Suffolk County Council: Commissioning as a mechanism to increase participation in sport and physical activity

Commissioning as a

mechanism to increase

participation in sport and

physical activity

Our approach – Building Suffolk as the Most Active County in England

"A long term campaign, and a framework for

partners to co-create, promote and commission

sport, recreation and physical activity opportunities

in Suffolk, delivering positive impacts on the health of local communities"

Develop the ambition and the ‘how’ and ‘what’ will follow!

Underpinning principles: • Provide a co-ordinated, collaborative and strategic multi-

agency approach to tackling inactivity and promoting more activity;

• Convert the spirit of the 2012 Games into a healthy lifestyle legacy;

• Support communities to develop local capacity, including volunteering;

• Utilise Suffolk’s physical assets and natural environment to support healthy active lifestyles;

• Promote Suffolk as a unique sports event and festival destination for outdoor mass participation events.

Adding value to Suffolk’s key agendas • Efficiency savings through transformation;

• Growth, jobs, skills and the local economy;

• Health and wellbeing

• Adult and Community Services new operating model - Supporting Lives Connecting Communities

Compelling evidence of the need to increase participation in physical

activity (everyday activity, active recreation and sport):

• Only 21% of Suffolk adults take part in recommended levels of sport

and active recreation;

• 26% of adults in Suffolk are physically inactive

• 15.7% of year 6 children in Suffolk are obese

• 74% of people with a limiting disability undertake zero sport and

active recreation compared to 40% of those with no limiting disability

• Avoidable healthcare costs of £14+ million per year

Analysis • Physical Activity: Evidence and Recommendations for

Health;

• Impact of physical inactivity on individual CCG areas;

• A survey of exercise referral schemes delivery in Suffolk;

• Inclusive Sport in Suffolk Research Report;

• Active for Life: Suffolk Disability Sport and Physical Activity Strategy.

Service Outcomes-

the effect of what we do

Health Improvement:

Helping people to live healthy

lifestyles, make healthy choices, &

reduce health inequalities

Intermediate outcomes

Tackling the

wider

determinants of

Health: helping

people to live

healthy lifestyles

& make healthy

choices

Increased access locally to sport and recreational

opportunities

More children and young people have a

healthy lifestyle

Sport and Physical

Activity outputs-

what we do

2012 legacy

The School Games

SuffolkYouth Games

Sportivate (14-24 ages)

Summer of Sport

Games Makers

Volunteering: 2012

event volunteers

A host for mass participation

events (demonstration effect):

Great East Swim, Tour of

Britain, Tour Ride, Sky Ride,

Torch relay, Big Dance

Sport contributing to the economic vitality of

communities including charitable fund raising

Improved health and well

being

Added value of utilising

physical assets and natural

environment

Developing learning and skills

in communities

Overarching strategic

outcomes (Healthy Lives,

Healthy People)

Improve the use of physical assets &

environment: Active Travel plans, more

use of school sports facilities, parks and open spaces, play space, influencing land use planning and street design

Target interventions: Big Splash, Disability Sport Academy, GP referrals, Lets Get Moving, MEND,

armchair exercise

Improved access

to sport/ PA for

under

represented

groups

Ageing well- A higher quality of life for older

people

More people manage their health &

wellbeing needs through self-help

Developing community

led participation:

Cycle Suffolk, Fit

Villages, walking

programmes,

Improved community

capacity

Increased awareness and

profile of healthier lifestyles

Reduction in the number of people

suffering from preventable conditions

More people with disability engaged in sport and

recreation

More communities

developing, designing and

volunteering to deliver

sport, and recreation

Sport positively impacting on the lives of children and

young people

Benefits

Reduction in sedentary behaviour

Healthy life expectancy & preventable

mortality: preventing

people from dying

prematurely & reduce health inequalities

The Most Active County-outcome logic model

More people happier with their positive lifestyle

choices

Vibrant

economic

communities

Prevention of ill

health: reducing

the number of

people living with

preventable ill

health

Increased mental health resilience

Increased participation by

adults in sport and physical

activity

• Early planning revolved around positioning of the approach politically, with the Suffolk Health and Wellbeing Board, Sport England, Public Health and Adult and Community Services.

• As the programme has evolved it has become more strategic – priorities for 14/15 are active ageing, early years, walking and cycling.

Two approaches adopted:

1. Securing funding to directly commission activity;

2. Influencing others to encourage them to commission physical activity interventions.

Do [Funding the option or range of options agreed to deliver the defined outcome]

Example 1. Suffolk Get Healthy Get into Sport Project

• £424,000 Sport England Investment secured;

• Live Well Suffolk, Suffolk Sport and Abbeycroft Leisure commissioned to deliver interventions in healthcare settings aimed at the inactive;

• Robust monitoring and evaluation protocol

• Outcomes – 3,500 participants active

Example 2. Sport England Partnership Programme

• Strategic partnership programme informed by local need;

• Funded by Sport England and Suffolk County Council;

• 9 areas of focus, delivering participation, sector development and planning strategies.

• Organisations commissioned include Suffolk Sport, Abbeycroft Leisure, Culture First and Avenues East.

Leadership Development Programme

• Purpose – to adopt a whole community approach to encouraging walking.

• Inspired by a lecture by Dr William Bird as part of the Most Active County Leadership Programme.

• Commissioned by Public Health.

Example 3. Walking Intervention in Lowestoft

Example 4. BoB project

• Purpose – 12 month programme to increase the number of children cycling to school in 4 target primary schools from a national average of 2-15%.

• Commissioned by Highways and Transport at Suffolk County Council

• Initially commissioned in 4 schools in Ipswich. Re-commissioned in 8 schools in Bury St Edmunds

Review [Evaluating to see what has worked well and what can be improved further]

• Advisory Group (MACAG) established to oversee the MAC programme

• MACAG identified as the accountable body for the Suffolk Health and Wellbeing Board (SHWB) for physical activity development.

• Regular review of progress by SHWB.

• Increasingly capturing participation levels of participants at inception.

Tracking Progress - Facts and Figures

Tracking Progress - Facts and Figures

Tracking Progress - Facts and Figures

Tracking Progress - Facts and Figures

• Positioning/influencing

• Securing organisation buy-in

• Creating capacity

• Promoting wider sector understanding

• Strategic partnering

• Local facilitation/partnership delivery

Our Leadership Role

Next Steps

• Influencing and integrating physical activity in public health healthy lifestyles contract and other pipeline commissioning opportunities;

• Influencing at individual CCG level.

• Relationship building – care sector, early years providers, etc

• Time needed to develop partnerships, understanding and direction;

• Incremental approach needed;

• Co-creation with partners and providers important;

• Approach needs to be adaptable for different audiences;

• Cross-sector opportunities and connections are fundamental to success;

Learning

• Do you have any examples of successful joint commissioning that you can share?

• What works?

• What are the practical steps needed to be successful?

Questions