1. Jennifer Hall Susan Forbes Public Health Lead Health Improvement Officer Aberdeenshire CHP (Strategy) Developing an Integrated Impact Assessment Screening Tool for use in Aberdeenshire Council – the challenges & successes

2. Map of Aberdeenshire © The Gazetteer for Scotland, 2009 Used with permission from The Gazetteer for Scotland at http://www.geo.ed.ac.uk/scotgazhttp://www.geo.ed.ac.uk/scotgaz

3. –Tool that encourages planners to think broadly about the effects of a policy, plan or strategy including unintended effects –Examines impact of a PPS on a wide range of topics including environment, health, equalities and socioeconomic factors all at the one time –Identify changes to maximise the positive impacts and minimise the negative impacts –Identify those PPS that need further more detailed assessments What is Integrated Impact Assessment (IIA) Screening?

4. Why do we need IIA? Use of IIA ensures against unintended outcomes of policies, strategies or plans. Covers legislative requirements for equalities, environment incl. socioeconomic assessments. Provides transparency and accountability to communities; serves as an evidence base that the council has considered all possibilities. Ensures that policies are as “health improving” as possible and not acting to increase inequalities in health

5. Take an upstream approach to improving outcomes IIA screening ensures that the PPS is checked against a range of issues that can have a detrimental effect on communities at an early opportunity

6. Added benefits ? Spin off learning for those involved – policy makers (snowball effect) Encourages partnership working as it may require consultation with groups of interest Improves the quality and coherence of policy design IIA ensures that our council policies are assessed against impacts on health and socioeconomic issues (wider determinants) Offers consistency in policy design and decision making

7. www.aberdeenshire.gov.uk What is the story..... our challenge ?

8. Development of 2 nd Aberdeenshire JHIP Data analysis using Com H&WB Profiles (2004) & SIMD income deprivation domain Overall health outcomes very good for Abshire but…. demonstrated small pockets of deprivation & income deprivation throughout Senior Management Team of Council listening.. The Story ….. 2006-7

9. Traffic Lights - from Community H&WB Profiles (2004) (produced by NHS Grampian) http://www.hi-netgrampian.org/hinet/5407.html

12. -Agreement by SMT to develop & pilot an IIA -IIA screening tool and guidelines developed -Incorporated the statutory Multi Equality Impact Assessment (MEIA) and Strategic Environment Assessment (SEA) together with health and socio-economic assessments -Initial Pilot on 3 policies (with policy officers): -Additional Support Needs (Education Learning & Leisure), -Homelessness Strategy (Housing & Social Work) -Community Engagement Strategy (Chief Executive Service) Progress in Aberdeenshire Council (07-09)

13. Equally Well Healthy public policy as a key element to reducing health inequalities Recommendation 77 – “IIA processes for public policies and programmes should be developed ……” http://www.scotland.gov.uk/Resource/Doc/2 29649/0062206.pdf

14. Progress in Aberdeenshire Council (09-11) Initial Pilot - Overall positive response! Issues – capacity and resource for staff to use this screening tool Report (Nov ’09) – progress endorsed & agreement to an extended pilot (2 policies / officers from each service) with a view to incorporate IIA into policy procedures & include training 14 PPS screened & 37 officers trained Report (May ‘11) – Council agreement to use IIA as part of formal policy development procedure!

15. And now... More challenges? Equality Act (2010) requirements included Changes in Council personnel Agreement by SMT but ongoing concerns re implementation in current climate Holding the principle of IIA Simplify and roll out with training

16. Review of policy for Additional Support Needs for Learning by ELL More Choices More Chances Strategy Fuel Poverty Outcome statement Climate change action plan Burial Service Strategy Some examples -

17. Dr Jennifer Hall PH Lead Aberdeenshire CHP Inverurie Hospital 01467 – 672844 jennifer.hall@nhs.net Contact details -: