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Conference Essays 2010 Health, Wealth and Happiness: what makes a prosperous region?
What do we envisage when we
                                                                     wish each other a prosperous New
                                                                     Year? How can we make it happen
                                                                     here and now?

                                                                     The South West Observatory’s
                                                                     7th Annual Conference brought
                                                                     together a broad range of expertise
                                                                     to consider how distinct notions of
                                                                     prosperity are correlated, how to
                                                                     articulate and measure a common
                                                                     understanding of prosperity, and
                                                                     how to bring it about.

                                                                     The South West Observatory is
                                                                     a data and intelligence network,
                                                                     working to inform policy and
                                                                     decision making through the
                                                                     exchange of ideas beyond thematic
                                                                     and spatial boundaries. With a
                                                                     combination of presentations and
                                                                     ‘question time’ style debate, the
                                                                     conference gave delegates the
                                                                     opportunity to understand and
                                                                     explore the interrelationship of
                                                                     public policy objectives.

                                                                     The event programme, session
                                                                     summaries, speakers’ biographies
                                                                     and presentations from the day
SW                                                                   are available to view or download
                                                                     from www.swo.org.uk/events/
     SOUTH WEST OBSERVATORY                                          conference-2010

     Health, Wealth and Happiness: What Makes a Prosperous Region?
     South West Observatory 7th Annual Conference

     The Assembly Rooms, Bath
     Wednesday 31 March 2010
CONTENTS                                                                  Health, Wealth and Happiness: what makes a prosperous region?


           02   Introduction                            Vinita Nawathe • Managing Director
                                                        of the South West Observatory

           04   Robert Kennedy speech

           05   Understanding and measuring             Professor Martin Boddy • Chair, SWO
                health, wealth and happiness            Board and Executive Dean, Faculty of
                                                        Environment and Technology, UWE

           06   Sustainable Development Indicators      Dr Sara Eppel • Head of Sustainable
                and Wellbeing Measures                  Products and Consumers, Defra

           08   Understanding and measuring             Paul Brown • Deputy Director
                health, wealth and happiness            (on behalf of Dr Gabriel Scally,
                                                        Regional Director of Public Health
                                                        for the South West)

           09   Developing a principled prosperous      Matthew Taylor • Chief Executive,
                society and releasing human potential   Royal Society for the Encouragement of
                                                        Arts, Manufacture & Commerce (RSA)

           10   Panel debate: What is prosperity?       Nigel Jump • Chief Economist, South
                                                        West Regional Development Agency

           12   As above                                Dame Suzi Leather • Chair, Charity
                                                        Commission

           14   Sustainable Communities in the          Professor Katie Williams • Director of
                South West - how can we achieve         the Centre for Environment & Planning,
                quantity and quality?                   UWE

           16   Health, Wealth and Happiness, and       Simon Mauger • Regional Programme
                Futures thinking                        Director (South West), NIACE

           18   Practically realising prosperity        Jonathon Porritt CBE • Former Chair,
                                                        Sustainable Development Commission
                                                        and Founder, Forum for the Future
           19   Bibliography and Acknowledgements




                                                                                                                                  01
VINITA NAWATHE                                                                 Health, Wealth and Happiness: what makes a prosperous region?


                                        At the heart of SWO is a social
                                        enterprise set up to develop
                                        and co-ordinate an intelligence
                                        network that supports and
                                        enhances the work of its
                                        members. The SWO network is
                                        made up of publicly funded bodies
                                        that provide data, analysis and
                                        research mostly within, and about,
                                        the South West.

                                        It achieves efficiencies through
                                        sharing best practice and resource,
Better Information, Better              avoiding duplication and getting
Understanding, Better Decisions         bigger bang for buck through joint
                                        working and joint commissioning.
The South West Observatory (SWO)
promotes evidence-based                 In our view, evidence - data,
policy making.                          research and analysis - are
                                        weapons in an armoury. Evidence
While this is not contentious           does not replace decision-
in principle, there can be some         making, it helps it. The stronger
resistance from some policy             your evidence the stronger
and decision makers. For some,          your argument, the more you
evidencing everything sounds            understand the better prepared
technical, dull and slow, while for     you are for counter-argument.
some others, evidence is only
useful if it backs up the decision      However, decisions can still be
already made - so called policy-        made on gut instinct, for political
based evidence.                         expediency, or despite some
                                        evidence - and can still be the
The challenge for the South West        right decision in a given situation.
Observatory is in promoting the         Evidence goes beyond hard
role of evidence beyond a nice to       statistics and measured indicators
have add-on - especially for those      and is the sum of all the available
who believe politicians are elected     information including knowledge
to “do things” and quickly - to an      about public perceptions,
integral, informing, authority-giving   preferences and behaviour and
must-have part of the policy-           the past and likely outcomes of
making process.                         contiguous policy interventions.


