How can Physical Activity and Sport make a better county? It's not just about Physical health. It's so much more. And what kind of workforce do we need....Keynote to the Hertfordshire Sports and Physical Activity Partnership Event.

1. Better Hertfordshire:
The power of sport and
physical activity
Jim McManus, Director of Public Health
Herts Sports and Physical Activity Partnership
Partners Event, June 6th 2018

2. Starting Point – generally healthy
• But
– Even the healthiest get ill too early and develop avoidable
disability
– The poorest still get worse faster and younger
– Growing mental ill health nationally
– The cuts to the local government sector seems set to
continue
– The NHS has yet to move from rhetoric to delivery of its true
preventive potential
– And the same goes for the rest of us!
– Most of us are accumulating too much weight and too many
disease risk factors

3. Context… by 2037
Our county will change:
• Around 220,000 more people in Hertfordshire, an 18.6% rise (more
than double the population of Watford)
• Around 23,000 of these residents will be aged 90+ (people are living
longer)
• The number of over 65 year olds will increase by 55% (more than
111,000 people)
• An increase in our teenage population of 28,000
• There will be in the region of 100,000+ more homes
• There will be an increase of approximately 20% more traffic on the
roads

4. 6 Futureproofing tasks
(WHO and World Bank/UN)
• Give every child the best start in life
• Enable all children, young people and adults to maximise
their capabilities and have control over their lives
• Education, training, employment and good work for all
across the whole lifecourse
• Ensure a healthy living standard for all
• Create and develop sustainable places and communities
• Strengthen the role and impact of prevention

5. Why does Public Health value the
Physical Activity and Sport Sectors?
Let me count the ways
• Economy and skills contribution
• Physical Health Contribution
• Mental Health and Resilience Contribution
• Social Cohesion Contribution
In short...liveability!
Where you come in.....

6. Austerity....
• No amount of money on its own will reverse
our health challenges
• But a social movement, changing culture,
working with people...can

7. The Key Steps to Health
• We’re used to the behavioural ones aren’t we...
• Move More
• Eat Better
• Reduce Alcohol
• Don’t Smoke
• Blah, drone, lecture..... This isn’t nearly enough

8. An Ecology of Health
Physical Activity and Sport sits in all
domains
Things the
system can do
for citizens
Things the
worlds of
work and
education can
do
Things we can
do for each
other
Things we can
do for
ourselves

9. Remember this?
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

10. The Framework 2015
• 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

11. My Ambition – longer, better lives
• A sustainable county
• Better value from reduced budgets
• Good mental health
• Good physical health
• Prevent avoidable burden of ill-health
• Build physical and psychological resilience
• Prevent avoidable cost to public purse
• Everyone is a public health change agent
• Everyone doing their bit
– Employers
– Sport and Physical Activity Sectors
– NHS
– Schools , University and Colleges

12. Hertfordshire
Year of Physical Activity 2018
A step towards making Hertfordshire
the most active county

13. Monthly Themes

14. Four key aims of the Year
• Increase Physical Activity levels
• Shift stubborn Inactivity levels
• Promote the range of active opportunities
• Encourage new programmes & events
Move More, Feel
Great!

15. YOPA18: key ingredients
• HertsYOPA18 multi-agency planning group
– Collective effort to progress and amplify the year
• Monthly Newsletters for organisations
• Web presence
– www.hertfordshire.gov.uk/hertsyopa18
• Many co-branded activities, more to come
– One offs/regular sessions; new/existing

16. • Never Too Late county
wide campaign
developed with older
people
• Less active older people
sign up for free local
leisure centre
incentives, information
& ongoing tailored
support
• Launched April 23rd

17. update – Never too late
• Campaign launched in April
• 2809 sign-ups as of 29 May
• 40 school launch events and great support from key partners
• 33 pieces of media coverage, including TV features on BBC
London, Look East and ITV Anglia
• Social media posts have reached 143,000 people of whom
more than 12,000 have visited the campaign website

18. Cardiac Prehab on a page
• Targeted invites to patients at high risk of
cardiovascular disease
• In practice education sessions
• Development of personalised wellbeing plans
• Referrals to appropriate services
• Further support with follow up appointments
• Positive patient feedback

19. Cardiac Prehab
• The cardiac prehab initiative has been very popular
with my patients. We were overbooked with a
waiting list within three days of sending out
invitations. Our education meetings were
oversubscribed and we have had good verbal
feedback. We have seen a rise in referrals for
exercise, weight management, smoking cessation
and diabetes prevention as a result.
Dr Richard Pile, GP and CCG Prevention lead.

20. Clinical Advice Pad
• HV CCG & HCC Public Health successfully
pitched to be a national pilot
• Physical Activity Advice Pad - to support
promotion in primary care
• Good evidence
• Support with practical goal setting
• For any inactive individual
• Additional tailored training
• Pilot in two localities
• Kicking off in the Spring

21. Active Herts on a page…
• 3 Year funding to end 2018 – Sport England, Public Health, CCGs
• Decrease CVD risk factors/improve mental health conditions
• Focus on areas of greatest need – deprived & most inactive
• 20 GP surgeries & Mind Wellbeing centres – 2,434 referrals to date
• Delivered by team of experienced Get Active Specialists
• 12 month intervention – check in and follow ups
• Tool box of effective Behaviour Change Techniques used
• Positive interim results from external academic evaluators

22. GP view
“We have had good feedback from patients
referred to the Active Herts programme. With
support from their GP & Active Herts they are
getting the help to take that step into a healthier
lifestyle. The fact that the sessions are held at
their local surgery makes the process less
daunting. We have seen a big uptake from
patients because of this ease of access.”
Dr Pramanik

23. So, what next?
The Social Change Level -
culture
The Group level – physical
and psychosocial
The personal level – better,
healthier, happier me
What can you
as a sector
achieve?

24. Workforce
• The workforce – paid and unpaid – is key
• Skills
– Macro
– Micro – one to one behaviour change, motivation
– Mental Health, Self Management, Physical Health
Skills and capabilities
– The unrivalled skills you already posses....

25. Active Locally
All Seasons
Habit for Life
Having Fun!