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University- health Care - gyms - sports shops join a partnership with NSPORT and supermarkets 

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University- health Care - gyms - sports shops join a partnership with NSPORT and supermarkets 

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Fund evidence based behaviour change and population social marketting.
If the population knew the evidence of the benefits that’s it’s the best and safest medicine reducing cancer diabetes risk of  COVID; arthritis, dementia,depression why would they not take it up. Use of fitbits and other ways of measuring increases uptake.
Supermarkets could offer financial reductions if people have exercise points. Supermarkets have the most health knowledge of the population and a partnership with them to have healthier food more prominent would improve obesity

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Use behaviour change evidence - Tiny Habits BJ Fogg

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Use behaviour change evidence - Tiny Habits BJ Fogg

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BJ fog describes three key things. Motivation, small changes and prompts. Targeted strategy using prompts to make people aware of the simple things they could do. Getting up every hour and taking a stretch it’s a start. Doing two or three basic exercises such as a squat. Small changes grow. Exercise buddies. Clear easy signage and promotion of what’s already there and how to access. Clear signage of green routes. Get cafes involved. Get active travel developed as Leicestershire. Have competent passionate people engaged at West Northants applying and using funding from National Govt. work with current gym providers to grow the population exercising especially in green spaces. Reduce Council tax on gym providers that enable more people to use green spaces by promoting classes and community groups.

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As I look around town I see a lot of obesity. West Northants has done very little towards promoting active travel especially cycling and getting people exercising easily. There is very little encouragement to exercise and reduce obesity despite the fact that it is closely related to reducing death from Covid. There is Little clear information to show the health benefits despite exercise reducing cancer risk by third and significant improvement in mental health and well-being. We have lots of green spaces yet there is no coordinated place to go to find what is happening with regards to classes or groups using the green parks. A coordinated response and strategy is long overdue between Ramblers, Cyclists and Health services

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People don’t think exercise applies to them.  Need an offer that fits their lifestyle.  How we ‘sell’ the ideas to people is key as will stress people.

From an occupational health perspective, the issues is the impact of work on people’s ability, time and energy.  Following a long shift and tired it needs a lot of motivation to get into activity and if this is seen as daunting as well then it is hard.

The language we use is that we focus on the word ‘activity’ not exercise.

Now older – activity was when I was young.  Now it’s trying to find something for me that is not during the working day, and things I want to do seem to be during the day when I am at work.  Walking football; Men v Fat; Brackmills walking group.

Fear of getting together after covid.

Older people can give up the idea of being active.  Need to encourage a culture of ‘we are never too old’ and keep people understanding that every little helps

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Any offer must be fun / Social / Progressive – learning a skill.  With these elements people come back.

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Looking at getting people active is a collection of diverse issues and the strategy needs to take this into account with any developments – culture; individual characteristics etc

Focus on being active more than exercise – e.g., Organise park run – see it as joining a community that is more a social activity and being active is a side product.  This makes it less daunting and less stressful.

Make sure we set up a diversity of offer that connects with people and they can see themselves doing it and it’s not daunting.

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Training - at all levels within the community

More local campaigns

Integral in contracts and in staff induction programmes

Utilise Data: NCMP for children

Agree that need to:
Introduce more targeted PA interventions for specific groups identified through the mapping/survey

Train more local people especially from diverse communities to deliver sessions locally

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Planning/environment- plans approved need to have considered access routes, play areas/spaces to encourage residents to walk and move more.

Lack of instructors. PA Training is key to build the capacity of qualified trainers within the community, this helps sustain physical activity programs in the local areas. This can be from level 1 upwards through volunteers and paid staff.

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Arguably, Covid also creates an opportunity in terms of addressing the physical de-conditioning that has been identified as a consequence of Covid-19 restrictions. The priorities identified via Population Health Management work with PCNs, and also via ICAN could also be useful means of getting NHS attention and potential funding support. NB: I understand that CCG / ICAN have secured involvement from national NHS Payments Team to look at how NHS funding could be used more flexibly in Northants in future.

