SOUTH WEST STRATEGIC HEALTH AUTHORITY resource… · Jodie Boex Transport Policy Officer Cornwall Council Julian Bolitho Regional Director WYG Planning & Design Gareth Bradford Devon

SOUTH WEST STRATEGIC HEALTH AUTHORITY

Health Impact Assessment Workshop 2

Summary Photo Report

This photo report arises from a workshop held at The University of Plymouth, Plymouth on Tuesday, 6 July 2010

Date of issue: 30 July 2010

This summary photo-report provides some of the key points and flavour of the workshop held on behalf of the South West Strategic Health Authority The workshop flipcharts and graphic plans serve as a record and aide memoire for those present. However they are inevitably quite cryptic in places. It is strongly recommended that this photo report is not used as a means of communication with those not present at the meeting without providing proper interpretation. Facilitation Team: Marcus Grant Ben Cave Paul Pilkington Peter Ashcroft Sarah Burgess

Deputy Director, WHO Collaborating Centre for Healthy Cities Principal, Ben Cave Associates Senior Lecturer, WHO Collaborating Centre for Healthy Cities Physical Activity Regional Lead, Department of Health – South West Senior Lecturer, WHO Collaborating Centre for Healthy Cities

Report compiled by: Sarah Burgess (0117 328 3379) Email: [email protected] If you have any queries or comments regarding this photo-report please contact: Marcus Grant (0117 328 3363) Email: [email protected]

mailto:[email protected]


The session objectives were to:

To review regional support and support requirements for Health Impact Assessment.

To learn how to critically review Health Impact Assessments.

To examine and to identify good practice from the point of view of preparing and/or commissioning a Health Impact Assessment.

Project Regional Health Impact Assessment Workshop 2

Page

1 / 18

Group Plenary

Subject Outline of the day

Health Impact Assessment Workshop 2 – 6 July 2010 – The University Plymouth, Plymouth

First name Surname Post Title Organisation

Dominique Beach Strategic Health Manager Sedgemoor District Council

Caroline Bird Research Fellow University of the West of England

Philip Bisatt Strategy Officer Taunton Deane District Council

Neil Blaney Policy and Strategy Officer Teignbridge District Council

Jodie Boex Transport Policy Officer Cornwall Council

Julian Bolitho Regional Director WYG Planning & Design

Gareth Bradford Devon County Council

Rachel Bray Senior Planning Policy Officer Cornwall Council

Louise Bulmer Active Lifestyles Officer Tone Leisure (South West) Limited

Laurence Carmichael Research Fellow University of the West of England

Alan Cheesman Principal Planning Officer Bournemouth Borough Council

Chris Daly Group Leader – Development Management Cornwall Council

Helen Erswell

Public Health Development and Commissioning Manager (Adults and Older People) NHS B&NES

Stephen Essex School of Geography, Earth and Environmental Sciences University of Plymouth

Natalie Field

Baerbel Francis Environmental & Sustainability Appraisal Officer Torridge District Council

Debbie Fuller Planning Assistant, Forward Planning Exeter City Council

Hilary Gooch Sustainable Development Officer Cornwall Council

Peter Grainger Devon and Torbay Area Manager Sustrans

Christina Gray Associate Director of Public Health - Equality & Inclusion Bristol Primary Care Trust

Alan Grynyer Strategic Estates Advisor NHS South West

Stephen Hewitt Specialist Professional Planner Bristol City Council

Helen Lease Senior Lecturer University of the West of England

Matt Lenny Head of Social Marketing NHS Cornwall and Isles of Scilly

Claire Lowman Active Bristol Manager Bristol CC / Bristol PCT

Michelle Luscombe West Devon Borough Council

Jane McDermott Major Sites Team, PT&SE South Gloucestershire Council

Lucy Meredith Programme Leader MSc Environmental Health UWE

Paul Millar Research Associate University of the West of England

Cleo Newcombe-Jones Planning Officer Bath & North East Somerset Council


Page

2 / 18

Subject Participants

First name Surname Post Title Organisation

Matt Pearce

Ian Perry Senior Planning Officer Teignbridge District Council

Jo Perry Senior Planning Policy Officer West Devon Borough Council

Trevor Pilbeam Trevor Pilbeam Associates

Katie Porter Programme Manager - Public Health and Health Improvement NHS North Somerset

