Creating a sporting habit for life Creating a

Creating a sporting habit for life

Creating a sporting habit for life What’s it really worth? : Return on Investment for Physical Activity and Sport Suzanne Gardner Senior Health Manager

Types of Return on Investment Economic Analysis 1. Where benefits are expressed in ‘natural’ units 2. Where benefits are expressed in monetary units • • Cost-consequence Cost-effectiveness - Cost-utility £ per outcome £ per improvement in mental health £ person physically active £ per symptom free day £ per QALY Cost-benefit Social Return on Investment Little philosophical distinction – but often significant technical differences Direct comparison Cost of life (cost of death) Value of outcomes in £ Source: ICF GHK Training Manual Creating a sporting habit for life

Principles for Social Return on Investment • • Involve Stakeholders Understand what changes Value things that matter Only include what is material Do not over claim Be transparent Verify the result Creating a sporting habit for life 4

GHGIS Cost Effectiveness: April 2013 – July 2014: Delivery costs • 15 Projects to increase the evidence base for sports role in decreasing inactivity. • Cost per head to engage a participant: £ 88. 31 • Cost per head to engage inactive people: £ 235. 99 • Cost per head to get participant to 1 x 30 through sport: £ 617. 72 These figures are taken from interim data and do not represent final figures and as such should be used with caution Creating a sporting habit for life 5

Cost Utility ROI Examples Brief Interventions LEAP in Primary Care • Costs between £ 50 £ 20 – £ 440 per - £ 510 per QALY • Net costs saved • Costs per QALY gained Savings of up £ 750 - £ 3, 150 to £ 4, 900 per • Cost Savings of up to £ 3, 300 per participant person Exercise Referral – Welsh Trial • Cost of £ 12, 111 per QALY • Cost Saving of £ 367 per QALY for completers. 6

Birmingham Be. Active • Cost-Benefit Analysis • City wide Gym, Swim and Exercise for Free Programme • Focuses on: - health benefits of PA, - decreased smoking - subjective well being • The health care cost savings, health related quality of life gains, and productivity gains make up the ROI. • It was assumed Be Active users stay in the scheme for five years. Some of the Facts • Population of 1. 1 million • 300, 000 residents signed up to the scheme • 140, 000 regular users • 75% were not previously members of the facilities • The unit cost of Be Active is £ 33. 80 person per annum. Source: Matrix evidence 2011 Creating a sporting habit for life 7

The Analysis Every £ 1 invested in Be Active generates on average £ 21. 30 in benefits. • For every £ 1 spent on Be Active the return for the local NHS is £ 22. 80 • For every £ 1 spent on Be Active the return for the Local Authority is £ 2. 30 • The cost of Be Active per QALY gained is £ 1, 164. 60 Creating a sporting habit for life 8

How was the information used • • • Business Case for continued funding Economic pressures on Local Authorities Been in existence since 2008 Revision of the offer Development of an Active Parks Programme Creating a sporting habit for life 9

Dame Kelly Holmes Trust https: //www. youtube. com/watch? v=PDLKDzr_G 1 U Source: Dame Kelly Holmes Trust Creating a sporting habit for life 10

Cost Utility Analysis: NICE Comparison Creating a sporting habit for life 11

“If physical activity was a drug it would be regarded as a miracle”. Professor Dame Sally Davies, 2011 “If a medication existed that decreased the risks of chronic disease to a comparable extent, it would undoubtedly become one of the most widely prescribed drugs within the NHS. ” Prof Sir Liam Donaldson Chief Medical Officer’s annual report 2010 Creating a sporting habit for life 12

In Summary • There a number of ways of calculating ROI, select the right approach for your audience. • The narrative is as important (if not more so) that the £ signs when considering ROI. • Be aware of the caveats and assumptions made within the data. • Do not use data if you do not believe that you can defend it • Physical Activity and Sport is a commissionable commodity with high returns of investment in terms of £’s, QALY’s and Communities. Creating a sporting habit for life 13

Creating a sporting habit for life