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Rapid Health Impact Assessment BRAND Project – Rhyl Denbighshire County Council March 2010
Rapid Health Impact Assessment
BRAND Project – Rhyl
Denbighshire County Council
March 2010
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Acknowledgements
Thank you to all the stakeholders and facilitators who gave their time to attend and contribute to the participatory stakeholder workshop.
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Contents
1.0 Introduction 4
1.1 Health Impact Assessment 4
1.2 The BRAND Project 5
1.3 Policy Context 7
1.4 Community Profile 8
1.5 Wales Health Impact Assessment Support Unit 9
2.0 Methodology 10
2.1 Why a ‘Rapid’ HIA? 10
2.2 Participatory Stakeholder Workshop 10
2.2.1 The workshop 10
2.2.2 Participants 10
2.2.3 Format of the day 10
2.3 Producing the Report 11
3.0 The Rapid Health Impact Assessment 11
3.1 Identifying potentially affected groups 11
3.2 Impacts upon health of the local population 12
3.3 Summary of impacts 13
3.4 Key Issues 19
3.5 Summary of Recommendations 19
4.0 Conclusion 20
5.0 Next Steps 20
REFERENCES 21
APPENDICES 22
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1.0 INTRODUCTION
1.1 Health Impact Assessment Health Impact Assessment (HIA) is a process which supports organisations to assess the potential consequences of their decisions on people’s health and well-being. The Welsh Assembly Government is committed to developing its use as a key part of its strategy to improve health and reduce inequalities (Wales Health Impact Assessment Support Unit, 2009; Secretary of State for Wales, 1998)
Health impact assessment provides a systematic yet flexible and practical framework that can be used to consider the wider effects of local and national policies or initiatives and how they, in turn, may affect people’s health. Health impact assessment works best when it involves people and organisations who can contribute different kinds of relevant knowledge and insight. The information is then used to build in measures to maximise opportunities for health and to minimise any risks. It also provides a way of addressing the inequalities in health that continue to persist in Wales. The systematic approach uses the wider or social determinants of health (Figure 1) as a framework for appraisal and leads to realistic recommendations. The Wales Health Impact Assessment Support Unit (WHIASU) was established to support the process in Wales and provide advice and guidance for those who wish to undertake HIA’s.
Figure 1: Wider determinants of health (Source: Dalgren and Whitehead, 1991)
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1.2 The BRAND Project BRAND is a three year project 75% funded by the European Regional Development Fund (ERDF) through the EU's Ireland-Wales 2007 - 2013 Interreg IVA programme. This programme is an EU community initiative that aims to strengthen economic and social cohesion by promoting international and cross-border co-operation. The partners are:
Denbighshire County Council, Wales Isle of Anglesey County Council, Wales Kildare County Council, Ireland Dun Laoghaire-Rathdown County Council, Ireland.
The Lead Partner is Denbighshire County Council. The project came about as the towns of Rhyl, Holyhead, Athy, and Dún Laoghaire have undergone physical/capital scheme regeneration works, but have difficulties with the way in which they are perceived by 4 different sectors:
Residents Businesses The tourism & hospitality sector External opinion formers
This affects community regeneration adversely. The aim of BRAND is therefore:
• To develop and test a method of place re-branding re-engaging communities.
• To create a toolkit of the methodology developed and make this available to other areas as a template for community regeneration.
Activities include:
• Carrying out a brand audit, including an exercise of ‘raking’ both the strengths and image contamination factors in each of the 4 towns.
• Delivering brand action plans and changing perceptions from negative to positive.
To do this needs community engagement helped by a place-branding expert. The following groups will be created:-
• Joint steering group to manage project risk
• A local stakeholder group in each of the 4 towns to engage a variety of stakeholders
• Joint stakeholders' forum to engage 4 local stakeholder groups
• Project officer team to manage and deliver the project The integrated management structure is: - 1 project support officer in each town
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- 1 overall project coordinator - 1 project assistant. In the partnership each of the 4 local authorities will lead on one programme within the project, as follows:
• Denbighshire CC: Monitoring and Evaluation of the project to safeguard against project drift and ensuring project targets are met.
