1. Aquatics and health Using aquatics strategically to improve population health Dr Ann Hoskins Deputy Regional Director of Public Health NHS North West

2. Aquatics and health NHS North West Population of 6.8M 14,165 km 2 NHS budget over £11Bn Public sector spend £47Bn (11% of GDP) 63 NHS organisations 46 Local Authorities 77 MPs 210,483 employees

3. Aquatics and health Why increase activity? Physical activity essential for good health Helps prevent and manage more than 20 conditions and diseases Children need one hour each day of moderately intensive exercise eg? Adults need moderate exercise for 30 minutes at least 5 days a week e.g.? But…..

4. Aquatics and health Why increase activity? In England, almost seven out of 10 of men and almost eight out of 10 women do not achieve this level of activity One in three of boys over one in three girls are also insufficiently active.

5. Aquatics and health The Active People Survey

6. Aquatics and health Health challenges in the North West Highest rate Deaths from heart disease and stroke Long term mental health problems Second highest rate deaths from cancer and smoking feeling in poor health

7. Aquatics and health Health inequalities in the North West Manchester 67 years Low life expectancy Chelsea 82 years Infant mortality rates above England average

8. Aquatics and health Health challenges in the North West 400,000 people of working age on incapacity benefit high rates of obesity

9. Aquatics and health Trends in overweight & obesity prevalence among children 1995/1997 – 2003/2005

10. Aquatics and health North West Childhood Obesity Prevalence in Primary School Children

11. Aquatics and health

12. Physical Activity Alliance

13. Aquatics and health Health challenges in the North West By 2029 there will be 50% more 75 to 89 year oldsBy 2029 there will be 50% more 75 to 89 year olds Long-term conditions increase as population agesLong-term conditions increase as population ages Swimming good for joint and muscle problemsSwimming good for joint and muscle problems By 2029 there will be 50% more 75 to 89 year oldsBy 2029 there will be 50% more 75 to 89 year olds Long-term conditions increase as population agesLong-term conditions increase as population ages Swimming good for joint and muscle problemsSwimming good for joint and muscle problems

14. Aquatics and health increase participation in sport improve health of different groups meet different health needs Using aquatics to tackle these challenges

15. Aquatics and health Swimming – North West compared with England * Swimming in the last 4 weeks ** Number has been approximated based on total % of the population who are adults.

16. Aquatics and health National policies Sport England Health Challenge England Our NHS Our Future Healthy Weight, Healthy Lives Public Service Agreements Treasury’s national physical activity strategy

17. Aquatics and health A North West Framework to Achieve Healthy weight NHS North West Corporate Plan Local Area Agreements Local delivery Regional work

18. Aquatics and health What works? NICE guidance brief interventions in primary care Two recommendations i.Advice on activity, using validated tool ii.Individually tailored, with agreed goals and follow up

19. Aquatics and health What works? NICE Obesity guidance – actions for primary care trusts and local authorities

20. Aquatics and health Evaluation Still short of evidence for what works Important to evaluate Sport and Physical Activity interventions

21. Aquatics and health The World Health Organisation recommends between 10-20% of total intervention costs should be spent on evaluation.

22. Aquatics and health Overview of evaluation process