicbenefits.In‘cyclingdemonstration’townsevery£1investedincyclingpromotionproducedahealtheconomicreturnof£2.59.Whenconsideringinfrastructurecostsalone,itwasfoundthataninvestmentof£1millionrequiresonly109peopleeachyeartobecomeregularcyclistsforareturnoninvestmentwhenconsideringthebenefitstohealth,congestionandpollution.

Cycle for Health

ThecycleforHealthschemehasbeensuccessfulinincreasingtheactivitylevelsamongstlocalcommunities.Therehavebeenyearonyearincreasesbothinthenumberofsessionsavailableandinthenumberofparticipants.Sessionshavebeendeliveredfromadditionalvenues,providedbyarangeofpartnerorganisationsandcommunitygroups.CycleforHealthnowdeliversfrom23venuesacrossthecity.

TheWheelsforAllprogramme(Cyclingforthosewithadisability)operatesfromthreevenuesinLiverpoolincludingWalton,WavertreeandSpeke.Sessionsarepopularwithdisabledandnon-disabledparticipants.

Oneoftheadditionalbenefitsarisingoutoftheaboveprogrammeshasbeenthatmorepeoplehavepurchasedtheirownbike,whilstothershaveencouragedfriendsandfamilytoparticipateinsessions.

ManyparticipantshaveexperiencedtheparksinthecityandtheLoopLineforthefirsttime.In2005–2006attheinceptionofCycleforHealth,theschemeofferedsessionsfromtwovenues,which86peopleattended.Recentfigures(2012)fromthe23venuesshowthattherearenow636participantsandthattheyhavecompletedanannualtotalof4,990rides.Over100VolunteershavebeentrainedasCycleforHealthLeaders,and150CycleforHealthcycliststakeparteachyearintheLiverpooltoChesterbikeride.

CycletoWorkSchemesarepopularinthecity,manyemployersofferthistypeofscheme;datashowsthat58%ofallcartripscoverlessthan5miles.Employersmayrunacycletoworkschemethemselvesorworkwithathird-partyprovider,likeabikeshop.Employeescangainaccesstoaloanedbikeand/orsafetyequipmentthroughthisscheme.Employeesmustusethebikeand/orsafetyequipmentmorethan50%ofthetimefor‘qualifying’journeys.Thismeansajourneyorpartofajourney:

w betweenyourhomeandworkplace

w betweenoneworkplaceandanother

w toandfromthetrainstationtogettowork

Takingpartintheschememeansthereisnolumpsumupfronttobuyabikeand/orsafetyequipment.Instead,thebikeand/orequipmentisloanedfromtheemployer,uptothevalueof£1,000.Benefitsincludeimprovedhealthandwellbeingforemployeesandreducedsicknessabsence.

“ Using my bike for work provides me with a good way of keeping fit and healthy every day, I find it a relaxing way of travelling about the city and gives me thinking time. I also love being able to be outdoors in all weather”

Karen,CommunityNurseinLiverpool

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These schemes support the priorities of the Local Transport Plan 2010–15 to:

w HelpcreatetherightconditionsforsustainableeconomicgrowthbysupportingtheprioritiesoftheLiverpoolCityRegion,theLocalEnterprisePartnershipandtheLocalStrategicPartnerships.

w Provideandpromoteaclean,lowemissiontransportsystemwhichisresilienttochangestoclimateandoilavailability.

w Ensurethetransportsystempromotesandenablesimprovedhealthandwellbeingandroadsafety.

w Ensurequalityoftravelopportunityforall,throughatransportsystemthatallowspeopletoconnecteasilywithemployment,education,healthcare,otheressentialservicesandleisureandrecreationalopportunities.

w Ensurethetransportnetworksupportstheeconomicsuccessofthecityregionbytheefficientmovementofpeopleandgoods.

w Maintainourassetstoahighstandard.

Walk for Health Walk for Healthwaslaunchedin2006whentherewere11venuesfromwhich384peopleparticipatedinthescheme.VolunteerstrainedasWalkLeadersdeliveredthesesessions.Theschemehasgrowninpopularityandavailabilitysincethattime,andIn2011,theschemewasdeliveredfrom34venues,11,305walkswerecompletedwith2,111peopleparticipatinginthosewalks.

Safetyisakeyaspectofactivetravel;Liverpoolhasbeenproactiveinconsideringhowtoreduceroadtrafficaccidents,andtoencouragemorelocalisedphysicalactivity.

The 20 Effect

LiverpoolNHSPublicHealthDepartmentandLiverpoolCityCouncilareworkingtogether,supportedbyMerseysidePolice,toincreasethenumberofLiverpoolroadswitha20mphspeedlimit.Drivingatslowerspeedswillreducethenumberofdeathsandinjuriesfromroadaccidents.31%ofLiverpool’sroadnetworkalreadyhas20mphzoneswithtrafficcalmingmeasures,suchasspeedhumps.Thishasgreatlyreducedthenumberofcollisionsinthesehighriskareas.The20Effectaimstointroducea20mphspeedlimitonafurther39%ofresidentialroadsinthecityIntotal70%ofLiverpool’sroadswillbespeedrestrictedto20mph.

Thebenefitsofa20mphlimitextendbeyondreducingthenumberofaccidents.Alowerlimitwillmakeitsaferforcyclingandwalkingthereforeprovidingmoreopportunitiesforphysicalactivityandincreasingsustainabletransport.Reducedspeedscanimprovetheenvironment–reducingnoiseandimprovingairquality.Togetherwithimprovedsafetythiscanmakeourstreetsmorepleasantplacestobeforeveryone.Wewanttocreateacityforlivinginratherthanjustthoroughfaresforvehicles.

