Creating a Moving Culture · even happier lives. We know that inactivity is a silent killer and, it...
Transcript of Creating a Moving Culture · even happier lives. We know that inactivity is a silent killer and, it...
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Strategy 2012–2017Be Active: Be HealthyCreating a Moving Culture
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ContentsForeword 1
Vision: a Moving Culture 3AmbitionstomakeLiverpoolmoreactive 3
Why Physical Activity matters/benefits of activity 5Healthrelatedqualityoflife 5Physicalactivitymorbidityandlifeexpectancy 6
Liverpool’s demographic data 7HealthInequalities 8MentalHealth 8EquityandInclusion 8Data 9
Physical Activityacross the Life course 10BenefitsforChildrenandYoungPeople 10EarlyYears 105–16 10Childrenwithdisabilities 1416–19 14MaternalFitness 14AdultandFamilyFitness 14Physicalactivityandrecovery 15Easytomissgroups 16RefugeeandAsylumSeekers 16BMEgroups 16OlderPeople 16
Health Economics 17IsPhysicalActivitycosteffective 17
Health Economics of Active Travel 18CycleforHealth 18WalkforHealth 19The20Effect 19
Be Active: Be Healthy Strategy 20Increasingphysicalactivitythroughthelifecourse 21Implementation 21GuidelinesforStakeholders 22Marketingandpromotion 23OlympicLegacy 23EvaluationoftheStrategy 23Targetsforimprovedphysicalactivity 26
Summary 26IncreasephysicalactivitylevelsthrougheverydaylivingInfluenceattitudesandperceptionsofthewholepopulationPromotephysicalactivityandbenefitsforHealth,WellbeingandhappinessMeasuretheimpactofthestrategytoincreasephysicalactivityandcreateamovingculture
The success of Liverpool’sActive City Strategy 2005–2010 28Reviewofprogramme,keyoutcomesandhighlights 28ExamplesofgoodpracticeinLiverpool 28
Acknowledgements 34
Links 34
References 35
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ForewordThereisincreasingevidencethatphysicalactivityisfundamentalforafullandhealthylifeandthatconstantinactivityisbadforourhealth.Liverpoolofferschildrenyoungpeopleandadults,whatevertheirabilities,awiderangeofopportunitiestogetoutandbeactive.Alongsidetraditional‘sport’,parksandgreenspacesthroughoutthecitypromotewalking,throughlocalwalkleadersandhelpfulmaps,cyclingandplay,greengyms,fitnesseventsandarangeoffreeandlowcostactivitiesthroughouttheyear.
Leisurefacilitiesprovideindoorgyms,dance,exercise,swimmingandgroupactivitiesallyearroundandcurrentlyallyoungpeopleundertheageof17havefreeaccessundertheFuturesscheme.
Thecitytravelplanpromotesactivetravelthrougharangeofinitiativesincludingthewalkingbusscheme,trainingandmentoringtobuildconfidencewithyoungandnotsoyoungcyclists,anincreaseinthenumberofcyclelanes,localcyclingmaps,offroadcyclingandsecurebikeparking.
Trafficcalmingandspeedrestrictionsonresidentialroadsencouragepeopletobeoutonthestreetandanetworkofregularbusandrailroutesacrossthecityenablefreedomofmovementformostresidents.
TheLiverpoolBeActive:BeHealthyStrategy(2012–2017)offersafiveyearblueprintforactionthatbuildsonthesuccessoftheActiveCitystrategy(2005–2010).Theaimisforeveryonetoparticipateinphysicalactivityaspartoftheirdailyroutine,whatevertheirageorability,toincreasehealthyweightandtoreducetheburdenofoverweight,obesityandnon-communicablediseasesinthepopulation.
OverthelastfiveyearsthelevelofphysicalactivityintheLiverpoolpopulationhasincreasedbutthereismuchmoretodo.Keystakeholdersfromthepublic,privateandthirdsectorshavecometogethertodevelopthisstrategywithonesharedpriority:ToensurethatpeopleofallagesandabilitiesinLiverpoolareabletoachieveregularphysicalactivitytoincreasegoodhealth,reducetheburdenofdiseaseandcreateatrulyActiveCity.WehopethatyouwillsupportusinourvisiontocreateamovingcultureinLiverpool.
Roz GladdenAssistantMayorExecutiveMemberforHealth
Gideon Ben-TovimChairLiverpoolPCT
Paula GreyJointDirectorofPublicHealth
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Vision: a Moving Culture
Liverpool, a city where people invest in their future health and happiness; by prioritising active choices every day of their lives at home, work, school and play. Be Active: Be Healthy aims to reduce inactivity and enable everyone in the City to be more active whatever their age, ability or health status.
TheBe Active; Be Healthystrategyaimstosupportorganisations,businesses,communities,familiesandindividualstorecognisethemanybenefitsofphysicalactivity,andtoencourageeveryonetoadoptanactivelifestyle.
Introduction
Promotingactivelifestyleshasthepotentialtoimprovephysicalandmentalhealthofeveryoneregardlessofageorability,toreduceall-causemortalityandimprovelifeexpectancy.
Whateveraperson’sage,thereisgoodscientificevidenceoutlinedintheChiefMedicalOfficer’sreport(2012)iithatbeingphysicallyactivecanhelpindividualstoleadhealthierandevenhappierlives.Weknowthatinactivityisasilentkillerand,itisthereforeimportantthatpublichealthandwidercommunityprovidepeoplewiththeinformationandmotivationwithwhichtomakehealthylifestylechoicesinrelationtobeingactive.‘Be Active: Be Healthy’isabannerunderwhichallorganisationscanpromoteopportunitiesforphysicalactivitythataresustainable,affordableandeffective.
Recommendedactivitylevelschangeacrossthelifecourse,detailedguidancecanbefoundinNICEPHguidance17(2009)iandthe2011AnnualReportoftheChiefMedicalOfficeriioutlinedinBox1.
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Box 1How much is enough?
Early Years:physicalactivityshouldbeencouragedfrombirth,particularlyfloorbasedplayandwater-basedactivitiesinsafeenvironments.Childrenofpre-schoolage(0–4years)whoarecapableofwalkingunaidedshouldbephysicallyactiveforatleast180(threehours)spreadthroughouttheday.Allunder-5sshouldminimisetheamountoftimespentinsedentaryactivity(beingrestrainedorsitting)forlongperiods(excepttimespentsleeping).
Children and Young People:allchildrenandyoungpeopleaged5–18shouldengageinmoderatetovigorousintensityactivityatleastfor60minutesanduptoseveralhourseachday.Vigorousintensityactivityincludesactivitiessuchasrunning,jumping,ballgamesorgymnasticsthatproducehighphysicalstressesonthebonestoimprovebonehealth,musclestrengthandflexibility.Allchildrenshouldminimisetheamountoftimespentbeingsedentary(sitting)forlongperiods.
Adults 19–64:shouldbeactivedaily.Overaweekactivityshouldadduptoatleast150minutes(2.5hours)ofmoderateintensityactivityinboutsof10minutesormore.Thisdoesnothavetobecontinuous,itcanbethreeboutsof10minuteseachoralltogether–whicheverismostappropriate.Thiscanbeanytypeofactivitythatresultsinaslightly/moderatelyincreasedheartrate,andcanincludethingsthatadultsdoaspartoftheireverydaylivesincludingwalking,cycling,gardeningorhousework,aswellassport.Whilst30minutesofmoderateactivityisenoughforgeneralhealth,manypeoplearelikelytoneed45–60minutestopreventoverweightandobesity.
Older adults 65+:whoparticipateinanyamountofphysicalactivitygainsomehealthbenefitsincludingmaintenanceofgoodphysicalandcognitivefunction.Somephysicalactivityisbetterthannoneandmorephysicalactivityprovidesgreaterhealthbenefits.Olderadultsshouldaimtobeactiveforatleast150minutes,2.5hours,ofmoderateintensityactivityinboutsof10minutesormoreasforadultsabove.Olderadultsshouldalsoundertakephysicalactivitytoimprovemusclestrengthonatleasttwodayseveryweekandthoseatriskoffallsshouldincorporatephysicalactivitytoimprovebalanceandco-ordinationonatleasttwodaysaweek.Aswithallothergroupsolderpeopleshouldminimisethetimetheyspendbeingsedentary(sitting)forextendedperiods.
Box 2What if I am in a wheelchair or can’t move about much?
Everyonecanengageinphysicalactivity–thosewithrestrictedmovementmayrequiremoreskilledhelpandsupportfrompersonalcoaching,occupationalhealthorphysiotherapy.ThereareWheelchairbasedexercises–andbedexercises,somepeoplemayrequirehydrotherapyorspecialistgymequipment,thisshouldnotbeabarriertobeingphysicallyactive.
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Why Physical Activity Matters/Benefits of ActivityCulturalchangeovertimehasresultedinsocietybecominglessactive.BeActive:BeHealthyaimstosupportLiverpoolpeopletorediscoverthefunandenjoymentofphysicalactivityandtoembraceitasanormalpartofeverydaylife.In2006–07,itwasestimatediiithatdiet-relatedillhealthcosttheNHSintheUK£5.8billion;physicalinactivitycost£0.9billion,smokingcost£3.3billion,alcoholcost£3.3billion,andoverweightandobesity£5.1billion.ThesefiguresshowthatpoordietisabehavioralriskfactorthathasthehighestimpactonthebudgetoftheNHS,closelyfollowedbyoverweightandobesity,alcoholconsumption,smokingandphysicalinactivity(Scarboroughetal.,2011)iv.Thesestatisticshighlighttheeconomicimportanceofphysicalactivitytopublichealth.Inresponsetothisstatistic,physicalactivityhasbeenplacedhighupontheUKpublichealthagenda(CMO,2011).
Therearesomeveryeasychangesthatchildren,youngpeopleandadultscanmaketoincreasephysicalactivity,forexample,takingthestairsinsteadoftheliftorescalator;breakuplongsittingtimesbystandingandmovingabouteveryhour;spendtimeoutinthefreshairwithfamilyandfriends;embracesportanddanceopportunitiesandchallenges,andengageinplayfulsocialactivities.Buildingtimeforphysicalactivityintodailyroutinesthroughoutthelifecoursedefineswhatwemeanbyamovingculture.
