Guidance

Recommendations

Recommendations

People have the right to be involved in discussions and make informed decisions about their care, as described in NICE's information on making decisions about your care.

Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off‑label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.

This document constitutes the Institute's formal guidance on how to encourage employees to be physically active.

Many employers recognise that they have an obligation to the health and wellbeing of their workforce. Investing in the health of employees can also bring business benefits such as reduced sickness absence, increased loyalty and better staff retention.

These recommendations aim to help employers and workplace health professionals prevent the diseases associated with a lack of physical activity. The recommendations alone will not reverse the current obesity epidemic or other health trends associated with a sedentary lifestyle. However, efforts made in the workplace, alongside wider strategies to increase physical activity levels, could help improve people's health significantly.

The evidence statements that underpin the recommendations are listed in appendix C.

Recommendation 1: policy and planning

Who should take action?

  • Employers in organisations of all sizes (in larger organisations this might include their representatives, for example, human resources [HR] directors and senior managers).

  • Public health professionals, occupational health professionals, workplace health promoters.

  • Trades unions, other employee representatives, employees.

What action should they take?

Develop an organisation-wide plan or policy to encourage and support employees to be more physically active. This should:

  • include measures to maximise the opportunity for all employees to participate

  • be based on consultation with staff and should ensure they are involved in planning and design, as well as monitoring activities, on an ongoing basis

  • be supported by management and have dedicated resources

  • set organisational goals and be linked to other relevant internal policies (for example, on alcohol, smoking, occupational health and safety, flexible working or travel)

  • link to relevant national and local policies (for example, on health or transport).

Recommendation 2: implementing a physical activity programme

Who should take action?

  • Employers in organisations of all sizes (in larger organisations this might include their representatives, for example, HR directors and senior managers).

  • Public health professionals, occupational health professionals, workplace health promoters.

  • Trades unions, other employee representatives, employees.

What action should they take?

Introduce and monitor an organisation-wide, multi-component programme to encourage and support employees to be physically active. This could be part of a broader programme to improve health. It could include:

  • flexible working policies and incentive schemes

  • policies to encourage employees to walk, cycle or use other modes of transport involving physical activity (to travel to and from work and as part of their working day)

  • the dissemination of information (including written information) on how to be more physically active and on the health benefits of such activity. This could include information on local opportunities to be physically active (both within and outside the workplace) tailored to meet specific needs, for example, the needs of shift workers

  • ongoing advice and support to help people plan how they are going to increase their levels of physical activity

  • the offer of a confidential, independent health check administered by a suitably qualified practitioner and focused on physical activity.

Recommendation 3: components of the physical activity programme

Who should take action?

  • Employers in organisations of all sizes (in larger organisations this might include their representatives, for example, HR directors and senior managers).

  • People responsible for buildings and facilities.

  • Public health professionals, occupational health professionals, workplace health promoters.

  • Trades unions, other employee representatives, employees.

What action should they take?

  • Encourage employees to walk, cycle or use another mode of transport involving physical activity to travel part or all of the way to and from work (for example, by developing a travel plan).

  • Help employees to be physically active during the working day by:

    • where possible, encouraging them to move around more at work (for example, by walking to external meetings)

    • putting up signs at strategic points and distributing written information to encourage them to use the stairs rather than lifts if they can

    • providing information about walking and cycling routes and encouraging them to take short walks during work breaks

    • encouraging them to set goals on how far they walk and cycle and to monitor the distances they cover.

  • Take account of the nature of the work and any health and safety issues. For example, many people already walk long distances during the working day, while those involved in shift work may be vulnerable if walking home alone at night.

For further recommendations on how to encourage people to walk, cycle or use the stairs, see the NICE guideline on physical activity and the environment.

Recommendation 4: supporting employers

Who should take action?

  • Directors of public health, public health practitioners in the statutory and voluntary sectors.

  • Local strategic partnerships.

  • Private, statutory and voluntary organisations with responsibility for increasing physical activity levels or for occupational health.

  • Trades unions, business federations, chambers of commerce.

What action should they take?

  • Offer support to employers who want to implement this guidance to encourage their employees to be more physically active. Where appropriate and feasible, this should be provided on the employer's premises. It could involve providing information on, or links to, local resources. It could also involve providing advice and other information or resources (for example, the services of physical activity experts).

  • If initial demand exceeds the resources available, focus on:

    • enterprises where a high proportion of employees are from a disadvantaged background

    • enterprises where a high proportion of employees are sedentary

    • small and medium-sized enterprises.