• Anglesey CC: Ambassador Programme which is envisaged as e.g. workshops for local groups to assist them becoming positive voices for their area.
• Kildare CC: Toolkit which charts the project and the creation of the methodology in a way which is user friendly to those outside the project.
• Dún Laoghaire - Rathdown CC: Virtual branding which is envisaged as exploring new ways to chart the project progress and engage with the stakeholder groups including the youth sector using IT.
Audience/target groups
• Project partners
• Residents
• Businesses
• The tourism & hospitality sector
• External opinion formers. Goals/objectives The project has the specific aim of producing a methodology by which communities can be engaged with re-branding their towns. A successful methodology will be constructed (Toolkit), which charts the exercise of town re-branding for each of the four towns, boosting competition, image and community well being. The 4 objectives are:- 1. Identifying and developing the brand of each town This is a major objective of the project, as the concept of identity is fundamental in developing a positive image of a place. Identity is critical, as it brings general cohesion and unity to a cause within a community. 2. Establishing a sustainable cross-border model for urban re-branding (development of a methodology/ toolkit) This will be developed through a coherent methodology, including a forum to allow stakeholders to be engaged. The project intends to cover 4 areas of intervention: residents, businesses, the tourism & hospitality sector and opinion formers. It is crucial to ensure that the cross-border element of the project is kept strong and that the end model is one that is equally complementary to all four towns.
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3. Developing a community understanding of the need for sustainable development It is crucial to engage with internal stakeholders, as they are ambassadors of the towns, and will be integral in portraying a positive image to external stakeholders. 4. Devising new research and consultation processes Although brand repositioning has been undertaken for cities it has not been explored before in this way for the benefit of communities in partnership in the Ireland-Wales cross border area. The project will seek an external advisor who will assist in providing a common methodology underpinning the project. The results will form a Toolkit which will be used for dissemination purposes. It is hoped this objective will give a model of best practice that can be used by other communities. All four towns share elements of poor/limited self image, misconceived external reputation and have a shared need to improve community well being. The method is built around improving the reputation of the areas thus unifying all stakeholders and improving sustainability. Also, this project seeks to improve the ability of the four communities to create more positive opportunities and develop ‘ambassador thinking’ in the community. A town with a positive self image will become a more sustainable place. Expectations / outputs The outputs of the project will be: Place branding activity and the joint toolkit/methodology. The results will be: Rhyl, Holyhead, Athy and Dun Laoghaire with new and positive place brands Each town to have completed a place branding programme One overall methodology of place branding 6 sub actions/links created between the towns (in areas of health & leisure, heritage and culture) The impact will be: Community revitalisation and increased and sustained socio-economic well-being in the four towns. 1.3 Policy Context Ireland-Wales Programme 2007-2013 (www.irelandwales.ie): The project is compliant to the overall objectives of the programme in that it contributes to the cross-border region’s greater competitiveness and social well-being, through attempting to develop an attractive image to external stakeholders, such as outside investors; and it brings general revitalisation to the economy, by stimulating growth, and contributes to social well-being by restoring a sense pride within internal stakeholders. In addition, the project is specifically compliant with Priority 2, Theme 2 of the Programme (the sustainable regeneration of communities). This is because the project has the aim to
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‘renew’ the image of communities, which is a strong element of sustainable regeneration; it is an attempt to regenerate both the internal and external images of communities. North Wales Coast 2016 Action Plan: This Welsh Assembly Government action plan designates part of the North Wales Coast as a Single Regeneration Area (SRA). Although it is not directly funded by the SRA the project in Rhyl is consistent with its aims, especially in the area of Community Cohesion (one of the 6 core themes of the SRA) which "encourages and supports the development of vibrant and self-confident communities" (Welsh Assembly Government, 2009) Denbighshire County Council: The project is consistent with DCC's "A Vision for Denbighshire 2025" 1.4 Community Profile
At the time of the 2001 Census (Office of National Statistics), Rhyl had a population of 24,889. Rhyl has long been a popular tourist destination for people all over Wales and North West England. Rhyl is accessible by road, rail, and air via Liverpool Airport and sea via Holyhead. The area had declined dramatically by 1990, but has since improved due to a series of regeneration projects bringing in major investment. However the July 2008 publication of the updated Welsh Indices of Multiple Deprivation confirms that despite all regeneration efforts to date 3 of Rhyls’ 5 wards are within the 5 worst in Wales.
