A Healthy City. Physical Activity Strategy for Leeds 2008 to 2012

A Healthy City Physical Activity Strategy for Leeds 2008 to 2012

2 An active lifestyle is key to improving and maintaining health. However not enough people in Leeds are sufficiently active to gain any health benefit. The debates and concerns now raging over obesity, both in children and adults, highlight the need for urgent action.

Contents Foreword 5 Introduction 7 Our vision 9 What is physical activity? 11 Health consequences of physical inactivity 15 National and regional policy 17 National recommendation, targets and current trends 21 Factors affecting participation 25 Principles for delivering a successful strategy 27 Strategic targets 28 Vision, aims, objectives and actions 33 Implementation framework 41 Investment 43 Active Leeds Partnership 44 Reference 45 Acknowledgements 46 Don t forget 30 minutes 5 times a week is all it takes The Healthy Leeds Partnership 40 Great George Street Leeds, LS1 3DL Phone: 0113 247 8989 Fax: 0113 247 8988 E-mail: leeds.initiative@leeds.gov.uk Website: www.leedsinitiative.org 3

4 Active Leeds: A Healthy City 2008 to 2012 sets out the challenge we now face and the actions required encouraging more people to be more active. This will require a culture shift across the city. We need to ensure that as Leeds develops changes and grows as a city we plan and build an environment that supports people in more active lifestyles.

Foreword 5 An active lifestyle is key to improving and maintaining health. However not enough people in Leeds are sufficiently active to gain any health benefit. The debates and concerns now raging over obesity, both in children and adults, highlight the need for urgent action. Active Leeds: A Healthy City 2008 to 2012 sets out the challenge we now face and the actions required encouraging more people to be more active. This will require a culture shift across the city. We need to ensure that as Leeds develops, changes and grows we plan and build an environment that supports people in more active lifestyles. We also need to provide choice and a range of options so all people can be active on a daily basis and not just those living in the most favourable circumstances. This strategy recognises that a lot of good work is already happening in the city and that the key to future success is partnership working with local communities, the voluntary, community and faith sector, the private sector and statutory organisations. A significant proportion of our population suffers poor health. We need to ensure that the partnership actions and benefits of Active Leeds: A Healthy City 2008 to 2012 has maximum impact where they are most needed. Only in this way can we reduce the stark health inequalities in our city. I believe that this strategy can make an important contribution by bringing activity back into our daily lives. Sandie Keene Director of Adult Social Care, Leeds City Council Dr Ian Cameron Director of Public Health, NHS Leeds

6 There are few public health initiatives that have greater potential for improving health and wellbeing than increasing the activity levels of the population of England.

Introduction In 2004 the Chief Medical Officer stated that there are few public health initiatives that have greater potential for improving health and wellbeing than increasing the activity levels of the population of England 6. Physical activity as part of our every day lives has been in overall decline, not least as a result of changes in the level and nature of manual work and active travel 7. Leeds, overall, has poorer health than many other parts of England, and within the city, there are considerable inequalities in health. Increasing the levels of physical activity amongst Leeds residents will promote good health, prevent disease and reduce health inequalities. Health and wellbeing is one of eight themes within the Vision for Leeds 2004 to 2012 16 the community strategy for the city led by the Leeds Initiative (Local Strategic Partnership). One of the three key aim of the vision is to narrow the gap. In general, it is the most disadvantaged group in our population who do the least physical activity. Improving activity levels amongst the inactive will thereby contributes to the aspirations of the Vision for Leeds. Active Leeds: A Healthy City 2008 to 2012 has been developed through the Active Leeds Partnership (see appendix 1) under the Healthy Leeds Partnership. It builds on the good practice, which has already been carried out, and is the result of extensive consultation involving the public, private, voluntary sector; local people and community groups. Developing the strategy has also included a review of national, regional and local policies and plans. Every effort has been made to provide the evidence that will influence future decisions on physical activity development across the city. This includes improving physical activity through many dimensions including sport, schools, education, workplace, leisure and recreation, transport, health services and the local community. There is growing evidence to show that the quality of the environments people experience on a daily basis can have a strong influence on the levels of participation in physical activity. An active life is a healthy one 7 Active Leeds: A Healthy City 2008 to 2012 will provide the umbrella for a coordinated approach, which involves several key strategic pathways at different levels, for different groups. There will be an overall delivery framework, which will include the action plans. The Active Leeds Partnership will take responsibility for the implementation of the strategy and working towards achieving an average increase of 1% year on year increase in adult participation, supporting existing strategies aimed at improving activity levels among children and young people. Lunchtime walk, NHS Leeds staff

8 In order to aspire towards our vision, Active Leeds will work towards achieving an average increase of 1% year on year increase in adult participation, supporting existing strategies aimed at improving activity levels among children and young people.

Our vision The purpose of this strategy is to develop a coordinated approach in the delivery and implementation of physical activity. It seeks to promote physical activity providing strategic direction and support behaviour change for those who live work and study in Leeds. Active Leeds: a Healthy City 2008 to 2012 will provide the umbrella for a coordinated approach, which involves several key strategic pathways at different levels, including a range of diverse communities and groups. A delivery framework will include a set of detailed action plans, Active Leeds Partnership will take responsibility for the implementation of the strategy. Our vision for the future is, by 2012 the people of Leeds will enjoy the health benefits of having a physically active life. Individuals and families should be able to take part in regular activities and stay healthy throughout their lives. In order to aspire towards our vision, Active Leeds will work towards achieving an average increase of 1% year on year increase in adult participation, supporting existing strategies aimed at improving activity levels among children and young people. More people, more active, more often 9 An increase in participation will enable individuals and families to take responsibility for their everyday living, travel, recreation and sporting opportunities. To make possible this step change, a greater level of investment is required in the development of this strategy. Leeds Half Marathon

10 Increased levels of physical activity will develop our overall fitness through physiological and psychological improvements such as cardiovascular fitness, muscle strength, stamina, body composition, flexibility and by reducing anxiety, depression, and stress related illness. All these components help improve health.

