Good enough is not enough: International Making Place Conference

International Making Place Conference, Glasgow. Image: Jason Kimmings

There is now a growing body of evidence to indicate that our physical environment – the places where we live, work and socialise – affects our health and wellbeing and contributes to creating or reducing inequalities. But even without the research, it’s plain to see how a neighbourhood with lots of facilities for pedestrians and cyclists, a choice of shops and good public transport connections could benefit health in ways that one with an excess of pubs, fast food shops and car traffic would not.

The importance of place-based approaches to improving health and reducing inequalities was the theme of an international conference held in Glasgow last week.

The venue for the conference – Glasgow’s Old Fruitmarket building – is a shining example of how a great place can be repurposed and reinvented. Originally a wholesale fruit market, the building has been reborn as a unique setting for cultural and business events, but has retained many of its original features, including a lofty vaulted roof and a cast iron balcony.

David Crichton, Chair NHS Scotland
Image: Jason Kimmings

Facing up to the challenge of place

In his introduction, David Crichton, Chair of NHS Scotland, pointed to the sobering statistics that throw the importance of place into sharp focus. He noted that while the health of Scotland’s population was generally improving, people living in 10% of the country’s poorest areas are four times more likely to die prematurely than those in more prosperous places. The city of Glasgow knows all too well about these stark health inequities. A person living in the deprived area of Calton has an average life expectancy of 54 years, while someone growing up in affluent Lenzie, just 12km away can expect to live to 82.

Glasgow Lord Provost Eva Bolander
Image: Jason Kimmings

Glasgow’s Lord Provost, Eva Bolander, acknowledged the challenges facing the city, but also noted that Glasgow is at the vanguard of place making. The city council’s Avenues Project aims to transform 17 key streets, prioritising space for cyclists and pedestrians, introducing sustainable green infrastructure and improving public transport connections. Glasgow is also investing £20m in its Community Hubs programme to bring multiple support services together in areas experiencing high levels of poverty.

Aileen Campbell, the Scottish Government’s Cabinet Secretary for Communities and Local Government, highlighted projects such as Clyde Gateway in Glasgow and the Bellsbank Initiative in East Ayrshire as successful examples of placemaking. Their success, said the minister, lies in focusing on what’s important to the people and communities of these areas, with the support of government and local authorities.

This international conference also heard from Monika Kosinska from the World Health Organisation, who noted that the problems facing Scotland are not unique. Around the world, countries and communities are experiencing the challenges associated with ageing populations and health inequalities. In this sense, she observed, all countries are developing countries.

Sir Harry Burns
Image: Jason Kimmings

A sense of coherence

The World Health Organisation’s assertion that health is a complete state of wellbeing, not merely the absence of disease, was at the heart of a powerful presentation delivered by Sir Harry Burns, Director of Global Public Health at the University of Strathclyde.

His research has underlined that poverty is not the result of bad choices. The real problem is that, without a sense of coherence and purpose, people are not in a position to make good choices.

As Sir Harry explained, a child experiencing chaotic early years (featuring parental substance abuse and/or domestic violence) is already on a path to mental health problems which can culminate in a loss of control and long periods of worklessness and poverty. But the implications can be even more serious: “The more adverse experiences you have as a child, the more likely you are to have a heart attack.”

A eureka moment for Sir Harry Burns occurred when he read a book by an American sociologist. Aaron Antonovsky spent the latter half of his career in Israel studying adults who as children had been in concentration camps. He found that the children who survived had developed what he termed a “sense of coherence” – a feeling of confidence that one has the internal resources to meet the challenges of life, and that these challenges are worth engaging with.

That sense of coherence, Sir Harry believes, lies in giving people in poverty greater control over their own resources: “People who have a sense of purpose, control and self esteem are more positive and secure about the places they live in, and a greater ability to make the right choices.”

He concluded that rather than being passive recipients of services, all of us have to be given the opportunity to become active agents in our own lives: “‘Ask people to take control of their lives, build their trust, and people can make choices that support their health. We must create places that do that’.

Woodside Health Centre
Image: Jason Kimmings

Placemaking in action

This theme of active engagement in placemaking was demonstrated during a site visit to a new health centre in Woodside, one of the most deprived parts of Glasgow. The aim of the new health centre is to reshape health services from the patient’s point of view, helping them to manage their own health and improve the care they receive. The new centre will bring together GP services, along with dental, pharmacy and physiotherapy services.

The health centre and its surroundings have been created by engaging with the local community. Using ideas from local people, the exterior of the building features designs reflecting the natural and industrial history of the area. Natural light from large windows in the roof floods the centre of the interior, giving a sense of brightness and tranquility, while wooden slats feature designs linking the centre with natural features nearby.

Claypits Local Nature Reserve. Image: Jason Kimmings

That connection with the natural environment will be reinforced with the development of a community green space close to the new health centre. The Forth and Clyde Canal is just a few minutes’ walk from the health centre, and a new foot and cycle bridge linking the centre to the local nature reserve is under construction. Other features will include new and improved pathways and new wildlife habitats. The natural space is already attracting walkers, joggers, families and cyclists, and local people report feeling they can now visit this area in greater safety than ever before.

Mark Beaumont and Glasgow Disability Alliance. Image: Jason Kimmings

The Place Standard

One of the threads running through this conference was the Place Standard, a practical tool developed in Scotland to help communities assess and redesign their own places.

