ACTIVE LIVING HOUNSLOW

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Hea

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oard

The

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Nationally only 56% of adults meet the CMO guidelines of 150

minutes of physical activity per week, and 28.5% of adults fail to achieve even 30 minutes of physical activity over seven days

Physical inactivity is defined as less than 30 minutes of moderate physical activity per week.

Phys

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Only 54% of Hounslow adults meet the CMO guidelines

And 29.3% of Hounslow adults are fail to achieve 30 minutes a week

Hounslow

Inac

tivity

& d

epri

vatio

n Adult inactivity highest in most deprived areas as

compared to least deprived areas

24%

4

32%

5.9% 1.6%

8.1% 16.2%

Primary school

Secondary school

Child

ren

in H

ouns

low

(CYP

S)

Children in Hounslow meeting CMO physical activity guidelines

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Primary school (12% children)

Secondary school (3.5% children)

60 m

in x

7

days

Primary school (79.3% children)

Secondary school (85.4% children)

<30

min

or

<7

days

45% BME don’t meet

guideline

Girls less active than boys

Raising the risk of ill-health due to inactivity

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1 in 4 adults

Heart disease

High blood pressure

Diabetes

1 in 3 adults

Inac

tivity

& h

ealth

risk

Inactive adults in England Inactive adults in Hounslow

are at HIGH RISK

It’s just about . . . moving more

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It’s just about . . . moving more

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‘Everybody active, every day’ Four domains on local action:

Moving Professionals

Active Environment

Active Society Moving at scale

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Moving professionals: activating networks of expertise • Utilizing existing networks of influencers. Everyone can make a

difference, researchers, designers, receptionists, cleaners, park rangers can spread the word.

• Equip professionals with a wider understanding of physical activity and the role it plays in health improvement

• Making Every Contact Count (MECC) across sectors and disciplines

Key sectors: education, sport & leisure, health & social care

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Moving professionals 1

Making Every Contact Count MECC

• Stockport – ‘Train the Trainer’

• Quick, short programme for maximum impact

• Essential Public Health / KISS principle – Keep it Short and Simple

• 500 staff trained - 75% reported an increase in confidence - 83% report having discussed lifestyle issues - 30% have made referrals - Programme saw a decrease in DNA’s for lifestyle services.

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mak

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Moving professionals 2 – Hounslow Sport Impact – Teacher Training

- Training for all teachers at Hounslow primaries

- 54 primary schools in Hounslow signed up

- Approximately 400 teachers trained

- Reached over 3000 pupils

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spo

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teac

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Active environments: creating the right spaces /physical environment

• Shift away from obesogenic environment to an environment that supports active living (healthy, inclusive & safe environments)

• Link health policy with planning, transport infrastructure and housing

• Animate open spaces and infrastructure to encourage access and participation

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Active environment 1 – Hounslow • 6 Leisure Centres including an athletics track

• Recent investment in Avenue and Heston Park

• Further planned investments up to £1.4 million

• Key strategic sites to be developed;

- Redlees, Dukes Meadow, Feltham, Gunnersbury Park

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Hou

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Park

s &

Lei

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Active environment 2 – Hounslow a

ctiv

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t : G

reen

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A network of accessible routes for cyclists and walkers across our parks and open spaces Providing Safe and car-free surroundings

Active environment- 3 Active Spaces Camden

• £1 million CCG and Public Health funded project

• Original, imaginative, challenging and never-before-seen structures in the playgrounds of seven schools

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Act

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Cam

den

Active society: Creating a social movement • Common vision –make physical activity the expectation or social norm

• Working across sectors in the places we live and work

• Effective marketing and communication strategies, long term promotion – developing a common vision, ‘Every body active, every day’

• Equip communities with opportunities, tools and educate them to make the change- EMPOWER

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Active Society 1 - Hounslow

• Change 4 Life 2014

• 172,000 minutes of physical activity over 6 weeks period

• Park Run in Osterley, Gunnersbury, Bedfont.

• 1st Junior Park run starting in October

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• Green Gyms ongoing support and developing more

Active society 2

• Workplace health Programmes • Providing activities; • LBH pedometer challenge, health

walks, yoga, rounders

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• Offer a modern office

environment • Ergonomic office desks

Moving at scale: scaling up interventions that make us active • Maximise the use of existing assets -does not always require

additional investment to make a difference

• If it works, scale it up.