What is physical activity? Physical Activity can be defined as aerobic activity which involves using large muscle groups in the arms, legs and back steadily and rhythmically so that breathing and heart rate are significantly increased 1. For the purpose of this strategy, physical activity includes sport, exercise, dance, active play, everyday activities such as walking, cycling, household chores, gardening, including workplace activities. This is illustrated below as four key activity components Active Living, Active Travel, Active Recreation and Active Sport, which will be used as the basis for this strategy (see table 1 and diagram 1 on page 13). It is often assumed that to become active means taking part in vigorous activity this is not the case. Increased levels of physical activity will develop our overall fitness through physiological and psychological improvements such as cardiovascular fitness, muscle strength, stamina, body composition, flexibility and by reducing anxiety, depression, and stress related illness. All these components help improve health. I physical activity 11 While all physical activity may have a positive effect on mobility and mental wellbeing, the impact of physical activity on the risk of diseases, for example coronary hear disease, obesity and diabetes - is dependent upon its intensity, frequency or duration. In other words, a person painting a wall three times per week for 30 minutes each time is physically active but this does not necessarily mean this reaches the intensity or volume required for to reduce the risk of ill health. The national recommendations for the amount of physical activity required for health gain for children and for adults is based on a recommended target range for energy expenditure of 150-400Kcal per day via physical activity per day 9. Physical activity does not need to be strenuous to have significant benefits to people s health and wellbeing. Research into the health benefits of physical activity has led two accepted messages: Adults should accumulate at least 30 minutes of moderate activity on most days of the week 6 Children should accumulate at least 1 hour of moderate activity on most days of the week 6 There is a common misconception that to be active for health gain means taking part in vigorous activity such as running or playing squash. This is not the case and needs to be better communicated. Physical activity does not need to be strenuous to have significant health benefits to people s health and wellbeing. Drama group at Touchstone Support Centre

12 All forms of physical activity which through casual or organised participation, are aimed at expressing or improving physical fitness or wellbeing. Forming social relationships or obtaining results in competition at all levels.

Table 1 Four key components of Physical Activity Active Living Activities of daily living (e.g. shopping, housework, gardening, DIY, occupational and structured activities) designed to maintain or increase capacity for physical activity Active Travel Activities that increase heart rate and breathing whilst travelling, for example walking, cycling, taking the stairs instead of the lift or escalator. Active Recreation All activities which people undertake in their own leisure time, whether organised or informal which through participation, aim to improve physical and mental health, fitness and wellbeing and allow social interaction and cohesion. Active Sport All forms of physical activity which through casual or organised participation, are aimed at expressing or improving physical fitness or wellbeing, forming social relationships or obtaining results in competition at all levels. Exercise helps you feel full of life 13 Source: At Least Five a Week, Chief Medical Officer Report, 2006 6. Diagram 1 - Four key components of Physical Activity Active Living Diagram 1 illustrates the four key components of physical activity and the interrelationship between active living, active travel active recreation and active sport and the contribution they provide towards participation and improving health and wellbeing. Active Sport Physical Activity Participation Active Travel Active Recreation

14 Physical inactivity is one of the top ten leading causes of death and disability in the developed world. Diagram 2 What it means to Leeds 1350 each year 22,500,000 each year 78,000,000 each year 3570 deaths 52,500,000 by 2010 Coronary Heart Disease will cost the economy > 3.5 billion by 2010 Coronary Heart Disease accounts for 238,000 deaths (39% all deaths) The national cost Smoking related illness kills more than 90,000 each year Smoking related illness costs the NHS 1.5 billion per year Diabetes accounts for 9% of NHS bill or 5.2 billion per year The economic cost of inactivity Obesity accounts for 40,000 lost years of working life Obesity costs the economy 2.5 billion per annum 600 lost years of working life 37,500,000 per annum

Health consequences of physical inactivity In 2004 the Chief Medical Officer Report, At Least Five a Week: Evidence on the impact of physical activity and its relationship to health highlighted the health problems associated with inactivity including coronary heart disease, stroke, diabetes, osteoporosis, musculoskeletal problems, mental health problems. There is now sufficient evidence to show the negative impact of physical inactivity on health. The proportion of deaths attributed to physical inactivity is about 5-8% 5. Physical inactivity is one of the top ten leading causes of death and disability in the developed world. There are also many economic effects and the annual cost of physical inactivity in England is estimated at 8.2 billion. However, this does not include the contribution of inactivity to obesity, which is estimated a further 2.5 billion to the economy each year 6. Diagram 2 illustrates the economic cost of inactivity nationally and what it means to Leeds. There is enormous potential to reduce the negative health and economic impacts of inactivity through physical activity. For example, it is estimated that getting all sedentary people just one step up from inactivity to regular light exercise, such as walking, could reduce deaths from coronary heart disease among men and women by around 14% 7. It can also contribute to reducing symptoms of depression and anxiety which impact on the levels of sickness and absence from work. Using just the lower end of the recommended daily range for energy expenditure of 150-400Kcal is associated is associated with a significant 20-30% reduction in overall deaths 9. In these circumstances, it is not surprising that in recent years physical activity has been described as the best buy in public health 11. Don t forget to walk the dog and wash the car 15 Washing the car

16 As a consequence of the negative health and economic impact of physical inactivity, increasing the levels of physical activity has become a cross cutting agenda for various Government departments.

