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Potential impact of
physical activity on
public health
Dr Steven Mann
Research Director
ukactive
Improving the health of the nation through
getting more people, more active, more
often.
About ukactive
We grow and stimulate the value of physical activity to
society as a whole – social, political, economic, health,
consumer, financial.
We champion the fun and enjoyment that being active can
bring.
We challenge inactivity wherever we find it.
From cradle to grave.
Agnostic about how, as long as people move.
• Working with over 4,000 members & stakeholders
across the UK – from public, private and third sectors
who all want to get the UK moving
• Facilitating big impact partnerships
• Profiling, sharing and celebrating best practice
• Supporting innovation & development
• Providing & sharing research and insight
• Campaigning
ukactive Research Institute
The ukactive Research Institute is an initiative which aims to build an evidence base for the
use the of exercise and physical activity programmes in the improvement of quality of life,
prevention and management of disease
The objectives:
» To engage with partner organisations to secure large grants to further investigate real
world physical activity interventions.
» To engage with the physical activity sector to encourage best practice in data capture,
management and dissemination, to ensure greater public and policymaker confidence in
physical activity interventions.
» To publish academic articles and address academic conferences.
» To use its unique position as the hub of the physical activity sector to disseminate data and
key learnings to practitioners, operators policymakers, local government and health
agencies, and thereby to ensure the real world and policy impacts of its research activity
The core aim of the research team is to generate academic
publications and conduct research which will contribute to
answering fundamental questions related to how to get ‘more
people, more active, more often’.
A quick quiz . . .
What were the top 5 causes of death in the
years 1850 and 2000?
1. Tuberculosis
2. Dysentery/diarrhea
3. Cholera
4. Malaria
5. Typhoid Fever
1. Heart disease
2. Cancer
3. Stroke
4. Lung disease
5. Accidents
1850 2000
Prevention at the heart of NHS
“At lunchtime I was in South Shields hearing how patients, the NHS and
the council are now coming together to help people to take control of
their own health… It’s early days, but if like me, you believe it’s time to
get serious about patient power, prevention and community
partnerships, you’ll be encouraged by what they’re doing.”
Simon Stevens, Chief Executive, NHS England
Physical activity is
good for you . . .
How do we get
more people more
active more often?
Born to move?
Born to move?
Becoming active is a conscious decision . . .
• Time
• Priority
• Support
• Environment
• Availability
• Knowledge
Everybody Active Everyday
Public Health England
• This evidence based framework sets out opportunities for
action using four domains; active society, moving professionals,
active environments and moving at scale
• Cradle to the grave
Active Society
Moving
Professionals
Moving At Scale
Active
Environments
Evidence based delivery of physical activity
Everybody Active Everyday
Implementation
across settings
The physical
environment
The social
environment
Community-
wide
interventions
Groups
interventions
One-to-one
interventions
Implementation
across the
lifecourse
Start well
Live well
Age well
The four
domains for
action
Active society
Moving
professionals
Active
Environments
Moving at scale
Inequalities
Closing the gap
Measuring
Impact
Results
Creates
opportunities to
work within public
health . . .
Public Health Opportunities
Local Authority Tendering
Integrated Health and
Wellbeing Services
Exercise Referral
Child Weight
management
Active Travel
Planning
Exercise Referral Focus
Potential impact of
physical activity on
public health
Dr Steven Mann
Research Director
ukactive
Real world evidence base?
Ecologically valid? Phase IV clinical trails? Efficacy vs Effectiveness etc.
Real world evidence base?
Ecologically valid? Phase IV clinical trails? Efficacy vs Effectiveness etc.
Outputs
Outcomes
Objectives
Outputs, Outcomes, Objectives
Some are harder than others!
Objectives are the methods or the activities by which you plan to achieve your aims.
Outcomes are the changes, benefits, learning or other effects that happen as a result of your
work. They can be wanted or unwanted, expected or unexpected. They are often hard to count or
prove, and normally rely on an understanding of the initial situation or problem for comparison. For
example, the outcomes for users of a refugee centre might include improved English language
skills, improved confidence in accessing services and reduced isolation.
Outputs are the tangible products, services or facilities created by your work, and are usually
quantifiable. They don’t rely on any knowledge of your ‘starting point’ and instead focus on what
happens once you have finished your work. For example, a youth employment programme might
get 20 young people into work, provide 600 hours of accredited training, and run five careers fairs.
http://www.communitymatters.org.uk/content/532/W
hat-are-outcomes-and-outputs
Academic
LA
Leisure
Public
Health /
CCG
NICE
Research@ukactive.org.uk
Evidence isn't
everything!
City of London – January 2016
This is becoming a complicated business
Partnerships, Programmes, Pathways
Partnerships, Programmes, Pathways
Partnerships
.
Lead
Bidder
Weight
Manage
ment
Health
checks
Signpost Workplace
Exercise
Referral
Programmes
• What exactly is it that you offer? For whom? Where? When? What
will be the benefit?
• Can you condense this into an offer for GP surgeries or primary
care providers?
Pathways
• Routes in – Routes out?
• How does your service integrate with those around you?
Born to move?
Becoming active is a conscious decision . . .
• Time
• Priority
• Support
• Environment
• Availability
• Knowledge
• Staff skill set
• Making every contact count
• Ability to engage with inactive
• Supportive environment
• Evidence based programming
• Delivery times – accessible
Potential impact of physical activity on public health
Conclusion
• ukactive are here to help - Facilitating big impact
partnerships
• ukactive Research Institute - To engage with partner
organisations to secure large grants to further investigate
real world physical activity interventions
• Non-communicable diseases and prevention a key focus
• Physical activity is good for you!
