Sophie.grinnell@liverpool.ac.uk HIA Conference – Granada 2011

1. Liverpool HIA Capacity Building ProjectSophie Grinnell Beng (Hons) MScHIA Research FellowLiverpool Primary Care TrustLiverpool City CouncilIMPACT University of Liverpool Sophie.grinnell@liverpool.ac.uk HIA Conference – Granada 2011 ihia.org.uk

2. Capacity Building for HIA in Liverpool 1 Health Action Zone-funded tripartite project Targeted activity to em-bed HIA principles and practices into organisational culture. Vision - ‘Health in All Policies’

3. Capacity Building for HIA in Liverpool 2 Aims Develop HIA culture Integrate HIA into policy planning Objectives Build HIA capacity/capability Undertake HIAs Support HIAs Monitor and evaluate

4. The Liverpool Core Strategy – is it bad for your health? Sophie GrinnellSophie.grinnell@liverpool.ac.uk HIA Conference – Granada 2011 ihia.org.uk

5. Liverpool facts Population Diverse cultures Health Inequalities Sense community

6. Background to the England Planning System Changes to the planning system Planning & Compulsory Purchase Act 2004. Local Development Framework Core Strategy Sustainability Appraisal Liverpool - Housing driven

7. Why integrate health into Core Strategy Key delivery mechanism Historical links with planning and health Policy linkages HIA linking with the wider sustainability agenda Could be health driven....

8. Liverpool Core Strategy Housing driven - How is 44,000 houses interpreted into Planning document like the Core Strategy?? 49 Issues & Options 3 Preferred Options – area based Developed 30 Proposed Policy Approaches

9. Key diagram

10. Historical Barriers Pre 1960s bigger houses/extended families 1960s major demolition – implications leave doctors, dentists none in new areas out of habit, better ‘accommodation’ - development of communities, BUT houses built quickly, pre fabricated , cheap land – periphery. But even these houses weren’t sustainable now need upgrading or demolishing.

11. Historical Barriers Resistance to further upgrade – ‘stay put’ – created feelings of lack trust. Population drop - de-canting, but spends to council still same (highways etc). housing revenue down.

12. Current impacts for consideration City centre Retail – Residential – clash with other uses Accommodation all flatted limited green infrastructure, no room sustainable energy Offices become residential open plan Not drive to work – healthier mode transport Limited/fragmented cycle lanes in centre

13. Current impacts for consideration Inner Housing – cheaper, terraced. High unemployment ( no job in first place – cheap to live there) low educational attainment – character tics almost stagnated, cant break the cycle. Mental wellbeing – drink, smoke, drugs (coping strategies). Difficult to change perception of where they live (certain areas)/ stigma attached to certain areas. Poor housing –affects physical health as well as mental well-being.

14. So...............................how? Topic based scoping report Linked to the relevant PPAs Process of determining whether the PPAs were influenced/enhanced by the scoping report. Fuller HIA (desk-top)

15. Complexities Strategic Document Consultation fatigue (desk-top) Sustainability Appraisal When HIA the document? (Hokey Cokey – In, out, in, out) Constant change committee dates.

16. Core Strategy in Liverpool Barriers Timing Consultation Newness of the planning system Understanding planning (externally) Opportunities Acceptance health Inclusion - SA Forward planning team member Not having health or planning background