## Physical Activity Joint Strategic Needs Assessment

Operational Performance and Intelligence 2019

## Table Of Contents

| Introduction                         |   3 |
|--------------------------------------|-----|
| Local context                        |   4 |
| Southend's residents                 |   5 |
| Projected population profile         |   6 |
| Projected population growth          |   7 |
| Population density                   |   8 |
| Related conditions                   |   9 |
| National Child Measurement Programme |  10 |
| Active travel                        |  12 |
| Air quality                          |  15 |
| Road traffic collisions              |  19 |
| Activity guidelines                  |  21 |
| Pregnant women                       |  22 |
| Early childhood                      |  23 |
| Children                             |  24 |
| Adults, and older people             |  25 |
| Disabled adults                      |  26 |
| Activity                          |   27 |
|-----------------------------------|------|
| Southend's residents              |   28 |
| National - Inequalities           |   32 |
| National - Adults                 |   33 |
| National - Children               |   39 |
| Barriers and motivators           |   43 |
| Southend's research report        |   44 |
| National - Social and behavioural |   50 |
| National - Health and disability  |   51 |
| Sports facility provision         |   52 |
| Summary                           |   54 |
| Maps showing sports facilities    |   55 |
| Accessibility                     |   62 |
| Cycling                           |   68 |
| Beaches                           |   69 |
| Green space                       |   70 |
| Woodland areas                    |   71 |
| Appendix A: Spine charts          |   72 |
| Appendix B: References            |   81 |

## Introduction

The  Physical Activity Joint Strategic Needs Assessment (JSNA) for Southend-on-Sea describes how active our residents are, how their activity impacts on their health, and the factors which affect how likely they are to remain active throughout their lives.

- *Local Context* describes our residents, both who they are and the 
prevalence of conditions relating to physical activity, such as diabetes, cardiovascular disease etc.
- *Active Travel* looks at the additional benefits of people walking or 
cycling rather than driving, i.e. the potential to improve air quality, and reduce traffic collisions.
- *Activity Guidelines* shows the amount of physical activity 
recommended by the NHS.
- *Activity* presents the available  data on how active people are, including 
information on inequalities by Sex, Gender, Age, Ethnicity etc.
- *Barriers and Motivators* presents the results of a survey carried out by 
Southend Borough Council which asked residents what stops them from reaching the recommended levels of activity, and what could be done to make it easier to be more active.
- *Sports Facility Provision* describes the provision of sports facilities 
around the borough, including information on how accessible they are to people with disabilities, and how close they are to where people live.

## The Local Context

Key information about Southend and our residents.

## The Local Context Southend'S Residents Demographics Economic Activity The Local Context Projected Population Profile, 2019 And 2039

Similar to England as a whole, Southend's population is becoming increasingly elderly. Projections suggest that in 2019, 19.6%  of our residents will be aged 65+, this is expected to grow to 25.7% by 2039. In the same period the proportion who are of working age 
(16-64) is expected to decrease from 61% to 56.9%.

## The Local Context Projected Population Growth, By Life Stage

Projected count of Southend's residents at each life stage 
Life stage
2019
2024
(+5 years)
Later retirement years (80+)
10,537 
11,646 
17,998 
+7,461
Early retirement years (65-79)
25,569 
27,499 
35,587 
+10,019
Working age (16-64)
112,494 
115,341 
118,749 
+6,255
Children (5-15)
24,657 
25,542 
25,019 
+362
Early years (0-4)
11,158 
11,060 
11,349 
+191
Total
184,415 
191,089 
208,702 
+24,288
Projected proportion of Southend's residents in each life stage 
Life stage
2019
2024
(+5 years)
Later retirement years (80+)
5.7%
6.1%
8.6%
+2.9 percent points
Early retirement years (65-79)
13.9%
14.4%
17.1%
+3.2 percent points
Working age (16-64)
61.0%
60.4%
56.9%
-4.1 percent points
Children (5-15)
13.4%
13.4%
12.0%
-1.4 percent points
Early years (0-4)
6.1%
5.8%
5.4%
-0.6 percent points

Source: ONS 2016-based subnational population projections for local authorities and higher administrative areas in England (App B: 1-3)

2039
(+20 years)
Change from 
2019 to 2039
Change from 
2039
(+20 years)
2019 to 2039

Source: ONS Mid-Year Population Estimates 2016 (App B: 1-3)
Source: ONS Standard Area Measurements 2011 (App B: 1-4)

## The Local Context Related Conditions Adults Children

Excess weight in adults (2016/17)
Coronary Heart Disease (2017/18)
Diabetes –recorded (2017/18) Diabetes- Estimated (diagnosed & undiagnosed) (2015)
Under 75 mortality from colorectal cancer (2015/17)

Age 0-18 (2016/17)

Active travel The benefits of encouraging people to walk and cycle.

## Active Travel

"Motorised road transport provides many benefits to society. It offers comfort and convenience to those who use it and has become safer over the years. Britain's roads are generally less dangerous than those in most other countries and efforts are being made to improve this further.

However, the cost to society of road transport is still high, contributing to immediate and longer-term health hazards and health inequalities. These include:
•
increased disease burden due to reduced levels of physical activity

•
road traffic collisions and injuries
•
air pollution
•
noise
•
reduced social cohesion and increased social isolation for many"
Source: Working Together to Promote Active Travel: A briefing for local authorities (App B: 2-1)

## Active Travel

"For most people, the easiest and most acceptable forms of 
physical activity are those that can be built into everyday life. 
Examples include walking or cycling instead of travelling by 
car, and using stairs instead of lifts. 'Active travel' (or active 
transportation or mobility) means walking or cycling as an 
alternative to motorised transport (notably cars, 
motorbikes/mopeds etc.) for the purpose of making everyday 
journeys.

Transport systems and the wider built environment play a 
crucial role by either promoting or hindering physical activity. 
Recent analysis of data from the Active People Survey has 
shown that people who cycle for travel purposes (i.e. rather 
than simply for recreation) are four times as likely to meet 
physical activity guidelines as those who do not"
Source: Working Together to Promote Active Travel: A briefing for local authorities 
(App B: 2-1)

The  2016/17 Sports England Active Lives survey found that 3% of adults in Southend cycle for travel on at least three days a week. This is similar to the England average.

Source: PHE Fingertips (App B: 2-2)
The  same Sports England  survey found that 23.6% of adults in Southend walk for travel on at least three days a week, down from 28.7% in the previous year. This is similar to the England average.

Source: PHE Fingertips (App B: 2-2)

## Active Travel Air Quality

"Policy interventions to reduce a specific source of emissions often generate additional impacts beyond their primary target. For example, traffic calming measures have the potential to generate 'co-benefits' in the form of an increase in physical activity."
Source: Annual Report of the Chief Medical Officer 2017, Health Impacts of All Pollution - what do we know? (App B: 2-3) 
"Coarse Particle Matter (PM10) increases level of post-neonatal mortality, prevalence of bronchitis and asthma. Nitrogen Dioxide (NO2) increases cardiovascular and respiratory hospital admissions and mortality."
Source: World Health Organisation "Health Risks of Air Pollution In Europe" report (2013) (App B: 2-4)

## Active Travel Road Traffic Collisions

Sunday's observe a higher number of road traffic collisions during the 'Early Morning' hours and Fridays see a higher number of accidents during the 'Evening' hours.

