Health: Active Lifestyles

Baroness Heyhoe Flint Excerpts

Monday 17th December 2012 Lords Chamber

Asked By

[Baroness Heyhoe Flint]

To ask Her Majesty’s Government what action they are taking to highlight the impact on health and well-being of an active lifestyle.

[Baroness Heyhoe Flint]

My Lords, I feel a little like a night watchman in the middle of a timeless test. However, as a former PE teacher, sports journalist, ancient retired sportswoman and with both my parents being PE teachers, I know what a positive impact physical activity can have on our well-being.

The UK faces serious health challenges. Rising levels of sedentary behaviour put huge pressure on the NHS; obesity alone is estimated to cost the economy £8 billion a year. This is as much a problem of society, but with a co-ordinated effort by all government departments we can help to inspire a generation. Where have I heard that before?

Worryingly, the NHS 2011 national child measurement programme showed that one-fifth of children have obesity problems when they enter primary school and one-third are overweight or obese by the time they leave primary school. Levels of physical activity are steadily falling. Only one in 20 adults currently meets the Government’s recommendations of 150 minutes a week for adults and 60 minutes a day for children, according to the Chief Medical Officer’s report in 2011, Start Active, Stay Active. Sixty minutes a day for children is the health professional’s recommendation. Yet the Department for Education last year removed the statutory requirement of a minimum two hours a week of PE in schools, to be replaced by a voluntary statement; it expects schools to want to maintain two hours per week, which sounds a bit like a backward step to me.

The Sport and Recreation Alliance’s Game of Life report calculated that in just 10 seconds, the NHS in England spends more than £10,000 tackling life-threatening conditions—cardiovascular disease, obesity and diabetes—all of which, through regular physical activity, are largely preventable. An active lifestyle can also improve mental health. An individual who is regularly active is much less likely to develop dementia in old age, and dementia is estimated to cost the economy £23 billion every year.

The same SRA report shows that exercise can be as effective as anti-depressants for mild clinical depression and anxiety. There is a connection between depression and isolation, but taking up a recreational activity offers considerable social interactive benefits for the lonely. The Ramblers’ Association’s “Get Walking Keep Walking” scheme encourages non-active people to get together and take regular walks. After 12 weeks, 75% of participants reported that they felt far more active and wanted to continue being active.

The National Institute for Health and Clinical Excellence wants councils, schools and businesses to encourage more walking and cycling to improve the nation’s health. The average Briton is walking 80 miles less a year than a decade ago, states Nanette Mutrie, professor of sports psychology at Edinburgh University. Britain is facing a glut of inactivity.

From next April, local councils will be responsible for public health initiatives to ensure that they give walking and cycling a high priority. Physical activity for work forces can do wonders for productivity. The Cornish food company, Ginsters, may not be the first brand name we associate with a healthy lifestyle—and I promise not to mention the word “pasty” more than once—but it installed a fitness suite in its factory and employed a full-time co-ordinator to organise weekly activity sessions for staff with sports clubs and local authorities. The project led to a reduction in sickness, stress-related illness and accidents at work, and to a fall in staff turnover.

The Department of Health’s Start Active, Stay Active scheme, aimed at the NHS, local authorities, and voluntary organisations, is designed to promote physical activity. Can the Minister indicate whether the Start Active, Stay Active programme has been embraced and implemented by the targeted professionals?

I welcome Sport England’s recent announcement of £10.2 million funding for 44 new projects to help disabled people take up sport, as part of the inclusive sport fund. Of this grant, £731,000 will assist Age UK to create a programme of sports for older disabled adults. The 2012 Paralympics showcased wonderfully that sport is a must for people with disabilities, therefore all national governing bodies must strive to integrate able-bodied athletes with those with disabilities. The “Active Kids for All” scheme, funded by Sainsbury’s Paralympics legacy project, will invest £1 million to enable schoolteachers to integrate disabled children into mainstream PE and sport. Can the Minister assure us that the Government’s support for the inclusive sport provision is secure for the long term, and not just a one-off?

