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LDF Core Strategy HIA - Screening and ScopingContents1234567Introduction & Background1.1 The Key Health issues for Barnsley1.2 Barnsley’s Health at a glanceThe Health Impact Assessment ProcessScreening the Core Strategy ObjectivesKey IssuesScoping the Core Strategy specific “Policies”Further analysis and prioritisationOther Sources of information and Bibliography22245795360

LDF Core Strategy HIA - Screening and Scoping1 . Introduction & BackgroundThis is the initial Screening and Scoping process forming part of a Health Impact Assessment of the BarnsleyLocal Development Framework (LDF) Core Strategy.In recent years there has been wider recognition of the role of planning in encouraging a healthy lifestyle.This has been reflected in national policies, such as transport and scheme appraisal. Where governmentpolicy documents such as Delivering a Sustainable Transport System (DaSTS) and National Approach toTransport Appraisal (NATA) now include clear references to: “Improve health through physical activity” and“Reduce air quality health costs”.Furthermore, The Royal Town Planning Institute (RTPI) has also recognised the clear link between planningand health “Spatial planning provides the opportunity to align health and planning policies to deliverdevelopment solutions that will create the conditions for a healthy lifestyle”. A point reinforced further in arecent report by the Kings Fund – The Health impacts of spatial Planning decisions (April 2009) “… thereis evidence to suggest that a quarter of all global disease and deaths are attributable to the environment”.The importance of the role of the built environment in the battle to improve health and wellbeing of localcommunities has now been accepted. However, this also needs to be reflected in planning policy and asa consequence this document forms the initial stages of embedding health and wellbeing into the futuredevelopment plans for Barnsley.1.1 The Key Health issues for BarnsleyThe 2009 Health Profile for Barnsley reveals that although the health of people in the borough is improvingit is generally worse than the regional or national average.Major public health issues for the borough continue to be smoking and other lifestyle factors which contributeto the high premature mortality rates. Teenage pregnancy, childhood obesity and over 65s 'not in goodhealth' are also significant issues. However, homelessness and violent crime are significantly lower thanthe national average.1.2 Barnsley’s Health at a glanceAlthough the health of people in Barnsley is improving it is generally worse than the England average.Life expectancy, deaths from smoking, early deaths from heart disease and stroke, and from cancerall appear worse than the England average.There are health inequalities within Barnsley by gender and deprivation. Men and women living in lessdeprived areas are more likely to live longer than those living in deprived areas.Over the last ten years rates of deaths from all causes, and early deaths from cancer, heart diseaseand stroke have all decreased, but remain consistently higher than the England average.Children in Barnsley have worse GCSE achievement than the England average, although overallGCSE results have risen for the past six years.Smoking in pregnancy and breast feeding initiation are worse than the England averages, howevertrend data shows improvements. Estimates also suggest that adult smoking prevalence may havefallen.2

LDF Core Strategy HIA - Screening and Scoping1 . Introduction & BackgroundRates of violent crime and statutory homelessness appear better than the England average.The Barnsley Local Area Agreement has prioritised:tackling deaths from circulatory disease in the under 75sobesity in year 6 primary school children, andteenage pregnancies.On two separate occasions over the past eighteen months Barnsley has successfully secured the supportof the Department of Health’s National Support Team (NST) to assist us in addressing health issues in theBorough (Childhood Obesity December 2008 and Reducing Health Inequalities June 2009). In both casesrecognition has been given of the progress made in addressing these issues by the Council, NHS Barnsleyand the various stakeholders. The NST have also supplied a number of recommendations which arecurrently being adopted.The progress so far recognised by the NST in relation to health from a planning and transportationperspective includes:-Strong commitment to healthy lifestyles and environments being embedded into the planning of BuildingSchools for the Future.Health improvement agenda embedded in the Town Centre Area Action Plan e.g. to improve walkability, green space.Commitment to addressing healthy weight agenda led through Planning, Transport and Health Steeringgroup.The NST recommendations include:-Encouragement from NST to explore progress made by other local authorities such as WalthamForest’s current work on limiting the number of fast food outlets e.g. Leicester’s implementation of alocal Licensing Act to restrict mobile street trading around schools; Liverpool’s work with TradingStandards to provide healthy fast food options and introduce food labelling into fast food outlets.The Challenges specific to Barnsley’s Built environment posed by NST included:-Narrowness of road infrastructure impacting on the development of cycle and walking routes.3

LDF Core Strategy HIA - Screening and Scoping2 . The Health Impact Assessment ProcessThe HIA process begins with the “Screening” of the Objectives set out in the Core Strategy and includesthe recognition of a number of key issues. This is following by a “Scoping” exercise which studies in moredetail the actual health implications of all the individual policies within the Core Strategy. The scopingdetermines which policies require a more detailed assessment of their impact on health and are thenprioritised in terms of the when further assessment should take place.The Screening and Scoping aims to pose the following questions:-Will local people’s health improve or be harmed by the Core Strategy options, objectives and polices?Can any changes be made to the Core Strategy and to forthcoming Development Plan Documents(DPD’s) which will benefit health?Will the policies help address health inequalities?Will the policies have implications for service provision?How are the trade-offs between health gain and other priorities addressed?The Core Strategy HIA Process4

LDF Core Strategy HIA - Screening and Scoping3 . Screening the Core Strategy ObjectivesThe Core strategy objectives have been screened following the above criteria the details of which can befound in table 1 below.Table 1Screening CriteriaCore StrategyObjectivesWill theobjectivesimpact onhealth of thevariouscommunities?Do theobjectivescontribute to theambitions of thecommunity?Do theobjectivesreduce healthinequalities?What resourcesare available tocarry out a fullHIA?1To be thespatialinterpretation ofthe SustainableCommunityStrategy√---2To improveaccess,movement andconnectivitywith sustainabletravel√√√-3To secure safe,healthy andinclusivecommunitiesand promotewellbeing√√√-4To makeefficient use ofland andinfrastructure√-√-5To accelerateeconomicgrowth-√√-5

LDF Core Strategy HIA - Screening and Scoping3 . Screening the Core Strategy Objectives6To ensure allnewdevelopment issustainablydesigned andbuilt to thehigheststandards√√√-7To deliver asufficient supplyof housing toprovidebalanced mixedcommunitiesand supporteconomicgrowth-√√-8To help protectand improve thecountryside-√--and naturalenvironment6

LDF Core Strategy HIA - Screening and Scoping4 . Key Issues1. To be the spatial interpretation of the Sustainable Community Strategy - Clear planning policy linkswith community strategy are needed to enable the ambitions of the community strategy to be met.The documents sets out these spatial issues in detail and provides an understand of how the CoreStrategy will deliver policies which will contribute towards the SCS . The importance of the forthcomingbackground papers in supporting the SCS cannot be emphasised enough.2. To improve access, movement and connectivity with sustainable travel - Improving access andconnectivity are key to the long term economic growth of the borough. It is however vital to the healthof the borough that smarter choices such as cycling and walking are prioritised in planning policy toensure we address the key issues of obesity and early deaths from heart disease and stroke and thatthese are minimised. This is set out in Transportation Strategy embedded in the core strategy.3. To secure safe, healthy and inclusive communities and promote wellbeing - Well planned residentialdevelopments such as home zones which offer good personal security and reduce the risk of roadtraffic accidents can encourage walking and cycling. The Development Sites and Places DevelopmentPlan Document needs to include further details of how this will be delivered.4. To make efficient use of land and infrastructure - Good quality infrastructure is the key to encouragesustainable travel and healthy lifestyles. However green space also has strong links to health and isan essential element of any community. In particular greenspaces relevance to mental health is oftenover looked. There are clear linkages between Green Space, travel and health which need more detailrecognition in any future background papers.5. To accelerate economic growth - Community health can benefit if local people are successfullyemployed, particularly from deprived communities. The health benefits from such policies are manyand again the health implications should be emphasised in the background papers.6. To ensure all new development is sustainably designed and built to the highest standards - Housingstandards are of particular importance to public health. Conditions such as asthma are detrimentallyaffected by poor quality housing. Both location in terms of accessibility to service and employmentand design need to be sustainable.7. To deliver a sufficient supply of housing to provide balanced mixed communities and support economicgrowth - The Growth Corridor concept should help address the shortage of housing and reduce healthinequalities. However, the new properties need to have greatly improved links to public transport andencourage smarter choices.8. To help protect and improve the countryside and natural environment - The countryside around Barnsleyneeds to be promoted more effectively for local people to enjoy. For those young children and adultsliving in the urban environment and those adults with mental health problems the countryside canprovide a relaxing alternative to the stresses of everyday life. The health benefits of policies aimed atimproving the natural environment are often overlooked.7

LDF Core Strategy HIA - Screening and Scoping4 . Key Issues9. Sustainable Communities - The Core Strategy clearly recognises the importance of development inaccessible locations and the need to limit in areas where access is poor. This is further reinforced inareas such as Penistone where the need to support the rural economy through tourism whilstmaintaining the green belt is recognised in conjunction with a Community Accessibility Study. Thebenefits to health of improved accessibility to employment and services cannot be over estimated.10. Town Centre Area Action Plan - The Core Strategy recognises the importance of the TCAAP indeveloping a built environment which has a major influence on health and wellbeing.11. The Local Housing stock - The Core Strategy’s reference to the HMR Pathfinder Initiative in the Dearne,Green Corridor and the SCR Eco Valley projects are all welcome inclusions in the document. Thebenefits to health of these projects though difficult to define in detail at this stage are most likely to bepositive.12. Development of District Centres - Recognition of the need to develop district centres with their ownidentity is a positive step in terms of strengthening these communities and ensuring local facilities areimproved. Royston being a good example where proposals to improve the Midland St/The Wells areaand capitalise on the Green Corridor status to improve local housing stock are likely to benefit health.13. Connectivity - Recognition of the reliance on public transport for employment opportunities particularlyin rural areas such as Penistone and the need to improve connectivity is also welcome.14. Affordable Housing - Provision of affordable housing in villages is likely to have clear health benefits.15. The forthcoming DPD’s and SPD’s - will require consultation with public health professionals if theyare to have a positive impact on the health of local communities.16. The detailed traffic modelling - will provide a strong evidence base for all forms of transport investmentat local, sub-regional and regional levels. The modelling may also strengthen the case for active traveland when linked to a future air quality model, may also provide health benefits by minimising trafficpollution of new schemes.17. Waste and Recycling – Barnsley, Doncaster and Rotherham have agreed to produce a joint wastecore strategy document. This will need detailed consideration and it is suggested that a separate HIAis carried out at the time of publication. One of the aims of the policies within the joint waste corestrategy will be to reduce the amount of waste, by reducing landfill. However, this does need carefulmanagement of handled and transferring of waste to minimise vehicle emissions. A particularly importantconsideration, as the three partners in the BDR scheme cover a wide geographical area and hencehave the potential to adversely effect traffic pollution as well as the more obvious environmental issues.Mitigation measures may be necessary to minimise impact of this policy on the heath of specificcommunities. Hence a more detailed assessment is required into the specific sites proposed. This willaim to clearly establish the health implications of the waste policies.8

