FSLT: Measuring the real value of Sport and Physical Activity in Fife
Final Report for Fife Sports and Leisure Trust Ltd:
Measuring the real value of Sport and Physical Activity in Fife
December 2012
Prepared by: Axiom Consultancy (Scotland) Ltd 38 Queen Street Glasgow G1 3DX
0141 548 8079
[email protected] www.axiomconsultancy.co.uk
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FSLT: Measuring the real value of Sport and Physical Activity in Fife
Contents
Page
Section 1: Introduction and methodology 1
Section 2: Profile of FSLT 4
Section 3: Profiling FSLT service users 6
Section 4: Quantifying economic impact 11
Section 5: Impact on partnership working 14
Section 6: Estimating the social return on investment of FSLT’s Health & 18 Wellbeing programmes
Section 7: Conclusions and recommendations 21
Appendices:
Appendix 1: Profile of FSLT
Appendix 2: Economic impact tables
Appendix 3: Social impact tables
Appendix 4: Partnership programmes
Appendix 5: List of local suppliers
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FSLT: Measuring the real value of Sport and Physical Activity in Fife
Section 1: Introduction and methodology
Background
Fife Sports and Leisure Trust Ltd (FSLT) assumed responsibility for the management and operation of sport and leisure facilities on behalf of Fife Council in 2008. It provides sports and leisure services under the terms of a service agreement with Fife Council which requires FSLT to deliver on three strategic priorities:
Widening the level of participation in sport and active recreation Developing opportunities and pathways for people to take up and fulfill their potential in sport Provide good quality, adequately resourced facilities and services which meet the needs and aspirations of Fife residents and visitors to the area.
Sport is recognised as having a key role in economic and social regeneration as well as entertainment, identity building, tourism and destination marketing. The Scottish Government's vision for a successful Scotland is underpinned by sport contributing to all five of its strategic objectives of making Scotland wealthier and fairer, smarter, healthier, safer and stronger and greener.
In “Reaching Higher: Building on the success of sport 21" the Scottish Government clearly sets out its vision for sport in Scotland and its perceived potential for it to actively contribute to key issues in Scottish life including:
Promoting physical wellbeing, including tackling obesity Promoting mental wellbeing, contributing to improved self esteem and confidence Building strong, vibrant and cohesive communities Closing the opportunity gap and increasing participation amongst the most disadvantaged groups Providing diversionary activities particularly in the most disadvantaged communities Promoting volunteering Enhancing the economy and tourism opportunities.
However, despite the growth of sport over the years, the Scottish population in general is inactive and at increasing risk of health conditions associated with inactivity including obesity, coronary heart disease and strokes. The Scottish Government strategy for physical activity "Let's Make Scotland More Active" seeks to address the issue of physical inactivity by encouraging people to participate in physical activity for at least 30 minutes most days of the week.
Indeed in research conducted by the University of Glasgow in 2010 it was found that nearly every adult in Scotland is burdened with at least one major lifestyle risk factor (smoking, heavy drinking, lack of exercise, poor diet or obesity) and 55% of the population are coping with three or more risk factors. This places a heavy burden on health and social care services in supporting people with their treatment and care.
Research
Delivery of the FSLT strategy since 2008 has resulted in increased attendances at FSLT's leisure facilities, the introduction of a range of new programmes aimed at widening participation in sport and leisure and considerable investment in new facilities and services. ______www.axiomconsultancy.co.uk 1 FSLT: Measuring the real value of Sport and Physical Activity in Fife
FSLT also works in partnership with other key agencies in Fife to support and deliver national priorities and cross cutting agendas aimed at improving the health and wellbeing of the local population and encouraging active citizenship.
Its ongoing strategy aims to build on this success developing an independent, vibrant and sustainable business with a strong customer base and a growing market share in the industry. FSLT, however, recognises the potential risk to its future strategy posed by reductions in public sector funding which may affect both it and its partner agencies and is seeking ways to maximise its commercial opportunities and enhance its economic and social impact in Fife.
FSLT therefore commissioned a programme of data mining and economic modelling which aimed to assess and measure the real value of its services to the people of Fife. The study aimed to:
Provide a profile of current users of FSLT leisure services in terms of demographics, service utilisation and economic value Quantify FSLT's economic value Estimate its impact on its partners' strategies Determine the social impact of FSLT’s health and wellbeing programmes.
Methodology
In order to achieve the study’s objectives it was necessary to:
Profile the services provided by FSLT and the people using them Identify and source published and unpublished economic datasets which could be used in assessing FSLT's contribution to the Fife economy Identify and source published and unpublished indicators which could be used in assessing FLST's contribution to active citizenship in Fife.
To facilitate these outcomes, a combination of data mining, desk research and economic modelling was adopted.
Data mining
FSLT collect a considerable amount of information from the users of their service, from people who purchased membership of Leisure Active (FSLT's leisure membership scheme) as well as from casual service users and members of clubs and organisations.
A programme of data mining was conducted on the customer database managed by FSLT, following a detailed information specification, which sought to:
Profile the demographics of customers by facility and services used Profile the utilisation of the infrastructure in terms of which facilities are used most often and which product areas are most and least used Provide an analysis of the economic return from the existing product mix.
Profiling the demographics The information on the customer database was analysed to establish the total number of users and their breakdown in terms of age, gender and location by membership type. This was used to establish what proportion of the local population currently used the facilities
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Utilisation The data was also analysed to establish which facilities, services and products were most and least used, which facilities, services and products generated the most income and also to establish the average spend per customer. This information was used in the calculation of FSLT's economic GVA.
Desk research
In addition to information provided by FSLT, an on-line literature review was conducted to identify and source any additional reports and documentation to further inform the development of the economic and social indicators to be used in the impact assessment.
Economic modelling
Data relating to each of the agreed economic indicators was analysed using the National Income Accounting Model to provide a baseline estimate of the contribution of FSLT to the Fife economy. This Model forms the basis of the UK National Accounts and uses the principle of added value to determine the Gross Value Added (GVA) to the economy – this indicates the contribution of FSLT to the economy.
The economic impact assessment used, where possible, economic data from official statistics and supplemented this, where required, with primary data collected from FSLT. Due to gaps in available data, some calculations have been based on estimates and proxies. The estimates and proxies used are detailed in the economic tables contained in Appendix 2.
Analysis of indicators relating to health, crime and education was also conducted and used to estimate FSLT's social contribution in Fife as well as the cost of non-participation in sport.
The remainder of this report outlines the key results from the impact assessment.
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Section 2: Profile of FSLT
Purpose FSLT was established in April 2008 as a non-profit distributing organisation, limited by guarantee and has charitable status. Its mission is to:
"Provide opportunities for customers to enjoy regular participation in sport and recreation as part of a physically active lifestyle".
