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Focus on key tasks agreed annually with the Cycling Forum for England. ... Cycling can contribute to the achievement of broader public health objectives ...

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Outline

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    Nick Cavill Specialist Advisor - Health Promotion

    1.

    Nick@Cavill.net www.cavill.net In terms of presentation content, I suggest that the regional coordinators should cover: - quick intro to the ERCDT - overview of how LAs are expected to deliver cycling through LTP, planning etc - common problems in LA implementation of this, reasons why they occur - a bit on how the ERCDT will help with this - (briefly) how cycling groups, cyclists and rangers, as individuals, can get involved, for example travel plans in thier workplace, lobbying councillors on highway scheems and developments etc, referring to sources of information on design standards, hierarchy of measures, cycle audit etc - questions/ discussion In terms of presentation content, I suggest that the regional coordinators should cover: - quick intro to the ERCDT - overview of how LAs are expected to deliver cycling through LTP, planning etc - common problems in LA implementation of this, reasons why they occur - a bit on how the ERCDT will help with this - (briefly) how cycling groups, cyclists and rangers, as individuals, can get involved, for example travel plans in thier workplace, lobbying councillors on highway scheems and developments etc, referring to sources of information on design standards, hierarchy of measures, cycle audit etc - questions/ discussion

    Influencing public health policy in favour of cycling: A comprehensive national approach

    2.

    Nick@Cavill.net www.cavill.net In terms of presentation content, I suggest that the regional coordinators should cover: - quick intro to the ERCDT - overview of how LAs are expected to deliver cycling through LTP, planning etc - common problems in LA implementation of this, reasons why they occur - a bit on how the ERCDT will help with this - (briefly) how cycling groups, cyclists and rangers, as individuals, can get involved, for example travel plans in thier workplace, lobbying councillors on highway scheems and developments etc, referring to sources of information on design standards, hierarchy of measures, cycle audit etc - questions/ discussion In terms of presentation content, I suggest that the regional coordinators should cover: - quick intro to the ERCDT - overview of how LAs are expected to deliver cycling through LTP, planning etc - common problems in LA implementation of this, reasons why they occur - a bit on how the ERCDT will help with this - (briefly) how cycling groups, cyclists and rangers, as individuals, can get involved, for example travel plans in thier workplace, lobbying councillors on highway scheems and developments etc, referring to sources of information on design standards, hierarchy of measures, cycle audit etc - questions/ discussion

    3. Outline

    Introduction National Cycling Strategy (NCS) and Board English Regions Cycling Development Team (ERCDT) Context: why health? Projects Review of health benefits and risks Structure of the health service Case studies Survey Conclusions

    4. National Cycling Strategy (1996)

    Target: double by 2002 and again by 2012 Similar levels in Sweden and Germany Comprehensive approach Accessibility Safety Road priority Parking Theft Attitudes Resources Monitoring Cycle trips/ person/ year

    5. NCS Board (2002)

    Help ensure the implementation of the NCS outputs, aims and objectives. Focus on key tasks agreed annually with the Cycling Forum for England. Coordinating and integrating contributions to the NCS from all relevant sectors Monitoring progress on NCS outputs and targets.

    6. English Regions Cycling Development Team

    Ten regional co-ordinators 3 Cycle development co-ordinators 3 Specialist advisors Assess local cycling strategies Audit implementation Build networks Identify actions

    7. Why Health?

    Evidence of positive health impact compared to the risks Health benefits can be powerful motivators Cycling can contribute to the achievement of broader public health objectives Health service is the largest employer and a large generator of trips

    8. Health is a motivator

    Reasons to be cheerful! At the individual level health is an important determinant of travel mode for a minority of people. So, some people, despite the current hostile traffic environment are changing (but also loosing more to habitual car use) Importantly, there is suppressed demand for walking and cycling (high polling among school children) and a significant percentage of motorists would like to use their cars less. For example, research for the RAC reveals a 20-60-20 split between car users. A third a those adults surveyed would like to travel less by car. Moreover, while 20 per cent of the journeys may be absolutely necessary and unavoidable, another 20 per cent are marginal and 60 per cent are somewhere in between. So there exists a significant minority of journeys which are either not very necessary, or could easily be undertaken by other means. In this context the researchers highlight the increasing use of cars to undertake very short trips. Their conclusions suggest that, in the first instance, it would be worth putting more effort into identifying and then targeting campaigns at the marginal 20 per cent of journeys. One example is the profusion of walking buses instigated at primary schools and the accumulating evidence that these can significantly reduce the number of short car trips for the school journey. Reasons to be cheerful! At the individual level health is an important determinant of travel mode for a minority of people. So, some people, despite the current hostile traffic environment are changing (but also loosing more to habitual car use) Importantly, there is suppressed demand for walking and cycling (high polling among school children) and a significant percentage of motorists would like to use their cars less. For example, research for the RAC reveals a 20-60-20 split between car users. A third a those adults surveyed would like to travel less by car. Moreover, while 20 per cent of the journeys may be absolutely necessary and unavoidable, another 20 per cent are marginal and 60 per cent are somewhere in between. So there exists a significant minority of journeys which are either not very necessary, or could easily be undertaken by other means. In this context the researchers highlight the increasing use of cars to undertake very short trips. Their conclusions suggest that, in the first instance, it would be worth putting more effort into identifying and then targeting campaigns at the marginal 20 per cent of journeys. One example is the profusion of walking buses instigated at primary schools and the accumulating evidence that these can significantly reduce the number of short car trips for the school journey.

    9. 1. Review of benefits

    Direct health benefits Coronary Heart Disease Diabetes Obesity Broader benefits Air quality Noise Danger Social exclusion Costs to society

    % obese in England (BMI >30) Obesity has tripled in 20 years

    10. obesity has tripled among adults between 1980 and 1998, Currently 21% of women and 17% of men are classed as obese The roots of adults obesity can be set in childhood obesity has tripled among adults between 1980 and 1998, Currently 21% of women and 17% of men are classed as obese The roots of adults obesity can be set in childhood

    11. Risk of Cycling

    Perceived risk of cycling is high British Medical Association (BMA) has concluded that the benefits of cycling are likely to outweigh the loss of life as a result of crashes BMA report author (Mayer Hillman) estimated 20:1 benefit:risk ratio

    12. Cycling is Safe

    Actual risk remains small – one cyclist death per 33m km of cycling Average cyclist could cover this in 21,000 years 3-7 third parties are killed per year in fatal bicycle crashes compared to 1,600 third parties killed in fatal car crashes Increasing cycling is a road safety measure Netherlands, Denmark. ‘Critical Mass’

    13. Cyclist deaths compared to deaths attributable to inactivity

    14. 2. Cycling in the National Health Service

    The National Service Framework for Coronary Heart Disease set a target for the development of ‘green’ transport plans and employee-friendly policies’ by April 2002 The New Environmental Strategy for the NHS also sets a target of the NHS having local transport strategies in place by October 2002. Achievement is patchy (at best)

    18. Recommended Action

    Understand and promote the health benefits of cycling include the broader benefits Stress the high benefit:risk ratio Help to get cycling on the public health agenda Make connections with local authority policies address National Service Frameworks The NHS as an employer and destination Travel plans; link to Action Energy

    19. 3. Manual of Case studies

    Examples of practice Strong health link ‘Prescription’ Rehabilitation ‘2nd chance’

    20. 4. Survey of Directors of Public Health

    Baseline for 2002 Online survey All Primary Care Trusts Measure progress in the NHS Policies Programmes Promotion

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