Philip GarnerSpecialist Programme ManagerPublic Health

NHS / LA Changes

White PapersHealth and Social Care Act Operating Plans

CCGs Outcome FrameworksPublic Health Functions

Physical Activity & Health

The New Public Health Functions

Commissioning a range of services from a range of providers from different sectors

Tackling the causes of ill-health & reducing health inequalities e.g. the operation of the planning system

Promoting and protecting health

Promoting social justice and safer communities through partnerships with other agencies

Public Health advice to the NHS

Public Health Priorities• Tobacco control and smoking cessation services

• Alcohol and drug misuse services

• Services for those aged 5-19, the National Child Measurement Programme

• Obesity interventions, locally-led nutrition initiatives and increasing levels of physical activity

• NHS Health Check assessments

• public mental health services

• dental public health services

• accidental injury prevention

• population level interventions to reduce and prevent birth defects

• behavioural and lifestyle campaigns to prevent cancer and long-term conditions

• local initiatives on workplace health

• comprehensive sexual health services

• local initiatives to reduce excess deaths as a result of seasonal mortality

• role in dealing with health protection incidents, outbreaks and emergencies

• promotion of community safety, violence prevention and response

• local initiatives to tackle social exclusion

• reduction of environmental risks.

Physical Activity and HealthPublic Health has successfully commissioned a series of

physical activity interventions with county and district

councils:•Walking for Health in Lincolnshire•Health-related exercise referral•Vitality – physio-like seated exercise or movement to music•Health Trainers•Co-ordination of physical activity interventions by the Lincolnshire Sports Partnership to strengthen the infrastructure for the local delivery of physical activity.

•(Improving the Physical Environment – improving access to paths and trails, open spaces and parks)

Physical Activity and Health

Public Health has successfully commissioned a series of physical activity interventions for children with county and local partners:

•Legacy Challenge with school sports (primary)•Play for Life – early years education for activity•`Fit Kids` Childhood obesity programme

•Playgrounds – refreshing the environment for more activity•Wheelchair sports in schools

Physical Activity & Health

http://lincolnshiresport.com/physical-activity/

Service Review

Schemes QALYs Deaths Avoided

Exercise Referral £7,651 4

Walking for Health £6,505 5.8

Fit Kids £5,351 1.8

Food & Nutrition £16,313 1.2

Smoking Cessation £1,648 71

Utilising the VfM Toolkits from NSMC

The NICE threshold for cost effectiveness is between £20,000-£30,000 costs per QALY. The lower the cost per QALY, the more cost-effective the intervention.

Boston Borough CouncilCarres Grammar School, SleafordCfBTCity of Lincoln CouncilEast Lindsey District CouncilLeisure in the Community (Arts NK - Vitality)Lincolnshire County CouncilLincolnshire Sports PartnershipNorth Kesteven District CouncilSchool Games Organisers in LincolnshireSouth Holland District CouncilSouth Kesteven District CouncilUniversity of LincolnYMCA Lincoln

Acknowledgements

Thank you.Questions?

Philip GarnerSpecialist Programme Managerphilip.garner@lincolnshire.gov.uktel: 01552 552292