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Harnessing Physical Activity to Alleviate Pressures on Adult Social Care: A Strategic Imperative for Local Governments

As local governments face increasing pressures on their budgets and resources, finding sustainable solutions to reduce the burden on adult social care has become a critical priority.



One powerful, yet often underutilised, strategy is promoting physical activity among adults. By encouraging regular exercise, we can significantly improve public health, thereby decreasing the demand for social care services and fostering a healthier, happier future.


The Financial Strain on Adult Social Care

Adult social care in the UK is under immense financial pressure. The Local Government Association (LGA) reported that in 2020/21, councils spent approximately £23.3 billion on adult social care services. This expenditure is expected to rise due to an ageing population and the increasing prevalence of chronic health conditions. Without intervention, the financial sustainability of social care services is at risk.


The Health Benefits of Physical Activity

Physical activity is a cornerstone of good health. The World Health Organization (WHO) recommends at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity aerobic activity per week for adults. Regular physical activity can:


  • Reduce the risk of chronic diseases: Exercise lowers the risk of heart disease, stroke, type 2 diabetes and certain cancers. According to Public Health England, physical inactivity costs the NHS around £1 billion annually.

  • Improve mental health: Regular physical activity is associated with lower rates of depression and anxiety. A report by the Royal College of Psychiatrists found that exercise can be as effective as medication for some people with mild to moderate depression.

  • Enhance mobility and independence: For older adults, maintaining physical fitness is crucial for mobility and independence. Physical activity helps prevent falls, which are a leading cause of injury and hospitalisation in this demographic.


Physical Activity as a Cost-Effective Intervention

Investing in physical activity programmes is a cost-effective way to reduce the demand for social care. The UK Chief Medical Officers' physical activity guidelines highlight that every £1 spent on community sport and physical activity generates nearly £4 in return across various sectors, including health and social care.


Strategic Actions to Promote Physical Activity

To harness the benefits of physical activity, local governments can implement several strategies:


  1. Community-Based Programmes: Develop and support local initiatives that encourage physical activity. These can include walking groups, dance classes and low-cost fitness programmes tailored to different age groups and abilities.

  2. Active Transportation Infrastructure: Invest in infrastructure that promotes walking and cycling, such as safe pedestrian pathways, cycling lanes and public parks. Creating environments that encourage active lifestyles can significantly increase physical activity levels among residents.

  3. Workplace Wellness Programmes: Encourage local businesses to implement wellness programs that promote physical activity. This can include providing facilities for exercise, organising regular fitness challenges and offering incentives for active commuting.

  4. Public Awareness Campaigns: Launch campaigns to educate the public about the benefits of physical activity. Use local media, social media platforms and community events to spread the message and engage residents.

  5. Partnerships with Healthcare Providers: Collaborate with healthcare providers to incorporate physical activity into patient care plans. Encourage healthcare professionals to prescribe exercise as a preventive measure and a treatment for various conditions.


Case Studies and Success Stories

Numerous examples demonstrate the effectiveness of these strategies:


  • Leeds Let’s Get Active: This initiative provides free physical activity sessions in leisure centres and community venues. An evaluation of the programme showed significant increases in physical activity levels among participants, particularly those from disadvantaged backgrounds.

  • Bristol Active City: By investing in cycling infrastructure and community programmes, Bristol has seen a 94% increase in the number of people cycling at least once a week between 2010 and 2018.


As local governments grapple with budget constraints and rising demands on social care services, promoting physical activity emerges as a viable, cost-effective solution. By investing in community programmes, infrastructure, workplace wellness, public awareness and healthcare partnerships, we can foster a culture of health and activity.


This not only alleviates pressures on social care but also paves the way for a healthier, happier future for all.


Promoting physical activity is more than a health initiative; it's a strategic investment in the well-being of our communities and the sustainability of our social care systems. Now is the time to move towards a more active, independent and vibrant society.

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