Hewitt, S. and Grant, M. and Bristol Partnership, NHS Bristol, Bristol City Council, University of the West of England
Building health into our plans from the start: Report and review of the health impact assessment workshop on the Knowle West Regeneration Strategy; Wednesday 21 July 2010.
NHS Bristol/Bristol City Council/University of the West of England, Bristol.
- Published Version
Publisher's URL: http://www.apho.org.uk/resource/item.aspx?RID=1020...
Knowle West in South Bristol has a population of about 15,000 and was mostly built in the 1920s and 1950s. Although for many Knowle West is a great place to live and there is a strong sense of community, it has high levels
of deprivation, with some parts of it being in the poorest 1% nationally. Filwood, in the heart of Knowle West, has the second lowest score under the Bristol Quality of Life Survey Liveability Index and there are significant health
challenges. Life expectancy is the second lowest in Bristol, with high levels of cancer mortality and heart disease mortality. The level of obesity is one of the
highest in Bristol, as is the level of smoking.
Work started on the Knowle West Regeneration Strategy in September 2009 and the vision for the area was agreed as “A community full of confidence and pride, skilled and healthy, living in a thriving Bristol neighbourhood that is
green and well connected and low in living costs” – known as the ‘Knowle West Vision 2030’.
With major change proposed for Knowle West, the Healthy City Group of the Bristol Partnership considers it vital that health and well-being in its widest sense is integrated into the regeneration plans. Therefore the group has initiated a health impact assessment (HIA) process to review potential health impacts. This report is based on a participatory workshop for the draft Knowle West Regeneration Strategy. The workshop looked at the wider social, economic and environmental foundations for health and well-being – how housing, transport, employment, open space etc impact on people’s health – rather than being limited to the provision of health services.
The workshop took place on 21 July 2010 and was attended by 36 people, including local residents, local workers, strategic policy makers, service providers and a local councillor. Marcus Grant and Hugh Barton from the
WHO Collaborating Centre for Healthy Cities and Urban Policy at the University of West of England (UWE) facilitated the process.
The workshop used the Spectrum Approach for participatory HIA. This provides a quick but holistic overview of a particular development project from a health and sustainability standpoint. It does not weight one criterion against another (which implies trade-offs), but rather identifies an acceptable bottom line in relation to each criterion. It involves a set of agreed health criteria,
systematic evaluation and a colour-coded grading system.
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