1. Everybody More Active, Every Day 12 th March 2015 Everybody Active, Every Day: An evidence-based approach to physical activity Helena Fahie Public Health Support Manager helena.fahie@phe.gov.uk

2. A problem that requires a long term solution Decreasing activity levels since 1960s: o Over 20% less physically active o Estimated 35%↓ by 2030? 64% of trips are made by car, only 22% on foot and 2% by bike Physical inactivity is responsible for: o 1 in 6 UK deaths o Up to 40% of many long-term conditions Estimated £7.4 billion annual cost 2 Sources: 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)

3. Everybody needs to be more active every day 3 Source: Health Survey for England 2012 (HSE); Active People Survey 8, April 2103-April 2014 (APS); National Travel Survey July 2014 (NTS)

4. Active People Survey 2006 - 2014 4 Source: Sport England’s Active People

5. 5Source: National Travel Survey July 2013

6. The lazy man of the western world? 6 Source: 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.

7. 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 partnership o Industrial scale action across the whole system o Focus on addressing inactivity as well as increasing physical activity to health enhancing levels Four domains for national and local action 7

8. 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” 8 Active society – Creating a social movement

9. 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 Education o Sports & leisure o Health & social care o Planning, design, transport 9

10. 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 10

11. Active environments – Creating the right spaces Developing ‘healthy’ cities, villages, towns and communities Linking across disciplines through planning and policy: o ‘Active’ infrastructure planning o Capital funding investments Embedding activity for all, e.g. o Age-friendly o Disability-friendly 11

12. Evidence for implementation Synthesis of existing evidence base (e.g. NICE) Evidence-based actions across public health system: o Settings o Life-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’ 12

13. 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 overviews o Definitive review of return on investment (health and non-health) o Toolkit for elected members 13

14. Making it real in our region 1.Understand the Oxfordshire challenge o 38% not active enough for good health o 23% ‘physically inactive’ 2.Recognise & maximise assets & opportunities o Physical (Community Assets) o Human Resource o Organisational and policy 3.Securing cross-sector commitment and collaboration for sustainable action 14Source: Public Health Outcomes Framework indicators 2.13i & 2.13ii

15. 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 15

16. Let’s get Everybody Active Every Day! Helena.Fahie@phe.gov.uk