National and regional policy As a consequence of the negative health and economic impacts of physical inactivity, increasing the levels of physical activity has become a national cross cutting theme for numerous Government departments including Health, Culture Media and Sport, Children, Schools and Families, and Transport. Policies, which provide context, include: National High Quality Care For All (Darzi Final Report, 2008). This report highlights the importance of helping people to stay healthy, recognising how changes to the environment play a significant part in influencing the way people look at their own and their families health. The Physical Education, School Sport and Club Link (PESSCL) Strategy (2006 to 2009). This strategic document sets aims to improve levels of participation in activity. There is a particular focus on reducing levels of obesity in children under 11. At Least Five a Week: evidence on the impact of physical activity and its relationship to health (Chief Medical Officer, 2004). This report sets out the latest research evidence of the benefits of physical activity for health. The document is aimed at those concerned with formulating and implementing policies or programmes that utilise the promotion of physical activity, sport, exercise and active travel to achieve health gain. Choosing Health, Choosing Activity: a physical activity action plan (Department of Health, 2004). This document sets out Government plans to encourage and coordinate the actions of a range of Government departments and organisations to promote increased participation in physical activity across England. Go to the park and enjoy the fresh air 17 Game Plan (Sport England, 2004). This national strategy sets out recommendations to make a major increase in participation in sport and physical activity. There is a focus on the most economically disadvantaged groups, including school leavers, women and older people. Walking and Cycling: An Action Plan (Department for Transport, 2004). The action plan sets out measures from across government to increase levels of active travel by creating places to walk and cycle in and influence travel behavior. Walking, Hyde Park

18 Regional Key Regional documents include: The Yorkshire Plan for Sport (Sport England, 2007). This plan provides a strategic focus for increasing participation in sport and active recreation. Active Living a Physical Activity Framework for Yorkshire and the Humber (Sport England Yorkshire, 2006). This strategic framework will bring partners together to increase levels of physical activity. It aims to develop a more favourable policy context, and improve the coordination, capacity and commitment between organisations and agencies. Our Region, Our Health (2004). This Regional Framework for Public Health sets out the strategy to deliver improved public health in Yorkshire and the Humber. It includes sport and physical activity as a key driver to improve public health. Local The development of this strategy is based on a sound understanding of National and local policy drivers, which help, set the local strategic context. Leeds has a number of key strategic documents that underpin aspects of physical activity and citywide implementation. These include: Leeds Strategic Plan (2008 to 2011). This plan sets out the goals that Leeds City Council and its partners have agreed to achieve over the next three years to help attain the longer-term objectives contained in the Vision For Leeds 2004 to 2020. The Leeds Strategic Plan is effectively the delivery plan for the long term Vision of Leeds. The Parks and Green Space Strategy (Leeds City Council, 2007). This strategy takes a focus on promoting parks and green space as places to improve health and wellbeing and prevent disease through physical activity, play, relaxation and contemplation. Can t wait to be healthy. The Leeds Childhood Obesity Prevention and Weight Management Strategy (2006 2016), (Children Leeds, 2006). This strategy plays a pivotal role in the reduction of Childhood Obesity through prevention and weight management programmes. Older Better (Healthy Leeds, 2006). This strategy specifically focused on improving the health and wellbeing of older people. One of the priorities identified is to ensure older people are able to keep active and healthy. Walking group, Roundhay Park Athletics track, John Charles Centre for Sport

Ensuring a healthy start and encouraging healthy lifestyles is key to one of the five outcomes for Leeds children to Be Healthy. Be healthy, just do one thing well 19 Taking the lead (2006 to 2012). This strategy for sport and active recreation in Leeds published by Sport Leeds. It sets out how Leeds will be a city where more people will want to play sport, more people can play sport and more people do play sport. The Children and Young Peoples Plan for Leeds (2006 to 2009). Ensuring a healthy start and encouraging healthy lifestyles is key to one of the five outcomes for Leeds children to Be Healthy. Promotion and involvement of children and young people participating in activities of daily living as part of a family routine is seen as an opportunity to increase levels of physical activity. The (Leeds) Physical Education, School Sport and Club Link (PESSCL) Strategy (2006 to 2009). This strategy aims to improve levels of participation in activities during curriculum time. Reflecting the national strategy there is a particular focus on reducing levels of obesity in children under 11. West Yorkshire Local Transport Plan (2006/07 to 2010/11). This plan highlights the need to develop and maintain an integrated transport system that supports economic growth in a safe and sustainable way and enhances the overall quality of life for the people of West Yorkshire. The Leeds Health and Wellbeing Plan (2005 to 2008). This plan acknowledges the key role physical activity has as a determinant of health. Breeze Tour, Leeds

20 Adults should achieve a total of at least 30 minutes a day of moderate intensity physical activity on 5 or more days of the week, where moderate intensity is equivalent to a brisk walk, cycling, manual labour and so on.

National recommendations, targets and current trends The national recommendations for physical activity and health are set out below: Population group Recommendation Make activity part of your everyday life 21 Children and Young People Adults Older People Obese Adults Should achieve a total of at least 60 minutes of at least moderate intensity physical activity each day. At least twice a week this should include activities to improve bone health, muscle strength and flexibility. Should achieve a total of at least 30 minutes a day of moderate intensity physical activity on 5 or more days of the week, where moderate intensity is equivalent to a brisk walk, cycling, manual labour and so on. Should achieve a total of at least 30 minutes a day of moderate intensity physical activity on 5 or more days of the week. Additionally, specific activities that promote improved strength, co-ordination and balance are particularly beneficial for older people. Should achieve 45 60 minutes a day of moderate intensity physical activity on 5 or more days of the week. Source: At least 5 a week, Chief Medical Officer Report, 2004 6. Data collected from the Health Survey for England in 2006, suggests that there has been an overall increase in physical activity participation in both males and females, Men reported higher levels than women, with participation generally decreasing with age. By the age of 75, 80% of women were reported to take less than 30 minutes of activity a week 5. Patterns show physical activity levels were related to BMI (Body Mass Index) status and waist circumference. Men and women with high activity levels were half as likely to be obese than those with Deskercise

