FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council

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FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council
FIT FOR LIFE
A PHYSICAL ACTIVITY
STRATEGY FOR BRENT
           2016-2021
FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council
FOREWORD
    Physical activity plays a key role in helping people to be healthier for longer.
    Although there has been an increase in physical activity levels in Brent in recent
    years, approximately 50% of the population are reported to be inactive. Regular
    physical activity plays a big part in maintaining a healthy weight, preventing illness,
    and stimulating positive mental health. It can also be a fun and rewarding way
    for people to spend their leisure time and also to interact with other people.
    This strategy sets out our approach to improving the health and wellbeing
    of Brent residents though increasing participation in everyday physical
    activity. We aim to encourage active, lifestyles, whether that is at home,
    through travel, at work, or during leisure time. There is a distinct focus on
    tackling inactivity in itself rather than dealing with its consequences. It is
    imperative that we make a difference and change everyday behaviours.
    The strategy seeks outcomes which are realistic, given the difficult
    economic climate and the pressure on public sector budgets; both of
    which are expected to continue for the next five years. It will generate
    commitment from all stakeholders and partners to ensure that it is used
    as a practical tool to deliver a range of opportunities for residents.
    We want to increase the participation rates of residents in order to
    improve health – both mental and physical – through council, community
    and partnership means. We aim to achieve this without any additional
    cost to the council in order to ensure long-term sustainability.

    Cllr James Denselow
    Lead Member for Stronger Communities

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FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council
01 EXECUTIVE SUMMARY                                                                                       CONTENTS
    Physical activity plays a pivotal role in              Preliminary consultation work was undertaken
    maintaining good health, preventing illness,           with internal and external stakeholders to
    supporting mental wellbeing and generally              inform the draft version of this strategy which          INTRODUCTION                                                                6
    enabling people to be healthier for longer.            then went out to full public consultation
    Brent has high levels of preventable disease;          in autumn 2015. Over 100 responses were             01   BACKGROUND & CONTEXT                                                        7
    these will be reduced if more people lead              received with large majorities of respondents
    active lifestyles. This strategy seeks to build on     agreeing with the vision, objectives and action     02   HEALTH & PHYSICAL ACTIVITY IN BRENT                                         9
    the achievements of Brent’s Sport and Physical         plan of the strategy.
    Activity Strategy 2010-2015.                                                                               03   2010-2015 SPORT AND PHYSICAL ACTIVITY STRATEGY: HEADLINE                   12
                                                           Physical activity that can be incorporated
    As part of the council’s role within the wider         into everyday life, such as brisk walking and            SUMMARY OF ACHIEVEMENTS
    public health agenda its team of Active Lifestyles     cycling, can be as effective as supervised
    officers has an enhanced focus on developing           weight loss exercise programmes. Being              04   STRATEGIC DRIVERS                                                          14
    healthy lifestyle opportunities and providing          active at every age increases quality of life and
    support for residents to become more active,. A        people’s chances of remaining independent.               • LOCAL
    sustainable impact can be achieved through a           Making physical activity an enjoyable part of
    continued and positive approach to partnership         people’s lives is crucial towards achieving the          • NATIONAL
    working in line with the three priorities of Brent’s   main objectives for the strategy. These are:
    Borough Plan, namely ‘Better lives, Better place,                                                          05   DEFINING PHYSICAL ACTIVITY AND ITS BENEFITS                                18
    Better locally.’
                                                                                                                    • DEFINITION OF PHYSICAL ACTIVITY
    We want to increase the participation rates            • T o increase participation in physical
                                                             activity through the development of                    • BENEFITS OF EVERYDAY ACTIVITY
    of Brent residents in physical activity through
    a combination of council, community and                  a core offer accessible to everyone
                                                                                                               06   CONSULTATION                                                               20
    partnership resources to ensure long term              • T o develop sustainable and long
    sustainability. The vision of the strategy is:           term local community approaches to                07   KEY THEMES                                                                 23
    By 2021 more people in Brent will be more                encouraging more people to adopt
    active and there will be improved health and             healthy lifestyles                                     • WEIGHT MANAGEMENT
    wellbeing throughout the borough. This will
    be achieved by establishing physical activity as
                                                           • T o achieve permanent behaviour change                • PLANNING AND HEALTHY LIFESTYLES
    a fundamental and enjoyable part of people’s lives.      by helping people to build physical
                                                             activity into the fabric of their everyday             • MENTAL HEALTH AND WELLBEING
    Sport England’s Active People survey data                lives.                                                 • ACTIVE TRAVEL
    released in December 2015 shows that over
    half of Brent residents (16 and over) had not                                                                   • COLLABORATIVE PARTNERSHIPS
    participated in 30 minutes of active recreation        An action plan which outlines how the
    in the previous 28 days. This is the highest                                                                    • WOMEN AND GIRLS
                                                           above objectives will be delivered forms
    non-participation level across the six west            part of the strategy.                                    • DISABILITY SPORT
    London boroughs. An overarching target of
    this strategy is to reduce the percentage of                                                                    • YOUNG PEOPLE
    non - participating residents from 55% to
    49% by 2021.                                                                                                    • OLDER PEOPLE
    Increasing combined total visits to the three sports   ‘Better lives, better                                    • MASS PARTICIPATION
    centres by 5% by 2021 is a key performance                                                                 08   VISION AND OBJECTIVES                                                      31
    indicator and will be monitored monthly.               place, better locally.’
    Physical activity can be broken down into                                                                  09   ACTION PLAN                                                                32
    three broad categories: sport, active recreation
    and everyday activity. The benefits of having
    an active lifestyle are as numerous as are the
    disadvantages of an unhealthy one. It helps
    people to be healthier for longer and is a key
    contributor to maintaining a healthy weight.                                                               Appendix 1: 2010-2015 Strategy action plan review and Appendix 2: Consultation report
    It also reduces the risk of many chronic                                                                   will be available https://www.brent.gov.uk/your-council/about-brent-council/council-
    conditions, including heart disease, stroke,
    diabetes and mental health problems.                                                                       structure-and-how-we-work/strategies-and-plans/

