1. 5 MINS
A year on from GM Moving Launch: three things we’re here for:
Reflect on the past year and what great progress we’ve made.
Announce our co investment plans into this work, through the paper you have in front of you.
A call to action for all of us to play our full part.
With a little help from some friends....
Dr William Bird- a timely reminder of why this matters.
Dawn Nisbet, GM Moving Ambassador.... Personal story of transformation..... We just need another 1 million stories like these.
MENTION before you start- the work of the GM Moving Team (a blended team from a number of organisations- GMHSCP, GCMA, GreaterSport, Sport England, etc...
And that of Chris Boardman’s team- Martin Key (Senior transport adviser, Cycling and Walking commissioner), Pete Burt (Chair, GM Active) which is highlighted in the paper.

2. Looking back
Physical activity at the heart of our transformation work, and embedded throughout the system.
Positioning of the role of physical activity as a cross cutting solution is unrivalled elsewhere
Our commitment to doing things differently
20+ years of collaboration
We are leading the way in this work, nationally, and are supporting a social movement where being active becomes normal again.
Commitment to change is huge
Significant milestones along the way – from the first meeting of minds.. Through to today eg-
GM Active Formed
MoU with Sport England
GM Moving Blueprint for Change and Refresh in 2017
Appointment of Chris Boardman and production of Made to Move report in 2017.
Announcement of Local Delivery Pilot in December.

3. Our factory setting is to be in a sociable group, supportive environment and have a purpose
People
Place
Purpose
Sociable
Nature
Autonomy
Be Active, Give
Keep Learning
Connect
Take Notice

4. Fear and Chronic Stress
People
Place
Purpose
Loneliness
Hostile
Rejection
Fear and Chronic Stress

5. Chronic Stress Inactivity Poor diet Obesity Smoking
Chronic psychosocial stress, increases the risk of physical inactivity and contributes to the epidemic of disease.
Tsatsoulis, A. and Fountoulakis, S., The protective role of exercise on stress system dysregulation and comorbidities. Annals of the New York Academy of Sciences, 1083(1), pp

6. Chronic Stress Stress Hormones Chronic Inflammation Inactivity
Poor diet
Obesity
Smoking
Chronic Inflammation
Mitochondria as a key component of the stress response. Manoli et al. Trends in Endocrinology and Metabolism Vol 18 No

7. Inactivity causes inflammation1.
Increases
visceral fat 2.
Reduces anti-
inflammatories 3.
Damages
healthy cells

8. Sedentary, high fat diet and stress
Oxidative Phosphorylation
Anti-
Oxidants
Reactive
Oxidative
Species
Mitochondrial DNA
Mitochondria

9. Physically active, low fat and not stressed
Oxidative Phosphorylation
Reactive
Oxidative
Species
Anti-
Oxidants
Mitochondrial DNA
Mitochondria

10. Telomeres get shorter
Epel, Elissa, et al. Can meditation slow rate of cellular aging? Cognitive stress, mindfulness, and telomeres.
Annals of the New York Academy of Sciences (2009): 34-53

11. We have a new disease that conventional medicine cannot treat
Chronic Inflammation

12. Inflammation: ‘the cause of causes’
Inflammation of metabolic system
Diabetes
Heart Disease
Inflammation of hear and arteries
Inflammation of the brain
Depression and Anxiety
Chronic
Inflammation
Starts in children
as young as
6 years old
Inflammation and faulty immunity
Cancers
Obesity
Inflammation of visceral fat
Arthritis
Inflammation of joints
Dementia
Inflammation
of brain

13. Social Prescribing Pathway of Ill Health People Place Purpose
Chronic stress
Poor health behaviours
Mitochondrial damage, telomere shortening,
and chronic inflammation
Cardiovascular disease, diabetes, cancer, depression

14. Exercise on Referral The focus has moved physical activity
from a venue based strategy ...
Exercise on Referral

15. Social Prescription … to a community based activity where
activity happens everywhere
Social Prescription

16. Social Movement But to get real scale we need to
get lots of people becoming
activity leaders themselves
Social Movement

18. Your teams and colleagues Your family and friends Your community
#GMMoving
3 MINS
So – we need 1 million more stories like Dawn’s... The papers tell you what we’re doing, and how... through the implementation of the GM Moving Plan..., the Local Delivery Pilot, Made to Move, Transformation Fund investments, GM Active innovations and Active Ageing... we can work together in every community across GM.
We have an opportunity to create the evidence base here – the story of what it takes....to show what happens when you truly work on a whole system basis from the individual, through to policy spheres... To achieve population scale change
We have pockets of the ingredients at work in some places in Greater Manchester... but we’re not doing all of it anywhere, and we haven’t before created the conditions for success across GM...
The outcomes? connection, community, aspiration, relationships, businesses thriving, people are happier, healthier, successful
Our work together is all about aligning the forces.... (CLICK to align the arrows)
So that all the influences on physical activity behaviour are working in the same direction...
From our infrastructure and urban design, to our policies and practices, workplace culture, nudges and enabling in our communities and families.....
Our job is to work together to turn things around- from negative to positive influences on physical activity behaviour.
We need all your help to lead and enable this movement