Reinforcements needed - Supersized (and STRONG) ambulance service

‘Fit and abnormally strong’ are the latest additions to the job spec of the UK ambulance service. Not only so they can respond quickly and tend to the deteriorating health of the nation…. but so they can also transport the obese to hospital. And they WILL need to be taken to hospital…..

I was bemused, if a little concerned this week to hear that the ambulance service have revamped their fleets with heavy duty wheels chairs, stretchers and lifting cushions to transport the ‘larger’ patient to and from hospital. What a sad and somewhat wasteful reflection on the state of the nation’s health and fitness.

Bariatric ambulances have even been introduced into some regions, costing us, the tax payer up to £90,000 a time! And it seems there will need to be more in the pot where that came from - figures point to a 30% increase in hospital admissions for obesity and a 40% increase in bariatric surgery over the last few years.

Surely money would be better spent in prevention as opposed to accommodation?

Treatment and SOLUTIONS versus infrastructure adjustments. Whatever next – larger plane seats, train seats, theatres seats, changing rooms, school desks…? I could go on….

With 24 percent of men and 25 percent of women in the UK now obese, we can’t ignore the problem, but is changing our entire infrastructure really the best solution? Money well spent?

Smoking and alcohol abuse sit alongside obesity as a major cause of disease but we have a smoking ban installed … we have put taxes on alcohol consumption….. THIS is support towards positive behavioural change…. And its working.

Support is key to tackling the obesity problem and our industry is at the forefront of delivering it. The problem is not obesity. The problem is the CAUSE of obesity. I am talking about a lack of physical activity and poor diet. We HAVE to get more people moving and eating better.

We mustn’t sit back and accept the problem…. And we’re not. We are doing great things working with the medical professional through the Joint Consultative Forum, the Government through Change4Life, industry through the Responsibility deal. We have to work together.

Medicine is not the answer. Surgery is not the answer. The solution is at the very heart of our industry. Exercise, diet - energy in and energy out. Support and customer care.

How can we make our offering more appealing to the obese or overweight? Physical activity for all…

The supersized footprint has to stop here.

The fat man of Europe…

Well, that’s what we were called in reports of a study out this week which shows the UK tops the obesity league with the fattest rates across Europe.

While the average obesity rate in the EU is 15.5 percent, Britons are bursting at their belts with one in four of us now classified as obese.

Pulled together by the European Commission and Organisation for Economic Co-Operation and Development, it draws on the evidence and concludes with concerns over the pressures that the situation is putting on healthcare and the wider economy.

It’s something we, as an industry, are well aware of and I am proud to say that we have more responsibility than ever before to do something about it.

We are working closely with the medical profession and have just agreed a Joint Consultative Forum with a number of Royal Medical Colleges and Faculties. Not only will this encourage the use of exercise in both the prevention of ill-health and treatment of disease but will see patients coming through your doors for a prescription of exercise. I think it’s vital that we work together with this sector to develop an evidence base for fitness in the use of ‘exercise as medicine’ and help improve the standards of our training and the skills of our workforce.

And, as you’ve seen over the last couple of weeks, we’re taking a more prominent role with industry, the DH and third sector too, thanks to the appointment of our Chairman, Fred Turok, to serve as Co-Chair of the Physical Activity Network for the Government Responsibility Deal. It allows us, to work together with other sectors such a food, drink and retail to take on the mammoth job of turning the tide on the obesity epidemic and improving the long term health of the nation.

It’s not going to be easy. It’s not going to happen over night. But we won’t be sniggered at by the sophisticated French or the slimline Scandinavians any longer. We’re more than ready for it….

Dave Stalker, Executive Director, FIA

Obnoxious Upselling

I have taken a short vacation from blogging, mainly because of not coming across anything that pissed me off enough to blog about it. That all changed the other day in WH Smith.

Obesity is a killer: one of the biggest causes of heart disease in the western world. It nearly always involves the person concerned having a diet that is obviously less healthy than it really should be. And healthy diets rarely involve significant amounts of crisps or milk chocolate. I speak as an unreformed carbandfatoholic.

I find the compulsory upselling carried out by WH Smith checkout staff to be particularly obnoxious. I was just paying for a newspaper when one said, "Would you like one of these chocolate bars for just a pound?"

I am now reasonably strong about confronting my chocolate problem so I was able to Just Say No. But a lot of people are successfully ambushed by this ploy which exploits them when their defences are down.

Don't fall for it. And next time they try it on you, tell them where they can put their Toblerone.

Graham Davies
Speaker & Director at Speakers with Content

Graham Davies is a 'recovering barrister' and former President of the Cambridge Union. In his role as a Personal Presentation expert he is a regular guest on the BBC, CNN, Sky News and Channel 5. He is the one they call on to analyse major political speeches. When not speaking, he relaxes by providing David Cameron with a sense of humour. Graham is giving the closing keynote at the FIA Conference on July 14th at Cheltenham racecourse.

To find out more about the conference and to book your place with an Early Bird discount visit the FIA website or email flame@fia.org.uk.

LET THE PUBLIC SPEAK

‘Exercise in middle age can cause arthritis’ screamed the headline and sure enough, some PhD in California decided that after talking to 236 45-55 year olds, over exercising caused most damage to their knees – therefore“...a high risk factor...” for arthritis.


Walking, sports and even gardening could trigger osteoarthritis – the learned PhD went on to conclude.

