Measuring the impact of public understandings of risk from urban and industrial development on community psychosocial well-being: a mixed methods strategy

As the science of well-being moves towards an understanding of the influence of social experiences shared by many on individual and group-level well-being (‘community well-being’), a new approach to measuring well-being is required. It needs to bridge the contextually-specific social experiences best uncovered by social research methods, and psychological diagnoses made using conventional psychometric scales and diagnostic interviews. We build on our previous work on a new psychosocial model of a major influence on contemporary community well-being, the process by which people form, maintain and change their understandings of risk from urban and industrial projects, and any subsequent effects on individual psychosocial well-being. We utilise this model, and propose a mixed qualitative and quantitative methodology to argue for; 1) the incorporation of the emic (subject’s) perspective in the conceptual underpinnings of measurement scales; and 2) the synthesis of quantitative and qualitative assessments of well-being. This gives validity and contextual precision to scales which measure experiences of well-being that are geographically and socio-culturally-located. The resulting data offers both context of scale, and depth of insight. Additionally, our proposition combines theories and methods from psychology, social anthropology, sociology, social epidemiology, public health and community development. This evinces the importance of drawing on broad ranging perspectives to develop tools which capture the complex and multi-dimension nature of well-being - where psychological responses are shaped by collective social experiences

Environmental assessment and health impact assessment

HIA and EA are approaches and processes that support better, healthier, and more sustainable policy development and decisionmaking. When undertaken well, and when valued and applied, they can also help to support better, more informed, transparent and democratic policy development and decision- making processes. However, they are not a panacea; rather, they constitute one important piece of the policy development and decision- making puzzle. Public health practitioners need to increase their knowledge and understanding of EA and HIA. They should improve their links with EA and HIA specialists. They also need to proactively and consistently undertake and commission assessments of health either within EA or as stand alone HIAs. Public health practitioners would also do well to oversee and scrutinize the scope of work for, and the findings of, EAs and HIAs that are commissioned and undertaken by others in the localities in which they work. By doing so, public health practitioners can help to advance the agenda of improving health for all by acting on the upstream determinants of health and bringing together key actors across society

Lessons from an International Initiative to Set and Share Good Practice on Human Health in Environmental Impact Assessment

Environmental Impact Assessment (EIA) is applied to infrastructure and other large projects. The European Union EIA Directive (2011/92/EU as amended by 2014/52/EU) requires EIAs to consider the effects that a project might have on human health. The International Association for Impact Assessment and the European Public Health Association prepared a reference paper on public health in EIA to enable the health sector to contribute to this international requirement. We present lessons from this joint action. We review literature on policy analysis, impact assessment and Health Impact Assessment (HIA). We use findings from this review and from the consultation on the reference paper to consider how population and human health should be defined; how the health sector can participate in the EIA process; the relationship between EIA and HIA; what counts as evidence; when an effect should be considered 'likely' and 'significant'; how changes in health should be reported; the risks from a business-as-usual coverage of human health in EIA; and finally competencies for conducting an assessment of human health. This article is relevant for health authorities seeking to ensure that infrastructure, and other aspects of development, are not deleterious to, but indeed improve, human health

Current Global Health Impact Assessment Practice

Health impact assessment (HIA) practice has expanded across the world, since it was established more than two decades ago. This paper presents a snapshot of current global HIA practice based on the findings of an online questionnaire survey. HIA practitioners from all world regions were invited to participate. A total of 122 HIA practitioners from 29 countries completed the survey, following a broad international outreach effort. The large variety in the types of HIAs conducted, and the application of HIA in various fields reported by respondents, demonstrates that HIA practice has evolved over the past two decades. Although differences in the use of HIA were reported across world regions, an overall increasing trend in global HIA practice can be observed. In order to sustain this upward trend, efforts are needed to address the main barriers in the utilisation of HIA. The establishment of new national and international HIA teaching and training offerings seems to be an obvious strategy to pursue along with the strengthening of policies and legal frameworks that specify the circumstances, under which HIA is required, and to what extent

Respiratory pandemics, urban planning and design: a multidisciplinary rapid review of the literature.

COVID-19 is the most recent respiratory pandemic to necessitate better knowledge about city planning and design. The complex connections between cities and pandemics, however challenge traditional approaches to reviewing literature. In this article we adopted a rapid review methodology. We review the historical literature on respiratory pandemics and their documented connections to urban planning and design (both broadly defined as being concerned with cities as complex systems). Our systematic search across multidisciplinary databases returned a total of 1323 sources, with 92 articles included in the final review. Findings showed that the literature represents the multi-scalar nature of cities and pandemics – pandemics are global phenomena spread through an interconnected world, but require regional, city, local and individual responses. We characterise the literature under ten themes: scale (global to local); built environment; governance; modelling; non-pharmaceutical interventions; socioeconomic factors; system preparedness; system responses; underserved and vulnerable populations; and future-proofing urban planning and design. We conclude that the historical literature captures how city planning and design intersects with a public health response to respiratory pandemics. Our thematic framework provides parameters for future research and policy responses to the varied connections between cities and respiratory pandemics

Sick Britain: A call for mandatory Health Impact Assessments across government with the support of a dedicated ‘Health in All Policies’ support unit

Health is affected by a wide range of factors, from income, employment, and education, to pollution, access to green space and social networks. Health gaps arise through the unequal distribution of the wider determinants of health. Many of these factors are outside the direct control of the Department of Health and Social Care (DHSC). Working cross-government for health improvement is likely to lead to better designed and implemented policies which improve every aspect of society. A Health in All Policies (HiAP) approach describes how health and health equity can be improved through embedding consideration of health in multi-sector decision making. Health Impact Assessments (HIAs) are a mechanism for delivering an HiAP approach across national and local governments, creating the conditions for healthy lives

Political computational thinking:policy networks, digital governance and ‘learning to code’

Reflecting political shifts toward both ‘network governance' and ‘digital governance', the idea of ‘learning to code' has become part of a major reform agenda in education policy in England. This article provides a ‘policy network analysis' tracing the governmental, business and civil society actors now operating in policy networks to project learning to code into the reformed programs of study for computing in the National Curriculum in England. The insertion of learning to code into the curriculum provides evidence of how the education policy process is being displaced to cross-sector ‘boundary organizations' such as ‘policy labs' that act as connecting nodes to broker networks across public and private sector borderlines. It also examines how the pedagogies of learning to code are intended to inculcate young people into the material practices and systems of thought associated with computer coding, and to contribute to new forms of ‘digital governance'. These developments are evidence of a ‘reluctant state' deconcentrating its responsibilities, and also of a computational style of political thinking that assumes policy problems can be addressed using the right code. Learning to code is seen as a way of shaping governable citizens that can participate in the dynamics of digital governance

Governing software: networks, databases and algorithmic power in the digital governance of public education

This article examines the emergence of ‘digital governance’ in public education in England. Drawing on and combining concepts from software studies, policy and political studies, it identifies some specific approaches to digital governance facilitated by network-based communications and database-driven information processing software that are being discursively promoted in education by cross-sectoral intermediary organizations. Such intermediaries, including National Endowment for Science, Technology and the Arts, Demos, the Innovation Unit, the Education Foundation and the Nominet Trust, are increasingly seeking to participate in new digitally mediated forms of educational governance. Through their promotion of network-based pedagogies and database-driven analytics software, these organizations are seeking to delegate educational decision-making to socio-algorithmic forms of power that have the capacity to predict, govern and activate learners' capacities and subjectivities