Skip to main content

Putting Health & Wellbeing at the Heart of Neighbourhood Planning


Making the case for health and wellbeing in Neighbourhood Planning
The planning system's origins can be traced back to public health policies from the nineteenth century. Increases in population and the growth of towns created public health problems, and early legislation focused on creating sanitary conditions. 

There is a sense that in recent decades planning has lost its way with health, yet our modern environments continue to have profound effects on our health and well-being. In the blog post What stops us from creating healthier places? author Rachel Toms notes that overall, the planning system has done a good job of designing infectious diseases out of the places in which people live, but has "inadvertently contributed to sedentary lifestyles, mental distress and social isolation".

Whilst the planning system has cured the public health problems of the industrial revolution, it faces a new set of public health challenges for the modern era.

In this post, I make the case for prioritising health and wellbeing through Neighbourhood Plans.

Health challenges

The World Health Organisation estimates that globally, 12.6 million people die each year as a result of living or working in an unhealthy environment.

In the UK, some of the nation’s greatest health challenges, such as obesity, heart disease, physical inactivity and mental health issues are greatly influenced by how we live our day-to-day lives, which is often as a result of how the places we live are planned.

The government’s Guide to Available Disability Data, shows that by 2021 more than 29% of households will include a person aged over 65. In addition, almost 30% of existing households include a person with long term illness or disability.

Britain has an ageing population. The government's data shows that the number of households with a person aged over 65 will increase by 20% in the decade 2011-2021.

A quarter of the UK's homes have no ‘visitability features’ such as level access, flush threshold (i.e. no obstruction to wheelchairs), sufficiently wide doors and circulation space, or a WC at entrance level. Just 5.3% of the nation’s housing stock provides all four visitability features.

The national data suggests the existing housing stock may not meet the accessibility needs of all occupants, and the issue could be compounded by a trend of an ageing population and older people remaining in their homes for longer.

The "New Town Blues"

Cambourne, located 10 miles west of Cambridge, was planned and developed as a new settlement. Last month marked 20 years since the first residents moved into the development. The Cambourne development provides an extreme example of how the planning system can directly affect people's mental health and well-being.



Distress was observed across the community and not only in socially disadvantaged people or people known to have mental illness. Services were coming under strain, and practitioners struggled to meet needs of both adults and children moving into Cambourne. This led the group to question whether there is something about the "New Town" environment that  contributes to the mental distress observed.

Cambourne suffered from a lack of facilities and support necessary to create networks, friendships and social cohesion. For a long time after the first residents arrived there was no meeting place in Cambourne. The school and the medical practice offered limited facilities for groups but no casual meeting space existed; there was no place in which people could meet to chat, or bring their children and get together. For many people, access to existing support networks, such as family and friends, had been disrupted by their move to Cambourne.

The lack of social infrastructure and support for development of communities contributed to high levels of mental distress and increased risk for the most vulnerable. Practitioners described a disturbing level of unhappiness. Children in the new schools felt “bereavement” from losing their former lives. Many people turned to drugs and alcohol to ease their sense of loneliness and unhappiness. Episodes of violence erupted, and some residents experienced extreme intimidation.

Putting health and wellbeing at the heart of Neighbourhood Planning

There are many ways in which the places we live can affect our health, and Cambourne provides just one example of what can go wrong. The Cambourne example illustrates that to deliver good health, new developments need to do far more than provide access to play areas or outdoor gyms.
The group of practitioners in the Cambourne example identified that the lack of facilities for people to meet and establish new networks and friendships directly impacted on people's happiness and mental health. The group made specific recommendations to support mental health and wellbeing in new communities, including:
  • Ensure that the concept of social and community development is considered alongside physical developments. 
  • Community facilities must be available from the start, alongside schools and health provision. 
  • Provision of infrastructure for social cohesion should be kept under review and ensure any deficiencies are resolved during the later phases of the build.
  • Involve existing communities in the planning of the new/ next phase of development.
Lessons have been learned from the experience of Cambourne, and the nearby 'New Town' development at Northstowe, Cambridgeshire has been designed to meet the principles of the NHS's 'Healthy New Towns' programme.

Earlier this month, the NHS published a collection of documents which present the findings from its Healthy New Towns programme. The programme explored a number of interesting case studies of new developments, and sets out ten principles to create healthier places:
  • Plan ahead collectively
  • Assess local health and care needs and assets
  • Connect, involve and empower people and communities
  • Create compact neighbourhoods
  • Maximise active travel
  • Inspire and enable healthy eating
  • Foster health in homes and buildings
  • Enable healthy play and leisure
  • Develop health services that help people stay well
  • Create integrated health and wellbeing centres

The focus of the NHS programme is on addressing health in 'New Town' developments and its principles and recommendations go far beyond the plan-making process, requiring the involvement of many different professionals and agencies. Neighbourhood Plans are prepared by established communities and most are unlikely to need to plan for new communities like Cambourne or Northstowe. However, it is possible to incorporate the Healthy New Town principles into neighbourhood planning to address health in a joined up way.

