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Health in planning: The role of health in Local Development Plans in Wales

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Authors: Fiona Haigh, Amber Murphy, Jinhee Kim, Liz Green, Cheryl Williams

Published on: 30th July 2025

  • WHIASU

The planning system in Wales operates at three levels: national, regional, and local. Local Development Plans (LDPs) guide land use and development at the local authority level.

This report, commissioned by Public Health Wales, Wales Health Impact Assessment Support Unit (WHIASU), presents a summary review of how health is included in Local Development Plans (LDPs) across Wales. The primary aim of this report is to inform WHIASU’s approach to supporting local governments in integrating health considerations into LDPs. The findings will also add value for other stakeholders working to improve health and wellbeing as it highlights opportunities for strengthening the inclusion of health in local plans. The review of Local Development Plans across Wales revealed several opportunities to strengthen their role in promoting population health and reducing health inequities. Currently, most LDPs address health-related factors indirectly through planning policies such as housing, transportation, and environmental quality. Few plans explicitly define health or health inequalities, and none include specific health indicators or measures. While all LDPs incorporate elements that influence social determinants of health, such as access to services and quality of housing, these connections to health outcomes are often implicit rather than clearly articulated. Our analysis found that LDPs already contain many elements that can support population health and wellbeing. By making these health implications explicit, defining key health concepts clearly, and incorporating measurable health indicators, LDPs could more effectively advance their potential to improve health outcomes and reduce health inequities across Welsh communities.

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Health in planning: The role of health in Local Development Plans in Wales

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