Featured in this edition - Inside outside: health and the built environment
The relationship between people’s health and their built environment is complex. The literature on this subject is extensive, and the list of issues long - ranging from practical to more subtle topics.
In this mix are: car-dominated transport, reduced opportunity to exercise, increased fast food availability, lack of social connection, safety, housing, employment, public transport, heathcare facilities and hospitals, airports, schools and land use around schools, shops, swimming pools, playgrounds, activity centres, footpaths, stairways, ‘destinations’, (safe) open spaces, (safe) walking/cycling facilities, urban agricultural lands, advertising signage, sense of custodianship, and opportunity for social encounters.
Governments are acting on this topic. The NSW Government has a ‘Healthy Urban Development Checklist’ for planning and proposals, and a ‘Premier’s Council for Active Living’. There is also an awareness to address the needs of an ageing population and of children and young people – for which there is a NSW Advocate. The opening address in this session
will be delivered by Ms Lucy Turnbull AO (left), who will draw out these issues in the
context of the Greater Sydney Commission and its vision for the future, as the
centre of gravity of Sydney inexorably shifts to the west – with an evolving, identifiable
and inter-connected sub-structure.
Ms Lucy Turnbull AO will be followed by keynote speakers:
Professor Michael Nilsson (right) from the Hunter Research Institute. The health-enhancing or
therapeutic effects of stimulating environments has gained increased attention
in recent years. Such enriched environments provide physical, social and
cognitive stimulation which together demonstrate positive effects on, for
example, stress and functional brain recovery. These effects are the result of
plastic changes and reorganisation of brain networks leading to potential
beneficial consequences throughout the entire life span. The multifactorial relationship
between architecture and neuroscience is an important and evolving area that
opens on to social issues in regard to aged-care, health and accessibility. The
reciprocal interaction between humans and the multisensory influence from the
built environment and urban green space can be further harnessed and
conceptualised to facilitate brain resilience and, in novel programs, support
prevention and recovery of functions.
Mr Sam Bowen (left) from the Commonwealth Bank of Australia. Amazing new technologies, changing
consumer preferences and demands, and increasing funding pressures are driving
significant change right across the healthcare sector. What does the
future hold? Who (or what!) will be providing health care? Who are
the patients of tomorrow? How will healthcare be delivered? And
where?
These are questions
all healthcare sector participants are asking, including the institutions that
finance the sector such as governments, investors, and banks. How do
these capital providers see the evolution of the organisations, equipment and
facilities they finance? And how do they need to adapt to
finance the healthcare eco-system of the future?
Professor Evelyne de Leeuw (right) from the Centre for Health Equity Training, Research and Evaluation (CHETRE) at the University of NSW. What creates a great city for health - one that
gives everyone the best opportunity to get out of life what its potential
holds?
We all know such great cities and we tend to know them by their
nickname. The Big Apple (New York) and La Serenissima (Venice) win the
attractiveness contest for tourists, The Most Liveable City (Melbourne) claims
its name as a consequence of a compilation of (pseudo-)scientific indicators.
But are these Healthy Cities?
Evelyne's presentation will show that health is a
complex choice - for communities, businesses, and politicians. Numbers alone,
nor infrastructure investment, will achieve health for all equitably. Rather,
embracing values that relate to sustainability, solidarity, participation,
vision and yes, power distribution in society creates the conditions for health
for all, in particular in urban environments. Winston Churchill said 'We make
our cities, and then they make us.'
In Greater Sydney we are now creating our new
cities. We should make them such that we all benefit from the serenity - it is
what the family of the landmark movie The
Castle sought in their effort to live at an airport. It may well be what we
want here. La Serenissima - 21st Century Sydney; and our serenity at Western
Sydney Airport. It is time to recognise that our urban hardware (infrastructure) only works
with great software (people and their values). Oh, the serenity!
The panel
discussion concluding this session will traverse the complexity of issues through the greater Sydney
example and the leadership that this exemplifies. |