Strategies for Seniors and Sports Paul Stonebrook Health Improvement and Prevention Department of Health

Choosing Health? Consultation Game Plan Activity Co-ordination Team Wanless Report Choosing Health (ends 30 th June)  Choosing Activity (ends 30 th June)  Public Health White Paper - Autumn 04

Game Plan Recommendations  Establish a cross government Activity Co- ordination Team (ACT)  Identify / co-ordinate existing pilot projects  Jointly plan and commission further pilots and establish an innovation fund  Facilities database  National methodology for collecting participation and fitness data + bi-annual surveys  Elderly identified as a priority

Activity Co-ordination Team  Cross Government Team (13 Departments and Agencies)  Jointly led by Health and Culture, Media and Sport  To raise mass participation in sport and physical activity, particularly among  economically disadvantaged groups  school leavers  women  older people

Wanless Report  We need annual report about the state of people’s health and of the major determinants - national and local authority levels.  Need to know more about the effectiveness and cost effectiveness of interventions.  Where there is significant risk to public health go ahead!  Spread the message and stop doing things that do not work!

ACT Monitoring Evaluation and Research To provide rigorous evidence of current patterns and trends in physical activity and sport building on current government survey work MONITORING To provide rigorous evidence of what works and to move evidence into practice EVALUATION To support innovation and information sharing and strengthen the academic research network focusing on physical activity and health - RESEARCH

Monitoring Health Survey for England –Adults (1994, 1998 and 2002 CVD) –Older people (2000 Separate sample of older people aged 65 + and resident in care homes) –Future health survey of older people 2005 Objective Fitness Measures –Step Test –Functional tests in older people

Functional tests in older people Proposal Build upon links between English Longitudinal Study of Ageing (ELSA) and Health Survey for England Short Performance Battery (Guralnik et al.) Handgrip strength (Measure of life-space mobility)

National Evaluation Local Exercise Action Pilots (LEAP) Health Development Agency Collaborating Centre Healthy Communities Collaborative National Falls Collaborative

Health Development Agency Collaborating Centre HDA builds the evidence base and transfers that evidence into practice as the means of achieving health development Evidence and Guidance Collaborating Centre for the Promotion of Physical Activity (3 year contract) –Maintain HDA Evidence Briefing –Produce Effective Action Briefing –Evidence not conventionally included in systematic reviews

Health Development Agency Evidence into Practice

Collaboratives Healthy Communities Collaborative –“New partnerships to tackle inequality” –‘citizen-led’ approach –Falls Pilot National Falls Collaborative –‘service-led’ approach

Research Chief Medical Officer’s Report  Beneficial effects on cardiovascular disease, type 2 diabetes and obesity Can improve muscle strength Reduces incidence of falls Improves emotional and mental well being Can benefit cognitive function