Health-related Quality of Life
TheChiefMedicalOfficer’sreport2009(ibid)clearlysetoutthebenefitsofphysicalactivityacrossthelifecourse.HoweverarecentreportfromtheLancetrecognizesthat:
“ The global challenge of making physical activity a public health priority will not be easy to undertake, nor should it be taken lightly. Lessons can be learned from advances made in nutrition and tobacco control, but physical activity should be a separate and equal concern, and recognised as a unique speciality in public health. It is especially important to address physical activity and non-communicable diseases in low-income and middle-income communities. The largest increases and burden of non-communicable diseases are now seen in low-income areas where participation levels in sport and physical activity are poor. Altering this situation must be a priority in the next decade.”v
Sustainingmoderatephysicalactivityeverydayhelpstopreventandmanageover20chronicconditions(Box3),includingcoronaryheartdisease,stroke,type2diabetes,cancer,obesity,hypertension,mentalhealthproblemsandmusculoskeletalconditionsvi.
Ingeneralterms,physicalactivityplaysasignificantroleincontrollingweightandreducestheriskoftheconditionslistedbelow,inadditiontohavingapositiveeffectonmentalwellbeing.RecentresearchviihasshownthatinLiverpoolonly21%ofadultsareactiveenoughtobenefittheirhealth.Thisisalliedtothefactthatonly1-in-3boysand1-in-5girlsaged9–11areachievingthetargetforchildrenofatleastonehourofphysicalactivityperday.
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IfcurrenttrendsinLiverpoolcontinuethenitisprojectedthatby2020nearlyonethirdofthepopulationwillbeseriouslyoverweight.Regularphysicalactivityhasasubstantialtherapeuticroleforadultsandolderpeoplesufferingarangeofconditions.Beingphysicallyactivehasanimpactonotherconditionssuchasdepressionandanxiety,dementia,pain,stroke,backpainandconstipation.Itcanhelpwithlifechangingdecisionssuchaschangeofeatingpatterns,smokingcessationandalcoholreduction.
Thestrengthoftherelationshipbetweenphysicalactivityandhealthoutcomespersiststhroughoutlife,highlightingthepotentialhealthgainsthatcouldbeachievedifmorepeoplebecomemoreactivemoreoften.
Physical Activity Morbidity and Life Expectancy
Box 3Physical activity is associated with:
wImprovedgeneralfitnessw Improvedcardiovascularfitness,muscularstrengthandendurance,
flexibilityandmotorskills.w Reducedbackpain.w Improvementsinbalance,co-ordinationandstrengthhelptoreducefalls
andfracturesinolderpeople.w Improvedmobilityforpatientswithosteoarthritisw Improvedbonedensityandreducedriskofosteoporosisw Improvementintheabilitytodoeverydaytasks.Canhelpolderpeople
tomaintainindependentlivingw ReducedchancesofsufferingfromCoronaryHeartDisease(CHD),
Stroke,someformsofDiabetes,Osteoporosis,ObesityandDepressionw Improvedcardio-respiratoryfunctionw Reducedriskofrepeatheartattacksw Reducedriskofcardiovasculardiseasew Reducedriskofhypertension(highbloodpressure)w Reducedriskofall-causecancerspecificallycoloncancerw ReducedriskofdevelopingType2diabetesw Reducedcholesterollevelsw Reducedsymptomsofdepressionandanxietyw Enhancedfeelingsofwell-beingw Minimisedsocialisolationandprovidessocialisingopportunitiesw Maintenanceofahealthybodyweight,toloseexcessweightandpreventobesity.
Reducedriskofbreastcancerinpost-menopausalwomenw Encouragementforsomepeopletogiveupsmoking
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Health related quality of life Thereisapositiveassociationbetweenleisuretime,physicalactivityandhealthrelatedqualityoflife(HRQoL)foreveryone.Physicalactivityisspecificallyapplicabletoarangeofdiversepopulations’e.g.elderlypeople,andthosewitharangeofconditionssuchasdiabetes,cancer,osteoarthritisandchronicobstructivepulmonarydisorder(COPD).
Physical activity and life expectancy Physicalactivity,fromlowtomoderateandhighintensity,isassociatedwithincreasedlifeexpectancy.Peoplewhoaresufficientlyactivecanliveaqualitylifebetween7–14yearslonger.Inaddition,avoidingasedentarylifestyleduringadulthoodpreventscardiovasculardisease,independentlyofotherriskfactors;thussubstantiallyincreasingtotallifeexpectancy,andcardiovasculardisease-freelifeexpectancyformenandwomenviii.
Alackofphysicalactivityisassociatedwithoverweightandobesity.Asmanyas2.8millionadultsdieeachyearasaresultofbeingoverweightorobese.Addtothis44percentofthosewithdiabetes,23percentofthosewithischemicheartdiseaseandbetween7and41percentofcertaincancerburdensareattributabletooverweightandobesity(WHO,2011)ix.
Box 4What stops people participating in physical activity?
Thiscanbethroughlackof:
w Knowledgeandinformationabouthowtheycanbenefitfrombecomingmoreactive
w Knowledgeandinformationaboutfacilitiesandprogrammesavailable
w Timeoftenduetootherpriorities(e.g.workandfamilycommitments,othersocialorleisureoptions)
w Anexercisepartnerorsocialsupport
w Availableor‘welcoming’facilities/resources
w Motivationandpositiveattitude
w Financialconstraints
Liverpool demographic and health dataThepopulationofLiverpoolisabout445,200.Therearesignsthathealthisimprovingacrossthecity,withsomeencouragingdataonhealthimprovementbeingreported.Althoughlifeexpectancyisstillthreeyearsbelowthenationalaveragetherehasbeenagradualincreaseintheyearsoflifelived.GoodnewsstoriesincludeareductioninSmokingprevalencefrom35%to27%since2005andareductioninCVDratesoverthesameperiod,andincreasedsurvivalratesforsomeCancers,Inadditionchildren’sattainmentlevelsinphysicalactivityandacademicworkisincreasing.In2011allschoolsinthecitywerecategorisedsatisfactory,goodoroutstandingbyOfsted.In201287%ofchildreninprimaryschoolswereabletoswim25metresx.
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Health Inequalities
Liverpoolisacitychallengedbytheseverityandextentofdeprivationacrossmostareasinthecity;thisisreinforcedbythenumberofsmallgeographicalareaswhichfallwithinthemostdeprived1%acrossthecountry.Liverpoolhas22suchareas(LocalSuperOutputAreasorLSOAs)xi.
CancerratesforthecityareimprovingbuttheyarestillthehighestinEngland,38%abovethenationalaveragexii.Approximately80,000adultsand13,000childrenareobese,withdirectcoststoLiverpoolNHSaround£5millionperyearandafurther£15milliontothewidereconomy.Inadditionhipfractureanddementiaprevalencearemuchhigherthanthenationalaverage.
HealthinequalitiesacrosstheUKarewideningespeciallyinareasofhighdeprivation(MarmotReport,2010)xiii.Inequalitiesareevidentinphysicalactivitylevelsxiv(ActivePeoplesSurvey,2011)andchildren’sfitnessxv(Sportslinx,2010).
Mental Health
Physicalactivitycanimprovementalhealthandwellbeing.Howthishappenswearenotyetexactlysure,theRoyalCollegeofPsychiatristssuggestseveralpossibilities,seeBox 5.
Box 5
w Mostpeopleintheworldhavealwayshadtokeepactivetogetfood,waterandshelter.Thisinvolvesamoderatelevelofactivityandseemstomakeusfeelgood.Wemaybebuilttoenjoyacertainamountofexercise.
w Exerciseseemstohaveaneffectoncertainchemicalsinthebrain,likedopamineandserotonin.Braincellsusethesechemicalstocommunicatewitheachother,sotheyaffectyourmoodandthinking.
w Exercisecanstimulateotherchemicalsinthebraincalled‘brain-derivedneurotrophicfactors’.Thesehelpnewbraincellstogrowanddevelop.Moderateexerciseseemstoworkbetterthanvigorousexercise.
w Exerciseseemstoreduceharmfulchangesinthebraincausedbystressxvi.
Equity and Inclusion
Participationinsportandphysicalactivityisnotequitableandtherecontinuestobesectorsofthecommunitythatfaceadditionalbarriers,whichrestricttheiropportunitiestotakepartintheseactivities.EvidencefromtheActivePeoplesurveyshowsthatthereisamarkedunderrepresentationoffemalesandpeoplewithdisabilitiesparticipatinginregularphysicalactivityacrossthecity;olderpeople,peopleonlowincomeandsomeethnicminoritygroupsalsofacebarrierstoparticipation.
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Approaches to tackle these inequalities include:
w Reducingthefinancialbarriertoparticipationbyprovidingfreeaccessorlowerpricesforlowincomegroups.
w Ensurethattheneedsofidentifiedtargetgroupsaretakenintoaccountinthedesignanddeliveryofnewsportandactivityprogrammesandfacilities.
w Regularmonitoringofparticipationratesbytargetgroupscitywide,atneighbourhoodlevelandwithinspecificfacilitiesandsportsprogrammesdeliveredbyarangeofpartnerorganisations.
Box 6Being active can bring social benefits
w Improvedself-esteemandconfidencew Opportunitiestomeetnewpeopleand
developfriendshipsw Wideningsocialnetworksw Intergenerationalactivityincludingplay,
dance,singing,cyclingandwalkingw Promotionofamorepositiveandactive
imageofolderpeoplew Maintenanceofcaringskillsw Physicalactivityprovidesopportunities
forrelaxationandenjoymentandw Itisagreatwaytoletoffsteamandjust
havefun
Data
TheLiverpoolActivePeople’sSurvey(2011),demonstrateda3%increaseinthenumberofinhabitantswhoweresufficientlyactivebetween2005and2011thiswasalmostfourtimeshigherthanthenationalchangeof0.7%.Thereismuchdiscussionwhetheroverweightandobesityisanoutcomeofpopulationphysicalinactivity,orifthereductioninphysicalactivityisduetooverweightandobesity.WhicheveristruethenumberofobesepeopleinLiverpoolhasincreasedduringthepastyear.Between2008–9and2009–10,theamountofadultsrecordedasobeseinLiverpoolroseby4,446(to45,843)–thefifthhighestincreaseinEngland(PCT,2010).
TheActivePeopleSurvey4demonstrateda5.2%increaseinthenumberofparticipantssufficientlyactiveinCityandNorthareaofLiverpoolhelpingtoreducephysicalactivityinequalitiesinthatpartofthecity.
