Get Active Belfast 1
Get Active BelfastA Framework for Physical Activity
www.makinglifebettertogether.com
2 Get Active Belfast
ContentsForeword 3
Introduction 4
Challenges 6
ActiveBelfastPartnership 8
Priorityareas 9
Pledges 10
Conclusion 12
Supportingpartners 13
Get Active Belfast 3
ForewordThedevelopingBelfastAgendasetsthevisionforacitywithathriving,prosperousandgrowingeconomy;aninclusiveandwelcomingcity;wherepeoplecanreachtheirfullpotential;experiencegoodhealthandwellbeing;inavibrant,connectedandenvironmentallyfriendlycity.
TorealisethisambitiousvisionforBelfast,itwillbeessentialtotakecollaborativeactiontoaddressthedeepandpersistenthealthinequalitieswithinthecity.LifeisgettingbetterformanypeopleinBelfast,butnotforeveryone.Stilltherearetoomanypeoplegettinglesstimetoenjoytheirlife.Focusmustshiftawayfromdealingwithpoorhealthwhenithasdevelopedtopreventingpoorhealthandtakingearlyintervention.
Physicalinactivityisthefourthlargestcauseofdiseaseanddisabilitywith1in6deathslinkedtoinsufficientlevelsofphysicalactivity.Globally,physicalinactivityaccountsforthesamenumberofdeaths,annually,assmoking.Thoseexperiencingthegreatestlevelofinequalitytendtoalsobelessphysicallyactiveandexperienceincreasedbarrierstobeingactive.
Beingmorephysicallyactivecanhavebenefitsforallagesanditisnevertoolatetostart.Benefitsofphysicalactivityincludeimprovedgrowthanddevelopmentofchildrenandincreasededucationalattainment.Increasedworkproductivityandreducedsicknessabsence.Improvedmentalandemotionalwellbeingandreducedriskofchronicdiseases,suchascoronaryheartdisease,diabetesandsomeformsofcancer.
ThereismuchgoodworkunderwayacrossBelfasttoincreasepeople’sparticipationinphysicalactivityandimprovetheirhealth.Thetimeisnowrighttobuildonthisandextendourrelationships,usingourcollectiveresourcestoincreasethescaleandimpactofphysicalactivityasawaytoaddress
healthinequalities,byaddingbothqualityofyearstolifeandyearsoflife,forthepeopleofBelfast.
GetActiveBelfastprovidesaplatformtostrengthenourpartnershipapproachandchallengeourselvestodobettertogether,supportingthepeopleofourcity,improvinghealthandwellbeingandaddressinghealthinequalities.WithGetActiveBelfastweareaskingorganisationstoconsidertheaddedvaluewhichcanberealisedbyintegratingourcollectiveeffortstocreateamoreActiveBelfast.
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andsomeformsofcancer.Physicalinactivityisalsoaleadingcontributortoobesity.
Physicalinactivityplacessignificantdemandonourpublicservices.Itisestimatedthatphysicalinactivitycoststhehealthservice£5.5millioneachyearinBelfast,throughitsdirectcontributiontocoronaryheartdisease,stroke,diabetes,colorectalcancerandbreastcancer.Inadditiontothehealthcosts,physicalinactivityhasbeenestimatedtohavewidersocietaleconomiccoststoBelfastof£28.5millionperyearfromsicknessabsencefromworkand£5millionperyearfromtheprematuredeathofpeopleofworkingage.
Supportingpeoplewhoexperiencethehighestlevelsofhealthinequalitiestobecomemorephysicallyactiveandtostayactivethroughouttheirlifeisfundamentaltoaddressingthecausesofinequalities;creatingtheconditionswhichenablepeopletolivelong,healthy,activelives.Interventionstodeveloptheskillsandcapacityofthoseworkinginthephysicalactivitysector,improvingaccessto,andprovisionofphysicalactivityopportunities,strengtheningourpartnershipworkandincreasingknowledgeofthereasonstobeactive,willsignificantlycontributetotheeconomic,environmentalandsocialoutcomesforthecity.
Thetimeisnowrighttoradicallyupgradeourapproachtoaddressinghealthinequalities.ThepublicationofthedraftProgrammeforGovernment(2016-2020),theregionalpublichealthstrategy‘MakingLifeBetter’(2013-2023)andthedevelopingBelfastAgenda,allfocusonimprovingoutcomesforpeople,includinghealthandwellbeingandreducinginequalities.Thisstrategicalignmentandthetransferofpowersforlocalspatialplanningandcommunityplanning,representasignificantopportunitytodevelopwidercollaborative
IntroductionHealthinequalitiesarethepreventableandunjustdifferencesinhealthstatusexperiencedbycertainpopulationgroups.Peopleinlowersocio-economicgroupsaremorelikelytoexperiencechronicill-healthanddieearlierthanthosewhoaremoreadvantaged’(InstituteofPublicHealthinIreland).
