Architects for Health

Creating Health Improving Environments

Shirley Cramer CBE

WHO Obesity Forecasts - UK

2030

Obese women 33% (25% 2010)Overweight women 63% (59% 2010)Obese men 36% (26% 2010)Overweight men 73% (70% 2010)

£14 billion

Health inequalities

• Individuals in most deprived areas live 7 years less than in least deprived areas

• Disability free life, expectancy – 17 years

• Mental health parity with physical health

Richter scale of health – how we define health

1. Encourages healthy lifestyle choices

2. Promotes social interaction3. Allows greater access to health

care services and/or health advice4. Promotes mental wellbeing

Most health promoting

Health services

Pharmacies

Leisure centres/Health clubs

Libraries

Museum and art galleries

Pubs and bars

Least health promoting Tanning shops

Fast food takeaways

Bookmakers

Payday lenders

Scored well on health impact

Leisure centres 7Health clubs 5Libraries 4Pubs & bars 2

Didn’t score so well on health impact

Tanning shops -1Fast food takeaways -2Bookmakers -2Payday loan shops -4

Recommendations

• Local authorities to be given greater planning powers to prevent the proliferation of betting shops, payday lenders and fast food outlets

• Public health criteria to be a condition of licensing for all types of business

• Mandatory food hygiene ratings linked to calorie and nutrition labelling for fast food outlets

• A limit of 5% of each type of business on a high street in order to avoid oversaturation and provide affordable choice

• Legislation to enable local councils to set their own differential business rates to encourage healthier outlets and discourage those that are detrimental to health

Thank you @R_S_P_H