Figure 1: Number of adults in Liverpool who participate in physical activity at least three days-a-week x 30 minutes moderate participation per week
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Physical Activity across the life course
Benefits of Sport and Physical Activity for Children and Young People
Sportandphysicalactivityarefundamentaltothedevelopmentofchildrenandyoungpeoples’healthandwellbeing,andtheirabilitytoleadhealthy,activelifestyles.Healthypupilsaremorelikelytobemoreeffectivelearners.
Regularparticipationinsportandphysicalactivitycanimpactonchildrenandyoungpeople’sattainmentthrough:
w Increasedattendanceatschool
w Improvedbehaviour
w Increasedconfidence
w Increasedsenseofbelonging
w Raisedaspirations
w Developlife/employabilityskills
w Supportforcross-curricularlearning
w Increasedknowledgeofhealthylifestyles
Sportandphysicalactivityisalsoapowerfulwaytodeveloppupils’widerskills,qualitiesandaspirationsasparticipants,leadersandorganisers,whichimprovetheoverallschoolenvironment.AllchildreninLiverpoolhaveaccesstothefuturesprogramme.TheBe Active: Be Healthystrategyaimstointroduceamovingcultureacrossthegenerations.
Early Years
Children’sCentresinLiverpoolofferawidevarietyofactivitiesforchildrenaged0–5andtheirfamiliesprovidingopportunitiesforthemtodeveloptheirphysicalskillsandenjoyhealthierlifestyles.
Children’scentreshaveawholefamilyapproach,recognisingtheimportanceoftheparental/carerroleininfluencinghealthyoutcomesfortheirchildren,andsoencouragingwholefamilyparticipation.
Bothaccreditedshortinterventionprograms,suchasHENRY(HealthyEatingandNutritionfortheReallyYoung)andwellasawealthofotherphysicalactivityprogramssuchasJumpingJacks,Zumba,swimmingsessions,gymtots,activeplayandmusicalsongandrhymesessions.Physicalactivitysessionsarecomplementedbyhealthyeatingsessionssuchas‘Cookingonabudget’,‘5-a-day’,‘Littlechefs’,foodbanksand,forthosewhoareeligible,accesstoHealthyStartvitamins.
Children 5–16
ThereareawiderangeofopportunitiesforLiverpoolchildrenandyoungpeopletobeactive:
TheFuturesProgrammeoffersfreeaccesstotheLifestylesLeisureCentresforchildrenandyoungpeopleagedupto17years.Thenew‘Futuresoffer’wasintroducedattheendofJuly2011.Theofferincludesfreeswimmingforthedurationofthemembershipplusfreefitnesssuiteusageforonemonthafterregistration,afterwhichFuturescustomerspayagreatlydiscountedamountof£1persession.Futurescustomerscanbookfreebadminton,squashandindoorcourtsforsometeamsports.
Percentage of 11 year olds able to swim at least 25m
Source:LiverpoolCityCouncildatafromschoolswimmingprogramme-validatedbyAmateurSwimmingAssociation.
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SincethenewFuturesofferwasintroduced,thenumberofvisitstotheendofMay2012hadincreasedby57,000comparedwiththeperiodfromAugust2010toMay2011:
w Thenumberofyoungpeoplejoiningtheschemehasbeenconsistentatanaverageof1,000permonth.
w ThefreeSwimmingofferhasresultedin26,950morevisits.
w TheFitnessSuiteofferhasresultedin26,095morevisits.
w Over80%ofLiverpoolchildrenachievea25mswimbeforetheyleaveprimaryschool.
Liverpoolschoolsoffertwohoursofphysicalactivityperweekforallpupils.Thisisco-ordinatedbytheSchoolsportspartnership.Arangeoforganisation’sworkwithschools,forexamplethefireserviceofferafirefitprogramme–engagingyoungpeopleininnovativewaysbyusingfungamestoencourageincreasedactivity.
WiththesupportoftheSportandOutdoorRecreationDivision3,600LiverpoolJuniorsplayfootballinlocalleaguesacrossthecityeveryweekendfromthemiddleofAugustthroughtothemiddleofMay.Thisequatestoapproximately400JuniorFootballTeams,agesrangefrompre-7stoUnder-18s.
Percentage of Children and Young People taking part in at least two hours PE and Sport a week
Source:PESSCLsurveyandLiverpoolSchoolSportsPartnershippupilquestionnaire.
Merseyside School Games
TheSchoolGamesvisionprovidesopportunitiesforeveryyoungpersontoachievetheirpersonalbestinandthroughsport,ithelpsraiseaspirations,self-confidence,andteamwork;winningwithgraceandlosingwithpride.TheSchoolGamescontributetosportperformance,healthandwellbeingandwholeschoolattainment.SchoolGamesprovidesastrategicpriority,itistheGovernmentpolicyforSchoolSportcompetition.ItisfundedbytheDepartmentofCulture,MediaandSport(DCMS),DepartmentofHealth(DH),DepartmentforEducation(DfE)andSportEngland(SE)LotteryFunding.
Thismulti-sportsfestivalattractsoverathousandchildrenandyoungpeopleeachyeartotheWavertreeSportsComplex.Thecompetitorsparticipateintensportsincludingfootball(girls),golf,netball,pentathlon(disabilitymulti-sportsevent),athletics,rounders,rugbyunion,swimming,tabletennisandtennis.
TheannualMerseysideSchoolSportsCalendarconsistsofacombinationoftwohighprofilecountywidemultisportsfestivals(WinterandSummerSchoolsGamesFestivals),complementedbyacomprehensiveyearroundsetofsportsspecificprogrammes.
Movement and Dance
Merseyside dance initiative, rise and shine(breakfastactivityclubs)BetweenSeptember2011andJuly2012‘RiseandShine’sessionstookplacein82primaryschoolsengaging24,600children.238PrimarySchoolTeachersarenowqualifiedtodeliverthisprogramme.OtherLocalopportunitiesincludemusicwiththeLiverpoolPhilharmonic’s‘InHarmony’xviiprogram,localcommunityactivitiessuchasdrumming,majorettesandarangeofinnovativeactivities.
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Specialist services for children with additional needs:
LiverpoolintegratedcarepathwayChildrenwithmildtomoderatedisabilities–inclusivefitnessinitiative,thisisbasedonanationalaward.ItisdeliveredinKensingtonthroughthepediatricphysiotherapyservicewithpsychologicalsupportfromtheHavenprojectandtheCAMHSteam.
Specialistsupportforchildrenwithseveredisabilitiesisprovidedthroughpassionateanddedicatedteachersandhealthstaffwhoworktogethertoensureallchildrenhavetheopportunitytobeactiveandhavefun.ManyofLiverpool’sspecialschoolsprovideactivitiessuchasafterschoolclubs,horseriding,cycling.Childrenandtheirfamiliesareabletoaccessphysiotherapy/psychologysupport.TheHavenprojectxviiioffersarangeofactivitiesandsupportforrefugeeandasylumseekingchildrenfamilies.
ThelocalfootballclubsEvertonandLiverpoolarebothengagedinsupportingchildrenandfamiliestoengageinmorephysicalactivitiesthroughtheircommunityfoundations.Thecityboastsaflagshipfordisabledleisurefacilities,theGreenbankSportsAcademy(seepage28).
Opportunities for16–19 year-olds
Youthservicesthroughthe0–19networkbringtogetheropportunitiesthroughorganisationsandcommunities.TheYouthserviceisnowlinkedwithplayservices–aspartofanintegratedserviceacrossthecityincollaborationwithLiverpool’s12LifestylesCentres.Athleticsandsportsclubsplayavitalroleinencouragingyoungpeopletoreachtheirfullpotentialandengageinlocal,nationalandinternationalsport.
Role Models
TheLondonOlympicandParalympicgames2012hasbeenatremendousopportunitytoseeyoungathletesfromlocalclubsgaininginstrengththroughcycling,athletics,boxing,tai-quando,swimminganddiving.Thegamesshowedhowbarrierscanbeovercomeandsuccessachievedbypeopleofallageswithawiderangeofconditions.Themessagefromtheseyoungpeopleisthatwithhardworkanddedicationanyonecansucceedintheirchosenactivityorsport.
Maternal fitness
LiverpoolisdevelopingafitnessprogrammewiththeLiverpoolWomen’sHospitaltopromotephysicalactivityandbuildstrengthduringpregnancy.Mama-fitxixisaninnovativesix-weekanteandpostnatalprogrammedeliveredinthreechildren’scentresacrossthecity.ItisfocussedonpregnantwomenwithaBMIover30butanypregnantwomanwhowishestoengageintheprogrammeiswelcome.
Adult and Family fitness
Active Parks
Liverpoolhassomeofthemostattractiveparksinthecountrywithmanyofthemhavingachieved‘GreenFlag’status.TheActiveParksinitiativeaimstoencouragelocalcommunitiestomakeuseoftheirlocalparkforarangeofsportorotherphysicalactivityrelatedinitiatives.Thiscouldbeforteamgamessuchascricketorrounders,orforindividualpursuitssuchastennis,running,walking,cyclingorbowls.Liverpoolparksfacilitatefunactivitiesforallthefamilyincludingtheuseoffamilybikesandspeciallydesignedboatingactivities.
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TheparkshaveplayedhosttoanumberoflargescalehealthandwellbeingrelatedeventsincludingtheParksRunserieswhichfeatureseliteracesandfunrunscoveringavarietyofdistances.ThesehavesignificantlyincreasedinpopularityandeveryweekendtheParksRunningClubsmeettoeitherholdarunningeventorhaveatrainingsession,withseveralhundredpeopleparticipatingonaregularbasis.
Liverpool Sport Relief Mile
OneoftheUK’sbiggestfundraisingevents,SportsReliefbringstheentirenationtogethertogetactive,raisecashandchangelives.StartingattheEchoArena,theroutefortheLiverpoolMilefollowstheMerseyWaterfrontwiththousandsofparticipantsofallagesandabilitiesrunningorwalkingone,threeorsixmiles.
Professional Sports Clubs Partnerships
PartnershipshavebeenformedwithanumberofprofessionalsportsclubsinthecitytooffersupportinraisingtheprofileofsportandphysicalactivityinLiverpool.ThisincludesLiverpoolandEvertonFootballClubswhofeatureActiveCityinitiativesontheirrespectivewebsites.ThroughtheirCommunityDevelopmentDepartmentstheywillconveyActiveCityrelatedmessagestolocalresidents.PlayersfromtheseClubsmayattendeventssuchaslaunchesandprizegivingceremoniesasappropriate.