Insight - Language / labels.

The language of making choices, being in control, staying well / strong / feeling lively, may all resonate better, but we should start from where people are at.

Specific groups – e.g. Pregnant woman – would like to attend a condition specific group for being active with other women. There is a lack of structured physical activity programs for maternal women, from preconception through to postnatal.

Children/ young people – the pandemic has reduced the availability and opportunity for children to play in outdoor spaces and join in play activities from 0-19, according to research this delay has impacted on the communication skills as well as physical activity skills/developments usually acquired during the early years and life stages children transition through.

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Language – let’s talk more about moving than activity. People may find that less challenging/frightening.

Help people appreciate that it all counts – whether they are walking, gardening, involved in sports, ironing etc.

Take it to the grassroots more and involve communities

Perhaps find a strapline like the Five Ways to Wellbeing – easy to understand and engage with – and build momentum around that

Combine moving with other interests – I remember a community in Greater Manchester that first encouraged young people to do some art (rock art, I’m not sure?) and hide it.  They followed this up with a competition to see who would discover the greatest number of hidden art works scattered all over the surrounding area. It got young people-and the adults who wanted to be sure the young people were safe - involved and moving.

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How measure progress
Track those with LTC / frailty and measure before and after discharge and see if their natural decline has been slowed by any active intervention.

This is done for people participating in “Get Up and Go”, exercise and balance sessions. “Timed up and go” (TUG) and “Falls Efficacy Scale – International (FES-i)  standard measures are taken at the beginning, at 12 weeks and at 24 weeks to measure progress and provide feedback to participants.

Create our own survey and have a wider pool than active lives.  Case studies

Number of referrals

PA is multidimensional so need to measure a number of things.  (Bristol example)

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Identify key people and agree who needs to be involved in a whole system plan.  Have initial dialogues and demonstrate to them how we can work together.

The strategy should be clear on who we are targeting and why.

Key work together on inequalities in this arena.

Addressing being active through the lens of wellbeing.

Address those adversely affected by Covid – LTC, fear and anxiety, carers,

Positive messages

Covid has shown an increase in cycling and walking and so demonstrates if you remove barriers then it does help with behaviour change.

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What could be done?

Health in all policies approach, where encouraging being active is an objective in all policies

Certain partners need 1-1 conversations to explore their part to play in creating environments for being active.

Who has the first contact with residents / clients and if we focus on wellbeing and how people feel before launching straight into being active.  Need to know the offer in order to signpost effectively.

Understand what drives people.  Understand the different populations.  Actively listen.  Start with motivation and why?

Develop effective communication plans.

Have health and wellbeing / MECC in procurement and contracts – LA, CCG

Consider incentivising GP’s and consider how wider primary care staff can play their part rather than rely on the GP.

What data do we have?  - Active Lives survey -  plus?

Weight stigmatisation – need to avoid this through the physical activity work – not a blame language.  How are people having ‘motivating conversations’.  Focus on wider impacts of PA on wellbeing and not weight focused.

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Perception - People don’t see themselves as being active in an active world.

Conversation before being active is about looking at wellbeing and isolation – mental health.  How to start the conversation earlier with people that looks at mental health needs.

Transport / access – especially for certain groups – frail, low socio-economic groups.  Befrienders / buddies to help people get to a place and also to feel confident to take part. More local, community based offers needed. Car or bus often heavy relied on to access facilitates. Cost implications.

What people want does not exist yet so need to understand ‘want’ and provide it

Lack of instructors.

Childcare - availability / costs

Costs of activity

Eligibility criteria – excludes groups.

Meeting culture – zoom , back to back, no opportunities / encouragement to move.  How can we build activity in – walking meetings, workplace health.

Some partners don’t see their role as necessary in this area - Engage with transport and highways teams – need to look at access, cycling, walking for pleasure and to work.  Pedestrianisation.  How can we bring these partners on this journey with us.

Security – older people, children, families – areas they won’t go to, times of the day, lighting.