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”HIA Screening CriteriaThe following criteria have been used as a basis for the scoping process:-The PoliciesI. Will the policies impact on health of the various communities?II. Do the policies contribute to the ambitions of the community strategy?III. Do the policies reduce health inequalities?IV. What resources are available to carry out a full HIA?Using the above criteria, a judgement has been made on the impact of each individual policy.This has produced a score of Red, Amber or Green. Red is seen as a priority, followed byAmber, where further evaluation is necessary and Green where policies clearly have apositive impact on health.Sustainable DevelopmentCSP 1 Climate ChangeCriteria1. Will the policy impact onhealth of the variouscommunities?Potential Health BenefitsThe Department of Health is responsible for ensuring betterhealth and well-being for all. The potential impacts of climatechange on human health are multiple and diverse. They arerecognised in a joint Department of Health /Health ProtectionAgency published report “ the Health Effects of ClimateChange in the UK, 2008”, setting out the various health effectsfacing the UK from climate change. The NHS is also workingtowards mandatory energy and carbon efficiency targets (from2000 to 2010) and key performance indicators [of 35-55gigajoules per 100 cubic meters (Gj/100m3)] for new capitalbuild developments and refurbishments, and [55-65 Gj/100m3for] the existing operational estate.At a local level NHS Barnsley has established a multidisciplinary Carbon Management group, who’s role is tominimise the environmental impact of the services proved bythe organisation. Policy CSP1 is to be welcomed and isgenerally compatible with policies introduced within the healthsector.AssessmentGREEN9

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”2. Does the policy contributeto the ambitions of thecommunity strategy?This policy aims to enhance the long term sustainability of theBorough and the future health of the 223,500 residents livingin Barnsley.The policy supports many of the ambitions of the SustainableCommunity Strategy (SCS):-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 5 – Barnsley people are healthier and live longer- adding life to years and years to lifeAMBITION 6 – Enabling adults to have healthy and fulfillinglivesGREEN3. Does the policy reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsCompatibility of policies and health benefits in terms ofrespiratory illness are most notable in areas of poor health.As a result this policy should contribute towards a reductionin health inequalities.At present only limited resources are available. This isparticularly relevant as the procurement process within boththe Council and NHS Barnsley are in a unique position toestablish best practice in ensuring the services used acrossthe borough help in minimising climate change.This policy has strong links to “Active Travel” and has thepotential to increase physical activity and contribute towardsimprovements in public health. This is likely to help addressobesity in adults and children and deaths from circulatorydisease.The Lancet recently published a number of detailed studiesinto Climate change and its effect on human health. Thestudies propose that organisations should produce successfulstrategies to mitigate the extent of climate change, andminimise harm to public health.The new studies show that appropriate mitigation strategieswill themselves have additional and independent effects onhealth, most of them beneficial. The potential value of theseco-benefits has not so far been given sufficient prominencein international negotiations.The key recommendations from the studies are:-Measures to restrict our output of greenhouse gases mayalso result in benefits to public health.GREENRED10

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”These co-benefits will offset at least some of the costsof climate change mitigation, and should be taken intoaccount in international negotiations.The co-benefits to health arising from action on climatechange are not widely appreciated. A greater awarenessmight sweeten the otherwise bitter taste of some climatechange policies.The Location of DevelopmentCSP 2 Sustainable ConstructionCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the policies contributeto the ambitions of thecommunity strategy?Potential Health BenefitsThis policy has the potential to minimise “fuel poverty“ andensure those living in future social housing have warm andyet sustainable living conditions. This policy has clear linksto schemes such as Housing Market Renewal in theDearne which aims to improve the local housing stock.As with policy CSP1 this policy cuts across a number ofthe SCS ambitions:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 5 – Barnsley people are healthier and livelonger - adding life to years and years to lifeAMBITION 6 – Enabling adults to have healthy and fulfillinglivesAssessmentGREENGREEN3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further CommentsA wider benefit of sustainable construction methods ispotentially to support reductions in conditions such aschildhood asthma often linked to inadequate housingparticularly to the most deprived area of the borough. Asa result this policy could well have considerable benefitsto health and in particular help reduce health inequalities.At present only limited resources are available.-GREENRED11

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 3 Sustainable Drainage Systems (SuDS)Criteria1. Will the policies impact onhealth of the variouscommunities?2. Do the policies contributeto the ambitions of thecommunity strategy?Potential Health BenefitsThis policy supports a sustainable drainage system, essentialif we wish to enhance and protect water quality. Historicallythere is clear evidence that such policies prevent outbreaksof cholera and other associated diseases and as a result thispolicy is to be welcomed. The recent outbreaks of floodingare of particular concern to public health. Water quality havingbeen the driver for improvements in pubic health in the 19thcentury.As with policy CSP4 this policy contributes towards:-AMBITION 1 of the SCS – Our communities are attractive,clean and sustainable places to liveAssessmentGREENGREEN3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further CommentsCSP 4 Flood RiskIt is difficult to establish a clear link to sustainable drainagesystems and health inequalities other than the previouslymention flooding in the east of the borough.At present only limited resources are available.-GREENREDCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the policies contributeto the ambitions of thecommunity strategy?Potential Health BenefitsThis policy supports Sustainable drainage systems, essentialif we wish to enhance and protect water quality. Historicallytheir is clear evidence that without such policies, preventingoutbreaks of cholera and other associated diseases linked topoor drinking water and those polices aimed at reducinguninhabitable housing, limiting, often unsuitable, temporaryaccommodation and addressing deprivation in the communitydue to limited insurance cover can all detrimentally effectpublic health. Any measures and policies such as this ,aimedat minimising flood risk are to be welcomed.This policy contributes towards:-AMBITION 1 – of the SCS Our communities are attractive,clean and sustainable places to liveAssessmentGREENGREEN12

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsThe east of the borough where flooding has occurred in recentyears is also one of the areas of greatest concern in terms ofhealth. Consequently this policy should help reduce healthinequalities.At present only limited resources are available.-GREENREDCSP 5 Including Renewable Energy in DevelopmentsCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsThis policy will support the aims of CSP1 and as a result islikely to be beneficial to health of all communities across theborough.As the costs of conventional energy sources rise thesignificance of providing heating, lighting and power supply tonew health sites will be a major consideration. Although thismay not have a direct impact on health of the variouscommunities, the cost of using conventional energy may impacton the level of health care that can be provided.AssessmentGREEN2. Do the policies contributeto the ambitions of thecommunity strategy?This policy meets a number of Ambitions of the SCS including:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 9 - Building a prosperous and sustainable localeconomyGREEN3. Do the policies reducehealth inequalities?Any reduction in emissions as a result of renewable energy islikely to have a positive impact on health and possibly in areaswhere pollution could be at its worst. Furthermore, by usingrenewable energy in conjunction with improving levels ofinsulation heating bills, a major concern for low income familiesand those on benefit, are likely to reduce. This will providegreater opportunities for healthier lifestyles.Supplementary Planning document (SPD) will be prepared forthis policy which will provide further details. It is proposed thata scoping exercise is carried out on the SPD.AMBER13

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”4. What resources areavailable to carry out a fullHIA?Further commentsAt present only limited resources are available.Some key health consideration such as the need to preventoutbreaks of diseases, such as, legionnaires should never beoverlooked in the challenge that faces society in the race todevelop renewable energy. To prevent legionnaire’s diseasewater temperatures need to be constantly above 55 degreesand some renewable energy sources cannot guarantee to meetthis standard. As a result other sources of energy may haveto be used in specific locations such as hospitals on healthgrounds.REDCSP 6 Development that produces renewable energyCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the policies contributeto the ambitions of thecommunity strategy?Potential Health BenefitsThis policy will also support policies which the aim to reducecarbon emissions from other sources such as road traffic. Allof which can have a positive impact on air quality and sufferersof respiratory illness.This policy meets a number of Ambitions of the SCSIncluding:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 9 - Building a prosperous and sustainable localeconomyAssessmentGREENGREEN3. Do the policies reducehealth inequalities?As with CSP5 it is difficult at this stage to establish a clear linkto health inequalities.Any reduction in emissions as a result of renewable energyis likely to have a positive impact on health and possible inareas where pollution could be at its worst. It is however,important to understand that such developments should nothave detrimental effects in terms of the local environment andagain a more detailed Supplementary Planning document(SPD) will need to be prepared for this policy which will providefurther details. It is proposed that a scoping exercise is carriedout on the SPD.AMBER14

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”4. What resources areavailable to carry out a fullHIA?Further commentsCSP 7 City RegionsAt present only limited resources are available.-REDCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the policies contributeto the ambitions of thecommunity strategy?3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsPotential Health BenefitsAims to deliver economic growth which can lead toimprovements in the social wellbeing and health of thepopulation.Aims to support the delivery of the regeneration of theborough in line with the aims of the Sustainable CommunityStrategy.The benefits of providing greater employment opportunitiesparticularly to the most deprived area of the borough willhave considerable benefits to health and in particular helpreduce health inequalities.At present only limited resources are available.Mental Health issues, smoking related illness and high levelsof teenage pregnancies are often found in areas of highunemployment. This policy recognises the importance ofBarnsley's role in two city regions in economic andemployment terms. Consequently supporting the key publichealth priorities in the borough.AssessmentGREENGREENGREENRED15

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 8 The location of growthCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsThe location of development if not planned in a sustainablemanner with an understanding of local needs can:-Impact on local health care.Encourage or create greater health inequalities andLead to a sedentary lifestyle.For example the location of new LIFT centres (or Polyclinics)and GP surgeries - many of which carry out a much widerrange of services, traditionally requiring patients to attendhospitals - can only attract sufficient patient numbers tooperate efficiently when developed in accessible locations.With Primary Care accounting for over 90% of all patientcontact totalling over 300 million contacts per year (KingsFund 2008) a major opportunity exists to encouragesustainable travel choices and as a result improve health, bylocating developments in accessible locations. This in turnwill minimise car journeys resulting in less traffic pollution,whilst also encouraging more walking and cycling across thearea.A further issue is the need to make better use of existing roadnetwork to encourage economic growth. The work beingcarried out by regional partners, the Highways Agency, busand coach operators to make the best use of the existing trunkroad and motorway network outside the local authoritymanaged network must also include the recognition andmitigation of any impact on the health of local communities.Finally the Council will work closely with the BehaviouralChange department of the Highways Agency in developingvarious initiatives such as the area wide travel plans, beingdeveloped in the area close to Junction 36 of the M1.AssessmentAMBER2. Do the policies contributeto the ambitions of thecommunity strategy?This policy aims to provide services in the most suitablelocation enhancing the long term sustainability of the Boroughand encourage less reliance on the car.In terms of capitalising on its central location of Barnsley,within the ‘golden triangle’ of Manchester, Leeds and SheffieldThis policy can contribute to the introduction of qualitytransport links, enabling Barnsley to realise its economicpotential a key driver within the SCS.GREEN16

