Integrating Health Impact Assessment into Major Public Policies and Urban Development: A Guide from England

1. Decision CheckIntegrated Impact Assessment All Major Policies, Plans and Service Developments Regeneration - Public Sector Led Development Process If SA is not undertaken If SA is undertaken Integrating Health Impact Assessment into the Sustainability Appraisal (SA) that is being conducted The SA terms of reference should include the need to do a HIA (including health-proofing review within it) Health proofing of draft masterplans and major development designs. PCT-led review involving a range of stakeholders in a workshop Draft Masterplan Options Public Consultation Health Impact Assessment. Where appropriate the review of masterplans can be deepened into a rapid HIA, particularly where a SA is not being undertaken Community Consultation, Involvement and Feedback Final Preferred Masterplan Approval / Adoption of the Final Preferred Masterplan Submission of Formal Planning Application Healthy City Development Checklist Planning Decision Mainstreaming HIA:Experience from England IAIA 2015 | 16:30-18:00 | Wed 22 April 2015 | Florence Salim Vohra Chimeme Egbutah Judy Kurth Filipe Silva

2. Stoke-on-Trent and Luton 4 LEVELS OF ACTION • Healthy local public policy • Healthy urban planning and design • Healthy developments • Healthy community development

3. Stoke-on-Trent and Luton • Both are poor deprived areas with residents higher levels of ill health and deaths than the England average • Stoke is a WHO Healthy City • Luton was a Government Health Action Zone

4. Luton HEALTHY LOCAL PUBLIC POLICY • Development of a joint working group to look at Health and Built Environment • Overseen by DPH and Director of Environment & Regeneration • Review transport policies and make contributions to improve health | General review of existing policies and consideration as options in plan-making process for new local plan

5. Luton HEALTHY URBAN PLANNING AND DESIGN • Influence planning decisions on creation of obesogenic environments and fast food eating places | Public health team now receive automatic consultation requests • Influencing masterplanning processes HEALTHY DEVELOPMENT • Key HIAs undertaken by the local authority and consultants HEALTHY COMMUNITY DEVELOPMENT • Explore use of derelict land for improving health (growing food locally, cycling, play spaces)

6. Luton

7. Luton

8. Marsh Farm in Luton

9. Stoke-on-Trent Four Levels of Action • Integrated Impact Assessment - Strategic • Healthy Urban Planning and Design Frameworks • Mainstreaming Health Impact Assessment • Community Development and Research (to overcome environmental barriers to health)

10. LEVEL 1: HEALTHY PUBLIC POLICYStrategic Policy Integrated Impact Assessment Towards ‘Health and Health Equity in all Local Policy’ • Review of current policy making processes (WMPHO) • Local Authority agreement to implement IIA tool – ‘Vision Watch’ • Developing online tool using Oracle database • Undertaking pilot on sustainable community strategy

11. LEVEL 2: HEALTHY URBAN PLANNING & DESIGNHealth in Urban Design Guidance and a Planners Checklist • Presentation and training programmes for local politicians, planners and Regeneration Partnership on Healthy City and healthy urban planning and design • Collaboration with Planning Department to produce Healthy City Checklist • Strengthening of Sustainability Appraisal / Strategic Environmental Assessment • Development of Healthy City Supplementary Planning Guidance • Health contribution to Supplementary Planning Guidance on Urban Design • Healthy Urban Development Officer based in Public Health and Local University

12. LEVEL 3: HEALTHY DEVELOPMENTDoing Regular Health Impact AssessmentS Mainstreaming HIA • 3 pilot HIA’s in Stoke-on-Trent carried out by a consultant • Development of a Guide to health-proofing masterplan designs • Underpinned by a follow up HIA training and mentoring

13. Level 4. Community Development and Research ‘My Health Matters’ • Community led/collaborative approach • Aim is to reduce health inequalities related to Physical Activity and Healthy Eating • Operating within 3 areas of disadvantage • Robust evaluation process • Base-lining exercise

14. Lessons Learnt • Not easy – still learning! • Takes time and effort to understand how processes work and where to incorporate health • Need to develop clear communication links and joint ownership • Value in developing and using a joint evidence base • Pilot schemes help identify how it will work in your area • Results are not always easily visible • Understanding limitations is critical • It is about gaining policy support not just working on detailed delivery

15. T H A N K Y O U F O R L I S T E N I N G