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‘Be Active: Be Healthy’ TheBe Healthy: Be Activestrategywillfollowsixmainprinciplesfor‘ActiveLiving’.ThesewillbeusedtoguidecommissioninganddecisionmakinginrelationtopromotingphysicalactivityacrosstheCity.

Box 7Be Active: Be Healthy – Six Principles for a Moving Culture

Principle 1Physicalactivitycanimprovephysicalandmentalhealth,overallqualityoflifeandcanbringmultipleeconomic,environmentalandsocialoutcomes

Principle 2Everyone,regardlessofage,gender,language,ethnicity,economicstatusorability,shouldhaveaccessible,safe,convenientandaffordablechoicesforphysicalactivity

Principle 3Transportsystemsshouldsupportactivetraveloptionsprovidingsafe,convenient,affordableandfullyaccessibleservicestothehome,workplace,nurseries,school,communityfacilitiesandservices

Principle 4Parksandpublicopenspace,includingcyclingandwalkingtrailsshouldbesafe,fullyaccessible,multi-functionalandpartofatransportationnetworkthatconnectskeydestinations,suchasthehome,workplace,nurseries,schoolsandcommunityfacilities

Principle 5Public,privateandvoluntarysectorsshouldworktogetherwithasharedvisiontopromotefacilities,behavioursandpoliciesandembedtheprinciplesofactivelivingforpeopleofallagesandabilitiesthroughoutthecity

Principle 6Thestrategyshouldimpactontheabilityforindividualsandfamiliesinlocalneighbourhoodstoprioritiseactivechoicesathome,work,schoolandplayeverydayoftheirlives

Increasing physical activity throughout the life course

TheMarmotReviewclearlyshowedthatpositiveandnegativeeffectsimpactonhealthacrossthelifecourseandhowpositivemessagesneedtobegivenintheearlyyearsandconsolidatedthroughoutalltheagesandstagesoflife.

TheaimoftheBe Active: Be Healthystrategyistoincreaseparticipationinphysicalactivityyearonyearto2017.ToensurethateveryLiverpoolresidenthastheopportunitytoengageatalevelthatwillenablethemtobephysicallyactiveeverydayoftheirlives.Theactivepeoplesurveywillbeusedtoevaluatewhetherthisaimhasbeenachievedforadultswhilstchildren’sactivitylevelswillbemeasuredthroughtheschoolsportspartnershipsandthefuturesscheme.

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Figure 5. Action across the life course

Implementation of the Strategy

Physicalactivityoccursindifferentsettingsandcontextsacrossthecity.Liverpoolhasasignificantnumberofpublicparksandgardens.ThecityboaststenlistedparksmorethananyotherEnglishcityapartfromLondon(LiverpoolCityCouncil,2007).Liverpoolresidentsbenefitfrom12LifestyleSportandLeisurefacilitiesandarangeofotherprovisionacrossthecity.Opportunitiesforphysicalactivityandsportareprovidedthroughasignificantnumberofprimaryandsecondaryandspecialschools,throughcolleges,universities,swimmingpoolsandplayareas,throughsportanddanceschoolsandclubs,andinadditionthereisawealthofcommercialorganisations.

DeliveryofLiverpool’sBe Active: Be HealthystrategywillbeimplementedalongsideothermajorstrategiesthatcontributetoLiverpool’spublichealthagenda,includingtheoutcomesframeworkforPublicHealthandtheJointStrategicFrameworkforPublicMentalHealth,theTasteforHealthStrategy,theGreenInfrastructureStrategy,TheDecadeofHealthandWellbeing,TheChildrenandYoungPeoplesPlan,andTheDementiapathway–seepage34forlinks.Itisrecommendedthatthisstrategyisconsideredwhenstrategicandpolicydecisionsaremadeinallareasofcitylife.Thestrategyimplementationwillbesupportedbythedevelopmentofaclearactionplanfordeliveryagainsttimescalesagreedwithpartners.

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Guidelines for implementation by key stakeholders 2012–2017

ThefollowingguidelineswillbeusedwhendeliveringthestrategyacrosstheCityoverthenextfiveyears.

Programme

Strategicreviewofkeynationalprogrammesexaminingevaluationoutcomesandexploringthescopeformoreeffectivetargetingofprogrammestoaddressthekeyprioritiesinthisstrategy.

ResourcesReviewcurrentfundingapproaches.Healtheconomicsdatasupportsthecost-effectivenessofphysicalactivitypromotion.Seekresourcesforfurtherpromotionofprogrammes.

Infrastructure

Takestrategicdecisionstoensurethatmaximumuseismadeofschools,healthandcommunitybuildings,outdoorfacilities,greenspacesandthecountrysideaswellassportsfacilities,leisurecentresandothertraditionalresources.

Social MarketingConsiderhowtoutilisesocialmarketingtechniques,insightandlocalhealthchallengeresponsestocommunicatekeyphysicalactivitymessagestothepublic.

Local delivery

Co-ordinatedeliveryatlocallevel,workingwithChildrenandYoungPeople’spartnerships,CityCouncil,localserviceproviders,LocalAuthorities,localhealthagenciesandtheclinicalconsortia.

Staff and volunteers’ development (increasing capacity)

Engagesuitablytrainedstaffandvolunteerstodeliveropportunitiesforandprovideadvice,supportandencouragementtopeopletobemoreactive.

Partnerships

Activelyengagepartnersrepresentingarangeofdifferentsectorsatvariouslevelsandinavarietyofenvironmentstoachievethecommongoalofincreasinglevelsofphysicalactivityandreducingphysicalinactivity.

Evaluation

Ensurethatresearch,evaluationandmonitoringofprogrammesagainsttheobjectivesandtargetsareinplace.Theevidencegainedfromtheseprocesseswillinformfuturepolicyandstrategydevelopment,ensurecontinuousimprovementandmaximiseinvestment.

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Marketing and Promotion

AnimportantpartoftheBeActive:BeHealthystrategywillbetocontinuetoraisetheprofileofsportandphysicalactivityinLiverpool.LiverpoolActiveCitybrandingwaslaunchedin2005withthefirststrategyandhasbeenusedbyactivityprovidersfromthepublic,privateandthirdsectorssincethattime.

Casestudiesfrommembersofthepublic,whotelltheirstoryofhowActiveCityprogrammeshadapositiveimpactontheirlives,areusedtomotivateandinspireothers.SportingChampionsandCelebritieshavegiventheirsupportwithpersonalappearancesatanumberofActiveCityeventsalliedtotheircommentsinsupportoftheaimsofthestrategy.

TheoriginalLiverpoolActiveCitystrategygainedinternationalrecognitionwiththeInternationalSportforAllFederationfeaturinginformationaboutthestrategyandtheActiveCitybrandingontheirwebsite.Thissiteisviewedbysportandactivityorganisationsfromaroundtheworld.

LiverpoolActiveCitywillbeusedasamodelofbestpracticeintheforthcominglaunchoftheInternationalSportforAllFederation‘TripleAC’initiative,‘ActiveCitizens,ActiveCommunities,ActiveCities’.

Building on the Olympic Legacy

FollowingtheLondonOlympicsandParalympicsin2012thespotlightonsportwillbeconsiderableandthereisanopportunityforLiverpooltobuildonthisandtocreatealastinglegacythatwillhaveapositiveimpactonlevelsofparticipationinsportandphysicalactivitywithinthepopulation.

Sportandphysicalactivityarecomplementaryandcanbenefitcommunitiesbyhelpingpeopletoenjoyhealthyandindependentlives,creatingemploymentopportunitiesandcreatingcommunitycohesion.

EvidencefrompreviousmajorsportingeventsindicatesthattheOlympicsandParalympicswillhaveaconsiderableimpacttorekindlepeople’senthusiasmforsportandactivity.

Itisvitallyimportantfortheinfrastructureforsportandphysicalactivitytobeinplacenotonlytocaterforthisincreaseddemandbutalsotodevelopandmaintainit.

Liverpooliswellpositionedtomeettheserequirementsasitalreadyhasanetworkofsportandactivityfacilitiesandclubslocatedthroughoutthecity,providedbyarangeofproviderorganisationswhoarepartnersoftheActiveCityinitiative.

Evaluation of the Strategy

ExistinglocalandnationaldatawillbeusedtoassesstheeffectivenessoftheBeActive:BeHealthystrategyinachievingourstatedaims.

Evaluationwillfocusontheimpactofthestrategyonpolicies,organisations,communitiesandindividuals.Outcomeassessmentswillbeconductedtoconsidertheeffectivenessofprogrammesandprojectsonphysicalactivityandotherrelatedoutcomessuchasmentalhealth,healthyweight,qualityoflifecardiovasculardisease,musculoskeletalconditionsandotherclinicaloutcomesasappropriate.

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LiverpoolUniversityHealthResearchprogrammeswillassesstheimpactofthestrategyonpopulationhealth,andsocialmarketingandinsightprocesseswillbeutilisedtoconsiderhowtoovercomebarriersandensureequalityofaccessforall.

Targets for ImprovedPhysical Activity

Theimpactofthestrategywillbeassessedovertimethroughthedevelopmentofmeasurabletargets.

The aim of the strategy is:

w toincreaseparticipationinphysicalactivityby2percentperyearandreducesedentarytimeby2percentperyearoncurrentlevels,asmeasuredthroughtheActivePeopleSurveyxxi

w Todevelopmeasureabletargetstomonitorthefollowingimprovementsinphysicalactivity

w ToIncreaseby2percentperyeartheproportionof:

•Pre-schoolchildren(0–5)whomeetthephysicalactivityrecommendationsof180minutes–threehoursofmoderateintensityphysicalactivityonatleast5daysoftheweek

•Childrenandadolescents(5–18)whomeetthephysicalactivityrecommendationsof60minutesofmoderateandvigorousintensityphysicalactivityonatleast5daysoftheweek

•Adults(19–49)whomeetthephysicalactivityrecommendationsof150minutesofmoderateor75minutesofvigorousintensityphysicalactivityperweek

•Olderadultswhomeetthephysicalactivityrecommendationsof150minutesofmoderateintensityphysicalactivityperweek

SummaryThroughtheLiverpoolBeActiveBeHealthyStrategy2012to2017Liverpoolpartnerspledgeto:

Increase people’s activity levels through everyday living, physical activity and sport by:

w Encouragingpeopletobemoreactivebyprovidingandpromotinginclusiveopportunitiesforpeopletobemoreactiveacrossthelifecourse,andatalllevelsofability

w ProvidingasystematicapproachtoidentifypeoplewhoarenotsufficientlyactiveincludingpeoplewithphysicalandmentaldisabilitiesandBMEgroupstosupportthemintoactivitythatisappropriateforthemthrougheverycontactwithpatientsandpublic

w Promotingtheuseofthe‘Let’sGetMoving’CarePathwayforincreasingphysicalactivity

w Providingopportunitiesforstatutory,voluntaryandprivateorganisationstocometogethertoseeknewresourcestodevelopopportunitiesforincreasingphysicalactivityacrossarangeofsettings

w Understandingandremovingbarrierstoparticipationinphysicalactivityandsportacrossallagegroups,andallsectionsofourcommunitiesincludingBMEandvulnerablegroups

w UsingopportunitiesacrossOrganisationsandtobuildphysicalactivityopportunitiesintopoliciesandprogrammes

w Continuingtosupportschoolsandyoungpeople’ssettingstoincreasetheamountoftimethatchildrenandyoungpeopleareactive

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w Lookingforfundingandresourcestoincreasephysicalactivityopportunitieswhereverpossible

w Promotingactivetravelandtoworkwithpartnerstosupportthedevelopmentofthisareaofwork.

