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Regenerating Middleport: using health impact assessment to ‘health proof’ masterplans for deprived communities Salim Vohra & Gifty Amo-Danso (IOM) Marcus.

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Presentation on theme: "Regenerating Middleport: using health impact assessment to ‘health proof’ masterplans for deprived communities Salim Vohra & Gifty Amo-Danso (IOM) Marcus."— Presentation transcript:

1 Regenerating Middleport: using health impact assessment to ‘health proof’ masterplans for deprived communities Salim Vohra & Gifty Amo-Danso (IOM) Marcus Chilaka (University of Salford) Zafar Iqbal & Judy Kurth (Stoke NHS) Health, Well Being and Healthy Lifestyle Conference 21 st October 2009

2 Meaning of Health in HIA “Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity… …Health is therefore a resource for everyday life, not the objective of living; it is a positive concept emphasizing social and personal resources, as well as physical capacities.” World Health Organization, 1947 and 1984.

3 Social Model of Health Adapted from Dahlgren, G. and Whitehead, M. (1991). Policies and strategies to promote social equity in health. Stockholm, Institute for Future Studies. Environmental and Social Model of Health

4 Adapted by Salim Vohra and Dean Biddlecombe from Dahlgren, G. and Whitehead, M. (1991). Policies and strategies to promote social equity in health. Stockholm, Institute for Future Studies.

5 Classic Definition of Health Impact Assessment HIA is:  a combination of procedures, methods and tools  by which a policy, program or project may be judged  as to its potential effects on the health of a population,  and the distribution of those effects within the population. Gothenberg Consensus Document 1991

6 Fuller Definitions of Health Impact Assessment  HIA is the key systematic approach to predicting the differential health and wellbeing impacts of proposed and implemented plans, programmes and projects  within a value framework that is democratic, equitable, sustainable and ethical in its use of evidence  so that positive health impacts are maximised and negative health impacts minimised (within a given population).  It uses a range of structured and evaluated sources of qualitative and quantitative evidence that includes public and other stakeholders' perceptions and experiences as well as public health, epidemiological, toxicological and medical knowledge.

7 Steps in the HIA Process Screening  Scoping  Baseline and community profile  Evidence review  Stakeholder engagement  Analysis  Mitigation and enhancement  HIA Report or Public Health Statement  Follow up (monitoring and evaluation)

8 Strengths:Weaknesses: FlexibleNo standard approach Open Depends on Inclusiveexperience of the HIA assessor

9 WHO 12 Healthy Urban Planning Principles Healthy Lifestyles  Do planning policies and proposals encourage and promote healthy exercise? Social Cohesion  encourage and promote social cohesion? Housing Quality  encourage and promote social cohesion? Access to Work  encourage and promote access to employment opportunities? Accessibility  encourage and promote access accessibility? Local low-input food production  encourage and promote local food production with low input food production?

10 WHO 12 Healthy Urban Planning Principles Safety  encourage and promote safety and the feeling of safety in the community? Equity  encourage and promote equity and the development of social capital? Air quality and aesthetics  encourage and promote good air quality, protection from excessive noise and an attractive environment for living/working? Water and sanitation quality  encourage and promote improved water and sanitation quality? Quality of land and mineral resources  encourage and promote the conservation and quality of land and mineral resources? Climate Stability  encourage and promote climate stability (and reduce the potential impacts of climate change)?

11 Stoke-on-Trent & Deprivation

12 Ariel View of Middleport

13 Satellite View of Middleport

14 Photos of Middleport

15 Vision and Objectives of the Masterplan Process Vision “To create a truly sustainable community... Working in partnership with local residents and businesses … create a vibrant community where people want to live, work... Drawing on and improving the core physical, environmental and heritage assets of the area, … become an exemplar sustainable community … excellent standards of day to day living and strengthening community pride and ownership of the environment.” Objectives 1. Creating Sustainable Neighbourhoods 2. Achieving a Better Housing Choice 3. Strengthening Employment and Training Opportunities 4. Addressing Community Needs 5. Delivering Improved Access 6. Creating a Good Quality Environment 7. Protecting and Enhancing Heritage Assets 8. Community Enhancement Addressing the Health and Wellbeing Needs of the Community

16 Draft Masterplan Design 1

17 Draft Masterplan Design 2

18 Draft Masterplan Design 3

19 Where Does Reviewing Masterplans Fit In Screening  Scoping  Baseline and community profile  Evidence review  Stakeholder engagement  Analysis  Mitigation and enhancement  HIA Report or Public Health Statement  Follow up (monitoring and evaluation) Reviewing/ analysing the masterplan designs / drawings Part of HIA or can be done seperately?

