www.healthyuniversities.ac.uk

Health Promoting & Sustainable Universities: Convergence, Synergy and Interconnections

Mark DoorisProfessor in Health & Sustainability

Director, Healthy & Sustainable Settings Unit University of Central Lancashire

www.healthyuniversities.ac.uk

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ISCN Annual Conference 2016 Leadership for a Sustainable Future University of Siena | Italy | 13-15 June 2016Working Group 2: Campus-Wide Planning and Target Setting

Okanagan Charter for Health Promoting Universities & Colleges

“Health Promoting Universities and Colleges transform the health and sustainability of our current and future societies, strengthen communities and contribute to the wellbeing of people, places and the planet.”

https://open.library.ubc.ca/cIRcle/collections/53926/items/1.0132754http://www.internationalhealthycampuses2015.com/

Health Promoting Universities: Origins & Development

Health Promoting Universities – one application of the healthy settings approach:

“Health is created and lived by people within the settings of their everyday life; where they learn, work, play and love. Health is created…by ensuring that the society one lives in creates conditions that allow the attainment of health by all its members.”

WHO, Ottawa Charter for Health Promotion, 1986

Health Promoting Universities: What?

Salutogenic EcologicalSystemicWhole System ChangeFocus on ‘Core Business’

Adapted from: Dooris, 2005

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Universities and colleges can support the health of people, places and planet…

commitment to health and wellbeing can enhance core business – achievement, performance, productivity & reputationresponsibility to impact positively on health/wellbeing of students & staffpotential to contribute significantly to long-term health improvement of the populationopportunity to generate health, justice & sustainability in society – corporate responsibility & future-shaping.

Health Promoting Universities: Why?

Health Promoting Universities: Whole System Approach

Source: Simon Fraser University – Designing Healthy Campus Communitieshttps://www.youtube.com/watch?v=1200TPhLJTc

Health Promoting Universities: How?

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Health Promoting Universities: How?

Monitoring & Evaluation

Recognition & Celebration

Working Groups

Action Plan

Delivery

SMT Commitment &High Level

Steering Group

Named Co-ordinator

Stakeholder asset

mapping & needs

assessmentEntry Points/Catalysts:

The approach benefits from a proactive, systematic process that designates responsibilities and accountabilities, harnesses and connects health-related activities, and utilises an operational planning and implementation process. Adapted from: Doherty & Dooris, 2006

Health Promoting Universities: How?Steering Group

UCLan Healthy University Steering GroupCollege of

Health &

Wellbeing

Learning &

Information Services /

Student

Wellbeing

Facilities

Management

Human

Resources

UCLan Sport

Safety, Health

& Environment

Students’

Union

Trades Union

s

UNIVERSITY OF CENTRAL LANCASHIREHEALTHY UNIVERSITY STEERING GROUP

TERMS OF REFERENCE  

1. To provide strategic direction to the Healthy University initiative, aligning and connecting it with relevant corporate agendas and areas of work.2. To work in partnership with the University’s planning and strategic development processes and enable the development of health enhancing

organisational policy and practice.3. To provide leadership to support effective development and implementation of the Healthy University Action Plan. 4. To support the Vice Chancellor and Executive in the effective delivery of the UCLan Strategy 2015-20, with particular regard to the achievement

of ‘A healthy university committed to the physical and mental wellbeing of its students and staff.’ 5. To support the Vice Chancellor and Executive in the effective delivery of the Campus Master Plan, specifically in pursuit of a ‘Healthy, Safe,

Active and Sustainable Campus.’6. To enable a whole system approach to the Healthy University initiative through developing and sustaining cross UCLan and Students’ Union

partnerships to deliver priority actions and targets.

Health Promoting Universities: How?Action Planning

Priority Themes 2015-181. Healthy, Safe and Sustainable Food2. Mental Health and Wellbeing3. Relationships and Sexual Health4. Smoking, Alcohol and Drugs 5. Sport and Physical Activity6. Communications and Marketing7. Healthy & Sustainable Environments 8. Student Engagement and Experience

Source: University of Central Lancashire Healthy University Action plan 2015-18http://www.uclan.ac.uk/healthy_university/assets/healthy-uni-2015-18.pdf

Health Promoting Universities: How?Monitoring & Evaluation

Indicators Qualitative researchDoes it work Why and how does it/doesn’t it work?Specific interventions Added value of ‘whole system’ approach

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UK Healthy Universities Network: Self Review Tool

Leadership & GovernanceService ProvisionFacilities & EnvironmentCommunication, Information & MarketingAcademic, Personal, Social & Professional Development

http://www.healthyuniversities.ac.uk/assessment/login.php

Health & Sustainability: Convergence & Connections

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Health & Sustainability: Connecting the AgendasConceptual Linkages

“The fundamental conditions and resources for health [include]…a stable ecosystem and sustainable resources.”“The inextricable links between people and their environment constitutes the basis for a socioecological approach to health. The overall guiding principle…is to encourage reciprocal maintenance [and] the conservation of natural resources.”