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FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council
INTRODUCTION                                                                                    01 BACKGROUND
                                                                                                         & CONTEXT
    By 2021 more people in Brent will be more active                                                  Physical activity plays a crucial role in          shortly undergo a major redevelopment,
                                                                                                      maintaining good health, preventing illness,       scheduled for completion in 2019. Moberly
    and there will be improved health and wellbeing                                                   supporting mental wellbeing and generally          Sports Centre, owned by the City of
                                                                                                      enabling people to be healthier for longer.        Westminster, is in Queen’s Park.
    throughout the borough. This will be achieved                                                     Approximately one in six deaths in the UK
                                                                                                                                                         In April 2015 the council’s Sports
                                                                                                      and two thirds of many long term conditions
    by establishing physical activity as a fundamental                                                can be attributed to physical inactivity. The
                                                                                                                                                         Development and Healthy Lifestyles teams
                                                                                                                                                         merged to form the Active Lifestyles team.
                                                                                                      financial impact of inactivity is estimated
                                                                                                                                                         Its remit covers lifestyle choices and general
    and enjoyable part of people’s lives.                                                             to be £14.2 million per year per 100,000
                                                                                                      people in the UK . Brent has high levels of
                                                                                                                                                         physical activity rather than solely on
                                                                                                                                                         participation in sport. This has resulted in
                                                                                                      preventable disease; these will be reduced if
                                                                                                                                                         an enhanced focus on developing healthy
                                                                                                      more people lead active lifestyles.
                                                                                                                                                         lifestyle opportunities and providing support
      The vision of the Borough Plan 2015-2019        provide quality services at a good price.       This strategy seeks to build on the                for residents to become more active, thus
      is to make Brent a great place to live and                                                      achievements of Brent’s Sport and Physical         reflecting the council’s role within the
                                                      We want to increase the participation rates     Activity Strategy 2010-2015. Notable               wider public health agenda.
      work in, where people feel that they have
                                                      of residents in physical activity in order to   successes in its lifetime include the provision
      real opportunities to change their lives                                                                                                           Although there has been an increase in
                                                      improve overall health in Brent. This will be   of a range of new leisure facilities;
      for the better and a place with plentiful                                                                                                          physical activity levels in Brent in recent
                                                      achieved through a combination of council,      improvements to existing facilities; an
      access to leisure and cultural activities.                                                                                                         years, approximately half of the population
                                                      community and partnership resources.            increase in visits to leisure centres; and £1.2
      The council intends to achieve this vision,                                                                                                        are reported to be inactive. The council has
                                                      The aim is to achieve this at zero cost to      million of grant funding awarded to the
      even in the context of some of the most                                                                                                            a pivotal role to play in supporting people
                                                      the council, in recognition of financial        council and local sports clubs. The strategy
      pressing financial challenges experienced                                                                                                          to become more active through making
                                                      challenges and the need to ensure long          has played a positive role in driving forward
      in public services for decades.                                                                                                                    use of parks and open spaces, visiting
                                                      term sustainability.                            service provision but there are now a
      Huge savings have been made over the                                                                                                               sports centres, tending an allotment plot or
                                                      A new strategy needs to be in place to          number of challenges to be addressed and
      past four years in response to the economic                                                                                                        participating in everyday physical activity.
                                                      deliver increased levels of physical activity   opportunities to be taken.
      climate, but the quality of most services
                                                      and improved health and wellbeing               The provision of good quality sports facilities
      has remained high, as efficiency and value
                                                      throughout the borough. An organic              is a key factor in increasing levels of physical
      for money has improved. However, further
                                                      approach will be adopted to achieve             activity. A full appraisal of facility provision
      serious financial challenges lie ahead due to
                                                      the vision and objectives. A sustainable        is not within the scope of this strategy. A
      cuts in funding from central government. By
                                                      impact can be achieved through a                review of all sports facilities fed into the
      2018, Brent Council’s budget will have been
                                                      continued and positive approach to              Planning for Sport and Active Recreation
      cut in half. These challenges will mean more
                                                      partnership working in line with the three      Facilities Strategy 2008-2021. A strategic
      fundamental changes to the way services,
                                                      priorities of Brent’s Borough Plan, namely      approach to playing pitch provision is
      including those in the physical activity
                                                      ‘Better lives, Better place, Better locally.’   currently being developed.
      context, are commissioned and delivered.
                                                      The overarching vision of this Physical
      The council will seek to work more              Activity Strategy is therefore:                 There are four local authority owned sports
      closely with the private and voluntary                                                          centres in the borough; three of which are
      sectors along with schools and                  By 2021 more people in Brent will be            owned by Brent and one by the City of
      community groups to increase levels             more active and there will be improved          Westminster. The Brent owned facilities are
      of physical activity in the borough. All        health and wellbeing throughout                 the Willesden and Vale Farm Sports Centres,
      of these organisations have a good              the borough. This will be achieved              both managed by external contractors, and
      understanding of their local communities        by establishing physical activity as a          Bridge Park Community Leisure Centre, a
      and some of them have the ability to            fundamental and enjoyable part of               council managed facility. Bridge Park will
                                                      people’s lives.

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FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council
02 HEALTH AND PHYSICAL
                                                                                                     Age
                                                                                                          Age Range            16-34 years           35-54 years           55+ years

		 ACTIVITY IN BRENT                                                                                     Participation           23.1%                 17.1%                12.1%

                                                                                                     In Brent, participation is highest amongst the 16-34 age group, and then declines
                                                                                                     with increasing age. This pattern is common to each of the west London boroughs.
• T he population of Brent was 311,215         • It is a culturally diverse borough, with 64%
  people at the time of the 2011 census:          of the population being from Black, Asian             West London            16-34 years           35-54 years           55+ years
  constituting the fifth highest London           and Minority Ethnic (BAME) backgrounds                 Boroughs
  borough population and the most densely                                                                    Brent                23.1%                 17.1%                12.1%
                                                • L ife expectancy for both men and women
  populated outer London borough                                                                             Ealing               30.9%                 23.4%                14.8%
                                                  born in 2010-12 in Brent is higher than the
• It has a young population with 35.1% of        England average: 79.9 years for males and            Hammersmith &              34.2%                 26.7%                13.8%
  residents aged between 20 and 39 and with       84.5 years for females. However, the overall            Fulham
  a 37% increase in the under-five population     life expectancy at borough level masks a
                                                                                                            Harrow                30.1%                 17.1%                13.3%
  since the 2001 census                           pronounced variation between the most
                                                  and least deprived parts of Brent                        Hillingdon             24.4%                 22.3%                9.6%
                                                •B
                                                  etween 2010 and 2012, the rate of                       Hounslow               30.3%                 21.0%                13.5%
                                                 premature deaths (under 75 years of age) in
                                                 Brent was 334 people per 100,000 of the             Comparative data shows a trend of increasing participation in Brent from those aged
                                                 population. The main causes of premature            55 plus.
                                                 death in Brent are cancer, cardiovascular                 Age Range           16-34 years           35-54 years           55+ years
                                                 disease and respiratory disease
                                                                                                           Oct 2011 –             26.1%                 17.1%                8.2%
                                                • E stimates show that in a given week, 11%               Oct 2013
                                                  of Brent adults experience depression,
                                                                                                           Oct 2012 –             25.2%                 18.4%                11.6%
                                                  higher than the England average of 8% but
                                                                                                           Oct 2014
                                                  in line with the London average
                                                                                                         April 2013 –             24.9%                 15.9%                11.9%
                                                • T he Public Health Observatories (PHO)                 Mar 2015
                                                  estimated that 21.2% of Brent’s population               Oct 2013 –             23.1%                 17.1%                12.1%
                                                  were obese in 2012. In addition, 7.7% of                 Oct 2015
                                                  residents have clinically confirmed diabetes,
                                                  significantly higher than the average of
                                                  5.8% across England
                                                                                                      recommends that adults should do at         •A
                                                                                                                                                    n analysis of APS data sourced for
                                                •C
                                                  hildhood obesity rates in Brent are                least 30 minutes of physical activity at     the years 2011-2015 shows that
                                                 higher than the England average: 11% of              least five times a week. In the UK only      participation in sport and physical
                                                 reception year pupils and 24% of year six            11.4% of adults are reported as being        activity is highest amongst the 16-34
                                                 pupils were measured as obese in 2012/13,            sufficiently active, whilst in Brent the     age groups, and then declines with
                                                 compared with 9% and 19% respectively                figure is only 7%                            increasing age.
                                                 across England. Childhood obesity is the
                                                                                                     •D
                                                                                                       ata from the September 2015 Sport
                                                 single biggest predictor of adulthood obesity
                                                                                                      England Active People survey (APS)
                                                 and can increase the risk factors for many
                                                                                                      shows that over half (55.7%) of Brent
                                                 clinical conditions throughout an individual’s
                                                                                                      residents aged 16+ had not participated
                                                 life cycle
                                                                                                      in 30 minutes of sport or active
                                                •O
                                                  ver the last 50 years, physical activity levels    recreation in the previous 28 days. This
                                                 have declined by 20% in the UK, with a               is the highest level of non-participation
                                                 projected drop of a further 15% by 2030.             of the six west London boroughs,
                                                 Guidance issued by the National Institute            and the fourth highest across the 33
                                                 for Healthcare and Excellence (NICE)                 London boroughs