20 10 step process to ‘health proofing’ masterplans Connecting with the masterplan design team  Obtaining masterplan design/s and background documents  Visiting the proposed site  Analysing the Masterplan Vision and Objectives  Identifying key professional and community stakeholders to help review  Looking at and analysing the draft masterplan design/s  Seeking clarification from the masterplan design team  Writing up the analysis  Making recommendations for modifying the final masterplan design  Following up on the changes made to the final masterplan design Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10

21 Rapid Review Table Masterplan Design Option No. & Name: Design Review QuestionsAnalysis What is the relationship between the housing, greenspace, roads, shops/amenities and business areas? How do they fit together or don’t? Does it make holistic sense? Is it ‘legible’/understandable (easy to navigate through the streets)? Do the blocks of new housing fit with the existing blocks of housing? Is there affordable/key worker housing? Is greenspace maintained, increased and improved? Is it accessible? Is there an opportunity for allotments/communal gardening? Do roads and routes connect residents or serve to cut them off (physical/community severance)? Are pavements/footpaths, cycleways and public transport links developed? Do they form a coherent and connected linked set of routes? Do they have priority over cars? Is there a public space, a service hub, a local centre that serves as the heart of the area? What kinds of public services, amenities and facilities are planned? Are there any gaps in service? Is there provision for a local community centre and/or space for community/voluntary/charity groups? Are there good natural surveillance/ opportunities for people to pass by? How do the commercial areas fit with each other and with the residential areas? Is it too big/too small? How does the proposed development link with other adjacent neighbourhoods? Is there any local art/distinctive landmark/ architecture planned to build and create a revived sense of place/community identity? Overall

22 In-depth Review Table Masterplan Design Option No. & Name: Healthy Urban Planning Themes Regeneration/Development Objectives to ConsiderPotential positive health/ wellbeing impacts Potential negative health/ wellbeing impacts Suggestions for mitigation and enhancement/ Other Comments/Questions Healthy Lifestyle Does the development encourage and promote physical activity? Is the community walkable? What type of amenities, facilities and public services are planned or exist already that are nearby? What existing sports/leisure facilities are there and will they cope with any increase in population? Social Cohesion (encouraging active community participation) Is there one or more accessible outdoor public spaces e.g. plazas, central open spaces? Is there provision for a local community centre or indoor public space where residents and community groups can meet and carry out activities e.g. mother and toddler groups, youth work groups, community development activities? Do the new and/or existing commercial developments fit well with the residential developments and the wider neighbourhood? Is there integration between existing housing and new housing? How do new routes and roads affect the community setting? (physical and community severance) Building quality (Housing and Employment Sites) What sustainable and healthy building standards will be used for the residential and commercial developments? What are the size of houses proposed in terms of number and size of rooms, private gardens, car parking space? Has provision been made for affordable and key worker housing? Will there be a mix of tenures e.g. private rental and owner occupied? Access to employment opportunities Are there local employers within walking/cycling distance or accessible by public transport? AccessibilityIs there provision of distinct and developed cycle and footpaths? What provisions have been made for public transport e.g. new routes, bus stops/shelters, etc? Are the different transportation modes linked/ integrated to encourage mixed use? Is there identified space for local retail shops and other amenities? Is there provision of key public services nearby e.g. health centre? Local low-input food production or sale Will there be any community allotments? Will there be shops providing fresh fruit and vegetables and a fairly wide choice of foods? Is there an opportunity for a food/farmer’s market? SafetyIs there natural surveillance and is there a good balance between through routes and closed off areas e.g. cul-de-sacs? Are there enough safe pedestrian and cyclists crossing points on local roads? Are there safe paths on local green and blue space (parks, and canals, waterways)? EquityDoes the development target an existing environmentally and socially deprived area? Do existing residents gain as much as (if not more than) potential new residents? Will there be broadband, telephony and cable access? Air quality and good living and working environment Will air pollution and/or exposure to air pollution be reduced? What kinds of emissions do existing or new employments sites generate? Is there an opportunity to have low emission vehicles e.g. buses and lorries? Water and sanitation See Land and mineral resources and Climate stability below. What provision has been made for access to mains water and sewerage services (other sustainable and low maintenance water and sewerage systems)? Has the use of natural and manufactured permeable surfaces been maximised to reduce surface water run-offs and potential for flooding/ sewer overflows? Land and mineral resources (Including green and blue spaces) See Water and sanitation above and Climate stability below. Are the amounts of greenspace and bluespace protected and increased where possible? Are private gardens and allotments encouraged? Is there a variety of multi-purpose outdoor spaces? Are the open, green and blue spaces easily accessible with allowances for natural surveillance? Are there opportunities for allotments/communal gardening, fishing and seating areas? Will there be street recycling bins or pods to encourage recycling? Climate stability (mitigation of climate change impacts) Will there be any renewable micro-generation or combined heat and power facility on the development? Will there be trees planted on key routes and local parks to provide shade, a cooler micro- environment and reduce the risk of flooding?

23 Recommendations for Middleport Health Themes:  A walkable community  A socially rich and cohesive community  A physically active community General: Make parks as attractive, safe, accessible and well maintained. Make better use of canal towpath/footpaths and cycleways. Ensure no fast food in any new retail spaces that are developed. Locate new industrial sites towards Steelite rather than adjacent to Grange Park and cluster employments sites together. Support the greening/public realm and environmental improvements e.g. plant trees along the roads, improved street furniture, and removal of non-essential signs. Support the creation of Home Zone areas throughout the development and additional safe crossing points across Middleport. Improved lighting across the whole development

24 Recommendations for Middleport

25 Advantages of this approach Flexible and quick input into the masterplan design process Systematic and structured use of a health ‘lens’ to scrutinise a masterplan Provide support for the masterplan from health agencies  Some aspects are likely to be covered by experienced planning officers and masterplan designers Detailed assessment can be time consuming May be confused with doing a health impact assessment


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