nuneaton and bedworth health impact assessment

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NUNEATON AND BEDWORTH HEALTH IMPACT ASSESSMENT Why Health matters are important in Nuneaton and Bedworth Borough..........2

Key Health Determinants..............................................................................2 Introduction to screening..................................................................................4 Approach .........................................................................................................5 The Screening Assessment .............................................................................8

Question 1 – Key population characteristics.................................................8 Nuneaton and Bedworth Mini Joint Strategic Needs Assessment ............9

Children & Young People ....................................................................10 Educational attainment ....................................................................10 Free School Meals...........................................................................10 Looked after children (LAC’s) ..........................................................10

Lifestyle factors affecting health ..........................................................10 Healthy weight and physical exercise..............................................10 Childhood obesity ............................................................................10 Smoking...........................................................................................11 Alcohol.............................................................................................11 Cancer .............................................................................................11 Sexual Health ..................................................................................11

Vulnerable Communities .....................................................................11 Reducing Health Inequalities ...........................................................11 Disability ..........................................................................................12 Learning Disability ...........................................................................12 Special Educational Needs..............................................................12 Safeguarding ...................................................................................12 Adult Safeguarding Referrals...........................................................12

Ill-Health ..............................................................................................12 Long Term Conditions .....................................................................13 Mental Health ..................................................................................13

Question 2 – Definition of proposal ............................................................13 Question 3 – Historical background............................................................13

Production of the Plan ............................................................................13 Policy context..........................................................................................13

National Planning Policy Framework (NPPF)......................................13 Regional Planning Policy.....................................................................14 Sustainable Community Plan ..............................................................14 Evidence .............................................................................................14 Strategic Environmental Assessment and Sustainability Appraisal.....14 Infrastructure Delivery Plan .................................................................14

Question 4 – Determinants of Health .........................................................15 Question 5 – Assumptions..........................................................................15 Question 6 – Potential to impact health and well-being..............................15 Question 7 – Nature and extent of impacts ................................................17 Question 8 – Groups ..................................................................................20 Question 9 – Equity issues.........................................................................20 Checklist.....................................................................................................21

Conclusion .....................................................................................................24

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WHY HEALTH MATTERS ARE IMPORTANT IN NUNEATON AND BEDWORTH BOROUGH

Work on health is considered important because the Borough demonstrates a number of key health issues, and this is reflected with the draft Borough Plan. The below information helps to put the Borough in context in relation to health matters. There have been significant changes in the perception and priority attached to health and wellbeing in recent years. This has been the case nationally, regionally and locally. The Borough has seen a 5.1% increase in its population since 2001 when compared to the 2011 Census. There is also an ageing population increase which results in a diversity of future health issues and increase in demands on services from the Council. This has led to health becoming a key Priority in Nuneaton and Bedworth which reflected in the ‘Corporate Plan 2007-2021’ under:

• Aim 1: To improve the quality of life and social justice for residents so it is much closer to that enjoyed by the rest of Warwickshire; and,

• priority 3 ‘To work in partnership to improve health and reduce health inequalities for residents in the Borough.

The Council work with a number of different partners in the health profession, and a number of their documents include health improvement as well as addressing health inequalities, for example:

• Warwickshire Joint Strategic Needs Assessment (JSNA); • Mini District JSNA for Nuneaton and Bedworth (key information from

this report is set out from page 9); and • Joint Director of Public Health’s Report.

Key Health Determinants The Marmot Review 'Fair Society Healthy Lives' (2010) was commissioned by the Department of Health to provide the evidence to inform future policy and practice. In considering planning policy implications for the Borough, there are significant health inequalities, and therefore work such as the Marmot review can be used to assist in developing policies. It discusses that health inequalities are not inevitable and can be significantly reduced, not to do so is ‘unfair and unjust’. In terms of the Borough itself there are clear differences amongst districts within Warwickshire on Quality Of Life Indicators as can be seen in the report 2012/13 ‘Quality of Life Report 2012/13’ (see page 10 of the Quality of Life report for further information).

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The ‘Health Profile 2012 for Nuneaton and Bedworth Borough’ provides a good overview of the health within the Borough. The information listed below identifies some of the key points:

• Average Life expectancy at birth for both males (77) and females (81)

in Nuneaton and Bedworth was lower than the national average (males 78, females 82).

