Best foot forward >>>> Walking back to health and wellbeing in the Leeds City Region

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1 Best foot forward >>>> Walking back to health and wellbeing in the Leeds City Region

2 Cycle City Revenue funding for Walking Guidance on the Application Process has been provided alongside this application form. Please include all relevant information with your completed application. Only one application should be completed per City. Applicant Information Local authority name(s)*: West Yorkshire ITA/ PTE is the lead authority, the financial account holder and the Local Transport Authority and (interim) Local Transport Body. This submission is a joint proposal between Metro (West Yorkshire ITA), Leeds City Council and the City of Bradford Metropolitan District Council. *If the bid is a joint proposal, please enter the names of all participating local authorities and specify the lead authority Proposal Manager Name and position: Alison Pilling, Information and Marketing Manager, Metro Contact telephone number: / address: Alison.Pilling@wypte.gov.uk Postal address: Metro Wellington House Wellington Street Leeds LS12DE Governance Please name who is responsible for delivering the scheme, the roles (Project Manager, SRO etc.) and responsibilities of those involved, and how key decisions are/will be made. An organogram may be useful here. Details around the organisation of the project including Board accountabilities, contract management arrangements, tolerances, and decision making authorities should be clearly documented and fully agreed. The scheme s name is Best Foot Forward. The scheme is closely related to Highway to Health the name of the successful Cycle City Ambition Grant bid. A summary of the Highway to Health programme is provided in Appendix A.

3 Whilst the scheme is distinct from the Highway to Health (H2H) cycle programme, it is felt that it would be beneficial that it is treated as a Project within the H2H Programme. The SRO for the H2H programme and hence for this scheme is John Henkel, Director of Passenger Services for Metro. John is well placed to work with Integrated Transport Authority members to secure capital funding for any complementary initiatives. Project Executive for the Best Foot Forward Project is Heather Thomson (Health Improvement Manager, Office of the Director of Public Health, Leeds City Council), as it is crucial that this Programme component is owned by public health. Heather also has the role of Business Change Manager on the H2H Programme Board to ensure that health outcomes are delivered as a result of the investment. The Best Foot Forward project funding will enable the appointment of a Project Manager / Co-ordinator and two posts based in the community. Walking champion and advisor role Alison Pilling leads on Travel Choices under the Local Transport Plan (LTP) and so is well placed to act as Walking Champion for the Integrated Transport Authority. Alison is also Project Executive for the Encouragement/Engagement project of the H2H Programme, and as such sits on the overall Programme Board. This will ensure that both walking and cycling are of paramount importance when decisions are made about LTP spend in general and capital spend in particular; and that decisions about cycling infrastructure do not adversely impact the walking environment. Richard Mullis for Living Streets has been advising on this bid. It is intended that Living Streets act as advisor to the Project to ensure that their expertise is captured and West Yorkshire officers are well aware of key issues in the area audits and implementation. He and other partners will also be represented on the H2H Advisory Group.

4 Metro and both the Highways and Health teams within Leeds and Bradford Councils have worked very closely together in the preparation of both Cycle City Ambition and this bid, and ongoing partnership is well established and assured into the future. Equality Analysis Has any Equality Analysis been undertaken in line with the Equality Duty? Yes No Appendix B contains the Equality Analysis SECTION A - Project description and funding profile A1. Project name: Best Foot Forward A2. Summary of proposal (include brief introduction and outcomes) Please enter a brief description of your proposal, in no more than 500 words (DH wants to encourage more people to walk in order to benefit their health. How would your proposal do that?) The Proposal Best Foot Forward will deliver a pathway to physical activity for the most inactive. It is focussed on specific locations in the H2H area, across Leeds and Bradford, where health outcomes are significantly worse than average. The proposals are based around a twostage process, with the ultimate goal of increased activity levels and use of the H2H infrastructure by the communities who are particularly deprived and live within direct proximity to the route.