The common sense rebuttal was as compelling as it was forthright “We have known for years that certain high impact sports and jobs are associated with an increased risk of osteoarthritis ...but for the vast majority of people exercise is good...it’s a matter of balance and sensible moderation .....The risk of developing osteoarthritis as a result of too much exercise is outweighed by the risk of being overweight and sedentary.”

Job done, the response came from ‘a spokesperson for the Arthritis Research Campaign’.

As I read this two things struck me:

- I am so sick of reading shock-horror claims, based on some spurious research, from a thesis-writing-publicity-hungry ‘expert’, based on counter-intuitive thinking ... such as exercise is bad for you..... Exercise has no effect on obese children..... Leisure centres should be banned from offering chips (even though they also offer lots of fruit & veg choices and their customers would just go down the road to buy their chips anyway!)

- Why do the media give these guys airtime/column inches?

I guess it’s the price we pay for democracy.

However, what was particularly pleasing about this article was that the rebuttal did not come from someone in our sector (and therefore be dismissed with the ‘well, you would say that wouldn’t you’ claim), but from a third party expert.

If ever I needed proof that we have to point our CMO at all the Royal Colleges and disease NGOs to ensure that they promote the benefits of exercise on our behalf, this was it. So John (Searle, our Chief Medical Officer), get on your bike and keep pedalling until all our ‘strategic partners’ do as good a job as the Arthritis Research Campaign.

The strongest and most compelling cases are often the case studies and real life changing stories that are common place in our industry. So with New Year approaching and the inevitable press backlash at all things fitness, please send in your stories and help your governing body drive forward the Fitness industry as the most important part of the UK’s health agenda.

David Stalker
Executive Director
Fitness Industry Association

Active places and junk food deals

Yesterday I received a press release from the British Heart Foundation with the results of a survey of 35 Leisure Centres stating that “... places where kids go to get fit and active ... undermine the fight against childhood obesity by offering kids a barrage of unhealthy products through vending machines and junk food meal deals.”


The researchers found that vending machine “... stocked products loaded with fats, salts and sugars which cannot be advertised on children’s TV or sold in school vending machines ......... Fresh fruit was displayed at less than half of the venues visited and children’s meal deals were awash with fried food options including chips, nuggets, sausages and burgers all of which have been significantly restricted in schools....”

My first reaction was to play the ‘choice’ card – we must not impose our values on others and, if they chose to buy these foods, then we can’t really stop them.

My second reaction was to play the ’recession’ card – it’s a tough operating climate, so operators should optimise all their revenue generating potential.

If we don’t sell them sweets, they’ll just go round the corner and buy them.

My third was to look at a Mandelson-like ‘spin’ – it all about calories in and calories out. It’s OK to eat ‘unhealthy’ food as long as you burn those calories.But deep down I knew all three arguments were morally wrong. If we are serious about playing our role as community health partners, who are part of the Government’s wellbeing delivery team, then we have to have to have a good, long and very honest look at what we do, what we say and behave accordingly.

In a couple of weeks time it will be National Obesity Week and we, the FIA, will be at the House of Commons sharing a platform with MEND, the children’s obesity specialist, as well as 65 children who are being celebrated for having made the necessary changes and tackled their own obesity issues and are now using their experience to help their peers. This is all part of a national strategy to address the breath taking fact that by 2050 9 in every 10 children will be overweight or obese.

Judging by the recent survey our front doors say “We’re here to help. We can help you solve this problem....” But our back door seems to be saying “...But we have to make a living, so you can buy some unhealthy food if you want to.”

I know as a trade body we are here to reflect your views and your interest: and I know that the survey findings applies to only some of the facilities in our camp but, as an organisation which represents the broad church which is our industry, my duty is to raise the issue and allow you to debate it.

Whatever we do, we should be consistent. Like the Co Op and other ethical brands (which is where we want to be if we want to play the wellbeing card), we have to look at every aspect of our operation – from our green energy policies to our healthy food options.

I know you have a business to run and revenue to generate, but perhaps the BHF report is a valuable traffic light, rather than an irritating output of an NGO.

Dave Stalker
COO
Fitness Industry Association

Letter to The Times

Helen Rumbelow's recent article on the role of exercise in the fight against obesity ('Exercise? A fat lot of good that is if you want to lose weight',19 0ctober) correctly outlines the health benefits of exercise in terms of reducing depression, heart disease, diabetes and a host of other lifestyle diseases, but it goes on to give credence to what many believe are misleading and distracting propositions which undermine the hard work of many parents, healthcare and exercise professionals.  

Weight loss should not be the only measure of health and wellbeing. If it was the Holy Grail (as suggested by some researchers quoted in the article), then a severely underweight adult or child would be considered healthy. The truth is eating the right food and taking regular exercise should be that Holy Grail for every man, woman and child. 

As a major contributor to the wellbeing debate and a successful Government delivery partner, we believe that it is erroneous to focus solely on either food/'calories in' or exercise/'calories out'. Every organisation, with a sincere interest in trying to help address problems associated with our health time bomb, now agrees that the focus should be on promoting the benefits of an integrated strategy which addresses both sides of the wellbeing equation, not on spurious monochromatic observations on a complex multi-coloured issue.

Everyone deserves the right to be heard, but sometimes the white noise can be distracting.

David Stalker

COO

Fitness Industry Association