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Health Impact Assessment NORTH LONDON WASTE AUTHORITY NORTH LONDON HEAT AND POWER PROJECT HEALTH IMPACT ASSESSMENT The Planning Act 2008 The Infrastructure Planning (Applications: Prescribed Forms and Procedure) Regulations 2009 Regulation 5 (2) (q) AD05.09 Arup Revision 0 October 2015 This report takes into account the particular instructions and requirements of our client. It is not intended for and should not be relied upon by any third party and no responsibility is undertaken to any third party. North London Waste Authority North London Heat and Power Project Health Impact Assessment Contents Page Executive summary 1 1 Introduction 6 1.2 Purpose of this report 6 1.3 Document structure 6 1.4 The Applicant 7 1.5 The Application Site 7 1.6 Surrounding area 9 1.7 The Project 10 1.8 Stages of development 14 2 Background to Health Impact Assessment 21 2.1 What is Health Impact Assessment? 21 2.2 Legislative and policy context 21 2.3 Definitions and determinants for health 24 3 Assessment methodology 26 3.1 Health Impact Assessment Guidance 26 3.2 Methodology 26 3.3 Structure and method of the assessment 28 3.4 Consultation and engagement 33 4 Community profile summary 37 4.1 Introduction 37 4.2 Demographic profile 37 4.3 Health profile 37 4.4 Vulnerable groups within the community 38 5 Assessment of health outcomes and recommendations 39 5.1 Access to open space and nature 39 5.2 Air quality, noise and neighbourhood amenity 41 5.3 Accessibility and active travel 46 5.4 Crime reduction and community safety 49 5.5 Access to work and training 51 5.6 Social cohesion 56 5.7 Minimising the use of resources 59 5.8 Climate change 61 6 Conclusions 64 AD05.09 | Issue | October 2015 | Arup North London Waste Authority North London Heat and Power Project Health Impact Assessment Tables Table 2.1: Summary of relevant national, regional and local policy Table 3.1: Application documents relating to scoped health determinants Table 3.2: Scoping consultation comments and responses Table 5.1: Summary of accidents by vehicle type Table B2.1: Economic activity (%), Census 2011 Table B2.2: Economic inactivity (%), Census 2011 Table B3.3: Self rated health (%), Census 2011 Table B3.4: Average life expectancy at 65 years, Older People’s Health and Wellbeing Atlas 2013 Figures Figure 3.1: HIA neighbourhood level assessment area Figure B2.2: Age profiles (%), Census 2011 Figure B2.3: Ethnic group (%), Census 2011 Figure B2.4: Occupation (%), Census 2011 Figure B2.5: Overall deprivation in the neighbourhood area Figure B2.6: Health and disability deprivation, IMD 2010 Appendices Appendix A – Policy Review A.1 A1 Introduction A.1 A2 National Policy A.1 A2.1 National Policy Statements A.1 A2.2 Government White Papers A.2 A2.3 National Planning Policy Framework A.3 A2.4 National Waste Policy A.3 A2.5 National guidance A.4 A3 Regional Policy A.4 A3.1 The London Plan consolidated with alterations since 2011 (2015)A.4 A3.2 The London Health Inequalities Strategy (2010) A.5 A3.3 Health Issues in Planning Best Practice Guidance (2007) A.6 A3.4 Healthy Urban Development Unit Planning for Health in London: The ultimate manual for primary care trusts and boroughs (2009) A.6 AD05.09 | Issue | October 2015 | Arup North London Waste Authority North London Heat and Power Project Health Impact Assessment A3.5 London’s Wasted Resource: The Mayor’s Municipal Waste Management Strategy (2011) A.6 A3.6 Mayor’s Transport Strategy (2010) A.7 A3.7 Managing risks and increasing resilience: The Mayor’s climate change adaptation strategy (2011) A.7 A3.8 Clearing the air: the Mayor's Air Quality Strategy (2011) A.7 A3.9 The Control of Dust and Emissions during Construction and Demolition Supplementary Planning Guidance (2014) A.7 A3.10 All London Green Grid Supplementary Planning Guidance (2012)A.8 A3.11 Better Environment, Better Health (2013) A.8 A4 Local policy A.8 A4.1 North London Joint Waste Strategy (2009) A.8 A4.2 Draft North London Waste Plan A.9 A4.3 Enfield Plan Core Strategy 2010-2025 A.10 A4.4 Enfield Development Management Document A.11 A4.5 Enfield Joint Health and Wellbeing Strategy 2014-2019 A.11 A4.6 Enfield’s Future: A sustainable community strategy for Enfield 2009-2019 A.12 A4.7 Enfield Together: Enfield’s Community Cohesion Strategy 2010- 2014 A.12 A4.8 Central Leeside Area Action Plan A.13 A4.9 Edmonton EcoPark Planning Brief A.13 A4.10 Meridian Water Masterplan A.13 A4.11 Enfield Section 106 Supplementary Planning Document A.13 A4.12 Waltham Forest Core Strategy A.14 A4.13 Waltham Forest Development Management Policies A.15 A4.14 Waltham Forest’s Health and Wellbeing Strategy A.15 A4.15 Waltham Forest Joint Strategic Needs Assessment