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This publication is available at https://www.gov.uk/government/publications/physical-activity-applying-all-our-health/physical-activity-applying-all-our-health
This guide is part of ‘All Our Health’, a resource which helps health professionals prevent ill health and promote wellbeing as part of their everyday practice. The information below will help front-line health and care staff use their trusted relationships with patients, families and communities to promote the benefits of physical activity.
We also recommend important actions that managers and staff holding strategic roles can take.
Why promote physical activity in your professional practice?
Physical inactivity is responsible for one in six UK deaths (equal to smoking) and is estimated to cost the UK £7.4 billion annually (including £0.9 billion to the NHS alone).
Unfortunately our population is around 20% less active than in the 1960s. If current trends continue, it will be 35% less active by 2030.
Many people don’t realise that physical activity has significant benefits for health, both physical and mental, and can help to prevent and manage over 20 chronic conditions and diseases, including some cancers, heart disease, type 2 diabetes and depression.
Surveys have shown that nearly a quarter of adults report being physically inactive (doing less than 30 minutes physical activity over a week).
Men were more likely to claim they achieve the recommended physical activity levels than women and women were more likely to report being physically inactive than men.
Increasing age and reduced physical activity are 2 risk factors that often coincide. As people age, they take part in less physical activity.
And people with disabilities or long-term conditions are twice as likely not to be active enough for good health.
However, one in four people would be more active if advised by a healthcare professional so this presents a unique opportunity for you to support people to be more active.
Core principles for healthcare professionals
This ‘All Our Health’ physical activity information has been created to help all health professionals:
- understand specific activities and interventions that can prevent physical inactivity
- think about the resources and services available in your area that can help people get active
If you’re a front-line health professional:
- speak to your patients about the benefits of physical activity and risks of inactivity, referring them to information or services if necessary
- read our blogs about brief advice, motivational interviewing and health coaching to help you have non-judgemental conversations tailored to individual patients
- find out about the resources and services in your area that can help people get active, such as local referral pathways, including exercise/activity on referral schemes
- make yourself familiar with local physical activity options, for example local Walking for Health schemes
- read our blogs about the type of local services that may be available and how to find them
- familiarise yourself with key physical activity messages and understand where to access trusted advice for your patients - we recommend NHS Choices which has information for adults, older people, children and people with disabilities
- promote physical activity campaigns like Change4Life (information for children) and One You (for adults aged 40 to 60)
- offer online activities or health apps such as ACTIVE10 which encourages 10 minutes of brisk walking every day or ‘Couch to 5k’ which helps people take up running
- become a physical activity role model; increasing your own activity levels will improve your own health and make it easier for you to discuss physical activity with other people
If you’re a team leader/manager:
- ensure the teams you manage are aware of physical activity services and interventions in your local area
- promote a team culture where staff know that they should talk to their patients about healthy lifestyles - ‘Making Every Contact Count’ initiatives should include physical activity
- create a culture where all staff understand the benefits of measuring their impact and demonstrating the value of their work
- consider working within your own organisation, or with local businesses, to promote active workplaces (through schemes such as the Workplace Challenge)
- encourage high-level, executive staff to act as physical activity role models
If you’re a senior/strategic leader:
- work to ensure physical activity is promoted prominently within commissioned healthcare services
- include physical activity in health and wellbeing boards’ Joint Strategic Needs Assessment (JSNA)
- consider the physical activity needs of the local workforce to create a culture change towards a more active workforce
- look at the education and training needs of the workforce, to equip them to deliver high-quality physical activity advice and interventions
- encourage high-level, executive staff to act as physical activity role models
Understanding local needs
The Physical Activity Data Sources document provides information on what can be found in each data source, including geographical areas reported (including national, regional and local authority), demographics of respondents (age, sex, ethnicity, sexuality, socio-economic status, religion, disability) and frequency of updates to the data.
The HSE is used by central government to monitor trends in the national physical activity estimates, with most recent data available from HSE 2016. Data from ALS is used for the Public Health Outcomes Framework and Physical Activity tools to support local monitoring of performance against the government’s Sport Strategy and Chief Medical Officer guidelines, with PHE producing physical activity estimates for each local authority in England.
As a health professional there are a range of reasons why it makes sense to measure your impact and demonstrate the value of your contribution. This could be about sharing what has worked well in order to benefit your colleagues and local people, or help you with your professional development.
The general practice physical activity questionnaire (GPPAQ) is a simple, validated screening tool to assess adult physical activity and the associated risk of cardiovascular disease and all-cause mortality within primary care.
The Everyday Interactions measuring impact toolkit provides a quick, straightforward and easy way for health care professionals to record and measure their public health impact in a uniform and comparable way.
The physical activity impact pathway is recommended for healthcare professionals to record and measure actions undertaken as part of routine care which impact on physical activity levels.
Further reading, resources and good practice
Advice for patients and the public
- NHS Choices has a range of information and support to help people get and keep fit
- One You has information and support to help people stay active
- Active 10 app helps individuals build 10 minutes of brisk walking into their routine
Professional resources and tools
The ‘Start active, stay active’ report on physical activity provides detail and evidence on the recommended guidelines for physical activity and is supported by a number of infographics showing the guidelines and the benefits, including:
- adults and older adults infographic
- physical activity for pregnant women infographic and evidence briefing
- physical activity for children and young people (aged 5 to 18)
- physical activity for early years (birth to 5-years-old)
NICE guidance and pathways are available to support evidence based practice to promote physical activity.
PHE and BMJ Learning have published 8 modules on physical activity in the treatment of long-term conditions, as well as one on motivational interviewing in brief consultations.
PHE’s Health matters: getting every adult active every day is aimed at commissioners and decision makers.
Good practice examples
PHE’s ‘Everybody active, every day’ framework to embed physical activity into daily life includes:
- ‘Everybody active, every day: what works, the evidence’ to support a range of interventions
- ‘Identifying what works for local physical inactivity interventions’ summarises the methods and findings of a national call for local practice to increase physical activity
- ‘Everybody active, every day: 2 year update’ shows how the strategy has been implemented
- ‘Moving at scale – promising practice and practical guidance on evaluation of physical activity programmes in the UK’ is a national review of local case studies by ukactive Research Institute, the National Centre for Sport and Exercise Medicine and PHE