Select Committee on Health Written Evidence


Memorandum by the Central Council of Physical Recreation (WP 88)

  The Central Council of Physical Recreation (CCPR) is the umbrella body for 270 national organisations for sport and recreation, representing and promoting the interests of voluntary sector sport and recreation. CCPR believes that voluntary sector sport and recreation has a positive role to play in improving the health of the nation, and welcomes the opportunity to submit a memorandum to the Committee.

  CCPR strongly believes that the promotion of physical activity should be central to any government strategy aimed at improving public health. Physical activity provides positive messages, whereas many other public health campaigns are necessarily centred on negative messages: "don't eat too much, don't drink too much alcohol, smoke, take drugs", etc. Whilst these messages are essential, physical activity has the benefit of being a "yes" factor.

RESPONSE TO KEY QUESTIONS

  In responding to specific questions, the CCPR has concentrated on evaluating the effectiveness of the Government's physical activity goals, as this is where our expertise lies, and where CCPR member organisations are best placed to deliver.

1.   Whether the proposals will enable the Government to achieve its public health goals?

    —  The Government has set out in the White Paper what it plans to do with regard to meeting its physical activity targets. The CCPR broadly supports the stated measures, although it is difficult to tell if they will enable the Government to achieve all of its goals in this area, as much of the detail is still to be laid out.

    —  CCPR supports the Government's commitment to "work with the sports and recreational activity sectors to deliver positive, innovative messages about healthy lifestyles including physical activity". However, CCPR urges that the Government commits to a high level, national and sustained campaign to promote physical activity in order that the desired results are achieved. Evidence from comparator European nations suggests that only sustained campaigns of considerable longevity can achieve significant increases in participation. For example, government backed sustained anti-drink driving and seat belt campaigns of this nature have yielded significant results. CCPR also urges that public health messages to promote physical activity be simple and positive: ANY ACTIVITY IS BETTER THAN NONE AND THE MORE ACTIVITY THE BETTER. CCPR believes that specific messages about intensity, frequency and duration can be counter-productive.

    —  Similarly, CCPR supports the Government's desire to resource local communities so that they can "lead for health". CCPR feels it is particularly important that community sport and recreation organisations, and their governing bodies, are resourced and able to build capacity in order that they can deliver in local settings.

    —  CCPR feels it is crucial that assistance is offered for sport and recreation organisations to forge links with local health networks and PCTs. If this is achieved, sporting organisations' experience and coaching expertise can be utilised to meet local health needs. This kind of partnership is also vital for achieving value for money in public health policy. Many of the organisations in CCPR's membership offer activity opportunities which reap significant health benefits. These organisations also offer inclusive settings in which to be active, successfully target traditionally "hard to reach" populations (for example young girls and older women engaging in movement and dance activities) in neighbourhood locations and have excellent retention rates. These organisations are well governed, offer an established structure and system for participation and have well trained and qualified coaches/trainers. Sport and recreation organisations thus have much to offer in the development of public health activity solutions. They are excellent value for money because they are already well established. CCPR urges that the national governing bodies of sport and recreation are resourced to join up with health services at local and regional levels, so that they can increase their ability to deliver in health settings. CCPR believes that this strategy would offer a "good buy" and value for money in public health terms.

    —  The Government has stated that the Activity Coordination Team (ACT) will publish a Delivery Strategy for the public health White Paper early in 2005. The CCPR has been disappointed to date with the progress of ACT in achieving the "joined-up action on physical activity" that it was established to deliver. ACT was originally charged with publishing a Delivery Strategy in April 2004. This was delayed as a result of the Choosing Health Consultation and the Team appears to have achieved few concrete outcomes. Therefore, CCPR urges that the work of ACT be monitored closely on value and effectiveness.

2.   Whether the proposals are appropriate, will be effective and whether they represent value for money?

    —  CCPR broadly believes that the Government's proposals are appropriate and that is it necessary to pursue a multi-faceted public health approach to combating the problems of overweight and obesity. It is important that activity is recognised as a crucial part of the solution and activity organisations are resourced to this end. CCPR encourages the Government to implement its stated proposals with urgency in order that they are effective in the short to medium term. The severity of the obesity "epidemic", particularly amongst children and young people, requires a rapid response.