Overall Scores for Bottom 10% of LSOAs within the SRA (1,896 in dataset) Rank Score LSOA name ONS description
1 81.0 Rhyl West 2 Denbighshire 2 78.1 Butetown 2 Cardiff 3 77.9 Queensway 1 Wrexham 4 77.6 Rhyl West 1 Denbighshire 5 74.5 Rhyl South West 2 Denbighshire
Source: Welsh Index of Multiple Deprivation 2008 (WIMD) - Summary Report
Unemployment figures for some areas of Rhyl are above the national average with 17.7% in Rhyl West and 7.2% in Rhyl South West. This is despite the fact that the Denbighshire coastal area has seen a large number of jobs created over the past decade (6,000 new jobs between1997-2007). 30.8% of working age people in Rhyl receives employment or health/carer related assistance compared with 18.2% across Denbighshire. There are significant variations across town wards - while Rhyl South East is comparable to the Denbighshire average, almost 55% of people in Rhyl West are benefit recipients with 28.7% on incapacity benefits alone.
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The percentage of elderly people (defined here as those over 65) living within Rhyl is 19.6%, slightly lower than the figure for Denbighshire as a whole (20.2%) but higher than the Wales (17.4%) average. In Rhyl, the pattern varies considerably with Rhyl West (12.9%) and Rhyl South West (13.6%) having a significantly lower elderly population compared with Rhyl East (32.9%) and Rhyl South (25.3%). The housing stock in Rhyl East reflects the above average age profile of residents with a large number of small, closely spaced bungalows of variable quality. 30.8% of working age people in Rhyl receives employment or health/carer related assistance compared with 18.2% across Denbighshire. There are significant variations across town wards - while Rhyl South East is comparable to the Denbighshire average, almost 55% of people in Rhyl West are benefit recipients with 28.7% on incapacity benefits alone. 1.5 Wales Health Impact Assessment Support Unit The Wales Health Impact Assessment Support Unit (WHIASU) is funded by the Welsh Assembly Government, through Public Health Wales. WHIASU is based in the Cardiff Institute of Society and Health, which is part of Cardiff University’s School of Health Sciences, and is funded to cover North and South Wales. The key roles of WHIASU are:
• To support the development and effective use of the health impact assessment approach in Wales through building partnerships and collaborations with key statutory, voluntary, community and private organisations in Wales.
• To provide direct information and advice to those who are in the process of conducting health impact assessments.
• To contribute to the provision of new research, and provide access to existing evidence, that will inform and improve judgements about the potential impacts of policies, programmes and projects.
The WHIASU can be contacted at: Dr Eva Elliot Wales Health Impact Assessment Support Unit, CISHE, 1-3 Museum Place, Cardiff Tel: 02920 879161 E-mail: [email protected] Liz Green Wales Health Impact Assessment Support Unit, Croesnewydd Hall, Wrexham Technology Park, Wrexham Tel: 01978 313664 E-mail: [email protected]
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2.0 METHODOLOGY 2.1 Why a “rapid” HIA? HIAs can be categorised in two ways. Firstly, “in-depth” HIAs, which are conducted over a matter of weeks or months, and secondly “rapid” HIAs, which are completed in hours or days. Rapid HIA is clearly useful where a short period of time is available. A key element of rapid HIA is a participatory stakeholder workshop where key individuals are brought together to examine the proposal and gather lay and community knowledge building on existing evidence either qualitative or quantitative.