Terrain and how suitable is it for frail, elderly, disabled.

Facebook can scare people off areas / activities.

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Prioritising across partners - Covid is prioritising everyone’s thinking so the challenge is getting this on people’s agenda e.g., the children’s transformation work.  We need to build on what we already have and ideally partners commit budget to this work.  Funding is often only for a year and so bigger partners don’t want to get involved.  Basically, how to make this a priority for partners e.g. GP’s.

Insight - Language / labels.  Large segment who sees ‘physical activity’ and don’t want to get involved / turn off.  Need to know what’s important to people and place physical activity in that – culture, nature, family, art.  How are we upskilling social prescribers to unpick that with clients and have those conversations? Consider family approach too. Re young families – childcare is a key issue/ barrier. Covid may have had an negative impact on some families in relation to employment circumstances, family time and recreation time may have reduced even more.

Segment groups and have offers accordingly. . Also consider the opposite in terms of inclusivity to groups – for example balance between pregnancy/ post-natal specific groups and also upskilling staff to support pregnant and post-natal women who come to non-specific groups.

Adult learning finding that fitness classes couldn’t meet demand lately.  Instructors have left because of covid and got other jobs.  Being an instructor is not a secure job so impact on ability to put on provision.

Embedded belief in people that ‘I am not sporty’ and so don’t engage in physical activity as equate the 2.  Need to understand how people want to be active and provide that.

Covid – working from home – has either given people the time to be active or it has stopped it as people are sat more and not moving around and also not motivated. Also consider opportunities closer to home and in the community to support easy access. Some members of the public may have reduced commuting time per week which might have included exercise stop.

Individuals perception of themselves / activity and therefore their level of motivations – mild frailty and need to attend group but don’t identify as ‘old’ ‘frail’ and so need something else more relevant to them.  One size does not fit all.  They need to see themselves in the activity put on and it needs to be enjoyable.

The term “frailty” probably only has value in a clinical / NHS context. “Staying strong” / “feeling good” / “moving more” tend to be the terms used elsewhere in the country, where the idea of focusing on (positive) characteristics of a good life are used.
One size does not fit all.

Activity from gardening, walking to dance etc.

Specific groups – e.g. Pregnant woman – would like to attend a condition specific group for being active with other women.

Signposting - Long term conditions patients are told in hospital to be more active but given no help with what / where.

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Entry costs to some activities are prohibitive for many parents - with e.g. football boots / leotards being hugely expensive; this is without subs or membership fees - it excludes children from poorer families.

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There needs to be better cycle lanes, especially between towns - as cyclists have to negotiate really busy roads with cars unable to give safe room when passing e.g. A4500 / A43

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I think that there aren't enough activities where people can join a team without it being super competitive. More opportunities to join in with physical activity which is 'just for fun' and you can turn up and 'play' - you don't need to be good enough to get into a team.

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I struggle physically and all the low impact classes are for older people and normally in the day time. As I work full time this isn't an option. I know most will say try swimming but the thought of me in a cossie its a good one. Like others have said an idea of when and where would also benefit. Is there any on line classes we can follow too? TIA

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Get talking to partners, investors, and Northamptonshire heroes that started life and potentially still live in the county.

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seasonal changes and weather are the usual barriers. Late sunrise and early sunset before some have left work can make being active more of an effort.

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Walking and running are great activities within Northampton, although may not appeal to all and so is there more creative ways to keep active - like martial arts, or tai chi in a park or open grounds. There's also the possibility of roller skating or skate boarding for the more adventurous. Also what about a walk and talk book club?

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Realise that Northampton is not the centre of the universe. Activities need to be spread out across the entire county and accessible to everyone.

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Realise that Northampton is not the centre of the universe. Activities need to be spread out across the entire county and accessible to everyone.

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A one size strategy does not fit all. Different age groups have different needs. Parents are probably busy ferrying kids to activities to do anything for themselves. Opportunities need to be available at different times. Give people a chance to try new activities - taster days at local locations, where external groups can put on displays and people can join in. It's as much about changing attitudes as anything. Show people you don't have to be young and trendy, you can exercise at any age and have fun.