                                                                                                                                                                                           9
FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council
Ethnicity
                                                                                                                    Number of                  SPORTS PARTICIPATION (HOURS A WEEK)
                                                                                                       Ward
       Ethnicity broad group                  BME                         White                                     households
                                                                                                                                  4+    %    2 TO 4   %   1 TO 2   %
FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council
03 2010-2015 SPORT & PHYSICAL
     ACTIVITY STRATEGY HEADLINE
     SUMMARY OF ACHIEVEMENTS
     Working with a range of partners, the         •A
                                                     comprehensive range of sports              areas, five play areas, over twenty sports
     council has delivered 90% of the actions       development programmes have been             pitches, two sports pavilions and a BMX
     set out in the 2010-2015 Sport and             delivered to encourage individuals who       track. Funding has been secured to install
     Physical Activity Strategy. The remaining      were taking little or no exercise. In the    more outdoor gyms in 2016
     10% of actions are either still in progress    last five years, there have been 44,408
                                                                                                •S
                                                                                                  atisfaction with leisure facilities in Brent
     or have been deferred either through           visits to the adult programmes and
                                                                                                 increased from October 2011 to October
     review or through funding constraints.         44,485 visits by young people to the
                                                                                                 2014 from 52.7% to 57.6%. This 4.9%
                                                    Holiday programmes
                                                                                                 improvement represents the second-
                                                   •A
                                                     ll schools are now encouraged to           highest improvement in London
     Key successes delivered over the last five     have green travel plans with walking
     years include:                                                                             •1
                                                                                                  0% increase in swim visits and 21%
                                                    and cycling high on the agenda. 89
                                                                                                 increase in dry visits to Council owned
     •S
       uccessful partnerships have been            Brent primary schools achieved Healthy
                                                                                                 sports and leisure centres since 2010
      developed with sports charities to            Schools Status and 59 of those schools
      increase participation by targeted            engaged in the follow up enhanced           •A
                                                                                                  pproximately £1.2 million of grants
      groups e.g. women and disabled.               programme . In addition, schools are         awarded to the council and sports clubs
      Examples include the Us Girls and             working towards the Healthy Schools
                                                    London Bronze, Silver and Gold Awards.      •3
                                                                                                  86 coaches accessed Level leadership
      Sportability schemes
                                                    To date, 22 schools have achieved the        and volunteer awards through the Coach
     • In 2014, Brent became part of a national    Bronze award with two achieving the          Education Programme which comprised
       consortium of 64 organisations, led by       Silver award                                 16 different courses
       StreetGames, which secured a grant
                                                   •T
                                                     here were 19,946 visits to the walks      •W
                                                                                                  embley was a venue for the London
       through the Sport England Active
                                                    programme in parks over the five years.      2012 Olympics. Brent also hosted parts of
       Women funding round. The Us Girls
                                                    There remains a consistent level of          the two Torch routes. Tens of thousands
       programme aims to bring a dramatic
                                                    participation and new entrants to this       of people are estimated to have watched
       impact on young women’s (aged 14
                                                    programme (particularly targeted at          the Olympic Torch Relay through Brent;
       to 25) sports participation in the most
                                                    people who undertake little exercise).       and thousands to have watched the
       disadvantaged areas of England. The
                                                    In addition the Capital Ring has             Paralympic Torch Relay. The Games raised
       average current weekly attendance for
                                                    been improved and is well used, and          the profile of sport, enabling the whole
       the session is 26 young girls
                                                    the community led 5km Park Run at            Borough to have some local contact
     •U
       sing the Sportability framework             Gladstone Park is very successful with an    with a once in a lifetime experience
      there is an established programme at          average weekly attendance of 90 people      •C
                                                                                                  ontinuing with the 2012 legacy, the
      Willesden Sports Centre which provides
                                                   •T
                                                     he number of people aged 16 and            Rugby World Cup trophy tour came to
      challenging pursuits for people with
                                                    over participating in at least 30 minutes    Brent in September 2015 as part of the
      disabilities. The average weekly
                                                    of sport at moderate intensity at least      official opening of the new Library at
      attendance for these sessions is 25 people
                                                    once a week has increased from 28.7%         Willesden Green.
     •H
       ealth intervention projects have            in 2005/06 to 35.6% in 2014/15
      been established. To bring referrals to                                                    A full review of progress made against
      the programme, communications and            •A
                                                     tri-borough leisure contract has been      the 2010-2015 Sport and Physical
      networks have been formed between             implemented in partnership with the          Activity Strategy action plan is included
      sports centres, the NHS and GPs.              boroughs of Harrow and Ealing. This led      as Appendix 1.
      Programmes have been particularly             to over £1 million being invested
      targeted at diabetic and pre-diabetic         in improving facilities at Vale Farm
      people. For example, the Intensive            Sports Centre
      Lifestyle Initiative worked with GPs in      •A
                                                     range of new leisure facilities have
      five priority Wards - for the calendar        been opened and improvements made
      year 2013, there were 311 referrals of        to existing facilities. This includes six
      which 181 (58%) completed. 74% of             outdoor gyms, eleven multi-use game
      those who completed were female

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FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council
04 STRATEGIC DRIVERS                                                                                            to develop more targeted, tailored and         to achieve more than 30 minutes of
                                                                                                                     localised services; and we will have to        moderate intensity physical activity
     LOCAL STRATEGIES                                              increasing concern, and more people are           work much more in partnership                  per week
                                                                   experiencing mental health problems.
     Brent Borough Plan 2015-19                                    This happens to too many residents, and          •W
                                                                                                                      orking together: everyone working           •T
                                                                                                                                                                     here is a clear link between levels of
     The Borough Plan sets out how the                             more needs to be done to encourage and            together collaboratively towards our           physical inactivity and socio-economic
     council will build a better Brent, with                       support healthier lifestyles, to promote          common goals                                   status while areas with high levels of
     partnership working playing a crucial                         more community participation in sports,                                                          inactivity have high levels of premature
                                                                                                                    •E
                                                                                                                      quality and fairness: we need to
     role in making the borough a great place                      physical and recreational activities, and                                                        mortality
                                                                                                                     protect the most vulnerable in our
     to live and work.                                             to ensure prompt access to appropriate            communities and improve their quality         •T
                                                                                                                                                                     here is no significant relationship
                                                                   treatment. Brent has excellent health             of life.                                       between the volume of green space in
                                                                   services and some first class leisure and arts                                                   a local authority and its level of physical
                                             BRENT – JUST BETTER
                                                                   facilities, and new ways need to be found        NATIONAL STRATEGIC APPROACHES                   inactivity. The utilisation of green
                                                                   to make the best use of them                     LONDON SPORT                                    space, rather than its volume, is the
                                                                   Borough Plan priorities in the context of        London Sport defines itself as the body         determining factor in reducing levels of
                                                                   physical activity                                that pulls together a complex network           physical inactivity.
      Borough Plan
      2015-2019
                     BUILDING A BETTER
                      BRENT TOGETHER                                                                                of anyone and everyone that influences
                                                                   •B
                                                                     etter lives: enabling people to live          Londoners to be active. This includes
                                                                    healthier lives                                 schools, sports governing bodies, leisure
                                                                   •B
                                                                     etter place: supporting good quality,         centres, coaches and clubs. It aims to get
                                                                    accessible arts and leisure facilities          more people in the capital to be physically    HEALTHY LIVES, HEALTHY PEOPLE
                                                                                                                    active through partnership working.            ‘Healthy Lives, Healthy People: a call
                                         1

                                                                   •B
                                                                     etter locally: building partnership –
                                                                                                                    It seeks to make London the most               to action on obesity in England’ was
                                                                    between local service providers and
     Brent today: the context and the                                                                               physically active sporting city in the world   published by the government in 2011. It
                                                                    between local services and residents
     challenges                                                                                                     with one million Londoners more active by      allocated the lead role in driving health
                                                                    – to find new ways of providing
                                                                                                                    2020. Inspiring more people to be active       improvement and harnessing partners
     Statistics show that people on low incomes                     services that are more finely tailored to
                                                                                                                    will help to improve health and wellbeing,     at local level to local government.
     are more likely to have a life-limiting                        individual, community and local needs.
                                                                                                                    save money and strengthen communities.         This requires the development of local
     health condition, take less exercise                          Achieving our priorities                                                                        approaches which work best for local
     and have a shorter life. Obesity is an                                                                         Objectives:                                    people and for specific population
                                                                   •D
                                                                     oing things differently: we will have                                                        groups facing the greatest challenges.
                                                                                                                    •M
                                                                                                                      ake it easier for Londoners to find
                                                                                                                     the right activity, stay in it, and achieve   Local authorities’ broad portfolio of
                                                                                                                     their potential
     BRENT HEALTH AND WELLBEING STRATEGY 2014-2017                                                                                                                 responsibilities puts them in a unique
                                                                                                                    • Get more resources by making the best use   position to help people to be more
     Brent’s Health and Wellbeing Board brings together senior representatives from                                                                                active or to eat more healthily, and in
                                                                                                                       of current investment and securing more
     Brent Council, Brent Clinical Commissioning Group and Brent HealthWatch to work in                                                                            doing so to help to deliver on other
     partnership to improve the health of the borough’s population. The bedrock of the                              • Support grassroots organisations by         important objectives and priorities. This
     strategy is the Joint Strategic Needs Assessment (JSNA) which articulates the health                              making the structures simpler and better    is particularly important in relation to
     needs of Brent residents. The strategy aims to improve health and wellbeing and reduce                                                                        the prevention and treatment of obesity,
     health inequalities. Principles include focusing on prevention and promotion, providing                        •C
                                                                                                                      reate a bigger and better workforce
                                                                                                                     to support activity                           which has a wide range of influences and
     opportunities for community empowerment and achieving more for less by making the                                                                             opportunities for action. Some of the
     best use of resources. The five priorities of the strategy are:                                                •H
                                                                                                                      arness the power of elite sport to          opportunities for harnessing the reach of
     • Giving every child the best start in life                                                                     create sustained grassroots activity and      local government include:
                                                                                                                     inspire the next generation of talent.
     • Helping vulnerable families                                                                                                                                 • Promoting active travel
                                                                                                                    TURNING THE TIDE OF INACTIVITY
     •E
       mpowering communities to take better care of themselves                                                                                                    •E
                                                                                                                                                                     nsuring the widest possible access to
                                                                                                                    ‘Turning the tide of inactivity’ was            opportunities to be physically active
     • Improving mental wellbeing through life                                                                     produced in 2014 by ukactive, a not-
                                                                                                                    for-profit body comprised of active            •M
                                                                                                                                                                     aking the most of the potential
     •W
       orking together to support the most vulnerable adults in the community.                                                                                     for the planning system to create a
                                                                                                                    lifestyle sector partners. It highlighted
     The council and the National Health Service must work closely together to improve                              the rising scale and impact of physical         healthier built environment
     health and wellbeing, including through the promotion of the need for individuals to                           inactivity across the UK. Key findings and     • L inking activities on healthy weight to
     take personal responsibility for their own wellbeing.                                                          recommendations included:                        initiatives relating to the environment
                                                                                                                    •O
                                                                                                                      ne in four people in England fail             and sustainability.