5 Initial engagement activities will improve our understanding of the barriers, beliefs and attitudes of our target groups; we will deliver interventions designed to develop and strengthen the intention to start walking in the least active groups, utilising techniques such as social marketing. Engagement will help us to identify which activities will facilitate an increase in activity in our target locations and groups. This will build on work recently undertaken by the University of Leeds and Public Health, which considered the domains of behaviour change, for example motivation, and identified behaviour change techniques that are shown to have a positive impact. This approach has already been used in other behaviour change packages. Our proposals will focus on children and their families, specifically pre-school and primary school ages, to help address increasing rates of childhood obesity. Engagement with schools, children s centres, third sector and local health providers i.e. GPs, will be an early priority. This will quickly establish contact with parents and the wider community. Health providers will be encouraged to signpost to the programme. The 20mph zones identified through H2H will increase the enjoyment of the local environment and keep children safe and healthy through active lifestyles (rather than carbased protection ). The Steps Audits will identify key stakeholders in the target locations e.g. schools, active community groups, existing local walking and school travel schemes. They will be led by project staff who will be based in the target communities. A walking advisor will be appointed to support the street audits (Living Streets) and to develop expertise within the partner organisations. Street Audits will be undertaken in the street engaging people in their residential settings to understand local factors affecting individual s willingness to walk. These will be complementary to the planned H2H consultations. Events, including the street audits, ad hoc contributions from residents and social media will be used to understand the environment and will be collated on a web-based resource. It is expected that LTP Capital funding will be made available to deliver small-scale improvements highlighted by the audits in the target areas. Walking activities will be delivered in line with street audit results and other feedback and will include buggy walks, walk to school activities, treasure hunts and explore your area activities. Other activities will be developed around schools and other centres on a theme basis e.g. local history, nature and sport. We will also test the effectiveness of new innovations including social reward-based initiatives. The activities will create curriculum material together with teachers being trained on how to use them; this will ensure the sustainability of this work post the funding period. A delegated fund will enable local organisations to bid for small funding pots to support emerging and innovative ideas that deliver the required outcomes.

6 A3. Geographical area: Please provide a short description of area covered by this proposal, in no more than 50 words. 15,000 people will be targeted within the H2H geographical area (Figure 1). Figure 1: The Target Wards in the H2H Geographical Area The package will be focussed in Seacroft, Holbeck and Armley in Leeds and Laisterdyke and Tyersal in Bradford. These areas have high levels of childhood obesity and experience significant health inequalities. Existing interventions in these areas also allow us to maximise public health partnership opportunities. A4. Total DH funding sought ( m): 0.250m A5. Proposal Costs Before preparing a proposal for submission, you should ensure you understand the financial implications of developing the schemes (including any implications for future resource spend, ongoing expenses and operating costs), and the need to secure and underwrite any necessary funding outside the Department s maximum contribution. The amount applied for must be the same for each year (e.g. 100K in 2013/14 and 100K in 2014/15). Please complete the following tables. Figures should be entered in 000s (i.e. 10,000 = 10).

7 000s Total DH funding sought Local Authority contribution (optional) * Third Party contribution (optional) TOTAL * 40k from Bradford MDC public health budget; 70k public health funding is being made available by Leeds City Council to deliver a social reward, smart card-based walking scheme to around 15k population. An indicative 200k Local Transport Plan capital pot has been ring-fenced for small-scale improvements in the target areas but bid timescales have prevented formal consideration and approval. This does not therefore constitute a commitment at this time. Element Year One 13/14 (000s) Year Two 14/15 (000s) Walking advisor 20 5 Staff co-ordinator incl OHs Staff 2 x project workers incl OHs Web resource 20 0 Promotions Delegated fund 20 0 Monitoring and Evaluation 10 ** Match funded activity TOTAL **Year 2 monitoring and evaluation will be captured within the Monitoring and Evaluation plan for the Highway to Health. The Leeds City Council 70k also includes funding for monitoring and evaluation, which will be used in year 2.

8 SECTION B Strategic Case This section should set out the rationale for your application and evidence on the strategic fit of the proposal. It should also contain an analysis of the existing problems and barriers that prevent people from walking, and explain how the work included in your proposal was selected. B1. Meeting primary objective The primary objective for any proposal should be to increase physical activity in those who fail to meet the current Chief Medical Officer s guidelines of at least 150 minutes a week. How would your walking proposal achieve this objective? The geographical scope of the H2H target area falls within some of the most deprived Super Output Areas in England. Figure 2 shows the location of the Super Output Areas in the H2H target area by their relative ranking in the Index of Multiple Deprivation. Figure 2: Super Output Areas by Index of Multiple Deprivation Ranking Figure 2 shows that almost 40% of the Super Output Areas in the H2H area are ranked in the most deprived in England. Of the Super Output Areas that are considered to be in the most deprived they also have the highest mortality rate per 100,000 population. Figure 3 shows the mortality rate per 100,000 population by Super Output Area.

9 Figure 3: All Age All Cause Mortality Rate 100,000 population Figure 3 shows that 7 of the Super Output Areas within the H2H area have a mortality rate of above 815 per 100,000. Equally, Figure 4 shows the proportion of children who are obese and live in the Super Output Areas in the H2H target area. Figure 4: Proportion of Obese Children by Super Output Area Figure 4 shows that 8 of the Super Output Areas within the H2H area have at least 24% of the children classified as obese.

