Physical activity can play a crucial role in reducing health inequalities and the economic burden on health services. This has now been evidenced in an evaluation report (www.hcmmag.com/PEM) of a pilot study called the Prevention and Enablement Model, that ran over two years in Essex, UK.

Partners delivering the pilot were Adult Social Care at Essex County Council, Active Essex and charity, Sport for Confidence.

The project integrated physical activity into the lives of individuals with disabilities or long-term health conditions and demonstrated an economic impact in terms of social value of £58.72 per £1 invested (www.hcmmag.com/PEMvalue).

Users reported improvements in a wide range of areas, including their health, wellbeing, confidence, skills, routine and structure and also independence as a result of their involvement.

A two-year programme
Over a period of two years, the community partnerships sessions supported over 900 users and recorded 800 attendances a month. Follow-on sessions had around 150 attendances per month.

The programme, which included a falls prevention focus and followed a whole system approach, was organised across four Prevention and Enablement Model workstreams: care homes – supporting the integration of physical activity into best practice; community partnerships – delivering inclusive sports sessions at leisure centres; physical activity in occupational therapy – the practical development of programmes for occupational therapists to enable the integration of physical activity in practice; and strength and balance training delivered by Sport for Confidence in leisure centres.

The evaluation report was compiled and verified independently by the University of Essex (www.hcmmag.com/PEMevaluation). It compared data to Sport England’s Active Lives Survey (www.hcmmag.com/ActiveLivesAdult) and found that the Prevention and Enablement Model “may have the effect of improving the physical activity levels of a person living with a disability or long-term health condition to comparable levels of the rest of the population”.

Individuals using the Prevention and Enablement Model service show a decrease in self-reported service use, such as day-care, GP appointments, 999 calls and hospital visits. The estimated cost saving of this was £365.23 per participant, per year.

Less reliant on healthcare interventions
“What the initiative has now evidenced is the true extent of the potential, not just for individuals but for the whole of society,” said Lyndsey Barrett, founder of Sport for Confidence and lead occupational therapist. “An active, engaged, population is a healthier, happier population which results in a population that is less reliant on or likely to call on healthcare interventions.

“With the NHS struggling to meet demand and with inactivity estimated to have contributed a bill of £0.8bn in 2016/17 (Heron et al, 2019), now is the time to move to a more preventative solution. The model has demonstrated the potential effectiveness of a new, whole system approach, the merits of which will be incredibly difficult to argue against,” she said.

State of Life and the Wellby standard
Social value assessors State of Life (www.stateoflife.org) took the 2021 Wellbeing Supplementary Guidance in the Treasury Green Book and applied the Treasury-recommended Wellby standard (www.hcmmag.com/Wellby) to reveal the wellbeing value of the Prevention and Enablement Model. It found that the difference in life satisfaction between individuals about to start the programmge and those one month in is estimated to equate to a monetary value of £22,230 per person per year.

“The evaluation we have undertaken of the prevention and enablement model has provided important insight that could help improve health and activity levels in the county,” said Dr Paul Freeman, University of Essex. “Importantly, the ways of working employed within the prevention and enablement model have great social, and potentially, economic value in a time of unprecedented fiscal uncertainty.”