Influence attitudes and perceptions of the whole population about activity by:

w Promotingallopportunitiesformakingpeoplemoreactive,includingthosethatbuilditintoeverydayliving

w Promotingthepositivebenefitsofbeingmoreactivetoindividual’shealthandwellbeing

w Ensuringthatmessagesaboutbeingactiveareinclusive

w Ensuringmessagesaboutbeingactivearebasedonsoundsocialmarketingprinciplesandaretargetedatspecificgroups

w Ensuringthatopportunitiesforpeoplewithdifferentabilitiesandlevelsofmobilityarewidelypromoted

w Understandingand,wherepossibleremoving,barriersthatmaypreventpeoplefrombecomingmoreactive

w BuildingonthelegacyandsuccessesoftheOlympicandParalympicGamestopromoteactivityatalllevelsandforallsectionsofthecommunity,acrossthewholeofthelife-course

w EnsuringthatphysicalactivityislinkedtootherProgrammesforhealthandwellbeingtoensurethatlinkagesandconnectionsaremade

w Involvingawiderangeofpartnersinon-goingdiscussionsanddecisionmakingaboutuseofanyavailableresourcesfordevelopingamovingculture

Promote Physical Activity and its benefits to health, wellbeing and happiness by:

w Usingeveryopportunitytopromoteamovingculture

w Promotingtheuseofourgreenspacesandlocalenvironmentsandfacilitiestomakepeoplemoreactiveintheireverydaylives

w Promotingandsupportinglargescalephysicalactivityeventsthathavetheabilitytoattractlargescalemediaattention

w Workingwithlocalflagshipsportingclubsandarenastoprovideapositiveimageofphysicalactivity

w EnsuringthatthebenefitsofphysicalactivityareemphasisedaspartoftheMakingEveryContactCountprogramme,andtoproviderelevanttrainingforallfrontlinestaffinbriefadvice

Measure the Impact of the strategy to increase physical activity and create a moving culture by:

w Reviewingavailablesourcesofdatathatcouldbeusedtomeasureimprovementsinlevelsofphysicalactivityacrossthepopulation

w Developingadatasetthatcanbeusedforquarterlyandannualreportingofprogress,usingserviceandproxymeasureswhererequirednecessary

w Lookingforopportunitiestoconducton-goingresearchorevaluationontheoverallprogrammeofactivity

w Usingbestevidencewhendevelopingnewinterventionstoincreasephysicalactivitylevels

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Success of the Liverpool Active City Strategy (2005–2010)

Achievements

LiverpoolActiveCityStrategy(2005–2010)waspublishedinApril2005itbroughttogethermultipleagenciesandstakeholdersconcernedwiththepromotionandprovisionofphysicalactivity.ThefiveyearstrategyestablishedpartnershipsacrosstheCitythroughaSportsandPhysicalActivityAlliance,andcreatedaninfrastructurethatsuccessfullymobilisedphysicalactivityresourcesandprogrammes.Thestrategywassuccessfulinachievingitsaimsdueinparttoitsmultifacetedapproachtotacklinginactivity,andbetween2005and2010therewasathreepercentincreaseinparticipationinphysicalactivityintheLiverpooladultpopulation.TheActiveCitystrategysetoutalongtermstrategicvisiontoplacesportandphysicalactivityatthecentreoflocalpolicies.The‘BeActive:BeHealthy’strategywillcontinuewiththisapproach,andwherepossiblecontinuetosupportkeystrandsofactivitythathavebeenmajorcontributorstotheachievementofoutcomes.

Key Outcomes and Highlights of the Liverpool Active City Strategy 2005–2010

w Anincreaseintheprofileofphysicalactivityinallaspectsofcitywideinitiativesasanintegralcomponentofallactivitiesacrossthecity.

w Theprovisionofaco-ordinatedapproachinthedeliveryofphysicalactivityopportunities,withhealth,leisure,educationalandcommunityorganisationsworkingtogether

w Themaintenanceanddevelopmentofaccesstoawiderangeofenjoyableactivityopportunitiesandservicesthatencouragedparticipationandenabledpeopletochooseanactivelifestyle

w Theprovisionofeducationandtrainingopportunitiesforlocalstaffandvolunteerstomaximiseactivitydelivery,activityleadershipandjobaspirations.

Afullyresearched,monitoredandevaluatedapproachtotheelementsofthestrategywhichprovidedevidenceofwhatworkedandwhatdidn’t.TheStrategybroughttogetherarangeofactionsandinterventionsundertheLiverpoolActiveCityBanner,andbelowaresomeofthehighlights.

Examples of Good Practice in Liverpool

Futures SchemeLiverpoolCityCouncil’s(LCC)FuturesSchemeoperatesatLifestylesCentresacrosstheCity,itprovideschildrenandyoungpeopleinLiverpoolaffordableaccesstophysicalactivityinanconvenientandfunway.Allchildrenandyoungpeopleuptoandincluding17yearsofageareeligibletosignupfortheschemewhichoffersfreeswimming,reducedcostaccesstofitnesssuites;freeoutdoorpitchesandbadminton/squashcourtswhenbookedonthedayofuse.Inaddition,arangeofafterschoolandholidayactivitiesareonofferenablingyoungpeopletobeactive,stayhealthyandhavefun.