Physical Activity for health
Phase 4 Cardiac Rehabilitation Scheme
Thisschemestartedin2009whentheannualnumberofparticipantswas1,177themostrecentannualdata(2011)identified1,826participants.
AtpresenttheschemeisavailableatthreeoftheLifestylesLeisureCentresacrossthecity,Garston,EvertonParkandthePeterLloydLeisureCentre,Tuebrook.TheschemeisfreetoparticipantswithsessionsdeliveredbyfullyqualifiedLifestylesFitnessInstructors.OncompletionoftheschemeparticipantsaresignpostedontootherappropriateexercisesessionssuchastheExerciseforHealthScheme.
Exercise for Health
Theschemestartedin2000.ItisajointinitiativebetweenLiverpoolSportandOutdoorRecreationDivisionandLiverpoolPrimaryCareTrust.Itoffersaspeciallytailored12weekexerciseprogrammethrough8LifestylesLeisureCentresacrossthecityand3CommunityCentresforpeoplethathavespecificmedicalproblemsthatcanbeimprovedbyincreasingphysicalactivitylevels.Atpresent,over90GPsreferanaverageofover2,500peopleperannumtotheschemewhichoffersuseoftheFitnessSuites,Swimming,TaiChiandarangeofotherappropriateactivityclasses,supervisedbyfullyqualifiedstaff.Theschemeisoneofthebiggestofitstypeinthecountryandasaresultofitssuccessadditionalsessionshavebeenmadeavailableintheeveningsandatweekendstoincreasecapacity.
Workplace Wellbeing Charter
TheWorkplaceWellbeingCharterisanopportunityforemployerstodemonstratetheircommitmenttothehealthandwellbeingoftheirworkforce.Thepositiveimpactthatemploymentcanhaveonhealthandwellbeingiswelldocumented.Thereisstrongevidencetoshowthathavingahealthyworkforcecanreducesicknessabsence,lowerstaffturnoverandboostproductivity–thisisgoodforemployers,workersandthewidereconomy.
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TheWorkplaceCharterprovidesemployerswithaneasyandclearguideonhowtomakeworkplacesasupportiveandproductiveenvironmentinwhichemployeescanflourish.Ittakesanholisticapproachthatincludesphysicalandmentalhealthandhealthpromotion.TheCharterfocusesonthreekeyareas–leadership,cultureandcommunication–whereevensmallchangescanmakeabigdifferencetothehealthofstaff.
TheCharterincorporatesallaspectsofhealthylivingincludingincreasingparticipationinsportandphysicalactivity.Over300Liverpoolbusinesseshaveregisteredtobepartofthechartersincetheschemewaslaunchedin2011.
Easy to miss groups
LiverpoolisadesignatedareaforRefugeeandAsylumseekersmanyofwhomareinthecityforashorttimebutsomemaketheirhomehere.AsylumLinkandRefugeeActionaimtosupportthesegroupsintophysicalactivitybyengagingwithlocalLeisureservicesandasmallnumberofbicyclesmaybeaccessedforasmallcharge.
Black and Minority Ethnic groups
ArangeofactivityprogrammesspecificallyforpeoplefromBlackandEthnicminority(BEM)communitiesaretakingplaceinanumberoflocationsacrossthecity.ForexampletheAquaticsCentreoffersswimmingsessionswhichareexclusivelyforMuslimWomenwiththesessionsbeingsupervisedbyfemaleInstructorsandLifeguards.InNovember2012thenewFirefitCentrewillopentothepublic.ThisstateoftheartfacilityisbeingoperatedthroughapartnershipbetweenMerseysideFireandRescueServiceandtheSportandOutdoorRecreationDivisionoftheCityCouncil.
ItislocatedintheheartoftheToxtethareaofthecitywhichhasasignificantnumberofresidentsfromBEMcommunities.Thecentrewilloffersportingactivities,fitnessstudio,coachedactivityclassesandhasbeenconsultingwithlocalpeoplearoundwhatactivitiestheywouldliketoseeoffered.
BoththeWalkandCycleforHealthSchemesalsohavegoodparticipationlevelsfrompeoplefromBEMcommunitiestogetherwithanumberofpeoplefromthesecommunitiesnowbeingqualifiedasWalkandCycleLeaders.
Older People
Manypeopleacceptweaknesspainandlossoffunctionasaninevitableconsequenceoftheageingprocess.Manyofthesearenotduetoageingbutareduetolackofphysicalactivity.Bymaintainingstrengththroughphysicalactivityfallscanbereducedandolderpeopleareabletoenjoyactivephysicalfunctioningwellintotheireightiesandnineties.Anexampleofhowintergenerationalbenefitscanbeledbymeetingtheneedsofolderadults:
“ The Austin Rawlinson Lifestyles Centre in South Liverpool has introduced the Liveability service. The Scheme provides a range of physical activity sessions to older people including use of the Fitness Suite, Swimming, Dance, Chair Based Exercise. These sessions are supervised by qualified Instructors. Together with the physical health benefits which Liveability provides there are also mental health benefits as the service provides opportunities for people to socialise, make new friends and have fun.”
FurtherinformationontheLiveabilityprogrammecanbeseenonpage28.
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Health Economics:is physical activity promotion cost-effective?ArecentreportonhealtheconomicsundertakenonbehalfoftheLiverpoolPublicHealthObservatoryconcludedthatallapproachestopromotingphysicalactivitywerehighlycosteffective(Lewisetal.,2010)xx.Table1summariseskeyfindingsfromaliteratureanalysisonthehealtheconomicsofphysicalactivitypromotionthroughbriefinterventions,schoolandworkplace,environmentandmassmedia.Alltypesofphysicalactivitypromotionwerewellwithinthe£25000costperQualityAdjustedLifeYear(QALY)cutoffrecommendedbytheNationalInstituteforHealthandClinicalExcellence.
Table 1: Examples of health promotion economic analysis
Type of promotion Economic Analysis
Brief interventionsBriefintervention:anyinterventioninvolvingverbaladvice,encouragement,negotiationordiscussionwiththeoverallaimofincreasingphysicalactivity.Theinterventionshouldbedeliveredinaprimarycaresettingbyahealthorexerciseprofessional,withorwithoutwrittenorothersupportorfollow-up.
Briefinterventionsinprimarycarehaveproventobeexceptionalvalueformoney,atbetween£20and£440perQALY.Briefinterventionandonemotivationalinterviewwithahealthvisitorcomparedtobriefadvicealone(matrix2006,basedonHarland1999).YieldedanadditionalQALYof1.52perperson–costsavingof£3,301perperson.
The environment
Thereisstrongeconomicevidencetosupportthecosteffectivenessofthebuiltenvironmentinpromotingphysicalactivity.Healthandeconomicbenefitsofactivetraveloutweighthecosts9fold.The‘LivingStreets’programmeisagoodexampleofthis–theprogrammetookplacein2012acrossseveralpartsofthecountry.Costsrangedfrom£90to£25000perQALYwww.livingstreets.org.uk
School and workplace
WorkplacehealthpromotionreviewedbyNICEcost£56,000butsaved£311,547.Workplacewellbeingcharterover300businessesregisteredaspartofthecharterwhichincludesphysicalactivityaspartofworkplaceimprovements.Thisincludedcycleandwalktoworkschemes
Mass Media
Massmediacampaignswerethemostcosteffectiveofsixinterventionsusingacost-utilityanalysis.A7weekBBCmass-mediacampaignincreasedadultschancesofbeingphysicallyactivebynearly17%.
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Health economics of an Active Travel strategy Merseyside’sthirdlocalTransportPlanbasedonanactivetravelcultureoutlinedtheneedtodemonstratevalueformoney.Itidentifiedthatwalkingandcyclingcoulddeliverhealth,environmental,socialandeconomicbenefits.In‘cyclingdemonstration’townsevery£1investedincyclingpromotionproducedahealtheconomicreturnof£2.59.Whenconsideringinfrastructurecostsalone,itwasfoundthataninvestmentof£1millionrequiresonly109peopleeachyeartobecomeregularcyclistsforareturnoninvestmentwhenconsideringthebenefitstohealth,congestionandpollution.
Cycle for Health
ThecycleforHealthschemehasbeensuccessfulinincreasingtheactivitylevelsamongstlocalcommunities.Therehavebeenyearonyearincreasesbothinthenumberofsessionsavailableandinthenumberofparticipants.Sessionshavebeendeliveredfromadditionalvenues,providedbyarangeofpartnerorganisationsandcommunitygroups.CycleforHealthnowdeliversfrom23venuesacrossthecity.
TheWheelsforAllprogramme(Cyclingforthosewithadisability)operatesfromthreevenuesinLiverpoolincludingWalton,WavertreeandSpeke.Sessionsarepopularwithdisabledandnon-disabledparticipants.
Oneoftheadditionalbenefitsarisingoutoftheaboveprogrammeshasbeenthatmorepeoplehavepurchasedtheirownbike,whilstothershaveencouragedfriendsandfamilytoparticipateinsessions.
ManyparticipantshaveexperiencedtheparksinthecityandtheLoopLineforthefirsttime.In2005–2006attheinceptionofCycleforHealth,theschemeofferedsessionsfromtwovenues,which86peopleattended.Recentfigures(2012)fromthe23venuesshowthattherearenow636participantsandthattheyhavecompletedanannualtotalof4,990rides.Over100VolunteershavebeentrainedasCycleforHealthLeaders,and150CycleforHealthcycliststakeparteachyearintheLiverpooltoChesterbikeride.
CycletoWorkSchemesarepopularinthecity,manyemployersofferthistypeofscheme;datashowsthat58%ofallcartripscoverlessthan5miles.Employersmayrunacycletoworkschemethemselvesorworkwithathird-partyprovider,likeabikeshop.Employeescangainaccesstoaloanedbikeand/orsafetyequipmentthroughthisscheme.Employeesmustusethebikeand/orsafetyequipmentmorethan50%ofthetimefor‘qualifying’journeys.Thismeansajourneyorpartofajourney:
w betweenyourhomeandworkplace
w betweenoneworkplaceandanother
w toandfromthetrainstationtogettowork
Takingpartintheschememeansthereisnolumpsumupfronttobuyabikeand/orsafetyequipment.Instead,thebikeand/orequipmentisloanedfromtheemployer,uptothevalueof£1,000.Benefitsincludeimprovedhealthandwellbeingforemployeesandreducedsicknessabsence.