For the final session of the afternoon, round-the-world cyclist Mark Beaumont introduced members of the Glasgow Disability Alliance (GDA) who shared results from their day as the Place Making Team using The Place Standard Tool. The results highlighted some of the elements of place that are important to people with disabilities – but also to others: lack of accessible toilets, poor transport links, networking events with no seating, inaccessible information, no social care support.

Final thoughts

This conference provided some important ideas on what’s wrong with our places, and some examples of places that are getting it right. And even for those that are on the right track, everyone was left with a clear message: when it comes to placemaking, good enough is not enough!

Merchant City, Glasgow
Image: Jason Kimmings

Treating violence as a disease: can a public health approach succeed?

Knife crime, especially deaths of young people, has been making the headlines in recent weeks. And an approach which has a proven track record in Glasgow is now being adopted by the GLA, MOPAC and the Met police to try to tackle the growing levels of violence being seen on London’s streets. Learning from the experience in Glasgow, the police and other agencies are being encouraged to see violence as a public health issue, related to poverty, wellbeing and social deprivation and which, if identified and tackled early, can be prevented.

Contagion: a new way to think about violence

The Violence Reduction Unit was pioneered by Strathclyde Police (now part of Police Scotland), working with health and social care practitioners. Launched in 2005, the approach aims to make earlier identifications of those at risk of becoming involved in violence, and to take a more holistic view of the reasons for violence of all types. The long-term strategy looked at more social and wellbeing interventions to tackle gang violence in Glasgow, which at the time was among the worst in Europe.

The VRU in Glasgow took its inspiration from a scheme in Chicago, which sought to use a World Health Organisation (WHO) approach to tackling the spread of disease but applied it to communities in the hope of curbing the significant rise in homicides in the city. The approach was three-pronged: interrupt transmission, prevent future spread, and change group norms.

In addition to changing the approach to tackling violent crime, the VRU also used a multi-agency approach, involving social services, health care, housing and employment support, to give people a route out of violence and opportunities to find work or training opportunities. One of the key elements to ensuring the VRU is successful are the relationships these people build with individuals in communities.

Identifying young people at risk

Another important aspect of the VRU strategy is to intervene early to identify children and young people who are at risk of joining gangs or becoming involved in gang violence. Research supporting the creation of the VRU suggested that violence (like a cold) is spread from person to person within a community, that violence typically leads to more violence, and that one of the key identifying factors in someone becoming a perpetrator of violent crime is first being the victim of violent crime themselves.

In order to prevent this, staff from the VRU regularly go into schools and are in touch with youth organisations. They also provide key liaison individuals called “navigators” and provide additional training to people in the community, such as dentists, vets and hairdressers to help them spot and report signs of abuse or violence.

There is also a broad view of what a culture of violence is. Work in schools focuses strongly on contemporary issues such as sexting, bullying and gender-based violence. It challenges the attitudes and beliefs that underpin such violence, and encourages young people to recognise and reject these.

A new approach to drug abuse too …?

In November 2018, the Scottish Government launched its new drug and alcohol strategy. One of the notable additions to the strategy was the acknowledgement that (like violence) drug abuse and addiction should be seen, not as a crime, but as a public health issue – an illness which people need support and treatment for.

Looking at how drug abuse is tackled within the criminal justice system and the interactions of addicts, policymakers have identified that many have had adverse childhood experiences, are exposed to drugs and/or alcohol at a young age, and are also at significant risk of being unemployed and homeless.

Creating a holistic package of support which seeks to identify those at risk and directs them towards a range of services to tackle not just the addiction but other trauma or socioeconomic barriers earlier, will, in a similar way to the VRU, give people a sense of purpose and value, and help them to see an alternate route that will allow them to contribute positively to society and improve their own outcomes.

A new way to tackle social issues in the UK?

Tackling the spread of violence through communities is not an easy task, nor is breaking the cycle of crime that many find themselves trapped within, often as a result of family allegiances or geographic location. It is often the case that either you participate, or you become the next victim yourself. More and more young people are feeling the need to carry knives for protection, due to the high levels of fear of becoming a victim.

Identifying those young people who are at risk of turning towards a life of violence at the earliest possible stage is difficult, but has been shown to be effective in helping to tackle violent gang-related crime. Although it is not the only tactic available to police, used effectively in conjunction with other outreach programmes it can be an effective tool in preventative policing, helping to keep communities safe.

The outcome in Glasgow has been largely positive, following the roll out of the Violence Reduction Unit programme. Whether this approach has the same success in London, operating on a larger scale, with different economic and social variables, and in a very different budget climate, remains to be seen. In particular it is worth noting that the Glasgow approach recognised there were no quick fixes, and was based on long-term planning covering ten year periods.

It is to be hoped, though, that changing the way we think about violence within communities may offer a route to tackling it.


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Zoning in on air pollution: low emission zones to tackle our dangerously dirty air

Image by Mike Malone

At the start of this year, the World Health Organisation (WHO) announced that air pollution posed the greatest threat to global environmental health in 2019. The UN’s public health agency estimates that nine out of ten people worldwide breathe polluted air every day.

Most of the pollutants in our air today come from traffic. Nitrogen dioxide and microscopically small particles emitted by motor vehicles can penetrate respiratory and circulatory systems, heightening the risks of heart attacks, lung cancer and respiratory conditions.

In the UK, poor air quality is estimated to cause the early deaths of 40-50,000 people each year, while in London 9,500 are believed to have died prematurely in 2010 due to air pollution.