(4) These groups of times are  what we thought were sensible at the time of production Over the past 6 calendar years, the number of road traffic collisions has fallen. There are generally fewer collisions across the January/February and May/June months.

(1) 2018 data was incomplete at the time of production. (2) In November 2015 Essex Police began using the new National CRASH (Collision Reporting And SHaring) system for recording road accidents. A trend in decreasing slight accidents was noted across all Local Authorities. 

(3) Source: CRASH (Collision Reporting And Sharing) system used (App B: 2-6)

## Activity Guidelines

NHS activity guidelines.

## Activity Guidelines Pregnant Women

Source: Start active, stay active: infographics on physical activity (App B: 3-1) 

## Activity Guidelines Early Childhood (Under 5 Years Old)

Source: Start active, stay active: infographics on physical activity (App B: 3-1) 

## Activity Guidelines Children (5 - 18 Years Old)

Source: Start active, stay active: infographics on physical activity (App B: 3-1) 

## Activity Guidelines Adults And Older People

Source: Start active, stay active: infographics on physical activity (App B: 3-1) 

## Activity Guidelines Disabled Adults

Source: Start active, stay active: infographics on physical activity (App B: 3-1) 

## Activity

What we know about current exercise levels and participation in sports and physical activities.

## Activity Southend'S Residents Adults Children

24% of Southend's adults are **inactive**, with less than 30 minutes moderate intensity activity per week, which is **similar** to the England average.

Source: PHE Fingertips (App B: 4-1)
78% of Southend's adults walk at least once a week. 11% cycle at least once per month Source: PHE Fingertips (App B: 4-1)
63% of Southend's adults do meet the Chief Medical Officers recommendations for physical activity (150+ minutes moderate intensity activity per week), which is **similar** to the England average.

Source: PHE Fingertips (App B: 4-1)

## This Page Refers To: Southend

74% of Southend's 15 year olds had a mean daily sedentary time in the last week of over 7 hours per day, which was **worse** than the England average.

Source: What about YOUth survey 2014/15, via PHE Fingertips (App B: 4-2)
18% of Southend's 15 year olds were physically active for at least one hour per day, seven days per week, which was **better** than the England average.

Source: What about YOUth survey 2014/15, via PHE Fingertips (App B: 4-2)

## Activity National - Inequalities Adults - Active For 150+ Mins A Week

76%
16-24 years old
Age
18%
85+
65%
Male
Gender
60%
Female
Ethnic
71%
Mixed
55%
South Asian
group
67%
No disability
Health
37%
3 or more long term conditions
71%
Socio
Managerial, administrative, 
49%
Long term unemployed
Economic
professional
77%
Student Employment 
status
35%
Not working, long term sick, or disabled

Source: Sport England Active Lives Adult Survey 
2017/2018: Average for all English Local Authorities (App B: 4-4)

## England Children - Active For 60+ Mins Every Day

| MOST ACTIVE           |
|-----------------------|
| School                |
| 22%                   |
| Year 5-6              |
| 14%                   |
| Year 9-11             |
| Year                  |
| 20%                   |
| Male                  |
| Gender                |
| 14%                   |
| Female                |
| Ethnic                |
| 27%                   |
| White Other           |
| 14%                   |
| Black                 |
| group                 |
| Family                |
| 22%                   |
| High family affluence |
| 15%                   |
| Low family affluence  |
| Affluence             |

Source: Sport England Active Lives Children and Young People Survey 
2017/2018: Average for all English Local Authorities (App B: 4-5)

## Activity National - Adults, By Age Adult Activity Levels Decline With Increasing Age This Page Refers To: England Activity National - Adults, By Gender Males Are More Active Than Females This Page Refers To:

England

## Activity National - Adults, By Social Economic Classification

Adults 16+ from higher social groups are more active than adults from lower social groups with the exception of Students England

## Activity National - Adults, By Working Status

England

## Activity National - Adults, By Ethnicity

Adult activity levels are highest for mixed and white backgrounds This page refers to:
England

## Activity National - Adults, By Disability & Comorbidities

Inactivity is twice as common for those with a disability or health condition than those without Inactivity levels increase as the number of impairments an individual has increases

## Activity National - Children, By School Year

Children's daily activity levels above 60 minutes decline between school years 7-8 to 9-11

## This Page Refers To: England Activity National - Children, By Gender

Boys daily activity levels above 60 minutes are greater than Girls

## This Page Refers To: England Activity National - Children, By Family Affluence Children From More Affluent Families Are More Active Than Others

The family affluence scale provides an indication of the socio-economic profile of children and young people's families. The scale is derived from a series of questions about their home and family such as car ownership, computers, and foreign holidays.

## This Page Refers To: England Activity National - Children, By Ethnicity

Children's activity levels are higher amongst mixed and white backgrounds

## This Page Refers To: England Barriers And Motivators

What do we know about the reasons that people don't meet recommended activity levels, and how can that be improved?

## Barriers And Motivators Southend'S Research Report - Main Findings Physical Activity Research Report: Southend Borough Council (May 2018)

Respondents who did less than the recommended 150 minutes of moderate activity a week were asked what were the main barriers preventing them from exercising, and what would motivate them to be more active. In each case, they chose up to three options from a list. The top rated answer in both categories concerns time constraints. 42% of respondents said that lack of time was one of the main barriers, 39% said that they would do more exercise if they had more free time.

## Barriers And Motivators Time Pressures Physical Activity Research Report: Southend Borough Council (May 2018) Many People Feel They Don'T Have Enough Time To Exercise, Or Can'T Find Activities At Suitable Times

Almost 1 in 2 people (42%) said that not having time was the reason for not doing the recommended 150 minutes of moderate intensity Physical Activity in a typical week

"I know quite a lot of people who don't do 30 minutes and I suppose for them
they have other commitments. I've got quite a few friends who have young
families. They don't have enough time to do it. They spend time with their other
halves, their kids."
Interview participant, Male, Under 35 no children

"Time. My daughter is a practice nurse. They have taken on 2,800 patients from
another clinic. She doesn't get out of there until 7 o'clock at night. She's got to
come home, cook. My son in law works 18 hours a day. He does nights, he's a
printer. They don't have the opportunity. There's a lot of people like that. They have
just got to earn money. Most families need two incomes coming in."
Interview participant, Female, Empty Nester

"Sometimes you see something and think 'I wouldn't mind doing that' but it's not at
the time when you can do it. Some people can't do activities until the evening if
they're working."
Focus group participant, Female, Empty Nester

## People Would Exercise More If They Could Find Activities At Suitable Times

1 in 7 people (14%) said that if sessions and
classes were at suitable times then it would
be easier for them to do the recommended
150 minutes of moderate intensity Physical
Activity in a typical week

"Have more classes at different times of the day. I find that the majority for mums
are through the week, there's nothing at the weekends or evenings. I think you
need to have a better balance."
Focus group participant, Female, Parent

"I would probably run more free clubs in the school holidays. Once we see our
children doing it, we are more likely to join in. We've got to think about the next
generation. Children need to know that exercise needs to be part of their routine."
Interview participant, Female, Parent

Classes. We have so many halls around and it would be lovely if we had a few
classes in the evenings, in selected locations. I think that would really encourage
women with children to get away from their husbands for an hour in the evening.
Interview participant, Female, Empty Nester

Source: Physical Activity Research Report: Southend  Borough Council (May 2018) (App B: 5-7)

## Barriers And Motivators Motivation And Confidence Physical Activity Research Report: Southend Borough Council (May 2018) Some People Lack The Confidence Or Motivation To Start Exercising, Or Feel Daunted By Gyms

1 in 5 people (22%) said that no motivation to
take part was the reason for not doing the
recommended
                150
                      minutes
                                of
                                    moderate
intensity Physical Activity in a typical week.