WHO, Ottawa Charter for Health Promotion, 1986

“Human beings are at the centre of concerns for sustainable development … entitled to a healthy and productive life in harmony with nature.”

UN, Rio Declaration on Environment and Development, 1992

.

Source: adapted from Hancock, 1996

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HEALTH WELLBEING SUSTAINABILITY

Health & Sustainability: Connecting the AgendasLeadership for Change

Salutogenesis

Health Promoting Universities

Regenerative Sustainability

Sustainable Universities

Health & Sustainability: Connecting the AgendasA Multi-Lens Perspective

1. Avoid disconnected programmes reduce duplication of effort2. Identify, make transparent and minimise potential conflicts 3. Align drivers for change through co-benefits approach

Ackn: International Futures Forum

University of Central Lancashire: Managing the Interface Between Health & Sustainability

Safety, Health & Environment Committee

Healthy University Steering Group

Vice Chancellor & University Executive

Healthy University Co-ordinator

Healthy & Sustainable University Group

ISO14001 Environmental Management System

Environmental Management Review Group

Sustainable Development

Improvement Groups

Healthy University Action Plan 2015-18

Environment/Sustainability Manager

Shared Working

Groups

Healthy University Working

Groups

University Strategy 2015-18 Campus Masterplan

University of Central Lancashire: Managing the Interface Between Health & Sustainability – Strategic

Healthy UniversitySustainable University

University Strategy 2015-18

Campus Masterplan

HEALTHY & SUSTAINABLE UNIVERSITY GROUP [Chair: Chief Operations Officer]Environ

ment/ Sustainability Manag

er

Healthy University Co-ordinat

or

Professor in

Health &

Sustainability

Executive

Dean – Health

& Wellbei

ng

Director,

Facilities

Management

Chair – UCLan Sport

General

Manager –

Students’

Union

Safety, Health

& Environment

Manager

University of Central Lancashire: Managing the Interface Between Health & Sustainability – Strategic

“Supporting the health, safety & wellbeing of all.”“A healthy university committed to the physical & mental wellbeing of its students and staff.”“Transformational change… underpinned by a commitment to environmental sustainability.”

“A core principle…is to integrate our campus seamlessly with the rest of

the City, benefitting current and future generations of

students, staff, visitors and the wider community.”

“The Masterplan strives to…create a healthy, safe, active and

sustainable campus.”Design Principles for a Healthy & Sustainable Campus Education through Wider Environment

Green Space, Biodiversity & Human WellbeingEdible Campus

Green & Active TravelClimate Change Adaptation

Waste & RecyclingA Low-Energy & Innovative Campus

University of Central Lancashire: Managing the Interface Between Health & Sustainability – Operational Food

Healthy, Safe & Sustainable Food Working Group

Managing the Interface Between Health & Sustainability – Built Environment

“Even construction earning a top rating for green building…certification, may still be packed full of toxins – with perhaps even less of an opportunity for escape.”

“The green building movement arose as a building issue, looking at energy, water and resource use. Meanwhile, there’s been a healthy building movement, which has been looking at what is best for the people in that building. What we’re seeing now is that green and healthy are converging.”

Dr. Howard Frumkin, who is Dean of Public Health at the University of Washingtonhttp://www.huffingtonpost.com/2013/12/12/building-materials-asthma_n_4427243.html

http://www.sfu.ca/healthycampuscommunity/physicalspaces.html

Managing the Interface Between Health & Sustainability – Built Environment

“Even construction earning a top rating for green building…certification, may still be packed full of toxins – with perhaps even less of an opportunity for escape.”

http://www.huffingtonpost.com/2013/12/12/building-materials-asthma_n_4427243.html

“The green building movement arose as a building issue, looking at energy, water and resource use. Meanwhile, there’s been a healthy building movement, which has been looking at what is best for the people in that building. What we’re seeing now is that green and healthy are converging.”