The road to cleaner air

Across Europe, national and local authorities have been responding to the health risks posed by air pollution with measures to tackle emissions from vehicles. Many have introduced low emission zones (also known as clean air zones). These regulate vehicles with higher emissions, banning the most polluting vehicles from entering the zone and requiring them to pay a fee if they enter the area.

In various countries, low emission zones have different rules according to the type of vehicle and whether it meets EU emissions standards. In Germany, for example, there is a national framework of low emission zones affecting all motor vehicles except motorcycles. In Denmark, a similar framework applies to all diesel-powered vehicles above 3.5 tonnes. In Paris, all vehicles entering the low emission zone are required to display a sticker according to their emissions standards. The most heavily polluting vehicles are not allowed in. In addition, any vehicle can be refused entrance to the city centre in response to high levels of pollution on a given day.

A growing number of UK cities, such as Leeds and Birmingham have been working on the introduction of low emission zones, and some have already been implemented in Norwich, Oxford and Brighton.

In Scotland, the Scottish Government plans to create low emissions zones in the country’s four biggest cities by 2020, and the first of these is now up and running in Glasgow. The first phase was launched in January, targeting buses, which are among the most polluting vehicles. Glasgow’s biggest bus operator, First Bus, has purchased 75 new buses fitted with low emissions systems complying with the EU’s Euro VI standards. The scheme will be extended to other vehicles in stages.

London’s LEZ and ULEZ

Since 2003, when the congestion charge was launched, London has taken the lead with measures to tackle what Mayor of London Sadiq Khan calls the city’s “filthy, toxic air”.

In 2008, London created a low emission zone, and in 2017 a Toxicity Charge (T-Charge) introduced a surcharge for the most polluting vehicles entering central London. But levels of pollution in the capital remain stubbornly high, and so new measures have now been developed.

From 8 April 2019, an Ultra Low Emission Zone (ULEZ) will be in place in London, imposing tighter exhaust emission standards. The ULEZ will cost £12.50 for diesel cars manufactured before 2015, as well as most pre-2006 petrol cars cars, motorcycles and vans up to 3.5 tonnes. Vehicles over 3.5 tonnes will have to pay £100 to enter central London. These charges are on top of the £11.50 congestion charge. Failure to pay the ULEZ will result in fines of £160 upwards.

By 2021, the ULEZ will be extended to the north and south circular roads, taking in more London boroughs, including Brent, Camden, Newham, Haringey and Greenwich. By that time, it’s expected that 100,000 cars, 35,000 vans and 3,000 lorries will be affected per day.

There have been mixed responses to the incoming ULEZ. Health organisations such as the British Heart Foundation and the British Lung Foundation, have welcomed the measure, and environmental bodies also see the ULEZ as a step in the right direction. Sustrans, the sustainable transport organisation, commended the Mayor for “showing welcome leadership on tackling toxic air pollution.” Friends of the Earth welcomed the expansion of the ULEZ as “a promising step towards clean air in the city centre”, and called for further moves to protect the health of people living in Greater London.

However, motoring organisations voiced their concerns about the new zone. The RAC has argued that expansion of the ULEZ into residential areas will hit those on low income backgrounds hardest:

“…many now face the daunting challenge of having to spend substantial amounts of money on a newer vehicle or face a daily charge of £12.50 to use their vehicles from October 2021.”

The Road Haulage Association has voiced its opposition to the early application of the ULEZ to Heavy Goods Vehicles, claiming that the measure will have limited impact on improving health and air quality in central London.

Final thoughts

Striking a balance between environmental, health and economic pressures was always going to be a challenge. Even in London, which has led the way in tackling poor air quality, longstanding policies aimed at reducing air pollution have failed to bring it below legal levels. The new ULEZ may go some way to doing that, but it might also antagonise drivers faced with ever-rising costs. Cities on the journey to cleaner air are in for a bumpy ride.


Further reading on tackling air pollution

Liveable cities with people at their heart

The historic Royal Mile in the centre of Edinburgh was the suitably attractive setting for a conference last week on liveable cities. As Paul Lawrence, Executive Director of Place at Edinburgh City Council, observed, Edinburgh has been grappling with liveability for 300 years. But it’s one of many cities now facing new challenges to ensure that the concept applies as much to the “have-nots” as to the “haves.”

Including the precariat

Paul described Edinburgh’s single biggest challenge as addressing social and economic polarisation. While the city has a very successful economy, the benefits are not being enjoyed by all of its people. Many have well-paid jobs and enjoy a good quality of life, but those at the fringe of the labour market – the “precariat” – are on short-term contracts, with low wages and poor housing.

At the same time, the city of Edinburgh is facing significant urban planning challenges. Paul highlighted the difficulty for pedestrians – particularly those with disabilities – negotiating Princes Street at the height of the Edinburgh Festivals, and noted that the city didn’t have a single example of a successful pedestrian precinct.

Making successful places

The theme of how to make cities more liveable was taken up by Ian Gilzean, Chief Architect for the Scottish Government. He gave numerous examples of successful placemaking, such as the Crown Street and Laurieston redevelopment projects in Glasgow and regeneration in Edinburgh’s Craigmillar district. Ian also highlighted the work of charette programmes, which bring communities together to engage in the design and development of their neighbourhoods.  Ian stressed that the key drivers of sustainable development – social, economic and environmental – were also vital for improving the health and wellbeing of communities.