In addition to its objectives outlined in its service agreement with Fife Council, FSLT as a registered charity is also required to meet the following charitable objects:
To advance public participation in sport, primarily within Fife Council area To provide recreational facilities and organise recreational activities which are made available to the public with aim of improving their conditions of life To advance education, particularly in relation to sports, active recreation and physical activity To advance health, particularly in relation to sports, active recreation and physical activity To advance citizenship and/or community development To relieve those in need by reason of age, ill health, disability, financial hardship or other disadvantage To promote, establish, operate and/or support other similar schemes and projects which further charitable purposes.
Structure
FSLT is responsible for the operational management, delivery and development of Fife Council's 13 sports and leisure facilities, namely:
The Beacon Leisure Centre, Burntisland Bowhill Swimming Pool, Cardenden Carnegie Leisure Centre, Dunfermline Cowdenbeath Leisure Centre, Cowdenbeath Cupar Sports Centre, Cupar Dalgety Bay Sports and Leisure Centre, Dalgety Bay Duloch Leisure Centre, Dunfermline East Sands Leisure Centre, St Andrews Fife Institute of Physical and Recreational Education, Glenrothes Kirkcaldy Swimming Pool, Kirkcaldy Levenmouth Swimming Pool and Sports Centre, Leven Pitreavie Athletics Centre, Dunfermline Waterstone Crook Sports Centre, Newport on Tay.
It has a Board of Directors drawn from elected members, officials and employees of Fife Council with independent directors from local businesses, the sporting sector and centre users. In addition to the Board, FSLT has an Executive Management Team of four members with responsibility for the overall management and development of its activities. They are supported by a Senior Management Team of four senior managers who are responsible for leading the main functions of the business and a team of permanent, temporary and casual staff who help deliver the services across Fife. Staffing numbers fluctuate to meet the
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Services
FSLT offers a range of sports and leisure services across Fife including:
Over 200 fitness classes per week 11 gyms with the latest exercise equipment Swimming programmes Gymnastic classes Personal training 25 full sized, 7 aside or 5 aside outdoor pitches in grass, synthetic and 3G.
FSLT also offers a Leisure Active membership for each of its 13 sports and leisure facilities and Active Concessions which provides discounts on leisure and sporting activities for particular individuals, resident in Fife.
FSLT's Talented Sports Performer Scheme also offers discounted access and training in a range of sports which have a governing body recognised by sportscotland.
Partnership working
In addition to managing and operating the sports and leisure facilities, FSLT provides a range of programmes linked into local sports development and health related initiatives. These include:
Leisure Active, a low cost sport and leisure membership scheme Outreach programmes in partnership with Active Fife and NHS Fife Health related programmes in partnership with NHS Fife including weight management programmes, Active Options and Cardiac Rehabilitation A programme of health and physical activity for pupils in S1 - S6 with Fife Council's Active Schools Joint partnership programme with NHS Fife and Disability Sport Fife and other community groups and clubs to provide programmes for disabled members of the population Programmes with higher and further educational establishments including Adam Smith College.
Investment
FSLT has also undertaken a programme of refurbishment of existing facilities and the development of new sports and leisure facilities for the Fife area. In 2011/12 FSLT invested £642,264 upgrading gym equipment and changing rooms, introducing self service terminals and improving IT and CCTV in its facilities. In addition to this a programme of facilities improvement was also undertaken which included the reopening of Carnegie Leisure Pool and improvements to facilities at Levenmouth, East Sands, Pitreavie and Bowhill. Further capital investment of £320,000 is planned in 2012/13 and 2013/14 for the installation of new equipment, expansion of the self service kiosks and to support the implementation of a programme to improve disability access in sports and leisure centres across Fife.
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Section 3: Profiling FSLT service users
Overview of user profile
FSLT service users fall into three categories as follows:
Members: these are people who have purchased specific user entitlements such as the Leisure Active membership, Active Concessions or Gym membership. The memberships are not venue specific and an individual may have more than one membership Casual users: these are people who access services on a pay as you go basis and are venue specific Accounts: these are clubs and organisations who make block bookings to use services. These are also venue specific.
Information is recorded by venue reception staff on each person using FSLT services in a centralised database. The extent of information recorded varies considerably across the three user groups - with the most detailed information gathered from members and the least detailed gathered from clubs and organisations.
Information from FSLT's customer database was used to profile the types of people using its services and a comparison made between service users in FSLT's first year of trading (2008/09) and the financial year just ended (2011/12).
Membership
Membership in 2011/12 has increased since FSLT's first year of trading in 2008/09 by 56.6%. This is in line with the increase in the Fife population over the same time period (56.2%).
The largest increase in members has been amongst:
Males (69% increase) Children (90% increase in 5 - 17 year olds) Adults (84% increase in 18 - 64 year olds).
There have also been some changes in the composition of the memberships since 2008 with increases in Leisure Active membership (up 10%) and Gym membership (up 6.6%). Conversely, there has been reduction in concessionary membership during this time (down 17%).
Almost all the membership live in the Fife area, although there has been an increase in non Fife members since 2008 (an increase from 0.6% of the membership to 2% by 2011/12). Most of the membership attended Carnegie (20.6%), Cowdenbeath (12.6%) and FIPRE (10.7%) leisure centres. Indeed, membership at Carnegie and Cowdenbeath increased between 2008/09 and 2011/12. Memberships taken out at the Music Institute, have reduced by 65% since 2008 in 2001/12, following the opening of Duloch and the refurbishment of Carnegie leisure centres and also a change in the administration of memberships which have been decentralised resulting in more widespread membership across the FSLT leisure centres.
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In terms of attracting the local population, FLST has been most successful in engaging with residents in the following areas:
Cowdenbeath - where the membership amounts to 30% of the local population Dunfermline - where membership amounts to 21.7% of the local population Burntisland - where membership was 17.2% of the local population Cupar - where membership was 16.2% of the local population.
Casual users
The number of casual users attending FSLT facilities reduced by 9% between 2008/09 and 2011/12 - this refers to both male and female users. This reduction coincides with the closure of Carnegie Leisure Centre for refurbishment.
Whilst there has been a reduction in the overall number of users, it would appear that there has been a significant increase in young casual users aged 5 - 17 years (an increase of 32% between 2008/09 and 2011/12).
Whilst the overall number of casual users has reduced, the numbers have increased between 2008/09 and 2011/12 amongst the following residents:
Dunfermline (increased from 5.9% of the population in 2008/09 to 11.4% in 20012/12) Cowdenbeath (increased from 14.5% of the population in 2008/09 to 16% in 20012/12) Cardenden (increased from 5% of the population in 2008/09 to 7.2% in 20012/12) St Andrews (increased from 9.6% of the population in 2008/09 to 10.4% in 20012/12).
The largest decrease in casuals users was amongst Glenrothes residents, with a reduction from 16.2% in 2008/09 to 9% in 2011/12. This reduction may also be reflective of the planned closure of FIPRE which may have resulted in users drifting away from the leisure centre to other locations.
Also proportionately more residents in Glenrothes and Dalgety Bay are casual users than members (2.6% and 3.2% respectively).
Clubs
The numbers of clubs and organisations using FSLT facilities has remained relatively constant between 2008/09 and 2011/12 (350 and 352 respectively), with football and pitch hire being their most popular use of FSLT facilities.
