Sport, Recreation and the Arts

Lord Howarth of Newport Excerpts

Wednesday 19th December 2018 Lords Chamber

[Lord Howarth of Newport (Lab)]

My Lords, I thank the noble Lord, Lord Moynihan, for enabling us to have this welcome debate. He spoke with deep knowledge and passion.

The All-Party Parliamentary Group on Arts, Health and Wellbeing, which I co-chair, published a report in 2017 entitled Creative Health. It was the product of a two-year inquiry involving more than 300 people working in health and social care and in arts and cultural organisations across the United Kingdom and abroad, with participation from some 40 parliamentarians. The noble Baroness, Lady Bull, in her capacity at King’s College London, ensured that her institution was a wonderful, fully committed partner to the APPG in this endeavour, and I very much look forward to her speech later in the debate.

The report contained three key messages: the arts can help us to stay well, recover faster and enjoy longer lives better lived; the arts can help health and social care meet major challenges—ageing, long-term conditions, loneliness, mental health; and the arts can help to save money for health and social care. The report contains an abundance of evidence in support of those three contentions. It examines the contribution of the arts to health and well-being across the life course, and in all parts of this country. There are impressive case studies from Newcastle, Hull—of which the noble Baroness, Lady Bottomley, just spoke—Calderdale and many other places.

Artlift is a charity delivering arts on prescription in Gloucestershire and Wiltshire. Health professionals refer patients, suffering perhaps from chronic pain, stroke, anxiety or depression, to an eight-week course of two-hour sessions led by a professional artist, working possibly in poetry, ceramics, drawing or other art forms. A cost-benefit analysis over three years showed that, after six months of working with an artist, participants asked for 37% fewer GP appointments and needed 27% fewer hospital admissions. One participant in Artlift, who had suffered a stroke, said:

“I had split up from my partner, found myself without anywhere to live and couldn’t see my children. I couldn’t work as I wasn’t physically able to do the job and wasn’t in a position mentally or financially to start a building business again after going bankrupt. Since going to Artlift I have had several exhibitions of my work around Gloucester. I find that painting in the style that I do, in a very expressionistic way, seems to help me emotionally. I no longer take any medication and, although I am not without problems, I find that as long as I can paint I can cope. It doesn’t mean that depression has gone but I no longer have to keep going back to my GP for more anti-depressants. I just lock myself away and paint until I feel slightly better. I now mentor some people who have been through Artlift themselves and they come and use my studio a couple of times a week to get together, paint, draw and chat and I can see the benefit to them over the time they have been doing it”.


Creative Families is a project helping mothers with postnatal depression, co-produced by the Southwark parental mental health team and the South London Gallery. The engagement of the creative imagination of those women, through a 10-week art and craft course, has led the mothers to experience a 77% reduction in anxiety and depression and an 86% reduction in stress. The emotional, social and cognitive development of their children has also been measurably improved.

Age UK, in a major study of more than 15,000 people, found that creative and cultural activity was the biggest single contributor to their well-being. The report contains a substantial section on dementia, showing how the arts and culture can support people with dementia and their carers.

A carer whose husband had been diagnosed with terminal cancer wrote to the director of Grampian Hospitals Art Trust, saying:

“To be given a terminal prognosis is devastating for both the patient and family. To take away your future, the opportunity to grow old and grey with your spouse and to watch your children grow and thrive. You lose your independence and your sense of self, your purpose and role in life. Yet in the midst of this suffering lies the Artroom. An oasis of positivity and fulfilment providing a different purpose. One of creativity and self-expression. It is a place where the self is rediscovered and allowed to flourish. A place where you feel valued and worth investing in. It’s medicine for the soul and every bit as vital as drugs and chemotherapy. A life-fulfilling experience that has changed both our lives for the better”.


There is growing recognition of the benefits that the arts and culture can bring to health and well-being. However, funding for such projects is marked by discontinuity, and provision is very uneven across the country.