22 low activity levels. The pattern of physical activity in adults is likely to be set by what happens in childhood. Nationally only seventy percent of boys and 61% of girls aged 2-15 years achieve the recommended physical activity levels for their age (at least 60 minutes of at least moderate intensity physical activity each day). Levels do vary according to age, disability, ethnicity and socio economic status. According to the HSE 2006, 40% men and 28% of women met the current physical activity recommendations 4. In 1995 to 1997, the HSE 2002, reported an increase in the number of walking trips per person per year by 15%, with similar trends seen for cycling however, more recently the National Travel Survey 2006 report shows that there has been a general decline in the number of trips made in both walking and cycling this maybe attributed to an increase in car usage. Key Targets The Government has set out a number of targets that contribute to improving physical activity participation. For the purpose of this strategy it is proposed that Active Leeds: A Healthy City 2008 to 2012 will aim to work towards achieving an average increase of 1% year on year increase in adult participation, supporting existing strategies aimed at improving activity levels among children and young people. The table below sets out national and local indicators and progress made. Population Group Indicator / target National Baseline National Current Position Leeds Baseline Leeds Current Position Children and Young People 85% (2008) of school children spend 2 hours per week on high quality PE and school sport within and beyond the curriculum 2. (Monitored by Youth Sport Trust) 69% (2005) 3 80% (2006) 3 86% (2007) 3 90% (2008) 3 90% (2008) 3 73% (2005) 3 83% (2006) 3 86% (2007) 3 91% (2008) 3 Adults By 2020 70% of adults should participate in at least 30 minutes of moderate intensity activity five times or more a week and 50% on track by 2011 3. 29% (2005) 15 Yorkshire 28% (2005) 15 28% (2005) 15 Increase by 1% a year the number of adults participating in at least 30 minutes of moderate intensity sport and active recreation on 3 or more days of the week 13. 21% (2006) 14 7.1% (50yrs+) 14 21% (2006) 14 7.1% (50yrs+) 14 20.5% (2006) 14 10.1% (50yrs+) 14 20.5% (2006) 14 10.1% (50yrs+) 14 % who participate in 5 x 30 minutes of moderate intensity sport and active recreation per week 13. (Monitored by Sport England) 11.6% (2006) 14 11.6% (2006) 14 10.2% (2006) 14 10.2% (2006) 14 In 2006 Leeds City Council commissioned a major household survey (Smarten Up to Active Leeds) to establish in more detail the levels of physical activity participation in the city. The overwhelming finding was that levels of activity by adults in Leeds are well below current national recommendations.

Current Active Living in Leeds (Smarten up to Active Leeds 2006) 13 80% reporting being active for 30 minutes of moderate intensity activity within the last 7 days But the frequency only ranges from less than once to three times per week No difference between males and females No difference between age groups, ethnicity Part time workers and the retired reported significantly greater activity than full time workers Those living in deprived areas reported significantly lower levels of activity Current Active Recreation in Leeds (Smarten up to Active Leeds, 2006) 13 The number of active recreation (e.g. gym, exercise classes, swimming, cycling, walking) sessions of over 30 minutes continued range around once per week No difference between age groups or ethnicity Those living in deprived areas reported significantly lower levels of activity Cars were also the main means of transport to recreational activities, regardless of age Swimming is a great way to stay fit 23 Current Active Sport in Leeds (Smarten up to Active Leeds, 2006) 13 40% reported being involved in active sport of 30 minutes or more But on average this was just over once per week, with some individuals having much higher rates of activity No difference by gender, age, ethnicity Those in deprived areas undertook active sport less frequently 17% reported being a member of sports clubs Swimming and gym were the most frequent activities Current Active Travel in Leeds (Smarten up to Active Leeds, 2006) 13 79% reported that they are walking for 30 minutes or more, on average twice per week. Women more than men 14% of people say they cycle at least once per month, men cycle more than women Those who worked part time, were retired or students walked more often than those who worked full time There were no differences between where people live Waterbabies, hydro-pool, John Jamieson School, Oakwood

24 The levels of physical activity undertaken by the Leeds population falls far short of those required to maintain health and wellbeing, particularly in adults.

Factors affecting participation The levels of physical activity undertaken by the Leeds population falls far short of those required to maintain health and wellbeing, particularly in adults. The reasons why are complex. There is a variety of cultural, social, financial and emotional factors affecting participation, for example: parents are increasingly wary about letting their children go out alone; longer working hours, including weekend work; less family time; lack of and cost of child care provision; cost of activities; less physical work; access to information; increased car ownership; lack of access to facilities, especially in rural areas; built environment; a demise of the number of local shops; a decline in the number of quality of publicly accessible sports fields and open spaces; and increased traffic levels. Over and above these society wide pressures, there are also many personal barriers to being active and these disproportionately impact on females, people with disabilities, black and ethnic minorities, older people and people from more deprived socio-economic groups. Walking is fun, and best of all its free Personal barriers include: feeling self conscious about body image; not enjoying exercise or having had a previous bad experience; individuals considering themselves to be too old or too inactive to get active; not feeling welcome within clubs and groups that provide sport and wider physical activity opportunities; having no one to be active with; lacking confidence and low self esteem; lack of awareness of the health effects of inactivity; and lack of information about what activities are suitable, where and when they are available and what they cost 2. However, it may be that the single biggest barrier to being active is the low awareness of the appropriate levels of physical activity. Many people still believe that they can only be active by playing sport or joining a gym. This message needs to be conveyed more appropriately through the development and implementation of the Active Leeds Physical Activity Toolkit. 25

26 There is a network of organisations available to support all sectors of the population, with an appreciation of local differences.

Principles for delivering a successful strategy This section of the strategy sets out a number of principles which are key to providing a focus towards the implementation of the strategy. Working with partners is critical to the delivery of as successful strategy and their focus should be: To recognise the role that physical activity has in improving the quality of life and, by embracing equity issues to ensure that opportunities are available to everyone To reduce the rate of increase in obesity and raise physical activity for all To encourage those who are inactive to become active and for those who are active to maintain and/or increase their activity levels To provide opportunities for everyone to become more physically active but ensure that those least likely to take part are identified and included To identify priority groups as women and girls, ethnic minority groups, disabled people and social economically deprived and to monitor and evaluate participation of priority groups To recognise partnership development as key towards sustainable progress To ensure physical activity and health outcomes are integral to economic, regeneration, environmental, transport and land use planning issues The importance of consultation with individuals, community groups and the general public in the development of programmes that increase physical activity participation To strengthen the links between increasing physical activity and other health and wellbeing issues including obesity, mental health, sport, nutrition To ensure children and young people have positive experiences of physical activity, sport and active recreation To ensure older people have a range of options available to increase participation and leading to full independent lives To ensure professionals are aware of the benefits of physical activity and are able to promote physical activity in their work To target the most disadvantaged areas within Leeds, addressing inequalities and access to healthy active lifestyle Walk or cycle to work, leave the car at home Cyclists, Temple Newsam 27

