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. Healthy Lives, Healthy People. Our strategy for public health in England. A new public health system. - PowerPoint PPT PresentationTRANSCRIPT
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Physical Activity within a new Public Health Framework
Wright Foundation 2011 Conference
Paul StonebrookPhysical Activity Policy ManagerDepartment of Health
Healthy Lives, Healthy People
Our strategy for public health in England
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
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;1. Achieve measurable improvements in public health outcomes;
and2. Provide effective protection from public health threats
• It will do this by;1. Protecting people from infectious disease and biological,
chemical and radiological threats;2. Helping people and families to be able to take care of their own
health and wellbeing; and3. Inspiring challenging and commissioning partners from all
sectors.
Public health funding and commissioning
Key
Route for funding
Route for accountability
Local communities
Department of Health including Public Health
England
NHS Commissioning Board
Local Authorities, including HWBs GP Consortia
Providers
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)
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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 (Let’s Get Moving), Exercise Referral, SEM services
Physical activity – related indicators?
Domain 2: tackling the wider determinants of healthReference: D2.21Outcome Indicator: Cycling participationRationale/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 England’s Active People Survey
Domain 3: health ImprovementReference: D3.5Outcome 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 England’s Active People Survey
Listening exercise
We’ve 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 we’re doing, and about the mechanics of putting these principles into practice;
So now we’ve got a natural break in the Health and Social Care Bill, we’re taking this time to pause, listen, reflect on, and improve the NHS modernisation plans;
We’ve 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.
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 2010–March 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
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 2010–March 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
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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
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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
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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
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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!
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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
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Physical Activity in Healthcare
• Let’s 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+?
