Stockport Physical Activity Strategy
2015 - 2018
Contents
Foreword …………………………………………………………………………………………..Page 3
Executive Summary ……………………………………………………………………………...Page 4
Introduction ………………………………………………………………………………………..Page 5
Physical Activity …………………………………………………………………………………..Page 6
Sedentary Behaviour …………………………………………………………………………….Page 12
Physical Inactivity ………………………………………………………………………………...Page 13
Chief Medical Officers’ Minimum Recommended Guidelines ……………………………….Page 15
Current Physical Activity Profile in England …………………………………………………...Page 17
Current Physical Activity Profile in Stockport ………………………………………………….Page 22
Physical Activity Infrastructure ………………………………………………………………….Page 25
Market Segmentation Profile for Stockport ………………………………….………………...Page 26
Consultation with People in Stockport …………………………………………………....……Page 29
Stockport’s Ambition ……………………………………………………………………………..Page 33
Stockport’s Vision ………………………………………………………………………………..Page 36
Key Actions for Stockport ……………………………………………………………………….Page 37
Selected References …………………………………………………………………………….Page 50
Appendices………………………………………....................................................................Page 52
Stockport Physical Activity Strategy 2015 - 2018
FOREWORD
Physical activity plays a key role in enabling us all to live a healthier and more fulfilling life. This is important for all people no matter what our age. However, in Stockport
too many of our residents do not take enough regular exercise to maintain their health, and reduce their risk of developing coronary heart disease, high blood pressure,
type 2 diabetes and some cancers.
The fourteen objectives set out in this strategy provide opportunities for physical activity to be built into our daily lives. It also highlights how Stockport MBC and partners
are continuing to work to provide a healthy and safe environment for people to become more active.
By working together to achieve the shared vision in this strategy, I look forward to our residents becoming more active. This will not only benefit residents but also help
reduce health inequalities and build stronger communities.
The Stockport Health and Wellbeing Board are fully supportive of this strategy and our ambition to increase levels of physical activity for the whole population of Stockport.
Councillor John Pantall
Executive Councillor (Independence & Wellbeing)
Stockport Council
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Stockport Physical Activity Strategy 2015 - 2018
EXECUTIVE SUMMARY
‘To create opportunities in Stockport that encourages, inspires and supports more people to be more active, more often within a sustainable environment, with
the ambition for everybody to be active every day’
There is now a very extensive evidence base to show that physical activity performed on a regular basis can deliver positive physical and psychological health
benefits and can prevent or help manage over 20 common medical conditions
Physical inactivity is now the fourth leading cause of global mortality, causing an estimated 3.2 million deaths worldwide. In the United Kingdom it accounts for
over 35 000 deaths per year and 3.1% of morbidity and mortality. In Stockport, around 220 premature deaths would be prevented each year if minimum
recommended levels of physical activity were achieved within the 40 – 79 year old age group.
The estimated annual cost of physical inactivity to the health economy in Stockport is £5,300,000 - £6,565,460. With the additional costs associated with lost
productivity to the wider economy within the Borough, this takes the estimate to £24,500,000 per annum.
Despite this, it is estimated that 25,615 children and 103,885 adults in Stockport fail to meet the recommended minimum physical activity levels to maintain
their health.
The challenge to increase the population’s engagement in physical activity is complex. Evidence from other high income countries such as Finland, the
Netherlands and Germany, shows that societal behaviour change requires large scale, focussed and sustained effort at all levels if daily physical activity is to
become the norm in contemporary society.
In line with ‘Everybody Active, Every Day’ (Public Health England 2014), Stockport’s strategy aims to impact positively on the population’s physical activity
levels in the context of settings and life stages:
Settings: Physical environment, Social environment, Community wide interventions, Group interventions, One to one interventions
Life Course: Starting well, Living well, Ageing well
In order to achieve this, a series of key objectives have been agreed for Stockport within the four domains of Active Society, Moving Professionals, Moving at
Scale and Active Environments to deliver actions that will be of benefit for generations to come.
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Stockport Physical Activity Strategy 2015 - 2018
INTRODUCTION
‘We need a cultural turnaround in attitudes to physical activity. The international experience of countries like Finland is that there is no quick fix: we need longterm promotion of physical activity over decades’
(Everybody Active, Every Day: Public Health England 2014)
The challenge to increase the population’s engagement in physical activity is complex. Evidence from other high income countries in Europe, such as Finland,
the Netherlands and Germany, shows that behaviour change across all sections of society requires large scale and sustained effort at all levels for daily
physical activity to be regarded as the norm in the modern world. It requires all sectors to accept the need for change, think long term and build on what the
evidence demonstrates to both work and be cost effective.
Tackling physical inactivity is both pivotal and catalytic in addressing many of the local health, social, regeneration, transport, environmental and educational
inequalities and priorities. Even small increases in levels of physical activity can result in significant improvement to the health of both individuals and
populations.
Rationale
People in the United Kingdom today are 24% less active than in 1961. This health aligned strategy aims to encompass all aspects of physical activity to further
develop the existing partnerships between organisations and the people of Stockport and provide an agreed strategic plan that results in higher levels of
physical activity in Stockport across all ages.
The strategy has been developed in consultation with the population of Stockport, health professionals and representatives across the public, private,
charitable and voluntary sectors. It has been written with support from both the Stockport Physical Activity Strategy Group and the Stockport Children and
Young People’s Physical Activity Strategy Group and supports the development of;
‘… a strategically co-ordinated approach to increasing levels of physical activity to get more Stockport people more active, more often, particularly focusing on
reducing the numbers of sedentary people in the borough. This will include addressing gaps in our knowledge about local people’s attitudes towards and
preferences for being more active.’
‘Stockport Health & Well-Being Strategy 2012–2015’
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Stockport Physical Activity Strategy 2015 - 2018
PHYSICAL ACTIVITY
What is physical activity?
‘Physical activity is defined as any bodily movement produced by the skeletal muscles that requires energy expenditure’
(World Health Organisation 2014)
It therefore includes a whole range of activities and disciplines from active play, physical education, active leisure, sport, habitual activities such as walking
and cycling, as well as energetic housework and gardening.
Play
Physical
Education
Sport
Active
Leisure
Active Travel
Sustainable
Travel
Glossary of Terms
‘Play is a generic term applied to a wide range of activities and behaviours that are satisfying to the child, creative for the child
and freely chosen by the child. It has frequently been described as ‘what children and young people do when not being told what
to do by adults.’
Play England 2007
‘The aim of Physical Education is to develop physical competence so that all children are able to move efficiently, effectively and
safely and understand what they are doing.’
Association for Physical Education 2008
‘Sport means all forms of physical activity which, through casual or organised participation, aim at expressing or improving
physical fitness and mental well-being, forming social relationships or obtaining results in competition at all levels.’
The European Sports Charter: Council of Europe 2001
Active leisure implies a desired exertion of energy where activities can provide both physical and mental health benefits,
including opportunities for skill development, learning, and socializing.
Active Travel refers to an approach to community travel and transport that focuses on physical activity (walking and cycling).
‘Cycling and walking are great for health and accessibility, and when replacing journeys by car they can also reduce congestion
and emissions’
Department for Transport 2010
Any efficient, safe and accessible means of transport with overall low impact on the environment, including walking, cycling, ultra
low emission vehicles, car sharing and public transport
Department for Communities and Local Government 2012
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Stockport Physical Activity Strategy 2015 - 2018
Why does physical activity matter?
‘Around one in two women and a third of men in England are damaging their health as a result of a lack of physical activity. It’s an unsustainable situation and
one that is costing the UK an estimated £7.4bn a year’
(Everybody Active, Every Day: Public Health England 2014)
“The potential benefits of physical activity to health are huge. If a medication existed that had a similar effect, it would be regarded as a ‘wonder drug’ or
‘miracle cure’”
(Chief Medical Officer for England 2010)
Humans are designed for physical activity. Our bodies have evolved to be active for sustained periods of time, being able to walk long distances interspersed
with short and explosive bursts of energy in order to search for shelter, gather food and capture prey. It is only in the latter half of the 20th century that physical
fitness and activity have become non-essential to our daily lives. We walk and cycle less as cars become more affordable and convenient, automated and
computerised jobs require us to be less physically active and electrical appliances have made domestic chores less physically demanding.
Whilst technology has improved our quality of life in many ways, it provides us with many sedentary ways to both carry out our daily routines and fill our leisure
time. Consequently, we are less active, walk less, sit down more, and expend less energy. The physical demands placed on our bodies are now so low that
our functional capacity has reduced and public levels of fitness have fallen to the extent where it is now impacting negatively on the health of all sections
within the population.
For the first time in the evolution of humans, it is now necessary to find ways of consciously building physical activity into our daily routines to remain healthy.
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Stockport Physical Activity Strategy 2015 - 2018
How does physical activity improve health?
“There is a clear causal relationship between the amount of physical activity people do and all-cause mortality”
(‘Start Active, Stay Active’ Chief Medical Officers of the four Home Countries 2011)
We now have a very extensive evidence base to show that physical activity performed on a regular basis can deliver positive physical and psychological
benefits. Indeed, as early as the 1950s the first landmark study showed that London bus drivers were almost twice as likely to suffer from heart disease than
bus conductors who were more active daily, climbing stairs and walking around the bus.
Since then, growing research in this field has produced strong evidence that physical activity can prevent or help manage over 20 common conditions
including:






major non-communicable disease, including coronary heart disease (CHD), hypertension, type 2 diabetes, chronic kidney disease and some cancers
(colon, breast [post-menopause] and endometrium);
stroke, peripheral vascular disease and cardiovascular disease (CVD) risk factors such as high blood pressure;
musculoskeletal health conditions, including osteoporosis, back pain, osteoarthritis and falls prevention;
depression, stress and anxiety;
overweight and obesity;
dementia.
Physical inactivity is now the fourth leading cause of global mortality, causing an estimated 3.2 million deaths worldwide. In the United Kingdom it accounts for
over 35 000 deaths per year and 3.1% of morbidity and mortality, resulting in:
10.5% of coronary heart disease cases




18.7% of colon cancer cases
17.9% of breast cancer cases
13.0% of type 2 diabetes cases
16.9% of premature all-cause mortality
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Stockport Physical Activity Strategy 2015 - 2018
The table below indicates the relationship between physical activity and selected health outcomes:
Health Outcome
Relationship Between Physical Activity and Health
Outcome
All-cause
mortality
Clear inverse relationship between physical activity and
all-cause mortality.
Cardiorespiratory
health
Clear inverse relationship between physical activity and
cardiorespiratory risk.
Metabolic health
Clear inverse relationship between physical activity and
risk of type 2 diabetes and metabolic syndrome.
Energy balance
There is a favourable and consistent effect of aerobic
physical activity on achieving weight maintenance.
Research Evidence
There is an approximately 30% risk reduction across all
studies, when comparing the most active with the least
active.
There is a 20% to 35% lower risk of cardiovascular
disease, coronary heart disease and stroke.
There is a 30% to 40% lower risk of metabolic
syndrome and type 2 diabetes in at least moderately
active people compared with those who are sedentary.
Aerobic physical activity has a consistent effect on
achieving weight maintenance (less than 3%change in
weight).
Evidence
Strength
Strong
Strong
Strong
Strong
Strong
Physical activity alone has no effect on achieving 5%
weight loss, except for exceptionally large volumes of
physical activity, or when an isocalorific diet is
maintained throughout the physical activity intervention.
Moderate
Musculoskeletal
health
Bone:
There is an inverse association of physical activity with
relative risk of hip fracture and vertebral fracture.
Increases in exercise and training can increase spine and
hip bone marrow density (and can also minimise reduction
in spine and hip bone density).
Following weight loss, aerobic physical activity has a
reasonably consistent effect on weight maintenance.
Bone:
Risk reduction of hip fracture is 36% to 68% at the
highest level of physical activity. The magnitude of the
effect of physical activity on bone mineral density is 1%
to 2%.
Moderate
(weak for
vertebral
fracture)
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Stockport Physical Activity Strategy 2015 - 2018
Joint:
In the absence of a major joint injury, there is no evidence
that regular moderate physical activity promotes the
development of osteoarthritis.
Joint:
Risk reduction of incident osteoarthritis for various
measures of walking ranges from 22% to 83%.
Participation in moderate intensity, low-impact physical
activity has disease-specific benefits in terms of pain,
function, quality of life and mental health for people with
osteoarthritis, rheumatoid arthritis and fibromyalgia.
Muscular:
Increases in exercise training enhance skeletal muscle
mass, strength, power and intrinsic neuromuscular
activation.
There is observational evidence that mid-life and older
adults who participate in regular physical activity have
reduced risk of moderate/severe functional limitations and
role limitations.
Among adults with osteoarthritis, pooled effect sizes
(ES) for pain relief are small to moderate, i.e. 0.25 to
0.52. Function and disability ES are small: function ES
= 0.14 to 0.49 and disability ES = 0.32 to 0.46.
Muscular:
The effect of resistance types of physical activity on
muscle mass and function is highly variable and dosedependent.
There is an approximately 30% risk reduction in terms
of the prevention or delay in function and/or role
limitations with physical activity.
Weak
Strong
Functional health
Cancer
Mental health
There is evidence that regular physical activity is safe and
reduces the risk of falls.
There is an inverse association between physical activity
and risk of breast and colon cancer.
There is clear evidence that physical activity reduces the
risk of depression and cognitive decline in adults and older
adults.
Strong
Moderate to
strong
Older adults who participate in regular physical activity
have an approximately 30% lower risk of falls.
Strong
There is an approximately 30% lower risk of colon
cancer and approximately 20% lower risk of breast
cancer for adults participating in daily physical activity.
There is an approximately 20% to 30% lower risk for
depression and dementia, for adults participating in
daily physical activity.
Strong
Strong
Moderate
There is some evidence that physical activity improves
sleep.
There is an approximately 20% to 30% lower risk for
distress for adults participating in daily physical activity.
Limited
There is limited evidence that physical activity reduces
distress and anxiety.
Source: ‘Start Active, Stay Active’ Chief Medical Officers 2011
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Stockport Physical Activity Strategy 2015 - 2018
In addition to the physiological and psychological benefits associated with being physically active, the evidence base around physical activity’s positive
relationship with cognitive function is also strong, not only in terms of reduced risk of dementia and cognitive decline in older people (as outlined above), but
also in terms of academic performance and attainment;
‘Children and young people who are aerobically fit have higher academic scores…..the amount of moderate to vigorous physical activity pupils engaged with
at age 11 had an effect on academic performance across English, maths and science at age 11, 13 and final
GCSE exam results’
(The Link Between Pupil Health and Wellbeing and Attainment, Public Health England 2014)
Determinants of physical activity
Numerous factors combine together to affect the health of both individuals and communities. Whether people are healthy or not, is significantly influenced by
their circumstances and environment. In relation to physical activity, evidence indicates that;