Reinventing a post-industrial area

A great example of the reinvention of a post-industrial area came from Ian Manson, Chief Executive of Clyde Gateway, Scotland’s biggest and most ambitious regeneration programme. When it comes to recovering from the demise of old industries, the East End of Glasgow has seen many false dawns. As Ian explained, when Clyde Gateway was launched ten years ago, the local community were sceptical about the programme’s ambitions. But they were also ready to engage with the project. A decade on, the area has undergone significant physical generation, but more importantly this has taken place in partnership with the local people. Unemployment in the area is now 26% – still too high, but an improvement on the 39% of 2008. The project has taken risks –  building infrastructure such as roads and a school in the hope that developers will be attracted. And, as Ian explained, Clyde Gateway needs more people to settle in the area to fill the gap left by the 20,000 who moved away in the post-war years.

To attract more people, places need to be distinctive, to surprise and delight. And, as Ian stressed, they need to acknowledge and respond to their historical urban patterns and buildings. For example, the much-loved former Olympia cinema at Bridgeton Cross has been given a makeover, and is now home to a public library, café, boxing centre and Scotland’s first BFI Mediatheque.

Learning from Denmark

The conference was organised by the Royal Danish Embassy in the UK, and there were good examples of successful placemaking from Denmark.

Jacob Kurek, from Henning Larsen Architecture in Copenhagen explained why the Danes are so famous for doing design differently. “We have a curiosity and ambition for making things better for people.” Denmark has put this philosophy into practice, designing clean harbours for swimming in the city centre, providing safe and stylish bike lanes and planning open-air spaces that take account of the challenging Danish winters (what Jacob described as “conquering the public realm”).

This approach has attracted attention elsewhere, and Jacob described his work in Belfast, where there are plans to transform the east bank of the River Lagan, using Copenhagen harbour as a model.

Stephen Willacy, Chief Architect for the city of Aarhus, reminded the audience that there’s more to Denmark than Copenhagen.  Aarhus is a city on the move, with a population growth of 5,000 per year. Stephen described some of the efforts to make Aarhus a good city for everyone by developing facilities for living, playing and working, including an ambitious masterplan for the city’s harbour.

Ewan Anderson of 7N Architects in Edinburgh has also been learning from Denmark. He took his team to Copenhagen to explore the city’s innovative approaches to place making, such as the transformation of a car park into a playground and the creation of a “pop-up neighbourhood” on a former warehouse site. Once back in Scotland, the 7N team developed their own ideas for making more liveable cities – introducing electric bikes for hilly streets, replacing a car park with a modern art gallery and even transforming Edinburgh’s Leith Walk into a Ramblas of the north.

Putting people at the heart of placemaking

Too often, architects and town planners have failed to engage with the communities they serve. Throughout the day, speakers at this conference made it clear that those days are largely in the past. Many made reference to the influential Danish architect Jan Gehl, whose vision for successful public space and urban design had people at its heart.

As this conference demonstrated, his vision is being realised in places as different as Copenhagen and Glasgow, Belfast and Aarhus, to the benefit of visitors and more importantly for those who live there.


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Tackling health inequalities: what does the data tell us and how can it help?

Health inequalities in Scotland are significant. Every year we hear about how Scotland has some of the biggest gaps in the health and wellbeing of the poorest and richest in society. In some cases, Scotland has the largest gaps in equality in the whole of Europe. And in many instances, they are rising. Scotland also has the lowest life expectancy of all UK countries.

A number of studies and research projects have been commissioned to try to identify the key indicators and factors that are creating and reinforcing these inequalities, and what sorts of interventions would work best to try and reduce or eradicate them altogether. It is hoped that by conducting research, and compiling data, policymakers can use this to identify groups and geographic areas where health inequalities are significant, and to intervene to reduce them, with data to help back up and evaluate the effectiveness of these interventions. In Scotland, work is being done by a number of organisations including the Scottish Government, Glasgow Centre for Population Health (GCPH) and Public Health Innovation Network Scotland (PHINS).

What indicators and factors are being measured?

Income inequality has a related impact on health inequalities, and the scale of low pay is significant. The relationship between health inequalities, poverty and household income is one which has been explored at length and is often highlighted as one of the main factors which influences health inequalities. Studies which look at income, and also at relative levels of deprivation can provide useful comparison points, with comparable datasets on employment status and income readily available at a national and local level. Data also considers trends over time, comparing pre- and post-economic crash data, as well as relative earnings and expenditure relative to inflation and the rising cost of living. Other factors include age (those under 25 and earning a lower minimum wage for example) and by gender, with more women in lower paid, lower skilled and part time or insecure work.

How usable is the research being created?

The research which examines health inequalities explores a whole range of interrelated factors, and highlights just how complex the landscape of inequalities is. Creating a clear and holistic picture of all of the factors which contribute to health inequalities is not easy. Many studies, while detailed and effective, are niche, and focus on a very limited number of factors across a limited demographic source. As a result, questions have been raised about the utility of this research and its applicability and scalability at a national level. In an attempt to tackle this, combined data sets are being produced which provide opportunities for comparison across data from a range of studies.

The “Triple I” tool from NHS Health Scotland is designed to help policy designers to create effective interventions to reduce health inequalities. A second edition of the tool is due to be released in 2018/19. Triple I aims to provide national and local decision makers with practical tools and interpreted research findings about investing in interventions to reduce health inequalities in Scotland. It does this by modelling the potential impact of different interventions and policies on overall population health and health inequalities.

 

What can be done to act on the data?

While the research being produced is high quality, and thorough in relation to findings, the real question is what can actually be done with the research, and what steps can policymakers and practitioners take to use the findings to inform their own practice.