Whilst numbers had remained constant, the distribution of their use of leisure facilities has changed in this time.
In 2008/09, the majority of clubs and organisations (61%) used in FIPRE, Duloch and Dalgety Bay facilities. By 2011/12, the club and organisations' use of all but Carnegie and Cupar Leisure Centres had decreased. Usage in both Carnegie and Cupar had increased significantly in this timeframe.
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Engagement with key target groups
In its service specification with Fife Council, FSLT has a number of key target groups with whom it needs to engage to widen opportunities and increase their participation in sport and active recreation. These include:
Children and young people under 18 Adults and parents Older people.
FSLT is also tasked with engaging with people in financial hardship to encourage their involvement in sport. It is recognised that FSLT offers concessionary members to a range of people in financial hardship across Fife. For the purposes of this report we consider FSLT’s engagement with Fife residents from areas of multiple deprivation.
We have used the data from FSLT's customer database to review its engagement with these key groups.
Children and young people under 18
According to the General Registers of Scotland (GROS), there are an estimated 49,409 children and young people aged 5 - 15 in Fife. This constitutes 14.1% of the local population. According to the World Health Organisation's Health Behaviour in School Age Children in Scotland Report in 2010, only 11% of girls and 19% of boys meet the Scottish Government's physical activity targets.
The FSLT database records usage of children and young people between 5 and 17 years. This suggests that in 2011/12, there were 10,446 children and young people using FSLT facilities as either members of casual users (21% of the children and young people in Fife). This constitutes an increase of 47% on 2008/09. However it is not possible to tell how regularly each person attends.
Whilst the proportion of young members increased from 26% in 2008/09 to 33% in 2011/12, the majority of children and young people still tended to be casual users (67%).
Adults and parents
According to the Office of National Statistics there were 194,300 people aged 20 to 64 in Fife in 2010.
The customer database records information on users aged 18 - 64. This suggests that there were 20,208 adults in 2011/12 using FSLT facilities, approximately 10.4% of the population. This is an increase of 72% on the numbers of adults using FSLT facilities in 2008/09.
Unlike the children and young people, the overwhelming majority of these users were members (90%).
It was not possible to profile information specifically on parents from the customer database information.
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Older people
According to the Office of National Statistics there were 64,200 people aged 65+ in Fife in 2010.
The customer database records information on users aged 65+. This suggests that there were 2,621 adults in 2011/12 using FSLT facilities, approximately 0.4% of the population. This is an increase of 26% on the number of older people using FSLT facilities in 2008/09.
Almost all of these service users (97.5%) were members.
People from areas of multiple deprivation
The Scottish Index of Multiple Deprivation (SIMD) compares the extent of income and/or employment deprived individuals in specific areas (datazones) across Scotland. In 2011 15.7% of Fife's population was income deprived and considered to be living in areas of multiple deprivation. This amounts to 57,305 people.
Residents in the following postcodes were identified by SIMD as being in the most deprived areas:
Kirkcaldy, Gallatown and Sinclairtown (KY1 2 postcode) Kirkcaldy Templehall East (KY1 3 postcode) Methil and Leven (KY8 postcode) Leven (KY9 postcode) Lochgelly (KY5 postcode) Dunfermline Abbeyview (KY11 4 postcode).
According to the FSLT customer database, despite increases in attendances from 2008/09 to 2011/12 generally, the numbers of people using FSLT facilities from deprived areas in Fife has remained fairly constant (7704 in 2008/09 and 7798 in 2011/12). This amounts to approximately 13.6% of Fife's most deprived population.
The majority of the users are members (66.7%). The largest number (46% of users) reside in the KY8 postcode for Methil and Leven. Fewest users appeared to be reside in the KY9 and KY11 4 postcodes for Leven and Dunfermline Abbeyview respectively.
Given that the number of members from deprived areas has remained relatively static during a timeframe when overall membership was increasing, the proportion of members from areas of deprivation has reduced in four years from 25.1% in 2008/09 to 18.8% in 2011/12. The proportion of casual users from deprived areas has also reduced in this timeframe.
Utilisation
In addition to profiling the demographics for the FSLT service users, analysis of the customer database provided a review of the income sources together with the top income generating activities and venues for 2011/12.
Total income through the tills, as recorded in the database for 2011/12, was £4.06 million. Just over two thirds (67%) of this was generated from casual users, with memberships accounting for 32.5% of income. Clubs only generated 0.07% of FSLTs income. ______www.axiomconsultancy.co.uk 9 FSLT: Measuring the real value of Sport and Physical Activity in Fife
Swimming (including swimming related retail sales) was the largest source of income (34%) with Leisure Active and football activities contributing 13.8% and 11.2% respectively. Health classes which have been a recent introduction generated 0.8% of FSLT income in 2011/12.
The four top income generating leisure centre venues in 2011/12 were:
FIPRE (16% of income) Cowdenbeath (12.2% of income) Duloch (11%) Levenmouth (10.4%).
It should be noted that Levenmouth was the fourth highest income earner for FSLT and is located in an area of multiple deprivation.
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Section 4: Quantifying economic impact
Profile of Fife economy
In 2010, 365,000 people lived in Fife. It is Scotland’s third largest local authority area by population, almost a third of whom live in the three principal towns of Dunfermline, Kirkcaldy and Glenrothes.
Fife’s population has, in common with Scotland as a whole, grown since the mid 1990’s. It has an increasing older population and a rising number of single person households.
Whilst Fife overall has relatively buoyant population growth, quality of life varies considerably across the area. Just under a fifth (17%) of the population is claiming benefits, primarily Job Seekers Allowance and ESA/Incapacity Benefits. The Scottish Index of Multiple Deprivation 2009 shows 15.7% of Fife’s population live in income deprived households, an increase of 3.1% from 2006. These are mostly clustered around Levenmouth, Kirkcaldy and the central Fife coalfield communities, in significant parts of Dunfermline and West Fife, and pockets of Glenrothes.
Table 1 Profile of Fife 2010 Fife Scotland Resident population Total resident 365,000 5,222,100 Males 176,00 (48%) 2,530,315 (48%) Females 188,800 (52%) 2,691, 785 (52%) Number of households 158,175 2,357,424 Total number of jobs available 130,300 N/A for 2010 Full time 66.4% Part time 33.6% Percentage of working age population 64.7% 65.7% Numbers in employment aged 16- 64 170,200 3,707,691 Unemployment (% rate of working population) 8.7% 8.0% Average weekly paid working hours Gross weekly earnings £479.1 £490.6 Hourly pay (full time) £12.53 £12.44 Source: NOMIS
Population projections published by the General Register of Scotland (GRO) suggests that by 2035 the population of Fife is projected to be 399,721, an increase of 9.5 per cent compared to the population in 2010. The population of Scotland is projected to increase by 10.2 per cent between 2010 and 2035. Over the 25 year period, the age group that is projected to increase the most in size in Fife is the 75+ age group. This is the same as for Scotland as a whole.
