HEALTH POLICY STATEMENTS Relevance to sport

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HEALTH POLICY STATEMENTSRelevance to sport
physical activity
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Saving Lives Our Healthier Nation (1999)

• Cancer To reduce the death rate in people under
  75 by at least 1/5th
• CHD StrokeTo reduce the death rate in people
  under 75 by at least 2/5th
• Accidents To reduce the death rate by at least
  1/5th and serious injury by at least 1/10th
• Mental Illness To reduce the death rate from
  suicide and undetermined injury by at least 1/5th

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Potential Influence of Physical Activity I

• Physical activity reduces the risk of
• Death from heart disease/stroke
• Developing heart disease and colon cancer
• Helps to prevent/reduce the risk of osteoporosis
• Hip fracture in women
• Promotes psychological well-being

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NHS Plan (2000)

• Section 1.5 of the plan states that NHS will
• provide a growing range of products and services
  to help people adopt healthier lifestyles
• Advice on diet and exercise will be accepted as a
  routine service at the local surgery
• Section 13.21 of the plan requires
• Local action to tackle obesity and physical
  inactivity by 2004

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Priorities and Planning Framework (2003-2006)

• Update practice-based registers so that people
  with CHD and diabetes receive appropriate advice
  on physical activity.
• By 2005, all general hospitals and all health and
  social care systems will have established an
  integrated falls service
• A national reduction in death rates from
• CHD of at least 25 in people under 75

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Potential Influence of Physical Activity II

• Physical activity has a protective effect against
  developing type II diabetes
• Lowering the risk of developing non-insulin
  dependent diabetes by 50
• Effective against falling and fractures among
  adults in later life (by up to 50)

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National Service Frameworks (NSFs)Mental Health
(1999)

• HIMPs should demonstrate links between NHS
  organisations and partners to promote mental
  health in schools, individuals at risk and groups
  who are most vulnerable (April 2000)
• Protocols should be agreed and implemented
  between Primary Care and specialist services for
  the management of several mental health disorders
  (April 2001)

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NSF CHD (2000)

• Standard One
• Quantitative data about the implementation of
  policies on promoting physical activity
• Implemented plans to evaluate progress against
  national targets associated with Saving Lives
  Our Healthier Nation
• Standard Three
• Every practice to offer advice about each of the
  specified effective interventions to all those in
  whom they are indicated

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NSF CHD (2000)

• Standard Four
• Clinical audit data that describes the relevant
  effective interventions should be available
• Standard Twelve
• More than 85 of people discharged from hospital
  with a primary diagnosis of AMI are offered
  cardiac rehabilitation and 1 year after
  discharge, at least 50 are non-smokers, regular
  exercisers and have a BMI lt30kg/m2.

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NSF Older People (2001)

• Standard Five
• Every GP can identify and treat patients
  identified as being at risk of high blood
  pressure or other risk factors
• Standard Six
• Local health care providers should have put
• in place risk management procedures to reduce
• the risk of falling
• All local and social care systems should have
• established an integrated falls service

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NSF Older People (2001)

• Standard Eight
• Local health systems should be able to
  demonstrate ongoing improvements in
• measures of health and well-being
• E.g. blood pressure management

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NSF Diabetes (2003)

• Standard One
• Strategies to reduce the risk of developing Type
  2 diabetes and to reduce the inequalities in risk
  need to be developed, implemented and monitored
• Standard Three
• All children, young people
• adults with diabetes will receive a
• service that helps them to adopt and
• maintain a healthy lifestyle

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NSF Diabetes (2003)

• Standard Four
• Support to optimise the control of blood glucose
  and blood pressure and other risk factors for
  developing complications
• Standard Five
• Children and young people will be supported to
  optimise the control of their blood glucose

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NSF Childrens Service Framework (2003)

• Standards for Hospital Services
• Child-Centred services an active role to
  improve health and tackle inequalities
• A basic need for play and recreation that needs
  to be met through offering a variety of play
  interventions

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National Cancer Plan

• The National Cancer Plan recommends
• Providing ongoing guidance on supervised
  programmes of exercise for people whose health
  may benefit

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Chief Medical Officer Annual ReportThe State of
Public Health

• Leisure and Sports Industry
• Market participation in sport and exercise as
  cool
• Local Government
• Use the facilities provide in the area,
  addressing needs of all
• Policies that encourage active transport
• should be a priority

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Chief Medical Officer Annual ReportThe State of
Public Health

• PCTs
• work with partner organisations on exercise
  referral for high risk groups
• GPs and Primary Care
• Take action to prevent and tackle obesity in
  their practice populations
• Health Professionals
• Identify early signs of obesity in children and
  offer interventions at an early stage

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General Medical Services Contract (2003)

• Essential Services
• Management of patients who are ill with
  conditions from which recovery is expected,
  including relevant health promotion advice and
  referral as appropriate
• Management of 10 chronic diseases CHD, stroke,
  hypertension, diabetes, chronic obstructive
  airways disease, epilepsy, cancer, mental health,
  hyperthyroidism and asthma.

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General Medical Services Contract (2003)

• Recommendations for Primary Care Sector
• Supporting non-GP based chronic disease
  management schemes helping to manage ongoing,
  and develop new secondary prevention initiatives
• Promote education of young people about
  management of health, maintaining health and how
  to use health services responsibly

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National Healthy SchoolStandard (NHSS)

• Guidance Criteria for Physical Activity
• A whole-school approach to the promotion of
  physical activity
• Offers a minimum of 2 hours of physical activity
  a week within and outside the National Curriculum

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National Healthy School Standard

• Aware of a range of relevant initiatives and
  networks and takes advantage of appropriate
  opportunities to promote and develop physical
  activity
• Encourages people to become involved in promoting
  physical activity and develops their skills,
  abilities and understanding through appropriate
  training

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Tackling Obesity in England

• Set realistic milestones and targets for
  improving nutrition and diet, promoting physical
  activity and for arresting the rising trends of
  overweight and obesity
• Build on the plan in the NSF for CHD for a full
  assessment of risk factors to be carried out in
  general practice
• Encourage other potential partners to adopt local
  targets for cycling and walking

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Tackling Obesity in England

• Work with local agencies to help them develop
  targets to increase the number of school journeys
  made on foot, by bicycle or public transport
• The adoption of joint performance targets for
  increasing the number of people participating in
  sport and physical activity
• Continue to encourage all schools to achieve at
  least 2 hours of physical activity a week for all
  pupils

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Department of Health (2000) Improving Working
Lives

• 3 Stages to achieving the IWL Standard
• Pledge organisations need to put in place the
  policies, procedures and plans to achieve
  accreditation
• Practice provide a portfolio of evidence over a
  wide range of policies and procedures that
  improve working lives of staff
• Practice Plus awarded when all the gaps have
  been remedied

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Independent Inquiry into Inequalities in Health
Report (1998)

• The further development of health promoting
  schools
• Further measures to encourage walking and cycling
  as forms of transport
• Policies to improve the health and nutrition of
  women of childbearing age and their children
• Priority to the elimination of food poverty
• and the prevention and reduction of obesity

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Independent Inquiry into Inequalities in Health
Report (1998)

• Physical and psychological health needs of
  looked after children are to be identified and
  addressed
• Policies that promote moderate intensity exercise
  are recommended

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Independent Inquiry into Inequalities in Health
Report (1998)

• Policies that promote the maintenance of
  mobility, independence and social contacts
• The needs of ethnic minority groups need to be
  specifically considered in needs assessment,
  resource allocation, healthcare planning and
  provision
• Recommends alternative methods of focusing
  resources for health promotion and public health
  care to be considered

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Tackling Health InequalitiesSummary of the 2002
Cross-Cutting Review

• Priority narrow the gap in life expectancy by
  area, by 2020, to be achieved through
• Early identification and intervention of physical
  inactivity, obesity and hypertension

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Tackling Health InequalitiesSummary of the 2002
Cross-Cutting Review