The APPG is not calling for new legislation, organisational upheaval or even for more public expenditure. We seek a change of culture, which will be achieved by leadership across the complex systems of health and social care and the arts and culture. We are offering a challenge to habitual ways of thinking and an invitation to collaboration across conventional boundaries, leading to an informed and open-minded willingness to recognise the benefits of the arts. Progress is being made; increasingly, senior people within the NHS are recognising this opportunity, and I was pleased recently to be invited to speak to a conference of NHS Providers on this subject.

We are watching with great interest the radical experiments in Greater Manchester, as they involve the arts and culture in the development of their integrated health and social care strategy. We welcome the recent speech at the King’s Fund given by Matt Hancock, the new Secretary of State for Health and Social Care, and the emphasis he is giving to the national prevention strategy. However, as yet I have seen no evidence that the most senior people in NHS England are seriously addressing this agenda.

The APPG made 10 specific recommendations for change, and we are developing strategies to support the acceptance and implementation of each of them. Only one of our recommendations is made to the Government, namely that there should be a cross-governmental strategy to enlist the arts and culture for the benefit of health and well-being. We were encouraged by a positive response by the then Culture Minister, John Glen, in autumn 2017, but I wonder what the position is now. The Culture Select Committee in another place recently interviewed five junior ministers. I did not hear any very convincing responses from them about the development of this strategy, and I would be most grateful if the noble Viscount the Minister would write to me, and to the APPG, to explain in detail what the Government’s view is and how they intend to continue to respond to that recommendation—the second recommendation—in Creative Health.

--- Later in debate ---

[Viscount Younger of Leckie (Con)]

Well, my Lords, it will be difficult to follow that. I would like to start by thanking my noble friend Lord Moynihan for securing today’s debate on this hugely important and rather wide-ranging subject, and for his excellent speech. We have heard so much about the benefits of sport and the arts that I almost feel I should give my remarks with a Dispatch Box that rises up and down to ease the back, or jogging on the spot, or speaking in iambic pentameter. But I will spare noble Lords that; in fact, given his poetry, the noble Lord, Lord Griffiths, is certainly better qualified for this form of exercise.

The interest in today’s debate has illustrated the incredible power that sport and the arts have in inspiring people to get out into their communities and connect with others, and the enjoyment and benefits this can bring. I will speak about the arts, but let me focus first on the benefits of sport and physical activity, which we all know can be good for us in many ways, both mentally and physically. As the noble Lord, Lord Parekh, said, it can strengthen communities, but I will add that it can strengthen the economy, too.

Looking at the physiological facts—here I have my own verbal exercise—moderate-intensity activity stimulates the body’s cardiorespiratory, musculoskeletal and metabolic systems and, achieved over time, causes them to adapt and become more efficient. As my noble friend Lord Haselhurst said, that is clearly a good thing. Muscle-strengthening activities help maintain functional ability, stimulate bone formation and help reduce bone loss. They also help with glucose metabolism and reducing blood pressure. Indeed, there are reports in the press today about research by the London School of Economics and Political Science which suggests that exercise is as good as medicine for lowering blood pressure, as the noble Lord, Lord Parekh, pointed out.

When you exercise, your body releases chemicals called endorphins, which reduce your perception of pain and trigger a positive feeling. All this adds up to a reduction in risk of approximately 30% for all-cause mortality when comparing the most with the least physically active, according to the UK’s Chief Medical Officers, who produce guidance about recommended physical activity levels. Being active has been shown to treat, manage and prevent a range of physical and mental health conditions, including heart disease, cancers, diabetes, stress, depression and anxiety.

Talking of diabetes, we know that there is a pressing need to look at the rise of type 2 diabetes. Only this week, the Times reported that two dozen people a day are having feet and toes amputated because of diabetes. Foot amputations are up by a quarter since 2010. Another pressing matter for society and this Government is poor mental health. Again, we know that the risk of depression is approximately 20% to 30% lower for adults who participate in daily physical exercise.