• Interventions need to be measurable, permanent and consistent

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Moving at Scale 1: Hounslow Beat the Street

2014 • Schools in Isleworth competed in the Beat the Street walking

competition. • Earned points by swiping their cards on ‘Beat Boxes’ located

across the local area • Over 1,700 children and their families took part and walked over

7,300 miles in a 4 week challenge.

2015 • Beat the Street is being rolled out to 20 schools and the wider

community in Heston and Feltham and over 18,000 residents are expected to take part.

• Potential to expand to cover more of the borough in the future

bea

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Moving at Scale 2 - Bristol ‘Playing Out’ • Launched in Bristol in 2009

• Temporary road closures

• Children of all ages played out together

• Neighbours socialised increased sense of safety and community

• Over 100 streets in Bristol have now joined

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Over to you… At local level, health and wellbeing boards are pivotal to developing and delivering the partnership actions required to truly shift society forward.

Think about each of the four domains to making people active every day.

What can we, the Health and Wellbeing Board, do to make a difference.

Pick one thing for each area that we could achieve collectively over the next year.

thin

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we’

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Cost

impa

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f Ina

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Hounslow is ranked 20/32 in London and 86/150 in England for inactivity (where 1 = least inactive)

Poor health due to inactivity is estimated to

cost £19.2m/100k population in Hounslow

£117,500 (1.4% of Hounslow PH budget) was spent on tackling it (2013/14)

(National average = 2.4%)

Source: Turning The Tide Of Inactivity, UKActive, 2014

271 premature

deaths

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ADULTS

33%

35% 34%

31%

ADULT PARTICIPATION IN SPORTS : 6 YEAR CHANGE (2005/6-2012/13)

37% 36% London England

Hounslow

Adu

lt sp

orts

par

ticip

atio

n

Adult participation in sport has fallen (-2%) in Hounslow over the last 6 years, when it increased in London (+2%) and England (+2%)

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Hounslow deaths from all

causes 698 per year

19% (131) deaths

14% diabetes prevalence drop

8% (30) CHD deaths

8% (17) new breast cancers

1.3 % (1) new case of colorectal cancer

Prev

entin

g de

aths

in H

OU

NSL

OW

Source: Health impact assessment tool, Public Health England

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25%

100%

75%

50%

If this proportion of people in Hounslow became ACTIVE…….

This number of deaths & new cancer cases would be prevented………….

Local authority spending

< 2% reducing inactivity

4% adult obesity 12% alcohol misuse 38% sexual health

Spen

d vs

hea

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utco

me

Top 4 risk factors for premature

deaths

1 High blood pressure 2 Smoking 3 High blood sugar 4 Physical inactivity

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overweight 15%

obese 24%

Year 6 (age 11) Reception (age 5)

overweight 11% obese 10%

inactivity

unhealthy diet

• …Obese 11 year olds have a more than 2 in 3 chance of becoming overweight adults

70% chance of becoming obese

Child

ren

and

adul

ts :

obes

ity

57.3% in London 63.8% in England overweight adults (62.8%)

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Headline findings: Ke

y re

ason

s fo

r not

doi

ng s

port

Some of the most common reasons for not doing more sport/physical activity in Hounslow are:

Being too busy

Cost of admission to sports facilities

Not knowing anybody to do sports with

Source: Sport England Market Segmentation 2010

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Moving at Scale…

Local/National examples What WE can do better

Health Walks – successful national programme, expanding and developing in Hounslow

Develop programmes together – systematic approach to reach more across a bigger section of the community

Better Points – borough wide participation tool. App that rewards residents for being physically active

Implement NICE guidance for Physical activity children and young people and older people

Physically activity interventions in Hounslow to be evaluated in line with the Physical Activity Standard Evaluation Framework

Learn from pilots and small scale projects what works for Hounslow. Work with the ‘What Works’ centre at Brunel University

‘Playing Out’ – Temporary street closures to allow children to ‘play out’ Since 2009 100 streets have joined.

