ihia.org.uk

Liverpool HIA Capacity Building

ProjectSophie Grinnell Beng (Hons) MSc

HIA Research FellowLiverpool Primary Care Trust

Liverpool City CouncilIMPACT University of Liverpool

Sophie.grinnell@liverpool.ac.ukHIA Conference – Granada 2011

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’

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

ihia.org.uk

The Liverpool Core Strategy – is it bad for

your health?

Sophie Grinnell

Sophie.grinnell@liverpool.ac.uk

HIA Conference – Granada 2011

Liverpool facts

– Population

– Diverse cultures

– Health Inequalities

– Sense community

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

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....

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

Key diagram

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.

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.

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

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.

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)

Complexities • Strategic Document• Consultation fatigue (desk-

top)– Sustainability Appraisal

• When HIA the document?– (Hokey Cokey – In, out, in, out)

• Constant change committee dates.

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