Liveability - the active ageing programme TheawardwinningLiveabilityServicehasatwoprongedapproachtomeettheneedsofolderpeople(50+)throughpromotionandprevention.Itisanurseledprogramme,manyolderpeopleself-refertotheserviceorcomeviaarelativeorlocalagency/service.

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OnceareferralisreceivedapatientsummaryisrequestedfromtheirGP,thenursethenvisitstheolderpersonathometoundertakeanholisticscreeningincludingmedicationreviewandfallsassessment.Oncecompletedindividualsarereferredintotheprogramme.Theserviceprovidesasix-weekhealtheducationandactivityprogrammetailoredtotheneedsofolderpeople,anddeliveredinpartnershipwithhealthprofessionalsandcolleaguesfromavarietyofservicesandagenciesspecialisinginservicedeliveryforolderpeople.Theweeklysessionsaimtoincreasehealthliteracy,increaseknowledgeofhowtoaccessservices,provideolderpeoplewitharangeofactivitiessuchasTaiChiandenablethemtobemoreinvolvedinlocalactivities.

Liverpool Schools Swimming Programme LiverpoolCityCouncil’sSchoolSwimmingProgrammeisdeliveredbytheSportandOutdoorRecreationDivisioninpartnershipwithHealthySchools.Itoffersastructuredswimmingprogrammeto120oftheCity’sschoolsgivingYear6pupilsthechancetoaccesstheCity’spoolsanddeveloptheirswimmingskillsforusethroughouttheirlives.Theserviceofferedincludespoolhire,transportandqualifiedswimminginstruction.Itisorganisedbyaschoolswimmingcoordinatorensuringthatahighpercentageofpupilsachievetheminimumstandardof25m.Currently,theprogrammealsoofferstrainingforteachersandclassroomassistantswhocanthenassistqualifiedswimmingteacherstodelivertheAmateurSwimmingAssociationcurriculum.ItenableschildrentothenaccessfreeswimmingaspartoftheFuturesSchemeatLifestylesCentres.

Water-sportsSchoolsthroughoutthecitycanaccessarangeofoutdoorwater-sportsattheLiverpoolWater-sportsCentre.

ActivitiesincludePaddle-sports,Kayaking,Canoeing,Paddleboards,DinghySailing,Windsurfing,Power-boating,Rafting,togetherwithOpenWaterSwimming.Greenbank Sports AcademyTheGreenbankSportsAcademyhasarangeoffullyinclusivefacilitiesandactivities.TheAcademyhasadedicatedSportsDevelopmentOfficerwhocreatessportingopportunitiesfordisabledpeopleatGreenbankandthroughoutMerseyside.TheSportsAcademydevelopsanddeliversco-ordinatedprogrammesofsportsandphysicalactivityinpartnershipwithotherorganisationsandclubspredominantlyfordisabledpeople.

Workplace Wellbeing CharterIn2010,LiverpoolPrimaryCareTrustlaunchedtheWorkplaceWellbeingChartertopromotehealthintheworkplace.ThischarterenablesworkwithemployerstoimprovethehealthandWellbeingoftheworkforce.Theproductivityofparticipatingorganisationsisoftenincreasedandsicknessandabsenteeismcanbereduced.Thechartertakesaholisticapproachandprovidesaclearsetofwellbeingstandards;theyincludephysicalandmentalhealth,healthpromotionandwaystoevaluatetheservicesandinformationoffered.ItaimstosharebestpracticeabouthealthandWellbeingwithintheworkplace.Thecharteroffersemployerstheopportunitytoachieveaworkplaceawardonthreelevels,includingthestandardofleadership,cultureandcommunicationwithintheirorganisation.Eachofthethreelevelswillconsider,issuessuchasleadership,sicknessandabsencemanagement,awarenessofalcoholanddrugabuse,smoking,mentalhealthandstress,healthyeatingandphysicalactivity.

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Active TravelTheActiveTravelStrategyseekstodeliverhealth,economic,lowcarbonandsocialbenefitsthroughimprovingthewalkingandcyclingenvironment.Thestrategyenablesinterventionsandtargetsmarketingtoencouragebehaviourchange.Thisisdeliveredatboththedistrictlevelandstrategicallyacrossthecityregionthroughlocalimplementationplans.TheStrategycomprisesofthreeelements:

1. Improvingthewalkingandcyclingenvironmentwithinfrastructureandfacilitiescreatingclearroutenetworksforpedestriansandcyclists;

2. Enablingactivities,interventionsandinformation;and

3. Marketingtoraiseawareness,encourageandsustainwalkingandcycling.

TogetherthesethreeelementscontributetothedeliveryofthesixgoalsofMerseyside’sthirdLocalTransportPlan.Thisprovidesbenefitssuchasimprovedhealth;increasedaccessibilitytojobs,education,healthandleisure;saferneighbourhoods;environmentalimprovements;andfinancialsavings.TheActiveTravelStrategyincludesatargettoincreasecyclingby3%eachyearuntil2014/15,thisfollowedbyalongterminspirationaltargetof10%yearonyearincreaseto2024/25.

ThesecondLocalTransportPlancontainedatargettoincreasecyclingby10%by2011,basedon2006levels.Monitoringshowsthata24.6%increasewasrecordedbetween2006and2011.Bothcyclingandwalkingareimportantforincreasingphysicalactivity;theaimoftheStrategywastobuildontheselevels,deliveringalowcarbonfuturesupportedbyamobilityculturethatcontributestotheeconomyandthehealthandWellbeingofitscitizens.

