Towards a Healthy City by Nick Fairham

Part of the Living City - Body: Mind: Spirit: Bristol event organised by BDP's Bristol studio.

Transcript

1. Bristol: towards a healthy city?
2. Bristol health services plan yate yate p f h f h southmead southmead frenchay frenchay southmead southmead cossham cossham BRI BRI keeping people out of hospital keeping people out of hospital care closer to home improved quality of care south bristol south bristol
6. southmead hospital brunel building southmead hospital, brunel building
7. healing buildings g g 800 beds (75% Single) and 24 theatres cluster modelling care planning cluster modelling, care planning
8. staff wellness & collaboration
9. healing landscapes
10. shallow plan shallow plan naturally ventilated natural daylight 20% renewables BREEAM excellent SUDs green spaces urban integration urban integration h l h healthy environment
11. typical patient yp p Average age of an inpatient over 80 2/3rds of hospital admissions over the age of 65 2/3rds of hospital admissions over the age of 65 4 chronic diseases = 50% of deaths worldwide cardio asc lar t pe 2 diabetes man cancers chronic l ng disease cardiovascular, type 2 diabetes, many cancers, chronic lung disease
12. cost, quality, time , q y,
13. Estimates have shown that over 70% of cardiovascular, disease deaths, around 40% of chronic respiratory disease deaths 34% f d h d b 34% of cancer deaths, and about 50% of all chronic disease deaths are attributable to a small number of known modifiable risk factors The Lancet, Vol. 370
14. design for exercise g Prevent 91% of cases, type 2 diabetes Prevent 50% of all cases heart disease Prevent 50% of all cases, heart disease Prevent 50% of all stroke deaths Reduce site specific cancers by 50‐72% Journal of Applied Physiology 2005
15. save money y
16. • healthy lifestyles (especially regular exercise) • social cohesion and supportive social networks • social cohesion and supportive social networks • good‐quality housing • employment opportunities p y pp • good‐quality facilities (educational, health care) • local food production and outlets for healthy food • safety and a sense of security • equity and the development of social capital t bl i l l d d i lit • acceptable noise levels and good air quality • good water quality and healthy sanitation • conservation and quality of land/mineral resources conservation and quality of land/mineral resources • reducing emissions that threaten climate stability
17. The Political Declaration of the UN General Assembly on the Prevention and Control of Noncommunicable Diseases of September 2011, recognises the critical importance of reducing the level of exposure of individuals and populations to unhealthy diet and physical inactivity…and commits to advance the implementation of the WHO Global Strategy on Diet, Physical Activity and Health, including, where appropriate, through the introduction of policies and actions aimed at promoting healthy diets and increasing physical activity in the entire population
18. urban context links to local community a clear and welcoming site a clear and welcoming site safe and secure recruitment and retention of staff learning and development responsive to change design framework design framework
19. good‐neighbour‐hood
20. healthy hospital womens quarter science quarter quarter acute h i l hospital quarter the limes t quarter
21. healthy hospital
22. healthy hospital walkable site, cycling, swimming, use of stairs, green spaces t li k t it strong links to community local employment and training brownfield development low energy, low carbon good air quality and noise attenuation water management g
23. healthy cities y cost quality quality time Healthy Cities Healthy Cities
24. healthy futures y