1. Bath and North East Somerset – The place to live, work and visit Healthy and Sustainable Places Health and wellbeing stakeholder engagement event July 2013 Bruce Laurence Director of Public Health Bath and North East Somerset

2. Bath and North East Somerset – The place to live, work and visit We know it when we see it…

3. Bath and North East Somerset – The place to live, work and visit And when we don’t.

4. Bath and North East Somerset – The place to live, work and visit

5. History »2500 BCE Indus Valley civilization. »Evidence of advanced urban planning including flush toilets, covered sewers, careful spatial plans, ?public baths, egalitarian housing. »1860’s »Massive public health investment in Victorian England. 1867 Reform Act, improved capital markets, common interests of capital and labour, Chadwick and Dickens: the power of persuasion. »1980s »Healthy cities. Bring “Ottawa” on to the streets. A new linkage of planning and health.

6. Bath and North East Somerset – The place to live, work and visit 12 objectives for health and urban (and rural) planning Healthy Lifestyles (Exercise and health, diabetes, cardio vascular disease, stress) Environments that encourage walking and cycling. Traffic restriction (cul de sac). Accessible recreation. Networks of open spaces. Low density housing and distant facilities demanding long distance travel. Social cohesion (Mental and physical health). Create safe, permeable environments with places to meet. Mixed use development in town centres. Poor housing developments, dispersal of communities, severing effect of roads and other barriers, large commercial schemes Housing quality (Accidents, respiratory and cv health, mental health, injuries). Good design -for life-. Use of energy saving materials. Mixed affordability, close to amenities. Overcrowding, poor insulation, toxic materials and unsafe structures risk physical + mental health. Poor location and design can promote crime and vandalism.

7. Bath and North East Somerset – The place to live, work and visit Access to work (Wealth, employment and health) Linking planning to regeneration will provide opportunities, retain local skill, and attract employers. Needs to be linked to transport. Employment inaccessible, or lacking in variety creates un- or underemployment which is bad for health and leads to loss of skills from community Accessibility for all (Inequalities and protection of vulnerable groups) Choice of transport to facilities of all sorts. Encourage dispersal of main facilities based on walking and cycling distances to shops, clinics, schools. Protect what serves vulnerable communities Local amenities can be cut in austerity, and the vulnerable suffer. Out of town developments can drain life from neighbourhoods Local food production and supply (Diet and nutritional awareness, exercise) Green space for allotments. City farms. Encourage diverse retail outlets. Lack of urban green space. Centralisation of retail.

8. Bath and North East Somerset – The place to live, work and visit Safety and its perception. (Exercise, sociability) Traffic calming, design for natural surveillance, good lighting. Threatening and alienating environment. Poor lighting, hidden spaces, heavy traffic. Equity and social capital. (Social mobility and community spirit) Social and affordable housing near to common facilities.. health, schools, etc. Mixed developments Gating and “ghettos”. Air quality and noise (Respiratory and mental health) Transport planning to minimise car use and lorry traffic in centres. Separation of heavy industry from residential. Poor transport planning. Lack of control over factories, lack of sound insulation. Poor control over nuisance. Bath!! >90% NO 2 traffic based.

9. Bath and North East Somerset – The place to live, work and visit Water, sanitation and flooding (infections). Water efficiency, collection of rainwater, use of grey water. Building on flood plains Concreting and over draining natural carrying capacity Pesticide runoff Fracking. Land and mineral resources (many health effects) Maintaining green space, use of brownfield, use of recyclable materials Degradation, loss of greenfield and green belt. Deforestation, open cast mining, toxic waste. Climate stability (many direct and indirect health effects) Energy efficient building construction and use. Limiting need for car transport. Poor control.

10. Bath and North East Somerset – The place to live, work and visit And in Bath… »Sense of community depends on the preservation of heritage and uniqueness »Future of community demands forward-looking use of modern solutions »Issues around transport, air pollution, affordable housing.

11. Bath and North East Somerset – The place to live, work and visit Most important areas of cooperation »Land use and transport planning, linking the location of housing, employment and facilities with a strategy for transport »Strategies for social services, embracing the forward planning for social housing, health, education, open spaces »Economic regeneration strategies, so that economic development and urban regeneration programmes are mechanisms for implementing a healthy planning strategy. Riverside »Integrated transport strategy, incorporating road policies, car parking, public transport planning and operations, cycling and walking. (bike-rail, park and ride, multiuse roads) »Integrated resource planning for energy, water, food, waste etc

12. Bath and North East Somerset – The place to live, work and visit Process is as important as objectives »Negotiate clear goals and purpose of the plan – agencies should consult widely with partners, public and politicians. Putting the health of the public as a central objective. »Establish the baseline by creating a city health profile which incorporates baseline social, health, economic and environmental conditions. This will provide an opportunity to recognize problems and obtain agreement on important issues. JSNA »Scope and explore options – scoping and policy development is an ongoing process. Alternative options. Health impact assessment of options. »Evaluate and refine policies – openly, explicitly and transparently to maintain support. Balance the quantitative and qualitative, and group interests. »Coordinate implementation – using whatever powers are available.