NCESEM - Sheffield

Creating a physical activity legacy through a whole city approach

To be recognised as the City that created a Culture of Physical Activity within its

communities, workplaces and people through the Legacy of London 2012 Olympic and

Paralympic Games.

Vision

Through a unified and city wide approach we will support evidence based initiatives that;

• seek to reduce the burden of disease across the City, • promote economic growth through a sports culture,• improve the health and productivity of the City's workforce and• facilitate more active lifestyles for the population of Sheffield as a

whole.

Mission

• Equality, inclusion and diversity

• High quality• Consistency in message• Unified and City wide

approach.

Values

• To bring benefit socially & economically we are aiming for:

• 1% stepped change in physical activity at a population level year on year

• 15% Reduction in back pain related absenteeism in 5 years• 15% reduction in back pain referrals in 5 years• 2-3% reduction in CVD risk factors at population level over 5 years

• These changes are challenging but evidence based• Represent a significant attempt at a cross population

implementation project.

Measures of success

• If the average risk factors across Sheffield were reduced by 2% - 3% over five years this could:

• reduce annual admissions by up to 1,235 per year, • prevent up to 426 premature deaths per year and • save up to £3.7 million per year on acute hospital costs

alone• Non-recurrent cumulative savings over the five year

period could be as high as £11.2 million.

Based on Whitfield et al., 2008

Invest to save

• Provide targeted and universal support• Focus on Musculoskeletal (MSK) conditions• A whole city approach to establishing legacy• Utilise the demonstration & festival effects of

London 2012 (active celebration)• Connected through one brand, one message.

Three Interconnected Themes

NCESEM Project Map

THEMES

WORK PACKAGES

INDIVIDUAL PROJECT TITLES

• Promotion of ‘physical activity’ at an individual, group, community and population level in a wide range of settings across the City

• This bespoke physical activity comprises two forms: – ‘primary prevention’, increasing physical activity in

people with no health restrictions to activity– ‘secondary prevention’, tailored physical activity for

people with some health restrictions to activity.

Physical Activity

• Guided by current literature, there will be a particular emphasis on;

• developing an environmental infrastructure that facilitates physical activity

• challenging and changing the culture around physical activity/inactivity

• promoting physical activity among disadvantaged groups who may not have access to activity/sport or sport and activity-related facilities.

• The process of delivering a physical activity legacy is not one of investing solely and immediately in interventions

• Pilot programmes and allow the evaluation/research evidence to inform any potential roll out.

Physical Activity

Active Celebration

• Harnessing workplaces in the promotion of healthy living at an individual, group, community and population level in a range of settings across the City (i.e. workplaces, schools, homes)

• Evidence based approach to interventions with a focus on musculo-skeletal conditions (MSK)

• Embedded within organisational culture, business owning the bottom line benefits

• Reduced absenteeism and increasingly more productive workforce (presenteeism).

Workforce Wellness

• The development of a sporting economy in Sheffield through the NCESEM and associated projects

• Unlike the physical activity and workforce wellness themes, the evidence for leveraging a sporting economy through interventions is limited

• Programme of in-depth stakeholder consultation and 'real-world' research to inform interventions later in the programme (years 3-5).

Sporting Economy

• Professional PhD programme bursaries aimed at individuals employed within the business, voluntary, sport and public health sector

• Professional PhD programmes supported by 'buy-out' time for research and industry experts within Sheffield and UK

• Limited research and stakeholder consultation has identified three key research questions:

Sporting Economy

Sporting Economy

• Robust programme of effectiveness and cost-effectiveness evaluation

‘We will understand what helps a British community to use activity to improve health'.

• Build a model of best practice• Broadcast nationally &

internationally• Develop reputation• Combine data collection with

intervention• Evidence the legacy.

Evaluation

• High quality services and enhanced skills legacy

• Sustained through 'buy-in' from communities & businesses

• Value & Evidence based approach

• Consistent brand & message• Robust evaluation.

Summary: Building the Legacy

Thank you for Listening