2.2 Participatory stakeholder workshop 2.2.1 The workshop The rapid HIA was undertaken at a one-day participatory stakeholder workshop, held on Friday 15th January 2010, at Rhyl Community Fire Station. A copy of the letter sent out to invitees can be seen in appendix 1. 2.2.2 Participants There were 18 participants, from a variety of sectors and backgrounds, including representatives of the Local Authority, Public Health and voluntary community groups. A full list of participants can be found in appendix 2. A week before the event, those who had booked were sent the background information to the project and some information on what a Health Impact Assessment is. They were asked to read the information before coming to the workshop. Although they would be given the information again it was felt that it would be difficult to take in on the day and the participants needed time to absorb the information beforehand in order to participate in a more meaningful way. 2.2.3 The format of the day The day began at 9.30am and concluded at 1pm. There was an introduction to the BRAND project and a presentation on health impact assessment and the workshop screening exercise. Following the presentations, stakeholders and vulnerable groups were identified, the evidence was appraised and recommendations were made. The full programme can be found in appendix 3.
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2.3 Producing the report
The BRAND team and Liz Green (WHIASU) used the material gathered at the workshop to compile this report of the potential health impacts of the BRAND Project, Rhyl and recommendations as to how adverse effects could be minimised and beneficial effects maximised. The report was shared with the individuals present at the stakeholder workshop for comment before being finalised and submitted to Denbighshire Conwy County Council to take forward the recommendations.
3.0 THE RAPID HEALTH IMPACT ASSESSMENT 3.1 Identifying potentially affected groups. At the beginning of the screening session, participants were asked to identify vulnerable and/or disadvantaged groups who may be affected by The BRAND Project in Rhyl. Participants chose from a list of population groups including those who were particularly vulnerable to the cause of ill health. This was expanded to include wider stakeholders affected by the project which could be used as the basis of the stakeholder group later in the project. Appendix 4 contains the list of possible stakeholders taken from “Improving Health and Reducing Inequalities”. Groups that participants felt may be affected by the BRAND Project were:
• All Rhyl residents
• Tourists
• Residents of neighbouring towns
• Groups involved in the arts / culture.
• Participation of those who are not currently engaged – all ages: o Anti poverty network o CYPP / MSCUB o Rhyl TC o RCS – participation officer o Communities First o RYAG o Transitional
• People living in areas with known poor economic indicators.
• Income related groups.
• Older people
• Children & young people
• Islamic and groups from other cultures.
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3.2 Impacts upon health of the local population The vulnerable and/or disadvantaged groups identified would be considered in terms of positive or negative health-related impacts upon their: • Lifestyles • Social and community influences on health • Living/environmental conditions affecting health • Economic conditions affecting health • Access and quality to services Participants used a health and well-being determinants checklist (see appendix 5) in order to assist them in focusing their thought, and to help them to make a judgement as to the likely impacts of the Project upon the different health determinants.
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3.3 Summary of impacts Within the workshop, ddiscussion was wide ranging and covered more widely the impacts of regeneration in Rhyl as well as the BRAND Project specifically. The following table describes the key issues / potential impacts (both direct and indirect) of elements of the BRAND project in Rhyl which emerged from the discussion of the issues.
