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1. Integrating Health in Transport Planning 02/10/13 rpsgroup.com

2. Integrating Health in Transport Planning • Introduction • Transport Health Issue and Oppertunity • Health Impact Assessment • HIA What, Why, How, When? • Discussion • Resources useful to you Contents rpsgroup.com

3. Awareness Training • Share transferable knowledge • Guidance v Practice • Planning focussed HIA • Best interface with regulatory assessments • Give you the opportunity to ask the questions you normally wouldn't • Point you to resources and networks Objectives rpsgroup.com

4. RPS is an international multi-disciplinary consultancy providing advice on: The management of the environment The development of Land, property and infrastructure The exploration and production of energy and other natural resources The health and safety of people Introduction 4 rpsgroup.com

5. Me: • Health and Social Impact Assessment Practice Leader for RPS and ERM • 13+ years HIA experience • PhD on HIA best practice and methods • MSc in EIA • BSc Biological Sciences • Fellow of the Royal Society Medicine • Trained by CEHI, PAHO and Health Canada • Local Planning, DCO, National Policy, international HIA experience Introduction 5 rpsgroup.com

6. Me: • So what does this mean? • Transferable knowledge • Often the intermediary between public sector, private sector and local communities to facilitate the win winwin • Don’t hold back with the questions you normally wouldn't ask Introduction 6 rpsgroup.com

7. RPS HIA Experience • Energy • EfW: Runcorn, Exeter, Rufford, Dublin, Cheshire, Lostock, Norfolk, Suffolk, Tipperary, Dubllin, Brig y Cwm, Arc21 • Biomass: Green Hills, Cardenden, Roosecote • Gas: South Hook • Windfarm and Grid: Eirgrid, Grid 25, Tamnamore to Omagh Power Line, Hornsea, Atlantic Array, Burbo Banks • Nuclear: Oldbury, Hinkley, Sizewell Introduction 7 rpsgroup.com

8. RPS HIA Experience • Waste • WRAP EfW Guidance • Wales, Durham and Buckinghamshire Waste Strategies • Brighton and Hove, East Sussex, and Lancashire WMDF Introduction 8 rpsgroup.com

9. RPS HIA Experience • Regeneration and Urban Expansion • Barton Seagrave, Cambourne, Brighton General Hospital • 2012 London Olympic Games • Kent Regeneration and Dartford Town Centre Masterplan • Aire Valley Leeds • Brighton and Hove LDF, Local Plan and JAAP • Health Care Planning Contributions Introduction 9 rpsgroup.com

10. RPS HIA Experience • International • ESHIAs in Sakhalin, Salym, Kazakhstan, Algeria, Angola, Ghana, Mauritania, the Arctic and Papua New Guinea. Introduction 10 rpsgroup.com

11. RPS HIA Experience • Aviation • Belfast City, London City, Birmingham and Stansted • Transport • HIA of the Heads of the Valleys • DoH and DfT Transport and Health Assessment Resource • KIG Intermodal Transfer Facility • Crossrail • London Low Emission Zone • Edinburgh Airport Transport Link • Tees Valley Metro • UK Highways Agency Common Factor: Transport Issues & opportunities Introduction 11 rpsgroup.com

12. It is now recognised that more health conscious decision making can not only be applied to tackle and offset many of the adverse health effects of an urban environment, but can also be applied to address and prevent many of today’s significant physical, mental and social health issues, and ultimately foster healthier and more cohesive communities. RCEP Transport and Health Intrinsically linked Issues and opportunities • access, accessibility and community severance • socio-economic health • safety (risk of accident and injury) • quality of urban environment (crime and perceptions of crime) • lifestyle • air quality • noise Transport Issue and Opportunity rpsgroup.com

13. Transport and Health Evidence Base The key and repeating message from the available evidence base is that transport has the opportunity to significantly influence the health and wellbeing of communities by: • improving access and accessibility to income, employment, housing, education, services, amenities, facilities and social networks crucial to maintaining a healthy vibrant and cohesive community • influencing the quality of the urban environment (air quality, noise, severance and risk of collision) with social, mental and physical health outcomes • influencing lifestyle and behaviour with opportunities to either prevent or compound many of the todays core economic, social, mental and physical health issues and inequalities (and associated costs) Transport Issue and Opportunity rpsgroup.com

14. Transport and Health Evidence Base The development of more health conscious transport planning is therefore not only critical to facilitating daily tasks and driving sustainable employment, retail and manufacturing sectors but overlaps with the delivery of strategic health care planning and community support initiatives Health Impact Assessment the key health pathways associated with the various transport modes are overlapping, vary between the commuter type and resident community groups and the distribution, magnitude, likelihood and significance of potential health outcomes are further influenced by relative socio-economic status and age structure. Transport Issue and Opportunity Such complex interactions cannot be addressed through a generic evidence base or design principles rpsgroup.com

15. HIA: A multidisciplinary process designed to investigate the potential health outcomes of a project, policy or programme Aim: to ensuremore joined up approach to environment, health and planning Health conscious decision making Investigate and address community concerns, perceptions and needs through design What is HIA? rpsgroup.com

