This was a session on health in spatial planning delivered for a Local Government Association and Association of Directors of Public Health Policy Workshop
3. www.hertsdirect.org
Hertfordshire’s public sector!
• 1 County (including the Fire Authority),
• 10 Districts/Boroughs,
• 130 Parishes & Town & Community Councils
• Police and Crime Commissioner
• Hertfordshire Constabulary
• East of England Ambulance Service
• 1Health & Wellbeing Board
• 1 LEP
• 2 (3) CCG’s
• 2 Acute Trusts
• Strong Third Sector
4. The Determinants of Health
Smoking 10%
Diet/Exercise 10%
Alcohol use 5%
Poor sexual health
5%
Health
Behaviours 30%
Education 10%
Employment 10%
Income 10%
Family/Social
Support 5%
Community
Safety 5%
Socioeconomic
Factors 40%
Access to care
10%
Quality of care
10%
Clinical Care 20%
Environmental
Quality 5%
Built Environment
5%
Built Environment
10%
Source: Robert Wood Johnson Foundation and University of
Wisconsin Population Health Institute. Used in US to rank
counties by health status
While this is from a US context it does have significant
resonance with UK Evidence, though I would want to increase
the contribution of housing to health outcomes from a UK
perspective.
5. www.hertsdirect.org
Spatial Planning v Sustainable
Development
THEN
•Town and Country Planning Act – 2008
NOW
•Localism Act - 2011 Neighbourhood Planning
•National Planning Policy Framework - 2012
•National Planning Policy Guidance
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National legislation
• Localism Act https://
www.gov.uk/government/publications/localism-act-2011-overview
• Community rights
• Neighbourhood planning
• National Planning Policy Framework
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/6077
• National Planning Policy Guidance
http://planningguidance.planningportal.gov.uk/
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National Planning Policy Framework
Achieving sustainable development:
•Building a strong, competitive economy;.
•Ensuring the vitality of town centres;
•Supporting a prosperous rural economy;
•Promoting sustainable transport;
•Supporting high quality communications infrastructure;
•Delivering a wide choice of high quality homes;
•Requiring good design;
•Promoting healthy communities;
•Protecting Green Belt land;
•Meeting the challenge of climate change, flooding and coastal
change; Conserving and enhancing the natural
8. www.hertsdirect.org
National Planning Policy - Guidance
Air quality
Climate change
Design
Ensuring the vitality of town centres
Environmental Impact Assessment
Flood Risk and Coastal Change
Hazardous Substances
Health and wellbeing
Housing and economic development needs
assessments
Housing and economic land availability assessment
Land affected by contamination
Land Stability
Lawful development certificates
Light pollution
Local Plans
Natural Environment
Neighbourhood Planning
Noise
Open space, sports and recreation facilities, public
rights of way and local green space
Planning obligations
Renewable and low carbon energy
Rural Housing
Strategic environmental assessment and sustainability
appraisal
Transport evidence bases in plan making
Travel plans, transport assessments and statements in
decision-taking
Tree Preservation Orders and trees in conservation
areas
Waste
Water supply, wastewater and water quality
9. www.hertsdirect.org
National Planning Policy – Guidance 2
• What is the role of health and wellbeing in
planning?
• What are the links between health and
planning?
• Who are the main health organisation a
local authority should contact and why?
• How should health and well-being and
health infrastructure be considered in
planning and decision making?
• What is a healthy community?
10. www.hertsdirect.org
Neighbourhood Planning
• Neighbourhood planning will allow communities, both residents, employees
and business, to come together through a local parish council or
neighbourhood forum and say where they think new houses, businesses
and shops should go – and what they should look like.
• Reforms the way local plans are made Local planning authorities play a
crucial role in local life, setting a vision, in consultation with local people,
about what their area should look like in the future. The plans local
authorities draw up set out where new buildings, shops, businesses and
infrastructure need to go, and what they should look like.
• Life time neighbourhoods
• https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/404787/Notes_on_NP_14
• https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/6249/2044135.pdf
11. www.hertsdirect.org
Challenges or Opportunities 1
• 3 Tier Areas
Not all departments are in the same building?