Nationally, people living in the least prosperous areas are twice as likely to be physically inactive as those living in more prosperous areas. However, in
Stockport, physical inactivity appears to be marginally greater in the least deprived areas, although it is still a high risk issue across all areas of the
borough. In addition, the cumulative effect of lifestyle risk factors, such as smoking and alcohol consumption, in identified population groups should be
considered in totality and that makes our deprived population more vulnerable even though physical inactivity in isolation is no greater than the wider
population.
Physical activity declines with age to the extent that by the age of 75 years only one in ten men and one in 20 women are active enough for good
health
Between 2008 and 2012, the proportion of children aged two to 15 years meeting recommended physical activity levels fell from 28% to 21% for boys
and 19% to 16% for girls
Disabled people are half as likely as non-disabled people to be active (18% of disabled adults regularly take part in sport compared to 39% of nondisabled adults)
Only one in four people with learning difficulties take part in physical activity each month compared to over half of those without a disability
Men are more active than women in virtually every age group
Girls are less likely to take part in physical activity than boys, and participation begins to drop even more from the age of 10/11 years
Half of all lesbian, gay, bisexual and transgender people say they would not join a sports club, twice the number of their heterosexual counterparts
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Stockport Physical Activity Strategy 2015 - 2018
SEDENTARY BEHAVIOUR
What is sedentary behaviour?
‘Sedentary behaviour is not defined simply as a lack of physical activity. It is a group of behaviours that occur whilst sitting or lying down and that require very
low energy expenditure. The low energy requirements distinguish sedentary behaviours from other activities that also occur while sitting down, but which
require greater effort.’
(British Heart Foundation 2012)
For example, sitting to read a book, watch television or work on the laptop are sedentary activities but sitting whilst rowing or manually moving a wheelchair
requires energy expenditure.
A sedentary person is considered differently to someone who is inactive. Inactive refers to an individual who participates in moderate to vigorous physical
activity (MVPA) for less than 30 minutes per week – anyone participating in more than 30 minutes but less than 150 minutes MVPA per week is considered as
having low activity, whilst individuals that participate in 150 minutes or more of MVPA per week are considered active. A sedentary person may well meet the
Chief Medical Officer’s minimum MVPA levels for their age but if they spend the majority of the rest of their time sitting or lying (excluding time sleeping) in low
energy expenditure activities, they are also regarded as sedentary i.e. sedentary behaviour is an independent health risk factor whether a person is also
physically active or not.
Why does avoiding sedentary behaviour matter?
In adults, sedentary behaviour is associated with an increased risk of developing type 2 diabetes, cardiovascular disease, and metabolic syndrome; whilst
emerging evidence suggests being sedentary has a negative impact on depression and mental well-being. Evidence linking sedentary behaviour to certain
cancers is currently inconsistent.
In children, evidence is still emerging but there appears to be some correlation with risk of cardiovascular disease, poor mental health and weight gain
(although this relationship is complicated by some evidence that increased screen time may lead to greater consumption of high calorie foods). Evidence also
suggests that children who are sedentary in early childhood remain sedentary into adolescence, suggesting that sedentary habits formed in early life tend to
remain relatively unchanged over time.
Although the health outcomes of sedentary behaviour is a relatively new field of study, public health guidelines now state that whatever the age, prolonged
periods of sedentary behaviour should be avoided by regular movement such as standing or short ten minute walks.
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Stockport Physical Activity Strategy 2015 - 2018
PHYSICAL INACTIVITY
Impact of Physical Inactivity in Stockport
The Health Impact of Physical Inactivity Tool (HIPI) can be used to estimate how many cases of selected diseases and all-cause mortality could be prevented
in each local authority in England, if the population aged 40-79 met the recommended amounts of physical activity.
The table below outlines the estimated figures for Stockport (March 2013) associated with graded levels of physical activity:
Health Impact of Physical Inactivity (HIPI) in Stockport 2013
Burden of illness and death from physical inactivity (ages 40 – 79)
Indicator
Total Deaths
Coronary Heart Disease (emergency
hospital admissions)
Breast Cancer (new cases)
Colorectal Cancer (new cases)
Diabetes (prevalence)
Adults who are physically active
(percentage)
Latest Annual
Figure
1,207
711
Preventable if
100% Active
223
82
Preventable if
75% Active
154
56
Preventable if 50%
Active
86
31
Preventable if
25% Active
17
6
206
147
11,847
19
43
30
1,652
30
21
1,143
17
12
633
3
2
123
About the indicator
Diabetes prevalence
Latest annual figure; estimated total (diagnosed and undiagnosed) diabetes prevalence, persons aged 40 – 79, 2010, based on modelled total (diagnosed
and undiagnosed) diabetes prevalence, persons aged 40 – 79, 2012
Comments; Total prevalence rate values reduced by 10% to estimate type 2 diabetes prevalence. Published relative risk data used in model is based on
incidence of type 2 diabetes.
Source: Health Impact of Physical Inactivity Tool, Public Health England
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Stockport Physical Activity Strategy 2015 - 2018
What are the economic costs of Physical Inactivity?
Inactivity creates costs for individuals, families and services. Even small increases in activity levels can make a big difference to both health and finance.
Estimates for the annual direct costs to the National Health Service as a result of physical inactivity are £1.8 billion. The estimated cost of inactivity stands at
£18.71 per person (Department of Health 2011). Therefore, based on the 2011 census the approximate direct costs in Stockport are around £5,300,000 per
year. A more recent Sport England (2013) estimate for Stockport is £6,565,460 per year. These figures only take into consideration the direct costs from
coronary heart disease, cerebrovascular disease, breast cancer, colon/rectum cancer and diabetes mellitus, therefore the potential healthcare costs
associated with physical inactivity could be considerably higher.
The additional costs of lost productivity to the wider economy through sickness absence and premature death take the total national cost to approximately
£7.4 billion every year.
‘Physical activity programmes at work have been found to reduce absenteeism by up to 20%: physically active workers take 27% fewer sick days. Getting
employees involved in a physical activity programme can also lead to net savings while boosting productivity.’
(National Institute for Health and Care Excellence 2014)
When considering active travel, if 2010 levels of walking were to immediately double and levels of cycling were to increase by eight-fold, it is estimated that
the National Health Service in England and Wales would see savings of roughly £17 billion (in 2010 prices) over the next 20 years. A more practical example
of the economic savings made possible through increases in active travel is demonstrated through the use of the World Health Organisation’s Health
Economic Assessment Tool for walking and cycling (HEAT). Using the tool, Sustrans (a leading charity enabling people to travel by foot, bike or public
transport in the United Kingdom) estimated that the health benefits of active travel were worth £442 million in 2011 (based on the 484 million walking and
cycling trips made on the network that year).
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Stockport Physical Activity Strategy 2015 - 2018
CHIEF MEDICAL OFFICERS’ MINIMUM RECOMMENDED GUIDELINES
In 2011 the Chief Medical Officers for England, Scotland, Wales and Northern Ireland produced new physical activity guidelines for all ages. This was the first
time UK guidelines included recommendations for children under 5 and for minimising sedentary behaviour:
EARLY YEARS (under 5s)
• Physical activity should be encouraged from birth, particularly through floor-based play and water-based activities in safe environments.
• Pre-school age children capable of walking unaided should be physically active daily for at least 180 minutes, spread throughout the day.
• All under 5s should minimise the amount of time spent being sedentary (being restrained or sitting) for extended periods (except time spent sleeping).
CHILDREN AND YOUNG PEOPLE (5-18 years)
• Should engage in moderate to vigorous intensity physical activity for at least 60 minutes and up to several hours every day.
• Vigorous intensity activities, including those that strengthen muscle and bone, should be incorporated at least 3 days a week.
• Should minimise the amount of time spent being sedentary (sitting) for extended periods.
ADULTS (19-64 years)
• Should aim to be active daily. Over a week, activity should add up to at least 150 minutes of moderate intensity activity in bouts of 10 minutes or more – one
way to approach this is to do 30 minutes on at least 5 days a week.
• Alternatively, comparable benefits can be achieved through 75 minutes of vigorous intensity activity spread across the week or a combination of moderate
and vigorous intensity activity.
• Should also undertake physical activity to improve muscle strength on at least 2 days a week.
• Should minimise the amount of time spent being sedentary (sitting) for extended periods.
OLDER ADULTS (65+ years)
• Any amount of physical activity has some health benefits, including maintenance of good physical and cognitive function. Some physical activity is better
than none, and more physical activity provides greater health benefits.
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Stockport Physical Activity Strategy 2015 - 2018
• Should aim to be active daily. Over a week, activity should add up to at least 150 minutes of moderate intensity activity in bouts of 10 minutes or more – one
way to approach this is to do 30 minutes on at least 5 days a week.
• For those who are already regularly active at moderate intensity, comparable benefits can be achieved through 75 minutes of vigorous intensity activity
spread across the week or a combination of moderate and vigorous activity.
• Should also undertake physical activity to improve muscle strength on at least 2 days a week.
• Older adults at risk of falls should incorporate physical activity to improve balance and co-ordination on at least 2 days a week.
• Should minimise the amount of time spent being sedentary (sitting) for extended periods.
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CURRENT PHYSICAL ACTIVITY PROFILE IN ENGLAND
Children and Young People
‘Factors that increase the risks of non-communicable disease include …reduced levels of physical activity at home, at school, at work and for recreation and
transport. Variations in risk levels and related health outcomes among the population are attributed, in part, to the variability in timing and intensity of
economic, demographic and social changes at national and global levels. Of particular concern are unhealthy diets, inadequate physical activity and energy
imbalances in children and adolescents.’
(World Health Organisation 2004)
Systematic reviews have identified the correlates of physical activity and sedentary behaviours in children and adolescents.
There is positive association between:





male gender and physical activity in young people (i.e. males are more active than females)
previous physical activity levels and current physical activity levels in young people
sport participation and total physical activity in young people (with a larger association in adolescent girls)
parental and social support and physical activity in young people
time spent outside and physical activity in young people
There is negative association between:


smoking and physical activity in young people
distance from home to school and physical activity in young people
The most recent national data for general activity levels (i.e. not just at school) indicates that physical activity declines as children grow up and sedentary
behaviour increases, with boys being more active and less sedentary than girls on both week days and weekend days:
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Stockport Physical Activity Strategy 2015 - 2018
Source: Physical Activity Statistics 2012, British Heart Foundation
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Stockport Physical Activity Strategy 2015 - 2018
The Health Survey for England 2012 data also supports this by showing that:



only 21% of boys and 16% of girls aged 5-15 years met the minimum recommendation
the proportion of girls meeting the minimum recommendation was 23% in those aged 5-7 years and 8% in those aged 13-15 years
the proportion of boys meeting the minimum recommendation was 24% in those aged 5-7 years and 14% in those aged 13-15 years
Overall, 39% of boys and 45% of girls aged 5-15 years were classified as having low levels of activity.
Active School Travel
Travelling to and from school is recognised as an opportunity for children to achieve part of their recommended daily physical activity. The Health Survey for
England 2012 included questions on how children travel to and from school, playgroup or nursery;


