Everybody More Active, Every Day12th March 2015

Everybody Active, Every Day:An evidence-based approach to physical activity

Helena FahiePublic Health Support Managerhelena.fahie@phe.gov.uk

A problem that requires a long term solution

• Decreasing activity levels since 1960s: oOver 20% less physically activeoEstimated 35%↓ by 2030?

• 64% of trips are made by car, only 22% on foot and 2% by bike

• Physical inactivity is responsible for:o1 in 6 UK deathsoUp to 40% of many long-term conditions

• Estimated £7.4 billion annual cost

2Sources: Ng SW, Popkin B (2012); Lee I-M, et al. (2012); Wen CP, Wu X (2012); WHO (2010); Ossa D & Hutton J (2002); Murray et al. (2013)

Everybody needs to be more active every day

3Source: Health Survey for England 2012 (HSE); Active People Survey 8, April 2103-April 2014 (APS); National Travel Survey July 2014 (NTS)

Active People Survey 2006 - 2014

4Source: Sport England’s Active People

5 Source: National Travel Survey July 2013

The lazy man of the western world?

6Source: Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, for the Lancet Physical Activity Series Working Group (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. The Lancet; published online July 18.

International comparison of physical inactivity (at ages 15 and over)

Note: Comparator = Not meeting any of the following per week: (a) 5 x 30 mins moderate-intensity activity; (b) 3 x 20 mins vigorous-intensity activity; (c) equivalent combination achieving 600 metabolic equivalent-min. 

Everybody Active Every Day

• Consolidates international evidence and co-produced with over 1,000 local and national stakeholders

• Supports local leaders to reframe, refocus and provide leadership on:o Cross-sector partnershipo Industrial scale action across the whole systemo Focus on addressing inactivity as well as increasing physical activity to

health enhancing levels

• Four domains for national and local action

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• Changing general attitudes to make physical activity the expectation or social norm

• Working across sectors in the

places we live and work

• Developing a common vision of:

“Everybody Active, Every Day”

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Active society – Creating a social movement

Moving professionals – Activating networks

• Utilising existing networks of influencers across public, private & voluntary sector workforces

• ‘Making every contact count’ across sectors and disciplines

• Starting with expertise & leadership in key sectors:o Educationo Sports & leisureo Health & social careo Planning, design, transport

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Moving at scale – Interventions that make us active

• Positive change must happen at every level and must be measurable, permanent and consistent

• Implement ‘what works’ at scale

• Maximise existing assets, i.e.o Human o Physical

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Active environments – Creating the right spaces

• Developing ‘healthy’ cities, villages, towns and communities

• Linking across disciplines through planning and policy:o ‘Active’ infrastructure planning oCapital funding investments

• Embedding activity for all, e.g.oAge-friendlyoDisability-friendly

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Evidence for implementation

• Synthesis of existing evidence base (e.g. NICE)

• Evidence-based actions across public health system:oSettingsoLife-course

• Includes five key steps for local action:1. Every child to enjoy & have skills to be active

2. Safe, attractive & inclusive active living environments

3. Make every contact count in public & voluntary sectors

4. Lead by example in public sector workspace

5. Evaluate and share ‘what works’

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PHE actions to support implementation

• Direct support from PHE Centres and National Team

• Free CPD-accredited BMJ e-Learning modules

• Guide to online tools for valuing programmes

• Review of evidence for local interventions (Identifying what works for local physical inactivity interventions)

• Toolkit for MPs

• Other products in development, e.g.:o Topic overviewso Definitive review of return on investment (health and non-health)o Toolkit for elected members

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Making it real in our region

1. Understand the Oxfordshire challengeo 38% not active enough for good healtho 23% ‘physically inactive’

2. Recognise & maximise assets & opportunitieso Physical (Community Assets)o Human Resourceo Organisational and policy

3. Securing cross-sector commitment and collaboration for sustainable action

14 Source: Public Health Outcomes Framework indicators 2.13i & 2.13ii

Our ask of you

1. Utilise the opportunity of today to plan and agree specific actions for local working

2. Be part of the change you want to see, in your workplaces, in your work, in your every day lives

3. Become a leader within your organisation and local areas to prioritise physical activity

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Let’s get Everybody Active

Every Day!Helena.Fahie@phe.gov.uk