There has been a continuing shift from traditional manufacturing based employment in Fife to a service based economy. Although Fife still has some 17,900, or 13% of the workforce in
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In common with Scotland as a whole, the Fife economy is heavily reliant on small businesses, with only 4.9% of businesses in the area employing over 250 staff.
Contribution of FSLT to Fife economy
In 2011/12, FSLT generated £9.624m in income. This comprised of fees and charges from leisure facilities, vending and product sales, outdoor sports and gyms, investment income, income from funding partners and events. Almost all of the income was generated by Fife based residents.
In the same period FSLT incurred £10.9m expenditure from wages, investment and supplier costs.
As an organisation, FSLT contributes to the Fife economy in the following ways:
Providing Gross Value Added to the overall economic value of the region Supporting local businesses as a purchaser of services As a major employer in the area As a contributor to the wider Scottish economy.
This section summarises the key economic indicators relating to FSLT’s contribution in each of the above areas. The economic data presented in this section was sourced from a range of published data sources including:
Scottish Government Input-Output Tables Companies House Office for National Statistics (ONS) FSLT.
The tables containing details of the indicators and how they were calculated are available in Appendix 2.
Gross added value
In the National Income Accounting Model, a sector's contribution to an economy is measured by Gross Added Value (GVA). GVA is a measure in economics of the value of goods and services produced in an area, industry or sector of an economy minus the cost of the raw materials and other inputs used to produce them.
FSLT’s GVA contribution to the Fife economy in 2011/12 was £8.06m. This amounts to 0.3% of the GVA for the total Fife economy (£3,102.3m).
Purchaser of services
FSLT placed £1,317,233.39 with local suppliers based across Fife. This was 41.6% of the goods and services it purchased in 2011/12. Based on Scottish Government data, total labour costs per employee in Fife was £23,741. This means that FSLT contributed to the cost of 55.5 jobs in its suppliers across Fife in 2011/12. ______www.axiomconsultancy.co.uk 12 FSLT: Measuring the real value of Sport and Physical Activity in Fife
Employment
FSLT employed 777 people on a permanent, temporary or casual basis in 2011/12. Scottish Government estimates that employees in Fife make a contribution to GVA of £37,824. This means that the GVA for FSLT’s 310 permanent employees in 2011/12 amounted to £11.7m. This figure takes accounted of multiplier effects in the Fife economy created from FSLT’s employee spending.
Contributor to the Scottish economy
FSLT purchased 58.4% of its goods and services from business and organisations outwith Fife – amounting to £1.9m. Scottish Government estimated that employees across Scotland make a contribution to GVA of £59,934. This means that FSLT's spend outwith Fife contributed to providing 31.7 jobs.
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Section 5: Impact on partnership working
Participation in physical activity In its physical activity strategy “Let’s Make Scotland More Active”, the Scottish Government recognises the health benefits of a physically active lifestyle, particularly in reducing the incidence of chronic conditions such as cardiovascular disease, obesity, and Type 2 diabetes. It sets targets for participation in physical activity intended to encourage the Scottish population to lead a more active lifestyle. It recommended that adults should accumulate at least 30 minutes of moderate activity on most days of the week and that children should accumulate at least one hour daily. The strategy targets that:
“50% of adults, and 80% of children aged 16 and under, should be meeting the current recommended levels of physical activity by the year 2022”.
The Scottish Health Survey (SHeS) is a national survey, conducted every three years, of a sample of Scottish adults which provides information on health and health related behaviours. The survey is conducted across Scotland with a sample boost for Fife which allows data to be analysed at a regional level. The sample size does not permit any sub- regional analysis for the area.
Data on participation in physical activity amongst school aged children is available from recent research conducted by Fife Active. This is also reported at a region-wide level only.
Results from each of these surveys suggest that 37% of adults and 18.1% of children in Fife met the Scottish Government's physical activity targets in 2011.
Current impact
As part of its objective to help improve the life conditions of the people of Fife, FSLT currently works in partnership with NHS Fife to deliver a range of health improvement related physical activities. Specific health programmes delivered by FSLT include:
Active Options - health professionals can refer eligible patients through Keep Well, a long-running Fife adult-health programme to Fife Sports and Leisure Trust’s Active Options advisors for tailored fitness programmes Cardiac Rehabilitation - a community-based programme for people who have previously suffered a cardiac incident BEST - a preventative programme focusing on young people between the ages of 2 - 15 years who are overweight Quitfit - a smoking cessation programme which provides support in conjunction with promotion of physical activity Winning by Losing - offers adults who wish to lose weight the opportunity to combine healthy weight-management advice with physical activities Rivers - help patients with long-term pain, such as arthritis, fibromyalgia and chronic back pain, manage their conditions more effectively.
However in addition to these Programmes, it is recognised that participation in physical activity will have preventative health benefits for the wider population.
The following chronic health conditions have been recognised as being affected by lack of physical inactivity:
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Coronary heart disease (which 3.27% of Fife residents are at risk of developing) Diabetes (which 3.7% of Fife residents are at risk of developing) Strokes (which 1.32% of Fife’s population are at risk of developing) Breast cancer (which 0.79% of Scotland's population is at risk of developing) Colo-rectal cancer (which 0.44% of Scotland's population is at risk of developing).
Research conducted by the British Heart Foundation indicated that physical inactivity is linked to:
22% - 23% of coronary heart disease 15% of diabetes cases 12% - 13% of strokes 16% -17% of colon cancer 11% of breast cancer cases.
According to FSLT’s customer database, 47,462 people attended their leisure facilities in 2011/12.
It could be anticipated that, if these individuals were not participating in physical activity, the following numbers of people might be expected to develop long term health conditions as follows:
341 might develop CHD 263 might develop diabetes 75 might suffer a stroke 21 women might develop breast cancer 33 adults might develop colo-rectal cancer.
Information from NHS Health Improvement Scotland estimates that:
The average Coronary Heart Disease patient costs the NHS around £2659 per year per patient Diabetes costs £4,385 per year per patient (on average) Strokes cost £7,479 per year per patient on average Cancer treatment costed £2,181 per in-patient in 2002.
Based on these health conditions alone and on the FSLT customer database, FSLT is helping to contribute an estimated £2.7 million in savings to health services in Fife.
Additional current impact
In addition to health, involvement in sport and physical activity is also recognised as having a diversionary effect on crime. According to figures published by Fife Consultabulary, around 2% of young people in Fife offend. The main offences are:
Breach of the Peace Vandalism Fire raising.
A total of 4770 offences were committed by young people in 2010, an average of 3.67 offences per person.
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Scottish Government estimates that each of these offences costs the criminal justice system around £1,031 per offence.
In 2011/12 10,446 young people attended FSLT services. If participation in sport and physical activity prevented 2% of them from participating in youth related crime this would have prevented 209 young people from being charged with these offences and would have contributed to a saving to the criminal justice system in Fife of £790,000.