There are, researchers suggest, significant opportunities presented by the recent research which has been done on income inequality. In particular, they cite the public sector and public sector pay as a key way to reduce the income, and therefore the inequality gap, particularly among higher earners and those who would be considered “working poor” or “just about managing”. In Scotland, significantly more people are employed in the public sector than in any other part of the UK, and there is, researchers suggest, an opportunity to better align and increase low wages to help to reduce the gap.

The adoption of new initiatives, such as the “housing first model”, which is due to be rolled out in Glasgow to help homeless people break the cycle of homelessness, are also opportunities not only to address inequalities, but to ensure that long term help and support is in place to prevent any relapse into chaotic or risky behaviour. In relation to housing first, the savings on front line services such as emergency admissions to hospital, or contact with the police after committing a crime are significant, and while more in depth research is needed to create a full cost benefit analysis model of the scheme and its effectiveness, early studies show that the impact on health and wellbeing on those who had previously been homeless is huge in terms of reducing inequalities and improving wellbeing. However further data on homelessness in Scotland shows how far we have to go, and that housing first is only one mechanism which can be used to begin this process of reducing inequalities among the most and least deprived communities in Scotland.

Alternatively, some have suggested a more radical overhaul of how we distribute welfare and wealth within the country. Research has been coming thick and fast on the subject of a “citizens basic income”, particularly following the trial which was rolled out in Finland (the findings of which have not yet been published). Research on how this could impact on inequalities is not widespread yet, as pilots have been small scale, However, it is suggested that a total overhaul of welfare, replacing it instead with a citizen’s basic income would be a more effective way to reduce inequalities across the board, including in health.

Summing up

Health inequalities are significant in Scotland. Much of the research focuses on the impact of deprivation, poverty and low income on health inequalities and how, in order to tackle health inequalities in Scotland we must also tackle some of the other significant social problems within our communities, including low income and insecure work, and the impact of homelessness or chaotic lifestyles on health.

Data can be used in a number of ways to help inform policy decisions, some more radical than others. But creating a complete understanding of inequality in Scotland is challenging. It is up to researchers and policymakers to work together to create a better understanding of the conditions and factors which contribute to inequality, and what can be done to help tackle systemic and entrenched inequalities in our communities through policy levers and evidence based policy making.

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City trees: green infrastructure to help cities clear the air

This long, hot summer has certainly been one to remember. But while many of us have enjoyed the sunshine, the soaring temperatures have had a critical effect on air quality, particularly in urban areas. In London and some other UK cities, pollution warnings were issued during the July heatwave.

The hidden killer

Air pollution in Europe is a bigger killer than obesity or alcohol. In the UK, 40,000 deaths a year are attributable to the effects of poor air quality. During the summer months, cities become heat islands that push air pollution to ever more dangerous levels. This summer has seen reports of increased numbers of people, particularly children, admitted to hospital with breathing difficulties, which many have blamed on air pollution.

As we’ve previously reported, in 2017 and 2018, national, regional and city authorities are acting to improve air quality, and around the world urban planners are trying out innovative ideas to combat the heat island effect. Last year, we blogged about Milan’s Bosco Verticale – a ground-breaking project that installed thousands of plants on the balconies of two residential tower blocks. The towers absorb 30 tons of CO2 a year and produce 19 tons of oxygen a day. Noise and heat are also reduced, and the buildings provide habitat for more than 20 species of birds.

Another innovative product, Voyager, has been developed by Idox Transport to enable road users to monitor travel information, including air quality and road accidents. The comprehensive travel information system helps drivers avoid congestion hotspots and takes the stress out of planning a journey.

Clearing the air

One important way of improving urban air quality is to increase the number of trees and plants in towns and cities. But all too often the barriers to tree planting in urban areas can be hard to overcome.

Which is why the “City Trees” project is so significant. Designed by a German startup, a City Tree is a “living wall” of irrigated mosses with the pollution-absorbing power of almost 300 trees. A rainwater-collection unit is built into the City Tree, as well as a nutrient tank and irrigation system, allowing the assembly to water itself.

Berlin, Paris, Amsterdam and Oslo were among the first European cities to install City Trees, and in the UK they’ve appeared on the streets of NewcastleGlasgow and London

There is evidence that green infrastructure can have significant effects on air quality. However, recent studies have indicated that, while vegetation and trees are beneficial for air quality, they cannot be viewed as a solution to the overall problem of poor air quality. That requires a coordinated approach to tackling the causes of air pollution, including diesel emissions from transport.

City Trees may not have all the answers to tackling the hidden killers in our air, but they are helping to blunt the impact of air pollution, helping us all to breathe a little more easily.


You can read more about efforts to tackle air pollution in our previous blog posts:

Idox Transport provides a range of products and services to support strategic and localised transport control. Its solutions are designed to ease congestion, improve air quality, detect and manage incidents and promote ‘green wave’ travel.

A moving story: how Idox’s new office in Glasgow became a piece of history

In September, the Idox Information Service moved into our new home. Along with our colleagues in the wider Idox Group, we relocated from the Scottish Legal Life Assurance Building in Glasgow’s Bothwell Street to the Grosvenor Building in Gordon Street, just a few blocks away.

If our previous office could be described in terms of “Grand Designs”, our new workplace is definitely about “location, location, location”. Situated directly opposite Glasgow Central Station, the Grosvenor Building really is in the middle of things.

And, just like our previous home, our new Glasgow office has an interesting and distinguished history. It was designed by one of Britain’s greatest architects – Alexander Thomson (often referred to as “Greek” Thomson because of his signature Graeco-Egyptian style).