28 Strategic targets The key strategic targets are outlined within this section under the headings of Active Living, Active Travel, Active Recreation and Active Sport. Many of these targets already exist in current Leeds initiative strategies. This physical activity strategy provides a single focus for the various related plans and strategies. The delivery of these targets is reflected within the vision, aims and objectives section. Active Living Current progress - includes: A variety of programmes, interventions and initiatives with components of Active Living such as, Healthy Living Centres Leeds has a number of physical activity workers in post promoting Active Living There is a network of organisations available to support all sectors of the population, with an appreciation of local differences Strategic target Challenges To implement interventions and initiatives that help people live more active lifestyles Work with health improvement organisations to ensure Active Living is used as a tool to improve health and connect people to health services (for ex GP referral, weight management) Develop a cultural change in terms of perception and participation in Active Living By 2012 Active Leeds will work towards achieving an average increase of 1% year on year increase in adult participation All age all cause mortality rate (target disaggregated to narrow the gap between 10% most deprived SOA s 10 Mortality rate from circulatory disease at ages under 75 (per 100,000) 10 Carnegie Weight Managment, Leeds Metropolitain University Children tending allotments, Beeston

Active Travel Current progress - includes: Leeds City Council provides road safety cycle training to over 100 schools annually Leeds City Council provides an integrated service to support individuals that want to participate in walking and cycling Healthy Living Centres provide walking schemes across the city Organisations seeking planning consent must submit Travel Plans that encourage sustainable transport Challenges To work with partnership to ensure young people can utilise Active Travel to participate in leisure opportunities Monitor and evaluate current initiatives to improve and develop a clearer evidence base of the impact of projects Information and partnership working is required to audit what is going on within the city Cycling is a great way to get fit, why not cycle to work? 29 Progress towards a School Travel Plan in every school by 2010 Leeds City Council gives attention given to highway schemes and off-road paths to encourage more walking and cycling Strategic target Reduce the number of car based trips in central Leeds from 57% 2004/05 to 55% by 2010/11 A 20% increase in cycling trips to Leeds during the AM peak by 2010/11 (currently 967) A 10% increase in overall cycling levels by 2010/11 (Measured by Census 2011) A 5% increase in the number of people in Leeds cycling to work by 2010/11 Cyclist commuting to work

30 Active Recreation Current progress - includes: Challenges Family activity opportunities for exercise in informal recreation particularly parks and open green space High profile dance organisations with rich heritage Good data/evidence from the formal recreational setting Strategic approach to programme development and many organisations to support physical activity Skate parks, multi use games areas, teen shelters and play areas exist in many parks and public spaces Strategic target To ensure access to a variety of recreational opportunities leading to a cultural change in participation To market and communicate the health benefits of regular Active Recreation To increase numbers of people participating in regular recreational activity, providing appropriate resources through facilitators, volunteer support and appropriate training programmes A 1% increase in the number of adults in Leeds taking part in at least one recreational walk lasting 30mins at moderate intensity in the past 4 weeks (19.2% 05/06) A 1% increase in the number of adults in Leeds taking part in 12 or more recreational walks lasting 30mins at moderate intensity in the past 4 weeks (13.5% 05/06) A 1% increase in the number of adults in Leeds taking part in at least one recreational cycle for at least 30mins at moderate intensity in the past 4 weeks (8.4% 05/06) A 1% increase in the number of adults in Leeds taking part in 12 or more recreational cycles lasting 30mins at moderate intensity in the past 4 weeks (8.4% 05/06) Tennis at Kirkstall Abbey Dazl, youth dance group

Active Sport 31 Current progress - includes: Leeds has the second largest Sports Development Unit in the UK Expertise in delivering physical activity opportunities Established community Sports Network Sport Leeds Taking the Lead - Sport and Active Recreation Strategy Large number of local authority owned leisure facilities, including parks and open spaces and leisure centres providing sporting opportunities at reasonable or no cost Increase in physical activity through school sports partnerships and extended services provision Strategic target Challenges To increase the numbers of people participating in Active Sport, through providing appropriate resources, facilities, volunteer support and relevant training To ensure access to Active Sport is widely promoted through public, voluntary and private sector To market and communicate the health and social benefits of participating in Active Sport To coordinate provision, providing strategic support for and to clarify responsibilities of the current and future sporting providers across Leeds Spiders basketball squad, Millennium Square By 2008 85% of school children aged 5-16yr olds should spend 2 hours per week on high quality PE and school sport within and beyond the curriculum 2 (91% 2008) A 1% year on year increase to 2012 in the number of adults participating in moderate intensity sport and active recreation for 30 minutes three times a week (20.5% 2006) An increase in the number of adults in Leeds achieving five times 30 minutes a week of moderate intensity physical activity An increase in the number of people undertaking some form of sport and active recreation at least once a week Skate-boarder, Millennium Square

32 The implementation of the action plan for this strategy will be the responsibility of the Active Leeds Partnership. Working together can make a positive difference to the lives of the people of Leeds.