Dr. Howard Frumkin, Dean of Public Health at the University of Washington

Managing the Interface Between Health & Sustainability – Built Environment

http://www.sfu.ca/healthycampuscommunity/physicalspaces.html

Well-Being Through Physical Spaces

Okanagan Charter for Health Promoting Universities & Colleges

“Health Promoting Universities and Colleges transform the health and sustainability of our current and future societies, strengthen communities and contribute to the wellbeing of people, places and the planet…They infuse health into everyday operations, business practices and academic mandates. By doing so, they enhance thesuccess of our institutions; create campus cultures of compassion, well-being, equity and social justice; improve the health of the people who live, learn, work, play and love on our campuses; and strengthen the ecological, social and economic sustainability of our communities and wider society.”

https://open.library.ubc.ca/cIRcle/collections/53926/items/1.0132754http://www.internationalhealthycampuses2015.com/

Conclusion and Future Directions

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References and Further ReadingJOURNAL ARTICLES, BOOK CHAPTERS, REPORTS AND THESESHealth Promoting and Sustainable UniversitiesDoherty, S., Cawood, J. & Dooris, M. (2011) Applying the whole system settings approach to food within universities. Perspectives in Public Health 131(5): 217-224Orme, J. & Dooris, M. (2010) Integrating health and sustainability: the higher education sector as a timely catalyst. Health Education Research 25(3): 425-437.Health Promoting / Healthy Universities – General Cawood, J., Dooris, M. and Powell, S. (2010) Healthy Universities: shaping the future. Perspectives in Public Health 130(6): 259-260. Doherty, S. & Dooris, M. (2006) The healthy settings approach: the growing interest within colleges and universities. Education and Health 24: 42-43.Dooris M. (2001) The ‘health promoting university’: a critical exploration of theory and practice. Health Education 101: 51-60.Dooris, M. & Doherty, S. (2010) Healthy Universities: current activity and future directions – findings and reflections from a national-level qualitative research study. Global Health Promotion 17(3): 6-16.Dooris, M. & Doherty, S. (2010) Healthy Universities – time for action: a qualitative research study exploring the potential for a national programme. Health Promotion International 25(1):94-106.Dooris, M., Cawood, J., Doherty, S. & Powell, S. (2010) Healthy Universities: Concept, Model and Framework for Applying the Healthy Settings Approach within Higher Education in England. Final Project Report – March 2010. Preston: UCLan / London: RSPH.Dooris, M., Doherty, S., Cawood, J. & Powell, S. (2012) The Healthy Universities Approach: Adding Value to the Higher Education Sector. Chapter in: Scriven, A. and Hodgins, M. Health Promotion Settings: Principles and Practice. London: Sage. Dooris, M., Doherty, S. and Orme, J. (in press) The Application of Salutogenesis in Universities. Chapter in: Mittelmark, M. The Handbook Of Salutogenesis. New York: Springer.Dooris, M., Wills, J. and Newton, J. (2014) Theorising Healthy Settings: a critical discussion with reference to Healthy Universities. Scandinavian Journal of Public Health 42 (Suppl 15): 7–16.Newton, J. (2014) Can a University Be a ‘Healthy University’? An Analysis of the Concept and an Exploration of its Operationalisation through Two Case Studies. Thesis submitted for PhD. London: London South Bank University.Newton, J., Dooris, M. and Wills, J. (2016) Healthy universities: an example of a whole-system health-promoting setting. Global Health Promotion 23 (Suppl. 1): 57-65.Stanton, A. et al (2013) Building healthy campus communities: The adaptation of a workplace tool to understand better student wellbeing within higher education settings. Education & Health 31 (3):84-90.Stock, C., Milz, S. & Meier, S. (2010) Network evaluation: principles, structures and outcomes of the German working group of Health Promoting Universities. Global Health Promotion 17(1): 25-32.Suárez-Reyes, M. and Van den Broucke, S. (2016) Implementing the Health Promoting University approach in culturally different contexts: a systematic review. Global Health Promotion 23 (Suppl. 1): 46-56.