It is not just health; physical activity can be a tool for social good, too. For example, as my noble friend Lady Sater said in her remarks, in prisons it can have benefits for the physical, mental and social well-being of prisoners and it can reduce recidivism. As she said, it can also provide a meaningful alternative to those at risk of committing crime, and I can assure her that we are working with the relevant departments and agencies on these very topics.

All of this is at the heart of what we are trying to achieve through the Government’s sport and physical activity strategy, Sporting Future. In the strategy, we set out five key outcomes that we are striving towards: physical well-being; mental well-being; individual development; social and community development; and economic development. We want to use sport and physical activity to create a healthier, happier and more productive nation. Helping people to be more active in whatever way suits them is a crucial part of this. For some people that may be sport; for others it means fitting physical activity into their busy daily life. I am reminded that when my late father, George Younger, was interviewed about how he got exercise during his long and busy political career, he said, “Oh yes, very important, I tend to run up the stairs”. He would learn much from this debate; things have moved on.

We particularly want to reach people who have not traditionally got involved, or who think that being active is not for them. Sport England has committed to spending at least a quarter of its budget on tackling inactivity. For example, it is investing up to £100 million in 12 local delivery pilots across the country to solve inactivity challenges in specific locations and scale up what works in other areas. Such areas include Doncaster, South Tees, Hackney and Greater Manchester.

Investment is also going into mental health projects such as Mind’s Get Set to Go project, supported by Sport England and the National Lottery. Since 2015, this project has helped more than 3,500 people with mental health problems take part in specially designed physical activity projects. The evaluation has shown the important role that physical activity can play in building resilience and supporting mental health recovery. As was recently revealed by the new Active Lives Children and Young People survey, it is encouraging to see that some 3 million children lead active lives, doing an average of 60 minutes or more of physical activity a day.

But let me be clear: there is another side to this story. Some 2.3 million children and young people— that is almost a third—are doing less than 30 minutes of physical activity a day. This is unacceptable. We must do more, and the Government must do more, to encourage young people to live healthy, active lives. To answer a question raised by my noble friend Lady Sater, this is something we will tackle through the new cross-departmental school sport and activity action plan, with DCMS, the Department for Education and the Department of Health and Social Care working together. We will make it a priority to ensure that all young people have sufficient opportunities to engage in sport and physical activity.

Government is working ever closer. For example, just last week five Ministers appeared in front of the DCMS Select Committee at the same time to discuss the social impacts of culture and sport—the first time this has happened.

My noble friend Lord Moynihan raised an interesting point about introducing legislation—I think he called it, as a start, sports law. The Government have no such plans currently, but he made some interesting points and I will certainly take them back to the department.

Good-quality facilities and spaces are important factors to keep people engaged over the long term. Sport England is investing up to £40 million in large-scale sports facilities projects up to 2021, and a further £15 million per year in smaller-scale projects through its Community Asset Fund. We recognise that playing fields are a vital part of sporting infrastructure up and down the country and are one of the most important resources for sport in England. Every school must, by law, have access to enough playing field space to meet its sports and curriculum needs. Sporting Future made clear our support for bringing together sports and physical activity facilities with other community services. It also highlighted the benefits of multisport facilities in improving usage and sustainability.

The noble Lord, Lord Addington, and others mentioned volunteering. I want to see strong local partnerships come together with the amazing workforce of community volunteers that we know sport relies on, to understand the needs of different areas and to reinvigorate their local facilities and green spaces.

We can be proud of our sporting heritage in this country. We are spoiled for choice when it comes to sporting heroes, and I am sure noble Lords enjoyed this year’s “Sports Personality of the Year”, which I happened to watch last weekend. I offer my congratulations to the worthy winners of the various awards.

I thank my noble friend Lady Byford for her comments about broadcasting, including TV and radio; I have noted what she said. The Government have said that they do not intend to reopen discussion on listed events. It is for sports bodies to strike the right balance between reaching a wide audience and generating revenue. We have a proven track record in hosting major events that inspire people—look at the impact London 2012 had on volunteering and on perceptions of disability.