Going to a gym for most people is quite a daunting experience.
Focus group participant, Female, Parent

Being bullied through school, it was traumatising. You don't want to
be put through that again in adult life if you hated P.E. at school.
Focus group participant, Female, Parent

I find it difficult joining anything on my own, I'm not very forward at going to places.

Focus group participant, Female, Empty Nester A lot of the gyms, like the ones my grandsons go to, I wouldn't dream of going to because it's a young crowd and it's embarrassing if you are a big person like me.

Interview participant, Female, Empty Nester When some people have had their confidence knocked, they find it difficult to find the confidence to go out and find a new group and start afresh with something. Professional interview

## There Are Steps That Could Be Taken To Make Activities More Accessible, And Boost Peoples Confidence

1 in 6 people (17%) said that if they had
someone to go with then it would be easier
for them do the recommended 150 minutes
of moderate intensity Physical Activity in a
typical week.

People need an incentive. Not cash, but maybe if you go to five gym classes you'll
get a discount or vouchers for gym wear. I know I'd do that.
Focus group participant, Female, Under 35 no children

Maybe introduce more male and female only swims. I know a lot of women
aren't very confident.
Interview participant, Female, Empty Nester

There should be free taster sessions in the local gyms, which as far as I know
they don't do at the moment. People might go, find out they enjoy it and carry
on with it. I don't think they do anything like that at the moment.
Interview participant, Female, Empty Nester

I like the idea of beginner sessions. I think everything should be for beginners
because that's what makes it accessible.
Professional interview

## Barriers And Motivators Health And Disability Physical Activity Research Report: Southend Borough Council (May 2018) Health Issues And/Or Disabilities Can Prevent People From Taking Exercise

1 in 5 people (21%) said that health issues and/or
a disability not having time was the reason for not
doing the recommended 150 minutes of moderate
intensity Physical Activity in a typical week

"I don't mind saying I've got a few health conditions and I used to be quite
physically active when I was at Uni, but lately with my health I haven't been able
to."
Focus group participant, Male, Under 35 no children

I don't do a lot of exercise because I've got a lot of back problems, arthritis and diabetes. I've been told I need to lose about two stone because of liver disease, so I need it [physical activity].

Focus group participant, Male, Empty Nester

"People with disabilities say they have this issue or that issue and that they can't
exercise. You then wish that you had a physio on site to show them what they
can do."
Professional interview

"We do always come up against people who assume they can't do anything for
one reason or another, usually because they have something wrong with them
like sore knees or arthritis in their joints. There's usually something they can be
doing if we think outside of the box."
Professional interview

## Health Issues Can Sometimes Motivate People To Become More Active

1 in 7 people (14%) said that if they were less
stressed then it would be easier for them to
do
     the
          recommended
                            150
                                  minutes
                                             of
moderate
           intensity Physical
                                Activity
                                          in
                                             a
typical week

"The biggest motivator seems to be for people who have just come from the
doctor having had a diagnosis of diabetes or something like that or they need an
operation and they have been given a deadline to lose some weight. Then
suddenly we might see a surge of motivation."
Professional interview

"There's people lately I know that have had a heart problem and they hadn't
thought that it would happen to them. Then they've made real radical changes. If
that had been done before and if they were a bit more aware of the damage that
was being done, different decisions would have been made earlier on."
Professional interview

## Barriers And Motivators Economic Physical Activity Research Report: Southend Borough Council (May 2018) High Costs Are Deterring People From Taking Part In Physical Activity

1 in 6 people (17%) said that not having
enough money was the reason for not doing
the recommended 150 minutes of moderate
intensity Physical Activity in a typical week.

"I would like to go to the gym and do classes, but I don't want to have to have
the gym membership. I would go if I didn't have to commit to a year or six
months because of the travel for me."
Interview participant, Female, Under 35 with no children

"I work in quite a deprived area where parents just can't afford to take their kids swimming."
Focus group participant, Female, Parent
"It's no wonder that people don't do it if they've got a couple of kids - to take a family swimming it can cost over £20 just for an hour." Focus group participant, Female, Parent
"Even places that do a concession for over 60's, it's still expensive."
Focus group participant, Male, Empty Nester
"For people on low incomes it is very difficult for people to find money to do things like keeping fit."
Interview participant, Female, Empty Nester
"I'm on a pension, so the cost of places like gyms and that to me are too much."
Focus group participant, Female, Empty Nester

## Cheaper, Or Subsidised, Activities Would Enable More People To Take Part

1 in 3 people (32%) said that if there were more cheaper opportunities to do sport / physical activity then it would be easier for them to do the recommended 150 minutes of moderate intensity Physical Activity in a typical week.

"Making things so they are not subscription only and are more pay as you go."
Interview participant, Male, Under 35 with no children
"There are a couple of cheap and subsidised running clubs. I think they're a good idea but there's not enough of them." Focus group participant, Female, Under 35 no children
"Active Women is good because they're cheap or subsidised. They run classes in sports halls."
Focus group participant, Female, Under 35 no children
"Cost could be a problem for some people. Some of the big gyms are very expensive to be a member. Maybe there could be some sort of concessions for people who can't afford much money each month?"
Interview participant, Female, Empty Nester
"Couldn't there be a tie with the schools and the Council to allow their gyms and facilities to be used? They're sitting there at night doing nothing."
Focus group participant, Male, Empty Nester Source: Physical Activity Research Report: Southend  Borough Council (May 2018) (App B: 5-7)

## Barriers And Motivators Local Facilities Physical Activity Research Report: Southend Borough Council (May 2018) Some People Can'T Find Facilities Local To Them, Or Aren'T Aware Of What'S Available

1 in 8 people (13%) said that the lack of
facilities near where they live was the
reason for not doing the recommended
150 minutes of moderate intensity Physical
Activity in a typical week

"Accessibility is an issue. I have a car now, but when I didn't drive it would take me two separate buses to get to Garon's. It's a shame that the central pool has gone. It's really awkward to get to for people."
Focus group participant, Female, Parent

"I don't have a car, which is why it's important to have certain types of things in
different areas so you can actually do it. The transport system in Southend is
pretty bad, though."
Focus group participant, Male, Empty Nester

