Nottinghamshire Insight

Joint strategic needs assessment

Physical activity (2015)

This is an online synopsis of the topic which shows the executive summary and key contacts sections. To view the full document, please download it.

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Topic title Physical activity (2015)
Topic owner Obesity Integrated Commissioning Group
Topic author(s) Edward Brookes / Anne Pridgeon
Topic quality reviewed November 2015
Topic endorsed by Obesity Integrated Commissioning Group
Topic approved by HWIG 10th December 2015
Current version November 2015
Replaces version 2012
Linked JSNA topics

Executive summary


Physical inactivity directly contributes to one in six deaths in the UK (Lee, I M 2012). Physical activity can prevent or help manage over 20 chronic conditions including type 2 diabetes mellitus, heart disease and some cancers (PHE, 2014). These conditions incur a huge cost to the health and wellbeing of the individual, the NHS and the wider economy (Department of Health, 2015).

Social, cultural and economic trends have removed physical activity from daily life (PHE, 2014). Technology dominates at home and work, the two places where we spend most of our time, encouraging us to sit for long periods of time. Over reliance on cars and other motorised transport is also a factor (PHE, 2014). The design of schools, public buildings and urban spaces prioritise convenience and speed ahead of walking or cycling (PHE, 2014).  Being active every day is about incorporating activity into our daily lives: taking the opportunity for short trips on foot, by bicycle or on public transport, as well as doing whatever exercise, dance, leisure or sport we enjoy (PHE, 2014). 

Around a quarter of adults in Nottinghamshire self report being inactive, failing to achieve a minimum of 30 minutes of activity a week. Approximately 60% of adults in Nottinghamshire self report meeting the recommended 150 minutes a week of physical activity. Participation in physical activity decreases with age and is higher in males than females. Residents in Rushcliffe are more likely to meet the physical activity guidelines

In most parts, this needs assessment takes a life course approach to physical activity. Due to the refresh of the Children and Young People’s chapter in 2014, data relating children can be found at the following link.  Future refreshes will take a full life course approach. Diet/nutrition and excess weight are considered in separate chapters. 

Unmet needs and gaps

Since the last JSNA refresh in 2012 there is an integrated Tier 1, 2 and 3 obesity prevention and weight management pathway in place. Over the next few years the service numbers accessing Tier 1 physical activity interventions will be monitored to provide information on uptake, service demand, outcomes achieved and ascertain if there are any unmet needs.

There is a need to maximise local assets as effectively as possible to promote physical activity within the resources that there are. This includes utilising the impact that the wider public health workforce, different professional groups and others are able to provide, particularly working with planning colleagues to ensure that the built and natural environment both supports and encourages physical activity. 

Recommendations for consideration by commissioners



Strategy and integrated commissioning



Work with partners across the system to ensure there is no duplication or gaps in physical activity service provision targeting areas and groups whose physical activity levels are the poorest to maximise health outcomes, monitoring uptake by protected groups.

County Council/Public Health, District/Borough Councils and Clinical Commissioning Groups

Social marketing



An active lifestyle is promoted through Change4Life across Nottinghamshire Districts

County Council and District/Borough Councils

Public Health Intelligence and data improvement



Utilise data from the local Health Checks programme to provide information about physical activity levels and access to local services.

Public Health




Ensure that physical activity remains a priority for the commissioning of services for 0-19 age group by the Integrated Children’s Hub

Public Health (Children’s Integrated Commissioning Hub)


Continue to improve infrastructure and promote the uptake of walking and cycling, reducing reliance on cars.

Transport, County Council


Develop closer working relationships between planners and public health professionals to ensure the opportunities that planning gives re-designs environments to encourage physical activity and an active lifestyle.

Planning and Public Health

Service quality and accessibility



Undertake an audit of progress locally against the NICE quality standards relating to physical activity, to benchmark and identify areas where improvements are needed.

Public Health


Commission physical activity interventions that are evidence based and utilise the Standard Evaluation Framework for physical activity to evaluate.




Public Health and District/Borough Councils


Continue to build the capability of the workforce to ensure that health and care professionals are clear about promoting the benefits of physical activity so that they have healthy conversations (making every contact count) with their patients and service users providing evidence based messages.

Public Health


Influence Primary Care Professionals to use the General Practice Physical Activity Questionnaire (GPPAQ) and utilise brief intervention and as appropriate signpost to physical activity opportunities. 

NHS England/Clinical Commissioning Groups


Within the first year of the new obesity prevention and weight management contract, agree the how the physical activity outcome will be measured and obtain baseline data to help inform performance targets for the following year.

Public Health

Key contacts

This is an online synopsis of the topic which shows the executive summary and key contacts sections. To view the full document, please download it.

Full report »