Slides from the Birmingham Becoming an Active City Workshop in July 2019

1. Becoming an Active City
Initial Thinking Overview
June 2019

2. Our Ambition As A City
PAGE 2
Birmingham – a city of growth where
every child, citizen and place matters
• Birmingham is an
entrepreneurial city to
learn, work and invest
in
• Birmingham is an
aspirational city to
grow up in
• Birmingham is a
fulfilling city to age
well in
• Birmingham is a great
city to live in

3. PAGE 3

4. PAGE 4

5. PAGE 5

6. Whole System Action Is Needed
Research, like the
Foresight report, has
shown that tackling
obesity needs lots of
different actions.
Action is needed at
different levels of
society and by
different types of
organisations working
together in a range of
different areas.

7. Creating A Healthy
Food City
 Healthy food
environments in
communities,
workplaces and
schools
 Healthy food
economies
 Communities of
identity and place
informed
approaches
 Social narrative
about food
Creating An Active
City
 Active environments,
including making the
most of the CWG
infrastructure
opportunities and
active travel
connections.
 Accessible provision
 Community co-
production
 Social narrative
about activity
Three Pillar Approach
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Supporting Weight
Management
 Maximise
engagement with
existing support and
resources e.g. C4L,
OneYou, NHS Weight
Management course
& app, HENRY in
early years settings.
 Maximise positive
opportunity of NCMP
through School
nursing service and
NHS Health Check.

8. Initial Governance
PAGE 8
Cabinet
Health & Wellbeing Board
Creating an active city forum
Creating a healthy food city forum
Creating a mentally healthy city forum
City Health Protection Forum
Creating a city without inequality
forum
BSol STP Prevention
Board
CWG PA & Wellbeing
Legacy Steering Group
Future Parks
Accelerator
Programme Board
Brum Breathes Exec
Group
WM On The Move
Programme Board

9. CREATING AN ACTIVE CITY
Developing our approach

10. Context
 Cities operate at multiple different levels and scales from
households, to streets and communities of place, identity and
heritage.
 Within the City there are many different levers at a macro city-
wide level and at a community and household level.
 Birmingham has the paradox of significant green and outdoor
public space which is at times blocked by a transport
infrastructure that is heavily biased towards vehicles.
 Physical activity is important at every age and every ability for
many health and social reasons, it can benefit everyone and
pays back to health, social care, education and crime parts of
the public purse.
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11. PAGE 11

12. 26.4% of adults are inactive
(<30 mins a week of moderate
activity)
61.0% of adults are achieving
the recommended level of
physical activity each week.
25.5% 22.2%
63.2% 66.3%
Physical Activity Data: Adult Physical Activity
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Birmingham W.Mids
England
Women are more inactive than men
Inactivity increases with age, higher among those with
impairments/disability, and higher among South Asian communities
Students are most active followed by those in employment.
Single households were more active than lone parents or couple households

13. Physical Inactivity (May 17/18 Active Lives)
PAGE 13

14. 40.4 individuals killed or
seriously injured on the roads
per 100,000 20-64yr olds
(2015-17)
26.5 children killed or
seriously injured on the roads
per 100,000 0-15yr olds
(2015-17)
38.4 40.8
19.6 17.4
Physical Activity Data: Road Traffic Accidents
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Birmingham W.Mids
England

15. Citizen’s Perceptions of Physical Activity in the
City
PAGE 15
“I think increasing walking,
cycling and use of public
transport should be a top
priority as part of creating a
healthy environment.
Increasing these transport
modes will deliver multiple
gains in terms of air quality,
physical activity, and mental
health.”
“It would also be
beneficial to consider
community safety
within that remit
which is an important
barrier across age-
groups to more
walking, cycling, and
use of public
transport.”