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A one size strategy does not fit all. Different age groups have different needs. Parents are probably busy ferrying kids to activities to do anything for themselves. Opportunities need to be available at different times. Give people a chance to try new activities - taster days at local locations, where external groups can put on displays and people can join in. It's as much about changing attitudes as anything. Show people you don't have to be young and trendy, you can exercise at any age and have fun.

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Barriers are: - time, location, cost, lack of knowledge of what's available, not knowing what's involved, lack of options to try different activities. 

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Barriers are: - time, location, cost, lack of knowledge of what's available, not knowing what's involved, lack of options to try different activities. 

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As somebody who works, trying to find activities out of working hours that are not too late is difficult. Not everyone wants to run or cycle, but there isn't a truly comprehensive list of what activities are available, with place, time, cost etc.  Too many things seem to be focussed on Northampton and not other parts of the county. I would like to swim more, but lane swimming in Daventry is restricted due to schools and after school lessons and only one swimming pool for the town. 

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As somebody who works, trying to find activities out of working hours that are not too late is difficult. Not everyone wants to run or cycle, but there isn't a truly comprehensive list of what activities are available, with place, time, cost etc.  Too many things seem to be focussed on Northampton and not other parts of the county. I would like to swim more, but lane swimming in Daventry is restricted due to schools and after school lessons and only one swimming pool for the town. 

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Continue to promote opportunities for physical activity which are low cost and adaptable for all abilities. The Beat the Street was a great concept.

Consider offering lower costs activities for those with lower incomes to help encourage people to remain healthy and active.

Work with stakeholders such as the Police to ensure our local areas and streets are safe places which people would want to use to walking, cycling or scooting.

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There is plenty of advice about physical activity in Northamptonshire. Within workplaces there is good information about health and wellbeing although from personal experience I often have back to back online meetings which prevent me from being as active as I could be.

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1. Time - with lots of people working from home fitting in exercise to diaries filled with online meetings can be tricky.
2. Cost - gym memberships are pricey.
3. Equipment - not everyone has the clothing or equipment for exercise e.g. reflective clothing for winter evening walks.

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We need to develop a County wide strategic plan with all stakeholders contributing to clear objectives and tactics to achieve this over the next 30 years.  This requires a generational change. It need lots of communication and input from lots of different stakeholders.  It should be bottom up and not tope down.  It cant be done in 3-5 years. 

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We need to develop a County wide strategic plan with all stakeholders contributing to clear objectives and tactics to achieve this over the next 30 years.  This requires a generational change. It need lots of communication and input from lots of different stakeholders.  It should be bottom up and not tope down.  It cant be done in 3-5 years. 

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This is  not a simple question to answer!  It depends a little about who we are referring to.   For lower social economic groups money may be an issues, for those who want to cycle to work the infrastructure is an issue. There are issues about modern, clean, safe facilities that are easily accessible.  There is also the issue of having a culture of playing sport, and participating in exercise and physical activity and it being normal.  This is particularly important - feeling able to do this if you have not done it before or want to return to it after a long time away from it  

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This is  not a simple question to answer!  It depends a little about who we are referring to.   For lower social economic groups money may be an issues, for those who want to cycle to work the infrastructure is an issue. There are issues about modern, clean, safe facilities that are easily accessible.  There is also the issue of having a culture of playing sport, and participating in exercise and physical activity and it being normal.  This is particularly important - feeling able to do this if you have not done it before or want to return to it after a long time away from it  

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There is a lot of good work going on but we need to join this together and have a whole systems approach with all key stakeholders working together. This also needs buy  in from Councils and local MP's.   Building activity it into peoples day to day lives almost by stealth - with active transport, destination that encourage activity, events that almost as a bi product promote movement and participation.  This has to be underpinned with an infrastructure and PR & marketing plans that makes moving normal.  We also need to target those hard to reach groups such as BAME, disabled and lower SE groups.     