"I'm 71 and apart from what the Doctor is telling me, I'd like to know what else
there is for me to do that can go with what's wrong with me."
Focus group participant, Male, Empty Nester

"There's not a lot of activities widely advertised here. It's things you really have to
look into yourself. If you are not computer savvy, it's more difficult to find things
to do. There's a lack of advertising of opportunities in Southend."
Interview participant, Female, Empty Nester

## Steps Could Be Taken To Improve Awareness Of Local Facilities And Activities

1 in 7 people (14%) said that if there were
sessions or activities in their local community
then it would be easier for them to do the
recommended
               150
                    minutes
                              of
                                  moderate
intensity Physical Activity in a typical week

"There needs to be a directory with every activity and class in Southend and their
contact details, so you can find something that you like, almost like looking for a
job."
Focus group participant, Male, Under 35 no children

"You'll know if there's a car crash down the road because it will be on [Facebook]
pages like 'Your Southend', but you don't often see them advertising exercise. I
think you'd reach quite a lot of people that way."
Focus group participant, Female, Under 35 no children

"Make sure it is very accessible, like local. We've got a couple of hotspots in
Southend, what we call our 'deprived wards'. They need things near, in their
community. It needs to be accessible and visible so people try it."
Professional interview

"We have something called SHIP, which is the Southend Help and Information
Portal. It doesn't always do a fantastic job, but it exists. It's one of those things
that I'm really keen for people to invest in. We can make it better."
Professional interview

Source: Physical Activity Research Report: Southend  Borough Council (May 2018) (App B: 5-7)

## Barriers And Motivators Social And Behavioural - National

More than 40% of women and 35% of men spend more than six hours a day desk-bound or sitting still According to Ofcom the average UK adult spends 1,779 minutes - almost 30 hours - a week watching TV. This is equivalent to 64 days a year (2)
(1) Source: Everybody active every day - an evidence based approach; Public Health England (Oct 2014) (App B: 5-1)
(2) Source: Physical Inactivity and Sedentary Behaviour 2017; British Heart Foundation (Mar 2017) (App B: 5-2) (3) Source: Health Survey for England 2015, NHS Digital (Dec 2016) (App B: 5-3)
(4) Source: Key Data on Young People 2017, Association for Young Peoples Health(2017) (App B: 5-4)
(5) Source: "Taking Part, Focus on Understanding Changes in Sport Participation 2014/15"; Sport England (Nov 2015) (App B: 5-5)
impacted sport participation between two annual survey interviews

## Barriers And Motivators Health And Disability - National

main factors cited for affecting participation or attendance of culture or sporting activities

## Sports Facility Provision

Information concerning the sports facilities in Southend.

## Provision Sports Facility Coverage

This section shows the sports facilities listed in the Sport England Active Places report, which we have grouped into seven categories: -
Swimming pools

-
Athletics tracks
-
Courts for racquet sports, which includes tennis, squash, and badminton
-
Courts for non-racquet sports, which includes basketball, 
volleyball, and netball
-
Pitches, which includes 5 a side, grass pitches, cricket nets
-
Golf courses and driving ranges
-
Gyms, fitness suites and studios
School Facilities Some schools in our borough offer limited public access to their sports facilities, e.g. access to a swimming pool outside of school hours. Schools which offer some public access are shown on the following maps in blue.

Free vs. Pay Facilities The Sport England report lists very little in the way of free access to sports facilities, but this needs some context –
e.g many pitches are available for free use at certain times, whilst being booked out for a fee to clubs at other times.

## Provision Summary Of Facilities In Southend Sports Facilities Open To The Public, And Those Schools Offering Some Public Access

within 1 mile of one of these within 1 mile of one of these Source: Sport England Active Places facility data, 10th January 2019 (App B: 6-1)
40% of our residents live within 1 mile (approx. 20 minutes walk) 
of a golf course or driving range Access within 1 mile of a Golf Course and / or Driving Range
28% of our residents live within 1 mile (approx. 20 minutes walk) of an athletics track
… if we include those schools which offer limited public access
91% of our residents live within 1 mile (approx. 20 minutes walk) of a gym or fitness suite
… if we include those schools which offer limited public access
100% of our residents live within 1 mile (approx. 20 minutes walk) of a sports pitch
… if we include those schools which offer limited public access
80% of our residents live within 1 mile (approx. 20 minutes walk) of a volleyball, basketball or netball court
… if we include those schools which offer limited public access
99% of our residents live within 1 mile (approx. 20 minutes walk) of a tennis, squash, or badminton court
… if we include those schools which offer limited public access Access within 1 mile of a Court for Racquet Sports

## Provision Sports Facility Accessibility - Summary

Percentage of the residents of the stated area who are within 1 mile of each type of facility
Area type
Area name
Athletics tracks
Golf
Gyms
Courts: non-racquet sports
Pitches
Courts: racquet sports
Swimming pools
Borough
Southend-on-Sea
28%
40%
91%
80%
100%
99%
66%
Less than 50% Between 50% and 75% Greater than 75%

Source: Sport England Active Places facility data, 10th January 2019 (App B: 6-1)

## Provision Sports Facility Accessibility - By Locality

Percentage of the residents of the stated area who are within 1 mile of each type of facility
Area type
Area name
Athletics tracks
Golf
Gyms
Courts: non-racquet sports
Pitches
Courts: racquet sports
Swimming pools
Locality
East
18%
59%
97%
97%
100%
97%
92%
Locality
East Central
47%
47%
100%
63%
100%
100%
70%
Locality
West
32%
65%
64%
90%
100%
100%
84%
Locality
West Central
23%
10%
98%
74%
100%
100%
36%
Less than 50% Between 50% and 75% Greater than 75%

Source: Sport England Active Places facility data, 10th January 2019 (App B: 6-1)

## Provision Sports Facility Accessibility - By Ward

Percentage of the residents of the stated area who are within 1 mile of each type of facility
Area type
Area name
Athletics tracks
Golf
Gyms
Courts: non-racquet sports
Pitches
Courts: racquet sports
Swimming pools
Ward
Belfairs
65%
100%
72%
90%
100%
100%
87%
Ward
Blenheim Park
66%
56%
100%
100%
100%
100%
97%
Ward
Chalkwell
0%
0%
92%
76%
100%
100%
3%
Ward
Eastwood Park
68%
43%
65%
68%
100%
100%
68%
Ward
Kursaal
29%
29%
100%
64%
100%
100%
80%
Ward
Leigh
0%
27%
100%
100%
100%
100%
82%
Ward
Milton
0%
0%
100%
6%
100%
100%
0%
Ward
Prittlewell
35%
0%
100%
92%
100%
100%
38%
Ward
Shoeburyness
0%
0%
90%
90%
100%
90%
90%
Ward
Southchurch
69%
100%
100%
100%
100%
100%
100%
Ward
St Laurence
38%
3%
93%
72%
100%
100%
81%
Ward
St. Luke's
94%
94%
100%
94%
100%
100%
94%
Ward
Thorpe
4%
100%
100%
100%
100%
100%
77%
Ward
Victoria
19%
19%
100%
33%
100%
100%
35%
Ward
West Leigh
0%
93%
14%
100%
100%
100%
100%
Ward
West Shoebury
0%
52%
100%
100%
100%
100%
100%
Ward
Westborough
0%
0%
100%
100%
100%
100%
3%
Less than 50% Between 50% and 75% Greater than 75%

