Public Health England South West 9 th Feb 2016 Torbay Active Schools & Communities Russ Moody Health & Wellbeing Programme Lead

The Public Health System: an integrated whole system approach 2 Government DH responsible to parliament, with clear line of sight through system Cross-government senior officials group to improve health outcomes and use Cabinet Committee structure as required CMO to continue to provide independent advice to Government Local authorities Public health functions integrated into their wider role, helping to tackle the wider social and economic determinants of health. Leading for improving health and coordinating locally for protecting health Promoting population health and wellbeing – role of Directors of Public Health Public Health England New, integrated national body Strengthened health protection systems Supporting the whole system through expertise, evidence and intelligence NHS Delivering health care and tackling inequalities Five year Forward Plan Making every contact count Specific public health interventions, such as cancer screening

3Policy and Guidance The Policy and Guidance Framework Obesity & Healthy Eating Policy ( ) Childhood Obesity Strategy (Imminent) 2012 Olympic and Paralympic legacy Sport Strategy Chief Medical Officer Guidelines (Info-graphic) Everyone Active Everyday (PHE evidence/action framework) PHE Sugar Reduction Report ‘What Works in Schools’ (PHE/YST and others) LINKED TO OFSTED Data/Evidence Briefings/Tools (e.g. NICE and Obesity Slide Set) Campaigns – e.g. PHE C4L ‘10 minute shake up’

4 Physical activity – Still a priority Source: Newton et al. (2015) Changes in health in England, with analysis by English regions and areas of deprivation, 1990– 2013: a systematic analysis for the Global Burden of Disease Study The Lancet

5Inactivity is the issue

Everybody Active Every Day 6 Consolidated international evidence and co-produced with over 1,000 local and national stakeholders Supports local leaders to reframe, refocus and provide leadership on: o Cross-sector partnership o Industrial-scale, whole system action o Focus on addressing inactivity as well as health enhancing physical activity levels Four domains for national and local action

Evidence for implementation Synthesis of existing evidence base (e.g. NICE) Evidence-based actions across public health system: o Settings o Life-course Includes five key steps for local action: 1.Every child to enjoy & have skills to be active 2.Safe, attractive & inclusive active living environments 3.Make every contact count in public & voluntary sectors 4.Lead by example in public sector workspace 5.Evaluate and share ‘what works’ 7

CMO Guidelines We want to engage with professionals, providers and commissioners in health, social care, transportation, planning, education, sport and leisure, the voluntary, community and cultural sectors as well as public and private employers to make the case for more – much more – physical activity, every day.

9CMO Guidelines

10The Benefits

11Physical Activity and Attainment

Positive change must happen at every level and must be measurable, permanent and consistent Implement ‘what works’ at scale Maximise existing assets o Human o Physical Moving at scale – Scaling up interventions that make us active

Evidence publications, e.g.: o ‘What works’ for local interventions o ‘What works’ in schools & colleges o Inequalities overview (coming soon) o Challenging issues reports (coming soon) Data & evidence briefings, guidance and training, e.g.: o Updated PHOF data o Review of benefits for 5-11 year olds o Evaluation introductory guide & training Existing resources (e.g. NICE guidance, Standard Evaluation Framework) 13 Moving at scale – Implementation resources

14What works in schools and colleges to increase physical activity?

CMO Guidelines

Everybody active, every day! 16