Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 140-159)

12 JUNE 2003

MR MIKE ASH, MS DANILA ARMSTRONG, MS IMOGEN SHARP, MS PATRICIA HAYES, MR ALEC MCGIVAN AND MS MELA WATTS

  Q140  Dr Naysmith: Ms Hayes, do you want to add something to that?

  Ms Hayes: Yes. I am very enthusiastic about this. The use of the planning system to deliver walking and cycling is a big growth area in the Department of Transport as well as for ODPM who we work very closely alongside on all these issues. The Department of Transport funds 111 bursary holders, as we call them, who sit in local authorities and provide schools and local authorities and developers with advice on how to put together travel plans which can reduce the need to travel around sites. That can mean schools or it can mean mixed use developments. Last year we published a huge volume of research and a guide on how to make best use of the planning system and that set a number of frameworks for travel plans that local authorities could negotiate with employers and schools on to reduce the need to use private cars to get to and from their sites. It is a big growth area.

  Mr Ash: Our general policies in respect of making more effective use of existing developed land—more concentrated forms of development, more development in town centres rather than out of town, higher density developments, are relevant to this both in terms of safeguarding existing spaces that are valuable to the community and in terms of creating more accessible forms of development because they are more concentrated.

  John Austin: I note in the evidence that one of the responsibilities of the Deputy Prime Minister is allotments.

  Q141  Chairman: Does that surprise Mr Ash?

  Mr Ash: I was aware of it.

  Q142  John Austin: A lot of allotments are in areas that are under statutory protection. My colleague Dr Naysmith talked about the planning process and you mentioned the Thames Gateway which is part of my area. I have not actually seen the creation of many allotments or leisure gardens in the new developments that are coming along. I do not know if it is all down to Charlie Dimmock but, given the interest that there is now in gardening, should we not be providing opportunities for those in the new development areas who are not living in houses with gardens to have access to allotments?

  Mr Ash: Allotments are certainly mentioned in the guidance that I talked about as being something that local authorities should (a) protect and (b) encourage the development of.

  Q143  John Austin: Are you aware that there is provision in the new developments because I have certainly not seen them?

  Mr Ash: No, I cannot answer that question directly. I am not aware of that because indeed some of the developments are still being formulated, of course. There is action going on though to improve the data on the allotments that exist at the moment and there is consideration being given to how to consolidate the legislation which relates to the improvement of management and protection of allotments. What you are talking about is getting some positive policies into plans where new developments are proposed to provide allotments as opposed to sport and recreation facilities in the way that they have come to be viewed. Certainly one of the objectives set out in the guidance note I talked about, where it talks about health and wellbeing, is about promoting health in a variety of ways, including in that respect. It is certainly something that we are looking at in terms of the Livability Programme which I talked about earlier where a large amount of money, £89 million, is going into a Livability Fund to promote projects and I do not see why it should not include new allotment provision in those.

  Q144  Chairman: Can I ask Ms Hayes a question on walking strategy? Where are we at with that?

  Ms Hayes: We are hoping to produce a document within the next two or three weeks.

  Q145  Chairman: So it is imminent, is it?

  Ms Hayes: A document is imminent, yes.

  Q146  Chairman: A document is imminent. What is the difference between a document and a strategy?

  Ms Hayes: I am being a bit cagey here because the document that we plan to produce will have consultative elements in it, so it will not be a final definitive strategy document.

  Q147  Chairman: I understand; so it is consultative, is it?

  Ms Hayes: Yes, but it will have some proposals in it as well. It is not an empty consultation.

  Q148  Chairman: But it will be within the period of our inquiry?

  Ms Hayes: Yes.

  Q149  Chairman: Is it fair to say that you are aware of some of the difficulties, looking at my own constituency, for instance, where pedestrians effectively cannot get across roads? That is an issue you are looking at, is it?

  Ms Hayes: One of the things that we have been doing over the last year in preparing the document is going round the country and talking to walking practitioners at local level.

  Q150  Chairman: What is a walking practitioner? It sounds a bit Monty Python for those of us who remember Monty Python.

  Ms Hayes: That is the problem, talking about walking. The people in local authorities who have technical responsibility for delivering good walking facilities—

  Q151  Chairman: You mean they get out of their cars now and again?

  Ms Hayes: Yes. We thought that because the key delivery agent for better walking is local government rather than central government it was important for the strategy to be produced in a bottom-up way rather than top-down, so when the document comes out you will see a lot of material in it about fairly technical stuff to do with how you design crossings, the need for guidance from central government about how to balance the needs of pedestrians and drivers and just those practical, getting across the road sorts of issues that people are concerned about.

  Q152  Dr Taylor: Will the walking strategy have anything to help parents who would like to walk their kids to school but they do not have time because it takes longer and they do not regard it as safe for the kids to walk themselves? Is there any idea of using lollipop ladies much more extensively and getting them at, say, pick-up points, to be escorts for groups of kids? Are there any innovative ways of getting kids walking to school?