From ecclesiastical site to commercial centre

The site was originally occupied by the Gordon Street United Presbyterian Church. In 1859, Alexander Thomson and his brother George persuaded the congregation to sell the church, and in its place they built a commercial property, with street-level shops and a warehouse on the upper floor.

The building’s façade bears the hallmarks of a “Greek” Thomson original, with his familiar ornate columns on the lower storeys. It was completed in 1861, but three years later, the warehouse caught fire and had to be rebuilt. After another fire, in 1901, the building was restored, but this time with a new superstructure on top of the existing warehouse.

 

This extension, designed by James Craigie, continued the classical theme, with elongated columns and twin baroque domes. But while some regard the additional layer as complementing Thomson’s theme, more critical observers believe that it detracts from his original vision.

Style and substance

The extension, however, was to become one of the most sophisticated meeting places in Glasgow. With a magnificent marble staircase sweeping up to a stylish restaurant, and function rooms containing stained glass windows and crystal chandeliers, The Grosvenor (which gave the building its present name) was a place to see and be seen. Later, when the staircase was removed, many couples who had celebrated their wedding receptions at The Grosvenor, bought up pieces of the marble as souvenirs.

Yet another fire, in 1967, put an end to fine dining at The Grosvenor, and for many years the building lay empty. Today, after an extensive refurbishment, The Grosvenor building is home to a suite of modern offices, although it retains its classical façade.

An architectural legacy

A fine building in its own right, The Grosvenor also has some elegant architectural neighbours, including the Grand Central Hotel, the Ca’D’Oro and another of Alexander Thomson’s masterpieces – the Egyptian Halls.

For a long time after his death in 1875, Thomson’s work was neglected, and even today the future of the Egyptian Halls remains in doubt. Elsewhere, both in Glasgow and beyond, “Greek” Thomson is becoming almost as well-known as that other celebrated Glaswegian architect, Charles Rennie Mackintosh. And it’s worth noting that the money raised from the sale of the Gordon Street site in 1859 went on to fund one of Alexander Thomson’s greatest buildings – the St Vincent Street Church.

It’s good to know that Alexander Thomson’s legacy is being preserved in The Grosvenor Building, and that the latest chapter in the story of Idox will be written into Glasgow’s architectural and social history.

Are controversial ‘fix rooms’ a solution or a problem?

By Steven McGinty

In August, Glasgow City Alcohol and Drug Partnership (ADP) announced that it had found a potential site for its pilot drug consumption facility.

This new service provides drug users with a place to inject drugs under clinical supervision and discard their needles. Other services may also be offered, including the prescription of pharmaceutical grade heroin (administered under strict controls) and the development of a peer support network.

The site in Glasgow’s city centre would be the first in the UK and it’s hoped that it would be up-and-running by 2018. However, these proposals have been met with a mixed response.

Drug consumption rooms

First established in Bern, Switzerland, in 1986, drug consumption rooms were a response to concerns over the spread of HIV/AIDS, increases in drug related deaths, and the rise of public drug deaths in European cities. They were also part of a wider shift in drugs policy, where traditional abstinence-based approaches were being replaced by harm reduction programmes, which focused on reducing the negative impacts of drug abuse.

Since then, over 90 drug consumption facilities have been opened in countries such as Denmark, Germany, the Netherlands, and Canada.

The case for Glasgow

Approximately 500 drug users inject in public places in the city centre. This small group of people accounts for the majority of discarded needles – a major public health risk for the city – and for many instances of public order problems. As a result, Glasgow City Council, Police Scotland and other agencies are spending significant resources managing drug misuse in the city centre.

Although this small group of public injectors provides challenges, they are also vulnerable and often experience other issues such as homelessness, mental health issues, and recent imprisonment. In particular, they are far more likely to suffer health problems. This includes an increased risk of blood-borne viruses, injecting-related serious infections, and overdoses and drug-related deaths. In recent years, the statistics have shown a decline in the health of Glasgow’s drug users. In 2015, the number of HIV infection cases rose from a consistent 10 to 47 per year. Drug-related deaths also rose from 157 to 170 in 2016.

As Susanne Millar, chief officer of Planning, Strategy and Commissioning for the Glasgow City Health and Social Care Partnership, and chair of the ADP, explains:

People injecting drugs in public spaces are experiencing high levels of harm and are impacting on the wider community. We need to make our communities safer for all people living in and visiting the city, including those who publicly inject.”

What the experts say

Many have welcomed the announcement.

Dr Emilia Crighton, director of Public Health at NHS Greater Glasgow and Clyde, and vice chair of the ADP, argues that Glasgow is decades behind other countries in how it responds to drug addiction. She highlights that the city has been at the centre of high profile cases of anthrax, botulism and HIV infection, and that conventional treatment has not been successful at reducing health risks. She explains:

Our ultimate goal is for drug users to recover from their addiction and remain drug free. However, until someone is ready to seek and receive help to stop using drugs it is important to keep them as safe as possible while they do continue to use drugs.”

David Liddell, Chief Executive Officer of the Scottish Drugs Forum, is also in favour of the new facility, explaining that they have been successful in other countries.

They may seem controversial but when you see that these have been running in many countries in Europe for up to 30 years, you get a different perspective. Holland now has 31 drug consumption rooms and Germany has 24, for example. From these years of practice, clear evidence has emerged as to the effectiveness of these facilities.”

