Strategies for Seniors and Sports Paul Stonebrook Health Improvement and Prevention

1. Strategies for Seniors and Sports Paul Stonebrook Health Improvement and Prevention Department of Health

2. Choosing Health? Consultation • Game Plan • Activity Co-ordination Team • Wanless Report • Choosing Health (ends 30th June) • Choosing Activity (ends 30th June) • Public Health White Paper - Autumn 04

3. Game Plan Recommendations • Establish a cross government Activity Co-ordination Team (ACT) • Identify / co-ordinate existing pilot projects • Jointly plan and commission further pilots and establish an innovation fund • Facilities database • National methodology for collecting participation and fitness data + bi-annual surveys • Elderly identified as a priority

4. Activity Co-ordination Team • Cross Government Team (13 Departments and Agencies) • Jointly led by Health and Culture, Media and Sport • To raise mass participation in sport and physical activity, particularly among • economically disadvantaged groups • school leavers • women • older people

5. Wanless Report • We need annual report about the state of people’s health and of the major determinants - national and local authority levels. • Need to know more about the effectiveness and cost effectiveness of interventions. • Where there is significant risk to public health go ahead! • Spread the message and stop doing things that do not work!

6. ACT Monitoring Evaluation and Research • To provide rigorous evidence of current patterns and trends in physical activity and sport building on current government survey work MONITORING • To provide rigorous evidence of what works and to move evidence into practice EVALUATION • To support innovation and information sharing and strengthen the academic research network focusing on physical activity and health - RESEARCH

7. Monitoring • Health Survey for England • Adults (1994, 1998 and 2002 CVD) • Older people (2000 Separate sample of older people aged 65 + and resident in care homes) • Future health survey of older people 2005 • Objective Fitness Measures • Step Test • Functional tests in older people

9. Functional tests in older people Proposal • Build upon links between English Longitudinal Study of Ageing (ELSA) and Health Survey for England • Short Performance Battery (Guralnik et al.) • Handgrip strength • (Measure of life-space mobility)

10. National Evaluation • Local Exercise Action Pilots (LEAP) • Health Development Agency Collaborating Centre • Healthy Communities Collaborative • National Falls Collaborative

11. Health Development Agency Collaborating Centre • HDA builds the evidence base and transfers that evidence into practice as the means of achieving health development • Evidence and Guidance Collaborating Centre for the Promotion of Physical Activity (3 year contract) • Maintain HDA Evidence Briefing • Produce Effective Action Briefing • Evidence not conventionally included in systematic reviews

12. Health Development Agency Evidence into Practice

13. Collaboratives • Healthy Communities Collaborative • “New partnerships to tackle inequality” • ‘citizen-led’ approach • Falls Pilot • National Falls Collaborative • ‘service-led’ approach

14. Research Chief Medical Officer’s Report • Beneficial effects on cardiovascular disease, type 2 diabetes and obesity • Can improve muscle strength • Reduces incidence of falls • Improves emotional and mental well being • Can benefit cognitive function