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FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council
‘A pro-activity movement needs to
                                                          cascade right through society. To get
                                                          the country back on its feet, we need
                                                          to think smarter, making better use of
                                                          existing resources.’
                                                          Public Health England’s strategic
                                                          approach to physical activity was
                                                          published in 2014. It seeks to enable
                                                          people to take control of their current           33% of men are not                         45% of women are
                                                          and future health, and to boost parents’          active enough for                          not active enough for
                                                                                                            good health
                                                          understanding of how active play and                                                         good health

                                                          ‘physical literacy’ is essential for children.                                                                                            19% of men and
                                                                                                                                                                                                    26% of women are
                                                          A long-term, evidence-based approach is                                                                                                   ‘physically inactive’

                                                          needed to make real and lasting change.                                18% of disabled
                                                                                                                                 adults regularly
                                                          Physical activity needs to be embedded                                 take part in sport
                                                          into the fabric of daily life and to be                                compared to 39% of
                                                                                                                                 non-disabled adults
                                                          made easy, fun and affordable. Exercise
                                                          and active recreation must be available
                                                          to all, in every community across
                                                          England. This requires action across four
                                                          areas at national and local level:
                                                          •A
                                                            ctive society: creating a social
                                                           movement – activity is fun and can
     Local authorities should:                             be an easy choice; activity needs to                                                               21% of boys and 16%
                                                                                                                                                              of girls aged 5-15 achieve
                                                           be a main component of policies and                                                                recommended levels of
     •P
       rioritise and resource physical                    planning; people in communities will                                                               physical activity
      inactivity programmes to the same                    be agents of change; all sectors need to
      level as other top tier public health risks.         commit over the long term
                                                                                                                                                              47% of boys and 49% of
                                                                                                                                                              girls in the lowest economic
                                                                                                                                                              group are ‘inactive’
     •D
       eliver physical activity strategies               •M
                                                            oving professionals: activating               23% of girls                                       compared to 25& and
      independently of obesity and weight                  networks of expertise – thousands               aged 5-7 meet the                                  35% in the lowerst
                                                                                                           recommended levels
      management.                                          of public-facing professionals and              of daily physical
                                                                                                           activity. By ages
     • Invest in evidence-based programmes                volunteers are a ready made network;            13-16 only 8% do
       that engage inactive groups.                        all sectors need to be involved but led
                                                           by education, leisure, health and social
     •P
       artner with all local activity and sports          care, planning and transport
      providers to deliver a local ambition of
      a one per cent reduction in inactivity              •A
                                                            ctive environments: creating the right
      year-on-year for the next five years.                spaces – green spaces, playgrounds,
                                                           cycle lanes and age friendly high streets
     •E
       nsure that their green spaces are                  all encourage people to be active every
      developed to make them safe and                      day; reshaping existing places can
      accessible whilst integrating them into              help build physical activity into daily
      their leisure and physical inactivity strategies.    routines; local authorities can work
     •E
       xtend the management of green                      across policy areas to deliver change
      spaces to include leisure and public                •M
                                                            oving at scale: scaling up
      health planning teams.                               interventions that makes us active
     • Consider the impact of physical inactivity         – positive change needs to be long
        in regeneration and spatial plans.                 term; interventions must be based on
                                                           community needs; co-design can help
     Everybody Active, everyday; an evidence               make initiatives effective; maximising
     based approach to physical activity                   existing assets more important than
                                                           new investment.