02
Health, Wealth and Happiness: what makes a prosperous region?


One of our aims at SWO is to                                  Robert Kennedy was a common
facilitate functional conversations                           inspiration for some, and so his
- between researchers and policy                              1968 speech at the University of
makers, across policy silos and                               Kansas kicks off this tour of ideas.
sector perspectives. To that end,
we arrange technical workshops,                               I hope this collection of views
policy seminars and an annual                                 provides food for thought, adds
conference to share knowledge                                 to understanding and ultimately
and expertise from within and                                 informs some good policy and
beyond our network. We want to                                decision making.
avoid the situation where an expert
in any particular field sees a newly                          To paraphrase a colleague at the
announced policy or decision and                              Public Health Observatory in a
says (to themselves or the press)                             World Cup year, here at SWO,
“They wouldn’t have done that if                              we aim to provide you with the
they’d known what I know!”                                    football to kick around, but you
                                                              play your own game and score
The theme for our conference in                               your own goals.
March 2010 was Health, Wealth
and Happiness; what makes a
prosperous region. It brought
together a broad range of expertise
to consider how distinct notions of
prosperity are correlated, how to
articulate and measure a common
understanding of prosperity, and
how to bring it about.

The range of ideas and viewpoints
on the day certainly started some
conversations. With many people
currently grappling to express a
collective aspiration in 2010 terms,
we had a lot of requests for the
day’s ideas to be captured and
taken forward. I am pleased that
nine of our speakers were able
to turn their talks into essays to
share with delegates and a wider
audience.


                                                                                                 03
ROBERT KENNEDY SPEECH                                               Health, Wealth and Happiness: what makes a prosperous region?



“Too much and for           special locks for our      Yet the gross national             in short, except that
too long, we seemed         doors and the jails        product does not allow             which makes life
to have surrendered         for the people who         for the health of our              worthwhile.
personal excellence and     break them. It counts      children, the quality of
community values in         the destruction of         their education or the             And it can tell us
the mere accumulation       the redwood and the        joy of their play.                 everything about
of material things.         loss of our natural        It does not include the            America except why
                            wonder in chaotic          beauty of our poetry               we are proud that we
Our Gross National          sprawl. It counts          or the strength of                 are Americans.”
Product, now, is over       napalm and counts          our marriages, the
$800 billion dollars a      nuclear warheads           intelligence of our                Robert F. Kennedy
year, but that Gross        and armored cars for       public debate or the               University of Kansas
National Product - if we    the police to fight the    integrity of our public            18 March 1968
judge the United States     riots in our cities. It    officials. It measures
of America by that - that   counts Whitman’s           neither our wit nor
Gross National Product      rifle and Speck’s knife.   our courage, neither
counts air pollution and    And the television         our wisdom nor our
cigarette advertising,      programs which             learning, neither our
and ambulances to           glorify violence in        compassion nor our
clear our highways          order to sell toys to      devotion to our country,
of carnage. It counts       our children.              it measures everything


04
PROFESSOR MARTIN BODDY                                                                            Health, Wealth and Happiness: what makes a prosperous region?


