Health, Well Being and Healthy Lifestyle Conference 21 st October 2009

1. Regenerating Middleport: using health impact assessment to ‘health proof’ masterplans for deprived communities Health, Well Being and Healthy Lifestyle Conference 21st October 2009 Salim Vohra & Gifty Amo-Danso (IOM)Marcus Chilaka (University of Salford)Zafar Iqbal & Judy Kurth (Stoke NHS)

2. Meaning of Health in HIA “Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity… …Health is therefore a resource for everyday life, not the objective of living; it is a positive concept emphasizing social and personal resources, as well as physical capacities.” World Health Organization, 1947 and 1984.

3. Environmental and Social Model of Health Adapted by Salim Vohra and Dean Biddlecombe from Dahlgren, G. and Whitehead, M. (1991). Policies and strategies to promote social equity in health. Stockholm, Institute for Future Studies.

4. Classic Definition of Health Impact Assessment HIA is: • a combination of procedures, methods and tools • by which a policy, program or project may be judged • as to its potential effects on the health of a population, • and the distribution of those effects within the population. Gothenberg Consensus Document 1991

5. Fuller Definitions of Health Impact Assessment • HIA is the key systematic approach to predicting the differential health and wellbeing impacts of proposed and implemented plans, programmes and projects • within a value framework that is democratic, equitable, sustainable and ethical in its use of evidence • so that positive health impacts are maximised and negative health impacts minimised (within a given population). • It uses a range of structured and evaluated sources of qualitative and quantitative evidence that includes public and other stakeholders' perceptions and experiences as well as public health, epidemiological, toxicological and medical knowledge.

6. Steps in the HIA Process Screening  Scoping  Baseline and community profile  Evidence review  Stakeholder engagement  Analysis  Mitigation and enhancement  HIA Report or Public Health Statement  Follow up (monitoring and evaluation)

7. Strengths:Weaknesses:Flexible No standard approachOpen Depends onInclusive experience of the HIA assessor

8. WHO 12 Healthy Urban Planning Principles • Healthy Lifestyles • Do planning policies and proposals encourage and promote healthy exercise? Social Cohesion • encourage and promote social cohesion? Housing Quality • encourage and promote social cohesion? Access to Work • encourage and promote access to employment opportunities? Accessibility • encourage and promote access accessibility? Local low-input food production • encourage and promote local food production with low input food production?

9. WHO 12 Healthy Urban Planning Principles Safety • encourage and promote safety and the feeling of safety in the community? Equity • encourage and promote equity and the development of social capital? Air quality and aesthetics • encourage and promote good air quality, protection from excessive noise and an attractive environment for living/working? Water and sanitation quality • encourage and promote improved water and sanitation quality? Quality of land and mineral resources • encourage and promote the conservation and quality of land and mineral resources? Climate Stability • encourage and promote climate stability (and reduce the potential impacts of climate change)?

10. Stoke-on-Trent & Deprivation

11. Ariel View of Middleport

12. Satellite View of Middleport

13. Photos of Middleport

14. Vision and Objectives of the Masterplan Process Vision “To create a truly sustainable community ... Working in partnership with local residents and businesses … create a vibrant community where people want to live, work ... Drawing on and improving the core physical, environmental and heritage assets of the area, … become an exemplar sustainable community … excellent standards of day to day living and strengthening community pride and ownership of the environment.” • Objectives • 1. Creating Sustainable Neighbourhoods • 2. Achieving a Better Housing Choice • 3. Strengthening Employment and Training Opportunities • 4. Addressing Community Needs • 5. Delivering Improved Access • 6. Creating a Good Quality Environment • 7. Protecting and Enhancing Heritage Assets • 8. Community Enhancement Addressing the Health and Wellbeing Needs of the Community

15. Draft Masterplan Design 1

16. Draft Masterplan Design 2

17. Draft Masterplan Design 3

18. Where Does Reviewing Masterplans Fit In Screening  Scoping  Baseline and community profile  Evidence review  Stakeholder engagement  Analysis  Mitigation and enhancement  HIA Report or Public Health Statement  Follow up (monitoring and evaluation) Reviewing/ analysing the masterplan designs / drawings Part of HIA or can be done seperately?

19. 10 step process to ‘health proofing’ masterplans Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 Connecting with the masterplan design team  Obtaining masterplan design/s and background documents  Visiting the proposed site  Analysing the Masterplan Vision and Objectives  Identifying key professional and community stakeholders to help review  Looking at and analysing the draft masterplan design/s  Seeking clarification from the masterplan design team  Writing up the analysis  Making recommendations for modifying the final masterplan design  Following up on the changes made to the final masterplan design

20. Rapid Review Table

21. In-depth Review Table

22. Recommendations for Middleport • Health Themes: • A walkable community • A socially rich and cohesive community • A physically active community • General: • Make parks as attractive, safe, accessible and well maintained. • Make better use of canal towpath/footpaths and cycleways. • Ensure no fast food in any new retail spaces that are developed. • Locate new industrial sites towards Steelite rather than adjacent to Grange Park and cluster employments sites together. • Support the greening/public realm and environmental improvements e.g. plant trees along the roads, improved street furniture, and removal of non-essential signs. • Support the creation of Home Zone areas throughout the development • and additional safe crossing points across Middleport. • Improved lighting across the whole development

23. Recommendations for Middleport

24. Advantages of this approach • Flexible and quick input into the masterplan design process • Systematic and structured use of a health ‘lens’ to scrutinise a masterplan • Provide support for the masterplan from health agencies • Some aspects are likely to be covered by experienced planning officers and masterplan designers • Detailed assessment can be time consuming • May be confused with doing a health impact assessment