A Presentation to a Sport England roundtable on commissioning physical activity and leisure, showcasing what Hertfordshire has done

1. www.hertsdirect.org
Moving at scale: commissioning
physical activity (Workshop 1F)
Piers Simey Jim McManus
Consultant in Public Health Director of Public Health
Sport England Roundtable, 28 October 2015
Everybody Active, Every Day: One Year On
Reflections from Herts

2. Commissioning physical activity:
opening up opportunities
• Identify learning & challenges from
the CLOA commissioning work
(Evaluation Report: March 2015)
• Help physical activity & sport
professionals engage more
effectively with commissioners
• Aim: improve positioning of sport &
physical activity, & potential funding
• Work with 8 very different Councils

3. www.hertsdirect.org
• In Herts: on
the shoulders
of giants….

4. www.hertsdirect.org
CLOA in Herts: alignment & communication
CHALLENGES – at start
• Join up – primary care &
physical activity
• Inactivity & avoidable
disability/disease
widespread
• Variable pathways
• Many players
• Need for delivery!
RESULTS
• Loosely connected
network turned into
organised partnership
• Shared vision
• More understanding
across sectors
• Shared action plan
• New and mainstream £

5. www.hertsdirect.org
Health & Physical Activity Working Group - To take
responsibility for developing a sustainable framework for
increasing physical activity opportunities and participation by
Hertfordshire residents, via links with healthcare

6. www.hertsdirect.org
The Framework – the case in one place
• 4 key strategic principles
– Get the message out
– Design physical activity back into
everyday lives
– Make physical activity a lifelong
habit (focus inactive people)
– Prove success - evaluation
• In our 10 Districts/Boroughs
– Physical activity plans developing
– £2m PH spending, much on PA

7. www.hertsdirect.org
Health & Physical Activity Working Group
• 5 meetings to date
• Multi-agency representation
– GPs, CCGs, NHS Trusts, Districts,
County Council, Leisure Centres, Herts
Sports Partnership, Pharmacy
• Working through key issues
– Exercise on referral; Rehab; Older
people; exercise within NHS Trusts;
central information in one place
• Seizing/creating opportunities
• Health & Physical Activity Action Plan

8. www.hertsdirect.org
Strategic Principles for Hertfordshire’s
Health & Physical Activity Action Plan
• SP1: Identify, support and connect physical activity advocates
(especially clinicians)
• SP2: Deliver community wide inspirational hooks/campaigns
• SP3: Implement effective practice linked to healthcare
• SP4: Build on initiatives that address barriers & improve
access at scale
• SP5: Provide training and support for promoting physical
activity by healthcare professionals
• SP6: Provide information on one website for Herts

9. www.hertsdirect.org
Exercise Continuum for Older People:
practical priorities, commissioners & providers
1. Promote the Move More message for all
2. More sessions led by appropriately
trained exercise instructors – community
venues, lunch clubs, day centres
3. More Tai Chi: tailored, affordable, well
promoted – develop with Districts
4. Sheltered housing: train staff in chair
based exercise & set up new sessions
5. Older fallers/at risk: evidence based
exercise – CCG commissioned service
6. Care Homes: exercise training for activity
co-ordinators/staff – commissioned pilot

10. www.hertsdirect.org
Conclusion: Physical Activity in Herts
• There is a continued & clear opportunity
to make a difference to the lives of
residents through physical activity
– For the individual & for society
• The benefits are compelling & accepted
by a range of commissioners
– Districts/Boroughs
– County Council Departments
– Clinical Commissioning Groups
• We are building on early wins