Last updated: 10/09/2024
Increase school-based physical activity
Allocate £100 million per year to improve the provision of physical education (PE) and increase physical activity in school children
- Very low impact on obesity
A percentage estimate of how much the policy would reduce national obesity rates
- Relative reduction in obesity prevalence: 0%
- Although this policy scores low for impact on population-level obesity rates, it could be beneficial for mental health outcomes in young people
- Very high evidence quality
A rating of the strength of evidence, accounting for both reliability and validity of the evidence
- Reliability and validity rating: 5/5
- High cost to governments
Cost to UK and devolved governments over 5 years
- Costs to governments over 5 years: £500m
- Benefit to governments per year: £0
What is the policy?
This policy would increase funding to be spent on high-quality PE and sport for at least two hours a week. This would be complemented by a wide range of extracurricular sport and competitive opportunities, providing equal access to sport for boys and girls. Schools would have to record how this money is being spent to achieve these aims, but there would be almost no inspection regime.
Recent context
The UK Government recommends that all children get at least 60 minutes of moderate physical activity per day, with 30 minutes during school time and 30 minutes outside of school time. However, in line with the Education Act 2022 the UK Government is unable to prescribe a minimum time requirement for any school subject. To support recommendations, the National Curriculum requires that all local authority-maintained schools provide PE and schools are encouraged to deliver at least two hours per school week. From 2010 to 2022 there has been a 14% decline in hours taught of PE.
In Wales, education is devolved, and the majority of school funding is allocated to local authorities (LAs) via the Local Government Settlement. The Curriculum for Wales, which was introduced in primary schools in September 2022, includes physical activity as a fundamental component of the Health and Wellbeing Area of Learning and Experience. Schools in Wales have the ability to develop their own curriculum around these Areas of Learning and Experience, meaning that there is no guidance within the curriculum on the time that should be allocated to physical activity. The 2022 School Sport Survey Wales found that on average, 93 minutes per week of curricular PE was provided in primary schools across Wales in the 2021/2022 academic year. Similarly, an average of 93 minutes per week of curricular PE was provided in secondary schools in Wales in the 2021/2022 academic year. The Healthy Weight; Healthy Wales Moving Ahead Plan 2022-24 aims to increase this by working with education practitioners to develop their capability and capacity to deliver PE and by introducing the Daily Active Framework. The Daily Active Framework has been developed and will be implemented in 2025.
In Scotland, schools are governed by LAs and so grants would need to be issued via LAs to schools. Scotland’s Curriculum for Excellence contains benchmarks tied to physical activity for young people at different stages of their school journey which helps to shape PE classes. The Scottish Government currently has a commitment for schools to deliver two hours of PE per week for all pupils in primary school and at least two 50-minute periods of PE for S1–S4s (year 7 to year 11). It monitors uptake of this through the School Healthy Living Survey, with 99% of schools meeting this provision as of 2023 data.
Case studies
Active Schools Network, Scotland, UK
SportScotland (Scotland’s national agency for sport) works in partnership with all LAs to invest in and support the Active Schools Network. The network exists to develop and support the delivery of quality sporting opportunities for children and young people. In 2023, SportsScotland invested £18.47 million in schools and education, including the Active Schools Programme.
Annual reporting by SportScotland on the progress of the Active Schools Programme showed that levels of participation reached 38% in 2022/23. Scotland is also the world’s first Daily Mile Nation with around 187,000 school children in all of Scotland’s LA areas getting active for at least 15 minutes a day, meeting the criteria agreed with the Daily Mile Foundation. More than half of primary schools are now signed up to the Daily Mile.
Considerations for implementation
Curriculum integration and adaptation
To implement this policy, the curriculum needs to be adapted to integrate physical activity naturally in the school day. Furthermore, the policy must align with national educational standards and frameworks across devolved nations to ensure seamless adoption across schools.
Training and support for teachers
Training must be provided for teachers to deliver high-quality PE and integrate physical activity into their teaching routines. Teachers should be supplied with resources such as detailed lesson plans, activity ideas, and access to PE specialists for guidance and assistance.