Source: Sport England Active Places facility data, 10th January 2019 (App B: 6-1)

## Provision Sports Facility Accessibility - For Abss Wards

Percentage of the residents of the stated area who are within 1 mile of each type of facility
Area type
Area name
Athletics tracks
Golf
Gyms
Courts: non-racquet sports
Pitches
Courts: racquet sports
Swimming pools
ABSS
ABSS wards
8%
16%
98%
65%
100%
98%
51%
ABSS
Non-ABSS wards
41%
55%
86%
90%
100%
100%
75%
Less than 50% Between 50% and 75% Greater than 75%

A Better Start Southend (ABSS) is part of the National Lottery funded A Better Start programme, which aims to improve the life chances of babies and very young children by delivering a significant increase in the use of preventative approaches in pregnancy and the first three years of life. ABSS is operating in the following wards: Kursaal, Milton, Shoeburyness, Victoria, West Shoebury, and Westborough.

Source: Sport England Active Places facility data, 10th January 2019 (App B: 6-1)

## Provision Sports Facility Accessibility - By Deprivation

Percentage of the residents of the stated area who are within 1 mile of each type of facility
Area type
Area name
Athletics tracks
Golf
Gyms
Courts: non-racquet sports
Pitches
Courts: racquet sports
Swimming pools
Deprivation_Category
IMD Deprivation decile 1 to 3
30%
32%
99%
64%
100%
100%
59%
Deprivation_Category
IMD Deprivation decile 4 plus
28%
46%
86%
91%
100%
99%
70%
Less than 50% Between 50% and 75% Greater than 75%

Index of Multiple Deprivation (IMD), from the English Indices of Deprivation 2015. IMD decile 1 is the most deprived 10% of small areas in England.

Source: Sport England Active Places facility data, 10th January 2019 (App B: 6-1)

## Provision Sports Facility Accessibility - Disabled Access

The table below shows a breakdown of the number of different disability access features for all of the boroughs Sports facilities. Comparisons can be made with the total number of facilities for each Sport type.

Disabled 
Find Reach 
Disabled 
Reception
Disabled 
Doorways
Disabled 
Changing
Total
Disabled 
Parking
Entrance
Swimming Pools
8
8
8
8
8
8
8
8
3
4
8
Courts Racquet Sports
26
20
22
17
22
14
26
20
9
5
22
Courts Non Racquet Sports
12
12
12
12
12
11
12
12
5
3
12
Pitches
36
27
33
21
33
16
36
24
14
10
34
Athletic Tracks
2
2
2
2
2
2
2
2
1
2
2
Gyms, Studios and Suites
14
11
14
14
14
13
14
14
9
7
14
Golf Course and Driving Ranges
3
3
3
2
3
2
3
3
3
1
3
Disabled 
Emergency 
Disabled 
Toilets
Exits
Disabled 
Activity 
Areas
Disabled 
Social 
Areas
Disabled 
Spectator 
Areas
Less than 50% of 
facilities in the area 
have this feature
Between 50% and 75% 
of facilities in the area 
have this feature
More than 75% of 
facilities in the area 
have this feature

## Provision Cycling Cycle Southend

Cycle Southend's vision is for the bike to become part of everyone's daily routine, with more and more people choosing to cycle both recreationally and as a preferable mode of travel, with more parents allowing their children to cycle to and from school and transforming Southend into a place where pedestrians, vehicles and bikes can happily co-exist in a 'shared-space'.(
Source: Cycle Southend (App B: 6-2)
Cycle Southend's website also offers activities, maps and help to bike users that visit Southend and their most recent leaflet (that shows the above) is located here: cycle-southend-map

## Bikeability

Southend Borough Council runs a local cycling initiative called "Bikeability", which is made up of several modules that are targeted at different age groups. These are:
•
Balance: Aimed at Pre-school children, these sessions support children's basic balance and 

co-ordination skills.
•
Learn to Ride: For Reception/Year one children, these sessions support children that are unable 
to ride a bike.
•
Fix: These sessions for year 5/6 children teach basic maintenance and how to tell if a bike is 
roadworthy.
•
Transition: Aimed at children moving between primary and secondary school, this session 
teaches route planning skills and how to make their cycle ride to school safer.
•
Ride: Aimed at year 6 and above, these sessions help children discover their local area using low 
traffic/traffic free routes.
•
Level 1: Teaches new learners to control their bikes in a space away from traffic and skills 
including safe starts, safe stops and signalling are learnt.
•
Level 2: Takes place in local streets and teaches students how to deal with traffic on short 
journeys.
•
Level 3: Equips trainees with the ability to navigate more challenging roads and situations such 
as busier streets, queueing traffic and complex junctions/roundabouts.

## Level 2 Bikeability Training Has Been The Most Popular

* 2018-19 data was last updated in January 2019

## Provision Beaches - The Seaside Awards And Blue Flag Status The Seaside Award Blue Flag Beaches

The Seaside Award is presented around England to beaches that "ensures visitors are guaranteed to find a clean, safe, attractive and well-managed coastal stretch". 

Source: The Seaside Awards (App B: 6-3)

There are 7 beaches that have been presented with the Seaside Award in Southend:
•
Bell Wharf Beach
-    Chalkwell Beach
•
Three Shells Beach
-    Jubilee Beach
•
Thorpe Bay
-    Shoebury Common Beach
•
East Beach, Shoeburyness
All 7 beaches have the following amenities:
•
Toilets
•
Disabled access to the sand/sea and disabled parking
•
Transport routes including nearby train stations, free parking, bus or cycle routes
•
Bicycle racks
•
Activities including Café/Restaurants, deckchair hire, Sailing and Dog exercising areas
•
Are Family Friendly and offer Dog restricted areas and have Lost Child Centres located on site
5 out of the 7 Seaside Awarded beaches have First Aid located on site.
A Beach is awarded a Blue Flag when "a series of stringent environmental, educational, safety and accessibility criteria must be met and maintained". Source: Blue Flag Awards (App B: 6-4)

There are 3 beaches in Southend that have been awarded the Blue Flag Beach status:
•
Thorpe Bay
•
Shoebury Common Beach
•
East Beach, Shoeburyness
All 3 beaches are listed as having Kiosks and as being "Disabled friendly".