Ifwearetobesuccessfulinbreakingthegenerationalcycleofinequalities,greaterfocusneedstobeplacedonthepreventionandearlyinterventionofthecausesofinequalities.Actiontoaddresshealthinequalitiesneedstoconsiderthebroaderdeterminantscausinginequalitiessuchassocio-economicstatus,theplaceswelive,theaccessibilityofopportunitiestoenhanceourhealthandtheavailabilityofnetworkswhichprovideandpromotesocialsupport.
Physicalinactivityisontheincrease,withadvancesintechnologymakingtheplaceswelive,workandsocialisemuchmoresedentaryenvironments.Astheprevalenceforsedentarybehaviourcontinuestoincrease,theopportunitiestobephysicalactiveaspartofoureverydaylivesaredecreasing.Thischangehashadsignificantnegativeimpactsonourhealthandwellbeing,ourcommunities,ourenvironmentandoureconomy.Inactivitylevelsarethefourthleadingcauseofprematuredeath,contributingtotheprevalenceofchronicdiseasessuchasheartdisease,diabetes,stroke
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approaches,whichplacepreventionandearlyinterventionatthecentreofservicedelivery.
TheActiveBelfastpartnersareinagreementthatGetActiveBelfastandthesubsequentprioritiesandactionsundertakeninitsimplementation,shouldalignwithrelevantregionalandlocalstrategicplansandbeanexemplarprojecttotheBelfastStrategicPartnershipanditsfocusonaddressinginequalities.
GetActiveBelfasthasbeendevelopedcollaborativelybytheActiveBelfastPartnership,whowillberesponsiblefordevelopingsubsequentprioritiesandactions,establishinglinkswithrelevantdeliverystructuresandforginglinksacrosspartnernetworks.BelfastStrategicPartnershipwillmaintainanoversightrolethroughout.TheapproachadoptedbytheActiveBelfastPartnershipindevelopingGetActiveBelfast,wasbuiltonanagreedsetofguidingprinciples,whichledtothedevelopmentofasharedvisionandfivekeyprioritiesandindicators.Thelistofpartnerscanbefoundonpage8.
The five key indicators for Get Active Belfast are to:
Increasetheskillsandcapacityofthose workingandvolunteeringinthephysicalactivity sector
Increasethequalityandaccessibilityofplaces tobephysicallyactive
Increaselevelsofparticipationinphysical activity
Increasepartnershipworkingacrossthe physicalactivitysector
Increaseawarenessofphysicalactivityandits benefits
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Theseinequalitiesareinfluencedbyeconomicandsocialcircumstancesandhaveagradedrelationshipacrosssociety.Theworseyoureconomicandsocialcircumstances,theworseyourhealthandlifeexpectancy.
Fact:
Addressinginequalitieswouldsavethehealthservice15%ofitsannualbudget.
Fact:
Challenging inequalities and the role of physical activity TheimpactsofinequalitiesarenotonlyfeltbythoseexperiencingthegreatestlevelsofdeprivationinBelfast,butarefeltbyeveryoneacrossthecity.Thefollowinginformationsetsoutthechallengetoaddressinequalitiesandtherolephysicalactivitycanplay.
Theprevalenceofchronicdiseasessuchcoronaryheartdisease,canceranddiabetes,isalsomuchhigherforpeoplelivinginthemostdisadvantagedareasofBelfast.
Fact:
Fact:
Peoplelivinginareas
ofhighdisadvantageare
timesmorelikelytosufferfromachronic
disease.
3 – 4
InBelfastthereisasignificantgapinlifeexpectancybetweenthoselivinginthemostdisadvantagedareasofthecityandthoselivingintheleastdisadvantagedareas.
Fact:
Life
Life
85
80
75
70
65
60
55
50
45
AGE
0 10 20 30 40 50 60 70 80 90 100
Least deprived Neighbourhood income deprivation Most deprived
approximately
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CancerType 2 diabetesHeart disease
High blood pressureObesity
Evidenceshowsthatthebenefitsofphysicalactivitygomuchfurtherthanhealth-includingeconomy,environment,societyandsafety.
Fact:
Physicalactivitylevelsforthoselivinginthemostdisadvantagedareasaresignificantlowerthanforpeopleintheleastdisadvantagedareas.
Fact:
Only 24%
last 7 daysphysically active in the
Physicalactivitycontributestothepreventionofmorethan20conditionsanddiseases.