16. Citizen’s Perceptions of Physical Activity in the
City
PAGE 16

17. The Physical Activity Environment in
Birmingham
Our local surroundings can have a
big impact on the decisions we
make.
The majority of ‘health improving’
physical activity is achieved
through utility based activity not
through recreation.
Many of our communities are
dominated by roads and
intersections that prioritise cars.
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18. “We need to embed physical activity
into the fabric of daily life, making it an
easy, cost effective and ‘normal’
choice in every community in
England.”
1.Active society: creating a social
movement
2.Moving professionals: activating
networks of expertise
3.Active environments: creating the
right spaces
4.Moving at scale: scaling up
interventions that make us active
Policy context: EAED
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19. Three key actions:
Meeting the needs of the elite and
professional system & delivering major
sporting events
Meeting the needs of the customer and
enabling engagement in sport and
physical activity,
Strengthening the sport sector to make it
more effective and resilient.
Our particular focus is on the second
action working through this to see more
people from every background regularly
and meaningfully taking part in sport and
physical activity, volunteering and
experiencing live sport.
Policy context: SF
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20. Four objectives:
Creating an active society –social
norms and attitudes
Create active environments –
spaces and places
Create active people –
programmes and opportunities
Create active systems –
governance and policy enables.
Policy context: GAPPA
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21. Seven core themes:
Transport
Housing and Land
Community Resilience
Creative and Digital
Productivity, Employment
and Skills
Wellbeing
Policy context: WMOTM
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22. Opportunities to Act Across the Lifecourse
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Primary
Secondary
Residential &
Domicilary Care
Employer Led Action on Health
& Wellbeing at Work
Healthy Schools
& Youth
Services
Early Years
Centres
Diabetes Prevention Programme
Societal Narrative about Food, Activity & Weight Issues
Health Improving & Enabling Physical Environments
NHS Health Checks
Tertiary Weight Loss Support Interventions
FAMILY & CARERS
MSK CVD COPD Cancer
Developmental Checks

23. Our initial thinking on Vision and ambition
Birmingham is an Active City with thriving
cohesive communities where citizens, of every
ability, at every age lead active lives.
As an Active City we will see the majority of
short daily trips made on foot, bicycle or public
transport, and our citizens engaging with each
other and the city through active lives.
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24. Developing a
frameworks
for Action
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25. Building Our Approach
 Stakeholder
engagement
 Citizen engagement
 Accelerator
opportunities:
• Commonwea
lth Games
PA &
Wellbeing
Legacy
• Internation
al Healthy
Cities
Partnership
• Local
Delivery
PilotPAGE 25
Birmingham Healthy Planning Toolkit
Change 4 LifeOne You
Wellbeing Services
Apprenticeships
Opportunities
Brum Breathes
The Active Wellbeing Society
Sport Birmingham
Sports
Sciences
PHE SE PA Clinical Champions
Thrive at Work

26. Existing Foundations
Some of the existing strong foundations on
addressing physical activity in the City
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27. Wellbeing Leisure Services: Be Active
Be Active has been running city
wide in Birmingham since 1st
September 2009 and is a free
scheme open to Birmingham
residents in order to offer all
Birmingham residents free
swimming, group exercise
classes and gym sessions at
certain times of the day at
various leisure centres and
parks throughout the city.
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In 2018/19 the wellbeing services
saw:
Over 609,000 attendances by
almost 60,000 unique users.
56% of attendances were from
BAME communities
79% were from more deprived
communities