The Seaside Award and Blue Flag Award Logos have been taken from their websites

## Appendix A

Spine charts with supporting information

## How To Interpret Spine Charts

- The range of values is represented by the outer edges of the light grey areas. The smallest or worst value is the furthest left, and the largest or best value is the furthest right

-
Utilisation of outdoor space for exercise health reasons by people aged 16+ is statistically similar to the England value (the circle is amber) 
- The interquartile range is represented by the dark grey area. The left edge of it is the 25th percentile, where 25% of local values are worse/lower than this value. The right edge is the 75th percentile, where 25% of local values are better/higher than this value

-
The percentage of 15 year olds with long-term illness, disability or medical condition diagnosed by a doctor is significantly better than the England average (the circle is green).
-
The percentage of 15 year olds with 3 or more risky behaviours is significantly worse than the England value (the circle is red). 
-
The percentage of the population aged 65+ is significantly higher than the England value (the circle is light blue)
- The polarity of the indicator can determine whether the left hand side is the lowest or highest value. It is common to present a set of indicators so that worse values are on the left of the benchmark, and better values are on the right regardless of the value itself (for example, a high mortality rate is bad so can be presented on the left hand side). When high/low values are neither good or bad, the high value is displayed to the right of the comparator

-
The percentage of ethnic minority females aged 16+ is significantly lower than the England 
value (the circle is dark blue)
-
Access to woodland by people of all ages is not compared to England (the circle is white)
- the significance of the area specific value compared to the benchmark can be represented by the colour of the circle displaying the value for the area. These colours can indicate whether the value is significantly better, worse, higher, lower or not significantly different from the benchmark

## Spine Chart - Participation

Southend-on-Sea
Neighbour
Average
Indicator
Period
National context
Unit type of 
Value
Sex
Age
Count
Value
Trend
Value
Value
Worst/
lowest
 Range
Best/
highest
1 Percentage of physically active adults - historical 
method
Persons
16+ yrs
%
2015
-
56
Cannot be 
calculated
55
57
45
70
2 Percentage of physically inactive adults - historical 
method
Persons
16+ yrs
%
2015
-
29
Cannot be 
calculated
30
29
44
18
3
Persons
15 yrs
%
2014/15
-
74
Cannot be 
calculated
72
70
81
59
Percentage of 15 year olds with a mean daily sedentary time in the last week over 7 hours per day
4 Percentage of 15 year olds physically active for at 
least one hour per day seven days a week
Persons
15 yrs
%
2014/15
-
18
Cannot be 
calculated
14
14
8
19
5 Percentage of adults doing 30-149 minutes 
physical activity per week - historical method
Persons
16+ yrs
%
2015
-
14
Cannot be 
calculated
15
14
33
33
6 Percentage of adults who do any walking, at least 
once per week
Persons
16+ yrs
%
2014/15
-
78
Cannot be 
calculated
79
81
70
93
7 Percentage of adults who do any walking, at least 
five times per week
Persons
16+ yrs
%
2014/15
-
49
Cannot be 
calculated
49
51
40
68
8 Percentage of adults who do any cycling, at least 
three times per week.
Persons
16+ yrs
%
2014/15
-
4
Cannot be 
calculated
3
4
1
19
9 Percentage of adults who do any cycling, at least 
once per month
Persons
16+ yrs
%
2014/15
-
11
Cannot be 
calculated
13
15
6
34
10 Sports club membership: % of population aged 
16+
Persons
16+ yrs
%
2015/16
-
22
Cannot be 
calculated
23
22
13
32
11 Percentage of physically active adults - current 
method
Persons
19+ yrs
%
2016/17
-
63
Cannot be 
calculated
65
66
53
78
12 Percentage of physically inactive adults - current 
method
Persons
19+ yrs
%
2016/17
-
24
Cannot be 
calculated
23
22
33
12
13 Percentage of adults walking for travel at least 
three days per week
Persons
16+ yrs
%
2016/17
-
24
Cannot be 
calculated
21
23
12
44
14 Percentage of adults cycling for travel at least three 
days per week
Persons
16+ yrs
%
2016/17
-
3
Cannot be 
calculated
2
3
1
16
Southend-on-Sea
Neighbour
Average
Indicator
Period
National context
Unit type of 
Value
Sex
Age
Count
Value
Trend
Value
Value
Worst/
lowest
 Range
Best/
highest
1 Utilisation of outdoor space for exercise/health 
reasons
Persons
16+ yrs
%
Mar 2015 - 
Feb 2016
-
15
Cannot be 
calculated
19
18
5
37
2 Supporting information - Deprivation score (IMD 
2015)
Persons
All ages
0.0
2015
-
25
Cannot be 
calculated
24
22
42
6
3 Access to woodland
Persons
All ages
%
2015
9953
6
Cannot be 
calculated
23
17
0
62
4 Air pollution: fine particulate matter
Not 
applicable
Not 
applicable
µg/m3
2016
-
10
Cannot be 
calculated
9
9
12
6
5 Access to Healthy Assets & Hazards Index
Persons
All ages
%
2016
68901
39
Cannot be 
calculated
12
21
100
0

## Spine Chart - People: Demographics

Southend-on-Sea
Neighbour
Average
Indicator
Period
National context
Unit type of 
Value
Sex
Age
Count
Value
Trend
Value
Value
Worst/
lowest
 Range
Best/
highest
1 Percentage of population under 18
Female
<18 yrs
%
2017
19159
21
Cannot be 
calculated
20
21
29
29
2 Percentage of population under 18
Male
<18 yrs
%
2017
19956
22
Cannot be 
calculated
22
22
31
31
3 Percentage of population under 18
Persons
<18 yrs
%
2017
39115
22
Cannot be 
calculated
21
21
30
30
4 Percentage of population aged 65+
Female
65+ yrs
%
2017
19272
21
Cannot be 
calculated
21
19
30
30
5 Percentage of population aged 65+
Male
65+ yrs
%
2017
15526
17
Cannot be 
calculated
18
17
27
27
6 Percentage of population aged 65+
Persons
65+ yrs
%
2017
34798
19
Cannot be 
calculated
19
18
29
29
7 Percentage ethnic minorities
Female
16+ yrs
%
2016
6200
8
Cannot be 
calculated
7
14
66
66
8 Percentage ethnic minorities
Male
16+ yrs
%
2016
4500
6
Cannot be 
calculated
7
13
63
63
9 Percentage ethnic minorities
Persons
16+ yrs
%
2016
10700
7
Cannot be 
calculated
7
14
64
64

