1. Housing and the European World Health Organisation Healthy City Programme By Dave Leonard WHO Co-ordinator Sunderland

2. Aims and Objectives The aims of the presentation are to provide an overview of: Phase IV WHO European Healthy City Network Healthy Cities and Housing Options for Future and 3 KEY CHALLENGES

3. Background Sunderland is one of 75 cities throughout Europe participating in the WHO Network. It was agreed at the meeting of the Public Health Forum on November 2004 that Sunderland should make an application to become a member of the WHO Healthy Cities network. Healthy Cities is an ambitious and challenging health agenda of achieving the 11 qualities of a healthy city. The overall goals of the WHO European Healthy Cities Network: –Address the determinants of health and the principles of health for all; –Integrate and promote European and global public health priorities; –Put health on the social and political agendas of cities; and. –Promote good governance and partnership-based planning for health.

4. Sunderland Healthy City The Healthy City initiative works the principles of the WHO Healthy Cities network but also the aims of the Sunderland Strategy. Structure Local Strategic Partnership Public Health ForumMACOG Healthy City Group Inequalities MARG Health determinants - LA input Vulnerable Groups Community Perspective Primary Prevention Programmes/lifestyle Primary Prevention Needs MARG

5. WHO Healthy Cities Set up The WHO Healthy Cities Network works around five year Phases. We are currently in Phase IV. The phase IV is based upon core themes; Healthy Ageing Healthy Urban Planning Health Impact Assessment Physical Activity/Active Living WHO reporting structures include; Annual Business Meeting Sub-network Meetings UK Healthy City Co-ordinators Meetings Local Co-ordination

6. Core Objective: Healthy Ageing Healthy or active ageing is the process of optimising opportunities for physical, social and mental wellbeing throughout the life course in order to extend healthy life expectancy, productivity and quality of life in older age. Population ageing is one of humanities greatest achievements and challenges. Due to economic success and unprecedented public health advances the proportion of people aged sixty and over is growing faster than any other population age group. ( WHO 2005)

7. Core objective:Healthy Urban Planning Means Planning for people. It promotes the idea that a city is much more than buildings, streets and open spaces but a living organism. Healthy Urban Planning focuses on the positive impact that urban planning can have on human health. Healthy Urban planning aims to improve both the quality of life of an individual and communities in cities. It can help create a healthy economy, a healthy environment and a healthy society. (WHO 2005)

8. Core objective: Health Impact Assessment HIA aims to influence decision making via a series of evidence based recommendations which aims to achieve changes in policies and proposals to better health and reduction of health inequalities. The recommendations of a HIA can influence suggestions for enhancing the positive aspects of proposals as well as recommendations to mitigate any potentially negative aspects. (WHO 2005)

9. Complementary Objective: Physical Activity Physical activity/active living is a complementary focus to the three core themes for the Phase IV (2003-2008) Healthy Cities Network. All cities are encouraged to be actively involved in the promotion of physical activity. Physical activity benefits the physical, social and mental health of people of all ages. Beyond the direct medical benefits, increasing physical activity through an integrated programme can increase social interaction throughout life, provide recreation, and reduce violence, urban traffic congestion and pollution. (WHO 2005)

10. What we have achieved Used the work of WHO to demonstrate joined up working through the Comprehensive Performance Assessment process Created a Healthy Ageing Profile Developed a “Demystifying the Myths of Ageing” Booklet. Organised a Healthy City Conference in 2006 Organised a regional conference on Healthy Ageing/Age Friendly Cities in 2007 Used WHO principles in the delivery of the Older Persons Partnership Action Group actions

11. What we have achieved Worked with Planners to embed health improvement into the Local Development Plan and other policy documents Used WHO principles in the delivery of the Attractive and Accessible Thematic Partnership Group actions Raised the profile of impact assessment within the partnership Developed capacity for implementing HIA Introduced HIA as part of the NRF process Integrated HIA as part of Port redevelopments

12. What we have achieved Worked with Partners to produce the City’s Walking Action Plan Supported the Council’s approach to the development of Wellness in the City

13. Task 1 What positive and negative impacts can these factors have on health? Housing Streets Play space Green space Communities Access/Transport

14. SUNDERLAND

15. WHO Phase IV finishes (2008) New Phase V (2008 – 2013) - New opportunities to introduce and experiment with new concepts and ideas - Possible themes: * Lifestyle * Migrant Health * Social Marketing/Creative Cities * Healthy Urban Planning * Equity * Climate Change * Communities

16. Issues - Planning Design – Homes Design – Estates Health Impact Assessments Creative Cities

17. Issues - Housing Energy Expenditure Ageing Population Housing Demand Communities

18. Our Health Urban Planning Aims Safe and convenient public places Accessible services Adequate recreational opportunities High quality housing Good access to work High environmental quality Local availably of affordable health food

19. Task 2 a)What would provide the biggest health outcomes in strategically addressing Sunderland’s housing? b)What are the 3 Key Challenges?

20. Future?

21. Thank you