NHS Five Year Plan: Responding to the Prevention Challenge

1. The realities and practicalities
in exercise for health
Can we empower communities to become
co-producers of their own good health?
Phil Veasey
Business Development and Marketing Director
Mytime Active
22 March 2016

3. A public health sweet spot!

4. A tidal wave of change?

5. Flourishing lives
“What really makes a difference is
creating the conditions for people to lead
flourishing lives.
Empowerment is the key to reducing
health inequalities and thereby improving
the health of everyone”.

6. Isle of Dogs

7. The Docklands Sailing Club

8. Tiller Sports Centre

9. Weekly roaming distance for middle class
sporty male
Golf
Tennis
5 miles
Average steps per day June 2015
=18,000z

10. Weekly roaming distance for young person
aged 12-14 in a disadvantaged community
500 m

11. Weekly roaming distance young Bangladeshi
mother (child 0-5) in a disadvantaged community
500 m

12. Typical
travel
patterns
to engage
in physical
activity

14. A tidal wave of change?

16. NCMP: Outcomes of Parental & Schools
Engagement
Positive Negative
A Welcome Call To Action Only a Surveillance Tool
Effectiveness
1
2 3
4
A major shift in the
quality of parental and
schools engagement
leading to a call to
action to live healthier
lives
A major shift in the
quality of
communications using
community language
involving schools,
parents, healthy parent
ambassadors, school
nurse team and others
Modify elements of
the process notably –
‘Tweaking’ the letters
A surveillance tool
The NCMP process at the
heart of the process.
Cold calling parents in
complex language. Schools
‘tolerating’ the process

17. Community empowerment
• A vital component of a whole systems approach to tackling obesity
Co-producers of
healthy lives
Consumers of
scarce health resources
Are we at tipping point? Too busy to change?
10
Empowered
1
No empowerment
5

18. Recognise me?
• Boy aged 7
• Lives in an urban area of higher deprivation
• Family access limited to local amenities with poor access to fresh food
• Poor diet, with high intake of fizzy drinks, snacks and convenience food
• Likes to play ‘Super Mario’ on the computer after school
• Local area has low access to green space and the park is poorly lit at night
• Sport and leisure facilities are the other side of town and are expensive
• Parents have a poor understanding of nutrition and healthy food options
• Struggles with concentration at school
Outlook: high risk of obesity, increased risk of type 2 diabetes, low
educational attainment, service use and co-morbidities later in life.

19. Desolate play spaces

22. A disused car park

25. Healthy London aims to deliver
14,000
healthy
meals
Regular fitness
programs and health
workshops for
3,000
children and their
families
Safe play
spaces for
2,500
children
Access to health
education and a
community health
advisor for
3,000
children and their
families
2,000
hours volunteered
by Morgan Stanley
employees

26. BMX in Southwark

28. The CHESS tool
• Risk factors are identified for NCDs:
physical inactivity, unhealthy eating and
drinking, tobacco use
• A starting point is defined in
the community (e.g. a
health centre) and surveyed
using CHESS methodology.
• All locations for physical
activity, food shops and
places where alcohol can be
purchased are assessed and
mapped

30. Boys group in Wandsworth

31. Families in Westminster

33. Wandsworth teenagers insight session

34. A community blue print for change