– The County Council
• Highways and Transport
• Waste Disposal
• Environment (Definitive Rights of way)
• Social Services
• Community Safety
• Fire Authority
• Public Health
– District/Borough
• Planning (Development Management, Policy, Enforcement and Building Control)
• Licensing (Alcohol and Taxi)
• Environmental Health
• Housing (some authorities)
• Leisure, Culture, Open spaces
• Health?
– Towns and Parishes – Localism!
– New Homes Grants!
12. www.hertsdirect.org
Challenges or Opportunities 2
• Are planners more caught up on getting the number of
houses required by DCLG to think about the public
health challenges
• Do Planners recognise what they can do to help the
Public Health agenda?
• What does public health mean to Council officers?
• Joint Strategic Needs Assessment – do planners use
evidence effectively enough? Are JSNA’s good enough?
• Where do Health and Wellbeing Boards Fit?
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What else is out there?
• Health & Social Care Act 2013 -
http://www.legislation.gov.uk/ukpga/2012/7/contents/enacted
• Care Act 2014 -
http://www.legislation.gov.uk/ukpga/2014/23/contents/enacted
• Community Safety Partnership -
http://www.legislation.gov.uk/ukpga/1998/37/part/I/chapter/I/crossheading/crime-and
• Local Transport Plans -
http://www.hertsdirect.org/services/transtreets/ltplive/
• Waste Management Plans –
• Licensing Laws – Licensing Act 2003 – https://www.gov.uk/alcohol-licensing
• Police & Crime Commissioners Plans
15. www.hertsdirect.org
Re-uniting health with planning
• Develop planning policy to tackle
three public health concerns facing
Hertfordshire:
– the prevalence of hot food
takeaways,
– alcohol consumption
– and access to high quality green
spaces
– Worked with Town and Country
Planning Association
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Rationale
• The provision of current and future healthcare
services and infrastructure
• The removal of environmental “things” which
negatively affect human health
• The provision of those things which have
positive impact on human health
• Building and embedding a culture of Public
Health approaches across Hertfordshire
• Quick Wins
17. www.hertsdirect.org
Ultimate aim: The Public Realm as a
PH Portfolio
• Planning
• Countryside as setting for PH
• Housing
• Environmental infrastructure
• Tobacco Control (smoke free playgrounds)
• Sustainability
• Safety (20mph limits scrutiny done and we are
putting in place some zones now)
• Health and Place lead in post
18. www.hertsdirect.org
Hot Topic: Planning in Broxbourne
• Obesity in core strategy
• Planning approach to Obesity
– Children
– Adults
• Whole System Obesity Pilot for Herts
• Sustainable Community Strategy and Core
Strategy has Health Ambitions
• Inputs into Herts Quality of Life report
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Hot Topic: Alcohol
• Licensing issue
• Crosses 3 County portfolios and 10 Districts
• Police and Crime Commissioner
• New governance workshop
• New Strategy, New Governance, New Approach
• Inputs into Herts Quality of Life report
• Workplan being developed
20. www.hertsdirect.org
Mainstreaming: Building Futures
• Building Futures is an evolving web-based guide,
designed to provide practical, user-friendly and up to
date guidance for planning officers, developers and the
general public on how to make development in
Hertfordshire more sustainable and of a higher quality in
design terms.
eleven local authorities of Hertfordshire
• create a guide relevant to the Hertfordshire context,
rather than metropolitan locations, which most central
government guidance tends to focus on.
• Public Health Engaged
http://www.hertslink.org/buildingfutures/
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So...