Around two thirds of both boys and girls aged 2-15 walked to or from school on at least one occasion in the last week (64% and 67% respectively).
More boys than girls aged 2-15 (6% and 1% respectively) cycled to or from school on at least one day in the last week.
The National Travel Survey 2012 presents information on travel to and from school for children aged 5 to 16. Figures for 2012 suggest that 42% of 5-16 year
olds main method of getting to and from school is walking, while the main method for 35% of this age group is being driven to school in a car or van. Just 2%
used a bike to travel to school as their main mode of transport.
Sedentary Behaviour
Current sedentary behaviour data available for children and young people across England indicates that;






children spend more time sedentary as they grow older
those aged 4-7 years spent 6-7 hours per day sedentary
those aged 12-15 years spent 8-9 hours per day sedentary
time spent viewing television also increases with age
children watch more TV on weekend days than weekdays.
41% of boys and 13% of girls report more than 2 hours of computer games or console use per day.
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Stockport Physical Activity Strategy 2015 - 2018
Adults
The table below shows the key demographics nationally of people within each of the activity bands as categorised within the Sport England Active People
Survey.
Respondent Gender
Age Bands
Ethnic Group
Limiting illness or
disability
Key demographic break
Male
Female
16-18
19-34
35-54
55-64
65+
White
Non white
Yes
No
Managerial and professional
Intermediate
Small employers / own account workers
Lower supervisory/technical/ routine/semiroutine
Not classified
<30mins
25.0%
31.9%
16.7%
20.2%
24.2%
31.5%
47.6%
28.1%
31.7%
49.0%
24.3%
21.4%
28.8%
28.1%
36.4%
30-89mins
7.1%
9.1%
5.7%
7.3%
8.7%
8.6%
8.5%
8.0%
9.1%
8.7%
8.0%
7.9%
9.3%
8.0%
8.4%
90-149mins
6.6%
8.1%
5.9%
6.9%
7.9%
8.1%
6.9%
7.3%
7.5%
6.4%
7.5%
7.4%
8.1%
7.1%
7.3%
150+mins
61.4%
50.9%
71.7%
65.6%
59.2%
51.7%
37.0%
56.6%
51.8%
35.9%
60.1%
63.3%
53.8%
56.8%
47.9%
23.8%
7.0%
6.8%
62.5%
Source: Sport England Active People 7
A higher proportion of males meet the Chief Medical Officer’s minimum guidelines (at least 150 mins MVPA per week) than females; a higher proportion of
younger people meet the minimum guidelines than older adults; people with a limiting disability are, in general, less active compared to those without a limiting
disability.
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Stockport Physical Activity Strategy 2015 - 2018
Further evidence suggests that:




the percentage of adults meeting the physical activity recommendations declines with age, for both self-report and accelerometer data
physical activity levels are related to household income, with men and women from the lowest income group being less likely to meet the minimum
recommendations
people aged between 25 and 54 years are less likely than those under 25 or over 54 years to be sedentary for six hours or more, especially on
weekdays. (The pattern is similar for men and women during the week, but men of most ages are slightly more likely to be sedentary for six hours or
more on weekend days)
men and women have similar attitudes to physical activity, with 44% of men and 45% of women believing that they can get enough physical activity in
their daily life ‘without doing sport or exercise’ such as jogging or going to the gym.*
(* Building physical activity into daily life, such as walking or cycling, rather than as an additional component that can be seen as time consuming and
expensive is a very valid and effective means of meeting the minimum recommended levels; however, evidence shows that walking trips declined by 30%
between 1995 – 2013 [making up just 22% of all journeys] and cycle trips make up just 2% of journeys)
Sedentary Behaviour
Across England, current sedentary behaviour data available for adults indicates that;







between the ages of 16-64, sedentary time remains relatively stable with both men and women averaging about 9.5 hours of sedentary time.
between the ages of 65-74, sedentary time in both men and women increased to 10 hours per day or more.
by age 75+ years, individuals were sedentary for 11 hours per day.
on average, adults watched 2.8 hours of TV on weekdays and 3.2 (men) and 3.0 (women) hours per day at the weekend.
daily TV viewing increased with age in both men and women.
those aged 16-24 years watched about 2.5 hours per day.
those aged 75+ years watched about 4 hours per day.
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Stockport Physical Activity Strategy 2015 - 2018
CURRENT PHYSICAL ACTIVITY PROFILE IN STOCKPORT
Children and Young People
It is estimated that 25,615 (71%) children in Stockport fail to meet the recommended minimum physical activity levels (Public Health England Health Profile
2014), but there is a scarcity of recent robust local data for children and young people. The national schools Physical Education and School Sport for Young
People’s Survey was withdrawn in 2010 and has not been replaced with anything that provides valid data at borough level. Local efforts to record and gather
such data, such as the Children and Young People’s Lifestyle Survey and the Stockport Physical Education and School Sport Survey have had disappointing
returns and therefore have not been able to provide valid data.
Therefore, the most recent data that can be referenced here is from the Physical Education and School Sport for Young People’s Survey 2010. However, this
data only refers to physical activity within school or organised within the community through co-ordination by the school. As a result, it does not provide data
around any activity accessed independently.
Percentage of pupils in a typical week participating in at least 3hrs high quality ‘PE and School Sport’ within and beyond
the curriculum in Stockport 2009/10
Primary
Secondary
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
55 %
68 %
63 %
62 %
65 %
73 %
Year 7
Year 8
Year 9
Year10
Year 11
Year12
Year13
54 %
47 %
42 %
41 %
38 %
25%
23%
Source: Physical Education and School Sport for Young People’s Survey 2009/10, Department for Education
Sedentary Behaviour
There is no current sedentary behaviour data available for children and young people in Stockport.
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Stockport Physical Activity Strategy 2015 - 2018
Adults
It is estimated that 103,885 (45%) adults in Stockport population do not achieve the recommended weekly physical activity levels. (Stockport Adult Lifestyle
Survey 2012, Public Health England Stockport Health Profile 2014)
The Active People Survey shows physical activity rates within the adult population (16+ years). Data shows the percentage of individuals who met the Chief
Medical Officer’s recommended guidelines on levels of physical activity (at least 150 minutes per week), and the percentage of individuals who were inactive
(less than 30 minutes per week). This data is used to inform the progress towards the National Ambition for physical activity and the Public Health Outcomes
Framework (PHOF) indicator for physical activity. The latest data for Stockport is shown below:
National
North West
Stockport
<30 mins per week
28.9%
30-89 mins per week
8.1%
31.7%
29.7%
7.5%
7.1%
90-149 mins per week
7.5%
150+ mins per week
55.6%
7.6%
53.3%
8.6%
54.7%
Source: Active People Survey 8, January 2013 – January 2014
The activities included are: sport, recreational cycling, recreational walking, walking for active travel purposes, cycling for active travel purposes, dance and
gardening. Occupational activity or work in the home is not included.
In addition, sub data for sports participation is also available:
Adult (16+) Participation in Sport (at least once a week) by
year
Year
Stockport
North West
England
2005/06
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
36.5%
38.6%
34.7%
43.8%
38.1%
41.5%
34.7%
33.7%
35.7%
36.0%
35.7%
35.2%
36.1%
35.8%
34.2%
35.8%
35.7%
35.3%
34.8%
36.0%
35.7%
Source: Active People Survey, Year: 2005/06 (APS1), to 2012/13 (APS7)
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Stockport Physical Activity Strategy 2015 - 2018
Method of Travel to Work
In Stockport, only 1.4% of the working age population cycle and 5.4% walk to work on a regular basis:
Variable
All Usual Residents Aged 16 to 74 (Persons)1
Work Mainly at or From Home (Persons)1
Underground, Metro, Light Rail, Tram (Persons)1
Train (Persons)1
Bus, Minibus or Coach (Persons)1
Taxi (Persons)1
Motorcycle, Scooter or Moped (Persons)1
Driving a Car or Van (Persons)1
Passenger in a Car or Van (Persons)1
Bicycle (Persons)1
On Foot (Persons)1
Other Method of Travel to Work (Persons)1
Measure
Count
Count
Count
Count
Count
Count
Count
Count
Count
Count
Count
Count
Stockport
205,310
7,234
228
6,971
11,125
457
773
89,656
6,005
2,802
11,179
700
North West
5,184,216
144,079
20,719
89,429
267,140
26,302
19,988
2,021,199
197,661
70,557
351,807
19,863
England
38,881,374
1,349,568
1,027,625
1,343,684
1,886,539
131,465
206,550
14,345,882
1,264,553
742,675
2,701,453
162,727
Count
68,180
1,955,472
13,718,653
Not in Employment (Persons)1
Source: Office for National Statistics 2013
Sedentary Behaviour
There is no current sedentary behaviour data available for adults in Stockport; however, this will be added to the Stockport Adult Lifestyle Survey from 2015.
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Stockport Physical Activity Strategy 2015 - 2018
PHYSICAL ACTIVITY INFRASTRUCTURE
Whilst it is important that individuals of all ages are informed and motivated to be physically active, this can only be effective if the environment is both safe
and supportive for physical activity.
National Institute for Health and Care Excellence guidance emphasises the creation and maintenance of environments that encourage people to be active.
This can bring added benefits, such as reduced traffic congestion, the revitalisation of local shops and services and increased community cohesion and social
interaction.
There are a range of environmental features that impact on physical activity including:









location, density and mix of land use
street layout and connectivity - walking-friendly street layouts, better access to seating and toilets, both important for older people and people with
disabilities; improvements to street lighting or road crossings.
physical access to public services, employment, local fresh food - locating shops and other facilities within walking and cycling distance
safety and security
open and green space – promotes both physical and mental health when maintained to a high standard and should be easily accessible by foot,
bicycle and public transport
increasing the use of existing facilities – opening educational facilities to the community at weekends and during school holidays can make it easier for
people to get involved in physical activity
air quality and noise – reducing the number of motor vehicles on the roads would contribute to reduced health risks, particularly in disadvantaged
areas which tend to have greater densities of roads and traffic
community interaction - getting people of all ages and backgrounds to participate in leisure and sports activities can improve social cohesion and help
reduce antisocial behaviour
transport – giving pedestrians, cyclists, and users of other modes of transport that involve physical activity greater priority when developing or
maintaining streets and roads.
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Stockport Physical Activity Strategy 2015 - 2018
MARKET SEGMENTATION PROFILE FOR STOCKPORT (ADULTS)
In addition to analysis of current participation and engagement data, the Sport England Market Segmentation Tool allows us to understand the nation's
attitudes to sport, their motivations and barriers. Although this information is specific to sport, rather than the broader physical activity profile, it provides us
with useful population characteristics for segmented groups at borough level. This can then support more targeted activity development across Stockport.
Although it is recognised that every individual is unique, research shows that people with similar lifestyles, social and personal characteristics are more likely
to have similar attitudes towards sport and active recreation; therefore the tool should be viewed in terms of performance (i.e. improving the effectiveness of
interventions) rather than analysing the absolute accuracy of the population profile. The segments were created by using population, demographic and other
indicators which were analysed to identify groupings that exist in the population according to sport and active recreation behaviour and attitudes.
When using the tool to look at Stockport, we can see that the borough has a wide range of segmented characteristics, but has four larger population
characteristics:
Segment Size
‘Comfortable MidLife Males’
10.6%
Main Characteristics
Mainly aged 46-55,
sporty, married with
children, in full time
employment and an
owner occupier
Motivators
Enjoyment, keeping fit
and socialising
Taking children is also a
factor for 13% and weight
loss is important for 6%
of this segment
Competition is a much
less relevant motivating
factor for this segment,
but higher than for most
adults
Barriers
Work commitments are the
main barrier, with 31%
citing this as a reason for
doing less sport in the past
year.
A similar proportion cite
‘health, injury or disability’
as a barrier. This is below
the national average which
suggests that this segment
is less impacted by health
issues than other adults.
How Best to Reach
Most responsive to: internet/email
Preferred information channel: internet
Preferred service channel: internet
Decision style: inquiring – decisions are based
on research from either first or second hand
sources
20% of this segment has a
long standing illness,
disability or infirmity
‘Settling Down
Males’
9.3%
Mainly aged 26-45,
sporty, married or single,
may have children,
buying a house and
Enjoyment (52%),
keeping fit (42%),
socialising (17%) and to
take children (12%)
Work commitments (36%),
compared to 19% of all
adults
Most responsive to: Internet/email
Preferred information channel: Internet
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Stockport Physical Activity Strategy 2015 - 2018
settling down with partner
and professional
.
These motivating factors
are more significant for
this segment than for the
general adult population
‘Losing weight’ and
‘training to take part in
competition’ are much
less important motivating
factors for this segment
‘Retirement Home
Singles’
8.9%
Mainly aged 66+, retired
singles or widowers,
predominantly female,
much less active than the
average adult population,
living in sheltered
accommodation
Enjoyment, keeping fit
and socialising.
These motivations are
less important than for
other adults, but similar
to other segments aged
66 or over
‘Improving performance’,
and ‘training/taking part
in a competition’ are
much less relevant
motivating factors for this
segment
‘Other’ factors (which
include ‘leaving school’, ‘no
opportunity’ and
‘economic/work reasons’
are a barrier for 23% of this
segment
Preferred service channel: Internet
Decision style: ‘Inquiring’ – decisions are based
on research from either first or second hand
sources
‘Health, injury and disability’
are considered a barrier to
playing sport by 16% of this
segment, and 12% of this
segment describe
themselves as having a
long-standing illness,
disability or infirmity
83% of this segment give
their main barrier as ‘health,
injury or disability’. This
appears consistent with the
age of the segment and
propensity to have health
problems
This segment has an above
average propensity to have
poor health, heart
conditions and bone,
muscle and/or joint
problems. 50% of this
segment has a long
standing illness, disability or
infirmity
Most responsive to: post
Preferred information channel: local papers
Preferred service channel: face to face
Decision style: accepting - will take things at
face value and are open to advice and opinions
of other people
‘Other’ barriers (including
no opportunity and
economic factors) are also
a factor but to a much
27
Stockport Physical Activity Strategy 2015 - 2018
lesser extent than health
‘Early Retirement
Couples’
8.2%
Free-time couples
nearing the end of their
careers, mainly aged 56
– 65, slightly less active
than the average adult
population, married, full
time employment or
retired
Enjoyment and keeping
fit where their scores are
above the national
average.
Socialising, weight loss
and taking children are of
secondary importance
but still relevant for this
segment
‘Improving performance',
and ‘training/taking part
in a competition’ are
much less relevant
motivating factors
50% of this segment give
their main barrier as ‘health,
injury or disability’. This may
reflect the overall
demographic, as a third of
this segment has a long
standing illness, disability or
infirmity
Most responsive to: newspaper ads
Preferred information channel: face to face
Preferred service channel: post
Decision style: adamant – they have set ideas
on what they like based on first hand experience
or trusted opinions from friends and family
‘Other’ barriers (including
no opportunity and
economic factors) are also
a barrier to this segment, at
a level similar as for all
adults
Source: Sport England Market Segmentation 2010
NB: the complete segmentation profile for all of Stockport’s population can be found at: http://segments.sportengland.org/
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Stockport Physical Activity Strategy 2015 - 2018
CONSULTATION WITH PEOPLE IN STOCKPORT
A three strand method to try and identify the assets used by Stockport residents when trying to increase their physical activity levels was developed.
This involved:
•
Event stands at 7 events - 5 minute, self-completion questions exploring key themes and initial responses.
•
Focus group – six 1 hour sessions (10-20 participants) exploring key issues through discussion. Three key questions were discussed (plus warm up
and warm down questions), and sessions were run using pin point procedures.
•
On line survey (10 minutes maximum) – a quick “vox pops” survey to enable a quantitative test of results. The questions were in part shaped by
findings from event stands and focus groups, but also were designed to test public understanding.
Outcomes from this have informed the vision and ambitions of this strategy.
A number of key themes emerged focused around motivators and enablers as set out below:
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Stockport Physical Activity Strategy 2015 - 2018
Family activities –
can do with kids
Fun with friends
Routine / part of my life
Making new friends
Having fun / enjoying yourself
Networks / finding out
Social
Feeling good / virtuous
Improve health / fitness
Challenge
Group activity
Encouraging others
Volunteering
Social activity
Intergenerational activities
Condition management
Reach goals / targets
Rewards
Competition (versus others)
Getting out / about
Competition (do better)
Stress release
Trade-offs (balance compensators)
Making progress
Me time / putting self-first
Building routines / maintenance
Charity fundraising
Weight management
Time of year (January / holidays)
Retirement
Losing driving licence
Look after a dog
Changing
circumstance
New awareness of activity levels
Stress
Weight change
To complete an event
Health scare / change
Awareness of new events
(walk to work, Olympics)
Public pledge
Ageing
30
Size of text / boldness – reflects number of responses
Making a
commitment
To self
To a programme
To friends
Financial
Stockport Physical Activity Strategy 2015 - 2018
Size of text / boldness – reflects number of responses
Novelty
Countryside
Adverts / info in more
locations (supermarkets /
websites)
Maps
NOT THE GYM
Promoting
choice
Weather
Community days
Events
Public transport to leisure
Females only session
Dancing
Time (other commitments
e.g. work, children)
Counting all activity
Housework
Getting out and about
Gardening
(e.g. whist)
ParkRun
Darts
Activity to music
TaiChi
Yoga
Recognising
Zumba
Swimming
all activity
Walking groups
Ping pong
Technology being glitch free
Removing
barriers
Routine not add on
Convenient time and
place
Safety (esp road for
bikes / cycle lanes)
Public transport on Sunday
Transport
No mirror gyms
Adapted equipment
(disability / age)
Provision for cared for
(so carers can go)
Events
Training / coaching
Enthusiastic but
sensitive
Skills e.g. swimming
Support
iPod when walking
ActiPed
Volunteers
Technology
Building routines / maintenance
Equipment
Hire schemes (bike)
Sharing resources
Finance
Apps
Tracking progress
Vouchers
Source: Stockport Joint Strategic Assets Assessment, December 2013
31
Loan schemes (bike)
Discounts
Stockport Physical Activity Strategy 2015 - 2018
The consultation process produced a number of recommendations for commissioners and planners when aiming to increase levels of physical activity within
Stockport;