## Spine Chart - People: Economic Activity

Southend-on-Sea
Neighbour
Average
Indicator
Period
National context
Unit type of 
Value
Sex
Age
Count
Value
Trend
Value
Value
Worst/
lowest
 Range
Best/
highest
1 Economic inactivity rate
Female
16-64 yrs
%
2016/17
15600
28
Cannot be 
calculated
27
27
41
12
2 Economic inactivity rate
Male
16-64 yrs
%
2016/17
6500
12
Cannot be 
calculated
17
16
31
8
3 Economic inactivity rate
Persons
16-64 yrs
%
2016/17
22100
20
22
22
34
13
Decreasing 
and getting 
better
4 Employment and Support Allowance claimants
Female
16-64 yrs
%
2018
3060
5
7
5
11
1
Decreasing 
and getting 
better
5 Employment and Support Allowance claimants
Male
16-64 yrs
%
2018
3300
6
7
6
13
2
Decreasing 
and getting 
better
7
5
12
1
6 Employment and Support Allowance claimants
Persons
16-64 yrs
%
2018
6370
6
Decreasing 
and getting 
better
7 Employment and Support Allowance claimants
Persons
18-24 yrs
%
2018
350
3
4
3
6
1
Decreasing 
and getting 
better
8 Employment and Support Allowance claimants
Persons
25-34 yrs
%
2018
910
4
5
4
9
1
Decreasing 
and getting 
better
9 Employment and Support Allowance claimants
Persons
35-44 yrs
%
2018
1140
5
6
5
12
2
Decreasing 
and getting 
better
8
6
15
2
10 Employment and Support Allowance claimants
Persons
45-49 yrs
%
2018
890
7
Decreasing 
and getting 
better
11 Employment and Support Allowance claimants
Persons
50-54 yrs
%
2018
1050
8
9
8
17
2
Decreasing 
and getting 
better
12 Employment and Support Allowance claimants
Persons
55-59 yrs
%
2018
1050
9
10
9
21
3
Decreasing 
and getting 
better
12
10
23
4
13 Employment and Support Allowance claimants
Persons
60-64 yrs
%
2018
980
10
Increasing 
and getting 
worse
14 Average weekly earnings
Female
16+ yrs
£
2017
-
312
Cannot be 
calculated
343
352
279
663
15 Average weekly earnings
Male
16+ yrs
£
2017
-
546
Cannot be 
calculated
498
523
382
883
16 Average weekly earnings
Persons
16+ yrs
£
2017
-
436
Cannot be 
calculated
422
440
332
751

## Spine Chart - Supporting Information

Southend-on-Sea
Neighbour
Average
Indicator
Period
National context
Unit type of 
Value
Sex
Age
Count
Value
Trend
Value
Value
Worst/
lowest
 Range
Best/
highest
1 Healthy life expectancy at birth
Female
All ages
Years
2015 - 17
-
63
Cannot be 
calculated
62
64
53
72
2 Healthy life expectancy at birth
Male
All ages
Years
2015 - 17
-
61
Cannot be 
calculated
61
63
55
70
3 Life expectancy at birth
Female
All ages
Years
2015 - 17
-
82
Cannot be 
calculated
82
83
80
87
4 Life expectancy at birth
Male
All ages
Years
2015 - 17
-
79
Cannot be 
calculated
79
80
74
83
5 Life expectancy at 65
Female
65
Years
2015 - 17
-
21
Cannot be 
calculated
21
21
19
24
6 Life expectancy at 65
Male
65
Years
2015 - 17
-
18
Cannot be 
calculated
18
19
16
22
7 Percentage with a long-term illness, disability or 
medical condition diagnosed by a doctor
Persons
15 yrs
%
2014/15
-
12
Cannot be 
calculated
15
14
19
9
8 Percentage with 3 or more risky behaviours
Persons
15 yrs
%
2014/15
-
20
Cannot be 
calculated
18
16
24
3

## Spine Chart - Related Conditions

Southend-on-Sea
Neighbour
Average
Indicator
Period
National context
Unit type of 
Value
Sex
Age
Count
Value
Trend
Value
Value
Worst/
lowest
 Range
Best/
highest
1 Stroke: QOF prevalence (all ages)
Persons
All ages
%
2017/18
3349
2
2
2
3
1
No 
significant 
change
2 Hypertension: QOF prevalence (all ages)
Persons
All ages
%
2017/18
28688
15
15
14
18
7
No 
significant 
change
3 Injuries due to falls in people aged 65 and over
Female
65+ yrs
per 100,000
2017/18
599
2555
Cannot be 
calculated
2555
2453
3706
1575
4 Injuries due to falls in people aged 65 and over
Male
65+ yrs
per 100,000
2017/18
285
1948
Cannot be 
calculated
1922
1775
2987
998
5 Injuries due to falls in people aged 65 and over
Persons
65+ yrs
per 100,000
2017/18
884
2301
Cannot be 
calculated
2297
2170
3329
1352
6 Diabetes: QOF prevalence (17+)
Persons
17+ yrs
%
2015/16
9659
6
Cannot be 
calculated
7
7
9
3
7 CHD: QOF prevalence (all ages)
Persons
All ages
%
2017/18
5987
3
Decreasing
4
3
5
1
8 Depression: Recorded prevalence (aged 18+)
Persons
18+ yrs
%
2017/18
15085
10
Increasing
11
10
16
16
9 Under 75 mortality from colorectal cancer
Female
<75 yrs
per 100,000
2015 - 17
26
11
Cannot be 
calculated
10
9
15
5
10 Under 75 mortality from colorectal cancer
Male
<75 yrs
per 100,000
2015 - 17
23
10
Cannot be 
calculated
15
15
24
7
11 Under 75 mortality from colorectal cancer
Persons
<75 yrs
per 100,000
2015 - 17
49
10
Cannot be 
calculated
12
12
17
7
12 Estimated prevalence of diabetes (undiagnosed 
and diagnosed)
Persons
16+ yrs
%
2015
12808
9
Cannot be 
calculated
9
8
12
7
13 Excess Weight in Adults
Persons
18+ yrs
%
2016/17
-
59
Cannot be 
calculated
63
61
75
38
14 Estimated diabetes diagnosis rate
Persons
17+ yrs
%
2018
-
75
Cannot be 
calculated
79
78
43
97

## Spine Chart - Related Conditions, Children

Southend-on-Sea
Neighbour
Average
Indicator
Period
National context
Unit type of 
Value
Sex
Age
Count
Value
Trend
Value
Value
Worst/
lowest
 Range
Best/
highest
23
22
30
14
1 Reception: Prevalence of overweight (including 
obesity)
Persons
4-5 yrs
%
2017/18
460
23
No 
significant 
change
34
34
45
22
2 Year 6: Prevalence of overweight (including 
obesity)
Persons
10-11 yrs
%
2017/18
604
32
No 
significant 
change
3 Obese children (4-5 years)
Persons
4-5 yrs
%
2017/18
175
9
9
10
14
5
No 
significant 
change
4 Obese children (10-11 years)
Persons
10-11 yrs
%
2017/18
346
19
20
20
30
11
No 
significant 
change
5 Admissions for diabetes for children aged 0 to 9
Persons
0-9 yrs
per 100,000
2015/16
7
31
Not given
38
30
80
10
65
55
122
27
6 Admissions for diabetes for children and young 
people aged under 19 years
Persons
0-18 yrs
per 100,000
2016/17
23
56
Decreasing 
and getting 
better
7 Admissions for diabetes for young people aged 10 
to 18
Persons
10-18 yrs
per 100,000
2015/16
14
78
Not given
111
87
209
35

