Maximising the Impact of the PE &

School Sport Premium Conference Black Country – 23 October 2014

Dean Hill

Primary Prevention Services Programme Manager

Office of Public Health

• My Brief

• Using the premium to promote health and wellbeing

• My Agenda

• Making the case for physical activity and sport in school age

children.

Workshop purpose and delivery • To develop an understanding of the level(if any) of support and guidance re

PE and Sport and specifically the use of the primary premium grant.

• To provide information on the importance, levels of and impact of PE/PA and

sport on children and adults.

• To look at some options....

• To challenge ( remember I have an agenda), debate, interact and hopefully

take away something you can apply for yourself, your organisation

and/or your children.

• To capture your thoughts informally and formally via the dreaded evaluation

form

• I will not tell you how or what to teach............maybe

• For me to get out in one piece!!!

Getting started

• This is not a trick question..........

• Who are you and what are you responsible for?

My agenda

In many countries , physical activity is disappearing from everyday life. It happened in just one or two generations in certain countries and sooner in others. Our physical, emotional and economical well being has become increasingly compromised as a result. The time for action is now!

(Designed to Move 2012)

(Designed to Move 2012)

This is a situation that health infrastructures, social services and

national economies cannot possibly endure. Physical inactivity is

now an epidemic and we must act urgently to break its deadly cycle.

Fortunately, the solution is within reach.

If we reach children when they are young enough, before age 10,

they can learn to love physical activity and sports for life. They’ll

reap the rewards and pass them on to the next generation.

We must also find ways to integrate the physical activity we’ve lost

back into our lives. Amongst many things, this relates to the way our

cities are designed, schools are run,workplaces are structured, and

how community environments are shaped.

Your agenda?

Not a new trend

What was Cybil the world champion of?

lifestyle,lifestyle,lifestyle

The current situation

Why is this? Marmot Review, Fair Society, Healthy Lives (2010)

“The causes of health inequality are complex but they do not arise by chance. The social, economic and environmental conditions in which we live strongly influence health. These conditions are known as the social determinants of health, and are largely the results of public policy”

• Inequalities often observed on a social gradient – more favourable social circumstances (income, education) = better chance of good health and longer life

• People in lower socio-economic groups = more ill health and lower life expectancy

• Inequalities also exist between genders and ethnic groups

Do inequalities exist in schools?

Social Determinants of Health

So what are we talking about?

How much should children do?

Young people

Adults

05

101520253035404550556065707580

0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

Physical Activity Self Assessment Office of Public Health, Physical Activity Team 2011

Moderate intensity activity (minutes per week)

Vig

oro

us

inte

nsi

ty a

ctiv

ity

(m

inu

tes

pe

r w

eek)

Where are you???

The medical view from the top!

“The potential benefits of physical activity to health are huge. If a medication existed which had a

similar effect, it would be regarded as a ‘wonder drug’ or ‘miracle cure’"

“The challenge for everyone, young and old alike, is to build these benefits into their daily lives”

Dr. Liam Donaldson

Former Chief Medical Officer

How does it compare?

• Cost of Statin supplement up to £17,000

• Cost of Smoking Cessation up to £9515

• Cost of exercise supplement up to £440

• NICE recommend that a drug or intervention that

costs up to £30,000 per QALY is justified

• 68 patients can be treated with exercise for one

intervention costing £30,000

What happens if I'm not active?

Costs of inactivity

What does that look like in the black country?

Making the case

• Inactivity is the fourth biggest Killer in the world !!!

• Apart from not smoking, being physically active is the most powerful lifestyle choice an individual can make for improved health outcomes”

• On average, an inactive person spends, 38% more days in hospital than an active person, and has 5.5% more doctor visits, 13% more specialist services and 12% more nurse visits than an active individual.

• It improves well-being and mental health, particularly beneficial for maintaining independence throughout the lifecourse.

• Inactive lifestyles are contributing to an obesity epidemic, a major public health crisis that is already costing the economy billions per year.

• Two in three adults are obese or overweight. In 2050, it is projected that over 50% of

women and over 60% of men will be considered obese. More to follow

Impact on conditions and the child My agenda?

Condition Effect

• Heart disease Reduced risk

• Stroke Reduced risk

• Overweight and obesity Reduced risk

• Type 2 diabetes Reduced risk

• Colon cancer Reduced risk

• Breast cancer Reduced risk

• Musculoskeletal health Improvement

• Falls in older people Reduced risk

• Psychological well-being Improvement

• Depression Reduced risk

Impact on behaviour and the child your agenda?

