Delivering a new Wembley

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Welcome!

• Delivering a new Wembley
• Rapid health impact assessment workshop

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Todays programme

• An introduction to health impact assessment
• How healthy are we?
• The Wembley redevelopment proposals
• Rapid health impact assessment
• Summary and the way forward

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An introduction to health impact assessment

• Ruth Barnes
• Independent Public Health Consultant
• ruthbarnes_at_queenspark98.freeserve.co.uk

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An introduction to HIA
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Health impact assessmentA new approach

• Environmental impact assessment
• Article 152 of the Amsterdam Treaty
• Independent inquiry into Inequalities in Health
• Saving Lives Our Healthier Nation

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Health impact assessmentIndependent Inquiry
into Inequalities in Health

• All policies likely to have an impact on health
  should be evaluated in terms of their impact on
  health inequalities.

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Health impact assessmentSaving Lives Our
Healthier Nation

• "We need to ensure that ..... the actions that
  flow from our policies will contribute to our
  goals of improving the health of the population
  and reducing inequality. So we have decided that
  major new government policies should be assessed
  for their impact on health."
• "Local decision makers must think about the
  effect which their policies have on health. An
  important part of this role will be to encourage
  all local agencies to make local health impact
  assessments when planning investment in, for
  example, amenities buildings or local communities
  and the location of services."

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Health Impact AssessmentDefinitions
The estimation of the effects of a specified
action on the health of a defined
population (Scott Samuel, 1998) Any combination
of procedures or methods by which a proposed
policy or programme may be judged as to the
effect(s) it may have on the health of a
population (Frankish et al., 1996)
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Health Impact AssessmentAims

• to assess the potential health impacts positive
  and negative of policies, programmes and
  projects
• to improve the quality of public policy decision
  making through recommendations to enhance
  predicted positive health impacts and minimise
  negative ones

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Concepts and principles
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Health Impact AssessmentKey principles

• a social model of health and well-being
• an explicit focus on equity and social justice
• a multi-disciplinary, participatory approach
• the use of qualitative as well as quantitative
  evidence
• explicit values and openness to public scrutiny

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A social model of health and well being
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HealthDefinition

• Health is a state of complete physical, mental
  and social well-being and not merely the absence
  of disease
• (WHO, 1947)

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An explicit focus on equityand social justice
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Equity in healthDefinition

• Equity is concerned with creating equal
  opportunities for health and with bringing health
  differentials down to the lowest possible level
• (Whitehead, 1990)

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A multidisciplinary, participatory approach
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Seeing the bigger picture
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Community involvement and participationAdvantage
s

• For the HIA process
• Gaining a broader perspective and insight
• Obtaining something closer to a complete picture
• Finding tailored solutions
• For the community
• Having a voice
• Expressing choice and influencing policy
  development
• Opportunities for involvement with neighbours
• Opportunities for developing skills

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Community involvement and participationChallenge
s

• Identifying and accessing all sections of the
  community
• Getting a balanced view
• Finding ways of effective two-way communication
• Time and other resources
• Dealing with conflicts of interests
• Raising expectations

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The use of qualitative as well as quantitative
evidence

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Evidence (or data) can be .....

• Quantitative
• e.g. based on existing routine and ad hoc data
  sources
• Qualitative
• e.g. based on interviews and focus groups
  (workshops) with key stakeholders

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Explicit values and openness to public scrutiny
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Health impact assessmentSummary potential
benefits

• Identifying health impacts
• - Process
• - Outcomes
• Influencing health outcomes through input to
  policy
• development and implementation
• Building partnerships
• - Raising awareness
• - Developing a common agenda

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Introduction to small group discussions
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Risk of impact

• definite
• probable
• speculative

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Consequences e.g. differential mortality
rates ? Outcomes e.g. coronary heart
disease ? Causes e.g. smoking, poor
diet ? Causes of the causes e.g. low income,
poverty
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Measurability

• qualitative
• estimable (quantitative)
• calculable (quantitative)

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Thank you!