10 Levels of physical activity in Leeds and Bradford paint a challenging picture, which needs to be addressed to reduce the high mortality rates shown in Figure 3 and the high proportion of childhood obesity shown in Figure 4. In Leeds, 45.2% of adults do no sport or active recreation and in Bradford 64.7% of adults do less than 1 x 30 minutes activity per week. Recent research shows that only 51% of children nationally achieve the recommended minimum of 60 minutes daily physical activity. Local data suggests that the percentage for children in areas of Leeds and Bradford is lower still. Seacroft, Holbeck and Armley in Leeds and Laisterdyke and Tyersal in Bradford are examples of Super Output Areas where the incidence of mortality in the under 75s, diabetes, coronary heart disease and obesity are all in the highest percentile. Indeed, it is estimated that inactivity in Leeds costs 10.1 million a year 1. The Best Foot Forward proposal will focus on areas where the incidence of participation in physical activity is low i.e. less than 1 x 30 minutes per week, rates of childhood obesity are high and the subsequent impact on ill health is greatest. Figure 5 shows the proportion of adults who participate in 3 x 30 minute sessions per week by Super Output Area. Figure 5: Proportion of Adults participating in 3 x 30 minutes of Sport per Week Figure 5 shows a strong correlation between those areas where there are low levels of participation in sporting activity and a high mortality rate and levels of childhood obesity. We know that walking is reportedly the most common recreational and sporting activity undertaken by adults, and is a particularly important source of activity for women of all ages. As a result of this, walking is an acceptable form of physical activity and is the most likely way individuals can achieve recommended levels of physical activity, which reflects our families-led approach to interventions. 1 Leeds Lets Get Active (2013)

11 One of the central aims of the proposal is to understand the barriers to, and motivating factors for physical activity experienced by the target communities. We are particularly interested in understanding those factors that impact the behaviour of children, parents, particularly mothers, and given the diversity of the communities in those areas, families of Black and Ethnic (BME) origin. The complex array of barriers to walking, and cycling, are increasingly better understood. Common barriers are: - Concerns about the physical environment, especially with regard to safety when walking or cycling; - The difficulty of fitting walking and cycling into complex household routines (especially with young children). But it is important that the Best Foot Forward proposals seek to understand the specific barriers experienced in the target areas and beliefs and perceptions about physical activity and specifically walking. This approach is consistent in Leeds with that taken by the Leeds Let s Get Active (LLGA) programme. The LLGA initiative is focussed on people who do less than 1x30 minute of sport/physical activity per week. This programme intends to motivate inactive people and to offer free activity time in deprived areas of Leeds in both existing leisure facilities and community settings, to address cost as a barrier to inactivity 2. Along with use of tools such as the Sport England profiles, this approach will direct our marketing strategy and will inform the design and delivery of the proposed activities and interventions to suit the needs of the individual groups and locations. This community-based understanding, developed through the proposed street audits and other forms of resident engagement associated with the H2H as well as through data mining, will facilitate the design and delivery of the proposed activities and interventions to suit the needs of the individual groups and locations. By better understanding the nature of barriers and issues to increased physical activity specific to the target areas, there will be a stronger likelihood of delivering the predicted outcomes in the harder to reach populations. B2. Fit with wider public health improvement Proposal will need to fit with wider public health improvement plans such as Joint Strategic Needs Assessment. Please also explain how walking proposals will be aligned. Our Best Foot Forward proposals are very well aligned with Leeds and Bradford public health improvement plans. Both authorities have both published Health and Wellbeing Strategies and have Childhood Obesity Strategies that are directly relevant to our proposals and which our proposals support. They also support Leeds aim to become a Child Friendly City 3. Children have developed priorities for Child Friendly Leeds and have identified getting around the city as a top priority. Leeds Joint Health and Wellbeing Strategy (JHWS) has a stated principle for all outcomes which the Best Foot Forward proposals are designed to deliver on by targeting the least active in the most deprived areas, that is that the: 2 Leeds Lets Get Active (2013) 3