References and Further ReadingHealth, Wellbeing and Sustainability – GeneralCanadian Public Health Association (2015) Global Change and Public Health: Addressing the Ecological Determinants of Public Health. Ottawa: CPHA. http://www.cpha.ca/uploads/policy/edh-discussion_e.pdf Poland, B. & Dooris, M. (2010) A green and healthy future: a settings approach to building health, equity and sustainability. Critical Public Health 20(3): 281-298. Poland, B., Dooris, M. & Haluza-Delay, R. (2011) Securing ‘supportive environments’ for health in the face of ecosystem collapse: meeting the triple threat with a sociology of creative transformation. Health Promotion International 26 (Supplement 2): ii202-ii215.United Nations (1992) Rio Declaration on Environment and Development. Geneva: UN.Health Promotion and Settings – GeneralDooris, M. (2005) Healthy settings: challenges to generating evidence of effectiveness. Health Promotion International 21 (1): 55-65. Dooris, M. (2009) Holistic & sustainable health improvement: the contribution of the settings-based approach to health promotion. Perspectives in Public Health, 129: 29-36. Dooris, M (2013) Bridging the Silos: Towards Healthy and Sustainable Settings for the 21st Century. Health & Place 20: 39-50. Kickbusch, I. (1996) Tribute to Aaron Antonovsky – ‘what creates health’? Health Promotion International 11(1), pp. 5–6.Kickbusch I. (1997) Health-promoting environments: the next steps. Australian and New Zealand Journal of Public Health 21: 431-4Poland, B., Krupa, G. And McCall, D. (2010) Settings for health promotion: an analytic framework to guide intervention design and implementation. Health Promotion Practice 10(4): 505-16.WHO (1986) Ottawa Charter for Health Promotion. Geneva: WHO. http://www.who.int/healthpromotion/conferences/previous/ottawa/en/index1.html Regenerative SustainabilityRobinson, J. (2012) Regenerative Sustainability: From Damage Control to Improving the Environment. http://news.ubc.ca/2012/01/03/regenerative-sustainability-from-damage-control-to-improving-the-environment/ Robinson, J. and Cole, R. (2014) Theoretical underpinnings of regenerative sustainability, Building Research & Information, DOI: 10.1080/09613218.2014.979082

LinksLINKSHEALTH PROMOTING UNIVERSITIES 2015 International Conference on Health Promoting Universities and Colleges: Presentationshttps://open.library.ubc.ca/collections/53926/browseOkanagan Charterhttps://open.library.ubc.ca/cIRcle/collections/53926/items/1.0132754WHO Health Promoting Universities Bookhttp://www.euro.who.int/document/e60163.pdfUK Healthy Universities NetworkMain Website http://www.healthyuniversity.ac.ukCase Studies http://www.healthyuniversities.ac.uk/toolkit/case-studies.php?s=189Self-Review Tool http://www.healthyuniversities.ac.uk/assessment/login.phpUniversity of Central Lancashire Healthy University Main Website http://www.uclan.ac.uk/healthy_university/idex.phpAction Plan 2015-2018http://www.uclan.ac.uty/assets/healthy-uni-2015-18.pdfSimon Fraser UniversityMain Website https://www.sfu.ca/healthycampuscommunity.htmlAnnual Reporthttps://www.sfu.ca/healthycampuscommunity/abouthcc/AR2015.htmlGerman Network of Health Promoting UniversitiesMain Websitewww.gesundheitsfoerdernde-hochschulen.de/E_GF_HS_international/E1_GNHPU.htmlQuality Criteriahttp://www.gesundheitsfoerdernde-hochschulen.de/Inhalte/E_Gefoe_HS_internat/AGH_INFO_QUALITY_CRITERIA_HPU_LOGO_ENG.pdf

LinksPLANNING AND DESIGNING HEALTH PROMOTING AND SUSTAINABLE CAMPUSES Simon Fraser UniversityWell-being through Physical Spaces https://www.sfu.ca/healthycampuscommunity/physicalspaces.htmlWell-being through Physical Spaces [Rationale] https://www.sfu.ca/content/dam/sfu/healthycampuscommunity/PDF/PhysicalSpacesRationale.pdfCreating Conditions for Well-being in Learning Environments https://www.sfu.ca/content/dam/sfu/healthycampuscommunity/PDF/WLE/ACHA_Action.pdfSimon Fraser University – Designing Healthy Campus Communities [Video]https://www.youtube.com/watch?v=1200TPhLJTc

University of Central LancashireCampus Masterplanhttp://www.uclan.ac.uk/masterplan/index.phpCampus Masterplan - Design Principles for a Healthy and Sustainable Campus – see Section 3.9, p53http://www.uclan.ac.uk/masterplan/assets/uclan_masterplan_report_web.pdf PLANNING FOR HEALTH [GENERAL]Integrated Impact Assessmenthttp://www.apho.org.uk/resource/view.aspx?RID=48174Royal Town Planning Association – Promoting Healthy Citieshttp://www.rtpi.org.uk/media/1119385/rtpi_promoting_healthy_cities.pdfSustainable Healthy Citieshttp://www.sustainablehealthycities.orgTown & Country Planning Association – Reuniting Health with Planninghttp://www.tcpa.org.uk/pages/health.htmlhttp://www.tcpa.org.uk/pages/reuniting-health-with-planning-healthier-homes-healthier-communities.html http://www.tcpa.org.uk/pages/reuniting-health-with-planning-phase-2-project.html WHO European Healthy Cities NetworkMain Websitehttp://www.euro.who.int/en/health-topics/environment-and-health/urban-health/activities/healthy-citiesCity Planning for Health and Sustainable Development http://www.euro.who.int/__data/assets/pdf_file/0008/101060/wa38097ci.pdf?ua=1