“ Using my bike for work provides me with a good way of keeping fit and healthy every day, I find it a relaxing way of travelling about the city and gives me thinking time. I also love being able to be outdoors in all weather”
Karen,CommunityNurseinLiverpool
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These schemes support the priorities of the Local Transport Plan 2010–15 to:
w HelpcreatetherightconditionsforsustainableeconomicgrowthbysupportingtheprioritiesoftheLiverpoolCityRegion,theLocalEnterprisePartnershipandtheLocalStrategicPartnerships.
w Provideandpromoteaclean,lowemissiontransportsystemwhichisresilienttochangestoclimateandoilavailability.
w Ensurethetransportsystempromotesandenablesimprovedhealthandwellbeingandroadsafety.
w Ensurequalityoftravelopportunityforall,throughatransportsystemthatallowspeopletoconnecteasilywithemployment,education,healthcare,otheressentialservicesandleisureandrecreationalopportunities.
w Ensurethetransportnetworksupportstheeconomicsuccessofthecityregionbytheefficientmovementofpeopleandgoods.
w Maintainourassetstoahighstandard.
Walk for Health Walk for Healthwaslaunchedin2006whentherewere11venuesfromwhich384peopleparticipatedinthescheme.VolunteerstrainedasWalkLeadersdeliveredthesesessions.Theschemehasgrowninpopularityandavailabilitysincethattime,andIn2011,theschemewasdeliveredfrom34venues,11,305walkswerecompletedwith2,111peopleparticipatinginthosewalks.
Safetyisakeyaspectofactivetravel;Liverpoolhasbeenproactiveinconsideringhowtoreduceroadtrafficaccidents,andtoencouragemorelocalisedphysicalactivity.
The 20 Effect
LiverpoolNHSPublicHealthDepartmentandLiverpoolCityCouncilareworkingtogether,supportedbyMerseysidePolice,toincreasethenumberofLiverpoolroadswitha20mphspeedlimit.Drivingatslowerspeedswillreducethenumberofdeathsandinjuriesfromroadaccidents.31%ofLiverpool’sroadnetworkalreadyhas20mphzoneswithtrafficcalmingmeasures,suchasspeedhumps.Thishasgreatlyreducedthenumberofcollisionsinthesehighriskareas.The20Effectaimstointroducea20mphspeedlimitonafurther39%ofresidentialroadsinthecityIntotal70%ofLiverpool’sroadswillbespeedrestrictedto20mph.
Thebenefitsofa20mphlimitextendbeyondreducingthenumberofaccidents.Alowerlimitwillmakeitsaferforcyclingandwalkingthereforeprovidingmoreopportunitiesforphysicalactivityandincreasingsustainabletransport.Reducedspeedscanimprovetheenvironment–reducingnoiseandimprovingairquality.Togetherwithimprovedsafetythiscanmakeourstreetsmorepleasantplacestobeforeveryone.Wewanttocreateacityforlivinginratherthanjustthoroughfaresforvehicles.
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‘Be Active: Be Healthy’ TheBe Healthy: Be Activestrategywillfollowsixmainprinciplesfor‘ActiveLiving’.ThesewillbeusedtoguidecommissioninganddecisionmakinginrelationtopromotingphysicalactivityacrosstheCity.
Box 7Be Active: Be Healthy – Six Principles for a Moving Culture
Principle 1Physicalactivitycanimprovephysicalandmentalhealth,overallqualityoflifeandcanbringmultipleeconomic,environmentalandsocialoutcomes
Principle 2Everyone,regardlessofage,gender,language,ethnicity,economicstatusorability,shouldhaveaccessible,safe,convenientandaffordablechoicesforphysicalactivity
Principle 3Transportsystemsshouldsupportactivetraveloptionsprovidingsafe,convenient,affordableandfullyaccessibleservicestothehome,workplace,nurseries,school,communityfacilitiesandservices
Principle 4Parksandpublicopenspace,includingcyclingandwalkingtrailsshouldbesafe,fullyaccessible,multi-functionalandpartofatransportationnetworkthatconnectskeydestinations,suchasthehome,workplace,nurseries,schoolsandcommunityfacilities
Principle 5Public,privateandvoluntarysectorsshouldworktogetherwithasharedvisiontopromotefacilities,behavioursandpoliciesandembedtheprinciplesofactivelivingforpeopleofallagesandabilitiesthroughoutthecity
Principle 6Thestrategyshouldimpactontheabilityforindividualsandfamiliesinlocalneighbourhoodstoprioritiseactivechoicesathome,work,schoolandplayeverydayoftheirlives
Increasing physical activity throughout the life course
TheMarmotReviewclearlyshowedthatpositiveandnegativeeffectsimpactonhealthacrossthelifecourseandhowpositivemessagesneedtobegivenintheearlyyearsandconsolidatedthroughoutalltheagesandstagesoflife.
TheaimoftheBe Active: Be Healthystrategyistoincreaseparticipationinphysicalactivityyearonyearto2017.ToensurethateveryLiverpoolresidenthastheopportunitytoengageatalevelthatwillenablethemtobephysicallyactiveeverydayoftheirlives.Theactivepeoplesurveywillbeusedtoevaluatewhetherthisaimhasbeenachievedforadultswhilstchildren’sactivitylevelswillbemeasuredthroughtheschoolsportspartnershipsandthefuturesscheme.
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Figure 5. Action across the life course
Implementation of the Strategy
Physicalactivityoccursindifferentsettingsandcontextsacrossthecity.Liverpoolhasasignificantnumberofpublicparksandgardens.ThecityboaststenlistedparksmorethananyotherEnglishcityapartfromLondon(LiverpoolCityCouncil,2007).Liverpoolresidentsbenefitfrom12LifestyleSportandLeisurefacilitiesandarangeofotherprovisionacrossthecity.Opportunitiesforphysicalactivityandsportareprovidedthroughasignificantnumberofprimaryandsecondaryandspecialschools,throughcolleges,universities,swimmingpoolsandplayareas,throughsportanddanceschoolsandclubs,andinadditionthereisawealthofcommercialorganisations.
DeliveryofLiverpool’sBe Active: Be HealthystrategywillbeimplementedalongsideothermajorstrategiesthatcontributetoLiverpool’spublichealthagenda,includingtheoutcomesframeworkforPublicHealthandtheJointStrategicFrameworkforPublicMentalHealth,theTasteforHealthStrategy,theGreenInfrastructureStrategy,TheDecadeofHealthandWellbeing,TheChildrenandYoungPeoplesPlan,andTheDementiapathway–seepage34forlinks.Itisrecommendedthatthisstrategyisconsideredwhenstrategicandpolicydecisionsaremadeinallareasofcitylife.Thestrategyimplementationwillbesupportedbythedevelopmentofaclearactionplanfordeliveryagainsttimescalesagreedwithpartners.
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Guidelines for implementation by key stakeholders 2012–2017
ThefollowingguidelineswillbeusedwhendeliveringthestrategyacrosstheCityoverthenextfiveyears.
Programme
Strategicreviewofkeynationalprogrammesexaminingevaluationoutcomesandexploringthescopeformoreeffectivetargetingofprogrammestoaddressthekeyprioritiesinthisstrategy.
ResourcesReviewcurrentfundingapproaches.Healtheconomicsdatasupportsthecost-effectivenessofphysicalactivitypromotion.Seekresourcesforfurtherpromotionofprogrammes.
Infrastructure
Takestrategicdecisionstoensurethatmaximumuseismadeofschools,healthandcommunitybuildings,outdoorfacilities,greenspacesandthecountrysideaswellassportsfacilities,leisurecentresandothertraditionalresources.
Social MarketingConsiderhowtoutilisesocialmarketingtechniques,insightandlocalhealthchallengeresponsestocommunicatekeyphysicalactivitymessagestothepublic.
Local delivery
Co-ordinatedeliveryatlocallevel,workingwithChildrenandYoungPeople’spartnerships,CityCouncil,localserviceproviders,LocalAuthorities,localhealthagenciesandtheclinicalconsortia.
Staff and volunteers’ development (increasing capacity)
Engagesuitablytrainedstaffandvolunteerstodeliveropportunitiesforandprovideadvice,supportandencouragementtopeopletobemoreactive.
Partnerships
Activelyengagepartnersrepresentingarangeofdifferentsectorsatvariouslevelsandinavarietyofenvironmentstoachievethecommongoalofincreasinglevelsofphysicalactivityandreducingphysicalinactivity.
Evaluation
Ensurethatresearch,evaluationandmonitoringofprogrammesagainsttheobjectivesandtargetsareinplace.Theevidencegainedfromtheseprocesseswillinformfuturepolicyandstrategydevelopment,ensurecontinuousimprovementandmaximiseinvestment.
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Marketing and Promotion
AnimportantpartoftheBeActive:BeHealthystrategywillbetocontinuetoraisetheprofileofsportandphysicalactivityinLiverpool.LiverpoolActiveCitybrandingwaslaunchedin2005withthefirststrategyandhasbeenusedbyactivityprovidersfromthepublic,privateandthirdsectorssincethattime.
Casestudiesfrommembersofthepublic,whotelltheirstoryofhowActiveCityprogrammeshadapositiveimpactontheirlives,areusedtomotivateandinspireothers.SportingChampionsandCelebritieshavegiventheirsupportwithpersonalappearancesatanumberofActiveCityeventsalliedtotheircommentsinsupportoftheaimsofthestrategy.
TheoriginalLiverpoolActiveCitystrategygainedinternationalrecognitionwiththeInternationalSportforAllFederationfeaturinginformationaboutthestrategyandtheActiveCitybrandingontheirwebsite.Thissiteisviewedbysportandactivityorganisationsfromaroundtheworld.
LiverpoolActiveCitywillbeusedasamodelofbestpracticeintheforthcominglaunchoftheInternationalSportforAllFederation‘TripleAC’initiative,‘ActiveCitizens,ActiveCommunities,ActiveCities’.
Building on the Olympic Legacy
FollowingtheLondonOlympicsandParalympicsin2012thespotlightonsportwillbeconsiderableandthereisanopportunityforLiverpooltobuildonthisandtocreatealastinglegacythatwillhaveapositiveimpactonlevelsofparticipationinsportandphysicalactivitywithinthepopulation.
Sportandphysicalactivityarecomplementaryandcanbenefitcommunitiesbyhelpingpeopletoenjoyhealthyandindependentlives,creatingemploymentopportunitiesandcreatingcommunitycohesion.
EvidencefrompreviousmajorsportingeventsindicatesthattheOlympicsandParalympicswillhaveaconsiderableimpacttorekindlepeople’senthusiasmforsportandactivity.