Vision, aims, objectives and actions Vision Our vision for the city is that by 2012 the people of Leeds will enjoy the health benefits of having a physically active life. Aim The aim of this strategy is: To increase and maintain the proportion of physically active people who live, work and study in Leeds. Delivering the strategy Active living improves your health and wellbeing 33 Headline target Active Leeds will work towards achieving an average increase of 1% year on year increase in adult participation, supporting existing strategies aimed at improving activity levels among children and young people Objectives This strategy has four strategic objectives; these have been divided into a number of tasks supported through a range of activities. 1 Increase participation 2 Better partnership working 3 Sell the benefits of being active 4 Provide skills to people Physical activity is part of the core business within a wide range of services. Services include transport, planning, environment, safety, leisure and recreation, education, and children s services. The strategic objectives will establish a structure within which physical activity levels can be increased city wide. The following action plan provides an initial framework within which to deliver the key strategic targets and will develop as a working document over the life of the Strategy. Walking in Armley

34 Objective 1: Increase participation We will develop and promote a range of activities to increase physical activity participation. Key Tasks Activities Monitoring / Success criteria Date 1.1 Work with partners Work with partners to deliver the PE and School supporting strategy Sport Club Links (PESCCL) strategy. Percentage of 5-16 year olds participating in at least 2 hours per 2008 development aimed at } Deliver the after school Sports Unlimited week of high-quality PE and sport at school. improving activity levels programme. among children and young people. Deliver Engaging Inactive Children programme in target areas. The percentage of 5-19 year olds participating in at least 3 further hours per week of sporting opportunities beyond the school day. Implement the Leeds Play Strategy. Increase the number of play opportunities available to children and young people. 2008-12 AL AT AR AS 1.2 Ensure regular physical activity is maintained beyond 16 years+. Implement the Leeds Sustainable Education Travel Strategy. Develop links with sport and other providers to create and sustain opportunities which engage 16 years+. 100% of schools to develop and implement a School Travel Plan. { Total throughput of BreezeCard holders aged 16+ at leisure centres. Total junior throughput at leisure centres. 2008-10 AT AR AS 1.3 Increase the number of older people taking part in regular physical activity. Work with partners to address subsidised activities Number of new users accessing local leisure centres, including open green for 16years+. space. Work with partners enabling older people to access Total throughput of people aged 60+ on LeedsCard. regular activities. Total throughput of people aged 60+ on LeedsCard in swimming activities. Number of Bodyline members aged 60+. Number of visits of people aged 60+ on Leeds Card Extra. Develop and roll out second cohort of Extend training. 17 instructors trained, 1000 classes delivered within a range of settings. 68 trained instructors, delivering through a range of agency settings. 2008 2012 AL AT AR AS Provide leadership and coordination to walk leaders and target specific groups of older people. 20 walks developed and promoted to specific audiences e.g. mental health user groups. Legend identifies which themed area and strategic targets are supported. Active Living Active Travel Active Recreation Active Sport

Key Tasks Activities Monitoring / Success criteria Date 1.4 Increase the capacity within the Undertake research to establish current levels of activity Research commissioned evidence established providing monitoring and evaluation 2009 workplace fostering a positive attitude towards physical activity amongst employers and employees. within the workplace. Work alongside HR and heads of services to encourage regular physical activity participation. data. Repeat research annually tracking participation rates. HR committed through supporting staff development, and reducing workplace absenteeism. 2010 35 Develop a range of programmes and activities which engage staff participation. Lunch time walks with safer routes developed. Staff accessing Bodyline Gym s and specific classes. AL AT AR AS Support the development of a Healthy workplace scheme for small to medium size businesses. Physical activity element identified as success criteria within the award scheme. 1.5 Increase the number of trips made by walking and cycling as part of everyday life. Develop a city wide Walking Forum. Coordinate walking provision / programmes. Walking Forum established, multi agency partnership, lead by NHS Leeds. Walks created within identified Super Output Areas (SOA s) delivered by volunteers. 2008 Continue to develop the UTravelActive project, expanding to other HE and FE institutions. Number of students and staff walking and cycling; number of partner organisations 2009-10 Support Bike Week as part of the National Campaign. Successful Bike Week. AL AT Create sustainable links with Travelwise and support the development for greater capacity in cycling and walking. Develop an annual Active Leeds Walk. Links created and development work supported through Active Leeds partnership. Walking Forum host the annual Active Leeds Walk. 2009 1.6 Support communities in developing and maintaining physical activity programmes. Work with neighbourhoods and area management teams to provide support in the development of Active Living programmes and activities. Better links developed with neighbourhood workers, encouraging active lifestyles. Programmes and activities developed within communities. AL AT AR AS Set up grant scheme to support local development and implementation. Support provided through local activity grant schemes. 10 community groups accessing financial support. 2009 2009-10 1.7 Ensure there are appropriate care pathways to engage all agencies working with at risk patients/public. Establish the need to develop a city wide GP Referral programme. Consultation with GP s to establish need. Recruit city wide GP Referral coordinator. Identify and pilot 2 surgeries within the 10% most deprived super output areas relative to the national picture. 2010 Review current Heart Watch programme. Heart Watch re-branded - city wide Active Life scheme. 2009 AL AR Work with long term conditions service providers. Reduction of hospital readmissions.

36 Objective 2: Better partnership working We will develop effective delivery systems to plan, implement, invest and monitor physical activity. Key Tasks Activities Monitoring / Success criteria Date 2.1 Establish Active Leeds Partnership as the city wide lead for physical activity. Undertake a review of current partnership arrangements. Review carried out, new partnership developed, restructured membership with strategic objectives and priorities. 2008 Develop a city wide physical activity network. Commission local mapping to monitor provision, identifying gaps. Active Leeds Task groups facilitate city wide multi agency, multi layered network. Mapping established, gaps identified, provision targeted. 2008-12 2009 Identify appropriate resources for the coordination, development and implementation of the strategy. Mainstream funding and resources allocated to enable sustainability / further funding streams identified, e.g. Big Lottery. AL AT AR AS Ensure that the physical infrastructure is conducive to promoting Active Living and Active Travel. Active Leeds partnership to work with regeneration and environmental organisations addressing and improving the physical infrastructure. 2.2 Increase and maximise the level of resources made available for physical activity. AL AT AR AS Review current levels of investment across public, private, voluntary, community and faith sectors in a bid to drive up participation. Develop and implement an investment strategy. Undertake robust investment profile, data used to influence future funding allocation. Investment strategy developed, resources realigned for maximum impact. 2009 2009 2.3 Ensure the needs of the most disadvantaged people and communities are met through better local partnerships. AL AT AR AS Establish current need and develop in partnership, access to appropriate support and services. Develop effective partnerships with local community and neighbourhood groups. Communities in greatest need are able to access appropriate services. Effective partnerships created as a result of the Active Leeds partnership. The needs of the most disadvantaged are met. 2009 2008

