Abstract
ABSTRACT Health Impact Assessment is a tool increasingly used by local authorities in the urban planning process to support the delivery of healthy places. However, there is a lack of evidence on the use of health impact assessments, including how they fit into planning decision-making processes. This paper reports on a qualitative study with nine participants in public and private sectors involved in the health impact assessment process in England. Using the language of policy theory, a model of how health impact assessments work to promote health in urban planning projects is proposed: in part by forcing change from developers through regulation, but more so by persuading them to make healthier developments voluntarily through a process of collaboration and dialogue. This model can help stakeholders involved in health impact assessments understand and manage the process more effectively. Findings also highlight enablers and barriers of effective practice which form the basis of recommendations for local authorities implementing Health Impact Assessment.
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