12 people who are the poorest, will improve their health the fastest. Our proposals will also deliver on the JHWS outcomes as follows: - People will live longer and live healthier lives: our proposals aim to change the behaviour of the least active individuals. Increased levels of physical activity will contribute to longer and healthier lives. - People will live full, active and independent lives: our proposals aim to increase levels of physical activity. Increasing individuals willingness and ability to walk, and ultimately cycle, will increase levels of independence in non-car available individuals and households. - People will enjoy the best possible quality of life: increasing levels of physical activity and delivering social reward-based schemes will contribute to improved community cohesion and mental health in the target areas. - People are involved in decisions made about them: our planned street audits will ensure that the activities that are delivered will be tailored to the target communities in a manner that is most appropriate to them. - People will live in healthy and sustainable communities: increasing individuals willingness and ability to walk and cycle improves their travel horizons and access to services. Increased levels of walking for short, local trips will have a beneficial impact on the local area in terms of reduced traffic and higher levels of pedestrian footfall. Bradford Health and Wellbeing Strategy (draft) is based on six priorities; our proposals will contribute to the delivery of five of these priorities: 1. Give every child the best start in life in the Bradford district: engagement with parents through primary schools and local health service providers will help parents of young children to understand the importance of physical activity. 2. Help all children, young people and adults to do well and have more control over their lives: increasing levels of physical activity in children can have positive impacts on levels of childhood obesity. Social reward-based schemes will contribute to the promotion of healthy eating. Increased physical activity through walking will increase levels of independence in non-car available individuals and households and will have positive effects on mental health and community cohesion. 4. Have a healthy standard of living for all: addressing behaviour and social norms that preclude physical activity will help to improve the social conditions for improved quality of life. 5. Create and develop healthy places and communities: our proposals will improve social capital in the target areas by increasing community and neighbourhood interaction through local walking. 6. Strengthen the role and impact of ill-health prevention: improving levels of physical activity through walking will deliver preventive ill-health benefits in the target locations. Leeds Childhood Obesity Action Plan sets objectives and actions to address childhood obesity in Leeds. This proposal is supportive of the following objectives: - Objective 1 Front line staff supporting parents and children: Develop through training the knowledge, skills and confidence of frontline staff to deliver appropriate evidence based support to all children, young people, parents and carers wishing to prevent and manage childhood overweight and obesity. The provision of new posts to coordinate and deliver the Best Foot Forward proposals and the appointment of a Walking Advisor will support the development of skills and knowledge within the partners, schools and local health providers in the role of behaviour change to walking and cycling in improving health outcomes for children and families.

13 Objective 3 Prevention and treatment programmes across the lifespan: Increase the availability and impact of local childhood obesity prevention and treatment programmes in line with the evidence base through sharing best practice, developing local capacity and encouraging robust evaluation of local programmes. This application is promoting and attempting to secure funding for a sustainable travel initiatives which contributes to this objective. Objective 5 Urban design: Highlight the importance of Urban Design in encouraging regular activity as part of everyday life, active travel, access to healthy affordable food, strengthen protection of green space, and lead to the further improvement of parks, play facilities and neighbourhoods. Best Foot Forward offers the opportunity to improve the neighbourhoods in the target locations to encourage physical activity and walking as part of everyday life. Bradford s Children s Obesity Strategy (draft) has six delivery themes, of which three are directly relevant to our proposals. These are: Theme 3 Building more physical activity into children s lives: the Best Foot Forward proposals will ensure that more children and families take part in everyday physical activity within their communities through walking, and will extend opportunities for active travel. Theme 4 Creating incentives for better health: our proposals will offer the opportunity for the funding and delivery of local social marketing projects and we will work with parents, particularly mothers, as the delivery of our proposals will provide an opportunity to contribute to achieving whole family healthy weight. Theme 5 Personalised advice and support: our proposals will support parents in the target areas to encourage children to be more active through the delivery of additional community activities to facilitate walking. In addition to district-wide public health strategies, our proposals will contribute to be supported by the delivery of transport policies and strategies and local improvement plans for the target locations in the H2H area. Further information on these can be found in Appendix C. B3. Additional value Proposal should deliver additionality, that is, walking and health-related outcomes over and above the outcomes agreed in your Cycling City Ambition Grant bid to DfT. The intention of the proposal is to increase physical activity through walking in the least active population in the H2H scheme area to increase the potential for whole population take up of the new H2H infrastructure. The following outcomes were identified in the H2H CCAG bid: - To make cycling accessible to all low incomes and vulnerable groups; - Increased walking and cycling; - Improved health of residents and reduced mortality rate; - Reduced propensity to use the private car/reduced car mode share;

14 - Reduction in the number of accidents involving cyclists; - Reduced CO 2 and improved local air quality; - Improved access to employment, education and skills; and - Create a safe environment for active modes. Additional Best Foot Forward walking and health-related outcomes delivered through increased levels of physical activity through walking include: - Gaining a greater insight of the pathway from inactivity to walking and cycling, particularly among our target audiences; - Make walking accessible to low income and vulnerable groups; - Improved levels of physical activity in pre-school and primary school age children; - Improved health of residents in target areas; - Improved mental health and community cohesion in target areas; - A contribution to reducing the health inequalities that currently exist across the cities; - Improved awareness of the benefits of walking and physical activity among front line health and social care staff and teachers and provision of skills and competences to encourage and motivate target audiences to become more active; - Improved awareness and communication of active travel in local health centres; and - Changing the social norm to encourage participation in physical activity including walking and cycling.