1.Lifestyles
Positive/Opportunities (+ve) Negative/Issues (-ve)
Promotion of:
• Cycling developments
• BMX track as part of the SRA
• Walking / cycling tracks linking to network
• Fishing – Brookfield pond
• Proposed allotments
• Recreational classes – arts and crafts
• F- factor project (increasing healthy eating and physical activity in under 12s)
Possibility to promote range of restaurants which are currently in situ and development of new Liaise with community focused schools officer – active lifestyles Potential to improve the night time economy which currently has limited scope
Lack of marketing what’s available e.g. cycling map Night time economy has limited range Lack of family establishments for food and drink is a potential barrier
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2 Community and Social Influences
Positive (+ve) Negative (-ve)
BRAND Project activities may contribute to:-
• Enhancing local pride;
• Promotion of positive thinking via good news stories;
• Enhancing community identity through positive images;
• Feeling good about being here;
• Project / service implementation Impact on promoting sports / leisure / cultural events such as:
• Rhyl week
• ‘fun in the sun’
• Wales in bloom Ambassador programme Encouraging community involvement Linking with the SRA Community Cohesion Officer Cross border towns/counties will benefit
Have to overcome perception that the media does not portray good news stories – likes to focus on negative Nowhere to continue night out following cinema / theatre Raising expectations and not delivering the project Risk of increasing / reinforcing negative perceptions
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3 Environmental and Living Conditions
Positive (+ve) Negative (-ve)
Linking in with regeneration agenda e.g. houses of multiple occupation (HMO) redevelopment and Warm Wales Highlighting existing environmental assets e.g. areas for picnics, bowling green, botanical gardens, café, clean beach award Potential to tie in with county strategies: deposit LDP, County play strategy Perceptions of risk – local statistics show that levels of crime have decreased– opportunity to highlight this.
Pace of physical change may not be quick enough for the public Press may remain negative Communities affected by change may prefer status quo Deposit LDP could hold back developments Potential barrier of existing infrastructure i.e. roads, car parks etc. May need to address perceptions of ‘risk’
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4 Economic
Positive (+ve) Negative (-ve)
Effectively promote the area to suppliers and support investment and draw in employment / businesses Tie in with the Rhyl City Strategy (RCS) team Focus on positives e.g. affordable housing – SRA and deposit LDP
Image portrayed:
• Seasonality of employment – pay generally low
• Black economy – cash paid
• Key workers living in caravan parks There are certain truths behind this but the project could use facts to ‘myth bust’ and promote good aspects to counter this.
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5 Access to Services Positive (+ve) Negative (-ve)
Integrated primary care centre enhances positive services. Promote careers / JCT / College / Working links / RCS – services accessible and support available for residents SRA support for shopping development - ‘good story’ from Rhyl to bring inward investment Public transport – promote quality and access to services.
Perceptions of drug use / lack of treatment and preventative services barrier to positive promotion of Rhyl. Royal Alex Hospital – what will happen to the building – future usage discussion required Insufficient family restaurants / tapas / shops – quality reinforces perceptions Bee and Station Hotel – boarded up opposite the train station gives negative first impressions to visitors.
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6 Macro
Positive (+ve) Negative (-ve)
Making connections with other policy areas – regeneration and sustainable development SRA provides major opportunities to change Rhyl Able to ‘sell’ the difference made through the project activities.
Budget and resource constraints across all sectors
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3.4 Key Issues: Out of the session, several cross-cutting themes emerged:
• County border not recognised by visitors / service providers. Boundaries are blurred – the project will have implications wider than Rhyl.
• Project will need to liaise with groups involved in the arts / culture.
• Project could make Rhyl more attractive for business to invest in the town.
• Project should make the most of Rhyl and recognise that it is seen as an affordable / attractive place to visit with the average spend increasing and high level of repeat visitors.
• Learning from best practice and experiences from elsewhere e.g Margate. How are the press reporting in other seaside towns?
• Need to ‘believe’ that change is happening – perceptions of Rhyl from communities’ perspective is key.
• Feedback does not happen on a regular basis – need to share the ‘vision’ with our residents.
• Transiency issues – how to address these?
• Project needs to be aware of the difficult economic climate and the result of this– decrease in jobs, impact on retail sector.
• Need to consider – who are the key stakeholders in this project? 3.5 Summary of Recommendations Having identified the potential impacts upon the health and well-being of the affected groups, the session then focused on key opportunities to maximise the potential improvements to peoples’ health and well-being, and to minimise the potential harmful effects upon peoples’ health and well-being, arising from any indirect initiatives through the BRAND Project. From the appraisal session, it became clear that there were several cross-cutting themes emerging and issues to consider. These included:
1. Media 2. Partnership working and integration 3. Image
Key recommendations are summarised below: 3.4.1 Media
• Strategy to be developed.