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”3. Do the policies reducehealth inequalities?The location of development can influence access toemployment, diet (number and type of food outlets), level ofexercise and mental health. For example consideration givento the location of residential developments, such as affordablehousing and the location of education establishments suchas the Advanced Learning Centres.(ALC:s) can help to reducehealth inequalities. In a similar manner the location of newemployment sites can help reduce health inequalities byproviding better connections to job opportunities.However, this must be carried out whilst carefully consideringthe effect on local communities in terms of possible air qualityand noise implications. For example careful air qualitymonitoring is required in local communities close to the trunkroad and motorway network.AMBER4. What resources areavailable to carry out a fullHIA?Further commentsAt present only limited resources are available.The Joint Strategic Needs Assessment (JSNA) recognisesthe need to take a much wider view of health. Planners ofservices should aim to improve health and well being andreduce the burden of preventable disease. This includes givingconsideration to, not only the individual factors, but also thecontext of broader public policies and environmentalinfluences.Furthermore recognition of family influences and thecommunity context is necessary, particularly when addressinghealth inequalities.Therefore, the JSNA needs to assist organisations to developa universal approach. This involves examining the widercontext. The influences on people’s lives and the choices thatthey make. With this in mind, this policy can influence theplanning and procurement of health provision and encouragea healthy lifestyle. This can bring benefits in terms of efficientlocal health provision, reinforcing the philosophy of communitybased facilities is a NHS National Policies which facilitate themove towards community health care. This policy needs tobe considered in the context of the national NHS policies.Those responsible for procurement of health care services inBarnsley may wish to consider CSP8 in more detail anddevelop a closer working relationship with local planning policyteams.RED17

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”This is particularly important as research suggests that areaswith the poorest health outcomes are also those with thefewest GP’s and until recently Barnsley PCT is ranked in thebottom 10 percent of PCTs with the fewest doctors.CSP 9 The number of new homes to be builtCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the policies contributeto the ambitions of thecommunity strategy?Potential Health BenefitsIncreasing the number of new homes in the borough andreplacing housing stock is likely to have positive healthbenefits. This is particularly relevant in Barnsley where 26%of the housing stock is socially rented - much higher than thenational average.This policy contributes to many of the SCS ambitions. Inparticular:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 5 – Barnsley people are healthier and live longer- adding life to years and years to lifeAMBITION 6 – Enabling adults to have healthy and fulfillinglivesAssessmentGREENGREEN3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsImproving housing stock has proven health benefits. Forexample replacing old damp property with modern efficientlyheated property has the potential to reduce the incidences ofasthma and other respiratory conditions. Furthermore thereare still over 20,000 preventable Early Winter Deaths in theUK a large proportion of which are as a result of cold housingand fuel poverty. This policy is likely to help reduce healthinequalities.At present only limited resources are available.-GREENRED18

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 10 The Distribution of new homesCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contributeto the ambitions of thecommunity strategy?Potential Health BenefitsThe actual health benefits of distributing housing in thismanner, will be difficult to measure accurately at this stage.It is suggested therefore that a more detailed health impactassessment of this policy is carried out.This policy aims to contribute to many of the SCS ambitions.In particular:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 5 – Barnsley people are healthier and live longer- adding life to years and years to lifeAMBITION 6 – Enabling adults to have healthy and fulfillinglivesAssessmentAMBERAMBER3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsImproving housing in areas of deprivation should contributeto a reduction in health inequalities.At present only limited resources are available.-GREENREDCSP 11 Providing Strategic Employment LocationsCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contributeto the ambitions of thecommunity strategy?Potential Health BenefitsBy focusing on sustainable strategic locations this policy hasthe potential to attract businesses to invest in Barnsley andas a result improve employment prospects for the localpopulation. These improved employment opportunities arelikely to benefit the health of the local population in a numberof ways. For example reducing stress related mental illnessand in some cases increasing physical activity through activetravel which will help address obesity concerns.This policy can make a major contribution towards AMBITION9 of the SCS- “Building a prosperous and sustainable localeconomy”.AssessmentGREENGREEN19

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsThe strategic locations proposed in this policy - Barnsley TownCentre will provide opportunities for those areas of the boroughwhere unemployment is a major issue. These areas also tendto be those where health inequalities are the greatest.At present only limited resources are available.The provision of sustainable strategic locations to help reduceunemployment and as a result health inequalities is a keyfactor in improving the health of the local population. TheAcheson inquiry which formed the basis for national healthpolicy under the banner of “Our healthier nation” recognisedthe link between health inequalities and accessibility toemployment.This policy aims to focus employment where it is most neededand also meet the needs of businesses. This should lead toa reduction in unemployment and as a result see benefits interms of fewer incidences of circulatory illness, respiratoryconditions and mental ill health in the borough. The latteralone costs the NHS over £20 Billion per annum.GREENREDCSP12 The Distribution of new employment sitesCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contributeto the ambitions of thecommunity strategy?Potential Health BenefitsAs mentioned previously the location of growth will have amajor impact on active travel recognised by amongst others,The Kings Fund (The Health Impacts of spatial planningdecisions). The distribution of land for employment purposesshould closely consider accessibility of specific sites. Bymanaging land supply and focusing commercial, retaildevelopments in Urban Barnsley and industrial and businessin existing industrial parks this policy should benefit the healthof various communities with their varying levels of skills andknowledge across the borough.This policy can make a major contribution towards:-AMBITION 9 of the SCS- “Building a prosperous andsustainable local economyAssessmentGREENGREEN3. Do the policies reducehealth inequalities?The location of growth will also impact an access toemployment opportunities and as a result can either bepositive or detrimental to health inequalities. The anxiety andGREEN20

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”stress which manifested into physical and mental illness asunemployed people turned to smoking; alcohol andsubstance abuse with the collapse of the mining industry arewell documented. Historically, those employed in the miningindustry generally lived relatively close to their place of workconsequently growth should ideally be located in accessiblelocations.4. What resources areavailable to carry out a fullHIA?Further commentsAt present only limited resources are available.-REDCSP 13 The release of allocated housing landCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsThis policy is likely to have a positive effect on the health oflocal communities by encouraging development onsustainable sites with good access to public transport, -reducing the need to travel by car - and in proximity to localservices.However the extent of community impact cannot beaccurately defined at this stage. As a result it is proposedthat at the post DPD stage a more detailed assessment iscarried out to establish the impact on the community and thepolicies ability to contribute towards a reduction in healthinequalities.AssessmentAMBER2. Do the polices contributeto the ambitions of thecommunity strategy?This policy can make a major contribution towardsAMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 5 – Barnsley people are healthier and live longer- adding life to years and years to lifeGREEN3. Do the policies reducehealth inequalities?By supporting housing regeneration and renewal it isanticipated the policy will contribute to a reduction in healthinequalities. the extent of the policies ability to influenceinequalities, will only become apparent from a more detailedassessment after the DPD has been published.AMBER21

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”4. What resources areavailable to carry out a fullHIA?Further commentsAt present only limited resources are available.-REDCSP14 Housing Mix and efficient land useCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsIt is necessary to build new housing, of a mix compatiblewith the changing demographics of society, to ensure thesupply meets the needs of various communities.In areas such as Barnsley town centre the availability ofhousing land is limited and consequently this policiesrequirement of greater density is understandable and aimsto encourage more residential living in the heart of the town.These developments are likely to have easy access toservices and jobs by walking, cycling and public transport.Consequently they may contribute to less pollution andincrease exercise.The importance of a broad mix of housing cannot beunderestimated in terms of affordability. This has beenreinforced recently by the current economic climate, wherelenders have restricted the level of lending, particularly truein terms of first time buyers. In the light of increasingconcerns surrounding the percentage of society sufferingstress caused by financial worries. Which in turn can leadto increasing mental health problems ,this aspect of thepolicy should provide the foundations of a sustainable andstable society.The requirements of vulnerable households with physicaland mental disabilities are of particular concern and needto be a considered in more detail.AssessmentAMBER2. Do the polices contributeto the ambitions of thecommunity strategy?This policy can make a contribution towards:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 5 – Barnsley people are healthier and live longer- adding life to years and years to lifeGREEN22

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsCSP 15 Affordable HousingIn the past previously developed employment sites havebeen developed for housing. By stating in the Core Strategythat employment sites will remain in employment use theCore Strategy offers the opportunity to encourage activetravel for commuting using much of the existinginfrastructure. However, this will require significant promotionof these links, possibly through Individual Journey Planningexercises in partnership with employers.At present only limited resources are available.-AMBERREDCriteriaPotential Health BenefitsAssessment1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contribute tothe ambitions of thecommunity strategy?The provision of sufficient affordable housing is particularlyimportant for children and vulnerable adults, as with CSP27& CSP 28. For over 200 years inadequate housing has beenclearly linked to poor public health.This policy also aims to contribute to many of the SCSambitions. In particular:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 5 – Barnsley people are healthier and live longer- adding life to years and years to lifeAMBITION 6 – Enabling adults to have healthy and fulfillinglives, live longer - adding life to years and years to lifeAMBERGREEN3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsThis policy aims to provide adequate housing for those inmost need and therefore can make a major contribution tohealth inequalities.At present only limited resources are available.-AMBERRED23

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 16 Rural Exception PolicyCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contribute tothe ambitions of thecommunity strategy?Potential Health BenefitsThis policy provides the opportunity for affordable housingin some rural areas where there is a proven need. This canbe a key issue for those living close to tourist areas suchas the Peak National Park. In these areas properties tendto be valued either beyond the reach of local people or alarger proportion of income is spent on mortgage payments.As a result spending on heating, diet and leisure is limitedto the detriment of health.AMBITION 5 – Barnsley people are healthier and live longer- adding life to years and years to lifeAMBITION 6 – Enabling adults to have healthy and fulfillinglives, live longer - adding life to years and years to lifeAMBITION 9 Building a prosperous and sustainable localeconomy.AssessmentAMBERGREEN3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsThe flexibility that this exceptions policy provides assiststhose in the rural community wishing to improve their qualityof life by providing affordable housing with modern insulationand heating system and may move them out of fuel poverty.As a result health inequalities in rural areas could bereduced.At present only limited resources are available.This policy requires careful monitoring to avoid overdevelopment in rural areas whilst providing affordablehousing.AMBERRED24