16                                                                                                                                                                                           		17
                                                                                                                                                                                             A BRENT
                                                                                                                                                                                               PHYSICAL
                                                                                                                                                                                                     LONG
                                                                                                                                                                                                        ACTIVITY
                                                                                                                                                                                                          TERM TRANSPORT
                                                                                                                                                                                                                 STRATEGY FOR
                                                                                                                                                                                                                           STRATEGY
                                                                                                                                                                                                                              BRENT 17
FIT FOR LIFE A PHYSICAL ACTIVITY STRATEGY FOR BRENT 2016-2021 - Brent Council
05 DEFINING PHYSICAL ACTIVITY
                                                                                                                                                             Benefits of everyday activity
                                                                                                                                                             Despite the ever growing                                  PHYSICAL ACTIVITY
                                                                                                                                                             interest in the role of physical
               AND ITS BENEFITS                                                                                                                              activity in managing health and
                                                                                                                                                             maintaining healthy weight
                                                                                                                                                                                                                     (expenditure of calories,
                                                                                                                                                                                                                        raised heart rate)
                                                                                                                                                             levels, there has been relatively
                                                                                                                                                             little corresponding change
            Definition of Physical Activity                                            This is unsustainable and costing the UK                              in people’s activity levels. This
                                                                                       an estimated £7.4 billion a year. If current                          may be partly a result of people
            The Department of Health defines physical                                                                                                                                             Everyday activity:          Active recreation:         Sport:
                                                                                       trends continue, the increasing costs of                              being told that they should
            activity as including ‘the full range of human
                                                                                       health and social care will destabilise public                        increase their activity levels       Active travel               Recreational               Sport walking
            movement, from competitive sport and
                                                                                       services and take a toll on quality of life for                       to address health deficits.          (cycling/walking)           walking
            exercise to active hobbies, walking, cycling,                                                                                                                                                                                                Regular cycling
                                                                                       individuals and communities.                                          This approach runs the risk of
            or activities of daily living.’ It is generally                                                                                                                                       Housework                   Recreational cycling
            accepted that physical activity can be broken                              Physical activity intensity varies along a                            making people feel negative                                                                 (>30 min/week)
                                                                                                                                                             about themselves and their           Gardening                   Active play
            down into three broad categories: sport,                                   continuum from sedentary (physically inactive)                                                                                                                    Swimming
            active recreation and everyday activity.                                   to vigorous (high intensity activity). Moderate                       ability to engage in physical        DIY                         Dance
                                                                                                                                                             activity.                                                                                   Exercise and
                                                                                       intensity physical activity sits in-between                                                                Occupational
            Public Health England estimates that over one                                                                                                                                                                                                fitness training
                                                                                       sedentary and vigorous intensity physical                             Many people’s lives have             activity
            in four women and one in five men do less
                                                                                       activity and requires a reasonable amount of                          become more sedentary, with                                                                 Structured
            than 30 minutes of physical activity a week                                                                                                                                             (actual/manual
                                                                                       effort which noticeably accelerates the heart                         less need to walk any significant work)
            and classifies them as being inactive. Physical                                                                                                                                                                                              competitive activity
                                                                                       rate and breathing rate. Examples include                             distance on an everyday basis
            inactivity is the fourth largest cause of disease
                                                                                       brisk walking, housework, gardening and                               and with occupations having                                                                 Individual pursuits
            and disability in the UK. One in two women
                                                                                       walking the dog. Vigorous intensity physical                          become more desk-based.
            and a third of men in England are damaging                                                                                                                                                                                                   Informal sport
                                                                                       activity requires a large amount of effort,                           Safety concerns about children
            their health through a lack of activity.
                                                                                       causes rapid breathing and a substantial                              have also meant that children
            There are many reasons why someone may                                     increase in heart rate, e.g. running, aerobics,                       do not go out to play as often as they once
            put off starting to take regular exercise.                                 sports such as football or hockey and walking                         did, and gaming has become a key form of
            Those frequently cited include not knowing                                 briskly up a hill.                                                    interaction for young people. However, there is
            how to get started or how much it will cost.                                                                                                     an opportunity to rethink people’s relationship
                                                                                                                                                             with physical activity and discover how more
                                                                                                                                                             can be done on a day to day basis. Many forms
                                                                            EARLY YEARS (Under 5s)                                                           of physical activity can be built into everyday           reduces the risk of many chronic conditions,
                                                                                                                                                             lives and become part of a regular routine                including heart disease, stroke, type 2 diabetes,
                                                                 1) Physical activity encouraged from birth
                                                                                                                                                             which delivers health and wellbeing benefits.             cancer, and mental health problems.
                                                                     2) 180 minutes of physical activity daily
                                                                        3) Avoidance of being sedentary                                                      Some people will prefer to participate in                 Physical activity that can be incorporated into
                                                                                – keep moving!
                                                                                                                                                             regular and structured forms of physical                  everyday life, such as brisk walking and cycling,
                           OLDER ADULTS                                                                                                                      activity playing competitive sport, running or            can be as effective as supervised weight loss
                           (over 65 years)
                                                                                                                                                             swimming but there is a much wider range of               exercise programmes. Being active at every age
             1) Regular participation in physical activity
                  contributes well to maintaining                                                                                                            options from gardening through to dancing or              increases quality of life and people’s chances
                good physical and cognitive function                                                                    CHILDREN AND YOUNG
                                                                                                                                                             skateboarding which can appeal to a broader               of remaining healthy and independent. It
                                                                                                                       PEOPLE (5 to 18 years old)
            2) Targeting 150 minutes per week by either                                                                                                      audience. Deciding to become more active                  plays a key role in brain development in
           30 minutes of moderate intensity for 5 days, or                    CHIEF MEDICAL                         1) Moderate to vigorous intensity
               short bouts of 10 minutes or more daily                                                                  for at least 60 mins daily           brings with it the potential to try lots of new           early childhood and longer-term educational
                                                                                 OFFICER
     3) For those already physically active; reach the 150 minutes                                               2) Vigorous intensity inclusive of muscle   experiences and meet new people. Regardless               attainment. Increased energy levels boost
                                                                             RECOMMENDED
      target through 75 mins of vigorous intensity twice weekly                                                   and bone strenthening at least three       of what activity best suits an individual, the            workplace productivity and reduce sickness
                                                                            PHYSICAL ACTIVITY                                  days a week
          4) Seek to improve muscle strength undertaking                                                                                                     evidence is clear that doing any physical                 absence. An active population may reduce
                    physical activity twice weekly                                LEVELS                            3) Avoidance of being sedentary
                                                                                                                            – keep moving!                   activity is better than doing none in terms of            levels of crime and antisocial behaviour.
             5) Older Adults at risk of falls should stay
            active to improve balance and co-ordination                                                                                                      health and wellbeing. Even small increases                Creating an environment where people actively
                       at least two days a week                                                                                                              in levels of activity can make a real positive            choose to walk or cycle routinely can have
                        6) Avoidance of being                                                                                                                difference, bringing about a cycle of positive            significant impact on public health and reduce
                      sedentary – keep moving!
                                                                              ADULTS (19 to 64 years)                                                        reinforcement and motivation to continue.                 inequalities. This is an essential component
                                                               1) Targeting 150 minutes per week by either 30
                                                                                                                                                             The benefits of having an active lifestyle are            of a strategic approach to increasing physical
                                                              minutes of moderate intensity for 5 days, or short
                                                                      bouts of 10 minutes or more daily                                                      as numerous as are the disadvantages of an                activity and may be more cost effective than
                                                         2) Hitting the ground running. Reach the 150 minutes target                                         unhealthy one. It helps people to be healthier            other initiatives that promote exercise, sport
                                                               through 75 mins of vigorous intensity twice weekly
                                                                                                                                                             for longer and is a key contributor to energy             and active leisure pursuits.
                                                               3) Seek to improve muscle strength undertaking
                                                                         physical activity twice weekly                                                      balance, helping to prevent obesity. It also
                                                                          4) Avoidance of being sedentary
                                                                                  – keep moving!

18                                                                                                                                                                                                                                    ABRENT
                                                                                                                                                                                                                                      A PHYSICAL
                                                                                                                                                                                                                                        PHYSICAL ACTIVITY
                                                                                                                                                                                                                                              LONG
                                                                                                                                                                                                                                                 ACTIVITY STRATEGY FOR
                                                                                                                                                                                                                                                   TERM TRANSPORT
                                                                                                                                                                                                                                                          STRATEGY FOR BRENT
                                                                                                                                                                                                                                                                    STRATEGY
                                                                                                                                                                                                                                                                       BRENT    19
                                                                                                                                                                                                                                                                                19
06 CONSULTATION
     A two stage consultation programme was              as a basis for this one. They supported         has an objective to promote healthy                health promotion including increased
     undertaken; a first stage to inform the             the idea of sub-strategies around               living and create a safe and secure                physical activity to increase mental
     writing of the draft strategy, followed by a        particular issues and some “quick wins”         environment by ensuring developments               wellbeing and reduce the risk for
     full public and stakeholder consultation.           to build confidence. The consultation           deliver transport solutions and                    mental disorders
                                                         should be aimed as broadly as the               opportunities for active lifestyles. In
                                                                                                                                                           •P
                                                                                                                                                             aying more attention to the everyday
                                                         strategy itself. The consultation needed        considering major proposals in growth
                                                                                                                                                            category of physical activity is a
     Stage 1                                             to go to where inactive people are.             and regeneration areas, regard is
                                                                                                                                                            priority and the scope of everyday and
                                                         But above all, “The council must listen!        given to the need for infrastructure,
     External Stakeholders – The Consultation                                                                                                               recreational activity can be broadened
                                                         And provide feedback!”                          both social and physical, arising from
     Institute facilitated five sessions comprising                                                      development, such as education facilities,        • Employers can be targeted through the
     a Citizens Panel focus group and four              A detailed report on the consultation
                                                                                                         health provision, sports facilities, green           Healthy Workplace Charter and initiatives
     workshops with representatives from the            with external stakeholders is included as
                                                                                                         infrastructure, public transport, walking            such as Step Jockey which bring both
     voluntary sector, sports clubs, school PE          Appendix 2.
                                                                                                         and cycling infrastructure                           health and productivity benefits
     leads, regional Organisations and Health           Internal Stakeholders – consultation
     Bodies. The main findings were                                                                     • The council’s Cycling Strategy                  • Women’s sport has blossomed since 2012
                                                        interviews were held with internal                 demonstrated that cycling levels in Brent          and should continue to be a priority
     •M
       ost of the groups supported not just            stakeholders identified as having a                varies significantly between wards,
      an over-arching strategy but also one             key role to play in the development of             residents in the south of the borough           • The way land is used in communities
      with many different sub-strategies                physical activity in the borough.                  cycling significantly more than those in           has an immense impact on the public’s
      aimed at the diverse groups within the            • S afety and Travel Planning                     the north. Men are still making more               health. Although many surveys show
      local community                                     (Transportation Service)                         cycle trips than women. Two main factors           it’s the quality, not just the quantity
                                                                                                           appear to be influencing this: physical            of public parks and spaces that make
     •A
       strong emphasis on the critical
                                                        • Public Health ( Regulatory Services)             infrastructure barriers, e.g. the North            people want to walk more, there is
      importance of “catching them young”
                                                                                                           Circular; and societal and psychological           evidence that just having access to open
      and ensuring that young people were               •H
                                                          ealthy Schools (Children and Young
                                                                                                           factors, such as a fear of crime and lack of       space makes a crucial difference.
      educated to grasp the importance of                People)
      physical activity                                                                                    a cycling culture or role models.
                                                        •P
                                                          lanning Policy and Projects
     • The traditionally cited barriers to              (Regeneration and Growth)                      •A
                                                                                                          s part of the public health funded              Stage 2
        involvement in physical activity – time,                                                         Active Travel project, a study has been
                                                        •H
                                                          ousing and Planning (Regeneration             commissioned to assess the feasibility            The seven week consultation period on the
        money & available information – were
                                                         and Growth)                                     of a public cycle hire scheme and a cycle         draft strategy ran from 21 September-13
        explored. There was strong consensus
        on the lack of easily accessible sources                                                         hub in the borough.                               November 2015. It was undertaken
                                                        • Public Realm
        of information on all physical activities                                                                                                          through an online questionnaire supported
                                                        • S chool Partnership Development              •M
                                                                                                          ore active partnership working                  by officer attendance at Brent Connects
        in Brent                                                                                         with the NHS will counter some
                                                          Managers                                                                                         forums and two drop-in sessions.
     •T
       here was strong support for                                                                      of the limitations of the Exercise
      promoting local champions, mass                   The key findings were:                           Referral Scheme. There could be more
      participation events, outdoor gyms                •T
                                                          he council has moved from delivering          collaborative working in the delivery
      and taster sessions. Groups stressed               to commissioning some public health             of public health related projects e.g.
      the social side of physical activity and           services                                        NHS Health Checks, Healthy Schools and
      argued for an emphasis on local hubs                                                               active travel
      and clubs (especially schools), and a             • F eedback received from public health
                                                          programme users is that there is a lack       • There has been a change in the perception
      greater role for volunteers, as the                                                                  of the benefits of physical activity over the
      bedrock of achieving this.                          of adequate, timely or user-friendly
                                                          information about what, where and                last five years. The benefits of diversionary
     • Groups all stressed the key role of the           how people might engage in different             activity and improved mental health and
        council in brokering and facilitating             forms of physical activity                       wellbeing are well documented. Sport
        partnerships, training, better use of                                                              alone is not the answer and the time is right
        facilities. Providing high quality accessible   • The public health funding process needs         for a strategic shift.
        information – both via websites and                to be streamlined and there is currently
                                                           limited information on the remit of the      • Local authorities are linking health policy
        social media but also with such ideas as a                                                         with planning, transport infrastructure
        “tube map” of facilities and travel links          public health related teams. Public health
                                                           language used is not accessible and a           and housing policy, creating new
        was also seen as very important.                                                                   networks of expertise
                                                           potential barrier to participation
     •P
       articipants generally supported a                                                               •A
                                                                                                          holistic school approach to mental
      balance sheet of the previous strategy            • Brent’s Local Development Framework