• Promote work to be undertaken by regional / national media.
• Presentation to be given by partners re current and future developments.
• Involve the media in our work.
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3.4.1 Partnership working and integration
This is central to the project and will be incorporated in all aspects of the work i.e. community engagement, stakeholder involvement, working in partnership with the three other towns involved in the project. 3.4.3 Image
Boards on buildings that are derelict / under development – messages on them about what is happening – scope for local artists. Learning from best practice and experiences of other seaside towns as well as the other project partners. 4.0 Conclusion The aim of this rapid Health Impact Assessment was to identify the potential health and wellbeing impacts of the BRAND Project in Rhyl, identify local stakeholders who could be included in future stages of the project and make recommendations as to how project delivery could be informed in order to remove or minimise detrimental health and wellbeing impacts, and maximise positive or beneficial effects upon health and wellbeing. The feedback from the session was very positive and many found the HIA process a useful and informative way of discussing the nature of the development and meeting with other partners and stakeholders to hear their perspectives. The evaluation comments are included in Appendix 6. 6.0 Next Steps This report will act as a guide as the BRAND project in Rhyl develops and will help to inform the stakeholder group as they formulate the action plan for the town, giving particular consideration to the three key cross-cutting themes identified in section 3.5. It is anticipated that the other three partners of the BRAND project will carry out HIA’s within the towns of Holyhead, Athy and Dun Laoghaire over the next three months. All partners will be expected to conduct a follow up exercise in year three of the project to review and extend the findings of their individual HIA’s.
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References
1. Denbighshire County Council ‘A Vision for Denbighshire 2025’. Available: http://www.denbighshire.gov.uk/en-gb/DNAP-75NNAT
2. HIA Gateway website http://www.apho.org.uk/default.aspx?QN=P_HIA 3. Ireland-Wales Programme 2007-2013: http://www.irelandwales.ie/ 4. Office of National Statistics, http://www.statistics.gov.uk/hub/index.html 5. Secretary of State for Wales (1998) Better health, Better Wales. London:
Welsh Office. 6. The Review of Health and Social Care in Wales Report of Project Team
advised by Derek Wanless June 2003 7. Wales Health Impact Assessment Support Unit (2009) Welcome to WHIASU.
Available: www.whiasu.wales.nhs.uk 8. Welsh Assembly Government (2003-4) Welsh Health Survey 2003-4. 9. Welsh Assembly Government (2004) Improving Health and Reducing
Inequalities: A practical guide to health impact assessment. Available: http://www.wales.nhs.uk/sites3/Documents/522/improvinghealthenglish.pdf
10. Welsh Assembly Government Welsh Index of Multiple Deprivation (WIMD) - Summary Report
11. Welsh Assembly Government (2009) North Wales Coast 2016 Action Plan. Available: http://wales.gov.uk/docs/det/publications/091116nwalesactionplanen.pdf
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Appendix 1 Invite letter - English
Date Dear Colleague Rapid Health Impact Assessment of the BRAND project in Rhyl
Denbighshire County Council has commissioned the Welsh Health Impact Assessment Support Unit to undertake a rapid Health Impact Assessment of the BRAND project in Rhyl. Health Impact Assessment seeks to explore all the future potential impacts of a particular project on peoples’ health and well-being, and to modify and enhance project delivery. A key element of the Health Impact Assessment of the BRAND project will be a participatory stakeholder workshop, where key individuals will be brought together to examine the proposal for the project. You have been identified as a key stakeholder in this process, and we would like to invite you to join us at the participatory stakeholder workshop, which will take place at the Rhyl Community Fire Station on Friday 15th January 2010 from 9.30 am to 12.30, followed by a buffet lunch. I would be grateful if you could contact Andy Brackley- 07867 834266 ([email protected]) or Lisa Walchester- 07867 834272 ([email protected]) by 6th January, to confirm whether you are able to attend the workshop. The workshop will be conducted in English, please let us know if you require Welsh translation. Also please could you inform us of dietary requirements you may have. In the meantime, if you have any queries please do not hesitate to contact me. Otherwise I look forward to meeting you at the workshop. Yours faithfully