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 17 Housing Regeneration AreasCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the policies contributeto the ambitions of thecommunity strategy?Potential Health BenefitsHMR will ensure communities themselves have a key roleto play in the development of their area. This should have apositive benefit in terms of health and well being. However,it may need closer long term monitoring to ensure the fullhealth benefits are delivered.This policy also aims to contribute to many of the SCSambitions. In particular:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 5 – Barnsley people are healthier and live longer- adding life to years and years to lifeAMBITION 6 – Enabling adults to have healthy and fulfillinglivesAssessmentAMBERGREEN3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsIt is important to ensure that all sections of the communitiesbenefit from improvements in health within the HRM projects.Hence the importance of monitoring.At present only limited resources are available.-AMBERREDCSP 18 Sites for Gypsies, Travellers and Travelling Show peopleCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contributeto the ambitions of thecommunity strategy?Potential Health BenefitsThe recognition within this policy of the current shortage ofsites for these sections of the community is to be welcomed.However, the implications on health in the longer term need tobe fully investigated as each site is put forward forconsideration.This policy aims to contribute to many of the SCS ambitions.In particular:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAssessmentAMBERGREEN25

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”AMBITION 5 – Barnsley people are healthier and live longer- adding life to years and years to life3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsNew sites must be located where these sections of thecommunity have good access to health care to help addresshealth inequalities. This issue of location of the preferred siteswill be a key factor in the availability of healthcare and needsto be carefully monitored.At present only limited resources are available.-AMBERREDCSP 19 Protecting existing employment sites and buildingsCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contributeto the ambitions of thecommunity strategy?3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsPotential Health BenefitsTo maximise employment opportunities in the borough it isessential to protect existing employment sites where possible.The loss of these sites to alternative use could result inbusinesses closing rather than relocating affecting employmentand adversely affecting health.This policy also has the opportunity to contribute towardsAMBITION 9 of the SCS- “Building a prosperous andsustainable local economy”The loss of these sites could lead to even greater healthinequities as mentioned in response to other policies.At present only limited resources are available.-AssessmentGREENGREENGREENRED26

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 20 Promoting Tourism and encouraging Cultural ProvisionCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsGrowing tourism will not only provide employmentopportunities for local people but also encourage local peopleto become involved in cultural and physical activity. This isparticularly relevant in terms of the opportunities that exist inthe areas close to the Peak District.The main concern is to ensure issues such as traffic pollutionare effectively monitored and sustainable travel options areintroduced preventing these areas suffering similar problemsof congestion and pollution to that of the other parts of theNational Park.AssessmentGREEN2. Do the polices contributeto the ambitions of thecommunity strategy?This policy also has the opportunity to contribute towards:-AMBITION 9 of the SCS- “Building a prosperous andsustainable local economy” andAMBITION 3 – Barnsley offers varied and exciting culturalopportunities to allAMBER3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsIn rural areas particularly where employment opportunitiesare limited the promotion of tourism can have positive benefitsto the whole communities, mental and physical wellbeing andas a result reducing health inequalities. The tourism businesssector, including accommodation and hospitality has thepotential to support resurgence in the local economy bringingwith it much wider benefits in terms of health.At present only limited resources are available.The Core Strategy emphasises the strong links betweenhealth, tourism and culture. This policy has considerablepotential to encourage physical activity and provide relief forthose suffering various forms of mental illness. Further morethe provision of a vibrant mix of cultural opportunities mayalso contribute to addressing the reliance on alcohol of somemembers of the population.AMBERRED27

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 21 Rural EconomyCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contribute tothe ambitions of thecommunity strategy?Potential Health BenefitsThe criteria used to allow development in rural areas includesthe importance of improving local services in existingsettlements and the provision of affordable housing. Aspreviously mentioned these can have significant healthbenefits.Carefully managed this policy can contribute towards:AMBITION 9 - Building a prosperous and sustainable localeconomyAssessmentGREENGREEN3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsThis policy aims to address an area of potential conflictbetween retaining the character of our rural areas and yetpromoting the local economy. This is a further area formedium to long term health assessment, evaluating thepolicy’s influence in addressing health inequalities. The finalMarmot review - Post-2010 strategic review of healthinequalities – due to be published in early 2010 may wellprovide a framework for the future assessment of this andother polices within the core strategy which are likely to havea major influence on heath inequalities.At present only limited resources are available.-AMBERREDCSP 22 Loss of shops and local services in villagesCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contribute tothe ambitions of thecommunity strategy?Potential Health BenefitsThis policy can sustain local communities and ensure villagesand hamlets do not suffer undue isolation and accessibilityproblems. These issues can affect both mental and physicalhealth within the community.Carefully managed this policy can contribute towards:-AMBITION 9 - Building a prosperous and sustainable localeconomyAssessmentGREENGREEN28

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsThe loss of local shops providing fresh fruit and vegetablescan disadvantage communities and hence by protectingthese facilities as much as possible this policy will encouragehealthier lifestyles.At present only limited resources are available.-GREENREDCSP 23 Accessibility PrioritiesCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsThe proposed Community Accessibility Studies, and theNorthern Barnsley Connectivity Study are likely to supportthe health and well being of the borough, by setting outspecific accessibility issues which currently restrict accessto job opportunities, health and education for local residents.The studies will set out proposals to effectively address theseissues. These proposals could well lead to increased activetravel opportunities in and between the communities.For example with just over 50,000 people of working age inBarnsley (37%) having no or low level qualifications this hascreated a barrier to employment. A lack of access toeducation can contribute towards a greater reliance onbenefits and in many cases a deterioration in physical andmental health. These residents many of whom could makea positive contribution to the local economy, often sufferdepression which in turn can lead to increasing levels ofaddiction to drugs, tobacco and alcohol.AssessmentGREEN2. Do the polices contribute tothe ambitions of thecommunity strategy?Low employment opportunities and educational attainmenthas played a significant role in determining the boroughscurrent health issues. Evidence demonstrates that there isa close relationship between unemployment, poverty andpoor health. The lack of access to services can often restrictemployment opportunities in particular.The findings of the Accessibility Studies if taken forward byall stakeholders from education, employment and healthcarecould have major benefits to health across the borough.AMBER29

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”For example improving access to education needs to be acore element of the Remaking Learning initiative within theSCS. The vision to transform all learning provision can onlybe successful if all residents can access the services.3. Do the policies reducehealth inequalities?In Barnsley, there are 36,000 people of working age who areeconomically inactive. This policy has the opportunity to focusa wide range of future policy which will encourage greateremployment and educational opportunities and consequentlyreduce poverty and improve health through the introductionof the Accessibility Improvement Zone and the facilitation ofsustainable transport links between the Principal Towns thispolicy will encourage active travel on a much wider scalethan previously experienced in the borough. Furthermorethe improvements to public transport links between Barnsleyand the City Regions, London, Manchester and the Humberports has the potential to encourage greater use of the railnetwork for both passengers and freight. This movementaway from the car as the natural form of transport to reachthe regional centres is likely to result in benefits in terms ofair pollution and consequently health. An example of thepotential of this policy in terms of improving connectivity isthe success of the Leeds to Sheffield fast rail service. As aresult of considerable passenger growth the service has nowbeen doubled in frequency and many journeys now linkBarnsley direct to the East Midlands region, A considerableproportion of passengers using this service previously droveby car into Leeds, Wakefield, Nottingham and Sheffield.In areas of the borough such as Grimethorpe and Thurnscoewith high levels of the population receiving benefits goodstrategic links to employment in the borough and within theLeeds and Sheffield City Regions are essential for long termeconomic growth, access to employment and to reducedhealth inequalities. Consequently this policy provides aframework for long term accessibility improvements in aborough left with a legacy of local industry providing localemployment as mentioned in the Core Strategy The actualhealth benefits of the Accessibility Improvement Zone needcareful monitoring to provide a robust evidence base for thepossible expansion of the zone and/or the zone replicatedelsewhere in the borough over the longer term. The individualstudies should consider the health benefits of the finalrecommendations with clear links to health targets such asObesity, Diabetes, substance abuse and mental health.AMBER30

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”4. What resources areavailable to carry out a fullHIA?Further commentsAt present only limited resources are available.Barnsley’s older population is set to increase at a rate higherthan the national average particularly for the 65+ age groupand the 75+ age group. Evidence shows that people overthe age of 65 are far more likely to require health and socialcare support services and this projected growth in bothnumbers and percentage terms will require planning for futureservice provision. This is particularly relevant in terms ofaccess to healthcare as this sector of the population is themost likely to require healthcare in later life.Finally, by embracing walking, cycling, bus, tram/train, andtrain services and infrastructure as well as investments in allimportant promotional campaigns, this policy can supportthe existing wider health policies and offers the opportunityfor joint campaigns.REDEconomyCSP 24 Safeguarding of former railway linesCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsThe primary benefits for health of this to policy initially appearto be limited. However, the wider implications for health inthe longer term are significant. The importance ofsafeguarding the former rail Ines cannot be underestimated.This will allow more detailed feasibility studies to be carriedout to establish the practicalities, benefits and costs of suchproposals.If reopened as passenger or/and a freight line the benefitsare likely be significant.The movement of goods to and from the increasing numberof distribution centres in and around the borough is ofparticular concern. Safeguarding the rail routes could wellprovide a practical long term alternative for some bulkdeliveries reducing the existing movements on our roads.Furthermore, increasing the opportunity for rail travel by localpeople could well offer greater access to employment andeducation.AssessmentGREEN31