Estimated costs of physical inactivity
From the information gathered in this study it is also possible to estimate the cost of physical inactivity in Fife in relation to:
People with existing long term conditions Mental health prescribing costs (for people with depression and anxiety) People claiming Incapacity Benefit for mental health issues (mood related disorders).
The Community Health and Wellbeing Profiles published by the Scottish Public Health Observatory indicate that in Fife in 2010 an estimated:
12,222 people suffered from CHD 16,918 people suffered from diabetes 916 suffered a stroke 304 people developed breast cancer 284 people were living with colo-rectal cancer
Based on the percentage of the Fife population at risk from these conditions as outlined in the Community Health and Wellbeing Profiles for Fife, produced by the Scottish Public Health Observatory, it is estimated that the following numbers of Fife residents could develop the following conditions:
2689 cases of coronary heart disease 2538 cases of diabetes 110 strokes 45 cases of colon cancer 33 cases of breast cancer.
Physical activity has also been linked with potential improvements in mental health, particularly in respect of mild to moderate mood related conditions such as depression, anxiety and stress. Research conducted by the mental health charity MIND amongst their clients suggested that 66% perceived improvements in their mood following participation in physical activity. Indeed physical activity is now recommended by the National Institute for Clinical Excellence (NICE) as a treatment option for people with depression.
ISD records 34,181 patients in Fife who were prescribed drugs for anxiety, depression and psychosis. According to figures from ISD, the average cost of prescriptions is £62 per person per year.
According to the Department of Work and Pensions, 44% of Incapacity Benefit claims in Scotland are due to mood disorders. This resulted in 2010 some 6943 people in Fife
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receiving weekly payments due to worklessness from mood related mental health conditions.
A recent re-assessment of IB claims conducted by the Department of Work and Pensions (DWP) across the UK determined that 31% of claims in Scotland were by people who were fit to work. Whilst the exact number of claimants for IB with mild to moderate mood disorders is not known, we have used the DWP assessment figures to assume that 31% of IB claimants with mood disorders may have had less severe disorders which could have benefited from exercise.
There is also evidence from evaluations conducted in London prior to the Olympics that sport initiatives can help improve young people’s grades and could result in a 2% reduction in the number of young people in employability schemes. The calculation of the cost of physical inactivity also includes the loss of earning of these young people during the year they are in the schemes. Skills Development Scotland is responsible for monitoring employability schemes for young people across Scotland. In 2010 1,744 young people in Fife were in employability schemes.
There is evidence from evaluations undertaken in London prior to the Olympics and in other international locations that sport does result in a reduction in levels of crime by as much as 20% - 25%. However these studies have been able to draw upon data gathered in areas prior to the commencement of sport initiatives as well as during these initiatives.
Fife Constabulary operates diversionary programmes based on street football and twilight leagues. There were 4770 youth related offences in 2010, costing the criminal justice system approximately £7.79 million Assuming a 22% reduction in crime, this suggests that sport related diversionary activities could result in a saving in Fife of £1.9 million.
Taking all of these potential implications of physical inactivity into account, it is estimated that the cost of physical inactivity in Fife amounted to £24.2 million in 2010. This is broken down as follows:
Table 2 Estimated cost of physical inactivity in Fife
Issue Number of Estimated cost of physical Cases inactivity CHD 2698 £715,005 Diabetes cases 2538 £12,271,230 Strokes 916 £822,690 Breast cancer 33 £71,973 Colo-rectal cancer 45 £462,372 Mental health related prescriptions 11,621 £720,535 Mental health related Incapacity 2152 £6,417,694 Benefit Employability 35 £871,962 Crime 1049 £1,900,000
It is recognised that, due to gaps in available data, this figure does not include costs of physical inactivity in relation to other outpatient attendances, day care or drug costs in respect of breast and colorectal cancer which are impacted upon by inactivity. The cost of treating mental ill-health which could be avoided or ameliorated by increased physical exercise are also not possible to calculate.
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Section 7: Estimating the social return of investment of FSLT’s Health & Wellbeing Programmes
Social return on investment (SROI) is an approach recognised by the Scottish Government Health Directorate as a means of measuring the cost of providing programmes in terms of time and finance compared to the income and value placed on the benefits they realise for their stakeholders.
In addition to calculating the potential savings to partners’ services contributed by FSLT, this study also aimed to estimate the social return on investment generated by FSLT’s range of health and wellbeing programmes. This assessment considers:
Costs of providing the programmes The financial value of the benefits received
Costs of provision
The total cost of providing the Health and Wellbeing Programmes in 2011/12 was £371,984. This has been borne by FSLT, NHS Fife and the clients who have participated in the programmes in this year (which is estimated to have been 633 based on figures from FSLT).
FSLT costs include staff wages, administration charges, provision of membership cards and the costs of the self employed instructors. This totalled £178,253 for 2011/12. However, it should be noted that it has not been possible to fully attribute running costs for the facilities in which the programmes are provided. The figure has been estimated based on number of classes and cost of venue hire per hour. As a result, this has undoubtedly under- represented the total cost to FSLT of providing the overall Programme.
NHS Fife contributed £42,000 to cover the cost of a part time adviser for the Keep Well programme which refers patients into Active Options.
Due to limited information on the number of individual participants in each of the eight Health and Wellbeing programmes, it has only been possible to include information on Active Options, Cardiac Rehabilitation and BEST clients as these programmes record participant numbers. The other five programmes record attendances only (it is not possible to estimate the number of unique individuals from these attendance figures).
Clients of Active Options, Cardiac Rehabilitation and BEST are estimated to have incurred costs of £151,731 in participating in these programmes. This related to admission charges, time spent travelling to classes and travel costs.
Financial value of the benefits achieved
The beneficiaries of the Health and Wellbeing Programmes were:
FSLT Current clients Clients’ families NHS Fife.
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FSLT
It is estimated that FSLT received around £77,028 in 2011/12 from individuals who participated in the Cardiac Rehabilitation Phase IV and Active Options programmes. This income was generated from admission fees from attendance at the programmes. It also includes an estimate of income received from Phase IV clients who, in the recent consultation programme, indicated that some of them (around a third) attend a leisure centre outwith the Programme.
None of the Active Options clients interviewed as part of this study indicated that they attended outwith the Programme and therefore no additional income has been included for these clients. BEST clients do not pay for participation.
Current clients
Participants benefit from the Programmes in terms of less time spent in hospital, in GP surgeries and in organising appointments together with fewer telephone calls to their GP and fewer trips to the hospital. Given that the FSLT Cardiac Rehabilitation Programme constitutes one fourth of the Fife Cardiac Rehabilitation Programme, the benefits have been adjusted downwards so that they recognise that they are not solely attributable to Phase IV. It should also be noted that benefits such as reducing time spent organising appointments are not relevant to the children and young people attending BEST and therefore have not been included in the calculation.
Using this approach, the financial value of the benefits to clients is £19,789.
It would be possible to place a financial value on other benefits to clients such as increased confidence and reduced worry. However this requires clients to place their own value on this which results in a subjective value, dependent solely on the views of each individual which will vary as people join and leave the Programme. This makes it impossible to compare results across different Programmes, different years of the same Programme or different service providers. As a result this has not been attempted in this review.
Clients’ families
Discussions held previously with participants in health and wellbeing programmes suggests that their families often benefit from their involvement, generally resulting from improvements in participants’ health which mean they do not have to visit them as often in hospital. Feedback from interviews with clients also indicated that the relatives of the Cardiac Rehabilitation participants also benefit from changing their own behaviours as a result of the knowledge their relative gains from participation in Phase IV. Reducing their risk of a cardiac incident means that they themselves will realise the benefits to clients of reductions in hospital admissions etc.
The families of BEST participants are also assumed to benefit from improvements in the child’s health which would also result in fewer visits to GPs/hospitals etc. However feedback from the Active Options participants did not indicate any changes to relatives’ behaviours and therefore no financial benefit has been included.
The families of current clients on cardiac rehabilitation and BEST benefit to the tune of just over £2,782.
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NHS Fife
The main beneficiary of FSLT’s three health and wellbeing programmes is NHS Fife, both acute and primary care services. NHS Fife acute services (ie A&E, in-patient services and out-patient services) benefited from the clients attending FSLT’s classes by an estimated £595,751. This is based on NICE guidelines and evaluations of Cardiac Rehabilitation Programmes which indicated reductions in admissions, hospital stays and outpatient appointments. It is also based on savings to the health service from relatives of Cardiac Rehabilitation Phase IV who have changed their health behaviours, reducing their risk factors for having a cardiac incident.
The benefit to NHS Fife has been apportioned for the Cardiac Rehabilitation Phase IV Programme to ensure that the benefits are not over-represented.
In addition to the benefits to acute services, feedback from the clients suggests that primary care services benefit as well with reductions in attendances at GP practices. It is estimated that, in 2011/12, this would have saved GP practices in Fife in the region of £72,480.
Estimating the social return on investment
Based on these estimates of benefits and costs, it is calculated that for every £1 invested in the three programmes, the social return on investment was £3.03.
It should be noted that this is not the total value of the health and wellbeing programmes. There is also some benefits which, as explained, cannot be objectively monetarised. Therefore £3.03 as the minimum return on investment.
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Section 7: Conclusions and recommendations
Conclusions This review has considered FSLT's progress since its creation in 2008 in terms of four key objectives, namely:
Widening participation in sport and physical activity Advancing health, education and active citizenship Contributing to the local economy Social return on investment.
Widening participation in sport and physical activity Since its creation in 2008, FSLT has successfully increased the number of attendances at its facilities. This growth has seen a change in the type of people using the facilities, with an increase in memberships (Leisure Active and Gym particularly) and an increase in the numbers of young members (5 - 17 year olds). However, whilst the numbers of young members are growing, the overwhelming majority of members are adults aged 18 - 64. The increase in the numbers of young people using the facilities, together with the increase in the number of male users, may be reflective of FSLT’s considerable investment since 2008 in the development and upgrading of the leisure facilities across Fife.
Whilst there has been an overall increase in membership, the numbers of concessionary memberships have decreased, as have the numbers of casual users. Concessionary members tend to come from specific population groups including the income deprived, students and older people. Casual users tend to be young people, aged 5 -17 - indeed the numbers of young casual users had increased considerably since 2008. It should be noted that majority of young people using FSLT facilities were casual users. Interestingly, despite the reduction in numbers of casual users, these customers generated over two thirds of FSLT’s income in 2011/12.
The growth in the numbers of individuals using FSLT facilities has been above that of the growth in Fife's population since 2008, meaning that FSLT has increased its "reach" amongst Fife residents. This means that FSLT has widened overall participation in sport and physical activity in the region.
However, participation is not widespread amongst the Fife population. Members tend to come from more affluent areas in the region, as do the clubs and organisations accessing FSLT facilities. Indeed, three out of the four top income generating leisure centres were located in more affluent areas in Fife.
Despite increases in overall attendances in FSLT facilities, the number of people from deprived areas in Fife has stayed the same since 2008. As a result, the proportion of people from deprived areas using FSLT facilities has decreased in the last four years.
Club usage of FSLT facilities has also remained the same since 2008. The clubs and organisations tend to be from more affluent areas with significant increases in attendances at Carnegie and Cupar leisure facilities.
Whilst it has been possible to demonstrate increases in attendances and usage of FSLT's facilities since 2008 using the data collected from the FSLT customer databases, the data gathered does not indicate how regularly people use the facilities. This has meant that it
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has not been possible to determine how many of FSLT's customers meet the Scottish Government's physical activity targets and therefore, to what extent FSLT is contributing to national targets.
Advancing health, education and active citizenship Physical activity and sport is recognised as contributing to improvements in health, education performance and active citizenship. Data has been available for the Fife region in relation to health, crime and employability and these indicators have been used to estimate FSLT's impact.
From the available data, it has been possible to estimate savings to public services resulting from FSLT’s activities and the estimated cost of physical inactivity in Fife. Based on the information provided, it was estimated that FSLT has saved health and criminal justice services £3.49 million from provision of its leisure activities and health programmes.
Current levels of physical inactivity were estimated to have costed health, community safety and the economy some £24.2 million in 2011, suggesting that there are opportunities for FSLT to help partners make further savings if levels of participation in physical activity in Fife can be increased and partnership working extended.
However, it is recognised that this data, whilst providing some evidence, is limited to very specific health and crime issues and does not contain impacts on education, as data was not available at the time of this review. Therefore, the savings estimated from FSLT’s activities in this review are likely to be highly underestimated and should be regarded as minimum savings to services.
Contributing to the local economy Whilst FSLT made a contribution to Fife’s overall GVA in 2011/12 in terms of income generated, its greatest contribution to the local economy is as an employer and as a purchaser of services. FSLT is a large employer in the Fife region as less than 5% of organisations in the area employ more than 250 people. The multiplier effect of its employees’ spending in the local economy in 2011/12 more than covered the cost of FSLT’s service provision in that year.
In addition to this, FSLT’s trading with local companies secured 55.5 jobs in Fife and its trading outwith Fife covered the costs of a further 31.7 jobs.
It should be noted that the income from FSLT events was based on estimations of participant and spectator spend as there was limited data available from the customer database. This has undoubtedly resulted in an underestimation of FSLT’s economic impact from its events in both the Fife and Scottish economies.
Social return on investment
Participants in the health and wellbeing programmes are not the only beneficiaries from FSLT services. Participants’ families also benefit from reductions in the need for services. Feedback from clients in the Cardiac Rehabilitation Programme also suggested that families have reduced the risk of a cardiac incident through changing their behaviours as a result of what participants have learned on the Programme.
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Calculating the benefits from three of the health and wellbeing programmes provided by FSLT has required an estimation of some of the costs of delivering the service, particularly where the costs are not specific to the programmes but are shared with other service provision, as well as estimates of the financial implications of the benefits gained. Estimates have been based on data provided by FLST and NHS Fife and, where there have been gaps in this data, published information from the Scottish Government Health Directorate has been used.
