Haddenham and Long Crendon LOCAL AREA FORUM Recommendations

The Active Bucks project aspires to get everyone being more active, more often.

Too few of us are doing enough physical activity to benefit our health. This means we’re missing out on all the other benefits being active can bring, such as improving our mental wellbeing, reducing our risk of disease and disability, connecting with other local people, our communities, and maintaining our independence in later life.

To support this, the Active Bucks team have been engaging residents, groups and organisations in your local area to establish:

 What opportunities residents would like to engage with to be more active  Local Community Champions that can engage other local residents to be more active  What assets already exist that could be better utilised to increase physical activity?

The recommendations provided at the end of this pack were developed as a result of input from national data, community engagement in your local area, asset mapping, an evidence review and discussions with stakeholders.

The recommendations are to support the decisions around the type of physical activity interventions that should be delivered to target groups with the greatest need.

1

The Local Picture

POPULATION OF HADDENHAM AND LONG CRENDON LAF1

100% 90% 23.1 17.8 17.3 80% 70%

n 60%

o

i t

a 50% 62.0 63.8

l 58.6 u

p 40%

o

p

l 30%

a t

o 20%

t

f o 10% 18.4 20.3 19.0 % 0% Haddenham & Long Buckinghamshire England Crendon Aged 0-15 Working age Aged 65+

LONG TERM CONDITIONS IN ADULTS How many people have health conditions that could be prevented by being more physically active? How does this compare to the county average?

Key point: By analysing GP disease registers in your LAF area, % of population we know how many local people have the following2: LAF Bucks Diabetes: 796 have been diagnosed with diabetes 5.2 4.5 High blood pressure: 2,771 have diagnosed high blood pressure 14.6 13.2 Heart disease: 606 have heart disease 3.2 3.0 Stroke: 296 have had a stroke 1.6 1.6 Dementia: 122 have been diagnosed with dementia 0.6 0.5 Cancer: 514 have had cancer. 2.7 2.3 From other sources, we also know: Pre-diabetes: 1576 individuals in your LAF area are estimated to have ‘non-diabetic hyperglycaemia’ (pre-diabetes) - which equates to 11.9% of the 16+ resident population3 4 Falls: There were 555 emergency admissions for falls in people from your district. This equates to 1943.9 per 100,000 population (similar to Bucks average)

1Source of data: Local Insight Profile ©OCSI 2015 2Data from Quality and Outcomes Framework reporting data for GP practices within LAF boundary 2013/14 3NHS Diabetes Prevention Programme(NHS-DPP) Non-diabetic hyperglycaemia, Produced by: National Cardiovascular Intelligence Network, Aug 2015, Public Health England 4Data from Secondary Care patient emergency admissions (to district level) with falls in any diagnostic category position 2013/14 2

PHYSICAL ACTIVITY LEVELS IN ADULTS FROM THE AYLESBURY VALE DISTRICT 5

41% of adults do less than 150 minutes of physical activity a week, and 24% of adults do less than 30 minutes

CHILDHOOD OVERWEIGHT & OBESITY LEVELS IN HADDENHAM AND LONG CRENDON LAF6

30 27 25 22 18 20 16

15

10

Obese 5 0 Children (reception year) Children (year 6) & (%)Overweight Percentage Haddenham and Long Crendon Buckinghamshire

PHYSICAL ACTIVITY IN CHILDREN FROM THE SOUTH EAST REGION 7

Only 1 in 5 children are

active for the recommended time of at least 1 hour on every day

of the week

5Data to district level from Active People Survey - 3 year averages 2012-14 6Data from National Childhood Measurement Programme (2013/14) 7Data from South East region data for children age 5-15 years, Health Survey for England 2012 3

VARIATION IN PHYSICAL ACTIVITY IN POPULATION GROUPS

8 How do activity levels vary between population groups in England? Graphs show percentage of adults who are inactive (less than 30minutes of moderate physical activity per week) by demographic group

Key point: Disabled adults are more likely to be Key point: Adults from Asian communities are physically inactive more likely to be physically inactive

Key point: Older adults are more likely to be Key point: Adult women are more likely to be physically inactive physically inactive

8 Source: Active People Survey 2014/15 4

Active Bucks Resident Engagement

How many people did we engage with in Haddenham and Long Crendon LAF?

Key point: 45 residents in total were engaged through various channels

Surveys •44 surveys completed (online and paper)

Interactive Workshops •1 interactive events held •1 person attended this session

Public Events •1 public events attended

Who engaged with us in Haddenham and Long Crendon LAF? Key point: We collected person data on 45 residents who engaged with us. Please note: 106 Young People (<16) from across Buckinghamshire were also surveyed as part of this process. More information can be found on the Active Bucks countywide recommendations document. Age Disability/Long Term

Condition 16-18 19-25 26-35 36-45 46-55 56-64 65+ yes no 22% 22% 19% 14% 11% 69% 3% 0% 19%

Percentage ofResidents Age Band Percentage Residents of

Ethnicity Gender

White Mixed Asian or Asian British Black of Black British Other Groups male female 86% 67%

23%

0% 6% 0% 0% Percentage ofResidents Percentage ofResidents

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How active are the residents we engaged with?