• A baby boy born in the Abbey Ward can expect to live up to the age of 74.6 years whilst one born in Whitestone Ward can expect to live up to the age of 84.1. This is a gap of nearly 10 years between geographical areas in the same Borough.

• Both male & females at age 16 can expect to be disability free up till age 49 despite potentially living up to ages 77 & 81.

There are clearly some significant health challenges in Nuneaton and Bedworth with some areas of the Borough experiencing more significant health problems. These are explored in greater detail within this screening report. In addition, if a full HIA is developed, specific health issues will have to be assessed further.

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INTRODUCTION TO SCREENING The section above outlines the importance health to the Borough. The purpose of this screening assessment is to identify whether a full Health Impact Assessment (HIA) is required for the Borough Plan. The Borough Plan is a strategic planning document and as such it is important to consider the health impacts it may have on the Borough and adjoining areas. The Council have liaised closely with Warwickshire Public Health to try to agree the most appropriate approach to carrying out work associated with a HIA. However, to date, Warwickshire Public Health has not established any formal approach to carrying this work out and it was agreed that at this stage a screening assessment be undertaken. It was agreed that if the screening assessment identifies the need for a full HIA this would be undertaken at the next stage of the Borough Plan consultation. The criteria of testing are to be developed by Warwickshire Public Health in due course.

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APPROACH Warwickshire Public Health recommended we follow the screening approach developed by the NHS South of Tyne and Wear. At this stage, Warwickshire Public Health has not formally developed an approach to HIA screening. Hence their recommendation, follow South of Tyne and Wear methodology, which can be set out as follows: The following questions should be answered:

1. Define the population affected by the proposal and, briefly, describe its key characteristics. These might include:

a. Size of the population and number and % of children, people of working age and older people;

b. Geographical spread of the population c. Size and characteristics of groups such as BME population,

single parents, older people, people with a disability or carers who may experience poorer health or find it particularly difficult to access services

2. What is the proposal about (this may be a strategy, a change in the way services are to be delivered or a physical development)?

3. What is the historical background to this proposal? What is the national and local policy context?

4. Does the proposal concern any of the following determinants of health? (Italics reflect Dahlgren and Whitehead, 1991)

a. Biological factors e.g. age, sex, constitutional factors; b. Lifestyle factors e.g. employment, income, diet, smoking, car

ownership etc. c. Social/economic environment e.g. culture, discrimination,

community support; d. Physical environment e.g. living and working conditions; e. Health and Social care systems e.g. public services;

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f. Wider public policy and other socioeconomic, cultural and environmental conditions e.g. capacity of health and social care systems;

g. Other (state) e.g. crime, transport, housing, education, social cohesion;

5. What are the assumptions embedded in or underpinning the proposal? 6. Why does the proposal have potential to impact on health and well-

being? What are the: a. Positive impacts b. Potential negative impacts c. Intended consequences d. Possible unintended consequences

7. Describe any information which identifies the nature and extent of the impacts on health for this type of proposal.

8. List the groups most likely to be affected by the proposal, e.g. population subgroups (age groups, vulnerable groups), geographical areas etc.

9. What are some of the potential equity issues? Desirable and Undesirable.

South of Tyne and Wear summarise the checklist in the following way:

Answers favouring doing an HIA

To your knowledge Answers favouring not doing an HIA

Health Impacts Yes/not sure Yes/not sure

Does the proposal affect health directly? Does the proposal affect health indirectly?

No No

Yes/not sure Are there any potentially serious negative health impacts that you currently know of?

No

Yes/not sure Is further investigation necessary because more information is required on the potential health impacts?

No

No Are the potential health impacts well known and is it straightforward to suggest effective ways in which beneficial effects are maximised and harmful effects minimised?

Yes

No Are the potential health impacts identified judged to be minor?

Yes

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Answers favouring doing an HIA


Community Yes/not sure Is the population affected

by the proposal large? No

Yes/not sure Are there any socially excluded, vulnerable, disadvantaged groups likely to be affected?

No

Yes/not sure Are there community concerns about any potential health impacts?

No

Initiative Yes/not sure Is the size of the

proposal large? No

Yes/not sure Is the cost of the proposal high?

No

Yes/not sure Is the nature and extent of disruption to the affected population likely to be major?

No

Organisation Yes Is the proposal a high

priority/important for the organisation/partnership?