                                        of economic performance is,             1968 expressed this with great          others has focused on self-reported
                                        according to the Office of National     eloquence.                              levels of happiness and the factors
                                        Statistics, ‘an integral part of the                                            that account for differences in this
                                        UK national accounts … a measure        Also, in richer countries at least,     across time and place.
                                        of total economic activity in a         the link between output and
                                        region’. It measures the total value    measures of well-being such as          We need to define both our
                                        of goods and services (including        health, education and job security      priorities and objectives and the
                                        public sector) produced in a given      are at best weak. And paradoxically,    measure we use to set targets and
                                        time period. Expressed in terms         levels of self-reported happiness or    chart progress. To polarise things
                                        of output per head or output            satisfaction with life have not risen   there are perhaps four alternatives.
                                        per worker, it is a measure of          with rising levels of GDP .             First: ‘it’s the economy, stupid’, and
                                        productivity, the key measure of                                                to quote economist Paul Krugman,
                                        ‘competitiveness;’ according to         There are four main alternatives        ‘productivity isn’t everything but in
                                        the Treasury.                           to GDP each of which embodies
                                                                                       ,                                the long run it is almost everything’
                                                                                different definitions of prosperity     and that’s what we should focus
                                        Levels of output are strongly linked    and well being and, by implication,     on. Second: to quote Layard,
                                        to income, unemployment, job            different goals. First, the Index of    ‘happiness is the overarching good’,
                                        security, health and life expectancy.   Social and Economic Wellbeing           and we should focus on the causes
                                        And the recent ‘recession’ -            provides a single monetary              of happiness and our leverage over
                                        negative change in GDP for two          measure which factors in social         them. Third: to quote the Stiglitz
                                        quarters - recently reminded us of      and environmental costs and the         Commission set up by President
                                        what happens when output falls          positive contribution of unpaid         Sarkhozy, ‘measures of well-being
                                        and it all goes horribly wrong.         caring, volunteering and other          should be put in the context of
Understanding and measuring                                                     factors to provide an alternative to    sustainability’ and we should
health, wealth and happiness            So what’s wrong with that?              GDP Second, the United Nations
                                                                                     .                                  combine goals of well-being and
                                        The problem is that GDP simply          has developed indices of human          environment. Fourth; to quote Tim
How we measure progress is              measures the monetary value of          development potential which             Jackson writing for the Sustainable
fundamental to how we define our        the goods and services produced         combine life expectancy and             Development Commission,
policy goals. The measures we use,      regardless of the benefit - or harm     educational attainment with GDP         ‘prosperity without growth is no
the performance indicators we set       - to people and society of what         to provide a single numerical index     longer a utopian dream. It is a
define and shape thinking on where      is being produced. It takes no          which can be used to compare            financial and ecological necessity.’
we should be heading. Prosperity        account of the impact of producing      places and track change over            And we must abandon goals built
can be defined in terms of affluence,   those goods and services on             time. The Department for Food,          around output growth and GDP     .
growth and wealth. But it can also      environmental sustainability of         Environment and Rural Affairs
encompass welfare, wellbeing            consumption of non-renewable            has developed a ‘score-card’
and happiness - and these are not       resources. And it takes no account      including 68 indicators spanning
necessarily the same thing.             of the distribution of benefits         the economy, climate change and
                                        across society - of inequalities        energy, natural resources and
Gross Domestic Product, the widely      in distribution. Robert Kennedy’s       sustainable communities. Finally
used ‘official’ headline measure        speech in Kansas as long ago as         economist Richard Layard among

                                                                                                                                                          05
DR SARA EPPEL                                                                                         Health, Wealth and Happiness: what makes a prosperous region?

                                        • achieve personal goals & participate    The slide below illustrates the              green space, biodiversity habitats,
                                        • supportive personal relationships       correlation between areas of                 flood risk, road accidents and
                                        • communities                             deprivation and poor environmental           presence of ‘regulated sites’.
                                        • health                                  quality, with some startling results.
                                        • financial & personal security                                                        A couple of the qualitative indicators
                                        • rewarding employment                                                                 give us a good handle on issues of
                                        • healthy & attractive environment                                                     perception, such as perceptions of
                                                                                                                               anti social behaviour, or self reported
                                        The wellbeing indicator is just one                                                    general health. With health, for
                                        of the 68 sustainable development                                                      example, over 90% of boys and girls
                                        indicators which are published                                                         aged under 15 rate themselves as in
                                        annually in ‘Sustainable development                                                   good or very good health, whereas
                                        indicators in your pocket’ and on                                                      this falls to around 70-75% of men
                                        Defra’s website, as easy to read pie                                                   and women in the general population.
                                        charts and graphs with traffic light
                                        assessments of progress. The 68                                                        The main wellbeing indicator which
                                        indicators already include wellbeing                                                   came into effect in 2007 has the
                                        measures such as fear of crime,                                                        following as part of its cluster of
                                        numbers of workless households and                                                     measures:
                                        rates of suicide, which demonstrate
                                        the mix of qualitative and quantitative   Each column is 1/10th of the                 • Overall life satisfaction
                                        data that contributes to understanding    population by area of deprivation,           • Overall life satisfaction by
Wellbeing indicators - what do we       wellbeing.                                and the colours represent 1, 2, 3 or         social grade
measure and what can it show?                                                     4 environmental conditions that are          • Satisfaction with aspects of life
                                        The framework of wellbeing that was       ‘least favourable’ (meaning in the           • Satisfaction with aspects of life,
When the 2005 Sustainable               agreed across Government covers the       worst 10% in England. So in the least        by social grade
Development Strategy was published      following:                                deprived/most affluent areas about           • Satisfaction with aspects of life,
in 2005, Government committed to                                                  30% of the population live in areas          by age
looking holistically at wellbeing, to                                             where there is one or possibly two           • Frequency of positive and
see what is might mean for policy                                                 environmental issues that that may           negative feelings
and how it might be measured. A                                                   be least favourable. By contrast in the      • Frequency of positive and
cross-Government group identified                                                 most deprived areas over 80% of the          negative feelings, by social grade
measures to contribute to a basket                                                population live in areas that may be         • Frequency of feelings or activities
of wellbeing indicators. A common                                                 affected by at least one environmental       which may have a positive or
understanding of what wellbeing is                                                condition that is least favourable. The      negative impact on wellbeing
was established:                                                                  correlation between deprivation and          • Level of participation in sport
                                                                                  poor environmental quality is shown          • Access to green space
• positive physical, social and                                                   to be strong. Conditions examined are        • Level of participation in
mental state                                                                      air quality, river water quality, housing    other activities
• individuals have a sense of purpose                                             conditions, fly-tipping, litter, detritus,   • Positive mental health