But there has also been some notable criticism. For example, Professor Neil McKeganey, an expert in drugs policy with the Centre for Substance Use Research in Glasgow, argued that the scheme is highly flawed. He believes that David Liddell is wrong, and contends that the proposed facilities are controversial. Professor McKeganey highlights previous research with drug addicts in Scotland which found that only 5% wanted to inject more safely, with the overwhelming majority wanting to receive treatment and become drug free. Professor McKeganey also suggests that ‘supposedly’ safer places to inject will not reduce the rising cases of HIV infection and other drug-related harms.

He warns that although these services have a role to play, “there is a real danger here we are moving steadily away from services to get addicts off drugs.

Final thoughts

There is a growing body of research into the effectiveness of drug consumption rooms. The European Monitoring Centre for Drugs and Drug Addiction has found that drug consumption facilities can deliver a number of benefits, including:

  • increasing access to health and social services;
  • supporting safe and hygienic drug use; and
  • reducing public drug use and associated nuisance.

However, the evidence on whether drug consumption rooms reduce cases of HIV or the hepatitis C virus remain unclear. And research has also shown that some countries can find it difficult to establish a legal basis for facilities – as the recent suspension of a facility in Greece demonstrates.

For Glasgow, it probably is about time that a drug consumption room was piloted. However, it will be important that its impacts are fully evaluated and that resources for drug treatment services are maintained in the coming years.


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How Finland put housing first

Earlier this year, official figures showed that rough sleeping in England had risen for the sixth successive year.

The data showed that 4,134 people slept on the street in 2016, an increase of 16% on the previous year’s figure of 3,569, and more than double the 2010 figure. Many of those enduring long-term homelessness have complex and multiple needs related to mental health or addiction. While this is a growing problem in the UK, housing exclusion is by no means confined to these shores. As we reported in April, there is growing evidence of an alarming increase in homelessness across Europe.

But one European country is bucking this trend. Since 2008, the Finnish government has been working with housing agencies to reduce long term homelessness and improve prevention services. The adopted approach, called ‘Housing First’, has had a big impact, achieving a 35% fall in long term homelessness over seven years. Finland is now the only country in the European Union where homelessness continues to fall.

Housing First: what it means

Housing First is not a uniquely Finnish approach to tackling homelessness, nor is it a new idea. The practice began in Los Angeles in the 1980s. It’s based on the principle that housing is a basic human right, and turns on its head the notion that vulnerable people are only ‘housing ready’ once they have begun to engage with support services.

As the name suggests, Housing First means providing vulnerable people with permanent, affordable housing, and then offering specialised support to ensure that they don’t return to sleeping on the streets. However, acceptance of that support is not a condition for access to housing. The approach has been adopted in various American cities, as well as parts of Australia, Canada, France and Japan. But it’s in Finland that Housing First has achieved some of its most impressive results.

Housing First: how it works

One of the key players in Finland’s Housing First strategy is the Y-Foundation, an association of local authorities, church, construction, trade union and health organisations that has been supporting homeless people for more than thirty years. Starting in 2008, the foundation converted homeless shelters in Finland’s biggest cities into rental housing. At the same time, the government set targets for local authorities to build new flats in mixed housing developments. The programme is backed by money from government grants and the proceeds from Finland’s not-for-profit gambling monopoly.

Housing First: why it works

The cost estimate for Finland’s Housing First programme is €78 million. But Juha Kaakinen, chief executive of the Y-Foundation, has no doubts about its value for money. In an interview with Inside Housing, he explained:

“It’s not only good social policy; it has a big safety and security angle, as the more homeless people there are on the streets, the more unsafe the city is. And there’s an economic argument, too: taking care of these people is a good investment.”

He estimates that taking each homeless person off the streets saves social, health and emergency services around €15,000 a year.

Housing First in the UK

Homelessness charities in Britain have been taking great interest in the success of Housing First in Finland.

“It’s a stunning result,” Matt Downie, director of policy and external affairs at Crisis, told Inside Housing.  “They used to have a bigger homelessness problem than we have.” But he was less sure whether the programme could be replicated here. “We’ve got a system that is the exact opposite of Housing First. In Finland they made a strategic choice; that allowed them to change everything.”

Even so, Housing First is already gaining ground around the UK:

Scotland
A pilot project in Glasgow by Turning Point Scotland was the first Housing First project to be implemented in the UK. Between 2011 and 2013, the project provided mainstream social housing and 24/7 floating support to 22 individuals who were homeless, aged 18 or over, and involved in substance misuse. An evaluation of the project by Heriot Watt University found that none of the tenants were evicted from their flat and the majority of participants retained their tenancies.

Wales
The Welsh Government has announced that it is considering moves towards a Housing First policy. The communities and children secretary for Wales told the Welsh Assembly in April 2017 that he would be reviewing homelessness prevention in Wales, and is exploring Housing First initiatives.

Northern Ireland
Working with the Depaul youth homelessness charity, the Northern Ireland Housing Executive funded a Housing First pilot scheme in Belfast. An evaluation of the 18-month programme reported a number of positive results, including a high rate of tenancy retention, improvements in participants’ self-care, confidence and living skills, and reductions in their dependence on drugs and alcohol. A further Housing First programme has since been established in Derry.

England
In 2015, the University of York published findings from a study of nine Housing First services in England. The authors reported high levels of success in reducing long-term and repeated homelessness, with 74% of service users successfully housed for one year or more. There were also significant improvements in the physical and mental health of Housing First tenants and high levels of satisfaction. The Centre for Social Justice has called on the UK government to set up a £110m national Housing First programme, arguing that the investment would save money and lives.