No

For = TOTAL Against = The South of Tyne and Wear then provides some additional scoring to determine whether a rapid or comprehensive HIA is required. However, it is proposed that the Council work with Warwickshire Public Health and use any emerging criteria they develop.

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THE SCREENING ASSESSMENT In applying the South of Tyne and Wear methodology, this section is broken down into sub sections corresponding with the relevant questions, and finally the summary table is provided.

Question 1 – Key population characteristics Nuneaton and Bedworth Borough is located in Warwickshire, and contains the second largest population (125,400) in the County, but is the smallest in geographical area at 79.3km2. The Borough is predominately urban in character and consists of the two market towns of Nuneaton and Bedworth and the large village of Bulkington situated in the Green Belt to the east of Bedworth. The Borough currently has a relatively large working population (16-64) 64.1%, which is similar to the national average. It has a slightly younger population than the Warwickshire average with 36.4% of the population under 30 compared to 34.7% in Warwickshire. In terms of age structure, the Borough and the County have a lower number of persons aged 20-29 compared to the English average. For the over 30 age groups the Borough population structure generally mirrors the national picture with a few minor exceptions. The 30-74 population is higher than the national average, whereas the 75+ age group is lower than the national average. The population is generally evenly spread between the seven localities with the average population being around 17,000. However, the make up of the localities varies across the Borough. For example, in Whitestone and Bulkington 27.2% of its population are 65+ compared with Camp Hill and Galley Common which only has 14.3%. In addition, the density, landscape and the size/type of housing varies considerably between localities. For example, the Abbey & Wem Brook locality covers an area of 2 miles and has approximately 7200 households, of which 49.8% are terraced. Conversely, Weddington and St. Nicolas cover an area of 5 miles and have approximately 6,600 households with only 5.3% terraced houses. The 2011 Census helps to illustrate potentially vulnerable groups in society and those who may have difficulty accessing services. The following are some of the key indicators which can help highlight these groups and the numbers of people who may be affected. The Census shows that the Borough’s population is predominately made up of White British ethnicity (88.9%), with a mixture of other ethnicities. Of the 54, 327 households in the Borough, 2.4% have no people in the household who have English as a main language. Within the Borough, 3959 households contain single parents, with 39.2% of single parents not in employment, which is slightly higher than the Warwickshire average of 32.6%. 7, 778 people have indicated that they are in bad health or very bad health. There are a number of other key indicators

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which relate to the general health of the Borough, out of the 54, 327 households in the Borough:

• 22% have one person in the household with a long-term health problem or disability with no dependent children

• 4.8% have one person in the household with a long-term health problem or disability: with dependent children

• 2.4% do not have central heating • 22.4% do not have cars or vans in household

The Index of Multiple Deprivation 2012 indicates that Nuneaton and Bedworth Borough has the highest levels of deprivation in Warwickshire. The Borough ranks as the 108th most deprived Local Authority District (out of the 326 Local Authorities in England). The most deprived Super-Output Area (SOA) in Warwickshire is the Bar Pool North and Crescents SOA in Nuneaton. This area is ranked 492nd out of 32,482 SOAs in England. Placing it within the top 1.5% most deprived SOAs in England. Comparing the most deprived Lower Super Output Areas (LSOAs) and the least deprived LSOAs in the County it appears that the areas are mostly separated by Income, Employment, Education & Skills and Crime in equal measures. In terms of Health and Disability in Nuneaton and Bedworth Borough, 29 of the 82 SOAs are within the top 30% most deprived nationally and 3 are within the top 5% most deprived nationally. This deprivation appears to be having an effect on both male and female life expectancy in the Borough as it remains below the England average at 77.5 for males and 81.9 for females, compared to 78.6 for males and 82.6 for females in England. This also correlates with ‘The Years of Life Lost’ (YLL) indicator, which measures premature mortality. Using age 75 as the standard age of death, or life expectancy, this indicator is calculated by adding together all the years ‘lost’, i.e. not lived, by the population who have died before the age of 75. The latest figures are based on deaths between 2008 and 2010. Within Warwickshire the only YLL rate which is statistically significantly higher than that the equivalent England figure is that for all persons in Nuneaton and Bedworth Borough, with a rate of 455 per 10,000 population. Within Warwickshire, Nuneaton and Bedworth Borough has the highest YLL average rate for both males and females. It is also highest for heart diseases, all cancers and 2nd highest for respiratory diseases and liver diseases.

