A long term campaign, and a framework for partners to co-create, promote and commission sport, recreation and physical activity opportunities in Suffolk, delivering positive impacts on the health of local communities Presented at the event 'Commissioning for Culture and Sport, 5th December 2014': http://knowhownonprofit.org/events/commissioning-for-culture-and-sport-5th-december-2014 Part of the Cultural Commissioning Programme http://www.ncvo.org.uk/cultural-commissioning-programme

1. Commissioning as a
mechanism to increase
participation in sport and
physical activity

2. Our approach – Building Suffolk as the
Most Active County in England
"A long term campaign, and a framework for
partners to co-create, promote and commission
sport, recreation and physical activity opportunities
in Suffolk, delivering positive impacts on the health
of local communities"

3. Develop the ambition and the ‘how’
and ‘what’ will follow!
Underpinning principles:
• Provide a co-ordinated, collaborative and strategic multi-
agency approach to tackling inactivity and promoting more
activity;
• Convert the spirit of the 2012 Games into a healthy lifestyle
legacy;
• Support communities to develop local capacity, including
volunteering;
• Utilise Suffolk’s physical assets and natural environment to
support healthy active lifestyles;
• Promote Suffolk as a unique sports event and festival
destination for outdoor mass participation events.

4. Adding value to Suffolk’s key agendas
• Efficiency savings through transformation;
• Growth, jobs, skills and the local economy;
• Health and wellbeing
• Adult and Community Services new operating
model - Supporting Lives Connecting
Communities

6. Compelling evidence of the need to increase participation in physical
activity (everyday activity, active recreation and sport):
• Only 21% of Suffolk adults take part in recommended levels of sport
and active recreation;
• 26% of adults in Suffolk are physically inactive
• 15.7% of year 6 children in Suffolk are obese
• 74% of people with a limiting disability undertake zero sport and
active recreation compared to 40% of those with no limiting disability
• Avoidable healthcare costs of £14+ million per year

7. Analysis
• Physical Activity: Evidence and Recommendations for
Health;
• Impact of physical inactivity on individual CCG areas;
• A survey of exercise referral schemes delivery in
Suffolk;
• Inclusive Sport in Suffolk Research Report;
• Active for Life: Suffolk Disability Sport and Physical
Activity Strategy.

8. Service Outcomes-
the effect of what we do
Health
Improvement:
Helping people to
live healthy
lifestyles, make
healthy choices, &
reduce health
inequalities
Intermediate outcomes
Tackling the
wider
determinants of
Health: helping
people to live
healthy lifestyles
& make healthy
choices
Increased access locally to
sport and recreational
opportunities
More children and
young people have a
healthy lifestyle
Sport and Physical
Activity outputs-
what we do
2012 legacy
The School Games
SuffolkYouth Games
Sportivate (14-24 ages)
Summer of Sport
Games Makers
Volunteering: 2012
event volunteers
A host for mass participation
events (demonstration effect):
Great East Swim, Tour of
Britain, Tour Ride, Sky Ride,
Torch relay, Big Dance
Sport contributing to the
economic vitality of
communities including
charitable fund raising
Improved
health and well
being
Added value
of utilising
physical assets
and natural
environment
Developing
learning and skills
in communities
Overarching strategic
outcomes (Healthy Lives,
Healthy People)
Improve the use of
physical assets &
environment: Active
Travel plans, more
use of school sports
facilities, parks and
open spaces, play
space, influencing
land use planning
and street design
Target interventions:
Big Splash, Disability
Sport Academy, GP
referrals, Lets Get
Moving, MEND,
armchair exercise
Improved access
to sport/ PA for
under
represented
groups
Ageing well-
A higher quality
of life for older
people
More people manage
their health &
wellbeing needs
through self-help
Developing community
led participation:
Cycle Suffolk, Fit
Villages, walking
programmes,
Improved
community
capacity
Increased
awareness and
profile of healthier
lifestyles
Reduction in the
number of people
suffering from
preventable
conditions
More people with disability
engaged in sport and
recreation
More communities
developing, designing and
volunteering to deliver
sport, and recreation
Sport positively impacting
on the lives of children and
young people
Benefits
Reduction in sedentary
behaviour
Healthy life
expectancy &
preventable
mortality:
preventing
people from
dying
prematurely &
reduce health
inequalities
The Most Active County-outcome logic model
More people happier with
their positive lifestyle
choices
Vibrant
economic
communities
Prevention of ill
health: reducing
the number of
people living with
preventable ill
health
Increased mental health
resilience
Increased participation by
adults in sport and physical
activity

9. • Early planning revolved around positioning of
the approach politically, with the Suffolk
Health and Wellbeing Board, Sport England,
Public Health and Adult and Community
Services.
• As the programme has evolved it has become
more strategic – priorities for 14/15 are active
ageing, early years, walking and cycling.

10. Two approaches adopted:
1. Securing funding to directly commission
activity;
2. Influencing others to encourage them to
commission physical activity interventions.
Do
[Funding the option or range of options agreed to deliver the defined outcome]

11. Example 1. Suffolk Get Healthy Get
into Sport Project
• £424,000 Sport England Investment secured;
• Live Well Suffolk, Suffolk Sport and Abbeycroft
Leisure commissioned to deliver interventions
in healthcare settings aimed at the inactive;
• Robust monitoring and evaluation protocol
• Outcomes – 3,500 participants active

12. Example 2. Sport England Partnership
Programme
• Strategic partnership programme informed by
local need;
• Funded by Sport England and Suffolk County
Council;
• 9 areas of focus, delivering participation,
sector development and planning strategies.
• Organisations commissioned include Suffolk
Sport, Abbeycroft Leisure, Culture First and
Avenues East.

16. Leadership Development Programme

17. • Purpose – to adopt a whole community
approach to encouraging walking.
• Inspired by a lecture by Dr William Bird as part
of the Most Active County Leadership
Programme.
• Commissioned by Public Health.
Example 3. Walking Intervention in
Lowestoft

18. Example 4. BoB project
• Purpose – 12 month programme to increase the
number of children cycling to school in 4 target
primary schools from a national average of 2-15%.
• Commissioned by Highways and Transport at Suffolk
County Council
• Initially commissioned in 4 schools in Ipswich. Re-
commissioned in 8 schools in Bury St Edmunds

19. Review
[Evaluating to see what has worked well and what can be improved further]
• Advisory Group (MACAG) established to
oversee the MAC programme
• MACAG identified as the accountable body for
the Suffolk Health and Wellbeing Board
(SHWB) for physical activity development.
• Regular review of progress by SHWB.
• Increasingly capturing participation levels of
participants at inception.

20. Tracking Progress - Facts and Figures

21. Tracking Progress - Facts and Figures

22. Tracking Progress - Facts and Figures

23. Tracking Progress - Facts and Figures

24. • Positioning/influencing
• Securing organisation buy-in
• Creating capacity
• Promoting wider sector understanding
• Strategic partnering
• Local facilitation/partnership delivery
Our Leadership Role

25. Next Steps
• Influencing and integrating physical activity in
public health healthy lifestyles contract and
other pipeline commissioning opportunities;
• Influencing at individual CCG level.
• Relationship building – care sector, early years
providers, etc

27. • Time needed to develop partnerships, understanding
and direction;
• Incremental approach needed;
• Co-creation with partners and providers important;
• Approach needs to be adaptable for different
audiences;
• Cross-sector opportunities and connections are
fundamental to success;
Learning

28. • Do you have any examples of successful joint
commissioning that you can share?
• What works?
• What are the practical steps needed to be
successful?
Questions