Andrew Pratt Health Impact Specialist Practitioner Plymouth Primary Care Trust

Julie Richards Head of Service Planning Plymouth Hospitals NHS Trust

Rebecca Roberts Planning Officer, Planning Services Bath and North East Somerset Council

Andrew Shepherd

Sharon Sheppard Spatial Planning Officer Plymouth City Council

Ashwag Shimin Strategic Appraisal Officer Torbay Council

Pat Steward Senior Consultant (Practising planner) REDC

Richard Tisdall Landscape Architect

Mathew White Lecturer in Applied Psychology University of Plymouth

Lindsey Wild Deputy Director of Finance (Capital & Estates) Plymouth PCT

Core Team

Peter Ashcroft Physical Activity Regional Lead Department of Health – South West

Marcus Grant Deputy Director WHO Collaborating Centre for Healthy Cities

Ben Cave Principal Ben Cave Associates

Paul Pilkington Senior Lecturer WHO Collaborating Centre for Healthy Cities

Sarah Burgess Senior Lecturer WHO Collaborating Centre for Healthy Cities

Continued from previous page Project Regional Health Impact Assessment Workshop 2

Page

3 / 18

Subject Participants

Workshop introduction

Changing policy context with new Government and abolition of regional spatial strategies

Still a great need for HIA activities

This workshop is the last in this series but support with HIA’s will continue in the region

Recap on previous workshop in Weston-super-Mare

27 completed HIAs in South West

Information about HIA available online: www.bne.uwe.ac.uk/who

Database of HIAs being set up

Health map – focus on non communicable disease

The HIA landscape in the South West (as of

November 2009)

Outcomes from Workshop 1 in Weston-super-Mare

held on 18 November 2009

Introduction to the day and recap on what has happened so far


Page

4 / 18

Group Plenary presentation (Peter Ashcroft and Marcus Grant)

Subject Introduction

http://www.bne.uwe.ac.uk/who

Two contrasting masterplans with different organising principles for the scheme.

Introduction to the Sherford site, the settlement layout and the spatial determinants of health


Page

5 / 18

Group Group exercise Subject Settlement Planning Game

KEY CHARACTERISTICS

Linear retail strip, secondary retail near motorway

“T” configuration circulation system

Mixed densities across the site

KEY CHARACTERISTICS

Retail core in the centre

Secondary retail near existing settlement

High density around retail core

Feedback about the key considerations when designing the Sherford development and identification of the social determinants of health

The guiding principles that were identified for designing a healthy and sustainable community

Feedback of proposed designs from the settlement planning game


Page

6 / 18

Group Plenary discussion

Subject Settlement Planning Game

Groups assessed another group’s proposed layout using the Spectrum approach

Spectrum review Project Regional Health Impact Assessment Workshop 2

Page

7 / 18

Group Group exercise Subject Settlement Planning Game

Feedback and discussion about the exercise

Three big questions:

1. What can we say about the spatial determinants of health?

2. How well can we conceptualise the new community?

3. What have people learnt or what

new insights do they have?

Drawing out the learning outcomes

Feedback from settlement planning game and review


Page

8 / 18

Group Plenary discussion Subject Settlement Planning Game

Key learning outcomes from the settlement game

Learning outcomes


Page

9 / 18

Group Plenary discussion Subject Settlement Planning Game

Obesity trends in the United States of America – highlighting the need to build health into decision-making

Using HIA and understanding your role in HIA development and appraisal

The stages of HIA Introducing the review package and who can use it

Why Health Impact assessments are important Project Regional Health Impact Assessment Workshop 2

Page

10 / 18

Group Plenary presentation (Ben Cave)

Subject Healthy sustainable communities: what does this mean?