A review of all the data gathered suggests that the programmes are delivering benefits which exceed the costs of its delivery. At present the costs are generally borne by FSLT and the clients whilst the benefits are more widely spread to include the families of current participants and the health service in Fife.
It should also be noted that, whilst clients have a number of areas in which they benefit financially from participation the Programmes, specifically related to reductions in their use of health services, their feedback in this research and during the recent Cardiac Rehabilitation consultation indicates other benefits which relate to factors which cannot be objectively monetarised. Clients of the Cardiac Rehabilitation Programme and Active Options described a range of psychological benefits, arising from the establishment of long time friendships and support networks amongst class participants, which from the clients' perspective, have equally contributed to their recovery.
Many of the Cardiac Rehabilitation clients indicated that, prior to participation, they had never exercised regularly. In addition to this some also had, as a result of their participation, taken up other forms of exercise some of which involved additional visits to FSLT leisure centres. This not only means some additional income for FSLT but also suggests that the Programmes are contributing to FSLT's objective of getting more people in Fife more active more often.
Recommendations The review of FSLT's customer information suggests that it has been successful in encouraging more Fife residents to participate in sports and physical activity since its creation in 2008. However, the growth in usage of its facilities had primarily come from the more "mainstream" population groups, whereas levels of usage amongst more specific populations groups such as those from more deprived areas has tended to decline.
Other specific target groups, such as young people and older adults, have increased their usage of FSLT facilities since 2008. However the growth in young people's usage has primarily come from casual users as opposed to memberships and the growth in older adults’ usage has been lower than the growth in the number of older adults amongst the Fife population base.
The assessment of FSLT's contribution to partners' health, education and active citizenship agendas has indicated that it has, through the provision of physical activity activities and health improvement programmes, resulted in substantial savings to both health and criminal justice services. The estimates of the cost of physical activity in Fife, based on national data on participation levels in physical activity, indicate that there is significant scope for FSLT to further contribute to savings to partners.
Increasingly, health boards are being asked to adopt a more preventative approach to health improvement, encouraging the adoption of healthy behaviours which are aimed at
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preventing chronic health conditions in later life. Increasing (and sustaining) young people's participation in physical activity is a key strand of this approach.
This would require increasing engagement with more specific sections of the Fife population such as older adults and people from deprived areas. These population groups tend to have greater health issues and are considered to be "at risk" of developing long term health conditions. It is widely recognised that people from deprived areas are more at risk of chronic health conditions such as heart disease, obesity, diabetes and strokes etc due to poorer diet and more limited access to health services. Older people are also more at risk of health conditions related to physical inactivity and tend to have fewer opportunities to exercise.
In consideration of these issues, we recommend that FSLT considers:
Increasing and sustaining engagement with young people Whilst there are an increasing number of young people who have taken out memberships with FSLT, the majority of young people use FSLT's services on a casual basis. Encouraging more young people to become members would be an effective way of both increasing levels of participation in physical activity and sustaining their participation longer term (key to preventing the development of chronic health conditions).
The Scottish Government has created Young Scot, a free electronic smart card for young people aged 11 - 26, to make it easier for them to access services including leisure services. The card enables young people to get discounts in a range of leisure and retail outlets as well as reduction in travel fares.
Linking FSLT services to the Young Scot Card would:
Facilitate greater access to young people to promote FSLT services Increase the likelihood of young people choosing FSLT services over other leisure choices as these would be available at a discounted rate Encourage young people to attend FSLT services on a more regular basis.
Increasing engagement with "at risk" groups Analysis of the data from the FSLT customer database indicates lower usage of FSLT services amongst older people and those from more deprived areas than other population groups in Fife. FSLT does offer an Active Concessions membership which is aimed at 60+ and not in work as well as people on benefits.
The review of the customer database indicated a reduction in concessionary membership since 2008. The reasons for this are unclear, however given that FSLT's charitable objectives include engaging with older people and those who are income deprived, it may be of benefit for FSLT to explore this with each of these target audiences.
In-depth interviews or focus groups with a sample of older people and residents in deprived areas could be conducted. Interviews with current service users as well as interviews with non-users would enable discussion of current barriers to using FSLT services as well as enablers which might encourage greater uptake amongst each target group.
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Marketing and communications Increasing usage amongst specific audiences such as young people, older adults and people in areas of deprivation will require the development of targeted communication messages and media which will resonate with these groups. These target audiences are not "mainstream" and, as such, may not respond to more general marketing material aimed at the wider population. It is recommended that FSLT considers developing marketing strategies for different target audiences.
Measuring participation in sport and physical activity The Scottish Government is committed to increasing participation in sport and physical activity and has set specific targets in relation to the amount and regularity with which adults and children should exercise to achieve health benefits.
FSLT has a significant role to play in helping to achieve these participation targets in Fife. Currently participation in physical activity is measured using a small number of questions in the national Scottish Health Survey (SHeS), with a local boost, which covers a number of health improvement issues. The sample size only facilitates analysis at a Fife-wide level - it is too small to allow analysis by CHP area or by specific population sub groups.
It had been hoped that analysis of FSLT's customer database might enable the calculation of the extent to which FSLT customers meet the physical activity targets. However, whilst the database records attendances and spend, it does not monitor the regularity with which individuals use the facilities. As a result the calculations in this report have been based on the SHeS figure of 37%.
Given FSLT's remit to widen participation in sport and physical activity in Fife generally, as well as its more specific objectives of engaging with key target groups, it may of benefit to FSLT to consider commissioning their own research into participation rates in sport and physical activity. This would allow FSLT management to not only monitor its progress in increasing participation generally amongst the Fife population, but also to determine the success of any engagement activities aimed at more specific target audiences which cannot be measured in existing surveys due to inadequate sample sizes.
We believe that these recommendations will help FSLT build on its current economic and social contribution within Fife. As well as addressing information gaps, these recommendations also focus on enhancing the impact of sport and physical activity on communities in Fife, particularly within disadvantaged and hard to engage populations.