Transport flagship programmes include:

w Bikeability–MerseysideistheUK’slargestdelivereroftheon-roadnationalstandardcycletrainingschemelaunchedin2006.Todateover60,000schoolpupilshavebeentrainedtodealwithreal-lifeon-roadcyclingincludingYears5and6inprimariesandallagesinsecondary.

w Walk to School–TheWalktoSchoolcampaignseesover250schoolsencouragingtheirpupilsandparentstoditchthecarandfeelthefreedomandfreshairofwalkingtoschool.ThecampaignincludesaWalktoSchoolWeekeachOctoberandMay,anda5weekBigWalkinthesummerterm.SchoolsareofferedresourcesandincentivestosupporttheweekandtoprovidedatabacktoMersey-travelforevaluation.

w Information Provision–AkeyelementoftheActiveTravelStrategyisaccesstoinformationthisincludesafamilyofcyclemapswithpopularroutescoveringeachareaofMerseyside;walking‘calorie’maps;keydestinationguides;onlinecyclejourneyplannersandthe‘It’sOurWorld’widget–atoolthatsitsonwebsitesallowingvisitorstofindasustainableroute

Healthy StadiaHeartofMersey(HOM)hasworkedwithsportsstadiainMerseysidesince2005topromotehealthylifestylestofans,stadiastaffandlocalcommunities.Therehasbeenastrongemphasisonmulti-agencypartnershipworkingtodevelopstadiapoliciesandpracticespromotingincreasedlevelsofphysicalactivity(inparticularactivetravel),healthiereatingoptionsonmatchdays,tobaccofreestadiaandCVDhealthchecks.

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ThesuccessofthislocalprogrammehasdrawnadditionalfundingfromboththeEUandWorldheartFederation,andsawtheformationofaEuropeanHealthyStadiaNetworkin2010(www.healthystadia.eu).

SmokeFree Sports SmokeFreeSportsisanovelcampaignwhichaimstousesportandphysicalactivitytopromotesmokefreemessagestochildrenandyoungpeople.ThecampaignismanagedbyLJMUanddeliveredinschools,youthclubsandvoluntarysportsclubsacrossLiverpool.SmokeFreeSportsinitiativesincludetrainingteachers,sportscoachesanddanceinstructorstodeliverbriefinterventionsonsmoking;encouragesorganisationstosignaSmokeFreeSportscharterthatoutlinesavisionforsportsparticipationinsmokefreeenvironments;provisionofsportsactivitiessuchastastersessionsandtournaments;andaskingchildrentosignapledgetobesmokefreeforlife.

Back to NetballIn2012EnglandNetballworkedinpartnershipwithLiverpoolCityCounciltodevelopingaBacktoNetballprogrammeacrosstheCity.Theprogrammetargetsfemalesaged16+inordertore-introduceasportthatwomenmayhaveplayedearlierinlifebutwhoarenowlessactive.Itwillcreatenewopportunitiestogetactive,makenewfriendsandhavefun.SinceBack to NetballwasintroducedacrossEnglandin2010,over12,000womenhavejoinedandhelpedtomakeNetballoneofthefastestGrowingTeamsports.HundredsofwomenfromalloverthecountryaregettingBack to Netballeachweek.

Exercise for HealthExerciseforHealthbeganin2000,itisajointinitiativebetweenLiverpoolSportandOutdoorRecreationDivisionandLiverpoolPrimaryCareTrust.

Itoffersaspeciallytailored12weekexerciseprogrammethrougheightLifestyleCentresaroundthecityandthreeCommunityCentresforpeoplethathavespecificmedicalproblemsthatcanbeimprovedbyincreasingphysicalactivitylevels.GPsandPracticeNursesreferpatientstotheschemewhichoffersuseoftheFitnesssuites,SwimmingandTaiChi,supervisedbydedicatedandqualifiedstaff.Theoverallaimistoenablepeopletochangetheirphysicalactivitybehaviourforthelongterm,therebyimprovingtheirhealthconditionandpreventingfurtherdeterioration.Atpresentover90GPsreferover2,500peopleperannumtothescheme.Thismakesitoneofthebiggestschemesofitstypeinthecountry.

Cycle for HealthCycleforHealthisaschemecoordinatedbyLiverpoolCommunityHealthtodeliverbeginnerbikeridesforthosewhoareleadingasedentarylifestyleorwhorecoveringfromillhealth.ThecyclingsessionstakeplaceintheParksandGreenSpacesacrossLiverpoolofferingtheopportunitytoexerciseinasafeandsecureenvironment.

SessionsaredeliveredbyVolunteerCycleLeaderswhoprovideadviceguidanceandsupporttotheparticipant.AllvolunteersattendtheLiverpoolCommunityHealthVolunteerCycleLeaderscourse.Allcyclingsessionsarefreeandtheloanofbikeisavailablefreeofcharge.TheCycleforHealthschemehasdeliveredover300bikeridesayearoverthelast3yearsandover100volunteershavebeentrained.

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Walk for HealthWalkforHealthprovidesopportunitiesforpeoplefromLiverpoolcommunitiestoparticipateinaccompaniedwalksinavarietyoflocations,mainlyparks.ParticipantscanbecomequalifiedWalkLeadersandleadtheirownwalkstoincreasethenetworkofopportunitiesforpeopletoparticipateinmorewalking.Therearecurrently600-800peoplewalkingwiththeschemeperweek,over7,000peoplehaveparticipatedsince2002.