28. PAGE 28
Three tier model:
•Universal offer
•Targeted groups
and behavioural
interventions
•Specialist targeted

29. Wellbeing Leisure Services: Be Active Plus
This is a specialist physical
activity programme to address
sedentary behaviour for those
with specific chronic diseases
that can be managed through
physical activity with
standardised treatment and
management pathways
reflective of both gym based and
community interventions specific
to local needs.
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30. Exercise 1: Mapping the Asset Base
 Using the post-it notes map out your organisations work on
physical activity in Birmingham
 Include:
• Name of organisation
• Summary of delivery approach
• Delivering in Birmingham,
Birmingham + other LA, West Mids,
National, International
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31. Exercise 2: Who isn’t in the room
 Using the post-it notes map out other organisations who are
working on physical activity in Birmingham who aren’t here
 Include:
• Name of organisation
• Summary of delivery approach
• Delivering in Birmingham,
Birmingham + other LA, West Mids,
National, International
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32. Accelerator Opportunities
Acceleration projects currently active in the City
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33. Birmingham in 2022
71 Commonwealth nations 11 days
of sport 6,500 athletes and officials
A regional showcase with
venues in Sandwell, Solihull,
Cannock Chase, Coventry
and Leamington Spa
2.4 billion citizens
across the
Commonwealth
Up to 1.5 billion global
TV spectators
Over 1 million
tickets to be issued
during the Games
4,330 jobs
projected to be
created annually
until 2022
95% of
venues
in place
An estimated £503
million will be
contributed to the
regional economy
A trained workforce
of 12,500
volunteers
3:1 cost benefit
for the West
Midlands
A predicted population of
1,173,000 (increase of over
40,000 from today)
Estimated £300m (75%)
of Games contracts
expected to go to local
and regional suppliers
1,400 new homes
built in Perry Barr

34. Legacy Workstreams
Public Health gains can be made through all work-streams, and
there are collateral benefits between workstreams, some of the
initial thinking:
PAGE 34
Infrastructure Physical
Activity &
Wellbeing
Culture
Planning
Toolkit
‘Build in
health, build
out crime.’
Education
Place based
approaches to
PA and
maximising
health
benefits
Jobs & Skills
Trade,
Tourism &
Investment
Sustainability
Accessibility
Thrive at
Work
Focus on
closing the
inequalities in
work access
Diversity &
Life course
inclusion
? Thrive at
school
Wellbeing
impact
Inclusion in
inclusive
growth
Cohesion &
Civic Pride
Air pollution
Inequalities &
Diversity
health issues

35. Partnership for Healthy Cities (PHC)
 In 2019 Birmingham has been invited
to join the Partnership for Healthy
Cities (PHC) supported by the
Bloomberg Philanthropies, WHO and
Vital Strategies.
 Birmingham accepted the invitation
and is in the process of developing
the implementation plan which will
focus on physical activity social
marketing interventions.
 This will be publically announced in
July/August 2019.
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54
216
cities
citizens

36. Sport England Local Delivery Pilot
 Led by The Active Wellbeing Society this £7million+ programme is about
on delivering co-produced community interventions to reduce inactivity in
communities in east Birmingham and north Solihull.
 The project is focusing on six pilot areas covering deprived wards across
both local authorities and the challenge is around working across two
administrative boundaries, recognising that local communities use and
access services seamlessly between both Birmingham and Solihull
(particularly in bordering areas).
 The pilot is looking to be able to demonstrate a significant shift in physical
activity and community activism, so that people become more physically
and socially active. The approach is a whole systems approach that
ultimately shifts power to communities, making them more resilient and
better connected.
 Key to the success of the pilot work will be the shared vision, leadership
and collaboration across Birmingham and Solihull.
 The principles of the pilot will be to put communities at the heart of the
decision-making process, so that delivery is based on their needs and that
they are part of sustaining activities and interventions.
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37. Future Parks Accelerator Programme
 Future Parks Accelerator is a new
joint venture from the National Trust
(NT) and Heritage Lottery Fund
(HLF). Birmingham was one of
eight areas chosen to receive
funding over a 2 year period.
 The new funding will focus on will
focus on four neighbourhoods within
the boundary of the city: Ward End,
Brandwood, Perry Common and
Ladywood.
 Naturally Birmingham will work as a
cross-council strategic project,
testing new approaches coupled
with people’s views and values held
at local level through four
community pilots.
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38. Exercise 3: What do we need?
 As a table brainstorm the things that you would like to see that
would make a difference to physical activity in the city at a
population level?
• What are the strategic actions?
• Policy levers?
• Action at WMCA?
• Action at BCC?
• Action for others?
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39. Next Steps
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40. Next steps
 Citizen engagement
 Stakeholder engagement
• Creating an Active City working
group to meet in June/July to
refine and inform the approach
for the Forum
 Governance
• Establish Creating an Active City
Forum reporting to the Health
and Wellbeing Board to oversee
and enable delivery at pace.
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