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Leisure & Culture for Improving the Quality of Life

Nikki Enoch and Mike Collins

ESP Board Meeting

2nd December 2003

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Presentation Outline

Benefits of leisure and culture• Individuals & community• Work-life balance

Strength of the evidence Biggest benefits

• Health projects• Youth projects

Community building• ‘Bending’ mainstream services• Next tranche of funding

Conclusions

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Leisure & Culture for Improving the Quality of Life

Personal Health - halves CHD risk

- reduces blood pressure

- controls body weight, diabetes

- reduces risk of falls, back pain

- reduces risk of colon cancer

- reduces anxiety/depression

- enhances mood, self-esteem

- promotes imagination & vision

Socialisation, tolerance, team working

Social cohesion Leadership & organising skills

Communal/social increases family/local links reduces NHS costs reduces crime and disorder costs community identity thro’ history/culture increases participation by poor,

disabled, ethnic minorities increases social networks/active citizens

creates jobs improves environment

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Strength of the Evidence

Personal Health - halves CHD risk P,L, C - reduces blood pressure P,L, C - controls body weight, diabetes P,L, C - reduces risk of falls, back pain P,L, C - reduces risk of colon cancer P,L, C - reduces anxiety/depression P,L - enhances mood, self-esteem P,L, C, A - promotes imagination & vision A, C Socialisation, tolerance and team working A, C Social cohesion A, C Leadership & organising skills A,C

Rating

Strength of evidence

P Population studies

L Laboratory studies

C Case studies

A Anecdote

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Strength of the Evidence

Communal/social increases family/local links A, C

reduces NHS costs A, C

reduces crime and disorder costs A, C

community identity through history/culture A, C

increases participation by poor, disabled, ethnic minorities P, A, C

increases social networks/active citizens P, A, C creates jobs P, A, C

improves environment A, C

Rating

Strength of evidence

P Population studies

L Laboratory studies

C Case studies

A Anecdote

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Health

0

100

200

Year

% Obese

Cars (per house)

TV viewing(hrs/wk)

Source: Prentice & Jebb ‘95

Estimates extrapolated fromnational government studies

Enfield residents:37% are sedentary = 101,200 22.5% are obese = 61,500

Savings from 10% increase in activity:10% = 17,200 residents311 lives£10.5m

•£1.9m NHS•£4.3m loss of earnings•£4.3m premature mortality

Source: DCMS: 2002 Game Plan Implementing the Government’s Strategy for Sport

Obesity and Inactivity Indicators

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Health Proposals

People’s Life Span

Best Start (0-14)

Aids optimum physical and mental development

Reduce Drop Out (13+)

Especially females and BEMs (esp. Asians)

Fit for Life (55+)

Maintains body functions Prevents disability & isolation

Same People Most at Risk

Poor Health Quality of Life Inactivity

55+ (especially women) C2DE, Disabled, BEM

Strategic Approach

Current Projects/Proposals Health living centres

Exercise referrals

55+ Next Logical Target Maintain: CV function, grip,

leg strength; avoid osteoporosis and breakages

Need More… Walking schemes,

activities with hobbies in homes/day

centres/senior/cultural clubs

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Reducing Youth Crime

Diversion Leisure & Culture Activities ‘Magnet’ projects, Positive Futures, SPLASH, Homework Centres, Black History Month

need to ensure continuity of Restorative Justice scheme 46% affected in C2DE groups by kids ‘hanging about’ (res2003)

And Structural Changes 70%of youth crime committed by 7-8% youths

• Broken social and fragmented, unanchored leisure lives• Drugs and poor health

Examples: Scott and Jason life histories

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Reducing Youth Crime

Scott & Jasonlife history charts

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Reducing Youth Crime

Concentrated focus and combined effort: Mentors and activity leaders to work with:

• Leisure and culture development officers• Social workers• Police• Health• Education & training

To connect:• Social• Numeracy & literacy• Anti drugs• Social education• Work placements

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Building Communities

Social cohesion and Active Citizenship by: Involvement in groups/clubs Increase social capital:

• Support networks• Mutual trust• Organisational skills

Schemes to: • Develop youth & senior sections of sports and arts groups• Increase volunteering • Training to existing and new• Awards for quality and recognition

Make better use of:• Voluntary sites (nights/days)• Grants (e.g. Nottingham Healthy Heart Group)

40% of volunteering from sport and arts

Source: Home Office Survey 2003

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Leisure & Culture for Improving the Quality of Life Conclusions