Women get ActiveLiverpoolCityCouncil’sActiveWomenprogrammehasrecentlybeenfundedbyarangeofpartnersincluding:SportEngland,LiverpoolPCT,CobaltHousing,RiversideHousing,andLiverpoolMutualHomes.ItisdeliveredthroughtheStreetGames(UsGirls)andWomenGetActiveprojects.Theprogrammewasbuiltonthesuccessofa£5millionEuropeanSocialfundedprojectcalled‘Work-Out’.Itdrewlearningfromalocalproject‘KensingtonWomenGetLively’whichconsulted215womenfrom16differentethnicoriginsondeterminantsoftheirphysicalactivity.The‘Work-Out’projectaimedtoincreaseparticipationinphysicalactivity,improvecommunitycapacityandstimulategreateruseoflocalcommunityrecreationfacilitiesindeprivedneighbourhoodsinLiverpool.The‘Work-Out’projectbenefitedfromusingthefitnessactivatorswhohelpedkeepthebeneficiariesmotivatedandmonitoredtheirprogressduringtheproject.Morethan1200visitsweremadebyindividualsoveran18monthperiod.The‘Work-Out’projectofferedclient-based,flexibleactivitiesaswellasthreemonthsfreeaccesstolifestylegyms.Theprojectincreasedparticipationinphysicalactivityby85%,80%ofwhommaintainedtheirbehaviourchangeaftertheprojecthadceased.

Us Girls!Specificallytargetswomenaged16–25yearswhileWomenGetActive,targetsallwomenaged16andover.Bothprojectsaredeliveredinspecificwardsacrossthecityandaimtoincreaseparticipationinwomen’ssportsandactiverecreation,offeringarangeoftraditional‘Backto’[netball,badminton,hockey]andnon-traditional[Zumba,cheerleading,rollerderby]opportunities.

Inordertoincreaseaccessibility,thesesessionsaredeliveredinarangeofsettingssuchaschildren’scentres,schools,youthandcommunitycentresandLCCLifestylecentres.Tohelpovercomesomeintractablebarrierstoparticipation,mostsessionshaveaprogressiveandsustainablechargingpolicyandsomeprovidefreechildcare.Beyondthis,theWomenGetActiveHubsofferaccesstoawiderangeofadditionalsupportservicesincludingsmokingcessation,healthyeating,firesafety,education,trainingandemployment,andcitizen’sadvice.

Lifestyle free membership - off-peak accessLiverpoolJohnMooresUniversityStudentsandstaffhavefreeoff-peakaccesstoLiverpoolcouncilrungymsandpoolsaspartofa£400,000ayeardealtocreatea‘citywide’sportscampus.Staffandstudentsareabletousestateoftheartequipmentbasedatninecouncilrungyms.Theprogrammeoffersfreeaccesstoeightswimmingpools–includingtheOlympicsizedLiverpoolAquaticCentreintheWavertreearea.Thispartnershipwasimplementedtoincreasefacilitytouseduringoffpeaktimesaswellasofferingstaffandstudentsgreateraccesstoaffordable,highqualityfacilities.

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Getting Our Active Lifestyle Started: GOALS GOALSisapartnershipbetweenLJMU,LPCT,LCC,AlderHeyHospitalandUniversityofSalforditisfundedbyLPCTaspartoftheTasteforHealthStrategy.GOALSisahealthylifestyleprogrammeaimedatsupportingoverweightchildrenandtheirfamiliestomakegradual,sustainablechangestotheireatingandphysicalactivityhabits.SinceApril2011,GOALShasbeenoperatingasarollingprogrammeandin2012theprogrammewasdeliveredinthreelocations;Kensington,EvertonandWalton.GOALShasbeenrecognisedbytheCentreforExcellenceandOutcomesinChildrenandYoungPeople’sServices(C4EO)asafullyvalidatedexampleoflocalpracticewhichimprovesthelivesofchildren,youngpeopleandtheirfamilies.www.c4eo.org.uk

Sportslinx Sportslinxdevelopedin1996andevolvedintoamulti–facetedprogramme.In2011SportslinxwontheEuropeanChildhoodObesityGroupawardforitscombinedworkonphysicalactivityandnutrition.Thisworktargetedchildren,parentsandpractitionersineducationbasedphysicalactivityandhealthyeatingprogrammes.Sportslinxdeliverssingletastersessions,supportforafterschoolclubs,fitnesstesting,surveillance,andtrainingandisnowintoits16thyear.

SportslinxisaflagshipLiverpoolprogrammeandcontinuestoprovidearangeofevidencebasedinitiativesaimedatimprovingthehealthof70,000LiverpoolSchoolchildren.

AnearlypartnershipbetweenLJMUandtheCityCouncilenabledSportslinxtogenerateauniquedatasetonschoolchildrenacrossthecity,allowingresearcherstoassessyearonyearchangesinanumberofhealth,nutrition,fitnessandskillrelatedmeasures.Thishasallowedgapsinprovisiontobeidentifiedandprogrammesaretargetedatthoseinmostneed.

Sportslinxhasledanumberofearlyyearsprogrammesincluding:ActivePlay,ActiveFamilies,Activeoutdoors,Yum,YumYummy,Rise&Shine,Activechildcare,LiverpoolLittleStars,whichintroducedaphysicalactivityprogrammefor88childcarevenues.

Sportslinxhasbecomeafixtureintheprimaryschoolcalendarwithupto95%ofschoolsacrossthecitytakingpartinactivitiesannually.Resourcesdevelopedbytheprojectandtraininggiventoindividualsensurethatthekeyhealthmessagesarecascadedthroughchildren’scentresandschoolsthenintothewidercommunity.

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AcknowledgementsThisLiverpool Active City Be Active: Be Healthy StrategywasproducedbyLiverpoolDepartmentofPublicHealth.Wewouldliketoacknowledgepartnersfromagenciesandorganisationsacrossthecitywhogaveoftheirtimeandexpertisetocontributetothedevelopmentofthisstrategy.Thankyouall.