Nuneaton and Bedworth Mini Joint Strategic Needs Assessment

The Nuneaton and Bedworth mini JSNA provides some useful health points relating to the Borough’s population characteristics, specifically relating to health matters. This information links to question 1 of this screening process. Set out below are the salient information emerging from the Nuneaton and Bedworth mini JSNA.

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Children & Young People

EDUCATIONAL ATTAINMENT

• In Warwickshire 58.8% of pupils sitting their GCSE exams in

2010/11achieved grades A-C in 5 or more subjects including English and Maths.

• In Nuneaton & Bedworth Borough the proportion was 52.2%, which is

lower than the England average of 55.3% and the lowest GCSE attainment in the County for 2010/11.

FREE SCHOOL MEALS

• In Nuneaton & Bedworth 25% of pupils eligible for a Free School Meal

(FSM) in 2011 achieved grades A*-C, compared with 55% of pupils who are not eligible. This reveals a negative gap of 30 percentage points.

LOOKED AFTER CHILDREN (LAC’S)

• At 31 January 2012, there were 201 looked after children (LAC) in Nuneaton & Bedworth. This represents a rate of 77 LACs per 10,000 population aged 0- 17 years. This is significantly higher than the rates for Warwickshire and England.

Lifestyle factors affecting health

HEALTHY WEIGHT AND PHYSICAL EXERCISE

• 29% of adults in Nuneaton & Bedworth are obese. This is statistically

significantly higher than the Warwickshire average of 25% and equates to almost 28,600 adults.

• Only 11% of age 16+ population participate in moderate intensity sport and active recreation and only 12% of adults presently achieve the recommended levels of physical activity (at least 5 X 30 minutes).

CHILDHOOD OBESITY

• For the academic year 2010/11, Nuneaton & Bedworth Borough had a higher proportion of obese children in comparison to the County.

• 8.5% of Year 1 (reception) children are measuring obese moving to 17% at Year 6.

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SMOKING

• 22% (22,714) of the population smoke. This is higher than the smoking

prevalence in the county as a whole which is 19.8% of the population.

ALCOHOL

• In the past eight years, there has been a significant increase in the numbers and rates of alcohol related hospital admissions across the County.

• In Nuneaton & Bedworth Borough, there has been an increase of 159% from a rate of 749 per 100,000 population in 2002/3 to 1,935 per 100,000 populations in 2010/11. This is higher than the 142% increase in admissions across the county during the same period.

CANCER

• The incidence of cancer in Nuneaton & Bedworth is 351 cases per

100,000 population which is slightly lower than Warwickshire’s 352 per 100,000 populations.

• However, the mortality rate from cancer in Nuneaton & Bedworth is higher.

• 187 per 100,000 populations compared to 169 per 100,000 populations for the county.

SEXUAL HEALTH

• In Nuneaton & Bedworth the rate of diagnoses of acute Sexually Transmitted Infections (STI’s) was the highest in the County at 770 per 100,000 populations compared to an average of 628 per 100,000 populations in Warwickshire.

• Nuneaton & Bedworth Borough had an under-18 conception rate of 48.8 per 1,000 15 -17 year old females for the period 2008-10.

• The 2010 under-18 conception rate (per 1000 aged 15-17 years) for Nuneaton and Bedworth was 51.6.

Vulnerable Communities

REDUCING HEALTH INEQUALITIES

• All of the top 13 most deprived areas in the county from the Index of

Multiple Deprivation (IMD) 2007 have shown a considerable deterioration in rankings in the IMD 2010, suggesting the gap between the most and least deprived areas of the county are widening.

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• A total of 29 Super Output Areas (SOA’s) in Nuneaton & Bedworth feature in the top 30% most deprived SOAs nationally, including nine in the top 10% and seven in the top 10-20%.

DISABILITY Data on Disability Living Allowance (DLA) claimants gives an indication of prevalence of disability amongst the population:

• Nuneaton & Bedworth has a total of 7,910 DLA claimants. The highest number of DLA claimants is in Abbey ward;

• There are 835 DLA claimants aged under-16; • Kingswood Ward and Poplar Ward has the highest under-16 claimants

as a percentage of all claimants (8.9%),

LEARNING DISABILITY

• 423 people aged over 18 in Nuneaton & Bedworth are on the Learning Disability Register of their respective GP practice.

SPECIAL EDUCATIONAL NEEDS

• 1805 pupils that reside in Borough have Special Educational Need (SEN) at School Action Plus (1121) and are Statemented (684).