Fact:
£
Fact:Workplacehealthschemescanhelpgetstaffactive.Thiscanresultin15%higherlevelsofproductivityand27%lowerlevelsofabsenteeism.
Fact:After20minsofphysicalactivitychildrentestedbetterinreading,spellingandmathsandweremorelikelytoperformabovetheirgradelevel.
Inequalitiescausedbydifferingsocialandeconomiccircumstancesplaceanunsustainableburdenonallofsociety,leadingtoincreasedpressuresonpublicservices.CreatingamoreActiveBelfastwillcontributetoaddressinginequalitiesinthecity,leadingtoareduceddemandonpublicservices.
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The Active Belfast Partnership was established in 2013.
Its vision is:People in Belfast will be more active and healthier
Our mission is:Working together to inspire more people to be more active, more often
The Active Belfast Partners
Belfast Health and Social Care Trust
Belfast Health and Social Care Trust
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Strategic priority areas ThedevelopmentandimplementationofGetActiveBelfastispartofawiderapproachunderBelfastStrategicPartnership,toaddressinequalities,improvehealthandwellbeingbyaddingbothqualityofyearstolifeandyearsoflife,forthoseexperiencingthegreatestlevelsofdeprivationwithinBelfast.
ActiveBelfastPartnershiprecognisesthattoeffectivelydeliveritsvision,missionandguidingprinciples,commitmentisrequiredfromallpartnersinimplementingGetActiveBelfastandthesubsequentactions.ThroughtheresearchandengagementworkundertakentodeveloptheActiveBelfastapproach,fivehighlevelstrategicpriorityareasandindicatorshavebeenidentified.
TheActiveBelfastapproachrecognisestheinterconnectednatureofthestrategicprioritiesandindicators.InrealisingtheambitionofGetActiveBelfast,theActiveBelfastPartnershiphavecommittedtostrategicallyaligningitseffortsacrossthethemesofeducation,transport,planning,publichealth,communications,communitydevelopmentandsport.
Strategic priorities Providingskillsandsupportingdevelopmentopportunitiesforpeople
Providinghighqualityplacesforall
IncreasingopportunitiesforparticipationandengagementImprovingpartnershipworking
Promotingthebenefitsofbeingactive
Increasetheskillsandcapacityofthoseworkingandvolunteeringinthephysicalactivitysector
Increasethequalityandaccessibilityofplacestobephysicallyactive
Increaselevelsofparticipationinphysicalactivity
Increasepartnershipworkingacrossthephysicalactivitysector
Increaseawarenessofphysicalactivityanditsbenefits
Key indicators
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PledgesAs part of Get Active Belfast, our aim is to promote and implement a series of seven pledges and actions in pursuit of five interlinked indicators.
Increasingparticipationinphysicalactivitycannotbeachievedthroughanysinglesolution.TorealisetheambitionofGetActiveBelfast,acomprehensiveapproachisrequiredincorporatingmultipleconnectedstrategiesoperatingatthesametime.
GetActiveBelfastsetsoutsevensharedpledgeswewilldeliverinrealisingourambitiontoincreasephysicalactivitylevels,addressinequalitiesandimprovehealthandwellbeingacrossBelfast.Eachpledgeissupportedbygoodevidenceandrelatestooneoftheseven‘bestinvestments’forphysicalactivityasidentifiedbytheGlobalAdvocacyforPhysicalActivity.
Aseriesofcollaborativeactionswillbedevelopedacrosseachofthefollowingpledgeswithafocusonaddressinginequalitiesandimprovinghealthandwellbeing.
1 Support schools to offer physical activity throughout the day
Wewillworkwithpartnerstodevelopahighqualitynetworkofdedicatedwalkingandcyclingroutes,whichconnectpeopletoservices.Thiswillincludesupportingbehaviourchangeprogrammesinlocalschools,workplacesandcommunitiesanddevelopinghealthrelatedwalkingandcyclinginitiatives.Wewillalsoimprovetheintegrationbetweenwalking,cyclingandpublictransportbyworkingwithpartnersresponsibleforplanningandpolicy.
2 Create an integrated ‘Active Travel’ network
Workingwithschoolsandotherpartners,wewillsupportopportunitiesforbothstructuredandunstructuredplaythroughouttheday.Thiswillincludetheprovisionofhighqualityphysicalenvironmentsandresourcestosupportactiveplay,supportingwalkingandcyclingtoschoolprogrammes,developingandimplementingschoolpolicieswhichprioritisephysicalactivityforchildren,teachersandparentsandsupportinghealthyeatingand‘learningtogrow’initiatives.