Itisvitallyimportantfortheinfrastructureforsportandphysicalactivitytobeinplacenotonlytocaterforthisincreaseddemandbutalsotodevelopandmaintainit.
Liverpooliswellpositionedtomeettheserequirementsasitalreadyhasanetworkofsportandactivityfacilitiesandclubslocatedthroughoutthecity,providedbyarangeofproviderorganisationswhoarepartnersoftheActiveCityinitiative.
Evaluation of the Strategy
ExistinglocalandnationaldatawillbeusedtoassesstheeffectivenessoftheBeActive:BeHealthystrategyinachievingourstatedaims.
Evaluationwillfocusontheimpactofthestrategyonpolicies,organisations,communitiesandindividuals.Outcomeassessmentswillbeconductedtoconsidertheeffectivenessofprogrammesandprojectsonphysicalactivityandotherrelatedoutcomessuchasmentalhealth,healthyweight,qualityoflifecardiovasculardisease,musculoskeletalconditionsandotherclinicaloutcomesasappropriate.
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LiverpoolUniversityHealthResearchprogrammeswillassesstheimpactofthestrategyonpopulationhealth,andsocialmarketingandinsightprocesseswillbeutilisedtoconsiderhowtoovercomebarriersandensureequalityofaccessforall.
Targets for ImprovedPhysical Activity
Theimpactofthestrategywillbeassessedovertimethroughthedevelopmentofmeasurabletargets.
The aim of the strategy is:
w toincreaseparticipationinphysicalactivityby2percentperyearandreducesedentarytimeby2percentperyearoncurrentlevels,asmeasuredthroughtheActivePeopleSurveyxxi
w Todevelopmeasureabletargetstomonitorthefollowingimprovementsinphysicalactivity
w ToIncreaseby2percentperyeartheproportionof:
•Pre-schoolchildren(0–5)whomeetthephysicalactivityrecommendationsof180minutes–threehoursofmoderateintensityphysicalactivityonatleast5daysoftheweek
•Childrenandadolescents(5–18)whomeetthephysicalactivityrecommendationsof60minutesofmoderateandvigorousintensityphysicalactivityonatleast5daysoftheweek
•Adults(19–49)whomeetthephysicalactivityrecommendationsof150minutesofmoderateor75minutesofvigorousintensityphysicalactivityperweek
•Olderadultswhomeetthephysicalactivityrecommendationsof150minutesofmoderateintensityphysicalactivityperweek
SummaryThroughtheLiverpoolBeActiveBeHealthyStrategy2012to2017Liverpoolpartnerspledgeto:
Increase people’s activity levels through everyday living, physical activity and sport by:
w Encouragingpeopletobemoreactivebyprovidingandpromotinginclusiveopportunitiesforpeopletobemoreactiveacrossthelifecourse,andatalllevelsofability
w ProvidingasystematicapproachtoidentifypeoplewhoarenotsufficientlyactiveincludingpeoplewithphysicalandmentaldisabilitiesandBMEgroupstosupportthemintoactivitythatisappropriateforthemthrougheverycontactwithpatientsandpublic
w Promotingtheuseofthe‘Let’sGetMoving’CarePathwayforincreasingphysicalactivity
w Providingopportunitiesforstatutory,voluntaryandprivateorganisationstocometogethertoseeknewresourcestodevelopopportunitiesforincreasingphysicalactivityacrossarangeofsettings
w Understandingandremovingbarrierstoparticipationinphysicalactivityandsportacrossallagegroups,andallsectionsofourcommunitiesincludingBMEandvulnerablegroups
w UsingopportunitiesacrossOrganisationsandtobuildphysicalactivityopportunitiesintopoliciesandprogrammes
w Continuingtosupportschoolsandyoungpeople’ssettingstoincreasetheamountoftimethatchildrenandyoungpeopleareactive
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w Lookingforfundingandresourcestoincreasephysicalactivityopportunitieswhereverpossible
w Promotingactivetravelandtoworkwithpartnerstosupportthedevelopmentofthisareaofwork.
Influence attitudes and perceptions of the whole population about activity by:
w Promotingallopportunitiesformakingpeoplemoreactive,includingthosethatbuilditintoeverydayliving
w Promotingthepositivebenefitsofbeingmoreactivetoindividual’shealthandwellbeing
w Ensuringthatmessagesaboutbeingactiveareinclusive
w Ensuringmessagesaboutbeingactivearebasedonsoundsocialmarketingprinciplesandaretargetedatspecificgroups
w Ensuringthatopportunitiesforpeoplewithdifferentabilitiesandlevelsofmobilityarewidelypromoted
w Understandingand,wherepossibleremoving,barriersthatmaypreventpeoplefrombecomingmoreactive
w BuildingonthelegacyandsuccessesoftheOlympicandParalympicGamestopromoteactivityatalllevelsandforallsectionsofthecommunity,acrossthewholeofthelife-course
w EnsuringthatphysicalactivityislinkedtootherProgrammesforhealthandwellbeingtoensurethatlinkagesandconnectionsaremade
w Involvingawiderangeofpartnersinon-goingdiscussionsanddecisionmakingaboutuseofanyavailableresourcesfordevelopingamovingculture
Promote Physical Activity and its benefits to health, wellbeing and happiness by:
w Usingeveryopportunitytopromoteamovingculture
w Promotingtheuseofourgreenspacesandlocalenvironmentsandfacilitiestomakepeoplemoreactiveintheireverydaylives
w Promotingandsupportinglargescalephysicalactivityeventsthathavetheabilitytoattractlargescalemediaattention
w Workingwithlocalflagshipsportingclubsandarenastoprovideapositiveimageofphysicalactivity
w EnsuringthatthebenefitsofphysicalactivityareemphasisedaspartoftheMakingEveryContactCountprogramme,andtoproviderelevanttrainingforallfrontlinestaffinbriefadvice
Measure the Impact of the strategy to increase physical activity and create a moving culture by:
w Reviewingavailablesourcesofdatathatcouldbeusedtomeasureimprovementsinlevelsofphysicalactivityacrossthepopulation
w Developingadatasetthatcanbeusedforquarterlyandannualreportingofprogress,usingserviceandproxymeasureswhererequirednecessary
w Lookingforopportunitiestoconducton-goingresearchorevaluationontheoverallprogrammeofactivity
w Usingbestevidencewhendevelopingnewinterventionstoincreasephysicalactivitylevels
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Success of the Liverpool Active City Strategy (2005–2010)
Achievements
LiverpoolActiveCityStrategy(2005–2010)waspublishedinApril2005itbroughttogethermultipleagenciesandstakeholdersconcernedwiththepromotionandprovisionofphysicalactivity.ThefiveyearstrategyestablishedpartnershipsacrosstheCitythroughaSportsandPhysicalActivityAlliance,andcreatedaninfrastructurethatsuccessfullymobilisedphysicalactivityresourcesandprogrammes.Thestrategywassuccessfulinachievingitsaimsdueinparttoitsmultifacetedapproachtotacklinginactivity,andbetween2005and2010therewasathreepercentincreaseinparticipationinphysicalactivityintheLiverpooladultpopulation.TheActiveCitystrategysetoutalongtermstrategicvisiontoplacesportandphysicalactivityatthecentreoflocalpolicies.The‘BeActive:BeHealthy’strategywillcontinuewiththisapproach,andwherepossiblecontinuetosupportkeystrandsofactivitythathavebeenmajorcontributorstotheachievementofoutcomes.
Key Outcomes and Highlights of the Liverpool Active City Strategy 2005–2010
w Anincreaseintheprofileofphysicalactivityinallaspectsofcitywideinitiativesasanintegralcomponentofallactivitiesacrossthecity.
w Theprovisionofaco-ordinatedapproachinthedeliveryofphysicalactivityopportunities,withhealth,leisure,educationalandcommunityorganisationsworkingtogether
w Themaintenanceanddevelopmentofaccesstoawiderangeofenjoyableactivityopportunitiesandservicesthatencouragedparticipationandenabledpeopletochooseanactivelifestyle
w Theprovisionofeducationandtrainingopportunitiesforlocalstaffandvolunteerstomaximiseactivitydelivery,activityleadershipandjobaspirations.
Afullyresearched,monitoredandevaluatedapproachtotheelementsofthestrategywhichprovidedevidenceofwhatworkedandwhatdidn’t.TheStrategybroughttogetherarangeofactionsandinterventionsundertheLiverpoolActiveCityBanner,andbelowaresomeofthehighlights.
Examples of Good Practice in Liverpool
Futures SchemeLiverpoolCityCouncil’s(LCC)FuturesSchemeoperatesatLifestylesCentresacrosstheCity,itprovideschildrenandyoungpeopleinLiverpoolaffordableaccesstophysicalactivityinanconvenientandfunway.Allchildrenandyoungpeopleuptoandincluding17yearsofageareeligibletosignupfortheschemewhichoffersfreeswimming,reducedcostaccesstofitnesssuites;freeoutdoorpitchesandbadminton/squashcourtswhenbookedonthedayofuse.Inaddition,arangeofafterschoolandholidayactivitiesareonofferenablingyoungpeopletobeactive,stayhealthyandhavefun.
Liveability - the active ageing programme TheawardwinningLiveabilityServicehasatwoprongedapproachtomeettheneedsofolderpeople(50+)throughpromotionandprevention.Itisanurseledprogramme,manyolderpeopleself-refertotheserviceorcomeviaarelativeorlocalagency/service.
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OnceareferralisreceivedapatientsummaryisrequestedfromtheirGP,thenursethenvisitstheolderpersonathometoundertakeanholisticscreeningincludingmedicationreviewandfallsassessment.Oncecompletedindividualsarereferredintotheprogramme.Theserviceprovidesasix-weekhealtheducationandactivityprogrammetailoredtotheneedsofolderpeople,anddeliveredinpartnershipwithhealthprofessionalsandcolleaguesfromavarietyofservicesandagenciesspecialisinginservicedeliveryforolderpeople.Theweeklysessionsaimtoincreasehealthliteracy,increaseknowledgeofhowtoaccessservices,provideolderpeoplewitharangeofactivitiessuchasTaiChiandenablethemtobemoreinvolvedinlocalactivities.