• Opportunities exist to integrate our sector within public
health and primary care
• Small adaptations to create huge impact
Dr Steven Mann
ukactive
StevenMann@ukactive.org.uk

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Potential impact of physical activity on public health

  • 1. Potential impact of physical activity on public health Dr Steven Mann Research Director ukactive
  • 2. Improving the health of the nation through getting more people, more active, more often.
  • 3. About ukactive We grow and stimulate the value of physical activity to society as a whole – social, political, economic, health, consumer, financial. We champion the fun and enjoyment that being active can bring. We challenge inactivity wherever we find it. From cradle to grave. Agnostic about how, as long as people move. • Working with over 4,000 members & stakeholders across the UK – from public, private and third sectors who all want to get the UK moving • Facilitating big impact partnerships • Profiling, sharing and celebrating best practice • Supporting innovation & development • Providing & sharing research and insight • Campaigning
  • 4. ukactive Research Institute The ukactive Research Institute is an initiative which aims to build an evidence base for the use the of exercise and physical activity programmes in the improvement of quality of life, prevention and management of disease The objectives: » To engage with partner organisations to secure large grants to further investigate real world physical activity interventions. » To engage with the physical activity sector to encourage best practice in data capture, management and dissemination, to ensure greater public and policymaker confidence in physical activity interventions. » To publish academic articles and address academic conferences. » To use its unique position as the hub of the physical activity sector to disseminate data and key learnings to practitioners, operators policymakers, local government and health agencies, and thereby to ensure the real world and policy impacts of its research activity The core aim of the research team is to generate academic publications and conduct research which will contribute to answering fundamental questions related to how to get ‘more people, more active, more often’.
  • 5. A quick quiz . . .
  • 6. What were the top 5 causes of death in the years 1850 and 2000?
  • 7. 1. Tuberculosis 2. Dysentery/diarrhea 3. Cholera 4. Malaria 5. Typhoid Fever 1. Heart disease 2. Cancer 3. Stroke 4. Lung disease 5. Accidents 1850 2000
  • 8. Prevention at the heart of NHS “At lunchtime I was in South Shields hearing how patients, the NHS and the council are now coming together to help people to take control of their own health… It’s early days, but if like me, you believe it’s time to get serious about patient power, prevention and community partnerships, you’ll be encouraged by what they’re doing.” Simon Stevens, Chief Executive, NHS England
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  • 30. How do we get more people more active more often?
  • 32. Born to move? Becoming active is a conscious decision . . . • Time • Priority • Support • Environment • Availability • Knowledge
  • 33. Everybody Active Everyday Public Health England • This evidence based framework sets out opportunities for action using four domains; active society, moving professionals, active environments and moving at scale • Cradle to the grave Active Society Moving Professionals Moving At Scale Active Environments
  • 34. Evidence based delivery of physical activity Everybody Active Everyday Implementation across settings The physical environment The social environment Community- wide interventions Groups interventions One-to-one interventions Implementation across the lifecourse Start well Live well Age well The four domains for action Active society Moving professionals Active Environments Moving at scale Inequalities Closing the gap Measuring Impact Results
  • 36. Public Health Opportunities Local Authority Tendering Integrated Health and Wellbeing Services Exercise Referral Child Weight management Active Travel Planning
  • 38. Potential impact of physical activity on public health Dr Steven Mann Research Director ukactive
  • 39. Real world evidence base? Ecologically valid? Phase IV clinical trails? Efficacy vs Effectiveness etc.
  • 40. Real world evidence base? Ecologically valid? Phase IV clinical trails? Efficacy vs Effectiveness etc.
  • 42. Outputs, Outcomes, Objectives Some are harder than others! Objectives are the methods or the activities by which you plan to achieve your aims. Outcomes are the changes, benefits, learning or other effects that happen as a result of your work. They can be wanted or unwanted, expected or unexpected. They are often hard to count or prove, and normally rely on an understanding of the initial situation or problem for comparison. For example, the outcomes for users of a refugee centre might include improved English language skills, improved confidence in accessing services and reduced isolation. Outputs are the tangible products, services or facilities created by your work, and are usually quantifiable. They don’t rely on any knowledge of your ‘starting point’ and instead focus on what happens once you have finished your work. For example, a youth employment programme might get 20 young people into work, provide 600 hours of accredited training, and run five careers fairs. http://www.communitymatters.org.uk/content/532/W hat-are-outcomes-and-outputs Academic LA Leisure Public Health / CCG NICE
  • 45. City of London – January 2016 This is becoming a complicated business Partnerships, Programmes, Pathways
  • 46. Partnerships, Programmes, Pathways Partnerships . Lead Bidder Weight Manage ment Health checks Signpost Workplace Exercise Referral Programmes • What exactly is it that you offer? For whom? Where? When? What will be the benefit? • Can you condense this into an offer for GP surgeries or primary care providers? Pathways • Routes in – Routes out? • How does your service integrate with those around you?
  • 47. Born to move? Becoming active is a conscious decision . . . • Time • Priority • Support • Environment • Availability • Knowledge • Staff skill set • Making every contact count • Ability to engage with inactive • Supportive environment • Evidence based programming • Delivery times – accessible
  • 48. Potential impact of physical activity on public health Conclusion • ukactive are here to help - Facilitating big impact partnerships • ukactive Research Institute - To engage with partner organisations to secure large grants to further investigate real world physical activity interventions • Non-communicable diseases and prevention a key focus • Physical activity is good for you! • Opportunities exist to integrate our sector within public health and primary care • Small adaptations to create huge impact