Drawing inspiration from the NHS's ten principles and the Cambourne example, a Neighbourhood Plan could address health and wellbeing in the following ways:

  • Be informed by evidence of local health needs and issues, such as the 'Joint Strategic Housing Needs' Assessment' (JSNA) for the area. 
  • Consult a range of different stakeholders and agencies involved in planning and delivering health services, and have regard to plans and strategies for the provision of local health services to ensure the needs of the community are met over the plan period.
  • Require new developments to undertake Health Impact Assessments and encourage developers to work in partnership with planners and health services.
  • Use design policies or a Design Code to set requirements for new developments and neighbourhoods. These should ensure development is well-connected, promote active lifestyles through encouraging walking and cycling, and ensure local services and public transport are supported. 
  • Provide new (and maintain existing) open spaces, sports and recreation facilities and provide access to the countryside. Consideration should be given to how open spaces can encourage healthy eating, such as by providing allotments, orchards and urban growing spaces.
  • Provide homes and neighbourhoods which meet the needs of all occupants and users, including the elderly, people with disabilities and long-term illness. This can be achieved through existing standards and tool-kits, for example the Optional Technical Housing Standard for accessible and adaptable dwellings and wheelchair dwellings as set out in Parts M4(2) & (3) of the Building Regulations; and the Dementia Friendly Communities checklist.
  • Reduce exposure to pollutants and hazards, such as flood risk and air pollution. Sticking with the Cambridgeshire theme of this post, in the county in 2010 there were 257 deaths attributed to air pollution.
  • Ensure new development is integrated with the existing community, and create opportunities for people to mix and create new friendships and networks.
For real examples of policies from recent Neighbourhood Plans which deliver health benefits, see my briefing note, prepared jointly with the National Association of Local Councils, Neighbourhood Planning and Community Health and Wellbeing.

Gaining support from the wider community

What sets Neighbourhood Plans apart from other aspects of the planning system is that they are produced by the community the plan serves. 

Preparing a Neighbourhood Plan requires the support and involvement of the local people, many of whom may have little understanding of the planning system.

Many of the principles for improving health also deliver other sustainability objectives. For example, rhetoric around encouraging walking and cycling has tended to focus on the importance of reducing carbon emissions, rather than the health benefits such a shift in behaviour can bring. However, concepts such as 'sustainability' may be totally alien to many people.

Conversely, health is an issue which everyone can relate to and can get behind. By expressing the Neighbourhood Plan's benefits in terms of its positive effects on health may help more people understand and engage in the plan.


Comments

Popular posts from this blog

Neighbourhood Planning and Community Health and Wellbeing - Briefing Note for NALC

I have teamed up with the National Association of Local Councils (NALC) to author a briefing note on Neighbourhood Planning and Community Health and Wellbeing.

The briefing note illustrates how Neighbourhood Plans can actively contribute to improving health and wellbeing in their communities, and draws on recent examples of neighbourhood plan policies. Neighbourhood Plans can tackle issues of health and wellbeing in lots of different ways, as explained in the briefing note, and is something I will be making the case for in future blog posts.

A pdf version of the briefing note is available to view and download below. Further advice on neighbourhood planning is also available from NALC's website.




Neighbourhood Plan Review: Plans made in July 2019

Neighbourhood Plans provide a bespoke planning framework for the local area. No two plans are alike, although many have similar characteristics and address common themes. This post provides a short summary of those Neighbourhood Plans which successfully passed referendum in July 2019, highlighting the elements which make each plan locally specific and unique.

The purpose of this post is to celebrate the achievement of those communities in successfully preparing their Neighbourhood Plans, and to share the interesting ideas and policies for the benefit of others who are currently writing their plans. Links to the Neighbourhood Plans are provided throughout the post.
Navigate this post using the map July was a busy month, with a whopping 24 Neighbourhood Plans successfully passing referendum. To  make it easier to navigate this post, the location of the areas covered by each new Neighbourhood Plan are shown on the interactive map. Click on a marker to reveal a link to the plan's su…

Why the Middlewich Neighbourhood Plan failed

News that the Middlewich Neighbourhood Plan was rejected at referendum has spread rapidly across social media and has even been picked up by local and national press - see BBC article.

The story has garnered a lot of attention as it is highly unusual for a Neighbourhood Plan to be rejected. The Middlewich Neighbourhood Plan is only the third Neighbourhood Plan not to be supported by residents.

At the referendum held on 14 March 2019, the Neighbourhood Plan was rejected, albeit by a very slim margin of just 22 votes.
'No' Campaign Prior to the referendum, Labour town councillors led a campaign which encouraged local people to vote against the Neighbourhood Plan. 
Based on the literature shared by the campaign group, opposition to the Middlewich Neighbourhood Plan appears to be pointed at three key issues: Impacts on the town and its infrastructure of the overall scale of growth Middlewich is expected deliverDisagreement with the individual sites identified by the Neighbourhood …