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”Safeguarding also offers the opportunity for using the linesand the areas adjacent to the track, for cycling and walkingroutes. Sustrans have successfully developed a number ofsimilar schemes across the country, which have all resultedin increasing cycling and walking in all cases.In Barnsley these could well link to the existing Trans PennineTrail which currently supports active travel in many parts ofthe borough.2. Do the polices contribute tothe ambitions of thecommunity strategy?3. Do the policies reducehealth inequalities?4. What resources areavailable to carry out a fullHIA?Further commentsThe SCS recognises the need for the borough to meet itstransport needs whilst also taking responsibility for its carbonfootprint and promoting more sustainable travel choices torival car use. This policy has the potential to make a longterm contribution to the SCS in this respect.At this stage it is difficult to estimate the contribution thispolicy will make in the longer term to health inequalities.However, as mentioned early in this document the appraisalscheme for the actual reinstatement of the line as arailway/cycle way or a mix of these would require moredetailed research into the health benefits of the final scheme.At present only limited resources are available.A more detailed study of the impacts on health of schemesthat could be introduced once safeguarding has been agreedwould be beneficial.GREENAMBERREDCSP 25 New development and sustainable travelCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsThe policy is fundamental in terms of encouraging activetravel. Whilst the policy is under no circumstances “anti –car” it does set out a clear framework for change.The Design and Location of developments can heavilyinfluence the need to use a car as can car parking policy.A SPD relating to car parking policy is awaited with interestin terms of it’s influence on the implementation of policiessuch as CSP25 and hence their ability to deliver byencouraging growth in active travel.The two further elements of this policy are TransportAssessments and Travel Plans.AssessmentAMBER32

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”Transport Assessments aim to ensure that developersminimise congestion of the new schemes on the network,particularly at a local level. However, direct healthimplications are not considered. These may be betteraddressed in an Individual Health Impact Assessment (HIA)on specific sites. Only, indirect impacts on health such asaccess for cyclists, pedestrians and public transport alongwith the effects on the site of freight movements areconsidered at present. This Policy in the Core Strategy isaligned with national policy guidance on TransportAssessments and Travel Plans which currently does notdetail the health benefits.Travel plans play a major role in encouraging active travel,impacting on the health of local communities.Both the Council and the Health providers need to be seento be developing effective travel plans within their respectiveorganisations which aim to change travel behaviour. Forexample the community LIFT centres and AdvancedLearning Centres need to continually develop and resourcetheir respective travel plans if community health is to benefitfrom the process.These policies will require detailed monitoring if they are todeliver a step change in active travel.2. Do the polices contribute tothe ambitions of the communitystrategy?Travel Plans contribute towards the SCS by promoting moresustainable travel choices to rival car use. In particular thispolicy supports:-AMBITION 9 - Building a prosperous and sustainable localeconomyAMBITION 10 - Barnsley has a high performing integratedtransport systemGREEN3. Do the policies reduce healthinequalities?Voluntary travel plans have a key role to play in thedevelopment of this policy. Based on best practices set byorganisations such as B&Q, the Highways Agency andDoncaster Council in developing voluntary travel plans, thevoluntary plans can also change travel behaviour. Forexample plans for individual council buildings, hospital sites,School Travel Plans, GP surgeries and major employerscould develop and promote voluntary travel plans. Thispolicy would then contribute towards improving communityhealth.AMBER33

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”This policy will improve access to jobs and services,particularly for those most in need.Health inequalities will only be addressed if business andschool travel plans are developed and resourced effectively.The policy would benefit from a more detailed assessmentin the short to medium term.4. What resources are availableto carry out a full HIA?Further commentsAt present only limited resources are available.Car parking policy including charges, availability andmanagement, will have a major influence on active travel.Consequently this policy is closely linked to those otherpolicies concerning car parking and reliant on the robustnessof such policies for its success.REDCSP 26 New development and highway designCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsIf we are to address the high levels of childhood obesity inBarnsley maximising the opportunities for active travel isessential in giving our children a health future.Over 90% of local schools in the borough are developingtravel plans aimed at encouraging cycling and walking toschool. Highway safety is a key consideration within theseplans. If parents are to allow their children to take up activetravel this will be of paramount importance. Perception canoften play a key role in parental decision making. Byfocusing on good highway design parents will have theconfidence to conclude that driving children to school is notthe only option. This policy will also support the work ofhealth promotion specialists by encouraging active travelby facilitating increased physical exercise High qualityhighway design can help also support increased cyclingand walking by reducing conflicts between cyclists,pedestrians and other road users. Good design has beenproven to encourage behavioural change towards activetravel.AssessmentAMBER2. Do the polices contribute tothe ambitions of the communitystrategy?This policy contributes to the following SCS Ambition:-GREEN34

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”AMBITION 2 Barnsley is one of the safest towns in Yorkshirerecognises the need to” .., and make improvements to roadsto help increase road safety.”This policy will also support the Barnsley Bike-ability schemewhich has successfully obtained funding to offer free cycletraining to children and to their parents in 12 schools acrossBarnsley. By ensuring the infrastructure is in place tofacilitate walking and cycling this policy will maximise thebenefits of bike-ability.3. Do the policies reduce healthinequalities?4. What resources are availableto carry out a full HIA?Further commentsCSP 27 Parking strategyNationally, the number of road accidents tends to be greaterin deprived areas. Consequently this policy should contributetowards a reduction in road traffic accidents.At present only limited resources are available.-GREENREDCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contribute tothe ambitions of the communitystrategy?Potential Health BenefitsThe development of a car parking strategy has wide rangingimplications. The importance of effectively managing andsigning (using real time electronic variable message signswhere possible) is essential for the efficient use of theexisting car parking provision in Barnsley town centre andthe Principal towns. Providing users with accurateinformation on entering the town centre can have benefitsin terms of reducing traffic pollution and congestion whilstencouraging behavioural change. The reduced pollution inparticular will benefit those suffering from respiratory illness.The car parking strategy is cross cutting and as a result anumber of the SCS ambitions will benefit from thedevelopment of a car parking strategy. The strategy is ofparticular significance to following ambitions:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 8 – 21st century environments for 21st centurylearning, enterprise, skills and servicesAMBITION 9 - Building a prosperous and sustainable localeconomyAssessmentAMBERGREEN35

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”AMBITION 10 - Barnsley has a high performing integratedtransport systemAMBITION 11 - Promote Barnsley, at home and abroad,as a great place to live, work and visit3. Do the policies reduce healthinequalities?4. What resources are availableto carry out a full HIA?Further commentsInitially the direct benefits in health terms as a result ofimplementing this strategy appear to be limited. However,the influence of specific elements of the strategy such ascar parking charges, permit use and criteria along withlocation of car parks can in reality heavily influence ActiveTravel. As a result more detailed assessment of this policywill be needed.At present only limited resources are available.This policy should also include parking for all modes oftravel, not only car parking for able bodied and disabledmembers of the community, but also cycling parking,mopeds, motor scooters and motorcycles.By setting a minimum level of cycle parking fordevelopments and ensuring were possible they are secureand conveniently located it is likely that this will encourageincreased cycling. Also by setting a maximum standard foron site car parking encourage a small amount of additionalexercise by walking to/ from off site parking.AMBERREDCSP 28 Reducing the impact of road travelCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsThe potential impact of road travel can also impact on healthin the following areas:-Air QualityThis Policy aims to improve local air quality in the borough,which currently has six Air Quality Management Areas(AQMA). The benefits to health of lower levels of trafficpollution are well documented and could contribute towardsa lower level of hospital admissions and GP referrals. Theclear commitment to implement evidence based Air QualityAction Plans is most welcome. The robustness of theAssessmentAMBER36

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”evidence based will ensure resources are focused effectivelyand not necessarily on the perceived polluters but the actualpolluters.This policy is closely linked to the NHS Carbon Strategy forEngland - NHS Saving Carbon and Improving Health.“At a local level a Carbon Reduction Group (CRG) has beenestablished by NHS Barnsley and the hospital trust. Thegroup aims to introduce a series of initiatives which willresult in more efficient working practices including areduction in local NHS journeys. This policy supports thework of the CRG2 .CongestionReducing congestion will not only have economic benefitsbut is also likely to contribute to lower traffic emissions. Thiswill not only help reduce hospital admissions as a result ofrespiratory conditions, but may also contribute towards amore cycling /walking friendly environment.Delivery of goodsEfficient delivery of goods is a key element of sustainabledevelopment. The development of a Freight QualityPartnership (FQP) aims to engage with key stakeholdersand consider the full implications of goods deliveries. Thehealth providers and Barnsley MBC through their respectiveprocurement processes can ensure the FQP is within itsremit to consider health benefits at a local level. This canbe achieved by consolidating loads to minimise the numberof journeys and purchasing low emission vehicles.Intelligent Transport SystemsMaking best use of the existing network will contributetowards improved journey times and as a result improve airquality Improvements in the environment may alsoencourage a cycling and walking with positive benefit tohealth. Intelligent transport systems (ITS) are an integralpart of this policy and will be increasingly used as a tool tominimise congestion and pollution.Physical ActivityMore needs to be done to prevent obesity. In Barnsley wehave been ranked as the eighth worst place in the countryfor risk of obesity with a third of Barnsley’s children obese.37

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”This policy in conjunction with the Council Cycling Strategyand the forthcoming Walking Strategy has the potential tomake a major contribution to community health.This policy will support the Healthy Weight and HealthyLives programmes and as a result has the potential tosignificantly contribute to a reduction in obesity within theborough.Public TransportEffective and efficient interchange for passengers usingbuses and between trains and buses is essential if we areto provide wide range of travel choices and address thenegative impacts of travel on our roads. However, this willonly encourage greater use of services if the quality,reliability, frequency and timings provided by the privatesector operators offer an acceptable alternative to the car.The Barnsley Statutory Quality Bus Partnership coveringthe A61 corridor and Barnsley Town Centre due to belaunched in Spring 2010 aims to address these issues anddevelop a modern efficient public transport system forBarnsley. This will lead to the development of a moresustainable and healthy borough.2. Do the polices contribute tothe ambitions of the communitystrategy?This policy supports the aims of the SCS with regard toreduction in traffic pollution.“Whilst Barnsley Council is leading nationally in a numberof areas to reduce its consumption of fossil fuels, there ismore that we can do to reduce greenhouse gases such asusing public transport or ensuring that our homes are moreenergy efficient. “The SCS recognises the significance of Barnsley's traditionof low car ownership and as a consequence historically theborough experienced little traffic congestion. “decline of thecoal industry in Barnsley has been accompanied byincreasing development in less accessible areas, which hasleft some communities with poor internal and externaltransport connections.”Consequently Barnsley facing a particularly difficultchallenge to reduce congestion in what is traditionally anarea of low car ownership and one where growth in carjourneys is higher than many areas of the UK. As a resultthe direct health benefits of this policy may not be assignificant as other more indirect benefits such as air qualityand road safety.GREEN38