The local authority and PCT input into the plans for the Sherford development

Concluding points:

- HIA has been used to justify the requests in the section 106

- Process has led to a better understanding between health and planners

- Sherford EIA done in 2005, HIA in 2006. EIA addressed noise, air quality etc, but not wider spatial determinants of health.

Overview of the Sherford development and the development of the HIA

Introducing the Sherford HIA review activity Project Regional Health Impact Assessment Workshop 2

Page

11 / 18

Group Plenary presentation (Ben Cave and Gareth Bradford)

Subject Building in health in a strategic urban extension

Groups assess the Sherford health impact assessment using Ben Cave’s HIA review package http://www.bcahealth.co.uk/pdf/hia_review_package.pdf

Using the review package to review the Sherford HIA


Page

12 / 18

Group Group exercise Subject Reviewing the Sherford HIA

http://www.bcahealth.co.uk/pdf/hia_review_package.pdf

Andy Pratt shares his experience of his involvement in the development of the HIA for Sherford

Feedback about the Sherford HIA and the usefulness of the HIA review process

Feedback from the exercise Project Regional Health Impact

Assessment Workshop 2 Page

13 / 18

Group Plenary discussion Subject Reviewing the Sherford HIA

Suggestions for future support from South West Strategic Health Authority

What support is needed in the South West Project Regional Health Impact

Assessment Workshop 2 Page

14 / 18

Group Plenary discussion Subject Further support

Key messages that I will take away: Linking planning and health processes Inclusion of health issues in the planning process

Work closer with planners - especially on new applications within local authority to ensure health is considered from the start

Integrate health assessment at an early stage, not as an after thought. - Feed the above information back to colleagues. - Use the HIA to inform policy and therefore justify 106 contributions and outcomes. - Ensure HIA is concise, clear and structured to facilitate assessment, start with outcomes then outline how you will achieve these

The usefulness of HIA and importance of working with planning teams and Public Health should be involved in the early stages of planning

That there are a set of policy "rules" and that depending on who is around the table, it will determine the vision and principles that form the framework. As I said - it makes me feel that it could all be up for grabs - therefore need to be in there and form ongoing, effective relationships

Importance of HIA as part of planning assessment

Principles of health planning e.g connectivity, access etc., and including these principles into all developments

Building relationships between planning and health Closer working between health professionals and planning should be encouranged/implemented

To maintain and develop partnership with planners on new planning applications at a local authority level

Work closely with planners

Partnership working

Different vocabulary used by planners and health professionals

I learnt a considerable amount about planning processes. Having the opportunity to discuss issues/network was valuable

Health Impact Assessment processes Undertake HIA at early stage of work to ensure that health is considered at beginning

That HIA has a process - a number of stages - and how they can be explained/put together. Effectiveness = results of the HIA = make these clear

How the HIA is now carrying more weight with developers and the importance of emphasising the advantages of this

How to approach HIA consideration of quality and measurement

Clearly defined scope of HIA at start of project. Be aware of evaluation tools when determining content of HIA report

The integration of HIA in SA/SEA should be considered - investigating links between policies and health impacts. This could help to improve the policies and health

Complexities of combining health determinants.

Health Impact Assessment reflections Continue to improve learning - develop evidence base for share evidence base

There are some good structures/opportunities to conduct HIAs. Working alongside colleagues from other sectors is very rewarding and enriches the process. I will use the welcome regional resource library

To see if need to do HIA as I think most issues can be covered by undertaking sustainability appraisal

HIA is an evolving process and will stay!