In announcing its youth sport strategy in January 2012, the DCMS laid down plans to help young people establish a sporting habit for life. Within this strategy, we urge the Government that primary schools as well as secondary schools must be included in the promotion of sport and physical activity. Logically, therefore, I suggest that the Department for Education should engage with the DCMS to implement the youth sport strategy. Primary school physical activity is not just team games. At my state junior school—last century—we played netball, rounders and football but also did badminton, swimming, tennis, and dancing, all from the age of six. I was also the self-styled captain of the conkers team.

Given the important role that schools play in introducing young people to sport, I welcome the Government’s commitment to maintaining physical education in the national curriculum yet, concerningly, PE is not included as one of the five core subjects in the new baccalaureate. The Amateur Swimming Association states that one in three children are leaving primary schools unable to swim and that four in 10 children get no swimming lessons at all, despite it being a compulsory part of the curriculum at key stage 2. Swimming provides good physical activity, helps to control weight and provides a gateway to other activities such as canoeing and sailing. Can the Minister therefore tell me what plans are in place to ensure that every primary schoolteacher receives adequate training in PE and aquatics? Will the Government urge Ofsted to include swimming and sports provision as part of school inspections?

The Government, recognising that there is a dramatic drop-off from sporting activities by school-leavers, have urged establishing closer links between secondary schools and sports clubs. This linkage is to be planned by DCMS and Sport England, with each national governing body signing up to deliver a school-to-club link. In an exemplary case study, the Cricket Foundation’s “Chance to Shine” project has, since 2005, linked 6,000-plus primary and secondary schools to more than 1,000 cricket clubs. Importantly, 52,500 schoolchildren have moved on to local cricket clubs. Is the Minister able to give an assurance that government plans for all 4,000 England secondary schools to link with a local sports club are making good progress?

Active ageing was vividly highlighted by last Friday’s excellent debate in this Chamber. Evidence tells us that elderly people with low activity levels have more than twice the risk of developing Alzheimer’s. The sport and recreation sector is working hard to engage with those of senior years. To give some examples, the British Masters Athletic Federation delivers opportunities for older people to compete in disciplines such as cross-country running, race walking and sprinting. The oldest participant to date in the seniors master games is 92 years of age, so there is hope for us all yet. The movement and dance organisation Extend specialises in providing recreational exercise to music for the over-60s; participants benefit from increased mobility, strength and co-ordination. It is a sort of “Strictly Come Dancing” for seniors, by the sound of it.

In other examples, Sport England funds the Bowls Development Alliance to drive participation for the over-65s and Age UK created the “Fit as a Fiddle” programme, which is backed by the Big Lottery Fund and highlights healthy eating, physical activity and mental well-being for the elderly.The Lawn Tennis Association’s foundation encourages adults to play tennis. It offers affordable fun, including cardio tennis, based on a fitness workout to music. Cardio tennis can burn more than 700 calories an hour, which sounds quite exhausting to me.

A structured, active lifestyle plan demands a national sports strategy, backed by the Government. The DCMS and the Department of Health already take the lead, then count in the Treasury to fund the strategy; the Department for Education to drive up the active hours of school PE and to ensure that teacher training includes a strong emphasis on physical education; the Department for Communities and Local Government to free up sports facilities under the local authority jurisdiction; and Defra to make available more recreational spaces. I could go on but the timeless test is running out.

Recently my noble friend Lord Moynihan, told members of the All-Party Parliamentary Group for Sport that we need to work hard to get better access, better teaching and better links so that every government department realises the importance of sport in offering lifestyle opportunities. I was disturbed to hear that the Cabinet sub-committee on public health has been disbanded. This disappointment is shared by the Faculty of Public Health and the British Medical Association. Can the Minister tell me what will replace it so that all government departments accept a responsibility to get the nation moving towards an active lifestyle?

With my noble friend Lord Coe named as the Government’s legacy ambassador, and on a day when Sport England announced the funding of £493 million over four years to boost participation for all, I feel the Cabinet Office is taking sport seriously. I am incredibly confident that, with my noble friend Lord Coe at the helm, something is bound to happen. I hope it is another of his made-in-Britain triumphs. However, we need the political will of all government departments to inspire a generation.

I wish noble Lords a very healthy Christmas and an extra-active new year.