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TALKBACK


Kath Hudson • Journalist • Health Club Management EVERYONE’S TALKING ABOUT . . . CCGs not PCTs


with decisions about the commissioning of services being made locally by GPs and the directors of public health (see p26 for a full briefi ng). Physical activity is one of the 66


L


ocal authorities are now charged with the responsibility for public health,


Clinical Commissioning Groups (CCGs) have – as of 1 April – replaced


PCTs, placing the responsibility for health with local authorities. How will this impact the fitness industry?


The wider determinants of health will


indicators of the public health outcomes framework, so there’s now structural recognition of the importance of physical activity in the role of public health. However, ukactive CEO David Stalker says we must still be cautious about what these changes mean: physical activity and leisure are not currently statutory requirements, despite their inclusion in the outcomes framework, so they will not necessarily be protected.


also now be tackled for the fi rst time, so housing, roads and other local authority services will be assessed to see how they impact the health of the local population. This could mean, for example, funding being found for mass participation initiatives, such as the provision of cycle trails for children to get to school. The fact that local authorities will


be charged with getting people more physically active is great news for the


health and fi tness industry, as is the £2.7bn ringfenced budget. But how easy will it be to get a slice of the money – particularly for the private sector, which may not be as well-versed in the language of local government? And how much of this money has been


allocated already? On paper this looks like a good


opportunity for the health and fi tness industry, but what should be the fi rst moves? Building relationships with the local decision-makers who will be commissioning services? Training staff and developing programmes to ensure facilities are equipped to deal with new audiences – people who are nervously embarking on a lifestyle change and who may be wary of gyms? We ask the experts...


WHAT WILL THE NEW PUBLIC HEALTH SET-UP MEAN FOR THE FITNESS SECTOR? EMAIL: HEALTHCLUB@LEISUREMEDIA.COM


DAVID STALKER ukactive • CEO


“T


his is such a great opportunity: a whole new workstream of


opportunity, with a £2.7bn yearly ringfenced public health budget in the hands of local authorities. Clubs will have to be proactive in order to get a share of the


funding and will need to work with other community service providers. Services will be commissioned based on the health needs of the local population, so clubs will have to find out the key statistics influencing the decisions being made locally. Providing a strong evidence base for cost-effectiveness of physical activity interventions is also important, as GPs make their decisions based on evidence. We’re already getting more focused on this, with ukactive’s Research Institute due to start publishing its findings in June this year. Clubs will also need to both speak and understand the language of local government. If we’re to get beyond 12 per cent penetration, we need to


welcome people who require support. Historically our sector has focused on a member pathway, which doesn’t necessarily align with a patient’s care pathway. Helping people improve their health through physical activity means starting from the beginning and counselling them on how to think about being more active, before they even set foot in a fitness facility.





STEVE BEDSER LGA • Member of Community Wellbeing Board


“T


hese changes potentially give the fitness industry access to


a new customer base and new funding opportunities, but there is no quick buck. To access public health funding, any initiative must demonstrate the likelihood of improved health outcomes. Much of the public health focus is on encouraging currently


inactive people to adopt healthier lifestyles. As research into Birmingham’s ‘Be Active’ initiative shows, one of the biggest barriers to regular exercise is poverty. Not only that, but inactive people are also far more likely to take the plunge if there is no initial cost. However, once people get the fitness bug, they are more likely to spend on further activities. If the fitness industry is going to grab the opportunity to tap


into this new market, it must take a more holistic approach. Adopting a healthier lifestyle is not just about exercise – it’s about a healthier diet, quitting smoking and drinking less. If the physical activity sector can come up with the right


packages, it has the opportunity to be part of the solution. Our focus is on outcomes, so if the fitness industry can provide us with evidence to show it can help us produce a fitter, healthier population, the opportunities will be there.


” 30 Read Health Club Management online at healthclubmanagement.co.uk/digital April 2013 © Cybertrek 2013


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