20                                                                                                                                                                                                        21
SURVEY
                                                                               were predominatel
                                                                                       e  broa  d W  hi
                                                                                                       y from people aged
                                                                                                       te  ethnic group (54%
                                                                                                                             25 to
                                                                                                                               ) was
                                                                                                                                                             07 KEY THEMES
QUESTIONNAIRE                                                                  64. Th
                                                                                                     as compared with
                                                                                                                          the Brent
                              onses were receive
                                                           d. Large            over-represented                               while the
A total of 104 resp                                           and/or                    tio n (3 6%  )  at the 2011 Census;                                  Weight management
                                                                                     la                                               the
         ities   of  re sp  on   dents either agreed                           popu
                                                                                                         of respon dents and 34% of                          In Brent there is an increasing emphasis
m aj or                                                             gy and     broad Asian      (24%
              ag  re  ed   w ith   th  e   vision of the Strate                                         ac k groups (13% of
                                                                                                                              respondents                    on positively promoting the benefits of
strongly                                                                              la tio n) an d Bl
                                                                                popu                                       epresented.
 with the Objectives
                                :                                                                       tion) were under-r                                   maintaining a healthy weight as part of the
                                                             agreed with        to 19% of popula                                                             council’s Health and Wellbeing work, rather
      ve  r  90  %    ei th er   strongly agreed or                                                                                                          than on the prevention or treatment of
 •O
                                   rategy
   the vision of the st                                                                                                      ms
                                                                                                                                                             obesity and related illnesses.
                                          ith  th e ob ject ive to develop           A re a  Consultative Foru
                                      w                                                                                                                      Being overweight can impact on an
 •N  early 80% agreed                                                                                         s at te nded all five Bren
                                                                                                                                          t Connects
                              r                                                      `Cou   nc  il of   fic er                                               individual’s health in many ways, including
     a universal offe                                                                                                                sinesses and
                                                          ive  to  de ve lo p        fo ru m   s  w   hi ch   offer residents, bu                            as a cause of chronic disease leading to early
                                    with the ob      je ct                                                                                   nity to
  •O  ver 80% agreed                                         ches   to                     m   un   ity  re pr  es en  tatives the opportu                  death. It increases the risk of type 2 diabetes
                                      mmunity approa                                  com                                                          uncil
     sustainable local co                                              tyle s                         r  sa y on   se  rvice s provided by the co            (fivefold in men and twelvefold in women),
                                                               y lifes                have thei                                          220 residents
                                     le to adopt health                                                              s. Approximately
                                                                                                                                                             raises blood pressure (twofold and fourfold
      getting more peop                                                                   d  ot  he   r  ag  en  cie
                                               ly agreed or agreed
                                                                         with         an                                             out the strategy        respectively) and colorectal cancer (threefold
                         ei th er   st ro  ng                                            te  nd  ed     th e  forums to hear ab                              and twofold respectively.)
       ver     90  %                                                                  at                                                      back.
   •O
                             to   ac  hi ev  e  pe rm anent behaviour                         ab   ou   t ho  w   th  ey  could provide feed
      the objective                                                    into            an d                                                                  Two thirds of English adults, one fifth of
                ge   th ro  ug  h  bu   ild ing physical activity                                                     d  appropriate the st
                                                                                                                                             rategy
                                                                                                                                                             children in reception (four to five year
       chan                                                                            Whe     re   re  le va nt  an                                  e
                                      lives                                                                                        vised to reflect th
       people’s everyday                                                                an d  ac   tio   n  plan have been re                 ding of th e
                                                                                                                                                             olds) and a third in year six (ten to eleven
                              or  tio n,   ap  pr oxim  ately two-thirds                       m   en   ts  re ce ive d,  including the wor                  years) are obese or overweight. Being
     •A  lower prop                                                   agreed           com                                                                  overweight tends to track into adulthood,
                    on  de   nt s  eith   er  agreed or strongly                        vis ion and the three
                                                                                                                          objectives.
                                                                                                                                                             so overweight children are more likely
        of resp                                                 e  ac tio n  plan
                                      tions as listed in th
         with proposed ac                                                                                                                                    to be overweight as adults. There are
                                                                   ceived                                                                                    stark inequalities between different
                 la tio n  to   th e  vis  ion, comments re                                                                                                  socioeconomic groups: among children in
      • In   re                                                           the
                       to  th e   w  or di  ng   and achievability of                                                                                        reception and year six, the prevalence of
          related                                                   tivity
               io n  (3 3%    );  en co   uraging physical ac                                                                                                overweight individuals in the 10% most
          vis
                                         t facilities (20%).                                                                                                 deprived groups is approximately double the
           (46 %); and abou                                                                                                                                  number in the 10% least deprived.
                                                                    at the
                                            nts commented th                                                                                                                                                   CASE STUDY: Lancashire Healthy
       •A   fifth of responde                                       not clear                                                                                                                                 Schools Project
                ea ni ng   of   th e  ‘U   niversal Offer’ was                                                                                               The 2007 UK government Foresight report
            m                                                      (43%)                                                                                     ‘Tackling obesities; future choices’ remains
                                            tegy. Nearly half                                                                                                                                                  ‘Healthy Heroes’ uses superhero themed
            from the draft Stra                                     cessible, the                                                                            the most comprehensive investigation into
                   m   en  te d   th at   to be universally ac                                                                                               the causes of people being overweight. It
                                                                                                                                                                                                               activity packs to encourage primary school
             co  m                                                            eting.
                         l of fe r w  ou   ld pr ob ably need some targ                                                                                      described the complex underlying relations
                                                                                                                                                                                                               children and their families to become more
             universa                                                                                                                                                                                          active and have better diets. The four
                                                                                                                                                             between the social, economic and physical
                                                                                                                                                                                                               healthy heroes and their sidekick Freddie
                                                                                                                                                             environments and individual factors. It
                                                     ived from 75                                                                                                                                              Frog are used to introduce healthy lifestyle
                              mments were rece                                                                                                               is a complex problem that requires the
         250 additional co                                                                                                                                   building of partnerships to create healthier
                                                                                                                                                                                                               messages in class, such as eating your five-
                               s.                                                                                                                                                                              a-day, consuming less salt and taking part in
         of the respondent                                                                                                                                   communities where people are supported to
                                                             a local                                                                                                                                           activities such as cycling.
                  xim at el y ha  lf of  these agreed with                                                                                                   maintain a healthy weight.
         •A ppro                                       was placed
                                     ch and emphasis                                                                                                                                                           Children then get to select one or two of the
           community approa                                                                                                                                                                                    activity cards to take home and work on with
                                     walking.
            on gardening and                                                                                                                                 Planning and Health                               their family. Every time a family completes an
                                                             ther the
                    a th ird  of  co  m m  ents queried whe                                                                                                                                                    activity they receive a sticker to put on to a
          •N early                                                                                                                                          The link between planning and health has          postcard to build up their healthy hero. On
                                     hievable.
            objectives were ac                                                                                                                               been long established. The built and natural      completion of their hero, each family receives a
                                                          Brent                                                                                              environments are major determinants of
                on de nts  in clu de  d a majority from                                                                                                                                                        reward chart to help them continue the good
          Resp                                           ere                                                                                                 health and wellbeing and planning authorities
                                    me respondents w                                                                                                                                                           behaviour. Research has shown it has had a
           postcodes while so                             ed twice                                                                                           can influence the built environment to
                en t be yo  nd  Br  en t. Women return                                                                                                       improve levels of physical activity. The
                                                                                                                                                                                                               positive impact on behaviour with three quarters
           resid                                        sponses                                                                                                                                                of participants reporting lower consumption
                                     onses as men. Re                                                                                                        government’s public health strategy,
           the number of resp                                                                                                                                                                                  of sugary drinks and nearly half saying their
                                                                                                                                                             ‘Healthy Lives, Healthy People’, explicitly       children walked to school more often.
                                                                                                                                                             recognises that ‘health considerations are
                                                                                                                                                             an important part of planning policy.