Consider the language used - “physical activity” has a traditional connotation and does not bring to mind immediately the positive consequences of
activity; as a phrase, it is possibly a turn off for many people. Instead consider talking about “activities you enjoy”.
Focus on the motivators of social rewards – especially having fun with your friends and making new friends.
Focus on building routines – make activity fit into your life. Time is the biggest perceived barrier to activity so this needs to be addressed.
Promote a wide variety of activities – different people like different activities; non-traditional activities will work for some people and others like novelty
so will be looking for the new.
Providing opportunities for making a commitment or signing up to a challenge will work for some people – building on events such as community fun
runs or Race for Life will encourage some people to become active.
Information about “activities you enjoy ” needs to be available in the right places, especially when targeting those who are not active already.
Helping people to understand their true level of activity could be a key behaviour change trigger, technology and tools can be used to support this selfawareness.
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Stockport Physical Activity Strategy 2015 - 2018
STOCKPORT’S AMBITION
Everybody Active, Every Day (Public Health England 2014) outlines the evidence base likely to impact positively on a population’s physical activity levels in
the context of settings and life stages:
Settings





The physical environment – as outlined above
The social environment – physical activity is more likely to be seen as the ‘norm’ if friends, relatives and peer groups are active
Community wide interventions – encouraging population level behaviour change where even small increases in activity can lead to significant health
gains across a whole population
Group interventions – the social element of physical activity promotes sustained behaviour change
One to one interventions – which are targeted at the inactive or sedentary
Life Course



Starting well – there should be a family focus from the earliest days of a child’s life to ensure that children are active from an early age to establish
good habits for life
Living well – promoting physical activity to adults is relatively challenging if inactive and sedentary habits are established and the focus should be on
physical, social, family and work settings
Ageing well – the benefits of physical activity apply equally to older adults who have previously been inactive and can provide benefits beyond the
physical to enhance social interaction and mental health to help people maintain full and independent lives
Everybody Active, Every Day outlines how opportunities can be categorised across four domains to deliver actions that will be of benefit for generations to
come:
33
Stockport Physical Activity Strategy 2015 - 2018
Source: Everybody Active, Every Day, Public Health England 2014
34
Stockport Physical Activity Strategy 2015 - 2018
In line with the recommendations set out in ‘Everybody Active, Every Day’ Stockport should take five key steps to support this change:
1.
2.
3.
4.
5.
Teach every child to enjoy, value and have the skills to be active every day.
Create safe and attractive environments where everyone can walk or cycle, regardless of age or disability.
Make ‘every contact count’ for professionals and volunteers to encourage active lives.
Lead by example in every public sector workspace.
Evaluate and share the findings so we learn more about what works.
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Stockport Physical Activity Strategy 2015 - 2018
STOCKPORT’S VISION
‘To create opportunities in Stockport that encourages, inspires and supports more people to be more active, more often within a sustainable environment, with
the ambition for everybody to be active every day’
Adult Measures of Physical Activity and Sedentary Behaviour in Stockport
The number and percentage of the Stockport adult population participating in physical activity on a ‘regular’ basis as measured by:


Sport England’s Active People Survey
Stockport Adult Lifestyle Survey
Three measures will be monitored:
1. number achieving 150 minutes of moderate – vigorous physical activity per week (active)
2. number achieving less than 30 minutes of moderate – vigorous physical activity per week (inactive)
The average time the Stockport adult population spend being sedentary will also be measured by the Stockport Adult Lifestyle Survey.

