Jim McManus Director of Public Health Why Housing and Place are important to Health Hertfordshire Forward Assembly Monday 7 th July 2014

The evidence journey Enduring effect of place on health even after controlling for all other variables Housing as foundational Place as foundational Salutogenic/Obesogenic environment Lowry, 1991

Overarching Objective One – To create and develop healthy and sustainable places and communities in Hertfordshire The Public Health Strategy for Hertfordshire recognises that the built environment and environmental quality are key determinants of health

Outcome: The Public Realm as a Public Health Asset Planning Public Realm as setting for PH Housing Environmental infrastructure Tobacco Control (smoke free playgrounds) Sustainability Safety (20mph limits, Licensing)

Some big topics to work on Planning and Health work better together The public realm and health Integrate planning, transport and health systems Safety, self-propelled transport Housing Quality, Housing as a setting, Foundation

What have we done ? Planning TCPA – reuniting planning with health project Phase 2 Links to three “hot topics” we need to work on in Herts and some “obvious” quick wins Herts briefing here AL_Hertfordshire_briefing_ONLY.pdf AL_Hertfordshire_briefing_ONLY.pdf Herts alcohol and planning stuff here alth_Phase_2/McMANUS.pdf alth_Phase_2/McMANUS.pdf

Work underway - planning Develop planning policy to tackle three public health concerns facing Hertfordshire: –the prevalence of hot food takeaways, –alcohol consumption –and access to high quality green spaces

Rationale The provision of current and future healthcare services and infrastructure The removal of environmental “things” which negatively affect human health The provision of those things which have positive impact on human health Building and embedding a culture of Public Health approaches across Hertfordshire Quick Wins

Overarching Objective Two – Increasing Active Travel and Physical Activity Creating environments to support active travel, focussing on walking and cycling Promoting and creating built or natural environments that encourage and support physical activities

How do we do it? Early days Culture Change - year of cycling – four year culture change programme Translating ideas into deliverable programmes Schemes such as being delivered in Broxbourne

Overarching Objective Three- Reducing the impact of poor housing on health Scoping a Housing Agenda Including quality, quantity, specialist need etc

How do we do it? Link spatial planning with designing healthy communities Develop a comprehensive JSNA on housing needs Work with Housing Providers and Housing Standards enforcement departments

What have we done? Held a Scoping Event in March involving Social Landlords and District Council officers Funded Districts to participate in the Housing Cost Calculator Scheme Co-operated with the largest Housing providers when targetting areas for projects (B3 Living for Broxbourne’s Obesity project) Commented on Local Plans

Example: Planning in Broxbourne Obesity in core strategy Planning approach to Obesity –Children –Adults Whole System Obesity Pilot for Herts Sustainable Community Strategy and Core Strategy has Health Ambitions Inputs into Herts Quality of Life report

Quick Win: Smokefree Parks

Hot Topic: Alcohol Licensing issue Crosses 3 County portfolios and 10 Districts Police and Crime Commissioner New governance workshop New Strategy, New Governance, New Approach Inputs into Herts Quality of Life report

Next steps Secondments – housing and planning/place short term work Commissionining – Year of Cycling, ParkRuns, Health Walks Licensing –model policy for licensing committees Housing Health Costs Calculator

Thank you! E Learning portal