In Hackney, there are a wide range of measures to increase physical activity opportunities for adults, focused on ‘prevention’ (i.e. raising levels of physical activity across the whole population). These are summarised below.
- Walking – Hackney Council supports a range of organised walking groups, especially targeting older residents. The Transport Team within the council also reviews travel plans for major developments and schools to promote active travel (walking and cycling).
- One You – a wide range of group-based physical activity opportunities in community halls on housing estates, using the PHE campaign branding to improve recognition and encourage uptake.
- New Age Games – physical activity opportunities in group settings for people over the age of 50, which engages over 700 residents in physical activity with the main draw being the social aspect of the programme.
- The Sharp End – a programme that provides exercise activities for older people to promote health and wellbeing.
With regards to ‘identification and early intervention’, Hackney has recently worked with PHE’s GP Clinical Champions programme to train local healthcare workers in how to raise the issue of physical activity with patients as part of routine consultations. The roll-out of the National Diabetes Prevention Programme in Hackney and the City (as part of an east London ‘wave 1’ site), and a greater focus in the new local physical activity on referral service (see below) on engagement with frontline staff in how to raise the issue of physical activity with patients, also supports the early identification of people whose physical inactivity places their health at risk.
In terms of ‘treatment’ (i.e. tailored programmes for people at risk of future inactivity-related ill health), the following programmes are on offer in Hackney.
- New Life through Sport – a Sport England-funded programme to link physical health and psychological wellbeing to support recovery from mental illness and addiction, through a 12 week fitness programme.
- Fit 4 Health – a Big Lottery funded programme to support recovery from stroke through physical activity.
- Falls prevention service – interventions for people recovering from a fall who required hospital admission, including a significant element of physical activity training.
- Physical activity on referral – Hackney Council has for a number of years supported a structured programme of physical activity for people with relevant health conditions or health risks; this programme has recently been re-commissioned (as part of an integrated service also including weight management), with the new service starting in July 2016.
A selection of additional measures to increase physical activity opportunities for adult residents and workers in the City of London are summarised below.
- Young at heart – This programme run by Fusion in partnership with the City of London Corporation involves fun and social activities for people aged over 50.
- City of Sport – This is a programme designed to help workers from across the Square Mile to get fit. City of Sport delivers pay-as–you-go sports and activities at low cost throughout the City of London, which makes it accessible to low-paid workers.
- City LivingWise – This programme supports City of London residents and workers to improve their health by helping them to make important, sustainable changes to their lifestyle that will get them to feel fitter, healthier and happier. Services include:
- NHS Health Checks (primary care and community outreach) for 40-74 year olds
- personalised exercise programmes and tailored advice
- lifestyle weight management – 12 week weight management course designed to support sustainable weight loss.
- The City of London Corporation has a London Healthy Workplace Charter ‘achievement’ award and has an active programme of work in place with local businesses to improve the health of their workforce – including raising levels of physical activity.
A range of physical activity focused rehabilitation programmes are also provided by the local NHS in Hackney and the City, to help support people with their recovery from specific conditions and serious health events (including heart failure patients and people with chronic obstructive pulmonary disease).