Average % of time spent being sedentary on a typical week day/ weekend day
Targets:
1. 1000 more adults achieving 150 minutes of moderate – vigorous physical activity per week (active) by 2018
2. 1000 fewer adults achieving less than 30 minutes of moderate – vigorous physical activity per week (inactive) by 2018
Targets for levels of sedentary behaviour will be set once the baseline data is available.
Children and Young People Measures of Physical Activity and Sedentary Behaviour in Stockport
There are currently no methods for measuring children and young people’s participation in physical activity or their levels of sedentary behaviour in Stockport.
Therefore it is not currently possible to set targets that are measurable.
This is a gap in our understanding of physical activity and sedentary behaviour within the borough and it is recommended that this is addressed.
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Stockport Physical Activity Strategy 2015 - 2018
Key Actions
Objective
1. Increase sustainable
opportunities for physical
activity for all ages and
abilities at a borough wide
and neighbourhood level
Actions
Organisational Leads
Timescale
i.
Promote and develop the Play
Streets programme in targeted
neighbourhoods
Stockport Council (Highways and
Transportation - Traffic Services/
People - Public Health)
Spring 2016
ii.
Increase children and young
people’s participation in high
quality physical education,
physical activity, competition
and community links in schools
and colleges
Stockport Schools’ Sport
Partnership
Ongoing
iii.
Offer and promote family offers
Life leisure
within leisure facilities across the
borough
iv.
Ensure that leisure facilities are
accessible to all across the
borough
Life Leisure
v.
Develop large scale and
targeted community
interventions (including the big
event series)
Life Leisure
Sport Stockport
Summer 2015
vi.
Provide support for voluntary
sector sports club infrastructure
development in priority areas
Life Leisure
Sport Stockport
Summer 2015
vii.
Utilise external grant
opportunities to further develop
the quality of existing walking
and cycling routes, including
Public Rights of Way (in line with
Stockport Council (Highways and
Transportation – Traffic Services/
Place - Public Realm/Corporate
Support Services – Technical
Policy and Planning)
Ongoing
Summer 2015
37
Stockport Physical Activity Strategy 2015 - 2018
the Rights of Way Improvement
strategy)
viii.
2. Reduce levels of sedentary
behaviour as an independent
risk factor for health
Increase opportunities for
community gardening and
growing spaces
Stockport Homes/
Feeding Stockport
Summer 2016
ix.
Deliver events in green spaces
where participation involves
physical activity
Life Leisure
Summer 2015
x.
Develop an enhanced Guided
Walk programme
Stockport Council (People Public Health)
Life Leisure
Autumn 2016
xi.
Expand the provision of physical
activity within community
settings
Stockport Homes
Autumn 2016
xii.
Support activities for more
vulnerable people for
maintaining / improving balance
and mobility e.g. postural
stability, tai chi
Age UK Stockport
Step Out Stockport
Life Leisure
Autumn 2015
i.
Use Change4Life to increase
participation for the least active
in schools/colleges
Stockport Schools’ Sport
Partnership
Ongoing
ii.
Increase awareness of and
access to active travel as an
attractive and viable form of
transport
Stockport Council (Highways and
Transportation – Traffic Services/
Place - Public Realm/Corporate
Support Services – Technical
Policy and Planning)
Stockport Homes
Ongoing
All
Autumn 2015
iii.
Support workplaces to be active
places including encouraging
38
Summer 2016
Stockport Physical Activity Strategy 2015 - 2018
the use of stairs in buildings
3. Enhance skills and build
iv.
Encourage regular active breaks
during work and school time
All
Autumn 2015
v.
Engage with older people to
provide and promote
opportunities to reduce
sedentary behaviour.
Stockport Council (People Public Health/Adult Social Care)
Age UK Stockport
Stockport Homes
Life Leisure
Ongoing
vi.
Work with parents/carers to limit
the amount of time young
children are restrained in
highchairs, pushchairs or car
seats
Stockport Council (People Children & Young People/Public
Health)
Age UK Stockport
Stockport Homes
Autumn 2016
vii.
Develop family and home-level
interventions targeted at
reducing screen-based
sedentary behaviours in children
and young people
Stockport Council (People Public Health)
Stockport Homes
Spring 2017
viii.
Support sedentary people with
moderate medical conditions to
increase their physical activity
levels (including referral to
Physical Activity Referral in
Stockport [PARiS])
Stockport Clinical
Commissioning Group
Stockport NHS Foundation Trust
Life Leisure
Stockport Council (People –
Public Health)
Ongoing
ix.
Support overweight or obese
children and young people aged
5 – 13 years to increase their
physical activity levels (including
referral to All Together Active
[A2A])
Stockport NHS Foundation Trust
Life Leisure
Stockport Council (People Public Health)
Ongoing
Develop leadership and
Stockport Schools’ Sport
Ongoing
i.
Summer 2016
39
Stockport Physical Activity Strategy 2015 - 2018
capacity within the
professional and voluntary
workforce and delivery
infrastructure
4. Develop and support activities
at locality level that promotes
engagement from targeted
groups to reduce social
exclusion, celebrate cultural
diversity and build strong
communities
volunteering opportunities within
schools and colleges
Partnership
ii.
Support the development of the
community voluntary sector to
promote physical activity
Life Leisure
Sport Stockport
Autumn 2015
iii.
Support practitioners working
with all age groups to develop
their physical activity knowledge
and expertise
Stockport Council (People Public Health)
Life Leisure
Stockport Schools’ Sport
Partnership
Autumn 2015
iv.
Deliver Health Chat training for
staff
Stockport Council (People Public Health)
Ongoing
i.
Deliver targeted activities in
schools/colleges
Stockport Schools’ Sport
Partnership
Ongoing
ii.
Deliver targeted sports
opportunities within the
community
Life Leisure
Summer 2015
iii.
Utilise grants and external
funding opportunities to support
doorstep activity
Life Leisure
Stockport Homes
Summer 2015
Autumn 2016
iv.
Develop improved
school/community sports and
activity partnerships
Stockport Schools’ Sport
Partnership
Life Leisure
Autumn 2015
v.
Provide cycle and walk leader
training
Stockport Council (Highways and
Transportation – Traffic
Services/People - Public Health)
Summer 2015
vi.
Work with other services to
promote and engage hard to
reach groups in physical activity
40
Stockport Council (People Public Health)
Stockport Homes
Summer 2015
Summer 2016
Stockport Physical Activity Strategy 2015 - 2018
5. Encourage active travel as a
means of getting to school
and work and as part of
everyday life
e.g. those with mental ill-health,
people with sensory or physical
disabilities, offenders and
substance misuse issues
Life Leisure
vii.
Ensure access for older /
vulnerable people to locality
level activities
Stockport Council (People –
Adult Social Care)
Age UK Stockport
Ongoing
viii.
Work with community
development to support the
growth of grass-roots
community-led physical activity
Stockport Council (Adult Social
Care)
Ongoing
i.
Establish evidence of the costs
to public health and other
Council budgets of not
implementing existing
sustainable transport (including
active travel) related planning
policies
Stockport Council (People Public Health)
By summer 2016
ii.
Ensure that all new major
Stockport Council (Highways and
developments have walking and Transportation – Traffic
cycling designed into them
Services/Corporate Support
Services – Technical Policy and
Planning/ People - Public Health)
Ongoing
iii.
Provide cycle training for staff
making commuting and work
based cycle trips.
All (through Transport for
Greater Manchester)
Ongoing
iv.
Offer cycling and walking
incentive schemes (e.g. pool
bike schemes at work)
Stockport Council (Travel Plan)
(Highways and Transportation –
Traffic Services/Corporate
Support Services – Technical
Policy and Planning)
Ongoing
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Stockport Physical Activity Strategy 2015 - 2018
6. Maintain and seek to develop
the standard and safety of our
parks, green spaces, play,
leisure facilities and rights of
way in order to encourage
their use by local residents
and visitors
v.
Link with Cycle loan to develop
‘bike loan’ schemes
Stockport Council (Place - Public
Realm)
Review undertaken by Autumn
2015
vi.
Provide delivery support for
School Travel Plans
Stockport Council (Highways and
Transportation – Traffic
Services)
Ongoing
vii.
Introduce pooled cycling
schemes at temporary
accommodation schemes.
Stockport Homes
Summer 2015
viii.
Establish an active travel
working group
Stockport Council (Place Economic Development and
Regeneration)
Summer 2015
ix.
Review the Stockport Council
Travel Plan to ensure the
promotion of physical activity is
a priority
Stockport Council (Corporate
Support Services – People and
Organisational Development/
Corporate Support Services –
Technical Policy and Planning)
Completed Spring 2015
i.
Provide a range of green space
and leisure facility environments
that are appealing and
conducive for physical activity
for all ages within the Borough
Stockport Council (Place Greenspace)
Life Leisure
Stockport Homes
Ongoing
ii.
Work in partnership with
stakeholders, such as Friends
Groups to encourage active use
of parks and greenspaces
Stockport Council (Place Greenspace)
Ongoing
iii.
Review design guidelines to
make them more appealing for
active play and promote clear
connectivity to greenspaces
42
Stockport Council (Place Greenspace/Planning)
Spring 2017
Autumn 2016
Stockport Physical Activity Strategy 2015 - 2018
.
7. Ensure planning policy and
practice supports an increase
in physical activity and
facilitates healthier lifestyles
for all who live or work in
Stockport
i.
Undertake an evidence based
Stockport Council (Place revision of supplementary
Economic Development and
planning documents with a focus Regeneration)
on design to encourage physical
activity and reduce sedentary
behaviour
By autumn 2017
ii.
Consultation on planning
applications to continue to
include Public Health and to
include reference to physical
activity and the promotion of
non-obesogenic design
(including new schools)
Stockport Council (People Public Health)
Ongoing
iii.
Inclusion of the streetscape
when looking at ways that
planning can assist in promoting
physical activity
Stockport Council (Highways and
Transportation – Traffic Services/
Corporate Support Services –
Technical Policy and Planning)
By autumn 2016
iv.
Review indicators in the annual
Authority’s Monitoring Report
around the provision of new
development that enables
improvement to new sustainable
transport, children’s play, open
space, green infrastructure,
indoor and outdoor sports and
recreation facilities
Stockport Council (Highways and
Transportation – Traffic Services/
Corporate Support Services –
Technical Policy and Planning/
Greenspace)
By autumn 2016
v.
Ensure greater focus on stair
location and design in planning
applications
Stockport Council (Corporate
Support Services – Technical
Policy and Planning)
Autumn 2016 (SPD element)
Autumn 2017 (evidenced policy)
vi.
Endorse sustainable design and Stockport Council (Corporate
Autumn 2016
construction approaches which
Support Services – Technical
support developments that result Policy and Planning)
43
Stockport Physical Activity Strategy 2015 - 2018
in enabling daily activity
8. Work with local employers to
create healthy, active