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”SCS recognises the role of public transport in achieving thevarious ambitions:- “Support excellent public transportservices - By ensuring services meet people’s needs andexpectations for an accessible, affordable, reliable publictransport system.” This policy will support this view.3. Do the policies reduce healthinequalities?As traffic pollution and congestion tends to be greater in theurban areas and in many cases close to areas of deprivationit is particularly important to address the health impacts ofpoor air quality. However, more research would be usefulat a local level to help focus resources and drawauthoritative conclusions.It is estimated that 37% of coronary heart disease can beattributed to physical inactivity. In addition, physical inactivitymay be responsible for up to a threefold increase in the riskof stroke. Cycling and Walking can play a major role inreducing health inequalities.The policy should encourage easier and safer interchangefor public transport users and therefore improve access toemployment opportunities and improve access to healthcare and leisure. It is in this respect the policy is likely tohave further health benefits.AMBER4. What resources are availableto carry out a full HIA?Further commentsAt present only limited resources are available.Reducing congestion will also benefit the provision of healthservices. Reducing journey times for staff involved incommunity health care and assist ambulance services toreach accidents victims and dangerously ill patients moreefficiently.A key factor in the success of this policy will be effectiveand long term promotion of cycling and walking. Currentlyresources for materials and staff resources are very limitedin comparison with other local authorities. This combinedwith the historically low level of cycling in the boroughcompared with neighbouring authorities. This makes thetask of encouraging active travel particularly challenging.For this policy to be effective in maximising the healthbenefits across the borough these issues need to beresolved.RED39

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 29 Design PrinciplesCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contribute tothe ambitions of the communitystrategy?Potential Health BenefitsThe quality of design of our town centres and can make asignificant difference to quality of life and hence health andwell being. This policy will provide the opportunity to designin health to future developments encouraging active travel.Carefully managed this policy can contribute towards:-AMBITION 9 - Building a prosperous and sustainable localeconomyThis policy also contributes towards:-AMBITION 1 of the SCS– Our communities are attractive,clean and sustainable places to liveAssessmentGREENGREEN3. Do the policies reduce healthinequalities?4. What resources are availableto carry out a full HIA?Further commentsThis policy supports the development of healthycommunities, particularly in areas such the Housing MarketRenewal Schemes where new housing standards will havepositive effect on health.At present only limited resources are available.-GREENREDCSP 30 The Historic EnvironmentCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contribute tothe ambitions of the communitystrategy?Potential Health BenefitsPreserving the character of historic parks buildings andgardens is welcomed. The parks play a key role in providingareas for physical activity and conservation areas can alsoprovide areas of stability by offering continuity of placeagainst the stresses of every day’s life. As a result thesewill be beneficial to public health.This policy contributes towards:-AMBITION 1 of the SCS– Our communities are attractive,clean and sustainable places to liveAssessmentGREENGREEN40

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”3. Do the policies reduce healthinequalities?4. What resources are availableto carry out a full HIA?Further commentsCSP 31 Town CentresMore detail of specific areas of the borough will be providedby the Development Sites DPD Parks and gardens are themost likely element of this policy to benefit health and theytend to be located in the West of the borough an area ofrelatively good overall health. As a consequence the policie'scontribution to a reduction in health inequities is likely to belimited.At present only limited resources are available.-AMBERREDCriteria1. Will the policies impact onhealth of the variouscommunities?2. Do the polices contribute tothe ambitions of the communitystrategy?Potential Health BenefitsA major benefit of Barnsley’s redevelopment as a 21stcentury market town will be to bring employmentopportunities to the town centre and it is anticipated thatthis will be reflected in the overall prosperity and healthof local people. This policy can also encourage thedevelopment of local shops in local centres, an essentialingredient in providing local fresh food. However, issuessuch as the increasing number of hot food takeaways,the salt and fat content of the food available from themdoes cause concern for public health. Consequentlyalthough this hierarchy is welcome, more detailedguidance in the form of SPD is necessary and the policyshould be be closely monitored accordingly.This policy is the key to achieving:AMBITION 7 of the SCS – Barnsley children and youngpeople - aiming high, enjoying life and seizing opportunity.AssessmentAMBERGREEN3.Do the policies reduce healthinequalities?4.What resources are availableto carry out a full HIA?Further commentsIf monitored effectively this policy has the opportunity toreduce health inequalities in many ways. 0ne example is,some areas of the borough are already well served byfast food outlets and are located in areas of relatively poorhealth. These areas where heart disease, obesity anddiabetes are common would benefit from furtherassessment.At present only limited resources are available.-AMBERRED41

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 32 Small Local ShopsCriteria1.Will the policies impact onhealth of the variouscommunities?2.Do the polices contribute tothe ambitions of the communitystrategy?Potential Health BenefitsThis policie's recognition of the importance of meeting thedaily shopping needs of local communities is welcome. Asis recognition of the role of the policy in encouraging activetravel. Again this policy needs to be carefully monitoredover the long term to encourage healthy lifestyles.This policy is the key to achieving:-AMBITION 7 of the SCS – Barnsley children and youngpeople - aiming high, enjoying life and seizing opportunityAssessmentAMBERGREEN3.Do the policies reduce healthinequalities?4.What resources are availableto carry out a full HIA?Further commentsCSP 33 Green InfrastructureIf implemented successfully this policy should assist inreducing health inequalities. However, on the occasionswhen developers put forward proposals for planningapplications which may have the potential to contravenethe spirit of this policy, further planning guidance would beuseful. This could be in the form of an SPG and is likely tobe supported by the emerging National Institute of ClinicalExcellence (NICE) guidance for Local Authorities andforthcoming Planning Policy Statements (PPS.)At present only limited resources are available.-AMBERREDCriteria1.Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsStrengthening the green infrastructure can make a majorcontribution to health and well being of the communities.The benefits to mental health, obesity, and cardio vasculardisease of Green Infrastructure are often over looked. It ishowever vitally important to promote the Greeninfrastructure sufficiently to ensure maximise its use andencourage lifestyles.Working closely with Public Health, the LDF team coulddevelop a series of campaigns and possibly submitapplications for funding from other sources to develop andpromote green infrastructure further.AssessmentAMBER42

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”2.Do the polices contribute tothe ambitions of the communitystrategy?This policy supports a number of SCS ambitions. Forexample:Ambition 1 “Our communities are attractive, clean andsustainable places to live”Improving the quality of the public realm such as openspace, public footpaths are essential to encourage exerciseand as a result contribute towards:Ambition 6 ”Enabling adults to have healthy and fulfillinglives”GREEN3.Do the policies reduce healthinequalities?4.What resources are availableto carry out a full HIA?Further commentsThe provision of green space in and around areas ofdeprivation plays an important role in reducing healthinequalities.At present only limited resources are available.-GREENREDCSP 34 Protection of Green BeltCriteria1.Will the policies impact onhealth of the variouscommunities?2.Do the polices contribute tothe ambitions of the communitystrategy?Potential Health BenefitsProtection of the Green Belt in Barnsley is particularlyimportant as the land availability for housing andcommercial use is limited. Therefore pressure to developon green belt land will continue to grow. This policy setsclear criteria for development in the green belt.This policy will contribute towards many of the SCSambitions including:-AMBITION 1 – Our communities are attractive, cleanand sustainable places to liveAMBITION 6 – Enabling adults to have healthy andfulfilling livesAMBITION 11 - Promote Barnsley, at home and abroad,as a great place to live, work and visitIf green belt land is managed effectively this policy canalso contribute to sustainable development specificallyaimed at tourism, encourage a wide range ofemployment.AssessmentGREENGREEN43

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”3.Do the policies reduce healthinequalities?4. What resources are availableto carry out a full HIA?Further commentsCSP 35 Green SpaceThe effects of this policy in the long term on healthshould be considered in more detail in an HIA.At present only limited resources are available.-AMBERREDCriteriaPotential Health BenefitsAssessment1.Will the policies impact onhealth of the variouscommunities?2.Do the polices contribute tothe ambitions of the communitystrategy?Well located and well maintained areas of Green spacecan be vital to the health and wellbeing of the community.However, there are areas where land defined as greenspace could be appropriately developed and other moreaccessible areas used as green space. This policy stronglysupports the proposals within the Green Space StrategyThis policy will contribute towards many of the SCSambitions including:-AMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 6 – Enabling adults to have healthy and fulfillinglivesGREENGREEN3.Do the policies reduce healthinequalities?4.What resources are availableto carry out a full HIA?Further commentsThe reallocation of green space if linked to the needs ofthe community can have positive impacts on health. Theimportance of exercise particularly for children and theelderly in reducing obesity and Circulatory disease cannotbe over emphasised. Using this policy to redefine GreenSpace will support planning officers in their discussion withdevelopers leading to healthier lifestyles for thecommunities concerns.At present only limited resources are available.-GREENRED44

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 36 Biodiversity and GeodiversityCriteria1.Will the policies impact onhealth of the variouscommunities?2.Do the polices contribute to theambitions of the communitystrategy?Potential Health BenefitsThere appears to be no direct impact on health of thispolicy. However indirectly benefits from the protectionof natural habitats can provide benefits for those sufferingmental illness by way of providing a completely differentenvironment which can provide an escape from stressfrom every day life.As the previous policies this policy will contribute towardsmany of the SCS ambitions including:-AMBITION 1 – Our communities are attractive, cleanand sustainable places to liveAMBITION 6 – Enabling adults to have healthy andfulfilling livesAssessmentGREENGREEN3.Do the policies reduce healthinequalities?4.What resources are availableto carry out a full HIA?Further commentsCSP37 Landscape CharacterA Supplementary Planning document will be preparedfor this policy which will provide further details. It isproposed that a scoping exercise is carried out on theSPD. To ascertain the benefits to health and the PublicHealth Directorate should be consulted on the draftSupplementary Planning document prior to publication.At present only limited resources are available.-AMBERREDCriteriaPotential Health BenefitsAssessment1.Will the policies impact onhealth of the variouscommunities?2.Do the polices contribute to theambitions of the communitystrategy?This policy may provide similar health benefits to CSP 35in terms of mental health, by improving the character ofthe borough.This policy can contribute towardsAMBITION 1 – Our communities are attractive, clean andsustainable places to liveAMBITION 6 – Enabling adults to have healthy and fulfillinglivesGREENGREEN45

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”3.Do the policies reduce healthinequalities?By only allowing development that retains and enhancesthe character and distinctiveness of the individualLandscape Character the policy has the potential to benefitthe health of a large part of the population. In particularthose with various forms of mental health problems.Furthermore this policy can also encourage walking orcycling in the local landscape. This will not only improvephysical health but offer a release from stress for thosesuffering mental health conditions, The Annual report fromBarnsley’s Director of Public Health, emphasises the extentof Mental Health problemsAround one in four people will suffer from mentalillness, experiencing anxiety or depression at sometime in their lives.Stress, anxiety and depression account for a third ofall lost working days.Up to 30% of all General Practitioners time spent withpatients is spent on mental health issues.Consequently the retaining and enhancing the landscapecan contribute towards a reduction in health inequalities.GREEN4.What resources are availableto carry out a full HIA?Further commentsCSP 38 MineralsAt present only limited resources are available.-REDCriteria1. Will the policies impact onhealth of the variouscommunities?2.Do the polices contribute to theambitions of the communitystrategy?Potential Health BenefitsOnce the brickworks, opencast coal mining clay extractionand mineral related development sites are identified onthe forthcoming proposals map to accompany theDevelopment Sites document, a clearer indication of thehealth implications of each site will be more easilyunderstood. At that stage a scoping exercise to identifysite specific problems should be carried out.This again contributes towards:AMBITION 1 of the SCS – Our communities are attractive,clean and sustainable places to live.However, historically Barnsley reliance on mining inparticular in terms of wealth creation also means that:AssessmentAMBERGREEN46