SAFEGUARDING

• The largest group of children to become subject to child protection plan (CPP) were those aged 1-4. In Nuneaton & Bedworth 61 children were subject to a CPP at March 2011.

o This equates to a rate of 51.3 per 10,000 0-17 year old population.

o This is significantly higher than the rate for Warwickshire (46 per 10,000 0-17 population).

ADULT SAFEGUARDING REFERRALS

• In 2011/12 849 adult safeguarding referrals were received in Warwickshire 193 or 22.7% of safeguarding referrals were from the Nuneaton & Bedworth Borough.

o This number equates to a rate of 15.4 referrals per 10,000 populations. This is slightly lower than the county rate of 16 referrals per 10,000 populations. 25% of referrals in Warwickshire were to the Learning Disability team.

Ill-Health

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LONG TERM CONDITIONS

• Hypertension is the most common long-term condition (LTC’s) in Nuneaton and Bedworth, in terms of both estimated and actual prevalence.

• There are a potentially large numbers of undiagnosed or unrecorded cases for certain LTCs.

MENTAL HEALTH

• 1 in 6 adults suffer from some form of mental illness.

Question 2 – Definition of proposal The proposal relates to the Council’s Borough Plan, which sets out the strategic planning framework for the development of the Borough. The Plan period runs from 2010 – 2028. At this stage the Plan is not adopted and still needs to be subject to several stages of public consultation. As such the screening exercise relates to the Preferred Option stage. Importantly the Plan will contain a vision and strategic objectives for the Borough, as well as planning policies which will be used as the basis for directing development over the Plan period. In addition the Plan will identify the appropriate level of growth during the Plan period.

Question 3 – Historical background

Production of the Plan The Plan has been in development since 2006. In June 2009 the Council produced an Issues and Options document, the results of which have directly fed into the development of the Preferred Option. The content of the Borough Plan has been informed by a number of other documents, as is required by Government. These documents are of a National, Regional, Sub-Regional and local level.

Policy context

National Planning Policy Framework (NPPF) The National Planning Policy Framework (NPPF), published in March 2012, sets out Government policy on planning matters which seeks to create sustainable communities and foster sustainable development. The policies in the NPPF provide the national framework within which local policy should be prepared. Details of the NPPF guidance can be found at www.communities.gov.uk.

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Regional Planning Policy The Government is in the process of abolishing Regional Spatial Strategies (RSS). However, until the West Midlands RSS is formally abolished the adopted Strategy remains in place. The Council does not consider that the revocation of the RSS will undermine the emerging local policies contained in this document as the evidence base underpinning them is sound. This includes a review of the development targets for the Borough.

Sustainable Community Plan The Borough Plan is a delivery document for the Nuneaton and Bedworth Sustainable Community Plan (SCP). The policies within the Plan therefore need to enable delivery of the aims of the SCP which are to make the Borough stronger, safer and more sustainable. The SCP can be viewed at www.nblsp.org.uk.

Evidence In preparing the Borough Plan a number of studies have been undertaken to provide a robust and credible evidence base. This is to ensure all policies and decisions within the Plan are based on sound information. The evidence takes two main forms:

• Research and facts • Evidence from local communities and others with an interest in the

future of the Borough.

The evidence collated is set out under question 7.

Strategic Environmental Assessment and Sustainability Appraisal To ensure the Borough Plan effectively meets the needs of future generations in a sustainable manner, a Sustainability Appraisal, Scoping Report and Habitat Regulation Assessment are being undertaken alongside the development of the Borough Plan. This will ensure that the Plan positively contributes to the economic, social and environmental considerations within the Borough. The outcomes of this work during each stage of the process are presented in a separate report which will be available via the Council’s website.

Infrastructure Delivery Plan The Infrastructure Delivery Plan sits alongside the Borough Plan. It will provide information on the infrastructure which needs to be delivered to support the policies and growth targets set in the Borough Plan. It will outline the sources of funding for the projects and those who will be responsible for the delivery of the infrastructure.

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Question 4 – Determinants of Health As part of the Plan’s development, account is taken of all the determinants identified. In terms of preparing the Plan, these different determinants help to indentify key issues that need to be addressed through policies. The purpose of this work is to help inform the type of policies that should be developed within the Plan, and also to help paint a picture of the Borough. There is not a draft policy for each determinant of health, however it would be reasonable to assume the determinants identified are likely to be impacted by the implementation of the Plan.