The HIA process is relevant to sustain work as sustainable transport is all about environment/health benefits

HIA's are a good/useful tool for assessing how sustainable and healthy a new community might be. These documents benefit from being prepared by a multidisciplinary team. HIAs need "teeth" so should be built into policy/SPDs etc

The golden thread - health impact - environment issue - policy response → make it clear and explicit

Importance of carrying out HIA of major development proposals

Format of HIA report has an impact on health focus and can "disguise" some key issues

Post event feedback (45 attendees, 31 feedback forms)


Page

15 / 18

Group Individual feedback sheets

Subject Key messages that I will take away

An activity, action or change I could make in my practice: Partnership working Engage other departments in undertaking HIA to challenge assumptions and ways to look at things in a different light

Ensure input and partnership working with health and transport, planning in HIA for LTP3

Work more in partnership with planning teams to influence policy

To network with others. To look at integrating EIA (Equality Impact Assessments)

Partnership working

Develop conversation/partnership with the "other" sectors - develop the evidence base. -Research on evaluating effectiveness of HIA is needed

Meet with Director of Planning to discuss joint work - set up HIA workshop group in North Somerset (PCT, CC - planners - PH)

Linking agendas through HIA It is an on-going challenge to embed work with partners in the LA and really link all agendas into the HIA process - not just obesity/active travel but resilience/wellbeing/inequality/access to food etc

I will be able to actively promote the approach/resources within local partnerships. Think about HIA for population groups and enabling achievable behaviour change for better health

Be more involved with HIA - not sure how though…. Influence the CIL/section 106 process? Influence senior managers! Etc

Reference HIAs when negotiating new cycling/walking infrastructure projects

Try to make health more prominent, looking at the possibility of guidance with regards to if and when HIA should be required

Incorporating health assessments into individual applications and into our rural development toolkit process

I am not directly involved with HIAs but now have some understanding of their purpose and format

HIA use and involvement Familiarity with the spectrum appraisal

Use the HIA review package to assess HIAs and to develop the scope for any new HIAs I may be involved in commissioning

Start undertaking an HIA assessment at the earliest stage of a project

I will try and get East Devon DC to the next Devon HIA workshop and use their Blackhorse extension to focus on

Development of HIA to assess policy implications

Review documents/reports to see if they are logical

Inform Planning Advice Note on guidance for HIA and assessing them

Drawing attention within the LA to the need for HIA

Recommend HIA report as part of submissions

Development management and spatial planning Implement health and wellbeing initiatives in planning applications and embed as standard when considering apps

Viewing health in a more holistic way in relation to planning - transport, schools, open spaces, access to GP etc

Give health issues more weight

1) Check emerging core strategy for references to health and request use of HIAs a masterplanning strategic sites. 2) Check design/homezone SPD for health refs. 3) Raise awareness among colleagues for benefits of HIAs

Evidence base for decisions

Incorporate HIA principles into Environmental health programmes. Revision of housing and Built Environment modules



Page

16 / 18


Subject An activity, action or change I could make in my practice

Impressions of the usefulness of the session: The event, overall comments Quite useful

Really well structured day with a variety of activities

Could have been better if there were actual examples where a development shaped by HIA had been developed to see how the principles convert into reality. To an extent it will all come down to personal responsibility, for people to change their lifestyles, we can only make/create opportunities

Useful overview and introduction. Useful to experience different "worlds" and "assumptions" of public health professionals and planning professionals

Unsure of purpose of the session - thought it would be tailored more towards how we can use/do HIA but seemed more focussed on appraising BCA’s report

Assessing a HIA activities Going through a real example in an open and constructive environment demystified much of the process. Very helpful. Can you challenge Directors of Public Health (through RDPH) on how they are using HIAs and sharing experiences? This would support better dialogue

I found it pretty useful - I think the idea of critically appraising the HIA as a way of learning how to put one together has merit - but may be other ways to do this as well - to freshen it up. Good to be so interactive

Very Good. The case study on Sherford Masterplan

Very useful. Much easier to learn when studying ie case study

HIA review very good

Good - particularly use of the review package

Very useful to study Sherford HIA as there is an urban extension in Taunton Deane which could turn out to be rather similar (in scale, layout and location)

Very useful to critically appraise an HIA and in particular appraise the evaluation tool

