1. Philip Garner Specialist Programme Manager Public Health

2. NHS / LA Changes White Papers Health and Social Care Act Operating Plans CCGs Outcome Frameworks Public Health Functions Physical Activity & Health

3. The New Public Health Functions Commissioning a range of services from a range of providers from different sectors Tackling the causes of ill-health & reducing health inequalities e.g. the operation of the planning system Promoting and protecting health Promoting social justice and safer communities through partnerships with other agencies Public Health advice to the NHS

4. Public Health Priorities Tobacco control and smoking cessation services Alcohol and drug misuse services Services for those aged 5-19, the National Child Measurement Programme Obesity interventions, locally-led nutrition initiatives and increasing levels of physical activity NHS Health Check assessments public mental health services dental public health services accidental injury prevention population level interventions to reduce and prevent birth defects behavioural and lifestyle campaigns to prevent cancer and long-term conditions local initiatives on workplace health comprehensive sexual health services local initiatives to reduce excess deaths as a result of seasonal mortality role in dealing with health protection incidents, outbreaks and emergencies promotion of community safety, violence prevention and response local initiatives to tackle social exclusion reduction of environmental risks.

5. Physical Activity and Health Public Health has successfully commissioned a series of physical activity interventions with county and district councils: Walking for Health in Lincolnshire Health-related exercise referral Vitality – physio-like seated exercise or movement to music Health Trainers Co-ordination of physical activity interventions by the Lincolnshire Sports Partnership to strengthen the infrastructure for the local delivery of physical activity. (Improving the Physical Environment – improving access to paths and trails, open spaces and parks)

6. Physical Activity and Health Public Health has successfully commissioned a series of physical activity interventions for children with county and local partners: Legacy Challenge with school sports (primary) Play for Life – early years education for activity `Fit Kids` Childhood obesity programme Playgrounds – refreshing the environment for more activity Wheelchair sports in schools

7. Physical Activity & Health http://lincolnshiresport.com/physical-activity/

8. Service Review SchemesQALYsDeaths Avoided Exercise Referral£7,6514 Walking for Health£6,5055.8 Fit Kids£5,3511.8 Food & Nutrition£16,3131.2 Smoking Cessation£1,64871 Utilising the VfM Toolkits from NSMC The NICE threshold for cost effectiveness is between £20,000-£30,000 costs per QALY. The lower the cost per QALY, the more cost-effective the intervention.

9. Boston Borough Council Carres Grammar School, Sleaford CfBT City of Lincoln Council East Lindsey District Council Leisure in the Community (Arts NK - Vitality) Lincolnshire County Council Lincolnshire Sports Partnership North Kesteven District Council School Games Organisers in Lincolnshire South Holland District Council South Kesteven District Council University of Lincoln YMCA Lincoln Acknowledgements

10. Thank you. Questions? Philip Garner Specialist Programme Manager philip.garner@lincolnshire.gov.uk tel: 01552 552292 philip.garner@lincolnshire.gov.uk