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• Hounslow Physical Activity & Sport Strategy 2012-2022

• Joint Health & Wellbeing Strategy 2014-

• Hounslow Community ‘Future Borough’ strategy- a vision for Hounslow 2030

• LBH Corporate Plan 2015-2019

• Hounslow CCG Joint commissioning intentions 2014/15

• Hounslow Children & Young Peoples Plan 2012-2015

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Strong local and national policy k

ey p

olic

y &

gui

danc

e do

cum

ents

Travel

Personal development

Social inclusion

Fun Individual Becoming

More Active

Health

Physical activity is 'any force exerted by skeletal muscle that results in energy expenditure above resting level' (Caspersen et al. 1985).

wha

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to a

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How does physical activity produce health benefits?

Benefits of being active are not just on heart, lungs and muscles. New evidence shows it helps to reduce inflammation at a cellular level. Chronic diseases such as CVD, Dementia and depression have inflammatory components. When you are active your body produces multiple processes which reduce inflammation.

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how

are

hea

lth

bene

fits

achi

eved

?

More lives are saved by getting people fit

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Cardiorespiratory Fitness

Obesity Smoking Hypertension High Cholesterol Diabetes

Attr

ibut

able

Fra

ctio

n %

Axis Title

Men Women

Blair S N Br J Sports Med 2009;43:1-2

get

ting

fit i

s m

ore

impo

rtan

t 35

36

bei

ng a

ctiv

e in

dai

ly li

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UK

inac

tivity

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ds

Percentage decline in

physical activity since 1965

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2015

2030

1965 baseline

Active environment 3 – Hounslow Gunnersbury Park Sports Hub • 80,000 people live within 1 mile of the park • Gunnersbury Park is one of the largest open outdoor sports facilities in

West London • Opportunity to engage and empower local residents to be more active • Investment from Public health of £1.25 million • Long term benefits

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Hou

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Gun

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Par

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Moving professionals

Local national examples What WE could do better

Sport Impact – physical activity & physical literacy training for all teachers in Hounslow Primaries

Integrate the role of physical activity on the care pathway

MECC –large scale behaviour change; making every contact count. Rolled out by Derbyshire healthcare trust.

Create an environment that makes every contact count- MECC training for existing / new staff (brief Intervention & Signposting)

Health & Sport Engagement (HASE); training provided to sports professionals in RSPH Level 2 award in Health Improvement and to health care practitioners in developing understanding of sport for health.

Support health and social care staff to support older people and early years staff to support children to be more active

Health walks – volunteer walk leaders trained on importance of physical activity for health & educated on guidelines

Engage health professionals in BMJ modules for physical activity- ‘Importance of physical activity’ / ‘The health benefits of physical activity: promoting physical activity in primary care’

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PHE

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Active environment Local/national Examples What WE could do better

Hounslow: Active Spaces –animating our local parks and open spaces. Introduction of pitches, playing surfaces, outdoor gyms, trim trails and delivering physical activity sessions in these areas to encourage participation

Finland: 1970’s held world record for heart disease. Now, Finnish men can expect to live seven years longer and women six years longer than before measures were brought in. – massive community based intervention.

Drive to bring people into parks – Tennis for Free / Park Runs / cycle paths

Active Travel plans for staff/patients–cycle racks in workplaces / showers / cycle training offered to staff / activate stairwells

Cycle proficiency training – Children & Adults Cycle training offered in workplaces to encourage active travel / activating stairwells

SWITCH project – EU funded project to encourage walking to school from reception all Hounslow primaries engaged

Awareness of local parks- ensuring they are equipped to allow access for all (toilets/benches for elderly with impairments)

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Active society – Change attitudes Local and national examples What we could do

Hounslow's PH adopt national campaigns (change 4 life 10 minute shake up)

Agree on a collective push for PA campaigns for all around health and wellbeing board – joint promotion more impact

New health and wellbeing service to be commissioned taking a behavior change approach linking the local community/voluntary sector offer, with Leisure centre, wider community physical activity offer, EoR and link to national campaigns.

Physical Activity key within JSNA and joint health and wellbeing strategy?

CCG strategic plans – recognition of PA in treatment?

LBH internal workplace health steering group – physical activity is a key element

Physical activity champions in clinical settings?

PA needs assessment undertaken to provide evidence on local priorities so we can direct resources appropriately.

Supporting local people – bottom up

cha

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