Question 5 – Assumptions There are a number of assumptions that underpin the Borough Plan, and these relate to a wide variety of factors. One of the most significant assumptions within the Plan relates to the appropriate level of growth, specifically the level of employment land and housing that is required over the Plan period. The work underpinning these requirements is set out in the Development Forecasting Report, however there are numerous assumptions that are included within this. As an example, assumptions are made relating to household size, linkages between different employment sectors, level of output gap etc. In addition wider elements of the Plan contain assumptions, for example assumptions are made about appropriate environmental technology solutions and implications of growth are tested, but these tests will contain assumptions e.g. transport modelling will make assumptions over traffic generation. The important point in relation to assumptions is that there is a need to make them due to the timeframe of the Plan. To ensure that these assumptions are not inappropriate the Plan is subject to a considerable level of scrutiny through consultation and Examination by an Independent Inspector. In addition the Council has to undertake regular monitoring of the Plan to understand if there is a need to make amendments.

Question 6 – Potential to impact health and well-be ing It is considered that potential impacts would be highlighted in full by carrying out a full HIA. However the below table provides an initial outline of some of the potential impacts. For the purposes of this report the table focuses on health positives and negatives. The question developed by South of Tyne and Wear makes reference to direct and indirect consequences. It is considered that these relate to a physical proposal rather than a strategy. Potential Positive impacts Potential Negative Impacts Greater level of services provided in the area as a result of growth.

Greater impact on the AQMA’s, the location of growth will greatly determine the level of impact.

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Potential Positive impacts Potential Negative Impacts Improvements in transport infrastructure.

Increased pressure on certain infrastructure.

HIA requirement of major applications will help to ensure health impacts of development are captured.

Loss of Green Belt and greenfield land which may impact on ability to access natural habitat.

Providing access to housing and affordable housing – prevents overcrowding – Plan seeks to ensure housing requirements are met.

Under provision of healthcare services could accentuate health issues within the Borough. To date the need for healthcare support growth is unclear.

Creating an environment for jobs growth – having a job can increase health and well being.

Risk that not all infrastructure will be able to be provided because of viability issues. This would mean appropriate service provision is not catered for, as well as the potential for unsustainable development.

Numerous policies deal with tackling climate change which impacts health and well being.

The Plan does not specify an affordable housing target at present therefore affordable housing needs may not be met – potentially creating overcrowding etc. It should be noted that at this stage an update of the Strategic Housing Market Assessment (SHMA) is required to determine need.

New build – improved quality through design policies – will help create a more sustainable environment

Risk that development on brownfield sites could have a negative impact on some species.

Creating better transport linkages to services – such as health care.

Potential for new AQMA’s to be created.

Strategic thinking in terms of looking at the Borough’s growth up to 2028 should help to create a joined up Plan. In doing so this should facilitate well planned development and service provision that is linked.

Design policies can be positive and negative, in some circumstances sustainable orientation of buildings can create environments that appear alien or lack a community feel.

Creation of safe, attractive and sustainable environments.

Ability for planning to influence healthy eating is limited.

Enabling opportunities for participation in exercise through development of new facilities, improving access to facilities and creating informal provision.

Where retail uses are developed outside the Town Centre this is likely to lead to additional car trips creating pollution. In addition it means those without the use of a car are disadvantaged.

The protection and provision of greenspace helps to protect from unnecessary pollution.

Where historic buildings are not maintained or are derelict it can have a detrimental effect on the feel of an area or the way it is perceived

Promotion of Green Travel can help

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Potential Positive impacts Potential Negative Impacts to create a more sustainable environment and create opportunities for healthy living. Prioritising Town Centres helps promote Public Transport.

Town Centre regeneration will help to maintain the vitality of the Town Centres, and as such supporting some of the other health benefits outlined.

The ability to access affordable and suitable housing will benefit well-being.

There is research stating that access to green spaces and nature is beneficial to physical and mental well being.

Ensuring new development is located within areas at least risk of flooding will help to prevent the strain of a home or business being flooded.

Conservation of heritage assets helps to create attractive environments

Question 7 – Nature and extent of impacts The Borough Plan has been developed based on evidence. The Council has actively sought to maintain and update its evidence base to ensure the Preferred Option is based on the most appropriate information available. The evidence base developed to date is set out below.