Other specific activities I felt this was less useful than Weston (the previous workshop) but found the first exercise was very useful. Of all the exercises we did this was the best and more time would have been useful

Really useful day. Found group discussions and overview of Devon's HIA particularly useful

The mix of the group/networking opportunities Very useful, in particular having the time to work/chat with planners and discuss work areas from planning/public health point of view

Good to share experiences and expertise

Session has been useful particularly in meeting planners and working together from different viewpoints

Very useful having health and LA officers at the session to see successful links and partnerships

Good hands-on session with tasks. - Good balance of planners and public health representation

Good dialogue between health and planners which takes the understanding forward

New understandings I am not directly involved with HIAs but now have some understanding of their purpose and format

Good to understand the complexity of health issues in a major mixed use scheme.

Really useful and wanting me to explore the links between planning and health in more depth

Useful for clarifying what HIA should cover and how it should be done effectively



Page

17 / 18


Subject Impressions of the usefulness of the session

Content I would like to be covered in the future:

Evidence Evidence of successful UK developments and health outcomes

Evidenced statements to back up arguments - in one place kept up to date (on the website)

The range of evidence; qualitative, quantitative, management of the evidence, prioritisation and the link between evidence and democratic accountability and effectiveness

Evidence: - different types - different definitions - how to use. Impact of new planning system, changes to health structures

Planning processes, health and HIA As a public health practitioner I'd like to be better informed of planning processes and how to influence

More training and networking sessions for planners/public health would be very useful

More about policy - changes with new Govt. A brief overview of planning processes

More about policy/SPD development - appraisal of - Developing the use of HIA over time - link to sec 106 etc - Changing context

How will it link to section 106 agreements? Development appraisals using HIA

HIA in day to day development control situation i.e. small developments or development other than housing. - Evidence base for HIA? What/where is it found? - Evaluation of developments (built) HIAs

HIA application to cover strategy

Relevance to planning applications on various scales

HIA process Learning how to structure and undertake an HIA.

Learning how to structure and write a Health Impact Assessment. Some training in this would be exceptionally useful

Cost of HIAs. Consultation and assessment techniques interviews etc……

More of same - applying and developing tools → costs. Application and practice → Programme budgets. Define what a healthy community looks like → QALYS

How to do one

HIA application and links to other assessments Integration of HIA into other forms of assessment eg SEA

People to share how it has been done quickly and cheaply (as resources are at a premium). Links to EIA and other assessments - make best use of other process if that is all we can do

HIA/EIA the big picture what relationship has HIA to health protection

Integration of HIA in SA/SEA 2

More practice/information about how we can use HIA, especially in house and incorporating it into master planning or SA as many Local authorities have limited funds to commission this sort of work!

More examples Real life examples that have been built out where a development shaped by HIA had been developed to see how the principles convert into reality

Can we look at built projects or programmes that were HIAs to see what influence the HIA had on that development and if it has been successful. What exemplary HIAs are there for local transport plans

More examples of other HIAs in the country

Any developments which have actually been completed + HIA'd. HIA of policy documents

Other suggestions to add value I think some input from developers would be useful as a different perspective and to highlight the partnership nature of the work - they are a partner we seem to miss out

Take the transport aspect further

Wider appreciation of health issues and their importance to community



Page

18 / 18


Subject Content I would like to be covered in the future

For more information about HIAs visit: http://www.bne.uwe.ac.uk/who/hia/basics.asp For information about the HIA work in the South West: http://www.bne.uwe.ac.uk/who/hia/regional.asp Feedback from the Health Impact Assessment workshops will be used to influence future support in the South West. If you would like further information about this programme of work, please contact Peter Ashcroft: [email protected]

http://www.bne.uwe.ac.uk/who/hia/basics.asp

http://www.bne.uwe.ac.uk/who/hia/regional.asp


Documents

SOUTH WEST STRATEGIC HEALTH AUTHORITY resource… · Jodie Boex Transport Policy Officer Cornwall Council Julian Bolitho Regional Director WYG Planning & Design Gareth Bradford Devon