SHINESupporting Healthy Inclusive

Neighbourhood Environments

SHINE aims to:Support population health through . . .

• Supporting health outcomes through neighbourhood planning

• Developing and evaluating interventions with a focus on ‘healthy neighbourhoods’

• Translating findings and evidence

• Providing opportunities for implementation in Bristol and beyond

Who’s involved

Directors•Dr Suzanne Audrey, Public Health Senior Research Fellow at the School of Social and Community Medicine, University of Bristol•Dr Adrian Davis, Public Health and Transport Consultant working with Bristol City Council's Transport Team •Marcus Grant, Health and Spatial Planning Specialist•Becky Pollard, Director of Public Health, Bristol City Council

Members of the leadership team• Ben Barker, Member of the Greater Bedminster Neighbourhood Forum

• Jackie Beavington, Associate Director of Public Health for NHS Bristol

• Ashley Cooper, Professor of Physical Activity & Public Health, University of Bristol 

• Selena Gray, Professor of Public Health, University of the West of England

• Nick Hooper, Chair of Restorative Bristol and Service Director for Housing Solutions & Crime Reduction, Bristol City Council

• Bruce Laurence, Director of Public Health for Bath and North East Somerset

• Sarah O'Driscoll, Service Manager Strategic City Planning, Bristol City Council 

• Angie Page, Reader in Physical Activity and Public Health, University of Bristol Centre for Exercise, Nutrition and Health Sciences 

• Ed Plowden, Sustainable Transport Service Manager, Bristol City Council

• Peter Wilkinson, Director of The Next Field Ltd green space consultancy

SHINE review

• Re-launch meeting, September 2013– ‘reality check’: how much can a health integration team achieve

with limited funds and limited time?– reiterate aims– strengthen and involve wider leadership team

• Review meeting, April 2015– update to professionals and residents of Bristol and surrounding

areas• Directors and Leadership Team meeting, June 2015

– discuss findings from Review meeting and agree topics to take forward

SHINE priorities• Walkable neighbourhoods: focussing on the pedestrian

environment, safety, connectivity and accessibility • Age-friendly neighbourhoods: focussing on the health and

inclusion of those who may be most vulnerable e.g. childhood and older age (60+)

• Open streets: considering a wider view of street function and emphasising the concept of democratic streets available to all

• The natural environment in the urban realm: seeking to promote quality green and blue spaces and their use as a ‘natural health service’

Methods

• Mixed methods including neighbourhood mapping, qualitative and quantitative research methods, and reviews of the evidence.

• Intergenerational work e.g. meetings and research methods including children and older people

• Inter-disciplinary and inter-sectoral work including the voluntary sector, residents, academics, planners, practitioners, transport specialists, health promotion specialists

• Translational research: turning research into usable knowledge in order to take action

Translational research:Translating findings and evidence

“It has been acknowledged that a large gulf remains between what we know and what we practice. Hence a task, if not the main task, is to improve knowledge transfer.”

International Public Health Symposium on Environment and Health Research. WHO 2008 Science for Policy, Policy for Science: Bridging the Gap, Madrid, Spain, 20–22 October 2008 Report, Copenhagen: WHO Regional Office for Europe

Evidence: shooting yourself in the foot“To do something without intending to which spoils a situation for yourself” (Cambridge online dictionary)

Public health ‘good’ evidence•Low risk of bias•Clear link between intervention and health outcome

Tension?•not to delay/stop improvements to neighbourhood environments because current evidence is weak•not to spend/divert public money to weak interventions if there are better ways of spending the money

Child friendly neighbourhoods: evidence“Healthy built environments for children and young people: A systematic review of intervention studies”

– Child health outcome reported– Change to built neighbourhood environment– Control /comparison group

Studies– 9,686 records identified, duplicates removed; 7,645 titles and

abstracts checked; 113 full text studies assessed; 33 primary studies in relation to 27 separate interventions included

– built environment changes to promote active travel (n=12)– modifications to public parks (n=8)– built environment changes promoting road safety (n=3)– package of community wide measures (n=4)

Democratic streets: Playing out• National advice service:

telephone, email• Online advice, information

and inspiration on this website.

• Support and guidance materials

• ‘On the ground’ support across Bristol

• A network for activators• Events and workshops• Support for organisations to

support street play• Work with the media

http://playingout.net/Alice Ferguson, Director

Democratic streets

Older people friendly neighbourhoods?

Systematic review: Teresa Moore (CLAHRC), Suzanne Audrey, Selena Gray et al

To assess the effects of interventions to the built environment on mental health and wellbeing of adults and older adults

Walkable neighbourhoods: health benefitsWalk to work: feasibility study (Bristol) and now full-scale randomised controlled trial (South Gloucestershire, Bath, Swansea)

Walkable neighbourhoods: how?Launch of Let’s Walk Bedminster, Tobacco Factory, 22nd February 2015

Go green business breakfast, SS Great Britain conference centre, 24th March 2015

Bristol Walking Festival 2015, 1st–31st May

Twilight talk ‘Is Walking Transport?’ with Jayne Mills, Bristol City Council (28th May, 6-7.30pm, Watershed)

Bristol walking campaign?

Natural environment and urban realm

• Keynote speaker at Academy of Urbanism 2014:“This place is killing me!”

• Health advisor on the policy committeeof the Landscape Institute

• Member of the Scientific Committeefor Urban ‘Nature-Based Solutions’ conference, Ghent May 2015 tabled to advise EU policy

• Keynote speaker at European Green Capital 2015 summits– Nature and Wellbeing Summit: Towards a daily dose of nature

– International Making Cities Liveable: Healthy urban neighborhoods

– Future Cities, developing a health strand: Action for urban climate and health

Natural environment and urban realm

Peter Wilkinson

Community Orchard, Park Street, Totterdown

Any questions?