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Appendices
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Appendix 1: Profile of FSLT users
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Table 1 Breakdown of users of FLST services
Year Total Members Casual Clubs attendances
2008/09 17,648 21850 350
2011/12 2039418 27,634 19828 352
Table 2 Breakdown of FSLT membership
Year Total Male Female 5-17 18-64 65+ Unknown yrs yrs
2008/09 17,648 7944 9466 1831 9860 2041 3888
2011/12 27,634 13249 14158 3482 18227 2556 3691
Table 3 Membership type
Year Concession Staff Gym Health Leisure Active
2008/09 40% 0.4% 28.4% - 31%
2011/12 23% 0.6% 35% 0.1% 41.4%
Table 4 Membership by local authority area
Year Fife residents Residents from outwith Fife
2008/09 99.4% 0.6%
2011/12 98% 2%
Table 5 Membership by facility
y Duloch East Sands FIPRE Kirkcaldy Leven Music Institute Pitreavie W Crook Year Beacon Bowhill Carnegie Cowdenbea th Cupar Dalgety Ba 2008/ 6% 2.3 15% 10% 6.7 4.4 1.2 6.7 13% 8.5 8.1 17.8 - - 09 % % % % % % % %
2011/ 4.8 3.3 20.6 12.6 5.2 5% 9% 7.9 10.7 7% 7% 6.2 - - 12 % % % % % % % %
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Table 6 Membership by area
Area Population % members % casual users size
2008 2008 2011 2008 2011
Burnt Island 7700 17.2% 13.7% 11.2% 13.5%
Lochgelly 8000 11.6% 5% 7.2% 5%
Dunfermline 46430 21.7% 12.9% 11.4% 5.9%
St Andrews 16680 13% 7% 10.4% 9.6%
Kirkcaldy 48630 3.9% 3.1% 1.6% 2.1%
Glenrothes 38750 7.6% 5.9% 9% 16.2%
Levenmouth 37238 5.2% 3.8% 4.9% 8.2%
Cowdenbeath 11640 30% 15.1% 16% 14.5%
Cupar 8980 16.2% 12.8% 15.4% 18.3%
Dalgety Bay 10030 13.5% 7.7% 16.7% 16.7%
Newport on Tay 7922 0.4% 0.1% 4.9% 8.5%
Table 7 Membership in areas of multiple deprivation
Year KY8 KY9 KY5 KY11 4 KY1 2 KY 1 3 (Methil Leven Lochgelly & Dunfermline Kirkcaldy Kirkcaldy Leven) Abbeyview
2008/09 1965 45 1303 373 445 295
2011/12 2149 84 2248 67 401 259
Table 8 Breakdown of casual users
Year Total Male Female 5-17 18-64 65+ Unknown yrs yrs
2008/09 21850 10617 9894 5280 1909 35 12931
2011/12 19828 9751 9441 6964 1981 35 8722
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Table 9 Number of casual users in areas of multiple deprivation
Year KY8 KY9 KY5 KY11 4 KY1 2 KY 1 3 (Methil Leven Lochgelly & Dunfermline Kirkcaldy Kirkcaldy Leven) Abbeyview
2008/09 2228 56 623 16 206 149
2011/12 1441 54 781 34 180 100
Table 10 Income sources 2011/12
User £ %
Casual £2,741,548.86 67%
Membership £1,319,487.97 32%
Clubs £3,024.82 1%
Total £4,064,061.65
Table 11 Top activities for income 2011/12
Activity £ % of total income
Swimming (including retail 1,380,480.20 34% sales)
Leisure Active membership 560,765.80 13.8%
Football 453,622.20 11.2%
Health classes 32711.70 0.8%
Table 12 Top venues for income 2011/12
Venue £ % of total income
FIPRE 650,942.90 16%
Cowdenbeath 495,562.67 12.2%
Duloch 450,213 11%
Levenmouth 422,741.53 10.4%
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Appendix 2: Economic impact
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Table 13 FSLT Income FSLT income £m Info source used Proxy used FSLT sports Fees and charges 4.4 FSLT Report and facilities (leisure facilities accounts to March 2012 income) Vending and product 0.08 FSLT Report and sales accounts to March 2012
Outdoor sports and 0.5 FSLT Report and gyms accounts to March 2012
Other income 0.43 FSLT Report and accounts to March 2012
Investment income 0.04 FSLT Report and accounts to March 2012 Funding from NHS Fife 0.05 partners Events 0.07 Grants from To fund net expenditure - central govt on sport Income from 4.054 Combines Contract Fife Council income and Assets and includes funding for pool plant advice Total 9.624m
Table 14 FSLT Expenditure FSLT £m Info source Proxy used expenditure Current Wages expenditure 7.99 FSLT Report and expenditure accounts to March 2012 Other current 2.31 FSLT Report and expenditure accounts to March 2012 Security costs -
Grants to voluntary clubs - Capital Investment 0.6 FSLT expenditure Total 10.9m
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Table 15 Outside the area income
Outside the £m Info source used Proxy used area income for FSLT Admissions 0.01 FSLT customer database Memberships 0.02 FSLT customer database
Retail sales in leisure 0.003 FSLT customer database facilities Income for FSLT events 0.02 FSLT from Non Fife residents Total 0.053m
Table 16 Outside the area expenditure
Outside the £m Info source used Proxy used area expenditure by FSLT Suppliers 1.9 TV exports - Prize income - Economic impact from 0 Local events only FSLT events going elsewhere Total 1.9m
Table 17 Value added
Value added by £m Info source used Proxy used FSLT related economic activity Central govt Lottery projects - Total - FSLT Wages 7.99 Lottery projects - Events 0.07 Total Total value added 8.06m
Table 18 Economic profile of Fife
Measures Fife
Number of employees 170,200
Number of businesses employing 250+ 420 (4.9%)
Gross Value Added for Fife economy £3.1 billion
Gross Value Added per employee £37,824
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Appendix 3: Social impact
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Table 19 Health Indicators
Fife Scotland
Smoking rates amongst adults 24.2% 25% 1,088 per Hospitalisations from alcohol 100,000 955 per 46.4 per Deaths from alcohol 100,000 100,000
90.9 per 85.1 per Patients hospitalised with drug related conditions 100,000 100,000 137.5 per 347 per Patients hospitalised with CHD 100,000 100,000 167 per 173.8 per Stroke 100,000 100,000 3.7 per 3.5 per Prevalence of Diabetes 100 100 Patients prescribed drugs for depression, anxiety or psychosis 9.2% 9.70%
286.7 per 303 per Patients with a psychiatric hospitalisation 100,000 100,000
Source: Community Health & Wellbeing Profiles, Scottish Public Health Observatory Home Office, Department for work and Pensions
Table 20 Crime statistics
Type of Crime Number of offences by Cost of crime young people in Fife in 2012 Breach of the Peace 690 £1,474,530 Vandalism 2277 £2,347,587 Fire raising 3853 £3,972,443
Source: Fife Constabulary and Scottish Government
Table 21 Number of people aged between 16-19 years old on employability programmes
Programme Fife
Get Ready for Work (inc Lifeskills) 768
Training for Work 409
Skillseekers 526
Targeted Pathways to Apprenticeship 41
Source: Skills Development Scotland
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Appendix 4: Partnership programmes
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Partnership programmes (in conjunction with NHS Fife)
Active Options: Exercise Referral with tailored fitness programmes for residents with long term health conditions
Active Options 2: Exercise Referral
Be Active Eat Well Stay Healthy Together in Fife (BEST): a preventative programme providing healthy eating advice and physical activity for children and young people aged 2 – 15 who are overweight
Cardiac Rehabilitation Phase IV: a tailored programme of exercise for people who have suffered a cardiac incident. There is also an opportunity for clients to become volunteers with the programme to help support other people who have experienced cardiac incidents
Quitfit: Smoking Cessation Programme using physical activity
Rivers: Pain management to support people manage their conditions more effectively
Winning by Losing: Programme combining physical activity and weight management advice.
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Appendix 5: List of local suppliers
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