SHINE
Supporting Healthy Inclusive
Neighbourhood Environments
SHINE aims to:
Support population health through . . .
• Supporting health outcomes through neighbourhood planning
• Developing and evaluating interventions with a focus on
‘healthy neighbourhoods’
• Translating findings and evidence
• Providing opportunities for implementation in Bristol and beyond
Who’s involved
Directors
• Dr Suzanne Audrey, Public Health Senior Research Fellow at the
School of Social and Community Medicine, University of Bristol
• Dr Adrian Davis, Public Health and Transport Consultant working
with Bristol City Council's Transport Team
• Marcus Grant, Health and Spatial Planning Specialist
• Becky Pollard, Director of Public Health, Bristol City Council
Members of the leadership team
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Ben Barker, Member of the Greater Bedminster Neighbourhood Forum
Jackie Beavington, Associate Director of Public Health for NHS Bristol
Ashley Cooper, Professor of Physical Activity & Public Health, University of
Bristol
Selena Gray, Professor of Public Health, University of the West of England
Nick Hooper, Chair of Restorative Bristol and Service Director for Housing
Solutions & Crime Reduction, Bristol City Council
Bruce Laurence, Director of Public Health for Bath and North East
Somerset
Sarah O'Driscoll, Service Manager Strategic City Planning, Bristol City
Council
Angie Page, Reader in Physical Activity and Public Health, University of
Bristol Centre for Exercise, Nutrition and Health Sciences
Ed Plowden, Sustainable Transport Service Manager, Bristol City Council
Peter Wilkinson, Director of The Next Field Ltd green space consultancy
SHINE review
• Re-launch meeting, September 2013
– ‘reality check’: how much can a health integration team achieve
with limited funds and limited time?
– reiterate aims
– strengthen and involve wider leadership team
• Review meeting, April 2015
– update to professionals and residents of Bristol and surrounding
areas
• Directors and Leadership Team meeting, June 2015
– discuss findings from Review meeting and agree topics to take
forward
SHINE priorities
• Walkable neighbourhoods: focussing on the pedestrian
environment, safety, connectivity and accessibility
• Age-friendly neighbourhoods: focussing on the health and
inclusion of those who may be most vulnerable e.g. childhood and
older age (60+)
• Open streets: considering a wider view of street function and
emphasising the concept of democratic streets available to all
• The natural environment in the urban realm: seeking to promote
quality green and blue spaces and their use as a ‘natural health
service’
Methods
• Mixed methods including neighbourhood mapping, qualitative and
quantitative research methods, and reviews of the evidence.
• Intergenerational work e.g. meetings and research methods
including children and older people
• Inter-disciplinary and inter-sectoral work including the voluntary
sector, residents, academics, planners, practitioners, transport
specialists, health promotion specialists
• Translational research: turning research into usable knowledge in
order to take action
Translational research:
Translating findings and evidence
“It has been acknowledged that a large gulf remains
between what we know and what we practice. Hence a
task, if not the main task, is to improve knowledge transfer.”
International Public Health Symposium on Environment and Health Research.
WHO 2008 Science for Policy, Policy for Science: Bridging the Gap, Madrid,
Spain, 20–22 October 2008 Report, Copenhagen: WHO Regional Office for
Europe
Evidence: shooting yourself in the foot
“To do something without intending to
which spoils a situation for yourself”
(Cambridge online dictionary)
Public health ‘good’ evidence
• Low risk of bias
• Clear link between intervention and
health outcome
Tension?
• not to delay/stop improvements to
neighbourhood environments because
current evidence is weak
• not to spend/divert public money to
weak interventions if there are better
ways of spending the money
Child friendly neighbourhoods: evidence
“Healthy built environments for children and young people: A systematic
review of intervention studies”
– Child health outcome reported
– Change to built neighbourhood environment
– Control /comparison group
Studies
– 9,686 records identified, duplicates removed; 7,645 titles and
abstracts checked; 113 full text studies assessed; 33 primary
studies in relation to 27 separate interventions included
– built environment changes to promote active travel (n=12)
– modifications to public parks (n=8)
– built environment changes promoting road safety (n=3)
– package of community wide measures (n=4)
Democratic streets: Playing out
http://playingout.net/
Alice Ferguson, Director
• National advice service:
telephone, email
• Online advice, information
and inspiration on this
website.
• Support and guidance
materials
• ‘On the ground’ support
across Bristol
• A network for activators
• Events and workshops
• Support for organisations to
support street play
• Work with the media
Democratic streets
Older people friendly neighbourhoods?
Systematic review: Teresa Moore (CLAHRC), Suzanne Audrey,
Selena Gray et al
To assess the effects of interventions to the built environment
on mental health and wellbeing of adults and older adults
Walkable neighbourhoods: health benefits
Walk to work: feasibility study (Bristol) and now full-scale
randomised controlled trial (South Gloucestershire, Bath, Swansea)
Walkable neighbourhoods: how?
Launch of Let’s Walk Bedminster, Tobacco
Factory, 22nd February 2015
Go green business breakfast, SS Great
Britain conference centre, 24th March 2015
Bristol Walking Festival 2015, 1st–31st May
Twilight talk ‘Is Walking Transport?’ with
Jayne Mills, Bristol City Council (28th May,
6-7.30pm, Watershed)
Bristol walking campaign?
Natural environment and urban realm
• Keynote speaker at Academy of Urbanism 2014:
“This place is killing me!”
• Health advisor on the policy committee
of the Landscape Institute
• Member of the Scientific Committee
for Urban ‘Nature-Based Solutions’ conference,
Ghent May 2015 tabled to advise EU policy
• Keynote speaker at European Green Capital 2015 summits
– Nature and Wellbeing Summit: Towards a daily dose of nature
– International Making Cities Liveable: Healthy urban neighborhoods
– Future Cities, developing a health strand: Action for urban climate and
health
Natural environment and urban realm
Peter Wilkinson
Community Orchard, Park Street, Totterdown
Any questions?