1. Plenary 2 Chair: David Worthington Health Impact Assessment: Making the Difference

2. Hugh Barton Reader, Sustainable Settlements, University of the West of England Health Impact Assessment: Making the Difference

3. 7 th International HIA Conference PUTTING HUMAN WELL-BEING AT THE CORE OF PLANNING Hugh Barton Director, WHO Collaborating Centre for Healthy Cities and Urban Policy University of the West of England, Bristol

4. Healthy Urban Planning in Manchester 18532003 Typhoid Cholera Dysentery Scrofula Asthma Obesity Stress & mental health Heart disease “Traffic will be to 21 st century public health what sewage was to 19 th century public health” PIA National Congress 2005

5. Four challenges… Breaking free from our institutional and professional silos Involving stakeholders effectively in decision-making Tying the knot between health and sustainability Knowing how to judge what is a healthy plan or policy (getting it right)

6. Key elements of the spatial planning system Sustainability appraisal / Strategic environmental assessment Community strategies Local development frameworks: core strategies and area action plans

8. Spectrum appraisal Designed to … Work with all the partners / stakeholders Integrate health, social, economic, environmental perspectives, thus be inclusive in the criteria applied Encourage shared learning and consensus- building Scope the key issues – identifying those requiring deeper study

10. The Spectrum process agree relevant health / sustainability objectives agree specific planning criteria develop / refine the project in the light of the criteria assess the project – identifying awkward issues undertake detailed studies as necessary improve or change the project accordingly

11. Spectrum Appraisal Grading the scheme against health and sustainability criteria EXCELLENT The local delivery criterion is fully satisfied GOOD The criterion is generally satisfied NEGOTIABLE Success depends on further work and negotiation PROBLEMATICAL Not likely to be satisfactorily fulfilled without major reassessment UNACCEPTABLE The criterion cannot be satisfied

12. Spectrum Appraisal for Health 1 Personal lifestyles with healthy exercise 2 Social cohesion 3 Housing quality 4 Access to work 5 Accessibility 6 Local, low-input food production 7 Safety and the feeling of safety 8 Equity and social capital 9 Air quality and aesthetics 10 Water and sanitation quality 11 Land and mineral resources 12 Climate stability HUP Strategic Objectives Local sustainability criteria NATURAL RESOURCES 1 Wildlife habitats 2 Land and food 3 Water and air 4 Materials in use and after use 5 Energy in buildings PLACE 1 Housing stock 2 Open space 3 Local heritage/values 4 Safety, privacy & noise 5 Quality of the public realm LOCAL ACTIVITIES 1 Community & social facilities 2 Motorised movement 3 Employment 4 Non-motorised movement 5 Shops and leisure COMMUNITY 1 Housing affordability 2 Project viability 3 Local job creation 4 Stakeholder involvement 5 On-going management

13. Spectrum Appraisal for Health 1 Personal lifestyles with healthy exercise 2 Social cohesion 3 Housing quality 4 Access to work 5 Accessibility 6 Local, low-input food production 7 Safety and the feeling of safety 8 Equity and social capital 9 Air quality and aesthetics 10 Water and sanitation quality 11 Land and mineral resources 12 Climate stability HUP Strategic Objectives Local sustainability criteria NATURAL RESOURCES 1 Wildlife habitats 2 Land and food 3 Water and air 4 Materials in use and after use 5 Energy in buildings PLACE 1 Housing stock 2 Open space 3 Local heritage/values 4 Safety, privacy & noise 5 Quality of the public realm LOCAL ACTIVITIES 1 Community & social facilities 2 Motorised movement 3 Employment 4 Non-motorised movement 5 Shops and leisure COMMUNITY 1 Housing affordability 2 Project viability 3 Local job creation 4 Stakeholder involvement 5 On-going management

14. Spectrum Appraisal for Health 1 Personal lifestyles with healthy exercise 2 Social cohesion 3 Housing quality 4 Access to work 5 Accessibility 6 Local, low-input food production 7 Safety and the feeling of safety 8 Equity and social capital 9 Air quality and aesthetics 10 Water and sanitation quality 11 Land and mineral resources 12 Climate stability HUP Strategic Objectives Local sustainability criteria NATURAL RESOURCES 1 Wildlife habitats 2 Land and food 3 Water and air 4 Materials in use and after use 5 Energy in buildings PLACE 1 Housing stock 2 Open space 3 Local heritage/values 4 Safety, privacy & noise 5 Quality of the public realm LOCAL ACTIVITIES 1 Community & social facilities 2 Motorised movement 3 Employment 4 Non-motorised movement 5 Shops and leisure COMMUNITY 1 Housing affordability 2 Project viability 3 Local job creation 4 Stakeholder involvement 5 On-going management

15. Spectrum Appraisal for Health NATURAL RESOURCES 1 Wildlife habitats 2 Land and food 3 Water and air 4 Materials in use and after use 5 Energy in buildings PLACE 1 Housing stock 2 Open space 3 Local heritage/values 4 Safety, privacy & noise 5 Quality of the public realm LOCAL ACTIVITIES 1 Community & social facilities 2 Motorised movement 3 Employment 4 Non-motorised movement 5 Shops and leisure COMMUNITY 1 Housing affordability 2 Project viability 3 Local job creation 4 Stakeholder involvement 5 On-going management HUP Policy area EXCELLENT The criterion is fully satisfied GOOD The criterion is generally satisfied NEGOTIABLE Success depends on further work and negotiation PROBLEMATICAL Not likely to be satisfactorily fulfilled without major reassessment UNACCEPTABLE The criterion can not be satisfied Local Delivery Criteria: Score

17. The health map

18. Intervention: a new town bypass The health map

20. Direct effects Travel patterns Destinations Landscape Habitats Drainage

21. Indirect effects Greenhouse emissions Air quality Active travel Social networks Economic efficiency Development pressures More landscape impacts Knock on effects on travel and activities…

22. Health determinants Physical exercise Social capital Income and jobs Accessibility and inclusion Aesthetic quality? Air quality Climate risks

23. The health map

24. The health map: places spatial planning in the context of health, and vice-versa integrates an sustainability approach to settlements with the determinants of health locates the interests of many different agencies provides a tool for integrated health and sustainability appraisal

25. 7th International Health Impact Assessment Conference Health Impact Assessment: Making the Difference Supported by: