Key stages in the local plan making process and in the planning application process where health can input are highlighted in the two diagrams below.

With regard to the Community Infrastructure Levy (CIL) it is also important that health organisations have systems and plans in place to:

  • Set out any health infrastructure requirements at the time the CIL Charging Schedule is prepared;
  • Monitor development trends and population change to identify when to trigger a request for release of funds;
  • Make the case for releasing funds against other potentially competing demands;
  • Adjust their infrastructure needs and demands in the light of experience and changing circumstances (advice from the London HUDU website).

Public health professionals should also consider carrying out health impact assessments of emerging policy documents and/or large scale development proposals to explore in greater depth impacts on people’s well-being and health (see references in tables below.) Recommendations can then be made to planners to enhance the positive consequences and reduce the negatives. Guidance on how to carry out HIAs and examples of best practice can be found at the HIA Gateway.

It may be useful to organise some training events for selected planning and environmental sustainability staff to raise awareness of the wider determinants of health and the benefits of particular development interventions for improved health outcomes. This might also provide an opportunity to consider new approaches to collaborative working.

Identifying who should be contacted in planning and environmental sustainability should be facilitated by viewing the contact details provided in the ‘Who to contact in planning?’ and ‘Who to contact in environmental sustainability?’ sections.

It may be useful to develop a formal protocol between public health and planners to set out the objectives and priorities of engagement and clarify who will input on what, when and how. Without such an agreement there is a high risk that joint working will fail due to conflicting priorities or poor commitment and a lot of time will be wasted. For an example of a health planning protocol see the Bristol case study in the case studies section.

Diagram 1: Integrating health and wellbeing outcomes into local planning documents

Diagram 2: Integrating health and wellbeing outcomes into consideration of a planning application for a development

Source: The two diagrams above are based on those on page 49-50 of Planning healthier places (Town and Country Planning Association, TCPA, 2013), with the kind permission of the TCPA.