Theme Document Title Local Development Scheme 2010 Issues and Options document 2009 Borough Plan Statement of Community Involvement (SCI) 2006

SFRA - Level 2 2012 West Midlands Renewable Energy Capacity Study 2011 West Midlands Renewable Energy Capacity Study Annex Document 2011 Water Cycle Study 2010 Renewable and Low Carbon Energy Resource Assessment and Feasibility Study 2010 Nuneaton & Bedworth Strategic Flood Risk Assessment (SFRA) - level 1 2008

Climate Change

SFRA - Level 1 Appendices & Map Tiles 2008 Development Strategy

Nuneaton and Bedworth Forecast Model Report

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Theme Document Title 2011

and Scale of Growth Nuneaton and Bedworth Forecast Model Technical Annex 2011 Employment Land Review 2010

Employment Coventry, Solihull and Warwickshire Sub Region Employment Land Study 2007 Five Year Land Supply Statement October 2012 Strategic Housing Land Availability Assessment 2012 SHLAA Appendix 7 2012 Strategic Housing Land Availability Assessment 2011 SHLAA Appendices 1-5a 2011 SHLAA Appendices 5b-11 2011 Housing Needs Assessment 2010 Nuneaton and Bedworth Housing Strategy 2010-2015 Strategic Housing Market Assessment 2008

Housing

Southern Staffordshire and Northern Warwickshire Gypsy and Traveller Accommodation Assessment 2008 Annual Monitoring Report 2011 - 2012 Annual Monitoring Report 2010 - 2011 Annual Monitoring Report 2009 - 2010 Annual Monitoring Report 2008 - 2009 Annual Monitoring Report 2007 - 2008 Annual Monitoring Report 2006 - 2007 Annual Monitoring Report 2005 - 2006

Monitoring Reports

First Annual Monitoring Report 2004 - 2005 Land Use Designations (LUD) Study Volume 1: Landscape Character Assessment 2012 Land Use Designations (LUD) Study Volume 2: Policy Recommendations 2012 Land Use Designations (LUD) Study Volume 3: Site Analysis and Selection 2012 River Valley Assessment Part 1 Policy Review 2007 River Valley Assessment Part 1 Appendices 2007 River Valley Assessment Part 2 Landscape Character Assessment 2007 Landscape Character Assessment: Areas of Restraint 2004

Natural and Built Environment: Landscape

Assessment of Areas of Restraint/Policy Review 2004

Natural and Built Environment:

Nuneaton and Bedworth Biodiversity Value Map 2010

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Theme Document Title Nuneaton and Bedworth Biodiversity Value Map Methodology 2010 Enhancing Biodiversity Across the West Midlands 2008 West Midlands 50 Year Biodiversity Map 2008

Biodiversity

Nuneaton and Bedworth Priority Species and Habitats 2005 Joint Greenbelt Study 2009 Natural and Built

Environment: Green Belt Joint Greenbelt Study Appendices 2009 Warwickshire Historic Farmstead Characterisation Project 2011 Warwickshire Historic Landscape Characterisation Project 2010 Nuneaton Town Centre Conservation Area: Appraisal and Management Proposals 2009 Abbey Conservation Area: Appraisal and Management Proposals 2008

Natural and Built Environment: Heritage

Bulkington Conservation Area: Appraisal and Management Proposals 2008 Open Space Strategy 2011

Open Space Strategy Appendix 2011

Warwickshire, Coventry and Solihull Sub-Regional Green Infrastructure Study 2011 Playing Pitch Strategy 2010 Green Infrastructure Plan 2009 Open Space Assessment 2007

Natural and Built Environment: Open Space/Leisure and

Recreation

Open Space Assessment Appendices 2007 Issues and Options Equality and Impact Assessment Post Consultation 2010 Habitats Regulations Assessment to accompany the Issues and Options 2009 Issues and Options Equality and Impact Assessment 2009 Issues and Options Sustainability Appraisal Report 2009 Core Strategy Scoping Report 2008 Core Strategy Scoping Report 2012 Habitats Regulations Assessment to accompany the Preferred Option Settlement Hierarchy Locality Hierarchy Infrastructure Delivery Plan Preferred Option Sustainability Appraisal Report 2013