16. Objectives: • Identify potential impacts • Maximise health gains • Reduce or remove negative impacts or inequalities Type • Rapid – Comprehensive • Retrospective, concurrent, prospective • Qualitative V Quantitative Purpose? Multitude of HIA services Why HIA? Appropriately scoped HIA What is HIA? rpsgroup.com

17. Growing Awareness: (prevention better than cure) • International • Health as a basic Human Right • Equator Principles, IFC Standards, best practice • National Legislation • European and Worldwide Health Targets • Implied in EU Directive (EIA and SEA) • UK • Government health policy and White Papers • Public Health England (HPA) • Core to sustainable development (SA, SEA) • Community awareness and involvement • Transparency • Voluntary (Healthy Cities Programme) • Regional requirement LDF, LAA, SPG, BPG • Failure of existing assessment regimes to determine health outcome It is now recognised that more health conscious decision making can not only be applied to tackle and offset many of the adverse health effects of an urban environment, but can also be applied to address and prevent many of today’s significant physical, mental and social health issues, and ultimately foster healthier and more cohesive communities. RCEP Why do HIA? rpsgroup.com

18. DoH PCT PHO HUDU WHIASU IPHI IAIA WHO World Bank (IFC) CDC AUS NZ Pacific Developers HWB • Best Practice: (ethical) • Reduces the likelihood of major health issues • Enhances opportunities to improve health • Prevents and addresses inequalities • Promotes healthier, more cohesive and sustainable communities • Alleviates community concern rapidly, robustly and with confidence • Identifies areas where social investments can be made and are most effective Why do HIA? rpsgroup.com

19. Risk Management: (Accountability) • Identifies and addresses potential issues before they become a planning and public issue • Pre-empts and limits external criticism of a project • Can speed up the planning process • Balanced assessment (potential impacts/benefits) • Aids in more effective and justified community support initiatives • Retains project control (cost and delivery) • Prevents conflict with regulatory assessments • Separates perceived from actual risk • Cost effective True of both Private and Public bodies: ‘Chief Executive of Telford & Wrekin PCT is responsible, through her negligence, for more deaths than Dr Harold Shipman’ Paper trail establishing how community health was considered at earliest onset Justification for decision making Rationale for mitigation / contribution Why do HIA? rpsgroup.com

20. No right or wrong way • No Statutory Requirement • No certification, accreditation or curriculum • Regional variations and requirements • Assessment overlap • Cost • Guidance v best practice • Steering groups • Different definitions, priorities and circumstance • What is health? • Assumption is the mother of all …… • What's important to you may not be a priority for others • Barriers to benefit uptake • Different terminology and expectations • EIA, planners and developers = Risk • Health practitioners = Health Promotion and Care • HIA = all of the above • S106 v healthy urban design • Legal and Planning Scrutiny Health Warning rpsgroup.com

21. How to do HIA? rpsgroup.com

22. Founding Principle: Health & Wellbeing Health determinants and health pathways How to do HIA? rpsgroup.com

23. Screening EIA SEA EqIA ESHIA Scoping Community Profile Project Profile Evidence Base Stakeholder Engagement Assessment Health Action Plan How to do HIA? rpsgroup.com

24. Screening EIA SEA EqIA ESHIA Scoping • Screening & Scoping • Is a HIA required? • What are its objectives? • What should it focus on? • What shouldn’t it focus on? • What do you want out of it? Community Profile Project Profile Evidence Base Stakeholder Engagement Assessment Health Action Plan How to do HIA? rpsgroup.com

25. Screening EIA SEA EqIA ESHIA Scoping Community Profile Project Profile Evidence Base Stakeholder Engagement Assessment Health Action Plan Task rpsgroup.com

26. Screening and Scoping Objective: quick and dirty HIA • Identify potential health pathways (risk and benefits) • Identify sensitive communities (impacts and benefits) • Determine if a HIA is necessary / beneficial • Set the objectives of the study Consider • local community circumstance and needs? • what are the potential health issues and opportunities? • will sensitive communities or groups be influenced differently? • who are they? • what are they sensitive to (income, employment, education, lifestyle, environment etc)? • is there a risk of widening inequality? • what are the community concerns / perceived risks? • are there any potential barriers to benefit uptake? More Questions than Answers rpsgroup.com

27. Discussion rpsgroup.com

28. Transport and Health Resource: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/215815/dh_123629.pdf Wider HIA Resources and Networks UK HIA Gateway www.apho.org.uk/default.aspx?QN=P_HIA Welsh HIA Support Unit www.wales.nhs.uk/sites3/home.cfm?OrgID=522 Ireland www.publichealth.ie/hia Scotland www.healthscotland.com/resources/networks/shian.aspx London www.londonshealth.gov.uk/hia.htm Health Urban Development Unit www.healthyurbandevelopment.nhs.uk/ HIA Blog www.healthimpactassessment.blogspot.com/ HIANET www.jiscmail.ac.uk/cgi-bin/webadmin?A0=HIANET rpsgroup.com

29. Only an introduction to HIA • What else would you like to know? • What case studies would you be interested in? • What areas would you like more info on? Q&A rpsgroup.com

30. Dr Andrew Buroni: HIA Associate buronia@rpsgroup.com Daniel Smyth: Air Quality Senior Director smythD@rpsgroup.com Tel: +44 (0) 1273 546 800 Close rpsgroup.com