15 SECTION C Economic Case This section should set out the benefits to the community and the impact. This should also describe how your walking proposal fits in with your local health profile and any needs assessment carried out. C1. Impact The measures put together as a package need to demonstrate the positive impact on pedestrians and the least active people (defined as adults who are physically active for less than 30 minutes a week) in order to reduce health inequalities. Please explain how this will be achieved. Levels of physical activity in Leeds and Bradford paint a challenging picture. In Leeds, 45.2% of adults do no sport or active recreation at all. In Bradford 64.7% of adults do less than 1 x 30 minutes per week. The areas of Leeds and Bradford that meet the Chief Medical Officer s guidelines for physical activity are outside the H2H area. It is commonly held that physical activity is the best buy in health. Latest findings from the Millennium Cohort Study 4 showed only half of 7-year-old children in the UK achieve CMO recommended levels of physical activity of one hour a day. On average children are sedentary for six and a half hours a day. Local data from the Growing up in Leeds Survey indicates even lower than average levels of physical activity in Leeds. A wide body of evidence shows that regular physical activity can have a positive impact on health of children. This includes reduced body fat and the promotion of healthy weight, enhanced bone and cardio-metabolic health, and enhanced psychological well-being 5. Establishing walking and being active in childhood helps to establish these patterns for a lifetime. The Best Foot Forward proposals seek to focus on the least active in the 10% most deprived areas in the H2H area. In order to ensure that positive outcomes are achieved, we will apply locally developed understandings of behaviour change processes and deliver community specific engagement activities in conjunction with the overarching H2H community engagement in order to identify perceived and actual barriers and issues in relation to walking. Through the development of partnership and coordination with the delivery of other community level interventions in both the physical and social fabric of the target areas, we will have the capacity to address identified barriers and issues. Inactive individuals will then be encouraged to develop the intention to increase their level of activity through further community engagement. Interventions will be delivered to provide the opportunities for physical activity through walks from your front door, and beyond. As previously stated, this will complement the existing city-wide Leeds Let s Get Active role in building confidence and taking action in relation to physical activity and will help us to identify which activities best move individuals, families and groups from intention into activity in our target locations. 4 Griffiths LJ, Cortina-Borja M, Sera F, et al. How active are our children? Findings from the Millennium Cohort Study. BMJ Open 2013;3:e doi: /bmjopen Department of Health (2011a) Start Active, Stay Active: A report on physical activity for health from the four home countries Chief Medical Officers

16 C2. Targets How does this proposal focus on particular segments of the local population using local health data and the Joint Strategic Needs Assessment. As indicated in our responses to Questions A3 and B1, a substantial amount of data analysis will be used, in conjunction with other approaches, to identify the most appropriate target locations for Best Foot Forward within the H2H area. Data from both Leeds and Bradford s Joint Strategic Needs Assessments (JSNAs) will be integral in identifying, at middle super output area (MSOA) level, the locations where the medical consequences of low levels of physical activity are above the city averages for Leeds and Bradford and are disproportionately most affected. Similarly, the National Child Measurement Programme will provide data as to where the incidence of childhood obesity is above the Leeds and Bradford averages within the H2H area and which areas are disproportionately most affected. It is anticipated that the Best Foot Forward target areas will include communities that have strong BME representation, of which the development and delivery of interventions will be cognisant. However the proportion of BME populations in the community won t be an active criterion in the definition of target areas. Sport England data will also be utilitised, however as previously stated levels of physical activity are low in both Leeds and Bradford at a district level. The areas of Leeds and Bradford that have strong levels of 3 x 30 minute participation are outside the H2H direct catchment area. C3. Value for money Proposal should demonstrate good value for money. Where possible, projecting return on investment and shall not replace funding already in hand or planned by the fund recipient. Physical activity in England is estimated to cost 8.2 billion per year. This includes both the direct costs of treating major, lifestyle-related diseases and the indirect costs of sickness absence. A sedentary lifestyle is also estimated to cause 54,000 premature deaths per year. The results of Census 2011 show that Leeds has a population of 751,000 living across 320,600 households, with 150,000 residents in Leeds living in the most deprived Super Output Areas in England. According to Sport England s latest Active survey undertaken between 2011 and 2012, 39.9% of residents in Leeds had taken part in moderate intensity exercise at least once weekly in the previous 28 days. The estimated health cost of sporting inactivity in Leeds is over 10m and in Bradford is over 7.5m 6. 6 Department of Health, Be Active, Be Healthy,