Liverpool Schools Swimming Programme LiverpoolCityCouncil’sSchoolSwimmingProgrammeisdeliveredbytheSportandOutdoorRecreationDivisioninpartnershipwithHealthySchools.Itoffersastructuredswimmingprogrammeto120oftheCity’sschoolsgivingYear6pupilsthechancetoaccesstheCity’spoolsanddeveloptheirswimmingskillsforusethroughouttheirlives.Theserviceofferedincludespoolhire,transportandqualifiedswimminginstruction.Itisorganisedbyaschoolswimmingcoordinatorensuringthatahighpercentageofpupilsachievetheminimumstandardof25m.Currently,theprogrammealsoofferstrainingforteachersandclassroomassistantswhocanthenassistqualifiedswimmingteacherstodelivertheAmateurSwimmingAssociationcurriculum.ItenableschildrentothenaccessfreeswimmingaspartoftheFuturesSchemeatLifestylesCentres.
Water-sportsSchoolsthroughoutthecitycanaccessarangeofoutdoorwater-sportsattheLiverpoolWater-sportsCentre.
ActivitiesincludePaddle-sports,Kayaking,Canoeing,Paddleboards,DinghySailing,Windsurfing,Power-boating,Rafting,togetherwithOpenWaterSwimming.Greenbank Sports AcademyTheGreenbankSportsAcademyhasarangeoffullyinclusivefacilitiesandactivities.TheAcademyhasadedicatedSportsDevelopmentOfficerwhocreatessportingopportunitiesfordisabledpeopleatGreenbankandthroughoutMerseyside.TheSportsAcademydevelopsanddeliversco-ordinatedprogrammesofsportsandphysicalactivityinpartnershipwithotherorganisationsandclubspredominantlyfordisabledpeople.
Workplace Wellbeing CharterIn2010,LiverpoolPrimaryCareTrustlaunchedtheWorkplaceWellbeingChartertopromotehealthintheworkplace.ThischarterenablesworkwithemployerstoimprovethehealthandWellbeingoftheworkforce.Theproductivityofparticipatingorganisationsisoftenincreasedandsicknessandabsenteeismcanbereduced.Thechartertakesaholisticapproachandprovidesaclearsetofwellbeingstandards;theyincludephysicalandmentalhealth,healthpromotionandwaystoevaluatetheservicesandinformationoffered.ItaimstosharebestpracticeabouthealthandWellbeingwithintheworkplace.Thecharteroffersemployerstheopportunitytoachieveaworkplaceawardonthreelevels,includingthestandardofleadership,cultureandcommunicationwithintheirorganisation.Eachofthethreelevelswillconsider,issuessuchasleadership,sicknessandabsencemanagement,awarenessofalcoholanddrugabuse,smoking,mentalhealthandstress,healthyeatingandphysicalactivity.
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Active TravelTheActiveTravelStrategyseekstodeliverhealth,economic,lowcarbonandsocialbenefitsthroughimprovingthewalkingandcyclingenvironment.Thestrategyenablesinterventionsandtargetsmarketingtoencouragebehaviourchange.Thisisdeliveredatboththedistrictlevelandstrategicallyacrossthecityregionthroughlocalimplementationplans.TheStrategycomprisesofthreeelements:
1. Improvingthewalkingandcyclingenvironmentwithinfrastructureandfacilitiescreatingclearroutenetworksforpedestriansandcyclists;
2. Enablingactivities,interventionsandinformation;and
3. Marketingtoraiseawareness,encourageandsustainwalkingandcycling.
TogetherthesethreeelementscontributetothedeliveryofthesixgoalsofMerseyside’sthirdLocalTransportPlan.Thisprovidesbenefitssuchasimprovedhealth;increasedaccessibilitytojobs,education,healthandleisure;saferneighbourhoods;environmentalimprovements;andfinancialsavings.TheActiveTravelStrategyincludesatargettoincreasecyclingby3%eachyearuntil2014/15,thisfollowedbyalongterminspirationaltargetof10%yearonyearincreaseto2024/25.
ThesecondLocalTransportPlancontainedatargettoincreasecyclingby10%by2011,basedon2006levels.Monitoringshowsthata24.6%increasewasrecordedbetween2006and2011.Bothcyclingandwalkingareimportantforincreasingphysicalactivity;theaimoftheStrategywastobuildontheselevels,deliveringalowcarbonfuturesupportedbyamobilityculturethatcontributestotheeconomyandthehealthandWellbeingofitscitizens.
Transport flagship programmes include:
w Bikeability–MerseysideistheUK’slargestdelivereroftheon-roadnationalstandardcycletrainingschemelaunchedin2006.Todateover60,000schoolpupilshavebeentrainedtodealwithreal-lifeon-roadcyclingincludingYears5and6inprimariesandallagesinsecondary.
w Walk to School–TheWalktoSchoolcampaignseesover250schoolsencouragingtheirpupilsandparentstoditchthecarandfeelthefreedomandfreshairofwalkingtoschool.ThecampaignincludesaWalktoSchoolWeekeachOctoberandMay,anda5weekBigWalkinthesummerterm.SchoolsareofferedresourcesandincentivestosupporttheweekandtoprovidedatabacktoMersey-travelforevaluation.
w Information Provision–AkeyelementoftheActiveTravelStrategyisaccesstoinformationthisincludesafamilyofcyclemapswithpopularroutescoveringeachareaofMerseyside;walking‘calorie’maps;keydestinationguides;onlinecyclejourneyplannersandthe‘It’sOurWorld’widget–atoolthatsitsonwebsitesallowingvisitorstofindasustainableroute
Healthy StadiaHeartofMersey(HOM)hasworkedwithsportsstadiainMerseysidesince2005topromotehealthylifestylestofans,stadiastaffandlocalcommunities.Therehasbeenastrongemphasisonmulti-agencypartnershipworkingtodevelopstadiapoliciesandpracticespromotingincreasedlevelsofphysicalactivity(inparticularactivetravel),healthiereatingoptionsonmatchdays,tobaccofreestadiaandCVDhealthchecks.
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ThesuccessofthislocalprogrammehasdrawnadditionalfundingfromboththeEUandWorldheartFederation,andsawtheformationofaEuropeanHealthyStadiaNetworkin2010(www.healthystadia.eu).
SmokeFree Sports SmokeFreeSportsisanovelcampaignwhichaimstousesportandphysicalactivitytopromotesmokefreemessagestochildrenandyoungpeople.ThecampaignismanagedbyLJMUanddeliveredinschools,youthclubsandvoluntarysportsclubsacrossLiverpool.SmokeFreeSportsinitiativesincludetrainingteachers,sportscoachesanddanceinstructorstodeliverbriefinterventionsonsmoking;encouragesorganisationstosignaSmokeFreeSportscharterthatoutlinesavisionforsportsparticipationinsmokefreeenvironments;provisionofsportsactivitiessuchastastersessionsandtournaments;andaskingchildrentosignapledgetobesmokefreeforlife.
Back to NetballIn2012EnglandNetballworkedinpartnershipwithLiverpoolCityCounciltodevelopingaBacktoNetballprogrammeacrosstheCity.Theprogrammetargetsfemalesaged16+inordertore-introduceasportthatwomenmayhaveplayedearlierinlifebutwhoarenowlessactive.Itwillcreatenewopportunitiestogetactive,makenewfriendsandhavefun.SinceBack to NetballwasintroducedacrossEnglandin2010,over12,000womenhavejoinedandhelpedtomakeNetballoneofthefastestGrowingTeamsports.HundredsofwomenfromalloverthecountryaregettingBack to Netballeachweek.
Exercise for HealthExerciseforHealthbeganin2000,itisajointinitiativebetweenLiverpoolSportandOutdoorRecreationDivisionandLiverpoolPrimaryCareTrust.
Itoffersaspeciallytailored12weekexerciseprogrammethrougheightLifestyleCentresaroundthecityandthreeCommunityCentresforpeoplethathavespecificmedicalproblemsthatcanbeimprovedbyincreasingphysicalactivitylevels.GPsandPracticeNursesreferpatientstotheschemewhichoffersuseoftheFitnesssuites,SwimmingandTaiChi,supervisedbydedicatedandqualifiedstaff.Theoverallaimistoenablepeopletochangetheirphysicalactivitybehaviourforthelongterm,therebyimprovingtheirhealthconditionandpreventingfurtherdeterioration.Atpresentover90GPsreferover2,500peopleperannumtothescheme.Thismakesitoneofthebiggestschemesofitstypeinthecountry.
Cycle for HealthCycleforHealthisaschemecoordinatedbyLiverpoolCommunityHealthtodeliverbeginnerbikeridesforthosewhoareleadingasedentarylifestyleorwhorecoveringfromillhealth.ThecyclingsessionstakeplaceintheParksandGreenSpacesacrossLiverpoolofferingtheopportunitytoexerciseinasafeandsecureenvironment.
SessionsaredeliveredbyVolunteerCycleLeaderswhoprovideadviceguidanceandsupporttotheparticipant.AllvolunteersattendtheLiverpoolCommunityHealthVolunteerCycleLeaderscourse.Allcyclingsessionsarefreeandtheloanofbikeisavailablefreeofcharge.TheCycleforHealthschemehasdeliveredover300bikeridesayearoverthelast3yearsandover100volunteershavebeentrained.
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Walk for HealthWalkforHealthprovidesopportunitiesforpeoplefromLiverpoolcommunitiestoparticipateinaccompaniedwalksinavarietyoflocations,mainlyparks.ParticipantscanbecomequalifiedWalkLeadersandleadtheirownwalkstoincreasethenetworkofopportunitiesforpeopletoparticipateinmorewalking.Therearecurrently600-800peoplewalkingwiththeschemeperweek,over7,000peoplehaveparticipatedsince2002.
Women get ActiveLiverpoolCityCouncil’sActiveWomenprogrammehasrecentlybeenfundedbyarangeofpartnersincluding:SportEngland,LiverpoolPCT,CobaltHousing,RiversideHousing,andLiverpoolMutualHomes.ItisdeliveredthroughtheStreetGames(UsGirls)andWomenGetActiveprojects.Theprogrammewasbuiltonthesuccessofa£5millionEuropeanSocialfundedprojectcalled‘Work-Out’.Itdrewlearningfromalocalproject‘KensingtonWomenGetLively’whichconsulted215womenfrom16differentethnicoriginsondeterminantsoftheirphysicalactivity.The‘Work-Out’projectaimedtoincreaseparticipationinphysicalactivity,improvecommunitycapacityandstimulategreateruseoflocalcommunityrecreationfacilitiesindeprivedneighbourhoodsinLiverpool.The‘Work-Out’projectbenefitedfromusingthefitnessactivatorswhohelpedkeepthebeneficiariesmotivatedandmonitoredtheirprogressduringtheproject.Morethan1200visitsweremadebyindividualsoveran18monthperiod.The‘Work-Out’projectofferedclient-based,flexibleactivitiesaswellasthreemonthsfreeaccesstolifestylegyms.Theprojectincreasedparticipationinphysicalactivityby85%,80%ofwhommaintainedtheirbehaviourchangeaftertheprojecthadceased.