The noble Earl, Lord Listowel, spoke about volunteering, particularly in sports. As he pointed out, the latest Active Lives survey showed a decline in sports volunteering. We need to look into the reasons for this, and we will certainly do so. We understand that volunteering for major sporting events remains robust, so that gives some reassurance.

In the legacy of London 2012 we also see sports and the arts come together. The forthcoming East Bank site at Queen Elizabeth Olympic Park will host BBC Music, a new V&A museum and a new venue for Sadler’s Wells. I am delighted that the noble Lord, Lord Mawson, spoke in this debate. I applaud his role in the success of these projects, involving a combination of sports, the arts and artists, as he mentioned in his speech.

Major sporting and cultural events offer unparalleled opportunities for everyone to get involved and can lift the spirits of everyone around. For example, the volunteer programme for Hull’s City of Culture year in 2017 had engagement from every street in the city. My noble friend Lady Bottomley waxed lyrical about the benefits of the National Lottery, in conjunction with mentioning Hull. I applaud her for that. I also pay tribute to Sir John Major’s great vision: it was, is and continues to be a great success story.

ONS data for London 2012 showed that on a day-to-day basis, people were happier. I presume that means there was a “happy index” somewhere—but I have to admit I have not seen it.

I listened to the excellent speech from the noble Baroness, Lady Bull. Of course, during her long career she has combined sport and art, although I think it fair to say that her remarks were focused more on the arts. This provides a nice bridge to move the debate on. Noble Lords will recognise that engagement in the arts, culture and creative practice are also very good for us—whether that is singing in a choir, visiting a museum, using a library, or volunteering at a heritage event. The noble Lord, Lord Wallace, spoke about the Parliament choir, of which I declare my own membership and support. It is a great choir and although I am a lapsed tenor, I hope to come back at some point.

These pursuits may be our life’s passion, a hobby, or a place to socialise and reflect; we do these things because we intuitively know that they bring enjoyment, meaning and purpose to our lives. The right reverend Prelate the Bishop of Chichester was right to highlight the importance to communities of choirs, the benefits of choral scholarships, focusing on all backgrounds, and the uplifting of the soul through great music, including carols. In this context, my noble friend the Earl of Arran used the phrase “wings of a dove”, which was really quite poetic. As the right reverend Prelate said, the skills engendered fuel the production of many of our great events, including royal weddings.

As the noble Lord, Lord Howarth, said, it was fantastic to see the Health Secretary Matt Hancock speak recently on the power of arts and health. Noble Lords should be aware that there is now growing evidence that taking part in the arts and culture has a significant impact on our health throughout our lives, preventing illness, improving mental health and aiding recovery from ill health. As the noble Lord, Lord Griffiths, said, art can shake you up—hopefully, he did not mean in such a way that the doctor has to be called. It is so encouraging to see enthusiasm for work on arts and health across government.

I have already spoken of the connection between good mental well-being and physical health.

[Lord Howarth of Newport]

I did ask whether the Minister would kindly write to me and the all-party parliamentary group describing the Government’s plans for developing their cross-departmental strategy to enlist arts and culture in the improvement of the nation’s health and well-being. When he has had advice, will he be able to do that?

[Viscount Younger of Leckie]

I was about to come to that, but now that the noble Lord has raised the question, I am delighted to say that I will of course write to him. It is a good point.

One example of the connection between good mental well-being and physical health is the Royal Philharmonic Orchestra, which is funded by Arts Council England and runs Strokestra, a programme which brings together musicians and stroke patients to harness the power of musical techniques to support rehabilitation. An evaluation of this project reported that 86% of participants felt relief from symptoms. I liked the expression that the noble Lord, Lord Howarth, used—“medicine for the soul”. That stuck in the mind, amongst other things, during this debate.