  Ms Hayes: There are lots of innovative ways of getting kids to walk to school more. If all local authorities performed on this at a level that the best authorities perform at there would be a very different national picture on walking to school from what we see at the moment. The Department of Transport funds Walk to School Week and over half of our children in England participate in some kind of Walk to School Week event which shows how much enthusiasm there is at the school level for doing more walking to school. I do not think the strategy can give more time to parents; I do not think that is terribly realistic.

  Q153  Dr Taylor: Have we been given evidence of some of those good local authority initiatives?

  Ms Hayes: We can certainly let you have information on things like walking buses.

  Mr Ash: There are also initiatives under the Neighbourhood Wardens programme in this respect. I have one in front of me for Neighbourhood Wardens in North Tyneside which both escorts elderly people when they collect their pensions but also promotes outdoor activities for young people at school, walking, etc, so we have seen some activities under that banner too.

  Q154  Dr Taylor: Can I pick up something on cycle tracks as well because there seems to be a way of just drawing lines on main roads which seems to solve the question as far as the local authority goes but does not help anybody? What is the Department's view on cycle tracks?

  Ms Hayes: I share your view that we have got a problem at the moment that the information we are getting on local authorities tells us about how many miles of cycle tracks they are putting down but does not give us a terribly good idea of whether they are really meeting people's needs or what the quality of the design is. One of the ways that we are trying to improve our grip on that is working with the National Cycling Strategy Board which is in the process of putting a team of 18 auditors out to each local authority. The job of those auditors will be to look at what the local authorities are saying in their plans they are doing for cyclists, how many extra bike racks they are putting in, how many miles of cycle route, and to provide a quality assessment of whether what is being delivered makes any sense or not. We are expecting the outcome of that research to give us a much better picture on the quality of provision for cyclists rather than just its weight and we expect the Board to want to publish that later in the year.

  Dr Taylor: This is a question to all our witnesses. There are lots of initiatives to try and get older people involved in computers and things like that. What initiatives are there to get older people to be more active?

  Chairman: Withdrawing bus services!

  Dr Taylor: We have already heard about allotments which are terribly useful for older people. Are there any initiatives to get them helping in public gardens or helping in public graveyards?

  Chairman: Have you thought this through?

  Q155  Dr Taylor: With the maintenance, I mean, because things like this are crying out to be maintained.

  Ms Sharp: Can I come in with a couple of points on that? From the Department of Health's point of view I would say there are three different strands around that. One is that through the New Opportunities Fund there are a number of Healthy Living Centres funded, now over 200, many of which will be working with communities on that sort of thing, gardening and allotments and particularly targeting older people, and through the Local Exercise Action Pilot that we have recently established where there are PCT-led initiatives in each region. One of our focus groups was older people. This may seem tangential but we also have a couple of falls collaboratives. Those are working with primary care trusts and also wider communities to prevent falls in older people. The connection there is that the way to prevent falls is largely through increasing mobility and exercise, so there are a number of initiatives from the Department of Health on that.

  Mr McGivan: My colleague has mentioned the LEA projects and Healthy Living Centres. In the Game Plan report there was an interesting study done of how in certain parts of the world, and the countries picked out were Scandinavian countries, physical activity amongst older people rises from about the age of 50 onwards and they have been remarkably successful in this, whereas of course in this country it is the opposite. The Game Plan does not quite reveal the secret of how the Finns have managed to do this but certainly it is something we should be looking at because it should not be taken as read that people of 50 or 60-plus simply become less active and there are examples of countries where the trend has gone the opposite way and apparently that has had considerable impact on heart attack rates in those countries and so on. We need to look quite carefully at all of that.

  Dr Taylor: Are there any moves to make older people take to their bicycles again?

  Chairman: He is our health fascist!

  John Austin: On your bike!

  Q156  Dr Taylor: I have just got to open a new cycle path along a canal towpath and I am slightly worried about the older people wobbling along it.

  Ms Hayes: The answer is that I do not know of any specific initiatives that we have targeted at older people. The Cycling Strategy Board has just put out a publication on cycling in health which has a very nice picture on the front of a lady of a certain age wearing a helmet, so I think that is the closest we have come so far.

  Chairman: So you recommend that older people should dig their own graves, do you? You know where the idea has come from.

  Q157  Sandra Gidley: Can I follow up with a couple of transport questions to Ms Hayes? The Sustrans network has generated a great deal of publicity. How much of it has actually happened because I am aware that the bit round me has not?

  Ms Hayes: I will need to check the exact figures but I think Sustrans set itself a target of having 10,000 miles of network in place by 2010. I think the latest information is that they are on track to deliver that.

  Q158  Sandra Gidley: There were some on track by 2002 but I cannot remember the exact year. There were earlier aspirations.

  Ms Hayes: Yes. I think the network is on track to be delivered on schedule but I will check that.

  Q159  Sandra Gidley: I take it the Department of Transport is keen to promote cycling?

  Ms Hayes: We are, yes.


 
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