1. “Health by Stealth” Sarah Lees Consultant in Public Health Plymouth City Council

2. http://www.kingsfund.org.uk/projects/nhs-65/alternative-guide-new-nhs-england

3. Health benefits of being active Physical < risk of coronary heart disease, stroke and Type II diabetes < blood pressure and cholesterol levels < obesity > muscular strength and balance ( to perform everyday tasks) Psychological > cognition > self esteem, confidence and positive feelings < symptoms of depression and anxiety

4. Recommended Activity Levels CMO recommendations for adults (19-64 yrs) 150 minutes of moderate intensity activity per week Ideally in bouts of 10 minutes or more Aim to be active everyday e.g. 30 minutes on 5 days of the week Brisk walking is moderate intensity activity Maintaining activity over time is key to sustained behaviour change and health benefit Not everyone is motivated by the message “this is good for your health”

5. Natural Environments Natural environments are restorative Improves feelings of revitalisation and positive engagement Provides opportunities for social interaction and entertainment as well as activity Improves heart rate, blood pressure and reduces stress markers In Industrial Revolution, wealthy philanthropists built urban parks for the benefit of the public’s health and hospital gardens for their healing properties

6. Being active in natural environments Health benefit increases up to 3 fold More beneficial especially for mental health Decreases perception of effort Enhances mood Provides social interaction and entertainment Improves adherence/maintenance Increases frequency of activity

7. Resources Social Physical Psychological Wellbeing Challenges Social Physical Psychological Dodge, R., Daly, A., Huyton, J., & Sanders, L. (2012). The challenge of defining wellbeing. International Journal of Wellbeing, 2(3), 222-235. doi:10.5502/ijw.v2i3.4 Definition of Wellbeing

8. Plymouth City Council Public Health Team commission the Public Health Improvement Team within Plymouth Community Healthcare to deliver :- Walking for Health Walking Leader Training