    —  There is clear evidence that those who have a good experience of physical education from an early age are more likely to remain active in later life. We believe that ensuring all young people have an enjoyable experience of physical education represents value for money in public health terms, because engendering an appreciation for physical education and physical activity from a young age contributes to the long term health of individuals. CCPR is supportive of the investment into the school sport system and feels this will make a positive difference to young people's experiences of physical education. CCPR also supports the recent announcement to increase school pupils' entitlement to two hours physical education within the school curriculum by 2010, plus a further two to three hours beyond curriculum time. A commitment to physical education within the curriculum is key because it is the ONLY way of ensuring that every pupil receives their physical education entitlement.

    —  CCPR believes more can be done in this area so that the Government more effectively reaches its public health goals and maximises value for money. CCPR believes the Government should require a minimum of 30 hours' initial training in physical education for all primary school teachers. This would equip primary school teachers with the confidence and skills to teach high quality programmes covering the breadth of the of physical education national curriculum.

    —  CCPR also feels that positive physical activity experiences should be guaranteed to those of pre-school age. CCPR supports the Children Act's requirement for local authorities to make provision for children's recreation. The Children Act makes provision for children's centres in every community and for universal childcare in a range of settings. CCPR feels this is an excellent opportunity to instil physical activity habits early, and thus that an adequate understanding of movement and physical activity should be part of the core training of the childcare workforce. CCPR also advocates inspection of provision for physical activity within childcare settings.

    —  CCPR, in collaboration with the professional physical education organisations, has recently published a Physical Education Declaration, following the National Summit on Physical Education held on 24 January 2005. The Declaration makes further recommendations with regard to the provision of high quality physical education and a copy of the Declaration is attached to this memorandum. [162]

    —  The CCPR supports the Child Growth Foundation's view that the BMI of young people should be regularly monitored. Whilst agreeing with many medical professionals and public health specialists that BMI is an imperfect means of measurement, CCPR feels that at a time of sharply rising rates of overweight and obesity, regular monitoring of young people would be a useful intervention. This intervention should be linked to and result in the development of suitable activity and educational programmes and the provision of dietary advice, provided to children and parents.

    —  CCPR recommends that the Government focuses on the provision of activity opportunities and infrastructure in further and higher education, as well as in school settings, in order to influence the large percentage of the 16-19 and 18-21 age ranges in these institutions.

  It is worth noting that the single biggest influence in activity participation figures in recent years, that of an increasing number of young women remaining active for longer, is linked to the increased number of females engaged in higher education. It is therefore appropriate to invest in facilities and programmes of activity in both further and higher education as a way of capturing more young people and encouraging them to become, and to remain, active.

    —  CCPR is disappointed at the lack of focus on getting older people active, reflected in the White Paper. Current population demographics highlight the need to target older people as well as the young in activity programmes and initiatives. CCPR is working in collaboration with several other agencies to promote activity within older populations and to raise the profile of older people in public health policy debate. A formal coalition of organisations promoting Active Aging is due to be launched shortly.

3.   Whether the necessary public health infrastructure and mechanisms exist to ensure that proposals will be implemented and goals achieved?

    —  CCPR believes that at present, there is a chronic lack of investment in infrastructure at local and regional level to facilitate sport and recreation organisations to link up with health networks. Some organisations in CCPR membership are already carrying out excellent work with local health partners to provide activity and sporting opportunities for local people. Much of this good practice happens because of the hard work of talented and committed sports workers, paid and unpaid, but exists in isolation and is vulnerable to personnel and funding alterations. We are concerned that much of this work will not be sustainable, nor will it be possible to mainstream many of the programmes, without infrastructure and capacity building. Similarly, those involving health promotion through physical activity require a communication and support network to help them consult with each other and share good practice.

  The CCPR believes that the Government should prioritise the provision of resources to aid the development of this infrastructure.

January 2005






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