Our libraries, as recreational spaces and community meeting places, are developing ways to support health conditions associated with ageing, with trained Dementia Friends and shared reading courses for people with dementia and their carers. Various speeches today raised these issues. Museums are at the forefront of developing programmes and schemes to support those living with dementia, often using their collections.

Many people also volunteer for heritage organisations or events. Seventy per cent of those who volunteered at recent heritage open days reported feeling more relaxed afterwards, with 64% also feeling more active and healthier. Sixty per cent of the people involved in the Manchester Museum and Imperial War Museum North’s Inspiring Futures programme reported a sustained increase in well-being. This was raised by the noble Baroness, Lady Scott. We want to see as many young people as possible engaging in culture. In October, the Culture Secretary announced £5 million for the Youth Performance Partnership Scheme—a demonstration of the Government’s commitment to children’s participating in the arts, which we know can be so transformative.

So how are we supporting this work? The DCMS is committed to promoting the role that arts and culture can play in a healthy, happy society. We will continue to work with our colleagues across government to ensure that this impact is felt. The noble Baroness, Lady Bull, asked whether we would agree, as a Government, that we must find ways to address the conundrum that those who benefit from art most need the help to access it. It is a fair point. We do agree. The Government want as many people as possible to access arts and culture. Arts Council England continues to support arts and culture organisations to expand and also diversify audiences—a point well made. For example, Creative People and Places provides £47 million as an investment in arts provision and building audiences in places where people have fewer opportunities; I am reminded of Liverpool, where opera is transmitted into the city centre via cinemas.

The Government continue to fund approaches that integrate the arts and culture into communities, such as the £20 million Cultural Development Fund. This fund helps towns and cities put arts and culture at the heart of their growth plans. DCMS is also working with the Ministry of Housing, Communities and Local Government on the special funding announced in the Budget for Heritage on the High Street as part of the major new Future High Streets Fund.

The right reverend Prelate the Bishop of Chichester asked a wide-ranging question on the EU, and whether we could give a commitment, and an indication, on how the Government will repair our reputational and economic damage from the current political uncertainty. That is a big question. I will answer it by saying that the Government recognise the importance of cultural collaboration, and the UK wants to build on our long history of working with the EU to continue to produce and promote excellent culture. That is why, in the July White Paper, the Government proposed a wide-reaching agreement on culture and education with the EU that is broader and more collaborative than anything the EU has agreed before.

The political declaration and agreement with the EU on the terms of our future relationships delivers on this proposal. The proposed agreement on culture and education covers a number of key areas of mutual benefit. I would like to mention the work undertaken by the All Party Parliamentary Group for Arts, Health and Wellbeing, co-chaired, as he said himself, by the noble Lord, Lord Howarth, to whom I pay tribute for bringing together expert voices from across both sectors, not only to recognise the great work going on across the country but to continue to shape the direction of arts and health going forward. I was interested to hear his remarks about the benefit of painting linked to mental health. I reflect on Winston Churchill’s experience; he was known to suffer from what he called the “black dog”, and painting was clearly a cathartic hobby for him.

The noble Lord, Lord Moynihan, spoke about doping in sport, and the many points that he made are very important indeed. He knows that I will say this, but doping in sport is completely and utterly unacceptable. We completely support the work of UK Anti-Doping.

The noble Lord, Lord Addington, asked whether we should ensure that local government is helped. Local authorities are a major funder of culture through libraries, museums and arts as well as sports, and many recognise the importance—because of the many benefits—of maintaining this funding. The Government encourage them very much to do this. The noble Lord also spoke about the National Lottery. I have spoken previously about the role of Sir John Major, and assure the noble Lord—and the Chamber—that the Government will continue to monitor lottery revenues.

We enjoy good well-being in the UK. According to the Office for National Statistics, people’s satisfaction rate with their lives stands at 7.7 out of 10, which has held reasonably steady since measurement began in 2010. But there is much more to do to help inspire people of all ages and backgrounds to get involved. I am passionate that sport and arts should be for everyone, and that they are at the heart of a happy and healthy nation.