17 The greatest health benefits are achieved when the least active undertake some physical activity but all who participate in physical activity improve their health. Thus, there is a significant role for transport planning through the provision of walking and cycle-friendly infrastructure and behaviour change programmes to help raise total physical levels of activity and so contribute to overall public health 7. A number of activities are already underway in Leeds and Bradford, which aim to encourage the least active to become active. A HEAT 8 walking assessment has been undertaken for our proposals. This has assessed the potential benefits of our proposals against the estimated scheme cost of 560,000 and assumes a 10 year appraisal period. The results of the HEAT assessment are set out in the table below. The assumptions made as part of the HEAT analyses are presented in Appendix D. Table 1, below summarises the sensitivity analysis that has been undertaken around the level of walking activity achieved following the delivery of our Best Foot Forward proposals and the proportion of the target areas population that take up the improved level of walking as a result of the delivery of our Best Foot Forward proposals. Table 1: Summary of the HEAT Analysis Level of Walking Activity Achieved Post-Implementation (Per Week) 1 x 30 2 x 30 3 x 30 Assumed Proportion of Target Area Population 10% 6.3:1 20% 15.9:1 30% 25.4:1 10% 15:5:1 20% 34.3:1 30% 53:1 10% 24.4:1 20% 52:1 30% 79.6:1 HEAT Forecast Benefit:Cost Ratio If 10 percent of the target areas population i.e people improve their level of physical activity from inactivity to 1 x 30 minutes of walking activity per week as a result of our proposals, a benefit cost ratio of over 6:1 will be achieved. As the results of the HEAT sensitivity analyses show, there are substantial benefits to be achieved if our proposals successfully target a larger proportion of the target area population or increase the level of walking activity above 1 x 30 per week. 7 Davis (2009) Physical Activity: the best buy in public health 8

18 SECTION D Deliverability This section should set out how the proposal will be implemented and delivered. It should contain a set of milestones which can be monitored and reported. This section will also demonstrate the level of engagement with partner organisations and the seeking of expert advice and support. D1. Implementation, Delivery, Assessment and Risk Management Proposal must be able to demonstrate sound implementation, delivery plan, and assessment/risk management during the funding period in 2013/14 and 2014/15. Please provide a list of deliverables, broad milestones and budget / breakdown of spend. Are there any attached appendices for this question? Yes No The Project Plan is included in Appendix E. Risk Management Strategy The cyclical risk management approach (shown opposite) is used to identify, manage and cost project risks on a continuous basis as the scheme progresses. The initial Risk Assessment has been completed for the scheme and this will be reviewed on a regular basis. Where the severity of a particular risk impact changes, we would recalculate the likely programme implications and agree future actions with in accordance with appropriate change management procedures. Mitigation performance and residual risk would be also subject to review at the end of the project. Table 2 presents the risks that have been identified and the proposed mitigation measures, which form part of the Risk Management Strategy.

19 Table 2: Identified Risks and Mitigation Risk Level of Risk Mitigation Fewer people become engaged in the project than expected Medium The project is delivering tried and tested engagement strategies and staff are expected to be located within the communities so able to monitor progress more efficiently and External factors, such as the weather, have a greater influence on the benefits realisation than expected. The timescales for delivering the project do not fit well with the timescales for delivering the larger H2H programme. The delivery partner does not have sufficient resource to deliver the scheme The benefits from the scheme are hard to distinguish from other factors Few organisations are interested in being involved Medium Medium High Medium Low D2. Support from partner organisations effectively. Sensitivity tests will be undertaken to show the performance of the scheme at different times of the year. A strong governance structure is in place to make sure the project is delivered in a timely manner and complements the H2H programme. An early procurement process will ensure the delivery partners can establish resource needs in a timely manner. The costs allocated to each task are also based on experience of previous delivery. A strong monitoring and evaluation plan has been developed to ensure a direct relationship between intervention and outcome can be seen. The delegated fund will enable organisations who are interested in being involved to bid for funding, this fund can be used as a mechanism to increase interest. We would wish to see a clear statement of senior level support from all partner organisations including Health and Wellbeing Boards and contractors. State their names and positions, organisations, and attach copies of statements where relevant. This bid was developed following a cross-sector workshop involving Metro, Leeds City Council and Bradford Metropolitan District Council; involving public health, highways and transportation; road safety, and children s services; involving third sector groups including Living Streets, Sustrans, the Ramblers Association and local cycling campaigns groups. West Yorkshire has a strong tradition of Travel Choices work including the promotion of walking. Leeds City Council, Bradford MDC and Metro s marketing team have been working with schools to develop Travel Plans over ten years. Travel Plans are the key mechanism for developing alternatives to car travel and walking is a powerful tool, especially in engaging primary school children. Metro and the five West Yorkshire authorities work together to promote sustainable travel in both school and businesses. One of the most recent initiatives was around last year s