Key point: It is recommended that adults should try to be active every day and take part in at least 150 minutes of moderate intensity activities weekly

Adult Physical Activity levels

More than 150 mins/week 28%

Between 30- Less than 30 150min/week min/week 61% 11%

What’s stopping your residents & how can we help? Note – bigger circles on charts below represent larger numbers of respondents agreeing with an option.

For those that felt time is an issue For those that felt cost is an issue the preferred timing of activities the preferred cost options for were as follows: activities were as follows:

Shorter Activities 38% Before 9am Pay as 4% you go- activities 68% After 5pm Pay up 38% Other Between front for 16% 9-5 all the sessions 4% Low-cost 4% 28%

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For those that felt access is an issue the preferred ways to increase uptake were as follows:

Activities sensitive to cultural/religious For Beginners, beliefs, 4% 8% Activities help with childcare, 4% Activities with people of Welcomes new people, own age/ability, 13% 21%

More information- local activities, Other, 33% 17%

Key themes and quotes from residents on how we can increase physical activity:

More pay as you go “Footpaths alongside village and country Social Better “Some people need a Activities Promotion roads” friend to do it with”

“I used to be very active Better foot Welcomes all and cycle abilities and now I need to paths manage and learn about

my condition and find More evening activities out what I can and can't do now”

“Better cycle paths to get where I need to go - I could cycle rather than use the bus” “Regular good routines such as belonging to a team in

competition”

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Priorities & Assets

Top priorities for your residents Do local assets match these priorities?

Top 3 reasons why your residents are Top 3 Activities Residents say happens locally motivated to be more active. 1. Team sports 1. Get healthier 2. Swimming 2. Feel better about self 3. Activities in the park 3. Feel fitter

Top 3 Activities all residents would like to see Examples of potential local assets to meet 1. Yoga/Pilates residents’ priorities 2. Tai Chi 3. Swimming Physical Spaces Organisations o Haddenham o Chen Academy Top 3 Activities older residents (>65 years) Sports and o Simply walks would like to see Social Club o Haddenham o Woodways U3A 1. Tai Chi Community 2. Martial arts / self defence Centre 3. Yoga/Pilates o Haddenham Village Hall Top 3 Activities BME residents would like to o Haddenham see Recreation Ground 1. Activities in the park People Clubs & societies 2. Swimming o Phillipa o Haddenham 3. Yoga/Pilates Stevens Yoga Sports and o Chen Tai Chi Social Club Top 3 Activities young people (<16) across o Fran Kenny- o Haddenham Buckinghamshire would like to see Karate 50+ Exercise Club 1. Team sports o Haddenham 2. Activities in the park Cricket Club 3. Swimming

8

Physical activity to improve health – what works: guidelines and evidence

Evidence to think about when choosing an activity to commission:

Key point: certain combinations of activity type, intensity and duration are recommended to give the biggest impact on health, and these vary by age9

9UK physical activity guidelines, Department of Health 2011 9

Physical activity to improve health – what works: guidelines and evidence

Early years10 Children/Young people11 Young women; ethnic Older adults13 minority groups12 Develop initiatives that Create physical activity Consider provision of Use initiatives that target parents and experiences that are fun women only group focus on increasing carers and build confidence activities, especially for activity, rather than younger women and health-promotion Educate parents and Encourage activity older girls activities with an carers to show how throughout the day, not activity component activities can be just at school Provide culturally continued at home appropriate activities Offer activities that are Encourage access to specifically aimed at both group-based, or Ensure a balance of free safe play areas with cultural groups can be done at home play and adult-led access to play and with instruction activities sports equipment e.g. Women only groups may parks also appeal to certain Activities that can Build physical activity cultural groups encourage goal setting into other activities e.g. Ensure cycling/walking have better long-term actions when reciting routes are safe Health and fitness attendance rhymes messages are important Include a family or when targeting BME Activity leaders should home-based element groups have experience and qualifications for Activity leaders should working with older have ‘cultural people competency’ training or experience CDC “Strategies to increase Physical Activity in the Community” – for all ages14

 Form links and collaborate with existing local partners that are involved in physical activity from your area

 Use local resources such as well-known people, places and businesses to advertise activities chosen in your area

 Create a sustained change in your population by helping people change their behavior and make being physically active a part of every-day life

 Set up a social network around your activities to motivate and support participants

 Make physical improvements to local areas to promote physical activities. For example: safer streets, unobstructed and appealing footpaths

10British Heart Foundation Practice Briefing – Early Years 11British Heart Foundation Practice Briefings – Children & Young People 12British Heart Foundation National Centre Top Tips Booklet – How to engage inactive communities in physical activity 13British Heart Foundation Practice Briefing – Older People 14Strategies to Prevent Obesity and Other Chronic Diseases: The CDC Guide to Strategies to Increase Physical Activity in the Community, Centers for Disease Control and Prevention 2011 10