1. East on the Move Conference 30/06/2015 Making the Connection: Planning, Travel and Physical Activity Andre Pinto – Public Health Manager (Healthy Places), PHE With thanks to Carl Petrokofsky and Adrian Davies

2. Vision Statement: A future where everyone, wherever they live, is able to live, work and play in a place that promotes health and wellbeing, sustains the development of supportive and active communities and helps reduce health inequalities. In short, “Healthy places to grow up and grow old in”. 2 Healthy People, Healthy Places Programme (HPHP) Healthy People, Healthy Places Programme

3. Active Transport & Health 3Healthy People, Healthy Places Programme Evidence: Countries with highest levels of active travel generally have the lowest obesity rates; Inequalities: Children in the 10% most deprived wards are 4 times more likely to be hit by a car than in the 10% least deprived; Cost: Physical inactivity costs the NHS between £1-1.9B a year and overall it costs the UK an estimated £7.4bn a year; Return on Investment: NICE assessed the evidence on the economic impact of improving walking and cycling infrastructure - outcomes significantly outweighed costs, by 60:1 for walking, 168:1 for cycling.

4. The role of Planning Progress toward healthier and more sustainable communities; There is clear evidence that urban form strategies can have converging benefits for public health and climate change; Increasing public transport accessibility, residential density, and street connectivity have all been significantly associated with more energy expended from walking and less energy generated from motorized transport; UK suburbs created in past 20-30 years + tend to exhibit high levels of car dependence & low levels of active travel 4Healthy People, Healthy Places Programme

5. http://metronews.ca/news/vancouver/1169321/lack-of-affordable-walkable-neighbourhoods-linked-to-poor-health-ubc-study / Lack of affordable housing in Metro Vancouver is forcing many residents who want to live in pedestrian-friendly neighbourhoods to move to car- dependent areas; Those in pedestrian-friendly neighbourhoods reported walking 4.8 days a week for transportation, compared to 1.4 days in car-dependent areas; people in car-dependent areas reported a 21% incidence of high blood pressure compared to 10% in pedestrian friendly areas and an 18% incidence of obesity compared to 8%. Consequence of Lack of affordable, walkable neighbours

6. Is it just good planning? 6Healthy People, Healthy Places Programme

7. The life of a planner 7 National Planning Policy Framework

8. The Co-benefits opportunity – win-wins Financial co-benefits Health and Social Outcomes Economic and Financial Environment Health co-benefits Walking and cycling can also play an important part as ‘co-benefits’ : reducing carbon dioxide emissions, conservation of land, air pollution, noise as well as traffic congestion, and savings on health and social care costs – contributes to economic prosperity With thanks to Carl Petrokofsky and Adrian Davies

9. Expert Evidence in Public Enquiry Headline evidence Local evidence Confirmed locally Case Law (Precedent ) Local Knowledge Cluster randomised control trials JSNA

10. HPHP Evidence Briefings 10Healthy People, Healthy Places - PHE

11. 11 PHE Briefing and Evidence Reviews Healthy People, Healthy Places Programme

12. PHE work on Active Transport Publication of the Everybody Active, Every Day Strategy Publication next year of paper on Active Travel and Transport and the promotion of co-benefits (economic, social, health); Series of webinars and conferences building capacity and knowledge of Active Transport Issues 12Healthy People, Healthy Places Programme

13. The encouraging bit! Infrastructure Act – Walking and Cycling Investment Strategy 13Healthy People, Healthy Places Programme

14. Survey of Dirs. Public Health 14 Source: PTEG 2015, A Healthy Relationship Healthy People, Healthy Places Programme

15. Next steps for Transport Planners Town and transport planners are key to delivering walking-friendly street layouts - locating shops and other mixed use facilities within walking and cycling distance. A variety of approaches are associated with increases in cycling, eg intensive intervention with individuals, individualised marketing to households, improving infrastructure for cycling People can be encouraged to walk more by interventions tailored to their needs, targeted at most sedentary, delivered either at level of individual/household or group based approaches; JSNAs provide an important means through which Transport Depts can work with public health to achieve mutually beneficial goals 15Healthy People, Healthy Places Programme With thanks to Carl Petrokofsky and Adrian Davies

16. Next steps for Public Health practitioners Local Highways Authorities are responsible for Local Transport Plans (LTPs) - Local Improvement Plans in London (LIPs); Latest round of LTPs started in 2011 - all have a minimum timescale to 2026 if not beyond & each will be ‘refreshed’ after 3 years; Refreshes provide opportunity for engagement; Develop the evidence; Public Health in the Local Government. 16Healthy People, Healthy Places Programme With thanks to Carl Petrokofsky and Adrian Davies

17. Thank you Andre Pinto andre.pinto@phe.gov.uk For queries regarding the Healthy Places programme: healthypeople.healthyplaces@phe.gov.uk