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Invite letter - Welsh
Annwyl Gydweithiwr
Asesiad Effaith Iechyd Cyflym o brosiect BRAND yn Y Rhyl
Mae Cyngor Sir Ddinbych wedi comisiynu’r Uned Gymorth Asesu Effaith Iechyd Cymru i gynnal Asesiad Effaith Iechyd cyflym o brosiect BRAND yn Y Rhyl. Bydd Asesiad Effaith Iechyd yn ceisio fforio holl effeithiau potensial prosiect arbennig ar iechyd a lles pobl yn y dyfodol, ac addasu a gwella cyflawniad prosiect. Elfen allweddol Asesiad Effaith Iechyd y prosiect BRAND fydd gweithdy buddgyfranogwyr cyfranogol, lle caiff unigolion eu dwyn at ei gilydd i archwilio’r cynnig ar gyfer y prosiect. Rydych wedi eich nodi’n fuddgyfranogwr allweddol yn y broses hon, a hoffem eich gwahodd i ymuno â ni yn y gweithdy buddgyfranogwyr cyfranogol, sydd i’w gynnal yng Ngorsaf Dân Gymunedol Y Rhyl ar Ionawr 15 2010 o 9.30am tan 12.30, a chinio bwffe i ddilyn. Byddwn yn ddiolchgar pe gallech gysylltu ag Lisa Walchester- 07867 834272 ([email protected]) neu Andy Brackley- 07867 834266 ([email protected]) erbyn Ionawr 6, i gadarnhau a ydych yn gallu dod i’r gweithdy. Fe gynhelir y gweithdy yn Saesneg ond rhowch wybod i ni os oes arnoch angen cyfieithiad Cymraeg. Rhowch wybod i ni hefyd am unrhyw ofynion diet sydd gennych, os gwelwch yn dda. Yn y cyfamser, os bydd gennych unrhyw ymholiadau mae croeso i chi gysylltu â mi. Edrychaf ymlaen at eich cyfarfod yn y gweithdy. Yn gywir Lisa Walchester Swyddog Prosiect – BRAND
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Appendix 2
List of Attendees
Andy Brackley Project BRAND Co-ordinator, Denbighshire County Council
Lisa Walchester Project Officer, BRAND, Denbighshire County Council
Nicola Caie Project Admin and Resources Officer – BRAND, Denbighshire County Council
Carolyn Brindle Tourism, Marketing and Development Officer, Denbighshire County Council
Mark Dixon Principal Regeneration Officer, Denbighshire County Council
Cllr. David Thomas Rhyl South West, Lead member for Regeneration, Denbighshire County Council
Wyn Roberts Programme Director, North Wales Coast Regeneration, Welsh Assembly Government
Dewi Davies Director, Tourism Partnership North Wales
Dewi Lloyd Isle of Anglesey County Council
Toni Vitti Supervisor, Tourist Information
Caroline Brady Welsh Assembly Government
Ann Weir Senior Community Development Officer, Denbighshire County Council
Gareth Owen Manager, Pavilion Theatre
Delyth Jones Principal Public Health Practitioner, National Public Health Service
Lynda Waggett/ Charles Day Rhyl Create
Will Morecombe Rhyl Adventure Playground Association
Carina Edwards Rhyl Going Forward, Denbighshire County Council
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Appendix 3 Programme for the HIA Workshop 9:15
Registration ( Tea/ Coffee available )
9:30 Introductions
9:40 An outline of Project Brand Andy Brackley, Project Coordinator- BRAND
9:50 Outline of Health Impact Assessment and the morning Liz Green, Wales Health Impact Assessment Support Unit
10:00 Introduction to Appraisal Tool Liz Green, Wales Health Impact Assessment Support Unit
10:05 Screening session – using appraisal tool to identify key health impacts of the proposal Liz Green, Wales Health Impact Assessment Support Unit
11:00 Tea/ Coffee break
11:15 Screening session - continued
11.45 Feedback and recommendations
12:30 Finish and Evaluation
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Appendix 4 List of possible stakeholders Source:
Improving Health and Reducing Inequalities: A practical guide to health impact assessment. Welsh Assembly Government. September 2004 (1)
