Planning for a healthier Bristol - integrating health issues into urban planning

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Local Action on Food and the RTPI Food and Spatial Planning Friday 15 July 2011 University College London Planning for a healthier Bristol - integrating health issues into urban planning Stephen Hewitt Bristol City Council/NHS Bristol

Agenda Introduction Health and Planning Partnership working Strategic planning Place-shaping/master-planning Development management Protocol with NHS Bristol Support to NHS Bristol Food and supermarkets/retailers

United Kingdom

Bristol

Source: Rao, Prasad, Tissera and Adshead.

Six key planning for health goals Avoiding adverse health impacts from development - health protection Providing a healthy living environment Promoting and facilitating healthy lifestyles Providing good access to health facilities and services Building resilience and responding to the health impact of global environmental issues (such as climate change, peak oil, food security) Engaging the community in decision-making and implementation Underpinning all these goals is the crosscutting/over-arching principle of reducing health inequalities

Healthy Urban Team

Healthy Urban Team Climate change and peak oil Dr Angela Raffle (0.6 fte) Planning and Health Stephen Hewitt WHO collaborating centre for healthy urban environments (UWE) Marcus Grant (0.1 fte) Health Policy Liz McDougall (BCC) Active Bristol Clare Lowman Transport Planning Dr Adrian Davis (0.5fte)

Five planning and health work areas Strategic policy development Place-shaping/master-planning Knowle West HIA Development management NHS Bristol as a consultee Advice to NHS Bristol Spatial planning learning set Partnership working Food Transport (JLTP3) Healthy City Group

Bristol Development Framework The Core Strategy (June 2011) aims to deliver A safe and healthy city made up of thriving neighbourhoods with a high quality of life and has Better health and well-being as one of its eleven objectives. 5. Better health and wellbeing a pattern of development and urban design that promotes good health and wellbeing and provides good places and communities to live in. Bristol will have open space and green infrastructure, high quality healthcare, leisure, sport, culture and tourism facilities which are accessible by walking, cycling and public transport. This will help enable active lifestyles, improve quality of life and reduce pollution.

Putting policy in to practice Development management policies Health impact assessments Integrating health into supplementary planning documents Planning a Healthier Bristol planning advice note to be produced Joint local transport plan Evidence and research

Knowle West HIA workshop 36 people attended Local residents Local councillor Local workers Professionals Academics Place-shaping

Development Management NHS Bristol to be consulted on: Pre-applications discussions on super major developments (100+ dwellings or 10,000 m 2 floorspace) 10 or more dwellings 1,000 m 2 or more floorspace Loss of public open space Hot food takeaways Section 106/CIL

Support to NHS Bristol Spatial planning learning set Community development Healthy neighbourhood-check Neighbourhood planning - frontrunners Joint Strategic Needs Assessment (JSNA) Resource access to planning expertise

The Food Agenda Bristol Food Network Food Charter Annual Food Conference Procurement Community Growing Food Policy Council www.bristol.gov.uk/food

www.bristol.gov.uk/ whofeedsbristol

A new approach Be clear about what we want to achieve; what is the harm we want to avoid/mitigate. Identify clear, objective and justifiable criteria that can be used to distinguish between different retailers or between different retail uses. Have a strong evidence base to support our actions. In pioneering a new approach there will be strong challenges. Recognise that retailing is a dynamic market that may not respond as anticipated. In trying a new approach, there may well be unintended consequences. Different regulatory regimes Positive support for local centres

Supermarkets A clear distinction needs to be made between: The building (eg small convenience store or large superstore, is it accessible and well-designed or not, what are the servicing arrangements, is it a listed building, is it new build or refurbishment) The location (in centre, out of centre, in a prosperous vibrant centre or a poorly performing centre on a deprived outer estate, in a conservation area) The use (retail or non-retail; what is being sold, when is it open) The operator (eg a local independent, a franchise, a local retail chain, a national or international multiple retail chain) Which factors can/should planning control?

Planning concerns? The diversity, character, vitality and viability of local centres. In some centres the concern is the "clone town Britain" effect, where there are other poorly performing centres where a supermarket anchor store would be welcomed Servicing and delivering to stores. The servicing requirements of a convenience supermarket are very different to other retail uses The loss of community pubs to retail The local economy and local employment including the impact on local suppliers and the wholesale and distribution infrastructure

A fit and proper organisation Agricultural practices Relationships with suppliers Food production and distribution (food miles) Packaging and food waste Healthy eating Climate change and use of fossil fuels Consumer choice and enterprise Monopoly and competition (national and local)

Beyond Planning Sustainable Communities Act 2007 Local Government Act 2000 promotion of economic, social and environmental wellbeing Localism Bill general power of competence Bye-laws Licensing/registration pubs, betting shops, off-licences, sex shops Pharmacies - control of entry - necessary or desirable Office of Fair Trade local monopolies Lessons from abroad

An opportunity? The review of the Use Classes Order and General Development Order Deadline for responses of 1 September 2011 www.communities.gov.uk/publications/p lanningandbuilding/changeuseissues

A New Use Class A1? a) Small convenience store (up to 250 sq m) b) Supermarket convenience store (over 250 sq m) c) Small comparison store (up to 250 sq m) d) Large comparison store (over 250 sq m) e) Pharmacy f) Other retail (hairdressers, travel & ticket agencies, domestic hire shops, dry cleaners, funeral directors, internet cages, sandwich bars)

Contact Stephen Hewitt Specialist Professional Planner (Healthy Living/Health Improvement) Bristol City Council City Development Brunel House St George's Road Bristol BS1 5UY Tel: +44 (0) 117 922 2756 E-mail: stephen.hewitt@bristol.gov.uk www.bristol.gov.uk/health