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There is a lot of good work going on but we need to join this together and have a whole systems approach with all key stakeholders working together. This also needs buy  in from Councils and local MP's.   Building activity it into peoples day to day lives almost by stealth - with active transport, destination that encourage activity, events that almost as a bi product promote movement and participation.  This has to be underpinned with an infrastructure and PR & marketing plans that makes moving normal.  We also need to target those hard to reach groups such as BAME, disabled and lower SE groups.     

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Involving voices from a range of people from different communities and groups. Especially minority groups so their voices are heard

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- difficulties in accessibility in more rural and/or disadvantaged areas
- parental perceptions on physical activity which is reflected in children and young people
- safety of areas, especially when dark at night
- poor pavements which made it harder for those with physical disabilities, prams ect
- psychological barriers e.g. confidence, enjoyment, body image, low mood
- belief that exercise is not enjoyable and must be intense, have an all/nothing approach with high expectations for change

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Clear consistent messaging, appropriate social marketing. Use buddying and peer support. Tiny Habbits approach - evidence based behavior change. Lots of health coaches. Increase safety on roads for exercise in partnership with parks and a joined up active travel strategy that has an implementation plan, alongside gym partnership.
Have a plan with an annual report

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Perceptions of ability and accessibility, people start with too big an expectation or step so demotivate themselves - use Tiny Habbits approach- BJ Fogg.
Need a workforce of Health Coaching

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Increased exercise decreases incidence and improves outcomes for most long term conditions - so why is it not part of the NHS pathways? Why is it not prescribed?

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Begin putting things in place and implementing them where possible

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Lack of spaces available to yp who require extra support

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Lack of knowledge and understanding of importance

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There isn’t enough obvious physical activity areas that are sign posted

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Not enough visible W+G activities.  They are doing exercise but sometimes they aren't seen or don't want to be seen.

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Not enough visible W+G activities.  They are doing exercise but sometimes they aren't seen or don't want to be seen.

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Organisations being snowed under with the day to day work

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Organisations being snowed under with the day to day work

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Lack of knowledge of what is available.  

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Lack of knowledge of what is available.  

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Reaching out to partners more.  Do you have a clear CYP voice/ capacity to support community groups

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Reaching out to partners more.  Do you have a clear CYP voice/ capacity to support community groups

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Lack of safe spaces, or that people feel vulnerable walking outside the door

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Lack of safe spaces, or that people feel vulnerable walking outside the door

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Where does Nsport fit alongside the new CYP Pillars?

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Where does Nsport fit alongside the new CYP Pillars?

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How do we mobilise community volunteers? Walking

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How do we mobilise community volunteers? Walking

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We are having to transport youths all around the local area as no provision

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We are having to transport youths all around the local area as no provision

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Lots of short term funding, where is the long term plan

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Lots of short term funding, where is the long term plan

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Uncertainty in the VCA sector around survival

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Uncertainty in the VCA sector around survival

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Mainly cost! Even if activities are free, kit and equipment needed to take part isn't. Helping people form a habit so its part of their weekly routine.

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Inequalities & inactivity amongst certain groups (LSEG, limiting illness/disabled, older people) have worsened which will and is having a wider health impact on the county e.g. increase in falls, obesity, diabetes, mental health etc

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Inequalities & inactivity amongst certain groups (LSEG, limiting illness/disabled, older people) have worsened which will and is having a wider health impact on the county e.g. increase in falls, obesity, diabetes, mental health etc

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Those from low income still can't afford the majority of activities, so more FREE options to becoming need to provided & promoted 

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Those from low income still can't afford the majority of activities, so more FREE options to becoming need to provided & promoted 

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Having a sufficiently long-term vision and strategy - it takes time to nudge the dial on these things.

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Barriers are both ‘external’ (the world around) and ‘internal’ (how I feel about it).

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Any approach must be making it the easier / better choice than any alternative (eg. cycling to work is easier than driving / parking / paying)