Infrastructure
Invest in upgrading school facilities such as sports fields, gyms, playgrounds, and indoor activity spaces to ensure they are safe and suitable for various physical activities. Address the specific needs of schools in different regions to provide equitable access to quality facilities.
Estimating the population impact
We estimated that this policy would reduce the prevalence of child UK obesity rates by approximately 0%
Estimating the per-person impact
We estimated that this policy would reduce BMI by approximately 0.07 kg/m2 per child
Data for modelling the per-person impact of this policy was taken from Neil-Sztramko, Caldwell & Dobbins (2021), a systematic review and meta-analysis of studies testing the effect of school-based physical activity programmes for young people aged 6–18. All studies included a control group that represented a school or group of schools from a different community that did not receive the intervention.
Results from the meta-analysis showed a very small effect of physical activity programmes on obesity-related outcomes. Specifically, at follow-up, the BMI for children in the intervention group was 0.07 kg/m2/child compared to children in the control groups. View the study summary and our method for identifying the data.
Estimating the population reach
- In modelling this policy we have assumed repayable grants of £20k for 5,000 schools (~25% of schools) which would be conditional upon evidencing sufficient integration of physical activity and education at school on specified criteria.
- Hence, the analytical model assumes this policy would affect 25% of children aged 5–12 years (inclusive) living with excess weight (≥ 85th percentile).
- We select 25% of the children in the age groups of 5 – 12 years of age, and apply the BMI reductions to the BMI’s of the selected children and then recalculate the percentage of children within each BMI category. For more information about this process, view our Technical Appendix.
Changes in the prevalence of people living with obesity
This policy would have no impact on the proportion of adults living with obesity. Due to the effect size identified in the literature being very small (ie, -0.07 mean change in BMI of children) this policy would result in no change in the proportion of children living with obesity in England and Wales. In Scotland, there would be a very small change in children living with obesity if this policy were implemented (-0.09%).
Adults (England and Wales) | Children (England and Wales) | Adults (Scotland) | Children (Scotland) |
Not applicable | 0% | Not applicable | 0.09% |
Cost and benefits
Cost over 5 years
We estimated that this policy would cost the governments approximately £500 million over five years
We commissioned HealthLumen to estimate the cost of the policy to both industry and governments over a five-year period.
Table 2 below shows a breakdown of costs. The direct costs to the governments are estimated at approximately £500 million. The costs to the food industry are not applicable here.
Group affected | Cost | Horizon | Detail |
Costs | |||
Government | £0.5bn | Annual (5 years) | Provision of £100m of government fund to schools to improve physical education and increase physical activities in schools |
Total annual benefit
We estimated that this policy would have an annual benefit of approximately £0
Based on our analysis, and using analysis conducted by the Tony Blair Institute and Frontier Economics we estimate this policy would not lead to monetary benefit for the governments.
Impact on disease incidence
Based on our analysis and analysis conducted by HealthLumen, there is no evidence that this policy would impact disease incidence avoided after five years.
Behind the averages: impact on inequalities
This policy is likely not relevant for all children and implementation would need to consider how best to include those with different health conditions. The UK Government currently recommends 20 minutes of physical activity per day for children with disabilities.
Girls, and children from less affluent families, are currently less likely to be physically active, suggesting that there are benefits to be found in increasing their access to PE and extracurricular activities. It is unlikely however that the benefits would be in the form of change in obesity prevalence but there is evidence that there are other health benefits (e.g. mental health).
Rating the strength of evidence
We asked experts working in the fields of obesity, food, and health research to rate the strength of the evidence base for each policy, taking into account both reliability (size and consistency) and validity (quality and content) of the evidence. Policies were rated on a Likert scale of 1–5 (none, limited, medium, strong, and very strong evidence base). The Blueprint Expert Advisory Group rated this policy as having a Very Strong evidence base.
Ban on all HFSS price promotions in food retail businesses
Ban all price promotions (e.g. was/now prices, introductory prices, temporary price reductions) of HFSS foods in the retail sector excluding small and micro businesses