1. Vaga Associates The value of leisure and culture to Enfield 13 th January 2004 Nikki Enoch, Mike Collins & Simon Parkinson Better Enfield Partnership

2. Vaga Associates Value of Leisure and Cultural Services Project Brief Commissioned October 2003 to  Summarise available national research  Apply research locally  Identify priorities and partnerships with the ESP thematic groups Funded by Neighbourhood Renewal

3. Vaga Associates Improving the quality of life Leisure Matters  Arts  Libraries  Tourism  Parks and open space  Sport Better Enfield Matters  Housing  Local development framework  Spatial strategy  Street scene  Sustainable development  Transport Attractive environment + Personal health & well being

4. Vaga Associates Context Me!  Strategic and land use planner  Experience of developing (and protecting): land, facilities & people  Specialist knowledge of sport & leisure Still struggle with relative priorities!

5. Vaga Associates Presentation  Context  Summary of national research Parks and open space Health Crime  Priorities of the Leisure and Cultural Partnership  Better Enfield Citizens Survey Unfulfilled potential Good practice Joint action  Information sources  Your views

6. Vaga Associates Value of Parks and Open Space “The lungs of the City” “Increase in death rates in 1930s prompted demand for more open space” (Patmore 1983) “Parks and gardens were considered effective ways of contributing to the quality of life” (Morgan 1991) “In the Victorian era parks and gardens were at the forefront of urban development – today often an afterthought” (Greenhalgh & Worpole 1996)

7. Vaga Associates Value of Parks and Open Space National Evidence Social Physical / Environment Health & Well Being Educational Important social space Sense of continuity and local identity Amenity value – contrast to the urban environment Positive psychological effects - people Removal of toxins from air – ecological Antidote to stress – improved mental health Unrealised potential – ‘health orientated experiences’ Concerns about safety and security - need addressing Aiding learning and personal development Tackling juvenile delinquency Source: Coalter 2001

8. Vaga Associates Value of Parks and Open Space Usage Park Life Research - National (2003)  66% visited parks  50% for children’s play  33% for sport  50% travel < 10 minutes  38% not visited in 3 years  8% cited safety as an issue (13% from vulnerable groups) Fresh Fields – Enfield Strategy (2002 - 2004)  60% residents use parks  70% users visit weekly  300,000 visits to Pymmes Park & Trent Country Park  127 sites & 42 playgrounds  Lack of open space in the SE  Emerging management plans  No playing pitch strategy Beacon status

9. Vaga Associates Health and Well Being – The Evidence 1.Strong trends with physical health 2.Close association with mental health 3.Strong correlation with deprivation 4.Fast payback Medical profession (e.g BMA 2002) Sports profession (e.g Balyi 2002) Leisure profession (e.g LGA 2001) Education profession (e.g Nat. Curriculum) BHF National Centre for Physical Activity & Health www.bhfactive.org

10. Vaga Associates Physical Activity Health Benefits Our bodies were made to move! Require: 5 x 30 minutes every week Home, work & hobbies Sport & exercise Government Target (DCMS 2002) 70% population ‘active’ by 2020 Current level: 32% and static!

11. Vaga Associates Increasing Prevalence of Obesity N.A.O. 2001

12. Vaga Associates Increasing Inactivity Levels HSE ‘98

13. Vaga Associates Evidence of Health Risks Source: Britton & McPherson

14. Vaga Associates Prevalence of CHD Risk factors Source: Joint Healthy Survey Study 1999 Economic Cost of CHD £7.06b annually Source: Liu, Maniadakis, Gray & Raynor 2002

15. Vaga Associates Enfield Residents Source: Prentice & Jebb ‘95 Estimates extrapolated from national government studies Enfield residents:  37% are sedentary = 101,200  22.5% are obese = 61,500 Savings from 10% increase in activity:  10% = 17,200 residents  311 lives  £10.5m £1.9m NHS £4.3m loss of earnings £4.3m premature mortality Source: DCMS: 2002 Game Plan Implementing the Government’s Strategy for Sport Obesity and Inactivity Indicators