Refresh 2014/15 A.16 A4.16 Waltham Forest Sustainable Community Strategy A.16 A4.17 Waltham Forest Planning Obligations Supplementary Planning Document A.17 Appendix B – Community Profile B.1 B1 Introduction B.1 B2 Demographic Profile B.1 B2.1 Population B.1 B2.2 Age B.1 B2.3 Ethnic diversity B.2 B2.4 Socio-economic classification B.3 B2.5 Deprivation B.5 AD05.09 | Issue | October 2015 | Arup North London Waste Authority North London Heat and Power Project Health Impact Assessment B3 Health Profile B.7 B3.1 Self-rated health B.7 B3.2 Life expectancy B.7 B3.3 Health and disability deprivation B.8 B3.4 Disability Living Allowance B.9 B3.5 Rates and incidence of disease B.9 B3.6 Mental well-being B.9 B3.7 Access to open space and nature B.9 B3.8 Physical activity and obesity B.10 B3.9 Active travel and transport B.10 B3.10 Air quality B.10 B3.11 Fuel poverty B.10 B3.12 Overheating B.11 B4 Vulnerable groups within the community B.11 Appendix C – HIA Scoping Report C.1 Appendix D – Health Evidence Base D.1 D1 Introduction D.1 D2 Access to open space and nature D.2 D3 Accessibility and active travel D.4 D6.3 Noise D.11 D6.4 Neighbourhood amenity D.12 D7 Access to work and training D.12 D7.1 Access to work D.12 D7.2 Access to training D.13 D8 Minimising the use of resources D.13 D9 Climate change D.14 D9.2 Vulnerable groups D.14 D9.3 Heat-related effects D.14 D9.4 Allergens, infectious disease and vectors for disease D.15 D9.5 Increased precipitation, rising sea levels and flooding D.15 D9.6 Energy Recovery Facilities D.15 D9.7 Vulnerable groups D.17 Glossary Refer to Project Glossary (AD01.05) AD05.09 | Issue | October 2015 | Arup North London Waste Authority North London Heat and Power Project Health Impact Assessment Executive summary i.i Introduction i.i.i This Health Impact Assessment (HIA) has been prepared to support the Development Consent Order (DCO) application for the North London Heat and Power Project (the Project). i.i.ii The London Boroughs of Enfield (LB Enfield) and Waltham Forest (LB Waltham Forest), along with Public Health England (PHE) have been consulted on the scope of the HIA as part of the pre-application process. This related to the potential health issues likely to be associated with the Project and the methodology used to assess impacts associated with these issues. i.i.iii Subsequent consultation was undertaken as part of both Phase One and Phase Two Consultation. i.i.iv Key health issues addressed within the HIA include: a. the potential emissions from the Project; b. the effect on the health of the local population as a result of the Project; c. accessibility in and around the Application Site through walking and cycling; and d. the effect of the Project on the local transport network, including public transport and the prevalence of commercial vehicles. i.ii Planning policy review i.ii.i European, national, regional and local policy and guidance pertinent to health has been reviewed. This includes: a. The Amsterdam Treaty – ensuring health protection as part of European Union Community activities; b. The Waste Incineration Directive (Directive 2000/76/EC) – prevents harm to the environment and human health arising from the incineration; c. National Policy Statements – relating to how health is addressed as part of an Environmental Statement (AD06.02) and the technology specific considerations that should be taken into account for renewable energy applications; d. Government White Papers – provide principles for making healthy lifestyle choices, how public health can be tackled and how health impact assessments can be required for policies, plans and projects; e. National Planning Policy Framework (NPPF) – encourages the use of health impact assessments within the development process and states that development should address barriers to health and well-being; f. National Waste Policy – states how local authorities should consider waste impacts associated with developments and that human health should be a consideration of waste management processes; Page 1 AD05.09 | Issue | October 2015 | Arup North London Waste Authority North London Heat and Power Project Health Impact Assessment g. National Health Guidance – produced by the National Institute for Health and Care Excellence (NICE), a number of policies have been published in relation to physical activity, injury prevention among children, and walking and cycling; h. The London Plan (2015) – health and well-being forms part of its vision and crosscutting themes; i. London Health Inequalities Strategy – sets out objectives for tackling health inequality and outlines importance of health impact assessment in decision making; j.
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