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Withpartners,wewilldevelopandimplementacomprehensivemarketingcampaignaimedatinformingpeopleofthebenefitstobeingactiveandinspiringpeopletogetinvolved.Thiswillincludetheuseofbothpaidandunpaidformsofmediasuchasprint,electronicmedia,posters,socialmediaandmassparticipationevents.WewillensurethislinkswithregionalcampaignssuchasChoosetolivebetterandBikeWeek.
5 Develop and implement a comprehensive marketing campaign on the benefits of being active
7 Support local sports clubs to deliver inclusive and adapted sports for all
Wewillsupportlocalsportsclubs,governingbodiesandpartners,todevelopandimplementawiderangingprogrammeofadaptedsports,whichwillprovidephysicalactivityopportunitiesforall.Thiswillalsoincludesupportingthedevelopmentofpolicieswhichpromoteinclusivesport,reducingbarrierstoparticipationincludingsocialandfinancialbarriersandaddressingnegativeperceptionsofsportsparticipation.
3 Create more active places through local spatial planning
4 Strengthen connections to and within the health sector
Wewillworkwithpartnersacrossplanning,tocreateactiveplaceswhichprovideaccesstosafeandaccessibleopportunitiesforphysicalactivity,allowingpeopletoincorporateactivityintotheireverydayroutine.Thiswillincludeworkingwithpartnerstocreateactiveplacesaspartofnewdevelopmentsinthecityandensuringphysicalactivityisaprioritywithinlocalplanningpolicy.
Wewillworkwiththehealthsectorandotherpartners,todevelopnewandenhanceexistingmodelsofphysicalactivityreferralschemes,includingimplementingregionalpolicyonphysicalactivityreferralanddevelopingnewconditionspecificpathways.Wewillensureallprogrammespromotebehaviourchangethroughprovidingbothpracticalbriefadviceandcommunitybasedopportunitiesforparticipationinphysicalactivity.
6 Deliver wide ranging and inclusive community based activity programmes
Workingwithpartners,wewilldevelopapproachesthatsupporteveryoneatanystageoflife,togetactiveintheircommunity.Wewillsupportschools,workplacesandcommunitysettingstodeveloppolicieswhichencouragepeopletobeactiveandtoimplementphysicalactivityprogrammeswhichprovideopportunitiesforeveryonetogetinvolvedandstayconnected.
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ConclusionGetActiveBelfastwillformpartofawiderapproachtoaddressinginequalitiesandimprovinghealthandwellbeinginBelfast.Theimplementationofthismulti-agencyapproachwillformanexemplarprojectfortheBelfastStrategicPartnership,providinglocalandregionalpartnerswithanopportunitytoengagewithandsupportoureffortstoincreasephysicalactivitylevels.
ThesevenpledgesoutlinedwithinGetActiveBelfast,demonstratethecollectivecommitmenttostrengtheningandaligningoureffortsandresources,toincreasephysicalactivitylevelsandcontributetoaddressinghealthinequalities,byaddingbothqualityofyearstolifeandyearsoflife,forthepeopleofBelfast.
Physicalactivityhasthepotentialtoaddressinequalitiesandimprovehealthandwellbeing,inpart,duetoitshealthprotectivecharacteristics.Supportingthosemostatriskofdevelopingchronicdiseaseorexperiencingpoormentalhealth,tobemoreactivethroughouttheirlives,couldhelptooffsetthegradientinchronicillhealth.Physicalactivityalsoprovideswiderbenefitstosocietyincludingreducingcrimeandanti-socialbehaviour,improvingsocialconnectionsandcommunitycohesionandsupportingaproductiveandhealthyworkforce.
RealisingtheambitionofGetActiveBelfastwillrequirethecontinuedcommitmentofallpartners.Thechallengestoincreasingphysicalactivitylevelswithinthecityaretoosignificantforasingleorganisationtoovercome.ItwillonlybethroughtakingcollaborativeactionthatwewillachieveourambitionofaddressinginequalitiesandmakinglifebetterforeveryoneinBelfast.
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Belfast Health and Social Care Trust
Supporting the seven pledges
I ________________________support the seven pledges of Get Active Belfast.
I ________________________support the seven pledges of Get Active Belfast.
I ________________________support the seven pledges of Get Active Belfast.
I ________________________support the seven pledges of Get Active Belfast.
WetheundersignedagreetoworktogethertosupportthesevenpledgesofGetActiveBelfast
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Get Active Belfast 15 Focusing on Life Inequalities
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ForfurtherinformationonthisdocumentoranyoftheworkofActiveBelfast,pleasecontact:
Belfast Health Development Unit3FloorNorthCecilWardBuilding4-10LinenhallStreetBelfastBT28BP
E:[email protected]: 02890502073@bspmlbt#GetActiveBelfast
Or visit:www.makinglifebettertogether.com
09/17