Sustainability Appraisal and Other Assessments

Health Impact Assessment Screening Report Town Centres

Nuneaton and Bedworth Town Centres Study

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Theme Document Title 2011 Nuneaton and Bedworth Convenience Goods Retail Study 2011 Nuneaton and Bedworth Convenience Goods Retail Study Appendices 2011 District and Local Centres monitoring 2010 Town Centre requirements update 2013 Town Centre viability assessment 2012 District and Local Centres monitoring update 2012 A Strategy for the A5 2011-2026 Strategic Transport Modelling Report Transport Strategic Transport Modelling Report update

In addition to the evidence base information, it is expected consultation with health experts such as Warwickshire Public Health and the Clinical Commissioning Group will assist in providing evidence detailing health impacts. As set out under question 3, a range of National, Regional and Sub-Regional reports are also used to inform the Plan.

Question 8 – Groups The Borough Plan is a strategic document and covers the whole Borough. Consequently all groups are likely to be impacted by the Plan in some way. In developing the Preferred Option there has been active work with different community groups. In addition it is proposed that this be continued as the Plan develops further. A range of consultation will be undertaken as part of the Preferred Option and it is hoped that this will include a wide variety of groups.

Question 9 – Equity issues It is considered that equity issues are best dealt with through the Equalities Impact Assessment. An Equalities Impact Assessment has been developed as part of the Preferred Option work.

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Checklist

Answers favouring doing

an HIA


Nuneaton and Bedworth Assessor comments

Health Impacts Yes/not sure Yes/not sure

Does the proposal affect health directly? Does the proposal affect health indirectly?

No No

Health is a key theme running through the Plan. There is a draft policy specifically relating to health. Policies which do not directly make reference to health could have a positive and negative impact on health.

Yes/not sure Are there any potentially serious negative health impacts that you currently know of?

No Consultation with the CCG, PCT and Warwickshire Public Health have not provided a clear direction on the impact of the Plan on health, particularly in relation to what infrastructure will be needed. It has been agreed that more work needs to be undertaken on this area, therefore making the impact uncertain.

Yes/not sure Is further investigation necessary because more information is required on the potential health impacts?

No As above.

No Are the potential health impacts well known and

Yes There is a strong level of uncertainty at this stage.

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is it straightforward to suggest effective ways in which beneficial effects are maximised and harmful effects minimised?

No Are the potential health impacts identified judged to be minor?

Yes Health in the Borough is a key issue, however the impacts have not been measured, therefore it is not possible to answer this element.

Community Yes/not sure Is the population affected

by the proposal large? No Population is circa 125, 400, this is considered

large. Yes/not sure Are there any socially

excluded, vulnerable, disadvantaged groups likely to be affected?

No The Plan is meant to deliver positive change within the Borough, which in theory could impact all groups. However there is no specific policy relating to these groups, and it is uncertain what level of impact is likely to be caused.

Yes/not sure Are there community concerns about any potential health impacts?

No This is unknown at present. Public consultation is part of the Plan’s preparation. The Preferred Option consultation should help to clarify the level of public concern.

Initiative Yes/not sure Is the size of the

proposal large? No The Plan is not a single proposal, but rather a

strategic planning document which will impact the whole area. Some areas will be affected more than others, but there will be impacts for the

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whole area. Yes/not sure Is the cost of the

proposal high? No Viability testing needs to be undertaken to

establish costs and realistic delivery. At this stage it could be asserted that the cost is likely to be high, but until viability work actually provides evidence on this, it is considered better to state that this is uncertain.

Yes/not sure Is the nature and extent of disruption to the affected population likely to be major?

No Disruption is likely to be caused during implementation of key proposals. At this stage not enough detailed work has been undertaken to outline the detailed disruptions. It should be noted that this is unlikely to become clear before the adoption of the Plan.

Organisation Yes Is the proposal a high

priority/important for the organisation/partnership?

No The Borough Plan is a key priority for the Council.

For = 12 TOTAL Against = 0 One criteria has not been scored because of the uncertainty as to where it should be scored.

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CONCLUSION The screening assessment clearly illustrates the need for a full HIA to be undertaken. This is something that will need to carried out in consultation with Warwickshire Public Health applying a consistent methodology. The Council will continue to work with Warwickshire Public Health with the aim that they agree a methodology. Through carrying out a full HIA the development of the Borough Plan will take account of its impacts on health. The Borough Plan is still in draft format, therefore, where a negative health impact is identified, it will be possible to amend the policy or identify appropriate mitigation measures.

nuneaton and bedworth health impact assessment

Documents