## Appendix B References References (1 Of 6) The Local Context

| Source ID                                                                                                                  | Source Reference                                                                                                   |
|----------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|
| 1-1                                                                                                                        | Public Health England                                                                                              |
| https://fingertips.phe.org.uk/                                                                                             |                                                                                                                    |
| 1-2                                                                                                                        | ONS  Population estimates: Persons by single year of age and sex for local authorities in the UK, mid-2017         |
| https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/bulletins/annualmidyearpopu |                                                                                                                    |
| lationestimates/latest                                                                                                     |                                                                                                                    |
| 1-3                                                                                                                        | ONS 2016-based subnational population projections for local authorities and higher administrative areas in England |
| https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/bulletins/annualmidyearpopu |                                                                                                                    |
| lationestimates/mid2016                                                                                                    |                                                                                                                    |
| 1-4                                                                                                                        | ONS Standard Area Measurements 2011                                                                                |
| https://www.ons.gov.uk/methodology/geography/geographicalproducts/otherproducts/ukstandardareameasurementssam              |                                                                                                                    |

## References (2 Of 6) Active Travel

| Source ID                                                                                                                         | Reference                                                                                           |
|-----------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|
| 2-1                                                                                                                               | Working Together to Promote Active Travel: A briefing for local authorities                         |
| https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/523460/Working_Together_to_P      |                                                                                                     |
| romote_Active_Travel_A_briefing_for_local_authorities.pdf                                                                         |                                                                                                     |
| 2-2                                                                                                                               | PHE Fingertips                                                                                      |
| https://fingertips.phe.org.uk/                                                                                                    |                                                                                                     |
| 2-3                                                                                                                               | Annual Report of the Chief Medical Officer 2017, Health Impacts of All Pollution - what do we know? |
| https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/690846/CMO_Annual_Report_2        |                                                                                                     |
| 017_Health_Impacts_of_All_Pollution_what_do_we_know.pdf                                                                           |                                                                                                     |
| 2-4                                                                                                                               | World Health Organisation "Health Risks of Air Pollution In Europe" report (2013)                   |
| http://www.euro.who.int/en/health-topics/environment-and-health/air-quality/publications/2013/health-risks-of-air-pollution-in-   |                                                                                                     |
| europe-hrapie-project.-recommendations-for-concentrationresponse-functions-for-costbenefit-analysis-of-particulate-matter,-ozone- |                                                                                                     |
| and-nitrogen-dioxide                                                                                                              |                                                                                                     |
| 2-5                                                                                                                               | Consumer Data Research Centre's (CDRC) Access Healthy Assets and Hazards (AHAH) Index               |
| https://data.cdrc.ac.uk/dataset/cdrc-2016-ahah-index-local-authority-district-geodata-pack-southend-on-sea-e06000033              |                                                                                                     |
| 2-6                                                                                                                               | CRASH (Collision Reporting And Sharing) system used by Essex Police                                 |
| Information supplied by Traffic and Highways Network Team - Southend Borough Council                                              |                                                                                                     |

## References (3 Of 6) Activity Guidelines

| Source ID                                                                                             | Source Reference                                             |
|-------------------------------------------------------------------------------------------------------|--------------------------------------------------------------|
| 3-1                                                                                                   | Start active, stay active: infographics on physical activity |
| https://www.gov.uk/government/publications/start-active-stay-active-infographics-on-physical-activity |                                                              |

## References (4 Of 6) Take Up, Participation And Activity

| Source ID                                                                                          | Source Reference                                                                                                 |
|----------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|
| 4-1                                                                                                | PHE Fingertips                                                                                                   |
| https://fingertips.phe.org.uk/                                                                     |                                                                                                                  |
| 4-2                                                                                                | What about YOUth survey 2014/15, via PHE Fingertips                                                              |
| https://fingertips.phe.org.uk/                                                                     |                                                                                                                  |
| 4-3                                                                                                | Sport England Active Lives Survey Nov 2016-2017                                                                  |
| https://activelives.sportengland.org/                                                              |                                                                                                                  |
| 4-4                                                                                                | Sport England Active Lives Adult Survey 2017/2018: Average for all English Local Authorities                     |
| https://www.sportengland.org/media/13563/active-lives-adult-may-17-18-report.pdf                   |                                                                                                                  |
| 4-5                                                                                                | Sport England Active Lives Children and Young People Survey 2017/2018: Average for all English Local Authorities |
| https://www.sportengland.org/media/13851/active-lives-children-survey-2017-18-attitudes-report.pdf |                                                                                                                  |

## References (5 Of 6) Barrier And Motivators

| Source ID                                                                                                                     | Source Reference                                                                                                |
|-------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|
| 5-1                                                                                                                           | Everybody active every day - an evidence based approach; Public Health England (Oct 2014)                       |
| https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/374914/Framework_13.pdf       |                                                                                                                 |
| 5-2                                                                                                                           | Physical Inactivity and Sedentary Behaviour 2017; British Heart Foundation (Mar 2017)                           |
| https://www.bhf.org.uk/informationsupport/publications/statistics/physical-inactivity-report-2017                             |                                                                                                                 |
| 5-3                                                                                                                           | Health Survey for England 2015, NHS Digital (Dec 2016)                                                          |
| https://digital.nhs.uk/data-and-information/publications/statistical/health-survey-for-england/health-survey-for-england-2015 |                                                                                                                 |
| 5-4                                                                                                                           | Key Data on Young People 2017, Association for Young Peoples Health(2017)                                       |
| http://www.ayph.org.uk/keydata2017/FullVersion2017                                                                            |                                                                                                                 |
| 5-5                                                                                                                           | "Taking Part, Focus on Understanding Changes in Sport Participation 2014/15"; Sport England (Nov 2015)          |
| https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/476078/Taking_Part_201415_Foc |                                                                                                                 |
| us_on_Sport.pdf                                                                                                               |                                                                                                                 |
| 5-6                                                                                                                           | "Taking Part, Focus on Barriers to Participation - Disability"; Department for Culture Media & Sport (Nov 2015) |
| https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/476097/Taking_Part_201415_Foc |                                                                                                                 |
| us_on_Barriers_to_participation_disability.pdf                                                                                |                                                                                                                 |
| 5-7                                                                                                                           | Physical Activity Research Report: Southend  Borough Council (May 2018)                                         |

## References (6 Of 6) Sports Facility Provision

| Source ID                                                                                           | Source Reference                                                                                                   |
|-----------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|
| 6-1                                                                                                 | Sport England Active Places Facility Data, 10th January 2019                                                       |
| https://www.activeplacespower.com/opendata                                                          |                                                                                                                    |
| 6-2                                                                                                 | Cycle Southend                                                                                                     |
| http://www.cyclesouthend.co.uk/                                                                     |                                                                                                                    |
| 6-3                                                                                                 | The Seaside Awards                                                                                                 |
| http://www.theseasideawards.org/home/1778                                                           |                                                                                                                    |
| 6-4                                                                                                 | Blue Flag Awards                                                                                                   |
| http://www.blueflag.global/                                                                         |                                                                                                                    |
| 6-5                                                                                                 | Consumer Data Research Centre's (CDRC) 2017 Open Greenspace Geodata Pack by the ESRC Consumer Data Research Centre |
| https://data.cdrc.ac.uk/dataset/cdrc-2017-os-open-greenspace-geodata-pack-southend-on-sea-e06000033 |                                                                                                                    |

## Appendix A

| Source ID                      | Source Reference   |
|--------------------------------|--------------------|
| 7-1                            | PHE Fingertips     |
| https://fingertips.phe.org.uk/ |                    |