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”AMBITION 9 – “Building a prosperous and sustainablelocal economy” may play a major role in future planningproposals for mineral extraction.3.Do the policies reduce healthinequalities?4.What resources are availableto carry out a full HIA?Further commentsCSP 39 Contaminated LandIt is difficult at this stage to clearly establish the healthimplications of this policy and therefore a more detailedassessment is proposed into specific sites.At present only limited resources are available.-AMBERREDCriteria1.Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsAlthough health is not specifically mentioned in the policy,it clearly illustrates the need to consider the healthimplications for contaminated land when redevelopmentproposals are put forward.More detail of this policie's possible health implicationswill be found in a Supplementary Planning Documentwhich will be prepared in the near future. It is proposedthat a future scoping exercise is carried out on the.Supplementary Planning document.AssessmentAMBER2.Do the polices contribute to theambitions of the communitystrategy?This again contributes towards:AMBITION 1 of the SCS – Our communities are attractive,clean and sustainable places to live and the policy alsocontributes towards:AMBITION 1 of the SCS – Our communities are attractive,clean and sustainable places to liveGREEN3.Do the policies reduce healthinequalities?By ensuring users or occupiers of contaminated land takeaccount of the health implications of their developmentproposals, this policy will ensure that the current healthof the local population is taken into account. In areas ofparticularly poor health the impact on health inequalitiescould be significant. However, more detail about how thepolicy will consider the present health inequalities of thelocal community will be required in the forthcomingSupplementary Planning document. As with CSP 36 ToAMBER47

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”ascertain the benefits to health and the Public HealthDirectorate should be consulted on the draftSupplementary Planning document prior to publication.4.What resources are availableto carry out a full HIA?Further commentsAt present only limited resources are available.-REDCSP 40 Pollution Control and ProtectionCriteria1.Will the policies impact onhealth of the variouscommunities?2.Do the polices contribute to theambitions of the communitystrategy?Potential Health BenefitsThe policy complements the following policy regarding airquality and as a result is likely to benefit local communitiesin health terms this is likely to benefit the by helping toreduce the number of hospital admissions and GP referralsfor respiratory illness. This policy will control and mitigatepotential sources of pollution in the future. However, thispolicy will require careful monitoring.This again contributes towards:AMBITION 1 of the SCS – Our communities are attractive,clean and sustainable places to liveAssessmentAMBERGREEN3.Do the policies reduce healthinequalities?4.What resources are availableto carry out a full HIA?Further commentsAs areas of poor Air Quality, noise and smell tend to focusaround the major routes into and out of the town centreswhere less affluent members of the population resides.Consequently restricting development based on this policyis likely to help reduce heath inequalities.At present only limited resources are available.-AMBERREDCSP 41 Development in Air Quality Management AreasCriteria1. Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsPolicies which improve local air quality in the borough,which currently has six Air Quality Management Areas(AQMA), are to be welcomed. The benefits to health oflower levels of traffic pollution are well documented andcould contribute towards a lower level of hospitalAssessmentGREEN48

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”admissions. This will be of particular benefit to localresidents with existing respiratory conditions, in manycases suffered as a result of employment in the miningindustry and inhaling tobacco smoke.With respect to housing development this policy seeks tobenefit residents health by either ensuring development isaway from areas of poor air quality or suitable mitigationsare in place, to minimise impact of pollution.2. Do the polices contribute tothe ambitions of the communitystrategy?This Policy clearly contributes towards:Ambition 1 – our communities are attractive, clean andsustainable places to liveThis policy also supports the aims of the SCS with regardto reduction in traffic pollution specifically:-"Whilst Barnsley Council is leading nationally in a numberof areas to reduce its consumption of fossil fuels, there ismore that we can do to reduce greenhouse gases such asusing public transport or ensuring that our homes are moreenergy efficient. “GREEN3. Do the policies reduce healthinequalities?Barnsley’s AQMA's tend to located at busy congestedroads in the borough where inequality in the housing stockcan be greater.As traffic pollution tends to be greater in these urban areasand in many cases close to areas of deprivation it isparticularly important to address the health impacts of poorair quality.However, more research would be useful at a local levelto help focus resources and draw authoritative conclusions.AMBER4. What resources are availableto carry out a full HIA?Further commentsAt present only limited resources are available.-RED49

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 42 Infrastructure and Planning ObligationsCriteria1.Will the policies impact onhealth of the variouscommunities?Potential Health BenefitsThis policy has the potential to benefit health. In particularplanning obligations aimed at providing:-Affordable housing (including supported housing)Open Space (including play areas, sport andrecreation)Community facilities (including youth activities andmeeting venues)Cultural facilities (including libraries and archaeology)Health and social care facilitiesTransport infrastructure (including footpaths,bridleways, cycle ways and roads)Green Infrastructurewill all have health benefits.AssessmentGREEN2.Do the polices contribute to theambitions of the communitystrategy?Carefully managed this policy can contribute towards:AMBITION 9 - Building a prosperous and sustainable localeconomyGREEN3.Do the policies reduce healthinequalities?4.What resources are availableto carry out a full HIA?Further commentsImprovements to affordable housing and open spaces inparticular assist in reducing health inequalities. However,the number of planning applications can vary considerably.For example during the current credit crunch theapplications with obligations attached dropped dramaticallyand as a result planning obligations can’t be seen as aconstant flow of funds for health related projects.At present only limited resources are available.A key consideration is that sites where obligations can beapplied may not coincide with those areas where healthinequalities are of greatest concern. A further concernrelative to the policies influence on the need to addresshealth inequalities.GREENRED50

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”CSP 43 Educational Facilities and Community UsesCriteria1.Will the policies impact onhealth of the variouscommunities?2.Do the polices contribute to theambitions of the communitystrategy?Potential Health BenefitsThe Building Schools for the Future(BSF) and AdvancedLearning Centre (ALC) programmes aim to provideimprovements in local education for children and adults.However, the combining of a number of schools on onesite can have a negative effect in other policy areas. Suchas accessibility, road safety and health. The ALC can havea major influence on the latter by reducing or increasingthe opportunity for cycling and walking to school.Consequently an effective School Travel Plan (STP) settingclear annual targets and outcomes for active travel toschool need to be carefully embedded in the localcommunities served by each individual ALC. It is proposedthat the STP’s be monitored and scored for their ability tocontribute toward the health of the pupils and staff, alongwith their success in encouraging active travel. The STP’swill also provide much baseline information for a futureHIA of this policy.This policy is the key to achieving:AMBITION 7 of the SCS – Barnsley children and youngpeople - aiming high, enjoying life and seizing opportunityAssessmentAMBERGREEN3.Do the policies reduce healthinequalities?The merging of schools to form ALC’s can result in thechildren and parents travelling significantly further to thesite. Unless supporting funds are made available to developthe school travel plans and infrastructure in the mediumto longer term, the health inequalities could widen evenfurther. The health of the local population close to site couldalso be affected by increased traffic pollution as moreparents drive their children to school.With a wide life expectancy gap across the borough, (nowbeginning to decrease from a previous level of over 12years ), it is essential that a more detailed assessment ofthe Education sites, health and active travel be carried outas a measure to support further reduction in healthinequalities. This should include STPs, in particularrecognising their role in improving health of the studentsand staff, and the role of STPs as tool to encourage activetravel to school, with support from parents and studentsat each ALC. A more detailed assessment will includerecommendations for all parties to take forward.AMBER51

LDF Core Strategy HIA - Screening and Scoping5 . Scoping the Core Strategy specific “Policies”4.What resources are availableto carry out a full HIA?Further commentsAt present only limited resources are available.-RED52

LDF Core Strategy HIA - Screening and Scoping6 . Further analysis and prioritisationPolices shown in “amber” above require more detailed assessment over the lifetime of the Core Strategy.The table below prioritises the “amber” polices based on the requirement for further assessment in theshort medium and long term.The amber policies are:-5, 6, 8, 13, 14, 15, 16, 17, 18, 21, 23, 24, 25, 26, 27, 28, 30, 31, 32, 33, 34, 36, 38, 39, 40, 41, 43.TimescaleShort termFurther Assessment tocommence preparationof Development Sitesand Places DPDPolicies8, 14, 18, 23, 24, 25, 27, 31,39, 41, 43DetailsCSP 8 The location of growthCSP13 The release of newhousing landLocation of growth in both residential andbusiness terms can heavily influence the healthof local communities in terms of traffic pollutionand physical exercise. Location of growth canalso impact on health inequalities. For example,if new employment sites are only accessible bycar they are unlikely to attract local residentswho are currently unemployed to return to work.As unemployment has been a major issue forBarnsley since the decline of the miningIndustry and resulted in an increase in a widerange of health disorders this policy requiresmore detailed health assessment at variousstages of the planning processes, including thesite specific, master planning stages.Developments approved today will have longterm implications on health and consequentlyan assessment protocol needs to be introducedas soon as possible.The impact of this policy will only becomeapparent after a more detailed assessment hasbeen carried out as part of the DPD process.This is due to be published in June 2011However, as part of the plans for the “PublicEngagement Process” which takes place in Oct2010 the health impact of this policy need tobe assessed in the shorter term to ensure longterm health benefits.53