Useful LinksBelowaresomelinkswhichhavebeenusefulincompletingthisdocumentandwhichyoumayfindhelpfultoincreasephysicalactivityinyourownorganisation/community:

w Liverpool Active City Strategy2005–2010www.liverpool.gov.uk

w Decade of Health and wellbeing 2010–2020www.2020healthandWellbeing.org.uk

w Liverpool Public Health Annual Report 2011www.liverpoolpct.nhs.uk/Library/Your_PCT/Publications/PHAR%202011.pdf

w Liverpool Joint Strategic Needs Assessment 2011 - Children and Young Peoplewww.liverpoolpct.nhs.uk/Library/Your_PCT/Publications/CJSNA.pdf

w Sports strategy(sportEngland) www.sportengland.org/about_us/our_news/creating_a_sporting_habit_for.aspx

w Green infrastructurewww.greeninfrastructurenw.co.uk/liverpool

w Healthy Stadiawww.healthystadia.eu

w Dementia Strategy www.liverpoolpct.nhs.uk/Your_PCT/Publications/deafult.aspx

w Merseyside Local Transport Plan www.letstravelwise.org/content206_Local-Transport-Plan-3.html

w NICE public health guidance PH8 physical activity and the environment http://guidance.nice.org.uk/PH8

w PH17 promoting physical activity in children and young people http://guidance.nice.org.uk/PH17

w PH13 promoting physical activity in the workplace http://guidance.nice.org.uk/PH13

w PH25 prevention of CVD http://guidance.nice.org.uk/PH25

w Reducing Harm, Improving Care: Liverpool Alcohol Strategy 2011–14 http://www.liverpoolpct.nhs.uk/Library/Your_PCT/Publications/Liverpool_Alcohol_Strategy_2011-2014_Reducing_Harm_Improving_Care.pdf

w Active People’s Survey. Sport England (2011) www.sportengland.org/research/active_people_survey.aspx

w Chief Medical Officer Report(2011)www.dh.gov.uk/en/Aboutus/MinistersandDepartmentLeaders/ChiefMedicalOfficer/index.htm

w Centre for disease control and prevention(CDC)(2011)www.cdc.gov/

w Taste for Health Strategycanbeaccessedat:www.tasteforhealth-liverpool.nhs.uk

w The Children and Young Peoples Plancurrentlyunderrevisioncanbeaccessedat:www.Liverpool.gov.uk

w The Public Health Outcomes Frameworkcanbeaccessedat:www.dh.gov.uk/health/2012/01/public-health-outcomes/

w Joint Strategic Framework for Public Mental Healthcanbeaccessedat:www.liverpoolpct.nhs.uk/Library/Your.../Publications/JSFMH.pdf

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ReferencesiNICEPHguidance17(2009)PromotingPhysicalActivityforChildrenandYoungPeople.

iiDepartmentofHealth(2011).Startactive,stayactive:areportonphysicalactivityfromthefourhomecountries’ChiefMedicalOfficers:AnnualreportoftheChiefMedicalOfficer2011. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128209

iiiLiverpoolPHObservatoryreportoncosteffectivenessofPhysicalActivity

ivScarborough,P.,Bhatnagar,P.,Wickramasinghe,K.K.,Allender,S.,Foster,C.,andRayner,M.JournalofPublicHealth(2011).Theeconomicburdenofillhealthduetodiet,physicalinactivity,smoking,alcoholandobesityintheUK:anupdateto2006–07NHScosts.

vPedroCHallala,AdrianEBaumanb,GregoryWHeathc,HaroldWKohld,I-MinLeee,MichaelPratt:Physicalactivity:moreofthesameisnotenoughTheLancet,EarlyOnlinePublication,18July2012.doi:10.1016/S0140-6736(12)61027-7

viDeptofHealthandSocialServicesandPublicSafety:LivingwithLongtermconditions-apolicyframework(26thApril2011).PrimaryCareDevelopmentUnit

viiSportEngland.ActivePeopleSurvey2009/10www.sportengland.org

viiiBritishHeartFoundation(2012)TacklingCardiovascularDiseases;PrioritiesfortheOutcomesStrategy.www.bhf.org.uk

ixWorldHealthOrganisation–cancerburden’sassociationwithlackofphysicalactivity.www.who.int/dietphysicalactivity/pa/en/index.html

xLiverpoolHealthySchools-SchoolImprovementLiverpool.gov.uk

xiLiverpoolLowersuperoutputareadatamapaccessfromLiverpool.gov.uk

xiiLiverpoolJointStrategicNeedsAssessment(2011)LiverpoolCityCouncil

xiiiFairSociety:HealthyLivesMarmotReview2010

xivSportEngland.ActivePeoplesSurvey2009/10www.sportengland.org

xvSportslinxcanbeaccessedatLiverpoolCityCouncilandLiverpoolJohnMooresUniversity

xviRoyalCollegeofPsychiatrists www.rcpsych.ac.ukaccessedAugust2012

xviiLiverpoolPhilharmonic–In Harmonyprogramme–www.ihsc.org.uk

xviiiTheHavenProject;LiverpoolUniversitycontact:AnnaChiumento@liv.ac.uk

xixMamafit:DiverseHealthandFitnesswww.diversehealthandfitness.org.uk

xxCathLewis,JanetUbido,RichardHolfordandAlexScott-Samuel(2010)No.83-PreventionProgrammesCostEffectiveness:PhysicalExerciseLiverpoolPublicHealthObservatoryCosteffectivenessreviewseries,No.1

xxiActivePeopleSurvey

Notes

Forfurtherinformationaboutthecontentsofthisstrategy,pleasecontactthePublicHealthdepartmenton0151233 5638