Key Tasks Activities Monitoring / Success criteria Date 2.4 Establish effective coordination across all sectors with clear consistent messages about physical activity. Develop and improve networks between public, private, academic, voluntary, community and faith sectors. Active Leeds and other strategic partners to facilitate through website, annual conference, quarterly meetings, AGM. 2008 2009 Develop and implement a marketing and communication strategy. Communication strategy developed, implementation carried out in partnership. 37 Enable partners to adopt consistent messages around participation. Be healthy and Active Leeds signed up to consistent message including all age groups. 2008-12 AL AT AR AS Foster robust links with partners involved in implementation of Can t Wait/Leeds Childhood Obesity Strategy A whole family approach adopted where appropriate 2008-12 2.5 Develop an effective performance management framework. Establish delivery plans with clear accountability and approach to risk management. Commission research in a bid to identify current participation levels. Delivery plans established, Active Leeds partnership accountable with a robust risk management structure in place. Research undertaken base line measures and set Performance Indicators (PI s) accordingly. Repeat research annually tracking participation rates. 2008-12 2008-12 AL AT AR AS Ensure effective reporting arrangements to the Healthy Leeds Partnership and other agencies as necessary. Annual report on progress via Healthy Leeds partnership, Children Leeds and other partnership forums. Legend identifies which themed area and strategic targets are supported. Active Living Active Travel Active Recreation Active Sport

38 Objective 3: Sell the benefits of being active We will increase the effectiveness of the marketing and communication of physical activity. Key Tasks Activities Monitoring / Success criteria Date 3.1 Promote physical activity through Active Leeds. Establish the Active Leeds Marketing and communication group. 2008 Enhance and develop Active Leeds as a regular programme of events, activities and targeted campaigns. Multi agency Active Leeds Marketing and Communication group established reflecting themed areas within physical activity strategy. Sponsor 1 major event in Leeds. Host a Physical Activity Conference / seminar. Develop ongoing relationship with media partner. 2009 2009 Work with a range of agencies which are signed up to Active Leeds. Education Leeds, Voluntary Community and Faith Sector, NHS Leeds, Leeds City Council and partners use Active Leeds as a vehicle to promote physical activity. Monitor and evaluate the impact of Active Leeds. Evaluation carried out Year 1. Support National campaigns such as Reduce your Risk, Think Fit. 2 campaigns delivered through multi agency partnership. AL AT AR AS Ensure local consistency with Change 4Life campaign and make best use of its benefits. Unified campaigns as appropriate. 2008-12 3.2 Ensure the sustainability of social marketing activities. Commission citizen panel study to review current participation rates. Research identifies levels of awareness and participation rates through citizen panel report. 2008 Repeat study annually track changes on participation Establish evidence of awareness and participation through market research. Participation rates within the workplace identified through local market research (Leeds City Council and NHS Leeds) Develop and implement a marketing and communication strategy. Marketing and communication strategy developed, implementation supporting the success of activities and programmes generated through Active Leeds. AL AT AR AS Develop an Active Leeds physical activity website. Active Leeds website developed enabling portal site for information exchange/updates. 2008-12

Objective 4: Provide skills to people We will increase the capacity and skills in the delivery of physical activity. Key Tasks Activities Monitoring / Success criteria Date 4.1 Promote the use of Active Leeds Physical Activity Tool Kit (ALPATK). Design, develop, implement and disseminate. Pilot Tool kit, deliver number of sessions to front line staff through train the trainer programme. 2008-12 Health Trainers and Community Health Educators support the delivery of the ALPATK. 39 AL AT AR AS Trained staff disseminate tool kit to range a of community groups and workers. 4.2 Develop and implement a range of training programmes and opportunities. Deliver sessions to raise the awareness of physical activity to front line staff. 2 sessions organised per month, 10-15 people per session trained includes all sectors. 96 sessions delivered / 720 staff trained. 2012 Deliver targeted outreach programmes to areas and communities of greatest need. Support at least 1 trained trainer per month with local delivery in areas of greatest need. AL AT AR AS Expand opportunities for training within the workplace. Increase the capacity of the Extend programme. HENRY (Health Exercise Nutrition for the Really Young) sustainable roll out through Children s Centres. 3 sessions organised and delivered within Leeds City Council / NHS Leeds setting. First cohort - 17 instructors trained, 1000 classes delivered. Further 17 trained in second cohort of Extend training. 2 day healthy lifestyle training, Department of Health supported 1-2 centres per month Projected numbers trained over 2500. 2008 2009 2008-12 Legend identifies which themed area and strategic targets are supported. Active Living Active Travel Active Recreation Active Sport

40 Diagram 3 Leeds Strategic Plan 2008 to 2011 Active Leeds: A Healthy City 2008 to 2012 Active Living Active Travel Active Recreation Active Sport Leeds Health and Well Being Plan Older Better Strategy Leeds Mental Health Strategy West Yorkshire Local Transport Plan School Travel Plans A Parks and Green Space Strategy for Leeds Leeds Childhood Obesity Prevention and Weight Management Strategy PESSCL, PE and School Sport and Club Links Strategy ECM Children and Young Peoples Plan for Leeds Play Strategy Taking the Lead Sport and Active Recreation Strategy Increased participation in Physical Activity