16. Vaga Associates Our Understanding Best Start in Life Young People u15 yrs Physical Heart size Muscle strength Ligamentous structures Motor patterns & balance Co-ordination Mental/Cognitive Attention span short Imagination blossoming Emotional Self concepts & self importance Peer influence Understands rules & structures Physical Bone - fat - muscle tissue Growth spurts (girls earlier) Puberty Increase in red blood cells Central nervous system Mental/Cognitive Abstract thinking Egocentric thought/self identity Emotional Heightened peer influence Accepting responsibility Different maturity rates Multiple Learning Styles “Drama, dance, movement,words,images and music – all stimulate the brain to learn” University of the First Age

17. Vaga Associates Our Understanding Dropping Out Young People 12-18 yrs Girls and Young Women 42% active for health benefits Negative peer pressure 10% 12-13 yr olds inactive 20% 13-14 yr old inactive Drop out - earlier and higher numbers 61% active for health benefits Positive peer pressure Drop out – later and lower numbers Boys and Young Men 50% not receiving 2 hours of PE a week Media use = approx. 5 hours a day

18. Vaga Associates Our Understanding Finding time Adults 16-55 yrs All 31% active for health benefits 33% ‘inactive’ Bangladeshi 7% active for health benefits 65% ‘inactive’ Age Decline Aerobic capacity: 25 yrs onwards 8-10% per decade Strength: 5-10% per decade Muscle mass: 40% loss between 20-70 yrs All 46% active for health benefits 25% “inactive” Bangladeshi 18% active for health benefits 59% ‘inactive WomenMen 80% perceive themselves physically active Sources: ADNFS 1992; BFH National Centre for Physical Activity + Health

19. Vaga Associates Our Understanding Keeping fit for life Adults 50+ yrs All 17% active for health benefits 50% sedentary 25% unable to climb stairs unaided Bangladeshi 92% sedentary Importance of Physical Activity Maintains functional ability Prevents disability, immobility and isolation All 25% active for health benefits 40% sedentary 7% unable to climb stairs unaided Bangladeshi 85% sedentary WomenMen Source: BFH National Centre for Physical Activity + Health

20. Vaga Associates A Multi Dimensional Strategy How can Better Enfield help? East and South, poor, single parents, C2DE women, Pakistani/Bangladeshi, older Focus on the highest risk (highest savings) Best start for young people Reducing drop out Reaching out for older adults Making it easier for those at work Strategic and social marketing

21. Vaga Associates Reducing Youth Crime Diversion Leisure & Culture Activities  ‘Magnet’ projects, Positive Futures, SPLASH, Homework Centres, Black History Month need to ensure continuity of Restorative Justice scheme 46% affected in C2DE groups by kids ‘hanging about’ (res2003) And Structural Changes  70%of youth crime committed by 7- 8% youths Broken social and fragmented, unanchored leisure lives Drugs and poor health  Examples: Scott and Jason life histories

22. Vaga Associates Strength of the Evidence Personal  Health - halves CHD risk     P,L, C - reduces blood pressure     P,L, C - controls body weight, diabetes     P,L, C - reduces risk of falls, back pain     P,L, C - reduces risk of colon cancer     P,L, C - reduces anxiety/depression    P,L - enhances mood, self-esteem      P,L, C, A - promotes imagination & vision   A, C  Socialisation, tolerance and team working A, C  Social cohesion A, C  Leadership & organising skills   A,C Rating  Strength of evidence P Population studies L Laboratory studies C Case studies A Anecdote

23. Vaga Associates Strength of the Evidence Communal/social  increases family/local links   A, C  reduces NHS costs   A, C  reduces crime and disorder costs   A, C  community identity through history/culture   A, C  increases participation by poor, disabled, ethnic minorities    P, A, C  increases social networks/active citizens    P, A, C  creates jobs    P, A, C  improves environment    A, C Rating  Strength of evidence P Population studies L Laboratory studies C Case studies A Anecdote