20 Olympics with Walk the History of the Games ( school-walking-challenge/the-map) project aimed at schools. Public health colleagues and their counterparts in Primary Care are fully committed to the role of active travel in developing healthier lifestyles. There has been an ever increasing level of interest in the role of primary care in promoting physical activity, which has been evidenced by Leeds Let s Get Active, the Leeds Bodyline initiative, whereby GPs can prescribe a cheap three month gym membership, and BEEP exercise on referral in Bradford, all of which have been well received to date. In Bradford, Metro has worked with Bradford MDC and the YMCA to develop a sustainable travel package for all Year 6 children called SAFEMark and delivered at Culture Fusion a city centre youth facility. More detail is included in Appendix C. To evidence this strong body of existing work and commitment to its continuation, letters of support are attached at Appendix F from: Sharon Yellin, Deputy Director of Public Health, Leeds City Council Julia Burrows, Consultant in Public Health, Bradford Metropolitan District Council Martin Farrington, Director of City Development, Leeds City Council Julian Jackson, Assistant Director Planning, Transportation and Highways, Bradford Metropolitan District Council Rachel Brighton, Project Lead, Let s Get Active Tony Armstrong, Chief Executive, Living Streets Councillor Judith Blake, Deputy Leader of Leeds City Council & Executive Board Member for Children's Services; and Nigel Richardson, Director of Children s Services, Leeds City Council Simon D'Vali, Chair, West Yorkshire Safer Roads Partnership Nigel Harrison, Chief Executive Officer, West Yorkshire Sport Lizzie Reather, Chair, Leeds Cycling Campaign It should be noted that there is wider support that has not been possible to evidence through a formal letter of support within the short timescale of the bid development. D3. Expert support Whilst Metro is the Integrated Transport Authority, we recognise the need to bring in help from partner organisations to develop our expertise in this area. Metro consulted with Living Streets, Sustrans, YMCA, local campaigners and the Ramblers Association in the preparation of the bid, and we would want to maintain a high level of contact with these groups throughout delivery. We will appoint Living Streets to act as advisor to the scheme in year one. Their role would be to advise on the approach taken to local audits, particularly with communities that are relatively unengaged with active travel initiatives. They would give hands-on support to Project Officers in undertaking these consultation events and offering expertise on activities that could help address the issues arising.

21 A Project Co-ordinator will be procured as a first step in the project. Living Streets will be invited to tender for this position together with other interested parties, with the intention of bringing a person into the project who may well be based in a partner organisation, but has a key role of disseminating knowledge across all delivery organisations. The development of the active travel initiatives will include the creation of curriculum materials and teachers trained on how to use them, which will ensure the sustainability of this work post the funding period. In due course this knowledge will also be transferred via the Programme Board to other districts in West Yorkshire and more widely within Leeds and Bradford. Internal training will take place to ensure that this learning is cascaded. The ITA will appoint a walking champion - Alison Pilling who currently leads on Travel Choices within the Local Transport Plan. She is well placed with respect to how Local Transport Plan capital spend is allocated. She is on the Programme Board for the H2H Programme, and can ensure that the needs of both cyclists and pedstrians are considered effectively. SECTION E Monitoring and Evaluation This section should set out the evidence base of your proposal and what might the lessons be. In order to learn from all successful Cities, a common evaluation framework is proposed. Public Health colleagues should be able to contribute to this. E1. Evidence and Best Practice Measures in the proposal should generate learning that supports Public Health England s evidence and best practice role. This walking funding offers an opportunity to fill evidence gaps about interventions that seek to get more people walking and more active. Please explain the rational for your measures (tried and tested, based on research, innovative ideas etc.) and how you plan to share the learning. The Best Foot Forward proposals are based on a mixed rational. The planned community engagement is tried and tested, although it will take an innovative approach where possible and practicable, and we will maximise the potential of the engagement by dovetailing with the wider programme of H2H community engagement. The overall methodology for the approach to behaviour change is based on systematic reviews undertaken locally by the University of Leeds in conjunction with Public Health. The key outputs from this research were as follows: 1. Identification of the techniques shown to have a positive impact on the domains of behaviour change relating to physical activity, for example motivation; 2. Development of a questionnaire designed to identify the particular domains of behaviour change most relevant to an individual circumstance; and 3. Development of topic specific self help guides focussing on those specific domains and techniques to prompt and facilitate behaviour change.

22 This learning will be used to inform our delivery and monitoring of Best Foot Forward and will complement the Leeds Let s Get Active programme. Both LLGA and Best Foot Forward will deliver evidence as to the efficacy of the understanding and approach to behavioural change adopted. Innovative ideas such as social reward driven schemes will form a key part of the interventions delivered. The proposed delegated fund will encourage local organisations to identify innovative approaches that deliver the required outcomes. E2. Evaluation We expect funded projects to undergo a simple but robust evaluation. We recommend that Cities use the Standard Evaluation Framework 9 to evaluate their walking interventions and demonstrate their achievement of physical activity objectives. Please take a look at the Standard Evaluation Framework and demonstrate how you would evaluate an objective from your proposal. We intend to take a multivariate approach to the evaluation of our proposals using both quantitative and qualitative methods. The approaches to evaluation will be different for the different age groups our proposals will target i.e. pre-school children, primary age children and adults. For school age children, school travel data will provide a good understanding of levels of existing activity as a baseline measure. Every school in the H2H area has a School Travel Plan (STP) and Mode of travel to school data is collected in Leeds through the annual school census (PLASC) and is available to the project as a baseline for measuring walking to school activity in the target area. Where this data is old or missing, ad hoc surveys will be carried out in conjunction with the primary school in line with the usual STP data collection approach. As the PLASC surveys are carried out on a regular annual basis, schools in our target areas that are the focus of interventions will carry out their usual monitoring approach and the data will be shared with the project team. From this, the project team will be able to discern any increase in the propensity of children to walk. This data will reflect any change in behaviour emerging from the new intakes of reception age children in the years of the scheme and beyond. For adults, we expect to collate baseline attitudinal information as part of the initial engagement. This strand of the evaluation will seek to monitor any changes in individual and social norms that result from the delivery of the Best Feet Forward proposals. We intend to carry out indepth interviews with a sample of adults in the target areas. The interviews will seek to understand attitudes to walking as well as current levels of activity. This process will be repeated at the end of the delivery period to establish if attitudinal change has been achieved. 9

