Physical Activity within a new Public Health Framework Wright Foundation 2011 Conference - PowerPoint PPT Presentation

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Physical Activity within a new Public Health Framework Wright Foundation 2011 Conference

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Physical Activity within a new Public Health Framework Wright Foundation 2011 Conference Paul Stonebrook Physical Activity Policy Manager Department of Health – PowerPoint PPT presentation

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Title: Physical Activity within a new Public Health Framework Wright Foundation 2011 Conference


1
Physical Activity within a new Public Health
FrameworkWright Foundation 2011 Conference
  • Paul Stonebrook
  • Physical Activity Policy Manager
  • Department of Health

2
Healthy Lives, Healthy People
  • Our strategy for public health in England

3
A new public health system
  • Public Health England a national public health
    service
  • A return of public health leadership to Local
    Government
  • Professional leadership nationally and locally
  • Dedicated resources for public health at national
    and local levels
  • Focus on outcomes and evidence based practice
    supported by a strong information intelligence
    system
  • Maintaining a strong relationship with the NHS,
    social care and civil society
  • Set out in the Health and Social Care Bill

4
A new public health service- Public Health
England
  • New public health service directly accountable to
    the Secretary of State for Health with a clear
    mission to
  • Achieve measurable improvements in public health
    outcomes and
  • Provide effective protection from public health
    threats
  • It will do this by
  • Protecting people from infectious disease and
    biological, chemical and radiological threats
  • Helping people and families to be able to take
    care of their own health and wellbeing and
  • Inspiring challenging and commissioning partners
    from all sectors.

5
Public health funding and commissioning
Local communities
Local Authorities, including HWBs
GP Consortia
Providers
Department of Health including Public Health
England
NHS Commissioning Board
6
Defining commissioning responsibilities
examples
Proposed activity to be funded from the new public health budget (provided across all sectors) Proposed commissioning route/s for activity (including any direct provision) Examples of proposed associated activity to be funded by the NHS budget (including from all providers)
Infectious disease Current functions of the Health Protection Activity in this area, and public health oversight of prevention and control, including co-ordination of outbreak management PHE with supported role by local authorities Treatment of infectious disease co-operation with PHE on outbreak control and related activity
All screening PHE will design, and provide the quality assurance and monitoring for all screening programmes NHS Commissioning Board (cervical screening is included in GP contract) -
Physical Activity Local programmes to support participation, e.g. Walking for Health and local sustainable transport initiatives to increase walking and cycling Local authority NHS support for inactive patients and those with long term conditions, e.g. provision of brief advice during a primary care consultation (Lets Get Moving), Exercise Referral, SEM services
7
Physical activity related indicators?
  • Domain 2 tackling the wider determinants of
    health
  • Reference D2.21
  • Outcome Indicator Cycling participation
  • Rationale/Description Measures the percentage of
    the population cycling by frequency (no of days)
    during the previous 4 weeks (good proxy for
    physical activity participation?)
  • Data Source Sport Englands Active People Survey
  • Domain 3 health Improvement
  • Reference D3.5
  • Outcome Indicator Percentage of adults meeting
    the recommended guidelines on physical activity
    (5 x 30 min per week)
  • Rationale/Description Physical inactivity costs
    the NHS approximately 1.8bn per annum and WHO
    reports that it is one of the 10 leading causes
    of death in developed countries
  • Data Source Sport Englands Active People Survey

8
Listening exercise
  • Weve set how we think the health and social care
    system needs to be modernised, but we recognise
    that there are some questions and concerns about
    what were doing, and about the mechanics of
    putting these principles into practice
  • So now weve got a natural break in the Health
    and Social Care Bill, were taking this time to
    pause, listen, reflect on, and improve the NHS
    modernisation plans
  • Weve created the NHS Future Forum - a group of
    40 patient representatives, doctors, nurses and
    other health professionals - who will listen
    and then share their conclusions with Government.

9
Transition- a timetable (subject to the
Listening Exercise)
Summary timetable (subject to Parliamentary approval of legislation) Date
Consultation on specific questions set out in the White Paper the public health outcomes framework and the funding and commissioning of public health. Dec 2010March 2011
Set up a shadow-form Public Health England within the Department of Health Start to set up working arrangements with local authorities, including the matching of PCT Directors of Public Health to local authority areas During 2011
Develop the public health professional workforce strategy Autumn 2011
Public Health England will take on full responsibilities, including the functions of the HPA and the NTA. Publish shadow public health ring-fenced allocations to local authorities April 2012
Grant ring-fenced allocations to local authorities April 2013
10
Transition- a timetable (subject to the
Listening Exercise)
Summary timetable (subject to Parliamentary approval of legislation) Date
Consultation on specific questions set out in the White Paper the public health outcomes framework and the funding and commissioning of public health. Dec 2010March 2011
Set up a shadow-form Public Health England within the Department of Health Start to set up working arrangements with local authorities, including the matching of PCT Directors of Public Health to local authority areas During 2011
Develop the public health professional workforce strategy Autumn 2011
Public Health England will take on full responsibilities, including the functions of the HPA and the NTA. Publish shadow public health ring-fenced allocations to local authorities April 2012
Grant ring-fenced allocations to local authorities April 2013
11
Future Direction for Physical Activity
  • Locally determined
  • Embracing a Big Society approach
  • Achieving more with less
  • Evidence driven and evidence based
  • Focusing upon behaviour change

12
Children and Young People
  • Change4Life Clubs in Schools
  • DH investment of 6.4m in 11/12 and 12/13
  • Expansion to primary schools
  • School Games
  • DH investment of 14m in 11/12 and 12/13
  • Four levels of competition
  • Inclusive
  • Brochure to all schools in March 2011
  • Bikeability Training
  • Funded for the remainder of this parliament
  • Sportivate
  • Six weeks coaching for teenagers and young adults
    in the sport of their choice

13
Adults / Older Adults
  • Walking for Health
  • 60,000 regular walkers
  • Moving out of Government
  • 2012 x 2012
  • NHS Workplace initiative
  • 300,000 staff, 555m potential savings
  • Active Travel
  • Local Sustainable Transport Fund
  • 560 million available to the Fund over the 4
    year period to 2014-15
  • Sport
  • Gold Challenge
  • 10,000 adults

14
Responsibility Deal
  • Physical Activity Network chaired by Fred Turok
    and Simon Burns
  • 50 Network members
  • 5 Collective Pledges
  • Workplace
  • Active commuting
  • Community hubs
  • Tacking inequalities
  • Disseminating physical activity guidelines
  • Ambition for 1,000 members signed up to 100
    pledges!

15
UK Physical Activity Guidelines
  • Whole life-course
  • Early Years
  • Children and Young People
  • Adults
  • Older Adults
  • Sedentary guidelines
  • Joint UK CMO Report
  • Reflected through Change4Life as the main
    communication channel

16
Physical Activity in Healthcare
  • Lets Get Moving
  • Exercise referral
  • Exercise Referral Toolkit
  • New guidelines under development
  • Evaluation of the National Exercise
  • Referral Scheme in Wales
  • Sports and Exercise Medicine
  • PAR-Q?

17
Questions
  • Paul Stonebrook
  • E-mail paul.stonebrook_at_dh.gsi.gov.ik
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