1. Day 4 Session 3: Health Impact Assessment (HIA) Dave Jenner (EMPHO) Adapted from Material provided by: Andrew Pratt (Plymouth PCT) Neil Bendel (Manchester Joint Health Unit) John Kemm (WMPHO)

2. key features case-study how to find out more

3. HIA is… …a combination of procedures, methods & tools …that systematically judges the potential, & sometimes unintended, effects of a policy, programme or project … on both the health of a population, & the distribution of those effects within the population …HIA identifies appropriate actions to manage those effects International Association for Impact Assessment 2006

4. http://www.nice.org.uk/niceMedia/documents/clarifying_approaches.pdf

5. Assessing the impact of a health intervention Prospective=HIA Concurrent=Monitoring Retrospective=Evaluation

6. Applications of HIA new urban housing scheme proposed waste incinerator new casino in Manchester hospital vending machines policy third runway at Heathrow motorway widening leisure centre charging policy home energy efficiency scheme

7. Health Impact Assessment - Key Features 1.List all the aspects of the proposal that are likely to have an impact on the health of the population 2.Decide whether the identified impacts are positive (+) or negative (-), i.e. are they likely to make people’s health better or worse? 3.Identify when this impact is likely to occur, i.e. in the short, medium or long term? 4.Decide how certain you are that the impact will occur, i.e. is it definite, probable or speculative? 5.Note likely differential impacts on different groups (e.g. women, children, elderly people, BME communities, etc.) 6.identifying recommendations for maximising the positive and minimising the negative health impacts of the proposal.

8. HIA of a Home Energy Efficiency Scheme

9. Case-study: redevelopment of social housing Devonport in Plymouth c5000 people temporary ‘decanting’ of residents rebuilding 448 dwellings What might be the key issues?

10. The HIA Gateway site is at www.apho.org.uk

11. NOT statutory but widely advocated (Acheson) Inequalities in Health (1998) Our Healthier Nation (DH 1999) Article 152, EU Amsterdam Treaty (1999) DH & NRU guidance (2002) Securing Health (Wanless, Treasury, 2004) Choosing Health (DH 2004) Council for Science and Technology 2006

12. Welcome to the world of impact assessment! Environmental Impact Assessment Strategic Environmental Assessment Sustainability Appraisals Equality Impact Assessment Integrated Impact assessment Health Impact Assessment