workplaces which improve the
health of the working age
population
vii.
Ensure policies result in
development which contributes
to integrated walking and cycling
networks
Stockport Council (Corporate
Support Services – Technical
Policy and Planning)
Ongoing
viii.
Review local planning policy to
support delivery of a Living
Streets programme
Stockport Council (Corporate
Support Services – Technical
Policy and Planning)
By autumn 2017
i.
Promote the Workplace
Challenge with major employers
Stockport Council (People Public Health)
Life Leisure
Autumn 2015
ii.
Provide opportunities for staff to
be physically active through the
Workforce Health and Wellbeing
Group
Stockport Council (People Public Health)
Summer 2015
iii.
Support school staff to promote
and model physical activity in a
positive way
Stockport Schools’ Sport
Partnership
Autumn 2015
iv.
Use Acti-life to promote an
active lifestyle within the
workforce
Life Leisure
September 2015
v.
Promote physical activity as part
of the Stockport Together Health
and Wellbeing programme for all
staff
Stockport Council (People Public Health/Corporate Support
Services - Organisational
Development)
Ongoing
vi.
Promote workplace building
design to support active
commuting
Stockport Council (Corporate
Support Services – Technical
Policy and Planning/Place –
Planning Services)
Ongoing
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Stockport Physical Activity Strategy 2015 - 2018
9. Work with schools and
colleges to create healthy,
active educational
environments which improve
the health of the
school/college population
10. Provide clear and positive
vii.
Promote 2x10 minute walk
breaks per day for staff with
sedentary occupations
All
Autumn 2015
viii.
Promote the option of standing
workstations and standing
meeting rooms within the
workplace
All
i.
Support the provision of high
quality physical education,
competition, physical activity
participation, sports
leadership/volunteering and
school to community club links
for all pupils
Stockport Schools’ Sport
Partnership
Ongoing
ii.
Support the continued
development of active travel to
and from school/college
Stockport Council (Highways and
Transportation – Traffic
Services/Corporate Support
Services – Technical Policy and
Planning/ People - Public Health)
Ongoing
iii.
Develop growing groups in
schools as an alternative to
sports based activities and link
into community based projects
Feeding Stockport
iv.
Develop community growing
based projects in targeted areas
Stockport Homes
Stockport Food Partnership
Summer 2015
v.
Develop an active and
professional fitness and sports
workforce through accredited
providers
Life Leisure
Sport Stockport
Spring 2016
i.
Use both traditional and social
45
All
Stockport Physical Activity Strategy 2015 - 2018
information about the
importance of being active,
using an evidence based
approach to the development
of policy and practice
11. Develop and maintain easily
accessible resources about
what is available within
Stockport, accounting for a
wide range of interests and
preferences
media to promote the benefits of
physical activity and the risks of
being sedentary
ii.
Ensure that messages are
evidence based and consistent
but appropriately structured
within social marketing
principles
All
iii.
Promote physical activity
through the Health Chat
programme with providers
Stockport Council (People Public Health)
Ongoing
iv.
Promote the concept and
benefits of a green infrastructure
Stockport Council (People Public Health/ Corporate Support
Services – Technical Policy and
Planning)
Ongoing
v.
Provide clear messages on the
importance of physical activity
using social marketing
Stockport Council (People Public Health)
Autumn 2015
vi.
Promote regular physical
activity, as the most effective
means by which to support
healthy ageing
Stockport Council (People –
Adult Social Care)
Autumn 2015
i.
Use existing website directories
and databases to signpost
activities and available support
All
Autumn 2015
ii.
Ensure relevant employer
website pages are easy to find,
navigable and innovative in
promoting physical activity
All
iii.
Provide comprehensive
Stockport Council (Highways and
Ongoing
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Stockport Physical Activity Strategy 2015 - 2018
12. Identify and promote positive
role models, employers and
champions, both borough
wide and within
neighbourhoods
electronic walking and cycling
maps
Transportation – Traffic
Services/Corporate Support
Services – Technical Policy and
Planning)
i.
Encourage, support and develop
positive role models in
vulnerable cohorts
Stockport Schools’ Sport
Partnership
Life Leisure
Autumn 2015
ii.
Promote and develop All
Together Active role models and
positive case studies
Life Leisure
2016
iii.
Promote and develop Physical
Life Leisure
Activity Referral in Stockport role
models and positive case
studies
2016
iv.
Work with the local media to
promote physical activity
opportunities within Stockport
Stockport Council (People Public Health)
Life Leisure
2016
v.
Develop ex Olympian /
Paralympian outreach work with
school/colleges
Stockport Schools’ Sport
Partnership
Ongoing
vi.
Provide support for the further
development of the Young
Ambassadors programme in
schools/colleges
Stockport Schools’ Sport
Partnership
Autumn 2015
vii.
Recognise and celebrate active
lifestyles within local awards
structures
All
2016
viii.
Lead as exemplar employers in
the promotion of physical activity
Stockport Council
Stockport Clinical
Commissioning Group
Autumn 2015
47
Stockport Physical Activity Strategy 2015 - 2018
Stockport NHS Foundation Trust
Pennine Care
Life Leisure
Stockport Homes
Age UK Stockport
13. Ensure a holistic approach to
the promotion and delivery of
physical activity
14. Use technology to change
established behaviour
patterns among individuals
and communities
Autumn 2016
i.
Ensure physical activity is
addressed within all lifestyle
intervention and support
programmes
Stockport Council (People Public Health)
Stockport NHS Foundation Trust
Spring 2016
ii.
Use both regional and national
physical activity initiatives to
help address wider health
determinants
Stockport Council (People Public Health)
Spring 2016
i.
Promote and support the use of
Apps, pedometers and
accelerometers to change
behaviour
All
Autumn 2015
ii.
Develop and expand the use of
Acti-life to change behaviour
within the wider population
Life Leisure
Summer 2015
Monitoring & Evaluation
It is essential that interventions have robust systems in place to monitor and evaluate effectiveness, both in terms of cost and impact. Interventions should
make use of recognised monitoring and evaluation toolkits where appropriate; for example, the Standard Evaluation Framework for Physical Activity
Interventions (National Obesity Observatory).
The Stockport Physical Activity Strategy Group will take the lead role in monitoring and reporting on the impact of actions within this strategy.
Reporting
The Stockport Physical Activity Strategy Group will report to the Stockport Health and Well Being Board and the Children’s Trust Health Partnership Board.
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Stockport Physical Activity Strategy 2015 - 2018
Governance and Leadership
The Stockport Health and Wellbeing Board is pivotal to developing and delivering the partnership actions required to truly shift communities forward within the
borough
Local enterprise partnerships and chambers of commerce can lead and coordinate strategic and practical action within the business sector.
49
Stockport Physical Activity Strategy 2015 - 2018
Selected References
Allender S et al. (2007) The Burden of physical activity-related ill health in the UK, Journal of Epidemiology and Community Health 61:344-348
Booth J, Leary S, Joinson C, Ness A, Tomporowski P, Boyle J & Reilly J (2014). Associations between objectively measured physical activity and
academic attainment in adolescents from a UK cohort. British Journal of Sports Medicine, 48, 265
British Heart Foundation (2011): Active for Later Life
British Heart Foundation (2012): Physical Activity Statistics 2012
British Heart Foundation National Centre for Physical Activity and Health (2013): Economic Costs of Physical Inactivity
Cabinet Office (2014): Moving More, Living More: The Physical Activity Olympic and Paralympic Legacy for the Nation
Department of Health (2009): Be Active, Be Healthy
Department of Health (2010): Healthy Lives, Healthy People
Department of Health (2011): Start Active, Stay Active - A report on physical activity for health from the four home countries’ Chief Medical Officers
Department of Health (2014): Living Well for Longer
Health and Social Care Information Centre (2012): Health Survey for England 2011
McPhee JS, et al (2015): Physical Activity; Enabling older people to keep well and live independently in their community. Manchester Metropolitan
University
Mental Health Foundation (2013): Let’s Get Physical – The Impact of Physical Activity on Wellbeing
Morris JN, Heady JA, Raffle PAB, Roberts CG, Parks JW (1953) Coronary heart disease and physical activity of work. The Lancet 262: 1053–1057
National Obesity Observatory Data Briefing 2011
NICE (2007): Physical Activity and Children: Review 2 ‘Correlates of Physical Activity in Children: A Review of Quantitative Systematic Reviews’
NICE (2009): Promoting physical activity for children and young people
50
Stockport Physical Activity Strategy 2015 - 2018
NICE (2008): Physical activity and the environment
NICE (2008): Promoting physical activity in the workplace
NICE (2006): Four commonly used methods to increase physical activity
NICE (2012): Walking and cycling: local measures to promote walking and cycling as forms of travel or recreation
NICE (2013): Physical activity: brief advice for adults in primary care
NICE (2015): Physical activity return on investment tool
Public Health England (2013): Health Impact of Physical Inactivity Tool
Public Health England/National Association of Head Teachers (2014): The Link Between Pupil Health and Wellbeing and Attainment
Public Health England (2014): Identifying what works for local physical inactivity interventions
Public Health England (2014): Everybody Active, Every Day: An evidence based approach to physical activity
Public Health England (2015): Improving young people’s health and wellbeing
Stockport Health and Wellbeing Strategy 2012-2015
Stockport Joint Strategic Assets Assessment (2013): Physical Activity
UK Active (2014): Turning the Tide of Inactivity
Watkins SJ (2014): 22nd Annual Public Health Report for Stockport
World Health Organisation (2004) Global Strategy on Diet, Physical Activity and Health
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Stockport Physical Activity Strategy 2015 - 2018
Appendix 1
Activity Database Links
1. Change4Life
http://www.nhs.uk/Change4Life/Pages/local-change-for-life-activities.aspx
2. GreaterSport
http://www.greatersport.co.uk/Search/activities
3. Healthy Stockport
https://secure2.utlnet.co.uk/servicedirectories/Pages/Home.aspx
4. Life Leisure
http://www.lifeleisure.net/
5. Sport England
http://www.beinspireduk.org/sport-and-fitness-finder/
6. Sport Stockport
http://www.sportstockport.org.uk/?s=10
7. Stockport Council
http://www.stockport.gov.uk/services/leisureculture/libraries/libraryonline/ciss/
8. Stockport Council
http://www.stockport.gov.uk/services/transport/gettingaround/walkinginstockport/
9. Transport for Greater Manchester
http://cycling.tfgm.com/Pages/stockport.aspx
10. Walks with Wheelchairs
http://www.walkswithwheelchairs.com/
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Stockport Physical Activity Strategy 2015 - 2018