Final thoughts

There is no quick fix to the problem of homelessness, but Finland has shown that adopting new ways of thinking about the problem can virtually eradicate rough sleeping. As Juha Kaakinen observes:

“Housing First means ending homelessness instead of managing it.”



Further reading on homelessness:

Scotland’s space sector: a launchpad for economic growth

Discovery space shuttle on launchpad

By Steven McGinty

In March, the UK Space Agency announced it had awarded £50,000 to the University of Strathclyde’s Scottish Centre for Satellite Applications (SoXSA) for its work with Glasgow City Council to attract entrepreneurs and start-ups to Glasgow’s innovation hub, Tontine.

Six companies will benefit from the support, which includes space industry specific business support, dedicated workshops and expertise, and administration and accommodation costs for two years.

The award is another sign of faith in Scotland’s burgeoning space industry, which has seen it become a global leader in the ‘New Space’ economy.

The development of New Space

The space industry, like many other technology fields, has been traditionally dominated by nation states, often in terms of national security.

But now, a new space industry is emerging, where private companies and entrepreneurs are developing innovative products and services in or for space. Reasons for this include reductions in funding to national space agencies, such as Donald Trump’s recent cuts to NASA, as well as the private sector’s success in innovation. For example, the company Space X has managed to launch rockets that had previously been into space – a practice which has been estimated to reduce the first stage of space flight from $60 million to $500,000.

Scotland’s role

Within a few miles of Glasgow’s city centre, a small number of research groups and private companies have gained international reputations for their work on space technologies.

For instance, Glasgow – a city more known for its heavy industries and shipbuilding – has found a niche in manufacturing low cost nanosatellites. This has led to Glasgow being crowned ‘Europe’s Satellite City’.

Glasgow’s first satellite company, Clydespace, has been tremendously successful over the past decade by developing CubeSats (a satellite the size of a wine bottle). These have been used in a range of missions, including UKube-1, the first mission to be commissioned by the UK Space Agency as a demonstrator for space technologies.

The city has also seen investment from Spire Global – a satellite powered data company headquartered in San Francisco. Spire’s satellites, which are used to gather data on weather, maritime, and aviation, were built by Clydespace. Peter Platzer, CEO of Spire, explains that:

We have up there about 20 satellites, all exclusively built here in Glasgow.”

Mr Platzer highlights that Scotland’s confidence in Spire was one of the reasons that they opened their European office in Glasgow’s Skypark. The company received a £1.5m Scottish government grant through the agency Scottish Development International (SDI).

Scotland’s low cost base and universities with strong interests in engineering and space technologies were also highlighted as key selling points.

Young innovators have also sought to get involved in Scotland’s space sector. For example, Tom Walkinshaw, founded Alba Orbital from his bedroom when he was unable to secure a job in the space industry. His company provides PocketQube satellites (based on a design of one or more 5cm cubes) and now employs 10 skilled employees. Alba Orbital’s first satellite, Unicorn-1, is backed by the European Space Agency and is due for launch later in the year.

In academia, the University of Glasgow’s LISA Pathfinder team won the 2016 Sir Arthur Clarke Award for “Space Achievement in Academic Research or Study”. The award was given for the team’s work on developing the Optical Bench Interferometer (OBI) for the European Space Agency’s LISA Pathfinder spacecraft – a demonstrator aimed at measuring gravitational waves in space.

The future of Scotland’s space economy

A report by London Economics investigated the potential benefits of a spaceport in Scotland.

Prestwick Airport in South Ayrshire and Machrihanish, near Campbeltown, are currently competing to win a licence from the UK Government.

London Economics have set out three main advantages to having a local spaceport:

  • Spaceport operations – The activities associated with a spaceport will lead to the direct creation of jobs in commercial spaceflight or providing satellite launches, as well as indirect benefits for local suppliers.
  • Space tourism – Tourists visiting space stations or taken part in space travel are also likely to spend money in the surrounding areas and on other attractions.
  • Space-related education – Spending will increase on research and development due to the creation of a spaceport.

Tom Millar, managing director of DiscoverSpace UK, has also stated that sending small satellites into space would be a ‘viable revenue stream’. A local spaceport would reduce the costs for Scottish satellite companies as at the moment they currently have to ‘piggyback’ onto launches with larger satellites.

The report concludes by finding that a spaceport in Scotland would increase growth from 9% to 10% of the UK’s space economy in 2030.

The implications of Brexit

The results of the 2016 EU Referendum has caused uncertainty for the Scottish space sector. For example, many companies will be concerned for the rights of EU national employees, as well as their ability to recruit from this workforce in the future.

The Financial Times has also reported that changes in terms could keep UK companies out of lucrative European space contracts, such as the €10bn Galileo satellite navigation system. The European Commission are looking to change the terms of the Galileo project so that contracts can be cancelled if a company is not based in a member state. They also require companies to pay the costs of finding a replacement. If these terms are approved, it would effectively rule out UK-based companies bidding for EU projects, which would have a negative impact on the sector’s growth.

Final thoughts

Scotland’s space sector is estimated to be worth £134 million and accounts for 18% of all UK space industry jobs. Its success has been built on a combination of government support, talented entrepreneurs, and a supply of skilled engineers.

As the industry continues to grow, there will still be an important role for government, particularly in supporting innovation centres and granting licences for UK spaceports. The promotion of STEM (science, technology, engineering and maths) subjects will also be crucial, as we look to develop a new generation of space entrepreneurs to keep us ahead of this new industrial space race.


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