• Physical inactivity is a significant causal
  factor for socio-economic differences in the
  incidence of heart disease
• Recommend policies that give people the skills,
  information and support to make and sustain
  healthy lifestyle choices

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Tackling Health InequalitiesA Programme for
Action

• School Sport Coordinator programme expanded
• Health needs of young people who spend time in
  prison need to be assessed and comprehensive
  health promotion put in place
• Raising physical activity levels to reduce risk
  of illness
• Safer local environments for young people to
  engage in social and physical activities in
  public places

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Wanless Report (2002)

• More success in public health to reduce
  projected overall resource requirements
• Focus on health promotion and disease prevention
• Change in the way public health is viewed,
  resourced and delivered, therefore supporting a a
  public that is more engaged in maintaining health

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Department of Health (1996) Strategy Statement on
Physical Activity

• Recommendations
• Those already taking vigorous activity maintain a
  total of 3 periods of vigorous activity of 20
  minutes a week
• Those doing irregular activity should try to
  accumulate 30 minutes of moderate intensity
  physical activity on most days of the week
• Those engaged in promoting physical activity need
  to consider how to assess the impact of local
  policies in particular areas and for special
  groups

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Overview and Scrutiny Committees Health
Scrutiny Regulations (2003)

• A lever to improve the health of local people
• Focus on health improvement
• Matters to be reviewed and scrutinised
• Arrangements made by local
• NHS bodies for public
• health in the authoritys area

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References

• 1. Department of Health (1999) Saving Lives Our
  Healthier Nation. London HMSO
• 2.      Department of Health (2000) The NHS Plan
  A plan for investment, A plan for reform.
  London HMSO
• 3.      Department of Health (2002) Improvement,
  expansion and reform The next 3 years.
  Priorities and Planning Framework 2003-2006.
  London HMSO
• 4.      Department of Health (1999) National
  Service Frameworks Mental Health. London
  Department of Health Publications
• 5.      Department of Health (2000) National
  Service Frameworks Coronary Heart Disease.
  London Department of Health Publications

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References

• 6.      Department of Health (2000) National
  Cancer Plan. London Department of Health
  Publications
• 7.      Department of Health (2001) National
  Service Frameworks Older People. London
  Department of Health Publications
• 8.      Department of Health (2003) National
  Service Frameworks Diabetes. London Department
  of Health Publications
• 9.      Department of Health (2003) National
  Service Frameworks Childrens Services - Part 1.
  London Department of Health Publications
• 10.  Department of Health (2003) Health Check on
  the state of the public health. Annual Report of
  the Chief Medical Officer. London Department of
  Health Publications

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References

• 11.  Department of Health (2003) The new General
  Medical Services Contract. London Department of
  Health Publications
• 12.  Department for Education and Employment and
  Department of Health (1999) National Healthy
  School Standard Guidance
• 13.  National Audit Office (2001) Tackling
  Obesity in England. London The Stationery
  Office
• 14.  Department of Health (2001) Improving
  Working Lives Standard. London Department of
  Health Publications
• 15.  Department of Health (1998) Acheson
  Independent Inquiry into Inequalities in Health
  Report. London The Stationery Office

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References

• 16.  HM Treasury Department of Health (2003)
  Tackling Health Inequalities Summary of the 2002
  cross-cutting review. London Department of
  Health Publications
• 17.  Department of Health (2003) Tackling Health
  Inequalities A programme for action. London
  Department of Health Publications.
• 18.  Wanless, D. (2002) Securing our Future for
  Health Taking a long-term view. Final Report.
  London HMSO
• 19.  Department of Health (2003) Local Authority
  Overview and Scrutiny Committees. Health
  Scrutiny Functions and Regulations. London
  Department of Health Publications.

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Images

• Images provided by
• Microsoft Office Online (2003)
• Department of Health www.gov.uk/healthinequalitie
  s/programmeforaction/
• NHS Plan www.nhs.uk/nationalplan/summary.htm
• Redditch and Bromsgrove PCT via
• www.randb-pct.nhs.uk/iwl.htm