Encourage local people to be more active in their neighbourhoods Encourage embedded local control Improve health in deprived areas Reduce crime and fear of crime Increase accessible and affordable youth activities:

• Including new and better ways of diverting away from crime and antisocial behaviour

• Involving young people themselves in design and delivery Promote services to give children and young people a better start Establish good baselines and monitoring for evidence based assessment

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Leisure & Culture for Improving the Quality of Life References (1)

Arts Council for England (2002) Arts in health London:ACEBritton, A. and McPherson, K. (In Press). Monitoring the progress of the 2010 target for

coronary heart disease mortality London: National Heart ForumCentral Council of Physical Recreation (2002A) Saving lives, saving money: physical activity -

the best buy in public health London: The CCPRCoalter, F. (2001a) Realising the potential of cultural services: the case for sport; (2001b) the

case for the arts; ( 2001c) The case for libraries; (2001d); The case for museums; (2001e) The case for tourism; (2001f); The case for urban parks, spaces,and the countryside; (2001g) The case for children’s play London: Local Government Association

Coalter, F. (2002) Sport and Community Development a manual Research Report 86 Edinburgh: sportscotland

Coalter, F. (2003) Measuring the impact of sport (unpublished lecture) University of StirlingCoalter, F., Allison, M.. and Taylor, J . (2000) The role of sport in regenerating deprived urban

areas Edinburgh: Scottish Executive Central Research UnitCollins, M. F. (2003) Sport and social capital London: RoutledgeCollins, M.F. et al (1999) Sport and the arts paper for Policy Action Team 10 London: DCMSCountryside Agency (2001a) Walking for Health –the first randomised trial CR Note 18

Cheltenham: CACountryside Agency et al (2003) The use of public parks in England Cheltenham: CA

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Leisure & Culture for Improving the Quality of Life References (2)

DCMS (1999) Sport and Arts: Policy Action Team 10 report London: DCMSDCMS (1999) Libraries for All London:DCMSDCMS (2002a) Game Plan: implementing the government’s strategy for sport London: DCMSDCMS (2002b) Social impact of museums: centres for social change London:DCMSDepartment of Health (2002) Tackling health inequalities: consultation on a plan for delivery

London: DoHEnfield Council (2001) Sports strategy for Enfield 2001-2005 Enfield: LB EnfieldEnfield Council ( 2002a) Enfield’s future, draft Community strategy Enfield:LB EnfieldEnfield Council (2002b) Leisure strategy Enfield:LBEEnfield Council (2002c) Neighbourhood Renewal Strategy: Residerts in priority neighbourhoods

Enfield:LB EnfieldEnfield Council (2002d) Toward neighbourhood renewal : a draft strategy Enfield: LB EnfieldEnfield Council (2003a) Enfield residents 2003 Enfield:LB EnfieldEnfield Council (2003b) Voluntary and community sector funding paper Cabinet meeting 25.6.03Gorard, S. and Taylor, C. (2001) The composition of Specialist Schools: track record and future

prospect School Leadership and Management 21,4 365-81Health Development Agency (1999) Social capital and health London:HDAHealth Education Authority (1999) Physical activity and inequalities London: HEAHealth Education Authority (1999) Art for health: Social capital for health summary London: HEA

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Leisure & Culture for Improving the Quality of Life References (3)

Joint Health Survey’s Unit (1999). Health Survey for England: Cardiovascular Disease 1998. London: The Stationery Office.

Jackson, A. (2003) Doing it ourselves: Learning to challenge social exclusion through the voluntary arts London: Department for Education and Skills

Ladd, J. and Davis, L. (2003) Guide to best practice in sport and urban regeneration London: British Urban Regeneration Association

Long, J.et al (2002) Count me in! London:DCMSLui, Maniadakis, Gray and Raynor (2002) The Economic Cost of Cronoary Heart DiseaseReeves, M. (2002) Measuring the social and economic impact of the arts: A review London: Arts

Council of EnglandRiddoch,C., Puig-Ribera,A. and Cooper,A. (1998) Effectiveness of physical activity promotion

schemes in primary car: A review London: Health Education AuthoritySplash National Support Team (2003) Splash 2002 Final Report London: Youth Justice

Board/Cap Gemini Ernst Young www.homeoffice.gov.uk accessed 14.7.03Sport England et al (2002) Positive Futures: a review of impact and good practice Summary

report London: SE