23 This qualitative approach will be important in terms of providing evidence of the efficacy of our proposed approach in delivering changes in attitudes to walking as well as behaviour change. Changing social norms from a presumption against travel by active modes to a positive attitude to the role of walking as a social and utility activity is essential in maintaining project outcomes in the medium to long term. SECTION F: Declarations F1. Senior Responsible Owner Declaration As Senior Responsible Owner for Best Foot Forward I hereby submit this request for approval to DH on behalf of Metro, Leeds City Council and Bradford Metropolitan District Council and confirm that I have the necessary authority to do so. Name: John Henkel Signed: Position: Director, Passenger Services

24 Best foot forward>>>> Appendix A Summary of Highway to Health programme

25 Appendix A Summary of Highway to Health programme The Cycle City Ambition Grant will be a springboard for the delivery of a step change increase in capital investment over the next decade, and is key to aiding regeneration and access to opportunity in the most deprived areas of Leeds and Bradford. This will be complemented by revenue-based activities that allow the engagement of a range of organisations and individuals to promote and support cycling. The vision aims are: To make cycling a natural and popular choice for short journeys To make cycling accessible to all low income, hard-to-reach and vulnerable groups To improve access to employment, skills and education To reduce CO2 and improve local air quality To create a safe environment for walking and cycling Our aims will be realised through delivery of high quality infrastructure improvements, using best practice guidance, based on a hub and spoke model. The elements are: An East/West cross-city superhighway covering 23 kilometres of high quality, largely segregated cycle provision, that delivers Connectivity from a large housing growth area in East Leeds, linking key sites of economic regeneration, schools and hospitals, through to other population centres and employment sites in East Bradford, and joining both City Centres A transformational approach to cycling in the Leeds City Centre hub and development of a Leeds Cycle City loop Gateways from this out to the key radial routes Upgrading the canal tow path between Leeds and Shipley and linking to Shipley rail station and the new Canal Road greenway The route will: Be supplemented by extensive use of 20mph zones to create attractive quieter neighbourhoods that enable safe and confident access to the core routes Use urban design to improve streetscape and the pedestrian environment Be used to learn the lessons and spread the benefits into other communities and districts

26 Best foot forward>>>> Appendix B Equality Analysis

27 Appendix B Equality Analysis In order to meet the requirements of the Equality Act (2010), we have included an assessment of the likely effects of the walking proposals on different groups of people within the framework of transport appraisal guidance for social and distributional impacts (SDI). The table below details considerations for key affected groups and recommendations for mitigation and / or further assessment against each of the 8 SDIs. Social & Distributional Impacts (SDI) User Benefits (Time / Cost Savings) Noise Air Quality Is SDI relevant to stated scheme objectives? (If yes, provide details) Yes. The proposed improvements will facilitate and enhance the lowest cost alternative of travel i.e. walking around specific localities of the H2H scheme area. No. There may be localised reductions in noise levels associated with reduced car use through mode shift to walking for short trips, but any overall reduction is expected to be small. No. There may be small improvements in air quality associated with reduced car use through mode shift to walking for short trips, but any overall improvement is not expected to be measurable. Could scheme lead to impacts on low income and/or vulnerable groups*? Can potential negative impacts be eliminated through design or mitigation? Screening Yes. The proposed scheme will n/a n/a facilitate behaviour change towards walking in the communities in the H2H area that are most affected by health inequalities and low levels of physical activity. No. Whilst the target areas for n/a n/a the walking proposals will be those most affected by health inequalities and low levels of physical activity, any reductions in noise associated with behaviour change are expected to be small. No. Whilst the target areas for n/a n/a the walking proposals will be those most affected by health inequalities and low levels of physical activity, any improvements in air quality associated with behaviour change are expected to be small. Recommendations for Additional Considerations Assessment

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