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Last edited 10 Feb 2021
Top 10 priorities for health and wellbeing and the built environment
|Globally, people are living longer, more urban and more digitally connected lives than ever before. But these changes aren't necessarily resulting in improved health and wellbeing.|
 1. Focus on air quality
It is well known that outdoor pollution such as particulate matter, nitrogen oxides and carbon monoxide can put us at greater risk of contracting respiratory and cardiovascular diseases. However, what is less recognised is that indoor air quality is also a risk.
Indoor contaminants are typically generated by emissions from building materials, and operational processes like cooking or printing. Understanding the sources of both outdoor and indoor pollution is key to reducing the exposure. This will include consideration of: transport modes, energy strategy and infrastructure, building massing and form, operational strategies, material selection, building emissions, ventilation and services design and control strategies.
 2. Design for building user comfort
The link between user comfort and health, wellbeing and performance is well recognised. However, despite this, building user feedback reveals a significant gap between design aims and people’s experience of comfort in buildings.
This is partly due to the subjective and dynamic nature of comfort, which relates to diverse personal psychological, physiological, cultural and behavioural factors: the way people feel about a space cannot be defined just in terms of the right illuminance levels, decibels or degrees.
Embedding flexibility for different patterns of use, enabling greater user control over the environment, and providing opportunities for adaptation are key steps to creating spaces where people can flourish.
Materials can impact building users by emitting hazardous chemicals that can be inhaled, such as volatile organic compounds, or by producing dust that can be ingested. High exposure can lead to serious health effects, but even lower exposure levels can affect wellbeing by causing headaches, lethargy, skin and eye irritation. Legislation is evolving, and there is plenty of scope to go beyond the minimum and select materials with lower health impacts on humans and the wider environment.
It is now feasible to collect a huge array of differing types of data, from historic to real-time data streams, covering a range of topics such as environmental quality to personal health. This, combined with advanced computing and analytic power, results in an opportunity to optimise operations and inform future decisions.
In order to achieve this and have a positive impact on the daily choices people make regarding their health and wellbeing, we need to: collect the right data, address privacy and approval issues, and establish appropriate digital infrastructure and transparent sharing of findings.
 5. Design for healthy streets and active travel
An active lifestyle dramatically reduces the likelihood of chronic disease and improves mental health and wellbeing. For the past century, the car has dominated how we plan and grow our urban areas. Now there is an opportunity for ‘walkability’ and human-centred design to be used as a catalyst for developing sustainable, healthy, prosperous and attractive places.
Opportunities exist in creating visions and strategies for walking, recognising it as a transport mode in its own right, creating safe and efficient transportation systems, liveable environments and a sense of place and community that will all help to make walking a normal part of everyday life and the natural choice for shorter journeys.
 6. Incorporate green and blue infrastructure
There is growing research on the benefits of green and blue infrastructure to people’s wellbeing, both physical and mental, particularly in cities where human connection with nature is at its most vulnerable. The benefits are known to include reduction in stress, depression and other mental health issues, as well as improved community cohesion and the promotion of an active healthy lifestyle.
 7. Take evidence-based planning decisions
Urban development and buildings respond to national planning policy, local planning strategies, community needs and design best-practice guidance. These provide a robust framework towards vibrant, healthy and inclusive communities – when they are all aligned and built on a sound evidence base. We can all support this through health and wellbeing research, joint strategic need assessments, health impact assessments, strong community engagement, and transparently sharing lessons learnt.
The young and old have much in common. Mobility, perception, physical dependence, meaningful social networks and communication are all shared concerns. However, there is increasingly less contact between generations. Cities that all ages can enjoy together, which support children’s independent play alongside the needs of elderly people, will deliver tangible health benefits for the whole community.
To achieve this, measures can include accessible public transport, improved active infrastructure, car-free and programmable open space supporting indoor and outdoor communal activities and, above all, encouraging the use of spaces by diverse groups.
 9. Optimise operations, behaviour and the built environment
With a healthier operational and psychosocial environment comes a huge range of benefits, including improved public health outcomes, better user experience, improved engagement, higher staff productivity and retention. These in turn build resilience and create long-term social value for communities.
This requires a widening of professional disciplines including: operations specialists, human factors and ergonomics professionals, psychologists and behavioural specialists, logisticians and data analysts.
 10. Improve evaluation of health and wellbeing outcomes
Building a tangible evidence base of how the built environment affects people’s health and wellbeing is the first step in making better decisions to create healthy buildings and cities in the long term. A variety of tools and methods exist that can be applied at a range of scales, from individual buildings to whole city regions.
It is important to carefully consider what should be measured at the outset to ensure it aligns with the strategic outcomes, using an existing framework or developing a bespoke tool if necessary. The evaluation framework should be applied in advance to create a baseline and identify optimal design solutions, and then retrospectively to evaluate the impact achieved.
Everyone involved in shaping the built environment can make a difference, no matter what their role is. These priorities are interconnected – often the key to success on one will also involve tackling issues more commonly associated with the others.
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