www.hertsdirect.org

Health in All PlacesSpatial Planning:

www.hertsdirect.org

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

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.

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

www.hertsdirect.org

National legislation

• Localism Act https://www.gov.uk/government/publications/localism-act-2011-overview

• Community rights• Neighbourhood planning

• National Planning Policy Frameworkhttps://www.gov.uk/government/uploads/system/uploads/attachment_data/file/6077/2116950.pdf

• National Planning Policy Guidancehttp://planningguidance.planningportal.gov.uk/

www.hertsdirect.org

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

www.hertsdirect.org

National Planning Policy - GuidanceAir qualityClimate changeDesignEnsuring the vitality of town centresEnvironmental Impact AssessmentFlood Risk and Coastal ChangeHazardous SubstancesHealth and wellbeingHousing and economic development needs assessmentsHousing and economic land availability assessmentLand affected by contaminationLand StabilityLawful development certificatesLight pollutionLocal PlansNatural EnvironmentNeighbourhood PlanningNoise

Open space, sports and recreation facilities, public rights of way and local green spacePlanning obligationsRenewable and low carbon energyRural HousingStrategic environmental assessment and sustainability appraisalTransport evidence bases in plan makingTravel plans, transport assessments and statements in decision-takingTree Preservation Orders and trees in conservation areasWasteWater supply, wastewater and water quality

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?

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.pdf

• https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/6249/2044135.pdf

www.hertsdirect.org

Challenges or Opportunities 1• 3 Tier AreasNot 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!

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?

www.hertsdirect.org

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-disorder-strategies

• 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

www.hertsdirect.org

Sustainable Development

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

www.hertsdirect.org

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

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

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

www.hertsdirect.org

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

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/

www.hertsdirect.org

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

www.hertsdirect.org

thank you