1. 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

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

3. 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

4. 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

5. 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)

6. Luton

7. Luton
YEAR
HIA
2000
Luton Local Plan (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)

8. Marsh Farm in Luton

9. 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)

10. 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

11. 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

12. 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

13. 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

14. 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

15. T H A N K Y O U
F O R
L I S T E N I N G