• Condition Effect

• Attention improved

• Confidence improved

• Self esteem improved

• Understanding improved

• Respect improved

• Skills improved

• Desire to Improve increased

• Enjoyment improved

• Educational attainment increased

Do we have the same agenda yet?

There is evidence out there

2001 Grade 5 SAT 9 and Physical FitnessScores

29 32 3640

4655

3640

4550

58

71

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6

Number of Fitness Standards Achieved

SA

T 9

Pe

rce

nti

le

Reading Mathematics

Where are we nationally?

• 2/3 of the population of England are overweight or obese

• Obesity has grown by 400% over the past 25 years

• Obesity will surpass smoking as the greatest cause of premature death

• Moderate obesity (BMI 30-35) reduces life expectancy by on average 3 years, while morbid obesity (BMI 40-50) reduces life expectancy by 8-10 years, this is the same effect as lifelong smoking. • The UK has the fastest accelerating rates of Childhood obesity in the world

Today’s generation of children will be the first for over a century for whom life expectancy falls!!!

obesity

• What is obesity? (cause)

• Obesity is a complex, multi-factorial disease that develops from the interaction

between the individual and the environment. It involves the integration of social, behavioural, cultural, physiological, metabolic and genetic factors’

• What is obesity? (effect)

• Obesity – excessive amount of body fat in relation to lean body mass

• Overweight – increase in body weight in relation to height when compared to standard

Essentially obesity is an imbalance between

energy intake and energy output over a

sustained period of time

Can you see sport and PA in schools playing a role?

So how do we get from this...

To this!

Barriers to Physical activity

• Nationally, locally and individually they always revolve around the following. Some are real some are perceived, none are insurmountable....

• Time school?

• Cost school?

• Access school?

• Facilities school?

• Not the sporty type

• My health

• It’s not safe school?

• Other conflicting agendas.

• Where I live school?

What is the environment?

• The environment refers to all of the objective structural factors, external to the individual, that both positively and negatively influence a person’s behaviour

(Baranowski et al. 1997)

• Environmental Interventions contribute to behaviour change by advocating and implementing measures that will make it easier for people to engage in health enhancing activities , whether they are aware of it or not, while making it more difficult to engage in competing and less desirable behaviours

What can PA and sport do in this area to change the environment? .

A supportive Environment.

• To be supportive, the environment must provide certain material, human

and political resources- factors that can effectively promote and protect the adoption, implementation and maintenance of the desired behaviour in a given population. In physical activity promotion, a supportive environment would be one in which the population could freely achieve and maintain a physically active lifestyle . It would include;

• A social network in which organisations / people are supportive of one another’s efforts to be physically active.

• A variety of safe and favourable physical conditions, neighbourhood infrastructures, roads ,space as well as abundant opportunities to be physically active.

• A political infrastructure where policies and legal incentives exist to support a person’s desire to achieve and maintain a physically active lifestyle, whilst removing or altering real or perceived social, physical and political barriers to being active.

• Doesn’t this sound a lot like a school?

How did he do that!!!

Does your exercise /activity/sport

1. Cost more than £50.00 to get started?

2. Cost you each time?

3. Need special equipment or instruction?

4. Require you to go somewhere special or specific?

5. Need other people to take part?

6. Not provide much enjoyment?

7. Have a high risk of injury?

8. Make it hard to do at work?

A simple example?

• If one third of car journeys under five miles(most trips to school) were transferred to foot or cycle it would save as many lives as all other heart disease prevention measures put together.

• The health benefits alone of investing in cycling can be more than 2.5 times the cost.

Payback?

Or put simply

What could it look like?

• Cycle storage

• Cycle training

• Led rides for children and parents

• Travel plan for staff and children

• Dr Bike

• After school clubs

• PE rides

• Playtime use

• Set up a family riding bus

• Promote cycle to school week

• Links to local clubs

Over to you

• What can you do, individually, as an organisation or as a supportive environment to increase physical activity opportunities and participation with or without the Primary Premium?

• Any questions?

• dean.hill@dudley.gov.uk 01384 816462

Maximising the Impact of the PE &

School Sport Premium Conference Black Country – 23 October 2014

All workshop presentations will be available at: www.blackcountrybeactive.co.uk