    22                                                                                                                                                                                                                                                            23
The importance of this role is supported by the           CASE STUDY: Brent Local
National Planning Policy Framework. Key areas in          Development Framework (LDF)
this context include the core planning principles
and the policies on transport and the natural             The LDF seeks to promote healthy living and
environment. The framework encourages local               create a safe and secure environment by:
planning authorities to engage with relevant
                                                          • Ensuring development delivers transport
organisations when carrying out their planning
function. In the case of health and wellbeing, the        solutions and opportunities for healthy
key contacts are the Health and Wellbeing Boards          lifestyles such as walking and cycling
and Clinical Commissioning Groups along with              • Improving participation rates in
local community groups. The range of issues that          sports and active recreation through
should be considered through the plan-making
                                                          the provision of better quality sporting
and decision-making processes, in respect of health
and healthcare infrastructure, include how:               facilities and open space.

•D
  evelopment proposals can support strong,               The Brent Placemaking Guide forms part
 vibrant and healthy communities and help                 of the LDF, stipulating that, in considering
 create healthy living environments which                 major proposals in growth and regeneration
                                                                                                                                                                          CASE STUDY: Gardening for
 should, where possible, include making                   areas, regard shall be paid to:
                                                                                                                                                                          Life – Tower Hamlets
 physical activity easy to do and create places
                                                          • The allocation of sites for a range
 and spaces to meet to support community                                                                                                                                  Tower Hamlets is the third most deprived
 engagement and social capital                            of uses with particular support for
                                                                                                                                                                          borough in the country. Public health funding
                                                          development that is mixed in use
• T he local plan promotes health, social and                                                                  There is accumulating evidence that walking,              was used to commission a 15 month project
  cultural wellbeing and supports the reduction           • The needs of the community and the                  and physical activity more generally, can be an           to let people enjoy the benefits that come
  of health inequalities                                  need for infrastructure, both social and              effective way to enhance positive moods. People           with being active in open, community spaces
                                                          physical, arising from development, such              with high levels of regular physical activity are         and growing and eating their own food. The
• T he local plan considers relevant health                                                                    likely to have higher levels of positive emotions
                                                          as education facilities, health provision,                                                                      project fits with strategic priorities for public
  improvement strategies in the area                                                                            such as interest, enthusiasm and alertness
                                                          sports facilities, green infrastructure, public                                                                 health such as increasing healthy eating and
•O
  pportunities for healthy lifestyles have been          transport, walking and cycling infrastructure.        compared to people with moderate and low                  physical activity and fits with wider strategies
 considered (e.g. planning for an environment                                                                   levels of physical activity. The largest beneficial       such as improving the environment by adding
 that supports people of all ages in making               The proposed redevelopment of Old                     effect of physical activity on mood occurs when
                                                                                                                                                                          more healthy and green spaces in the borough.
 healthy choices, helps to promote active travel          Oak Common and Park Royal as                          an individual’s mood is initially low.
 and physical activity, and promotes access to            part of a new Mayoral Development                     The “Five Ways to Wellbeing” are a set of evidence-       The Women’s Environmental Network (WEN)
 healthier food, high quality open spaces and             Corporation will offer opportunities to               based actions which promote wellbeing as part             won the bid to be the lead organisation
 opportunities for play, sport and recreation)            increase levels of physical activity.                 of people’s everyday lives. They were developed           delivering 15 community gardens across
•A
  ble bodied and disabled community access                                                                     by New Economics Foundation (NEF), drawing on             the borough in partnership with three large
 has been promoted                                                                                              state-of-the-art research about mental capital and        registered social landlords, Capital Growth
                                                                                                                mental wellbeing through life. They have been used        and Sustain. One local estate now has three
                                                        ‘Healthy Lives, Healthy People’ defined wellbeing       by health organisations, schools and community            growing areas and another garden on an
Mental Health and Wellbeing                             as ‘a positive physical and social and mental           projects in a number of ways. These include getting       isolated estate is particularly successful. There
                                                        state’. Mental wellbeing includes factors such          people to start thinking about their wellbeing,           has been a strong involvement from the
Physical activity has a role to play in enhancing                                                               developing organisational strategy, measuring
                                                        as individuals’ ability to develop their potential,                                                               Bengali community by both men and women.
psychological wellbeing and mental health. It                                                                   impact and assessing need. They are:
                                                        work productively and creatively, build strong
does not need to be seen as a chore which has                                                                                                                             The project has a steering group that meets
                                                        and positive relationships with others and              •C
                                                                                                                  onnect: social relationships are critical for
to be done, but rather as a pleasure that can be                                                                                                                          quarterly and the public health commissioner
                                                        contribute to their community. It also involves          promoting wellbeing
looked forward to as something which enhances                                                                                                                             keeps in close touch with the project. Case
                                                        areas of life such as feelings of satisfaction,
an individual’s sense of wellbeing. If we are going                                                             • Be Active: regular activity is associated with         studies tracking the journeys of participants
                                                        optimism, self-esteem, having some control over
to change our attitude to physical activity then it                                                                lower rates of depression and anxiety and is           are being developed and the Warwick
                                                        one’s life, having a purpose in life and a sense of
needs to become a natural and important part of                                                                    essential for slowing age related cognitive decline
                                                        belonging and support.                                                                                            Edinburgh Mental Wellbeing Scale is used.
our lives, not something else for us to find the time
to do. For some people this will mean heading           One way to enhance mental wellbeing and protect         •T
                                                                                                                  ake Notice: heightened awareness enhances
to the gym, but for others it may include taking        mental health is through participating in physical       self understanding and positive decision
the stairs at the train station or department store     activity, which has been shown to have a strong          making based on values and motivations                   Active Travel
(rather than the lift or escalator) and walking or      and positive influence on mental wellbeing and          •K
                                                                                                                  eep Learning: continued learning through               Recreational cycling is enjoying increasing
cycling to work or to the shops. For children it will   some mental illnesses. It can protect mental health      life enhances self esteem and encourages social          popularity. Whether it’s for commuting or for
be more about active play.                              and enhance wellbeing by helping people feel             interaction and a more active life                       leisure purposes, the benefits of this cheap,
                                                        positive. For example, it is recognised that even a                                                               accessible and healthy travel option are widely
Brent’s Health and Wellbeing Strategy identifies                                                                • Give: individuals who participate in community
                                                        short burst of ten minutes brisk walking increases                                                                acknowledged. Increased uptake of cycling can also
mental ill health as the single most common                                                                        life and report a greater interest in helping others
                                                        mental alertness, energy and positive mood states.                                                                have a significant impact on improving air quality,
cause of morbidity in the borough, affecting one                                                                   are more likely to rate themselves as being happy.
                                                        Walking is practical to do in short bursts, available                                                             reducing congestion and a healthier population.
in four of all adults and one in 10 children.
                                                        to most people and free.
24                                                                                                                                                                              		25
The Mayor of London wants to achieve a 400%               them to promote sustainable travel to and from                                                                  West London
increase in levels of cycling by 2026 (from               work or school. A toolkit is being developed to                                                                                        Female              Male
                                                                                                                      CASE STUDY: Croydon Heart Town                       Boroughs
the base year of 2000.) To help achieve this,             signpost businesses to assistance services that are
London’s cycling budget has been more than                available. Personal travel planning training will           The Heart Towns initiative aims to mobilise              Brent             16.3%              20.2%
doubled and a focus placed on outer boroughs              be made available for those businesses with the             communities across the UK to help prevent
such as Brent. To ensure Brent residents benefit          highest potential for modal shift. School travel                                                                     Ealing            20.3%              27.9%
                                                                                                                      and fight heart disease. It brings communities
from this funding, and from the wider positive            plan support is provided under TfL’s accreditation
                                                                                                                      together through local fundraising and               Hammersmith
outcome associated with high levels of cycling,           scheme. All schools are encouraged to develop a                                                                                        21.1%              33.4%
the council is developing a Cycling Strategy.             plan and to participate in related activities including     volunteering. By signing up to this British            & Fulham
                                                          WoW (walk to school once a week), cycle training;           Heart Foundation (BHF) initiative Croydon
The level of cycling within Brent varies significantly
                                                          and park and stride.                                        Council has joined around 50 other Heart                Harrow             16.5%              24.3%
between wards, with those living in the south of                                                                      Towns across the country. Heart and
the borough making significantly more cycle trips                                                                                                                           Hillingdon           14.6%              24.3%
                                                                                                                      circulatory diseases are currently responsible
than those in the north. Men are also still making                                                                                                                          Hounslow             17.4%              28.2%
                                                          Collaborative partnerships                                  for around a third of deaths in the borough.
more trips than women throughout the borough.
Two main factors appear to be influencing this:           Creating an active borough can be achieved                  The BHF is working closely with a variety
physical infrastructure barriers, such as the North       through the council working with a wide range                                                                   of women compared with men take part in
                                                                                                                      of Council services to offer residents and
Circular, and societal factors, such as fear of crime     of partners. An integrated community approach                                                                   no sport at all each month. Sport England has
                                                                                                                      businesses support in running fundraising           identified the main barriers to participation by
and lack of a cycling culture or role models. The         can target a large number of residents in one               campaigns in schools and workplaces
council is aware of some infrastructure barriers          go and influence social norms in a locality. This                                                               women in sport as:
                                                                                                                      to heighten awareness and knowledge.
and is seeking to address them. However we need           approach also helps to maintain the momentum                                                                    • P ractical/lifestyle barriers (such as having
                                                                                                                      Communities are learning practical
to do more to locate and address the less obvious         of any positive changes that are achieved.                                                                        children, changing jobs, moving house; time
barriers as part of the development of a network                                                                      steps on how to improve their heart
                                                          One of the most important functions of the                  health and benefit from a wide range of               and cost – including childcare costs; family
for cyclists throughout the borough. In doing this,                                                                                                                         responsibilities)
we also need to consider where people are cycling         council is to facilitate and support partnerships           resources and educational programmes.
to and how we may work with employers and                 with and between providers. Opportunities                   Examples include ‘Keeping Young                     • P ersonal/emotional barriers (Not knowing
places of education to ensure facilities such as          to participate in physical activity in the                  Hearts Beating’ – a programme for local               anyone/wanting to exercise with a friend;
showers and lockers are available at destinations.        borough are provided through an extensive                   schools, youth groups and nurseries and               belief that muscular and sporty bodies are
                                                          network of providers, all of whom have their                                                                      not feminine, not wanting to look silly)
Brent Active Travel Programme – this is designed to                                                                   ‘Health at Work’ – turning workplaces
                                                          own specific role to play. The success of the
promote more residents to travel actively by walking      strategy will depend on sustaining the variety              into active, energised environments.                Sport England state that personal and emotional
and cycling as a way to improve public health.            of opportunities available and encouraging                                                                      barriers are just as important as practical ones.
Research was commissioned to explore and identify         increased joint working between partners.                                                                       Poor body image and fear of not being fit
                                                                                                                    start of the survey in October 2005 and April         enough to take part are significant issues. It
specific barriers that might prevent residents from                                                                 2014, the gap between men’s and women’s
cycling as well as triggers that might encourage more     A nationwide partnership promoting community                                                                    is important that people have the option of
                                                          sport and volunteering launched in April 2014.            participation in sport remains. There is growing      exercising with people like themselves, in age
cycling. The council’s current active travel project                                                                concern about the participation of young women.
incorporates many activities to inspire more people       The partnership, consisting of Asda Community                                                                   and degree of fitness, led by trainers with realistic
to participate in cycling and walking activities, these   Life, Sports Leaders UK, ukactive, and the Spirit         Data for the APS period October 2014 to               expectations. Findings from Sport England’s
include cycling events including BMX for community        of 2012 Trust, aims to significantly increase the         September 2015 indicate female participation in       Active Women programme show that word of
and faith groups, a feasibility study for a cycle hub     numbers of young people that take part in physical        sport and active recreation, at moderate intensity,   mouth is the most important channel for raising
and/or cycle hire scheme, promotional materials and       activity, promote healthier lifestyle options and         or at least 30 minutes on at least 12 days in the     awareness, with 40% of participants hearing about
signs for walking routes.                                 increase sports leaders’ volunteering hours in local      last 4 weeks (equivalent to at least 3 times a        the sessions this way, 80% recommending them
                                                          communities to one million hours a year.                  week over the previous month in Brent of 16.3%        to friends, and 60% bringing friends with them.
Travel plans – the council supports schools and                                                                     and male participation of 20.2%. This pattern is
businesses with their travel plans and encourages         The three-year programme is delivering activities
                                                          inspired by the athletic achievements and public          similar to that for previous APS periods.
                                                          spiritedness of the 2012 Olympics and is designed                                                               Disability sport
                                                                                                                    Comparison with the other west London
                                                          to make a significant difference to the lives of          Boroughs suggests that while Brent has relatively     Physical activity can play a key role in the lives and
                                                          young people and communities across the UK.               low participation compared with west London           communities of people with disabilities. Becoming
                                                          The activities kicked-off through Asda Active             boroughs, it has the closest parity as between        more active can improve functional status and
                                                          Sports Day with 400 schools hosting flagship              female and male participation.                        quality of life among people with disabilities.
                                                          sports days, organised and run by local sports                                                                  The number of disabled people who take part in
                                                                                                                    There are specific concerns about younger             physical activity has risen, but barriers remain.
                                                          leader volunteers, with support from local                women. At the age of 18 twice the proportion
                                                          Community Life Champions. Future plans
                                                          include training 50,000 young people to become
                                                          qualified physical activity leaders.                        Period               APS 4/5           APS 5/6       APS 6/7            APS 7/8             APS 8/9
                                                                                                                                          Oct 2009-         Oct 2010-     Oct 2011-          Oct 2012-          Oct 2013-
                                                                                                                                          Oct 2011          Oct 2012      Oct 2013           Oct 2014           Oct 2015
                                                          Women and girls
                                                                                                                      Females              14.1%              14.1%        16.8%               17.4%              16.3%
                                                          Whilst Sport England’s Active People Survey
                                                          (APS) demonstrates some increases in women                  Males                17.6%              20.1%        20.9%               21.6%              20.2%
                                                          taking part in sport and exercise between the

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