• Health and Wellbeing Board have agreed on
sustainability as a core objective. Public Health
pulling work together
• Place and Health Lead employed in Public
Health
• Licensing, Alcohol and Obesity all in agreed
multi agency workplans
Using Housing as an exemplar, this interactive session will be of practical value to the wide range of participants attending the conference. It will introduce and explore the opportunities and challenges involved in implementing the Health and Health Equity in All Policies approach. The session will provide an overview of and explore the rationale for Health and Health Equity in All Policies. It will examine how Public Health can maximise opportunities to lead and influence across the whole of local government and will present an illustrative case study on Housing and Health and discuss how learning can be effectively transferred and embedded. (Room: Alexander Graham Bell)
LDF’s 2 in place
8 still to be approved
Uncertainty
80% greenbelt
NIMBY
Transport
A1M
M1
M25
Rail – East Coast/West Coast
Cycle paths
A414
Transport visioning
Teach you all to suck eggs
Spatial planning involves ‘critical thinking about space and places as the basis for action or intervention’, according to the Royal Town Planning Institute’s New Vision for Planning (RTPI, 2007). Planning Policy Statement 1: Delivering Sustainable Development (ODPM, 2005a) also emphasises that ‘spatial planning goes beyond traditional land use planning to bring together and integrate policies for the development and use of land with other policies and programmes which influence the nature of places and how they can function’. The planning system is now more than ever concerned with promoting the role of planning as a coordinator, integrator and mediator of the spatial dimensions of wider policy streams. The focus is thus with addressing the factors that influence the nature and functioning of the places we live in and what is referred to as their ‘liveability’.
Planning Policy Statement 12: Local Spatial Planning (4 June 2008) – replaced by NPPF
NPPF – SUSTAINABLE DEVELOPEMNT
NPPF Guidance
Localism Act
Neighbourhood planning
The Localism Bill was introduced to Parliament on 13 December 2010, and was given Royal Assent on 15 November 2011, becoming an Act.
Community Rights will benefit communities across the country, giving them more power to shape local development and services. We carried out impact assessments on the Community Right to Challenge, Community Right to Bid and on neighbourhood plans and the Community Right to Build.
There are three dimensions to sustainable development: economic, social and environmental. These dimensions give rise to the need for the planning system to perform a number of roles: ● an economic role – contributing to building a strong, responsive and competitive economy, by ensuring that sufficient land of the right type is available in the right places and at the right time to support growth and innovation; and by identifying and coordinating development requirements, including the provision of infrastructure; ● a social role – supporting strong, vibrant and healthy communities, by providing the supply of housing required to meet the needs of present and future generations; and by creating a high quality built environment, with accessible local services that reflect the community’s needs and support its health, social and cultural well-being; and ● an environmental role – contributing to protecting and enhancing our natural, built and historic environment; and, as part of this, helping to improve biodiversity, use natural resources prudently, minimise waste and pollution, and mitigate and adapt to climate change including moving to a low carbon economy.
Achieving sustainable development:
Building a strong, competitive economy;.
Ensuring the vitality of town centres;
Supporting a prosperous rural economy;
Promoting sustainable transport;
Supporting high quality communications infrastructure;
Delivering a wide choice of high quality homes;
Requiring good design;
Promoting healthy communities;
Protecting Green Belt land;
Meeting the challenge of climate change, flooding and coastal change; Conserving and enhancing the natural
We have revised and updated planning practice guidance to make it accessible.
Air quality
Climate change
Design
Ensuring the vitality of town centres
Environmental Impact Assessment
Flood Risk and Coastal Change
Hazardous Substances
Health and wellbeing
Housing and economic development needs assessments
Housing and economic land availability assessment
Land affected by contamination
Land Stability
Lawful development certificates
Light pollution
Local Plans
Natural Environment
Neighbourhood Planning
Noise
Open space, sports and recreation facilities, public rights of way and local green space
Planning obligations
Renewable and low carbon energy
Rural Housing
Strategic environmental assessment and sustainability appraisal
Transport evidence bases in plan making
Travel plans, transport assessments and statements in decision-taking
Tree Preservation Orders and trees in conservation areas
Waste
Water supply, wastewater and water quality
Not all departments are in the same building?
The County Council
District/Borough
Towns and Parishes
New Homes Grants!
What is spatial planning?
Who implements it?
Are planners more caught up on getting the number of houses required by DCLG to think about the public health challenges
Do Planners recognise what they can do
What does public health mean – do we introduce the illness and wellness service before we can move on?
CSP’s Crime and Disorder Act 1998
Community safety partnerships (CSPs) are made up of representatives from the ‘responsible authorities’, which are the:
police
local authorities
fire and rescue authorities
probation service
health
The responsible authorities work together to protect their local communities from crime and to help people feel safer. They work out how to deal with local issues like antisocial behaviour, drug or alcohol misuse and reoffending. They annually assess local crime priorities and consult partners and the local community about how to deal with them.