Vulnerable and/or disadvantaged population groups The target groups you identify as vulnerable or disadvantaged will depend on the characteristics of the local population and the nature of the proposal itself. The most disadvantaged and/or vulnerable groups are those which will exhibit a number of characteristics, for example children in living poverty. This list is therefore just a guide and you may like to focus on groups that have multiple disadvantages. 1. Age related groups* • Children and young people • Older people 2. Income related groups • People on low income • Economically inactive • Unemployed • People who are unable to work due to ill health 3. Groups who suffer discrimination or other social disadvantage • People with disabilities • Refugee groups • People seeking asylum • Travellers • Single parent families • Lesbian and gay people • Ethnic minority groups** • Religious groups** 4. Geographical issues • People living in areas known to exhibit poor economic and/or health indicators • People living in isolated areas • People unable to access services and facilities You will also want to assess the impact on the general adult population and/or assess the impact separately on men and women. Please note that this list is a guide and is not exhaustive. * Could specify age range or target different age groups for special consideration.
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Appendix 5
HEALTH AND WELLBEING DETERMINANTS CHECKLIST
(please note that this list is a guide and is not exhaustive)
Source:
Improving Health and Reducing Inequalities: A practical guide to health impact assessment. Welsh Assembly Government. September 2004 (1)
1. Lifestyles • Diet
• Physical exercise
• Use of alcohol, cigarettes, non-prescribed drugs
• Sexual activity
• Other risk-taking activity 2. Social and
community influences on health
• Family organisation and roles
• Citizen power and influence
• Social support and social networks
• Neighbourliness
• Sense of belonging
• Local pride
• Divisions in community
• Social isolation
• Peer pressure
• Community identity
• Cultural and spiritual ethos
• Racism
• Other social exclusion 3. Living/ environmental
conditions affecting health
• Built environment
• Neighbourhood design
• Housing
• Indoor environment
• Noise
• Air and water quality
• Attractiveness of area
• Community safety
• Smell/odour
• Waste disposal
• Road hazards
• Injury hazards
• Quality and safety of play areas 4. Economic conditions
affecting health • Unemployment
• Income
• Economic inactivity
• Type of employment
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• Workplace conditions 5. Access and quality
of services • Medical services
• Other caring services
• Careers advice
• Shops and commercial services
• Public amenities
• Transport
• Education and training
• Information technology 6. Macro-economic,
environmental and sustainability factors
• Government policies
• Gross Domestic Product
• Economic development
• Biological diversity
• Climate
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Appendix 6 Feedback and Evaluation Comments Expectations/Comments on workshop and rating (1=poor, 10=excellent):
• Familiarization with Town HIA process so it can be applied to Holyhead in the future (10)
• I wasn’t entirely sure what to expect – but I found the workshop interesting. I found the workshop to be well managed and structured (10)
• Uncertain because I had not been involved in a health impact assessment previously (10)
• Very interesting (9)
• To assess what we’re doing in regeneration and how the ‘Brand’ can contribute to improving health within the Rhyl area (8)
• Good mix of people at event, good debate. Look forward to the report (8)
• Not enough positive ideas! As usual totally obsessed with Rhyl West probs. We need a positive vision for Rhyl with money spent on one big idea and work on this. Initiatives are fragmented. 2 or 3 major projects. Aesthetics need to be improved. Art for regeneration is good. (7)
• To find out more about BRAND and how it might impact upon communities in Rhyl (7) Shame about lunch!!
• To look for solutions to improve perceptions and image of Rhyl and how it affects the community.(7)
• Interesting points raised. Would like to see few major projects developed rather than many little projects which tend to fritter valuable funds with little impacts and publicise extensively (7)