24. Vaga Associates Leisure & Culture Partnership Emerging Priorities Agreed on 10 th November 2003:  Addressing health issues  Activities for young people (divert from crime and anti-social behaviour)  Capacity building and organisational development

25. Vaga Associates Why does leisure & culture matter? for Better Enfield Land Facilities Access People  Significant land use Parks & open space; playing fields Development potential in strategic locations  Underutilised facilities Schools, clubs, playing fields, parks & open space Growth potential in existing developments  Greener forms of transport Cycling, walking, ‘walking buses’ Potential to reduce congestion and increase safety  Proven ability to reach, excite and build communities Leaders, volunteers, coaches, development officers, role models, major events Limiting factor to achieve full potential!

26. Vaga Associates Why does Better Enfield matter? for leisure & culture Land Facilities Access People  Sufficient land supply Local plans/framework, spatial strategy, community plan Protecting valuable assets and securing new opportunities  Quality local & specialist facilities Section 106, development control and management agreements Raising investment and improving quality  Integrated transport Safe cycling and walking routes, ‘leisure buses’ Promoting and facilitating activity  Planning and consultative processes Surveys, needs analysis, residents forums Assessing needs and balancing competing interests

27. Vaga Associates Making connections work  Bold integrated spatial strategy Playing fields assessment Facilities assessment Wider use of schools and club sites  Incremental progress Priority projects Responsive to opportunities Pro-active community consultation (including leisure groups) User involvement in design, development and management  Contribution to physical activity strategy

28. Vaga Associates Better Enfield Citizens Panel Survey Biggest problems Street scene Priorities Access Play  Traffic (62%); neighbours (24% ); road works (22%)  Street lights (86%); road maintenance (83%) pavement maintenance (76%)  86% have easy access to parks and open space  62% have easy access to sport and leisure facilities  72% used parks and open space  72% play ground in the park  38% sports facilities  12% holiday play schemes  9% after school clubs  5% play ground on housing estates

29. Vaga Associates Better Enfield Unfulfilled Potential  Usage Nearly 40% are non users Spare capacity for use of schools and clubs  Fitness – limited initiatives  Safety – eliminate ‘fear factor’  Social marketing – community engagement Needs: Investment in human and physical development Community involvement Pro-active management

30. Vaga Associates Better Enfield Good/Emerging Practice  Early years & school links  Walking to health  Walking bus routes  Young people: Involvement Diversion activities Mentors  Integrated physical and human development Raynham Park Community engagement Young people involved in design & development Genuine partnership Promising results

31. Vaga Associates Leisure and Cultural Partnership Group Funding Support 1.Craig park project – joint priority 2.United Estates – add sports and physical activity dimension 3.Playing pitch strategy – accurately assess need and contribute to spatial strategy Champion for joint working

32. Vaga Associates The value of leisure & culture for health Conclusions  Proof of benefits exists and is nationally accepted  Enfield has the parks and the open space  Unfulfilled potential  Opportunities for joint action and influence Better environment Better personal health and well being Better quality of Life

33. Vaga Associates The value of leisure & culture to Enfield References (1) Armstrong, J., Reilly, J.J. & Child Health Information Team – Information Statistics Division, Edinburgh. (2001). Assessment of the National Child Health Surveillance System as a tool for obesity surveillance at national and health board level. www.show.scot.nhs.ukwww.show.scot.nhs.uk Arts Council for England (2002) Arts in health London:ACE Britton, A. and McPherson, K. (In Press). Monitoring the progress of the 2010 target for coronary heart disease mortality London: National Heart Forum BMA (2002) Priorities for Health Background Briefing Paper, Scottish Parliament Central Council of Physical Recreation (2002A) Saving lives, saving money: physical activity - the best buy in public health London: The CCPR Chinn, S. & Rona, R.J. (2001). Prevalence and trends in overweight and obesity in three cross sectional studies of British Children, 1974-1994. British Medical Journal. 322: 24-26. Coalter, F. (2001a) Realising the potential of cultural services: the case for sport; (2001b) the case for the arts; ( 2001c) The case for libraries; (2001d); The case for museums; (2001e) The case for tourism; (2001f); The case for urban parks, spaces,and the countryside; (2001g) The case for children’s play London: Local Government Association Coalter, F. (2002) Sport and Community Development a manual Research Report 86 Edinburgh: sportscotland Coalter, F. (2003) Measuring the impact of sport (unpublished lecture) University of Stirling Coalter, F., Allison, M.. and Taylor, J. (2000) The role of sport in regenerating deprived urban areas Edinburgh: Scottish Executive Central Research Unit Collins, M. F. (2003) Sport and social capital London: Routledge Collins, M.F. et al (1999) Sport and the arts paper for Policy Action Team 10 London: DCMS Countryside Agency (2001a) Walking for Health –the first randomised trial CR Note 18 Cheltenham: CA Countryside Agency et al (2003) The use of public parks in England Cheltenham: CA

34. Vaga Associates The value of leisure & culture to Enfield References (2) DCMS (1999) Sport and Arts: Policy Action Team 10 report London: DCMS DCMS (1999) Libraries for All London:DCMS DCMS (2002a) Game Plan: implementing the government’s strategy for sport London: DCMS DCMS (2002b) Social impact of museums: centres for social change London:DCMS Department of Health (2002) Tackling health inequalities: consultation on a plan for delivery London: DoH Enfield Council (2001) Sports strategy for Enfield 2001-2005 Enfield: LB Enfield Enfield Council ( 2002a) Enfield’s future, draft Community strategy Enfield:LB Enfield Enfield Council (2002b) Leisure strategy Enfield:LBE Enfield Council (2002c) Neighbourhood Renewal Strategy: Residerts in priority neighbourhoods Enfield:LB Enfield Enfield Council (2002d) Toward neighbourhood renewal : a draft strategy Enfield: LB Enfield Enfield Council (2003a) Enfield residents 2003 Enfield:LB Enfield Enfield Council (2003b) Voluntary and community sector funding paper Cabinet meeting 25.6.03 Gorard, S. and Taylor, C. (2001) The composition of Specialist Schools: track record and future prospect School Leadership and Management 21,4 365-81 Health Development Agency (1999) Social capital and health London:HDA Health Education Authority (1999) Physical activity and inequalities London: HEA Health Education Authority (1999) Art for health: Social capital for health summary London: HEA

35. Vaga Associates The value of leisure & culture to Enfield References (3) Joint Health Survey’s Unit (1999). Health Survey for England: Cardiovascular Disease 1998. London: The Stationery Office. Joint Health Surveys Unit. (2000). The Scottish Health Survey, 1998. London: Joint Health Surveys Unit Jackson, A. (2003) Doing it ourselves: Learning to challenge social exclusion through the voluntary arts London: Department for Education and Skills Ladd, J. and Davis, L. (2003) Guide to best practice in sport and urban regeneration London: British Urban Regeneration Association Long, J.et al (2002) Count me in! London:DCMS Office for National Statistics. (2000). The mental health of children and adolescents in Great Britain: Summary Report. London: NSO. Reeves, M. (2002) Measuring the social and economic impact of the arts: A review London: Arts Council of England Riddoch,C., Puig-Ribera,A. and Cooper,A. (1998) Effectiveness of physical activity promotion schemes in primary car: A review London: Health Education Authority Prentice, A. M. and Jebb, S. A. (1995) Obesity in Britain: gluttony or sloth? BMJ 333, 437-39 Splash National Support Team (2003) Splash 2002 Final Report London: Youth Justice Board/Cap Gemini Ernst Young www.homeoffice.gov.uk accessed 14.7.03www.homeoffice.gov.uk Sport England et al (2002) Positive Futures: a review of impact and good practice Summary report London: SE

36. Vaga Associates The value of leisure & culture for health Your views

37. Vaga Associates Leisure and Cultural Partnership Group Any further thoughts, evidence or contributions please contact us: Tel: 07989 351047 nikki@vagaassociates.com Thank you