Implementation framework The Leeds local policy context section earlier illustrated the range of organisations that use physical activity to deliver their outcomes. While the focus of physical activity will vary among these strategies, along with the targets, all can make a contribution to raising physical activity levels in Leeds towards the nationally recommended levels. The challenge is to ensure strategies include all sections of the population through Active Living, Active Travel, Active Recreation and Active Sport (Diagram 3 and 4). Diagram 3 illustrates how primary strategic documents provide support towards the delivery of physical activity in Leeds. Diagram 4 highlights the interrelationship between physical activity, sport and active recreation and provides evidence of the types of activities associated with physical activity. The strategy will deal with all aspects of physical activity; however, it will particularly focus on those who are inactive, at risk of chronic disease and suffer significant health inequalities. Diagram 4 - Physical activity strategy context Physical Activity Don t forget to use a pedometer and walk as regularly as you can 41 Active Living Active Travel Active Recreation Active Sport Moderate to vigorous household chores, gardening or DIY Healthy workplace, manual work etc. Lifestyle healthcare programmes: cardiac rehab, weight management Walking, cycling Using the stairs School travel plans Walking bus etc. Exercise and fitness Active play Movement and dance Walking, cycling or swimming as leisure pursuits Open green space, parks and countryside Informal Sport Unstructured activities e.g. street sports, casual badminton or squash Kickabouts, shooting hoops etc Organised Sport Organised participation Structured competitive activity Talent development programmes PE and School Sport and Club Links (PESSCL Strategy) Active Leeds Sport Leeds Although the relationship between physical activity, sport and health are very strong and important, physical activity is a much broader concept. It cuts across a large number of policies, plans and involves a wide range of partners that maybe not directly involved within sport or health. Using a Pedometrer

42 There has been a significant investment to date in physical activity in Leeds especially in the area of sport and active recreation, which provides an opportunity towards an annual increase in participation maximising health benefits.

Investment 43 There has been a significant investment to date in physical activity in Leeds especially in the area of sport and active recreation. This includes the development of a range of major capital projects including the 6.3 million major refurbishment of John Smeaton Leisure Centre and the new 16million Leeds Aquatic Centre at John Charles Centre for Sport. Two further new leisure centres at Armley and Morley are also being developed with 30 million in Private Finance Initiative (PFI) credits. The inclusion of Healthy Living Centres within the local communities has provided opportunities for local people to engage in active lifestyles, maintain levels of independence, and accrue health benefits. Further investment has been made in the areas of cycling and walking; the Wetherby Railway Path was recently completed enabling access to walkers and cyclists, and a similar project completed between Yeadon and Guisley. In the past, areas such as the Trans-Pennine Trail, the Aire Valley Towpath Route and the Linesway have received levels of investment some funded through Local Transport Plan (LTP). Work contiues on developing various proposals including Wyke Beck Way, Penda s Way, and routes a series of radial cycling routes based on the city centre. In 2005 the University of Leeds produced a new strategy for its sport and physical activity services. This strategy placed particular emphasis on the provision of opportunities for students, staff and the wider community to engage in sport and physical activity. A total investment of 20million is planned over a five year period to substantially expand the facilities provided. Including the construction of a new sports centre, new swimming pool and fitness facility, additional synthetic turf and grass pitches. In addition to this investment significant steps have been made in physical education and school sport in recent years, funding from Department of Children Schools and Families, from the Department for Culture Media and Sport and the Big Lottery have provided opportunities to develop closer links with clubs and community sport provision, with the focus on increased participation. This funding has allowed young people to become fully engaged in school and after school activities. It is believed that this investment will contribute to reverse the trends towards reducing levels of inactivity and achieve gradual improvements in the overall activity levels across the Leeds area. Major investment can make a difference dealing with cross cutting issues that affect the social, economic and environmental health of local communities maximising health benefits. John Smeaton Leisure Centre Canoeing, Leeds sailing and activity centre

44 Active Leeds Partnership The implementation of the action plan for this strategy will be the responsibility of the Active Leeds Partnership. The partnership recognises the need to develop a coordinated approach across all sectors in the delivery of the framework and this will be facilitated through each of the themed areas, Active Living, Active Travel, Active Recreation and Active Sport. Implementation will be subject to available resources, investment and a commitment from NHS Leeds, Leeds City Council, Education Leeds and other partners. Working together can make a positive difference to the lives of the people of Leeds. There will be a need to effectively monitor progress against the objectives to ensure an increase in participation. The Active Leeds Patnership will call for external partners to review and report on their area of responsibility in the delivery of physical activity across the city. Measures of success will be established as part of the monitoring and evaluation tool. The Active Leeds Partnership will report project details, initiatives and progress through the Healthy Leeds Partnership. Active Leeds: A Healthy City 2008 to 2012 seeks to underpin partnership work to promote physical activity by providing strategic direction focussing efforts where they can be most effective and enlisting the support of all who are involved in creating a healthy city. The Carriageworks, Millennium Square Active Leeds Partnership

References References and sources: 1. A joint Department of Culture Media and Sport (DCMS) Strategy Unit Report (2002), Game Plan: a strategy for delivering the Government s sport and physical activity objectives; London. 2. British Heart Foundation; (2007). 3. British Heart Foundation; Physical Activity Toolkit; (2001). 4. Department for Education and Skills (DfES) and the Department for Culture Media and Sport (DCMS), (2002) Physical Education, School Sport and School Club Links Strategy: London. 5. Department of Health (DH), (2008) Health Survey for England: London. 6. Department of Health (DH), (2004) At Least Five a Week: Evidence on the impact of physical activity and its relationship to health. A report form the Chief Medical Officer; London. 7. Department of Health (DH), (2004) Choosing Health: Choosing Activity. A consultation on how to increase physical activity; London. 8. Department of Health (DH), (2005) Delivering Choosing Health: making healthier choices easier; London. 9. Katch, F., Katch, V. and McArdle, W. (1996) Exercise Physiology: Energy, Nutrition, and Human Performance, 4th edition, Williams and Wilkins. 10. Leeds Strategic Plan 2008 to 2012; Leeds Initiative 11. Morris, J. (1994) Exercise in the prevention of coronary heart disease: today s best buy in public health. Medicine and Science in Sports and Exercise. 12. NICE Public Health Guidance 8: Promoting and creating built or natural environments that encourage and support physical activity (2008). 13. Smarten up to Active Leeds; (2006). 14. Sport England (SE), IPSOS MORI, (2006) Active People Survey; London. 15. Sport England Yorkshire (SEY) MORI, (2005) Yorkshire and Humber Physical Activity Participation Survey, Final Report of Base Line Results. 16. Vision for Leeds 2004 to 2020; Leeds Initiative. Use the stairs instead of the lift when possible Using the stairs, NHS Leeds 45