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Dr Salim VohraPrincipal Public Health Practitioner/ Health Impact Assessor

Reality Bites:

regeneration from acorporate perspective

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The Regenerators: environmental consultancies

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Determinants of regeneration

Adapted from Rapid Health Impact Assessment: a guide to research by Amanda Harris,2002

geneticfactors

sex agediet

leisure

activities

sexualbehaviour

smokingalcohol

medication

illegalsubstances

familyrelationships

housingtenure

employmentstatus

workingcondition

income

educationpersonaltransport

socialcontact

social

support

community

participation

peerpressure

fear ofcrime &

anti-socialbehaviour

fear ofdiscrimination

crime &anti-socialbehaviour

discrimination

health & socialcare services

childcarecommunity

facilitiesleisure

facilities

education& training

adviceservices

housing

voluntary &charity groups

publictransport

shops andbanking services

jobcreation

distribution ofincomes

availabilityand qualityof training

availabilityand quality ofemployment

businessactivity

research & technologicaldevelopment

land use &planningnatural

resourcesgreenspacewaste

management

public &environmentalhealth services

naturalhazards

civic design

smell

noise

airquality

waterquality

soilqualit

y

Determinants of

Regeneration

Lifestyle

Social influences

Environment

Economic

conditions

Availability & access

Biological

factors

Personal

circumstances

ethnicitydisability

housingconditions

personalresilience

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Det ermi nants of hea lth propo rt io n o finfluence

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Wha t i s heal th i mpa ct a ss es sme nt(HIA)?HIA is the key systematic approach

to identifying and assessing the health and wellbeing impacts of plans,programmes and projects;

it helps to ensure that negative health impacts are mitigated andpositive health impacts enhanced within affected communities;

it has roots in environmental impact assessment (EIA);

it works with an explicitly stated democratic, equitable, sustainableand ethical value framework; and

it uses a range of structured and evaluated sources of evidence thatincludes public and other stakeholders' perceptions and experiences

as well as public health, epidemiological, toxicological and medicalknowledges.

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Ars ena l s ta diu m de vel opme nt Derelict site around a disused railway

depot

Plan for a waste transfer station andmixed housing surrounding it

Community concern at the stadium andthe move of an existing waste transferstation

Considerable concern felt by localresidents from all socio-economicbackgrounds

Long term consultation over two years

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We st bou rn e Gre en T ria ng lerede vel opme nt Environmental and health impact assessment of

three options do nothing, city academy, multi-use council building

Considerable anger and lack of trust felt by localresidents

Area relatively deprived with older social housingin poor condition, influx of refugees, some fear ofcrime, some concerns over road safety andprevious bad experiences with construction

Leisure area well used by a range of children andyoung men informal supervision only but nosignificant problems apart from noise at late in theevening

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Be dfo rd R AF C arding to nrede vel opme nt Community concerns over road safety and

the size and nature of new development

Breakdown of relationship betweenCouncil and developer

Disagreement as to best option for routingtraffic external to the local community through or around

HIA commissioned by Council to show thattheir proposal to route the main trafficaround the new community was betteroverall

Counter HIA undertaken by developer todisprove the Council commissioned HIA

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Su ffo lk HMS G ang es rede vel opme nt Derelict naval base that had existing

planning permission for mixed housing

Local concerns about increases in traffic as

there is only one road into and out of thePeninsula

PCT concerns over the impact on health andsocial care services

Issue still ongoing because of communityconcerns

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Stra te gic iss ues drivi ng H IA u se

International Globalisation interconnectedness and fragility of

systems Climate change Population pressures (growth and migration)

Europe Public concern Sustainability Public and environmental health

UK As above Social inequalities neighbourhood regeneration and

renewal

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Stra te gic inst it ut io ns drivi ng H IA u se

Internationally

Canada, Australia and New Zealand - HIA legislation USA - HIA interest gathering pace WHO (and World Bank) Shell

European Union SEA and EIA Directives EC research on HIA and health aspects of EIA

UK Public health agenda - skills, capacity building,

mainstreaming Planning agenda HIA champions, spatial plans

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Be nefit s o f HI A f or c lie nts Supports the planning process by providing timely, up-to-date and

relevant information and analysis

Improves project design, construction, operation anddecommissioning

Increases community support and reduces community concerns

and opposition

Adds value and is cost-effective

Reduces costs and liabilities further down the project and planningcycle

Enhances reputation by feeding into a corporate socialresponsibility ethos

Increases the acceptability of future projects and likelihood thatthey are given planning permission

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PBA s kil ls a nd expe rt ise in H IA Assess the human health implications of new projects

Lead and facilitate community and other stakeholderconsultation processes

Enable clients to understand and deal with publicperceptions of environmental and health risks

Develop public health statements in support of clientproject proposals

Undertake strategic health assessments of policies andplans at local, regional and national level.

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For an informal discussion or further

informationyou can talk to:

Richard Puttock, Partner

Claire Holman, Senior Associate

Salim Vohra, Principal HealthImpact Assessor