Philip Garner
Specialist Programme Manager
Public Health
NHS / LA Changes
White Papers
Health and Social Care Act
Operating Plans
CCGs
Outcome Frameworks
Public Health Functions
Physical Activity & Health
The New Public Health Functions
Commissioning a range of services from a range of
providers from different sectors
Tackling the causes of ill-health & reducing health
inequalities e.g. the operation of the planning system
Promoting and protecting health
Promoting social justice and safer communities through
partnerships with other agencies
Public Health advice to the NHS
Public Health Priorities
• Tobacco control and smoking cessation services
• Alcohol and drug misuse services
• Services for those aged 5-19, the National Child Measurement Programme
• Obesity interventions, locally-led nutrition initiatives and increasing levels of physical
activity
• NHS Health Check assessments
• public mental health services
• dental public health services
• accidental injury prevention
• population level interventions to reduce and prevent birth defects
• behavioural and lifestyle campaigns to prevent cancer and long-term conditions
• local initiatives on workplace health
• comprehensive sexual health services
• local initiatives to reduce excess deaths as a result of seasonal mortality
• role in dealing with health protection incidents, outbreaks and emergencies
• promotion of community safety, violence prevention and response
• local initiatives to tackle social exclusion
• reduction of environmental risks.
Physical Activity and Health
Public Health has successfully commissioned a series of
physical activity interventions with county and district
councils:
• Walking for Health in Lincolnshire
• Health-related exercise referral
• Vitality – physio-like seated exercise or movement to music
• Health Trainers
• Co-ordination of physical activity interventions by the Lincolnshire
Sports Partnership to strengthen the infrastructure for the local
delivery of physical activity.
• (Improving the Physical Environment – improving access to paths
and trails, open spaces and parks)
Physical Activity and Health
Public Health has successfully commissioned a series of physical
activity interventions for children with county and local partners:
• Legacy Challenge with school sports (primary)
• Play for Life – early years education for activity
• `Fit Kids` Childhood obesity programme
• Playgrounds – refreshing the environment for more activity
• Wheelchair sports in schools
Physical Activity & Health
http://lincolnshiresport.com/physical-activity/
Service Review
Schemes
QALYs
Deaths Avoided
Exercise Referral
£7,651
4
Walking for Health
£6,505
5.8
Fit Kids
£5,351
1.8
Food & Nutrition
£16,313
1.2
Smoking Cessation
£1,648
71
The NICE threshold for cost effectiveness is between £20,000-£30,000
costs per QALY. The lower the cost per QALY, the more cost-effective the
intervention.
Utilising the VfM Toolkits from NSMC
Acknowledgements
Boston Borough Council
Carres Grammar School, Sleaford
CfBT
City of Lincoln Council
East Lindsey District Council
Leisure in the Community (Arts NK - Vitality)
Lincolnshire County Council
Lincolnshire Sports Partnership
North Kesteven District Council
School Games Organisers in Lincolnshire
South Holland District Council
South Kesteven District Council
University of Lincoln
YMCA Lincoln
Thank you.
Questions?
Philip Garner
Specialist Programme Manager
philip.garner@lincolnshire.gov.uk
tel: 01552 552292