Neighbourhood Plan Review: Plans Made in September 2019

This post explores Neighbourhood Plans which successfully passed referendum in September 2019, highlighting elements which make each plan locally specific and unique. The following Neighbourhood Plans passed referendum in September 2019:
Bawtry Neighbourhood Plan (Doncaster Council)Brackenfield Neighbourhood Plan (North East Derbyshire District Council)Chelford Neighbourhood Plan (Cheshire East Council)Congresbury Neighbourhood Plan (North Somerset Council)Glentworth Neighbourhood Plan (West Lindsey District Council)Hanslope Neighbourhood Plan (Milton Keynes Council)Hullavington Neighbourhood Plan (Wiltshire Council)Huntingdon Neighbourhood Plan (Huntingdonshire District Council)Misterton Neighbourhood Plan (Bassetlaw District Council)Moreton, Bobbingworth and the Lavers Neighbourhood Plan (Epping Forest District Council)Sedgefield Neighbourhood Plan (Durham County Council)Sedgeford Neighbourhood Plan (Kings Lynn & West Norfolk District Council)Sid Valley Neighbourhood Plan (Sidmo…

Neighbourhood Plan Review: Plans Made in August 2019

No two Neighbourhood Plans are alike, although many have similar characteristics and address common themes. This post provides a short summary of those Neighbourhood Plans which successfully passed referendum in August 2019, highlighting the elements which make each plan locally specific and unique.

August plans contained lessons in semantics; aspirations for "harmonious living" for those with specialist housing needs; support for rural enterprise through homes on the farm;  biodiversity off-setting; and protection of essential local facilities - notably, the public toilet. August saw a plan which previously fell foul of the regulations finally find success; and several 'concise' plans pass referendum - the shortest containing just three policies.

Navigate this post using the links...
Broadwas and Cotheridge Neighbourhood PlanBroadwindsor Neighbourhood PlanChirton and Conock Neighbourhood PlanCrowan Parish Neighbourhood PlanHailey Neighbourhood PlanHaughley Neighbourh…

Latest stats show continued increase in house-building

Chart: All Things Neighbourhood Planning
Data source: Live tables on housebuilding: new build dwellings (Table 209), MHCLG

The Ministry for Housing, Communities and Local Government has today published its latest data on house building in the United Kingdom. The graph shows the number of dwellings completed by financial year in England. Data is also available for the other home nations. However, Neighbourhood Planning is a feature of the English planning system only.

In 2017/18, there were more than 160,500 new homes constructed. - the highest rate of development since the financial crisis of 2007-08. As illustrated in the graph, the data shows a steady increase in number of homes built each year since the low-point of 2012-13, where less than 108,000 homes were built. 

The rate of development in 2017/18 is comparable to the period 2004 - 2006. Assuming this trend of increasing development rates continues into the current financial year, the number of homes constructed in 2018/19 could po…

Appeal granted in countryside despite Five Year Land Supply - Shinfield Neighbourhood Plan

Through a recent appeal decision, a Planning Inspector has granted outline planning permission for up to 55 dwellings and 'Suitable Alternative Natural Greenspace' (SANG) at land at Parklands, east of Basingstoke Road, Spencers Wood, Wokingham.

The decision was issued on 28th February 2019, under appeal reference APP/X0360/W/18/3204133.

The appeal site is located between two villages, Three Mile Cross and Spencers Wood. The scheme proposes two areas of development adjoining each of the villages, separated by an area of open space - a 'SANG'.
Shinfield Neighbourhood Plan The Shinfield Neighbourhood Plan (SNP) was made in February 2017. Policy 1 of the SNP addresses the location of development:

In Shinfield Parish, development within the Development Limits..., will be supported; development adjacent to the Development Limits will only be supported where the benefits of the development outweigh its adverse impacts. 

'Development limits' are a very common planning …

Secretary of State overturns Planning Inspector's decision due to density concerns

Normally, planning appeals are determined by Planning Inspectors, but in some circumstances appeals may be 'recovered' for determination by the Secretary of State (SoS). The current SoS for Housing, Communities and Local Government is James Brokenshire MP.

In December 2018, the SoS issued a decision on a recovered appeal at Woburn Sands, Buckinghamshire. The proposal for residential development of up to 203 dwellings, a doctor’s surgery, open space and landscaping, together with pedestrian, cycle and vehicular access, was initially refused by Milton Keynes Council, and following appeal, granted permission by a Planning Inspector. However, the SoS recovered the appeal and overturned the Inspector's decision, dismissing the appeal.

Details of the case are available on the Planning Inspectorate's website, using case reference: APP/Y0435/W/17/3169314.
Appeal site & Neighbourhood Plan The appeal site is a 15.2 hectare, greenfield site, located outside the development bo…

New Interactive Map of Neighbourhood Plans

ATNP's Interactive Neighbourhood Plan map is a new tool showing locations with a Neighbourhood Plan in force.

The interactive map is free to use and compatible with desktop and mobile devices. It allows the user to pan and zoom across the country to locate areas with Neighbourhood Plans, Neighbourhood Development Orders & Community Right to Build Orders in place. Each marker represents a different plan, and provides a web link to view or download the plan.

This new map builds upon the Neighbourhood Plan Finder which lists Neighbourhood Plans by local planning authority area.

Try the Interactive Neighbourhood Plan Map now

For details of mapping services offered by All Things Neighbourhood Planning, visit the Maps section.