The realities and practicalities in exercise for health

Can we empower communities to become co-producers of their own good health?

Phil VeaseyBusiness Development and Marketing Director

Mytime Active

22 March 2016

A public health sweet spot!

A tidal wave of change?

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”.

Isle of Dogs

The Docklands Sailing Club

Tiller Sports Centre

Weekly roaming distance for middle class sporty male

Go

lf

Tennis

5 miles

Average steps per day June 2015=18,000z

Weekly roaming distance for young person aged 12-14 in a disadvantaged community

500 m

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

500 m

Typical travel patterns to engage in physical activity

A tidal wave of change?

NCMP: Outcomes of Parental & Schools Engagement

Positive NegativeA 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 toolThe NCMP process at the heart of the process.

Cold calling parents in complex language. Schools ‘tolerating’ the process

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?

10Empowered

1No empowerment

5

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.

Desolate play spaces

A disused car park

Healthy London aims to deliver

14,000healthymeals

Regular fitness programs and health

workshops for

3,000children and their

families

Safe playspaces for

2,500children

Access to health education and a

community health advisor for

3,000children and their

families

2,000hours volunteeredby Morgan Stanley

employees

BMX in Southwark

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. ahealth centre) and surveyed using CHESS methodology.

• All locations for physical activity, food shops and places where alcohol can be purchased are assessed and mapped

Boys group in Wandsworth

Families in Westminster

Wandsworth teenagers insight session

A community blue print for change