Us Girls!Specificallytargetswomenaged16–25yearswhileWomenGetActive,targetsallwomenaged16andover.Bothprojectsaredeliveredinspecificwardsacrossthecityandaimtoincreaseparticipationinwomen’ssportsandactiverecreation,offeringarangeoftraditional‘Backto’[netball,badminton,hockey]andnon-traditional[Zumba,cheerleading,rollerderby]opportunities.
Inordertoincreaseaccessibility,thesesessionsaredeliveredinarangeofsettingssuchaschildren’scentres,schools,youthandcommunitycentresandLCCLifestylecentres.Tohelpovercomesomeintractablebarrierstoparticipation,mostsessionshaveaprogressiveandsustainablechargingpolicyandsomeprovidefreechildcare.Beyondthis,theWomenGetActiveHubsofferaccesstoawiderangeofadditionalsupportservicesincludingsmokingcessation,healthyeating,firesafety,education,trainingandemployment,andcitizen’sadvice.
Lifestyle free membership - off-peak accessLiverpoolJohnMooresUniversityStudentsandstaffhavefreeoff-peakaccesstoLiverpoolcouncilrungymsandpoolsaspartofa£400,000ayeardealtocreatea‘citywide’sportscampus.Staffandstudentsareabletousestateoftheartequipmentbasedatninecouncilrungyms.Theprogrammeoffersfreeaccesstoeightswimmingpools–includingtheOlympicsizedLiverpoolAquaticCentreintheWavertreearea.Thispartnershipwasimplementedtoincreasefacilitytouseduringoffpeaktimesaswellasofferingstaffandstudentsgreateraccesstoaffordable,highqualityfacilities.
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Getting Our Active Lifestyle Started: GOALS GOALSisapartnershipbetweenLJMU,LPCT,LCC,AlderHeyHospitalandUniversityofSalforditisfundedbyLPCTaspartoftheTasteforHealthStrategy.GOALSisahealthylifestyleprogrammeaimedatsupportingoverweightchildrenandtheirfamiliestomakegradual,sustainablechangestotheireatingandphysicalactivityhabits.SinceApril2011,GOALShasbeenoperatingasarollingprogrammeandin2012theprogrammewasdeliveredinthreelocations;Kensington,EvertonandWalton.GOALShasbeenrecognisedbytheCentreforExcellenceandOutcomesinChildrenandYoungPeople’sServices(C4EO)asafullyvalidatedexampleoflocalpracticewhichimprovesthelivesofchildren,youngpeopleandtheirfamilies.www.c4eo.org.uk
Sportslinx Sportslinxdevelopedin1996andevolvedintoamulti–facetedprogramme.In2011SportslinxwontheEuropeanChildhoodObesityGroupawardforitscombinedworkonphysicalactivityandnutrition.Thisworktargetedchildren,parentsandpractitionersineducationbasedphysicalactivityandhealthyeatingprogrammes.Sportslinxdeliverssingletastersessions,supportforafterschoolclubs,fitnesstesting,surveillance,andtrainingandisnowintoits16thyear.
SportslinxisaflagshipLiverpoolprogrammeandcontinuestoprovidearangeofevidencebasedinitiativesaimedatimprovingthehealthof70,000LiverpoolSchoolchildren.
AnearlypartnershipbetweenLJMUandtheCityCouncilenabledSportslinxtogenerateauniquedatasetonschoolchildrenacrossthecity,allowingresearcherstoassessyearonyearchangesinanumberofhealth,nutrition,fitnessandskillrelatedmeasures.Thishasallowedgapsinprovisiontobeidentifiedandprogrammesaretargetedatthoseinmostneed.
Sportslinxhasledanumberofearlyyearsprogrammesincluding:ActivePlay,ActiveFamilies,Activeoutdoors,Yum,YumYummy,Rise&Shine,Activechildcare,LiverpoolLittleStars,whichintroducedaphysicalactivityprogrammefor88childcarevenues.
Sportslinxhasbecomeafixtureintheprimaryschoolcalendarwithupto95%ofschoolsacrossthecitytakingpartinactivitiesannually.Resourcesdevelopedbytheprojectandtraininggiventoindividualsensurethatthekeyhealthmessagesarecascadedthroughchildren’scentresandschoolsthenintothewidercommunity.
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AcknowledgementsThisLiverpool Active City Be Active: Be Healthy StrategywasproducedbyLiverpoolDepartmentofPublicHealth.Wewouldliketoacknowledgepartnersfromagenciesandorganisationsacrossthecitywhogaveoftheirtimeandexpertisetocontributetothedevelopmentofthisstrategy.Thankyouall.
Useful LinksBelowaresomelinkswhichhavebeenusefulincompletingthisdocumentandwhichyoumayfindhelpfultoincreasephysicalactivityinyourownorganisation/community:
w Liverpool Active City Strategy2005–2010www.liverpool.gov.uk
w Decade of Health and wellbeing 2010–2020www.2020healthandWellbeing.org.uk
w Liverpool Public Health Annual Report 2011www.liverpoolpct.nhs.uk/Library/Your_PCT/Publications/PHAR%202011.pdf
w Liverpool Joint Strategic Needs Assessment 2011 - Children and Young Peoplewww.liverpoolpct.nhs.uk/Library/Your_PCT/Publications/CJSNA.pdf
w Sports strategy(sportEngland) www.sportengland.org/about_us/our_news/creating_a_sporting_habit_for.aspx
w Green infrastructurewww.greeninfrastructurenw.co.uk/liverpool
w Healthy Stadiawww.healthystadia.eu
w Dementia Strategy www.liverpoolpct.nhs.uk/Your_PCT/Publications/deafult.aspx
w Merseyside Local Transport Plan www.letstravelwise.org/content206_Local-Transport-Plan-3.html
w NICE public health guidance PH8 physical activity and the environment http://guidance.nice.org.uk/PH8
w PH17 promoting physical activity in children and young people http://guidance.nice.org.uk/PH17
w PH13 promoting physical activity in the workplace http://guidance.nice.org.uk/PH13
w PH25 prevention of CVD http://guidance.nice.org.uk/PH25
w Reducing Harm, Improving Care: Liverpool Alcohol Strategy 2011–14 http://www.liverpoolpct.nhs.uk/Library/Your_PCT/Publications/Liverpool_Alcohol_Strategy_2011-2014_Reducing_Harm_Improving_Care.pdf
w Active People’s Survey. Sport England (2011) www.sportengland.org/research/active_people_survey.aspx
w Chief Medical Officer Report(2011)www.dh.gov.uk/en/Aboutus/MinistersandDepartmentLeaders/ChiefMedicalOfficer/index.htm
w Centre for disease control and prevention(CDC)(2011)www.cdc.gov/
w Taste for Health Strategycanbeaccessedat:www.tasteforhealth-liverpool.nhs.uk
w The Children and Young Peoples Plancurrentlyunderrevisioncanbeaccessedat:www.Liverpool.gov.uk
w The Public Health Outcomes Frameworkcanbeaccessedat:www.dh.gov.uk/health/2012/01/public-health-outcomes/
w Joint Strategic Framework for Public Mental Healthcanbeaccessedat:www.liverpoolpct.nhs.uk/Library/Your.../Publications/JSFMH.pdf
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ReferencesiNICEPHguidance17(2009)PromotingPhysicalActivityforChildrenandYoungPeople.
iiDepartmentofHealth(2011).Startactive,stayactive:areportonphysicalactivityfromthefourhomecountries’ChiefMedicalOfficers:AnnualreportoftheChiefMedicalOfficer2011. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128209
iiiLiverpoolPHObservatoryreportoncosteffectivenessofPhysicalActivity
ivScarborough,P.,Bhatnagar,P.,Wickramasinghe,K.K.,Allender,S.,Foster,C.,andRayner,M.JournalofPublicHealth(2011).Theeconomicburdenofillhealthduetodiet,physicalinactivity,smoking,alcoholandobesityintheUK:anupdateto2006–07NHScosts.
vPedroCHallala,AdrianEBaumanb,GregoryWHeathc,HaroldWKohld,I-MinLeee,MichaelPratt:Physicalactivity:moreofthesameisnotenoughTheLancet,EarlyOnlinePublication,18July2012.doi:10.1016/S0140-6736(12)61027-7
viDeptofHealthandSocialServicesandPublicSafety:LivingwithLongtermconditions-apolicyframework(26thApril2011).PrimaryCareDevelopmentUnit
viiSportEngland.ActivePeopleSurvey2009/10www.sportengland.org
viiiBritishHeartFoundation(2012)TacklingCardiovascularDiseases;PrioritiesfortheOutcomesStrategy.www.bhf.org.uk
ixWorldHealthOrganisation–cancerburden’sassociationwithlackofphysicalactivity.www.who.int/dietphysicalactivity/pa/en/index.html
xLiverpoolHealthySchools-SchoolImprovementLiverpool.gov.uk
xiLiverpoolLowersuperoutputareadatamapaccessfromLiverpool.gov.uk
xiiLiverpoolJointStrategicNeedsAssessment(2011)LiverpoolCityCouncil
xiiiFairSociety:HealthyLivesMarmotReview2010
xivSportEngland.ActivePeoplesSurvey2009/10www.sportengland.org
xvSportslinxcanbeaccessedatLiverpoolCityCouncilandLiverpoolJohnMooresUniversity
xviRoyalCollegeofPsychiatrists www.rcpsych.ac.ukaccessedAugust2012
xviiLiverpoolPhilharmonic–In Harmonyprogramme–www.ihsc.org.uk
xviiiTheHavenProject;LiverpoolUniversitycontact:[email protected]
xixMamafit:DiverseHealthandFitnesswww.diversehealthandfitness.org.uk
xxCathLewis,JanetUbido,RichardHolfordandAlexScott-Samuel(2010)No.83-PreventionProgrammesCostEffectiveness:PhysicalExerciseLiverpoolPublicHealthObservatoryCosteffectivenessreviewseries,No.1
xxiActivePeopleSurvey
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Notes
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Forfurtherinformationaboutthecontentsofthisstrategy,pleasecontactthePublicHealthdepartmenton0151233 5638