Using aquatics strategically to improve population health

1. Using aquatics strategically to improve population health Dr Ann Hoskins Deputy Regional Director of Public Health NHS North West Aquatics and health

2. NHS North West • Population of 6.8M • 14,165 km2 • NHS budget over £11Bn • Public sector spend £47Bn • (11% of GDP) • 63 NHS organisations • 46 Local Authorities • 77 MPs • 210,483 employees Aquatics and health

3. Why increase activity? Adults need moderate exercise for 30 minutes at least 5 days a week e.g.? Physical activity essential for good health Helps prevent and manage more than 20 conditions and diseases But….. Children need one hour each day of moderately intensive exercise eg? Aquatics and health

4. Why increase activity? • In England, almost seven out of 10 of men and almost eight out of 10 women do not achieve this level of activity • One in three of boys over one in three girls are also insufficiently active. Aquatics and health

5. The Active People Survey Aquatics and health

6. Health challenges in the North West Highest rate Deaths from heart disease and stroke Long term mental health problems Second highest rate deaths from cancer and smoking feeling in poor health Aquatics and health

7. Health inequalities in the North West • Low life expectancy • Infant mortality rates • above England average Chelsea 82 years Manchester 67 years Aquatics and health

8. Health challenges in the North West 400,000 people of working age on incapacity benefit high rates of obesity Aquatics and health

9. Trends in overweight & obesity prevalence among children 1995/1997 – 2003/2005 Aquatics and health

10. North West Childhood Obesity Prevalence in Primary School Children Aquatics and health

11. Aquatics and health

12. Physical Activity Alliance Aquatics and health

13. Health challenges in the North West • By 2029 there will be 50% more 75 to 89 year olds • Long-term conditions increase as population ages • Swimming good for joint and muscle problems Aquatics and health

14. Using aquatics to tackle these challenges • increase participation in sport • improve health of different groups • meet different health needs Aquatics and health

15. Swimming – North West compared with England * Swimming in the last 4 weeks ** Number has been approximated based on total % of the population who are adults. Aquatics and health

16. Health Challenge England • Our NHS Our Future Nationalpolicies • Public Service Agreements • Healthy Weight, Healthy Lives Sport England Treasury’s national physical activity strategy Aquatics and health

17. Regional work • A North West Framework to Achieve Healthy weight • NHS North West Corporate Plan • Local Area Agreements • Local delivery Aquatics and health

18. What works? NICE guidance • brief interventions in primary care Two recommendations • Advice on activity, using validated tool • Individually tailored, with agreed goals and follow up Aquatics and health

19. What works? NICE • Obesity guidance – actions for primary care trusts and local authorities Aquatics and health

20. Evaluation • Still short of evidence for what works • Important to evaluate • Sport and Physical Activity interventions Aquatics and health

21. The World Health Organisation recommends between 10-20% of total intervention costs should be spent on evaluation. Aquatics and health

22. Overview of evaluation process Aquatics and health