ryngan pyper & ben cave · 2017-06-28 · health impact assessment (hia) is a method of...
TRANSCRIPT
Introduction to Health Impact Assessment
The scope
The assessment
The draft results
The draft recommendations
Your feedback please
Health Impact Assessment (HIA) is a method of estimating the potential health effects of the 3Ts Programme.
HIA is required by B&H CC and NHS B&H.
HIA seeks to identify both the positive and negative effects on health.
HIA looks at the wider determinants of health for those: who use the hospital, who work at the hospital and who live close to the hospital.
From Hugh Barton and Marcus Grant, University of the West of England
Screening
Scoping
Assessment
Reporting/Feedback
Monitoring/Management
Establish relevance to health
Identify key issues*
Identify potential effects*
Present results
Ongoing action
*opportunities for wider involvement
... considered 44 potential health issues & 36 potentially relevant population groups.
... scoped in 29 health issues & 23 population groups.
identified three themes ... design features of the new buildings;
access arrangements in and around the site; and
disturbance from construction works.
... systematically evaluated each health issue, against each relevant population group.
... identified 16 potentially important positive health outcomes across 17 population groups.
... and 5 potentially important negative health outcomes across 13 population groups.
... sets out recommendations to improve the positive outcomes and reduce the negative outcomes.
Issue Mainly affecting:
Green space Patients and staff
Quality of facilities Patients, staff and some equity groups
Equal access by all cultures Patients, staff and some equity groups
Sunlight Patients and staff
Visual impact Patients and staff
Pedestrian and cycle routes Patients and staff
Shift away from car use Patients
Employment and skills migration Staff
Access arrangements Patients and visitors
Issue Mainly affecting:
Signposting Patients and visitors
Accommodation Visitors
Educational facilities Staff
Commercial health outlets Patients and residents
Patient social networking Patients
Physical activity Staff
Work environment Staff
Issue Mainly affecting:
Air quality from operational traffic Residents
Dust exposure from demolition and construction
Residents
Noise and vibration exposure from demolition and construction
Patients, staff and residents
Parking (parking is currently under review) Patients, staff, residents and some equity groups
Travel time Staff
Action Detail
1. Maximise opportunities to view and access green spaces
Green spaces should be: aesthetically pleasing facilitate gentle to moderate exercise planted to maximise use use materials which reduce impacts use materials that resist slips/trips
2. Include design features that are linked to positive health outcomes
Review should report where measures: are included are not included and why can only be assessed once building complete
3. Make the multi‐faith centre accessible and comfortable to all
Include: multi‐denominational and multi‐cultural consultation report on how consultation inputs addressed
Action Detail
4. Maximise natural lighting throughout the hospital
Include: where practical views onto green space and the sea report where and why able, or not‐able, to achieve
natural lighting5. Create an aesthetically
pleasing environment Review should report where aesthetic elements: are included are not included and why can only be assessed once building complete
6. Make access arrangement as easy as possible.
Include: appropriate surfaces, lights and security doors that allow for wheelchairs and large prams a clear staffed reception point at the main entrance appropriate navigational aids for equity groups screens showing public transport connection times
Action Detail
7. Support a sustainable modal shift from cars to walking, cycling and public transport
Include: secure bicycle storage close to the hospital building changing rooms with showers covered/enclosed seating for people waiting for public
transport connections bus stops located conveniently pedestrian crossings matching desire lines
8. Ensure that there is suitable quality and capacity in public transport services
Public transport should: be accessible for patients, visitors and staff who can
reasonably use public transport have connection points as flat and level as possible be clearly advertised both in appointment letters as
well as within and outside the hospital
Action Detail
9. Actively promote multimodal and active transport options
Promotion should: be started as soon as reasonably possible achieve results before the 3Ts programme completes be a component of a wider transport strategy that
included addressing parking for staff acknowledge that this a process that will require
ongoing engagement and take years to fully realise
Action Detail
10. All reasonable endeavours should be made for air quality to not exceed national standards
Note: relates both to the hospital and surrounding areas where exceedances are unavoidable increases should
be minimal. air quality should be monitored (EIA to inform)
11. Demolition and construction dust should be minimised
Note: prolonged dust deposition levels that equate to a
deposition rate of 200mg/m2/day or greater should be avoided
relevant PM10 and PM2.5 national standards should not be exceeded (see recommendation 10)
children and in particular the children’s hospital are important receptors with increased vulnerability
dust levels should be monitored (EIA to inform)
Action Detail
12. Construction noise and vibration should be minimised
Note: rigorously manage excavation and piling activity construction plant/vehicles specifications and
operation should minimise noise impacts WHO standards should be met unless B&HCC and NHS
B&H agree that these are impractical considerations should be given to the noise
requirements of HTM 08‐01 (Department of Health) consider impact on the use of sensitive medical
equipment (inc. MRI) and operating theatre function consider the impact on the pupils and staff at the
Hamilton Lodge School contractor should establish a community liaison role noise & vibration should be monitored (EIA to inform)
Action Detail
13. Patient and visitor parking provision needs to be appropriate
Note: parking provision should be appropriate to a realistic
and sustainable modal shift away from car use a significant modal shift needs to be facilitated,
supported and to a reasonable extend realised before completion of the 3Ts Programme
the site access plan should: maximise opportunities for pedestrian, cycling and public transport use
priority parking for those people who cannot reasonably use alternatives to private car transport
Action Detail
14. Parking provision for staff needs to be appropriate
Note: staff require dedicated parking at a satellite location shuttle bus should meet reasonable staff needs for:
frequency, reliability, security, travel time & capacity staff should be formally consulted on such needs priority parking provision at the RSCH site for staff
within relevant equity groups physically active transport alternatives encouraged
where it would not reduce work performance
Action Detail
15. An important opportunity should not be missed to provide healthy food
Hospital catering and retailers should provide: healthy food options where reasonable & possible locally sourced foods where reasonable & possible food appropriate to
different cultures
Consultation is an important part of the HIA process, we welcome your views...
Thank you for your time.