The New Housing Developments and the Built Environment JSNA is complete and was presented to the Health and Wellbeing Board at its meeting on 17 March 2015.
This JSNA focuses on four aspects of new communities that impact health: the built environment, Social Cohesion/Community Development, assets and services, and NHS Commissioning. The JSNA has a demography section at the beginning of the document which outlines the key profiles for the GP practices in the existing new communities. For each section, the JSNA provides:
- Key Findings.
- Introduction: a review of the evidence and literature of the health impact.
- Local Data: analysis of local Cambridgeshire data.
- Case studies relevant to the section are incorporated within the body of the section.
Demography – contains a summary of the growth sites
7 Growth sites
- Bar Hill
- Cromwell Park
- Loves Farm
- Orchard Park
- Stukeley Meadows
- Population trends
- Patient satisfaction
- Quality and outcomes Framework (QOF) data
- Birth rates
- Household size
Population forecasts by age bands for:
- North West Cambridge (University site)
- North West Cambridge (Darwin Green)
- Southern Fringe (Trumpington Meadows, Bell School, Clay Farm, Glebe Farm)
- Ely North
- St Neots (Wintringham Park, Loves Farm 2)
- March (Hatchford Farm)
Demography – Key Findings
It is estimated that there are 627,000 people living in Cambridgeshire, with a bulge seen in 40-49 year olds, which is due to high births in the 1960 and a higher number of 60-69 year olds are the post war baby boomers.
Forecasts suggest that the population of Cambridgeshire is set to increase by 25% over the next 20 years. The majority of the increase will be seen in Cambridge City and South Cambridgeshire. This is associated with a forecast increase in the number of new dwellings up to 2036 of 73,000
Population trends in the GP Practice populations serving new developments show a steady increase each year from 2006 to 2015, except the Bar Hill Practice which has remained constant indicating that the population in Bar Hill has matured and is settled.
The age profile breakdown for GP Practice populations serving new developments show the that majority have an age structure similar to the CCG area, except for Cambourne which shows a spike in the 0-14, and 25-44 age groups.
The average household size in new developments ranges from 2.6 to 2.8.
The Built Environment contains:
An outline of the planning system
A review of the evidence on the health impacts of the built environment
- Generic evidence supporting the built impact on health
- Green space
- Developing sustainable communities
- Community design (to prevent injuries, crime, and to accommodate people with disabilities)
- Connectivity and land use mix
- Communities that support healthy ageing
- House design and space
- Access to unhealthy/“Fast Food”
- Health inequality and the built environment
- A summary of the 5 Local Plans in Cambridgeshire compared to the evidence review
Built Environment Key Findings
The main policies to include in future plans need to focus on green infrastructure, active travel, suicide prevention, Health Impact Assessment requirements.
Importance of accessible green space and parks, which need to be designed to maximise potential use.
The importance of providing infrastructure to enable people to make more active travel choices.
Securing what can be perceived as “nice to have” infrastructure as part of the overall design of new development to support healthy ageing, e.g. street furniture, public toilets.
The need to consider suicide prevention and public mental health as part of the design of high rise private and public buildings to limit their access and opportunities for suicide.
The NHS Local Estates Plan should be reflected in the District/City Councils local plans and Infrastructure Delivery Plans.
Social Cohesion contains:
A review of the evidence on the impacts of the built environment on social cohesion
- Mixed, balanced communities
- Mental Health
Lesson we can learn
- Lessons from Cambourne
- New Development Surveys
Social Cohesion Key Findings
The evidence on the need for community development in the early stages of new developments is strong.
More research is needed locally into the measure of and approaches taken to improve social cohesion and community resilience in new developments, and the funding opportunities available to secure this.
Community development work needs to continue to focus on building resilient empowered communities rather than dependent communities.
Assets and Services contains:
A review of the evidence on the impacts of assets and services on health and wellbeing
- Purpose built community facilities
- Existing communities
- Community leaders
- Designing in optimal solutions with the community
- Services and timing of services
- Health and Social Care utilisation in new communities
- Loves Farm
- Orchard Park
- Southern Fringe
- (Bar Hill)
Assets and Services Key Findings
- Planning processes – A joint strategy is needed to develop a way to engage and attract the leisure market into new communities early in the development.
- Further research to understand the length that referral to Social Services cases are open, and what was the primary reason for referral
- Additional support to be provided to schools to enable them to deal with the additional challenges that new community schools can expect to face.
- Provide incentives to attract full day care/early years providers to developments
- Further research into categories of crime committed
NHS Commissioning contains:
- An overview of the current commissioning landscape for:
- Primary care
- Secondary Care
NHS Commissioning Key Findings
The current engagement between Planning Authorities, CCG and NHS England need to be improved.
NHS England/CCG need a robust case when seeking Section 106/CIL contributions with a defined need and costed solution.
Ensure that all health partners including Primary Care Practices are consulted on planning applications. In addition, health partners should come together at the earliest opportunity to discuss needs at strategic sites.
Stakeholder Event - 28 July 2015
A stakeholder workshop was held to discuss the scope for a Cambridgeshire New Communities JSNA. A copy of the briefing document is attached.
Slides are available from The Scoping Workshop 28.07.15
Health and Wellbeing Board - 17 September 2015
A paper outlining the proposed scope of the JSNA was presented at the Health and Wellbeing Board.