1. Influencing Local Transport Plans Harry Rutter Head of Health Impact Assessment, South East Public Health Group Deputy Director, South East Public Health Observatory

2. What is a local transport plan? Five year investment plan that covers all forms of local transport: buses, trains, roads, cycling and walking Annual progress report produced each year setting out the progress Provisional LTPs to GOSE July 2005 Final LTPs by March 2006 LAs must consult widely and engage stakeholders, including health

3. Income and car ownership http://www.dft.gov.uk/stellent/groups/dft_transstats/documents/page/dft_transstats_508295.pdf

4. Distance travelled per person per year by household income quintile and mode Source: 1999-2001 data - http://www.transtat.dft.gov.uk/tables/2002/nts/pdf/section5.pdf

5. Pedestrian casualty rates by age Source: DfT (was DTLR) 1999

6. Source: Streets ahead: safe and liveable streets for children, IPPR. http://www.ippr.org.uk/research/files/team20/project20/safestreetsfinal.pdf

7. Speed and risk of killing http://www.dft.gov.uk/stellent/groups/dft_transstats/documents/downloadable/dft_transstats_508344.pdf Proctor S. Accident reduction through area-wide traffic schemes. Traffic Engineering and Control 1991; 32(12): 566-573.

8. Safety in numbers Jacobsen PL. Injury Prevention 2003;9:205-209

9. Sources: http://www.heartstats.org/uploads/documents/TAB%201.2%20web03.xls& http://www.transtat.dft.gov.uk/tables/tsgb02/4/download/41502.xls Mortality from injuries and from CHD

10. Source: Appleyard D, Lintell M. The environmental quality of city streets: The residents' viewpoint. Am Inst Plan J 1972;38:84-101 Environmental quality of city streets

11. Getting the balance right… Traffic zone / fast world Social zone / slow world Single purpose Uniform Regulated Impersonal Anonymous Predictable Vehicle oriented Multi-functional Diverse Culturally defined Personal Eye contact Unpredictable Human oriented From Hans Monderman - http://www.transformscotland.org.uk/conferences/homezones2004/HansMonderman.htm

12. Health costs of transport interventions Deaths and injuries Air pollution Noise pollution Physical activity Social impacts Climate change Improved fuel quality -+---- Increased vehicle efficiency -+---+ Reduced travel demand +++--+ More public transport, walking and cycling ++++++

13. Source: http://www.dft.gov.uk/stellent/groups/dft_localtrans/documents/page/dft_localtrans_033615-05.hcsp Main stages of accessibility planning process

15. Source: Making travel plans work – DfT - http://www.dft.gov.uk/stellent/groups/dft_susttravel/documents/page/dft_susttravel_504107.pdf Effectiveness of travel plans

16. HIA Regional level –HIA of Regional Transport Strategy –HIA of South East Plan Local level –Engagement with transport planners –HIA of LTPs What is needed for effective action?

17. Conclusions LTP process provides an opportunity to influence a major determinant of health Four main areas for action: –Reduce car traffic and increase active travel –Accessibility planning –NHS travel plans –HIA of LTP as a tool to improve health outcomes