LDF Core Strategy HIA - Screening and Scoping6 . Further analysis and prioritisationCSP14 Housing Mix andefficient land useCSP 18 Sites for Gypsies,Travellers and Travelling ShowpeopleCSP23 Accessibility PrioritiesCSP 24 Safeguarding of formerrailway linesCSP 25 New development andsustainable travelAs with CSP8 a protocol needs to be in placein the short term which will see the healthimpacts of housing mix and land use becomean integral element of forward planning andindividual residential Applications.However the location of each individual siteparticularly in terms of its accessibility to healthneeds careful consideration. Consequently asthese new sites are put forward for approvalan assessment should be carried in each.The policies contribution to the SustainableCommunity Strategy is monitored as part of theannual review of the SCS However moredetailed assessment in required in the mediumterm with the reporting process established inthe short term. This should clearly focus on thebenefits of the policy in terms of Healthinequalities.It is essential to safeguard any proposed routesin the short term. If they are not safeguardeda unique opportunity to use the as either railroutes or cycle and walking routes will be lost.Once safeguarded can a detailed feasibilitystudy into their final use be carried out. Theprinciple of safeguarding will prevent the lossof key alignments. In many parts of the countrythe loss of such alignments into our towns andcities is major concern as land in not longeravailable for any form of transport. Once thealignments have been safeguarded healthshould play a major role in the assessment ofthe final use of the alignments.The influence of new developments of activetravel in the local community and potentialcontribution this can make to reducing healthinequalities is often underestimated. SomePlanning Authorities have conditioneddevelopers to fund the cost of monitoring oftravel plans a main element of which isencouraging walking and cycling. Barnsley maywish to consider this type of condition which inshort to medium term can provide informationto support a long term assessment of thispolicy.54

LDF Core Strategy HIA - Screening and Scoping6 . Further analysis and prioritisationCSP 27 Parking StrategyThe development of a cross cutting andcomprehensive parking strategy is essential forthe long term sustainable development of theborough. However the key element and policiesof the strategy need to be in place as soon aspossible and these can be individuallyassessed in the short term.The strategies influence on other forms of traveland the opportunities to reducing trafficpollution and congestion whilst encouragingbehavioural change, need to be consideredover a longer term. Consequently the healthbenefits of the strategy will only becomeapparent in the longer term when a moredetailed assessment should take place whichcan consider issues such as reduction inpollution benefiting those suffering fromrespiratory illness.CSP 31 Town CentresCSP39 Contaminated LandCSP 41 Development in AirQuality Management AreasCSP 43 Educational Facilitiesand Community UsesThe redevelopment of the town centres needscontinual input from Public Health and thispolicy monitoring closely. i.e. The healthimpacts of the night time economy and thenumber and location of fast food outlets andthe developments influenced on active travelneed to be considered at each stage.The report proposed in this policy should setout the clear health implications on the endusers and local community of redeveloping thecontaminated land. The protocol for the reportshould be set out as soon as possible.This policy provides a clear link in the CoreStrategy between road traffic pollution,transport and health. In the short term thehealth implications of this policy should becarefully assessed in line with the existing sixAQMA’s and future AQMA's.This policy has a key role in encouraging activetravel consequently each individual site shouldbe assessed as soon as possible establishinga protocol in place, a assessing sites in thefuture.55

LDF Core Strategy HIA - Screening and Scoping6 . Further analysis and prioritisationThe Healthy Lifestyle survey of young people2008 commissioned by Barnsley Children andYoung People’s Board provides supportingevidence for such policies in increaseopportunities for exercise. The survey alsonoted that “in terms of physical exercise only0.9% 0f pupils taking part in the survey cycledto school.”Medium term13, 15, 18, 20, 21, 26, 28, 30,33, 38Further Assessment tocommence during firstreview of Core StrategyCSP15 Affordable HousingCSP16 Rural Exception PolicyCSP20 Promoting Tourism andencouraging Cultural ProvisionOnce in place this policy should be closelymonitored. In particular the polices impact onquality of life. With over 10,000 children under16 in the borough living in poverty at presentaffordable housing will form an important rolethe fight to reduce health inequalities animprove community health. The first ofeconomic growth are beginning to appear,consequently it is vital to ensure that robustassessment is commences within 2 years toestablish long terms levels of affordablehousing.Rural communities particularly those close tothe National Park have major difficulties inaccessing affordable housing. As with CSP15it essential to monitor the level of affordablehousing and assess the effect on health in themedium term.Encouraging the provision of a wide range ofopportunities for cultural activities andSafeguarding the existing cultural provision canhave major health benefits. Mental healthsuffers in particular can benefit enormouslyfrom taking part in cultural activities and morethat 25% of the UK population suffer some form56

LDF Core Strategy HIA - Screening and Scoping6 . Further analysis and prioritisationof mental illness at some stage in their lives amore detail assessment of this policy is neededin the medium term.Furthermore the opportunities to encouragetourism and hence create employment andgenerate economic growth are oftenunderestimated. There is potential for newmuseums, leisure facilities and accommodationin particular close to the National Park. Suchopportunities are for sustainable tourism isextremely rare. Consequently the healthbenefits of policies aimed at encouragingtourism and culture need careful appraisal. Asthe benefits of such policies are unlikely tobecome clear in the short term it is proposedthat a detail piece of work is carried out in themedium to long term.CSP 21 Rural EconomyCSP26 New development andhighwayThis policy is closely linked to CSP20 and it isproposed that any assessment of this policyalso incorporates CSP21Maximising the opportunities for active travelis essential for a health future.Quality highway design can help supportincreased “Active Travel” walking by reducingconflicts between cyclists, pedestrians andother road users. Encouraging behavioural.A further assessment of this policy should takeplace based on the Manual for Streetsdocument currently being revise by consultantcommissioned by DFT.CSP 28 Reducing the impactof road travelThis policy needs more detailed assessmentin the medium term a number of areas andshould link closely with the monitoring of LTP3.In particular:-Robust, evidence based air quality actionplans to improve air qualityEfficient vehicles and goods delivery, andreduce exhaust emissionsRoad system is used efficiently57

LDF Core Strategy HIA - Screening and Scoping6 . Further analysis and prioritisationCSP 33 Green InfrastructureCSP34 Protecting the GreenBeltCSP 38 MineralsBy creating, maintaining and enhancing multifunctional open spaces this policy can offermajor health benefits. For example:- with up to30% of all General Practitioners time spent withpatients with mental health issues. – (Basedon these estimates approximately 29,234 localpeople suffer some form of mental disorder)and the well documented benefits to mentalhealth suffers of green infrastructure this policyhas the potential to make a considerablecontribution to public health. It is proposed thatfurther assessment of the health benefits iscarried out in the medium term.As with Policy 33 the protection of certain areasof Green Belt, particularly in deprived areaswere health inequalities are common can havea positive effect on health. It is proposed thatan assessment of this policy is carried out inthe medium term.It is proposed that individual site assessmentsb carried in line with the Development SitesDPD.Long term5, 6, 17, 32, 40Further Assessmentanticipated to take placeas and when furtherreviews take placeCSP 5 Including renewableenergy in DevelopmentsCSP 6 Development thatproduces renewable energyThe effects of this policy on Heath inequalitiesare unlikely to become apparent until moredevelopments opportunities’ arise. The currentrecession has dramatically reduced the numberof planning applications for new development.As this policy is specifically aimed at futuredevelopments any impact on health will be longterm.A similar conclusion to that arrived at for CSP5has been reached for this policy and hencehealth impacts will be apparent in the short ormedium term.58

LDF Core Strategy HIA - Screening and Scoping6 . Further analysis and prioritisationCSP 17 Housing RegenerationAreasCSP 30 Historical EnvironmentCSP 32 Small Local ShopsCSP 36 Biodiversity andGeodiversityCSP 40 Controlling potentiallypolluting development andProtecting new developmentfrom pollutionAs these areas are regenerated the benefits tohealth should be assessed in greater detail.All conservation areas in the borough are nowofficially designated and ongoing detailedassessment of these sites will be carried outby late 2011. This will ensure that anydevelopment is appropriate. However, historicparks and gardens are the responsibility ofEnglish Heritage and consequently are notcovered in any detail within the Core strategy.As these parks and gardens are the most likelyelement of this policy to benefit health and theyare located in the West of the borough an areaof relatively good overall health. It is proposedthat a longer term view be taken as to thehealth impacts of these sites working inpartnership with English Heritage.This policy requires long term monitoring witha protocol set in place as soon as possible. Thepolicies ability to influence healthy eating andactive travel is of particular importance to thehealth of the local communities. The growth oflarge supermarkets some of which are difficultto access without a car have had a detrimentaleffect on small local shops as well the level ofdaily exercise by local people.Development which conserves and enhancesthe biodiversity and geological features of theBorough has the potential in the long term tobenefit health. In particular sufferers of mentalillness can benefit and such enhancements canbe used to encourage physical exercise. It isproposed that an assessment of the healthbenefits of this policy is carried out in the longerterm.Although this policy should be implemented assoon as possible, the full health implicationsare unlikely to be come apparent in short ormedium term. Consequently it’s proposed thata long term assessment of this policy shouldcarried out.59

LDF Core Strategy HIA - Screening and Scoping7 . Other Sources of information and BibliographyChildhood Obesity - National Support Team visit report December 2008Delivering a Sustainable Transport System (DaSTS) - Department for Transport '- 2009Guidance on Transport Assessments' - Department for Transport '- 2007Joint Strategic Needs Assessment (JSNA) - NHS Barnsley and BMBC 2010Our healthier nation” - Inequalities in health - Acheson - NHS 1998Review of the National Approach to Transport Appraisal - The NATA Refresh:) Department for Transport2008Reducing Health Inequalities - National Support Team visit report June 2009)Royal Town Planning Institute’s Planning Convention Workshop report from 2009 - The Royal TownPlanning Institute (RTPI) 2009The Health Effects of Climate Change in the UK, 2008 - published report Department of Health /HealthProtection Agency 2008The Health impacts of spatial Planning decisions - The Kings Fund April 2009The 2009 Health Profile for Barnsley - The Public Health Annual report NHS Barnsley 200960

If you need help understanding this document please contact us on 01226 772606Where you can go for independent adviceYorkshire Planning Aid provides a free, independent and professional planning adviceservice to individuals and groups from within the Yorkshire and Humber region whocannot afford professional fees. The organisation may be able to assist groups andindividuals who would like support and advice in order to get involved in thisconsultation process. Contact the Regional Manager on 0113 204 2462, emailykco@planningaid.rtpi.org.uk for further information.Yorkshire Planning Aid runs a telephone advice line Mondays to Fridays between 9amand 4pm on 0870 850 9808. The organisation also provides a community planningservice which helps groups and individuals to understand the planning system andinfluence what happens in their area. The main parts of the programme include trainingevents and presentations, such as a ‘Planning Crash Course’, and advice and support oncontributing to development plans.The service is targeted at disadvantaged communities, and at groups which represent orwork with people who need support and guidance to get involved with the planningsystem, for example young people, disabled people or ethnic-minority communities.Planning Aid aims to raise awareness about the planning system within thesecommunities, and help groups and individuals to work more effectively with localauthorities and the development plan process.Yorkshire Planning Aid is part of a network of nine Planning Aid Services throughout thecountry, all of which are part of the Royal Town Planning Institute, a registered charity.