Mainstreaming HIA: Experience from England Integrating Health Impact Assessment into the Sustainability Appraisal (SA) that is being conducted The SA terms of reference should include the need to do a HIA (including health-proofing review within it) Health Impact Assessment. Where appropriate the review of masterplans can be deepened into a rapid HIA, particularly where a SA is not being undertaken Regeneration - Public Sector Led Development Process Health proofing of draft masterplans and major development designs. PCT-led review involving a range of stakeholders in a workshop Healthy City Development Checklist Draft Masterplan Options Final Preferred Masterplan Public Consultation Submission of Formal Planning Application If SA is undertaken If SA is not undertaken Approval / Adoption of the Final Preferred Masterplan Planning Decision All Major Policies, Plans and Service Developments Decision Check Integrated Impact Assessment Community Consultation, Involvement and Feedback IAIA 2015 | 16:30-18:00 | Wed 22 April 2015 | Florence Salim Vohra Chimeme Egbutah Judy Kurth Filipe Silva Title Slide

Stoke-on-Trent and Luton 4 LEVELS OF ACTION Healthy local public policy Healthy urban planning and design Healthy developments Healthy community development

Stoke-on-Trent and Luton Both are poor deprived areas with residents higher levels of ill health and deaths than the England average Stoke is a WHO Healthy City Luton was a Government Health Action Zone

Luton HEALTHY LOCAL PUBLIC POLICY Development of a joint working group to look at Health and Built Environment Overseen by DPH and Director of Environment & Regeneration Review transport policies and make contributions to improve health | General review of existing policies and consideration as options in plan-making process for new local plan

Luton HEALTHY URBAN PLANNING AND DESIGN Influence planning decisions on creation of obesogenic environments and fast food eating places | Public health team now receive automatic consultation requests Influencing masterplanning processes HEALTHY DEVELOPMENT Key HIAs undertaken by the local authority and consultants HEALTHY COMMUNITY DEVELOPMENT Explore use of derelict land for improving health (growing food locally, cycling, play spaces)

Luton

Luton YEAR HIA 2000 Luton Local Plan 2001-2011 (Land Use or Spatial Plan) 2002 Health feedback from EIA Scoping for Housing Development SIte 2003 Housing Disabilities Facilities Grants Policy 2005 Marsh Farm Masterplan (Consultant-led) 2007 Marsh Farm Central Area Redevelopment (Consultant-led) 2009 Farley Ward Health Centre (Rapid workshop HIAs) Luton Dunstable Guided Busway (Rapid workshop HIAs) 2010 High Town Urban Village 2012 London Luton Airport (Consultant Led, Paid for by Airport)

Marsh Farm in Luton

Integrated Impact Assessment - Strategic Stoke-on-Trent Four Levels of Action Integrated Impact Assessment - Strategic Healthy Urban Planning and Design Frameworks Mainstreaming Health Impact Assessment Community Development and Research (to overcome environmental barriers to health)

LEVEL 1: HEALTHY PUBLIC POLICY Strategic Policy Integrated Impact Assessment Towards ‘Health and Health Equity in all Local Policy’ Review of current policy making processes (WMPHO) Local Authority agreement to implement IIA tool – ‘Vision Watch’ Developing online tool using Oracle database Undertaking pilot on sustainable community strategy

LEVEL 2: HEALTHY URBAN PLANNING & DESIGN Health in Urban Design Guidance and a Planners Checklist Presentation and training programmes for local politicians, planners and Regeneration Partnership on Healthy City and healthy urban planning and design Collaboration with Planning Department to produce Healthy City Checklist Strengthening of Sustainability Appraisal / Strategic Environmental Assessment Development of Healthy City Supplementary Planning Guidance Health contribution to Supplementary Planning Guidance on Urban Design Healthy Urban Development Officer based in Public Health and Local University

LEVEL 3: HEALTHY DEVELOPMENT Doing Regular Health Impact AssessmentS Mainstreaming HIA 3 pilot HIA’s in Stoke-on-Trent carried out by a consultant Development of a Guide to health-proofing masterplan designs Underpinned by a follow up HIA training and mentoring

Level 4. Community Development and Research ‘My Health Matters’ Community led/collaborative approach Aim is to reduce health inequalities related to Physical Activity and Healthy Eating Operating within 3 areas of disadvantage Robust evaluation process Base-lining exercise

Lessons Learnt Not easy – still learning! Takes time and effort to understand how processes work and where to incorporate health Need to develop clear communication links and joint ownership Value in developing and using a joint evidence base Pilot schemes help identify how it will work in your area Results are not always easily visible Understanding limitations is critical It is about gaining policy support not just working on detailed delivery

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