06
Health, Wealth and Happiness: what makes a prosperous region?


The overall life satisfaction (on                                                         But the variation from the average is       Finally, the ‘happiness’ questions.
a scale from 0 to 10)                                                                     plotted on the horizontal axes. These       This slide highlights different feelings
consistently show an average                                                              are coloured according to socio-            felt every day or most days over the
around 7 and the most                                                                     economic group. The orange group            preceding 2 weeks. 73% of people
common score being 8 out of                                                               (group E - casual labourers, state          had felt happy, but only 60% of group
10. But the more informative                                                              pensioners, unemployed) has around          E (casual labourers, state pensioners,
element is perhaps the difference                                                         10% fewer people being satisfied for        unemployed) said they had felt happy
in perception between the red                                                             almost all the aspects - particularly so    every day or most days. The response
columns (managerial and                                                                   in relation to relationships, standard      for ‘engaged’ varied considerably with
professionals), through to the                                                            of living, day to day activities, health,   up to 75% of group A (managerial)
orange columns (people who                                                                achievement of goals and future             feeling engaged but as low as 48%
have never been in paid                                                                   financial security. By contrast, around     for Group E. The results for ‘everything
employment). The highest                                                                  5% more people in this group than the       was an effort’ also highlighted a
orange columns is also on level 8/10                                                      average were satisfied in relation to       marked difference for group E with
but never rises above 18% of                  The following slide shows the details       feeling part of their community.            with 22% agreeing to this statement,
respondents and is more spread across         of satisfaction with different aspects                                                  against 11% for Group A.
5/10 through to 10/10. The managerial         of life. Eleven aspects on the left         This graph illustrates results that
column (red) by contrast peaks                (from relationships to community), are      change as people move through
significantly at 8/10 with 30%                qualitatively rated, and the variation in   different life stages (based on results
of respondents selecting this:                the answers is shown. So, on average        for different age groups). Standard
                                              88% of the population were fairly or        of living stays at around 80-85% of
                                              very satisfied with their relationships,    people fairly or very satisfied, until
                                              86% their accommodation, 85% their          they hit around age 55 or so when it
                                              standard of living etc.                     rises to over 90%. Similarly, the results
                                                                                          for ‘ability to influence own life’ curve
                                                                                          upwards at this age - in this case after
                                                                                          a steady downward trend since the
                                                                                          early 20s.

                                                                                                                                      In summary, if the South West region
                                                                                                                                      is keen to develop its own set of
                                                                                                                                      wellbeing indicators, I would very much
                                                                                                                                      recommend capturing some from
                                                                                                                                      the national set. Wellbeing does not
The good news for the South West of                                                                                                   have a single indicator it is a basket of
England, is that the local populations’                                                                                               indicators, and I hope these examples
overall dissatisfaction with their lives is                                                                                           have shown the richness of information
the lowest across England. So the                                                                                                     that can be captured from different
factors that bring people a good quality                                                                                              groups of society, which can be very
of life are clearly high in this region.                                                                                              helpful for targeting policy interventions.


                                                                                                                                                                          07
DR GABRIEL SCALLY                                                                                                Health, Wealth and Happiness: what makes a prosperous region?

                                              skills, opportunities, physical              • develop and implement robust, reliable          6. Education
                                              environment, capability, social support      measures of social connections, political         7 Environmental Diversity
                                                                                                                                              .
                                              and social capital, service provision,       voice, and insecurity that can be shown           8. Living Standard
                                              relative income inequality and financial     to predict life satisfaction                      9. Governance
                                              capability. The review also highlights       • assess inequalities in a comprehensive          The index is “generated to reflect the
                                              a number of issues which affect the          way in all the dimensions                         happiness and general well-being of the
                                              quality and selection of indicators to       • assess the links between various                Bhutanese population more accurately
                                              measure health inequalities. These           quality- of-life domains for each person,         and profoundly than a monetary measure.
                                              include importance, feasibility and          and this information should be used               The measure will both inform Bhutanese
                                              cost, availability, clear relevance to       when designing policies in various fields         people and the wider world about the
                                              interventions, technical issues, criteria/   • provide the information needed                  current levels of human fulfilment in
Understanding and measuring                   guidance, smallest population for            to aggregate across quality-of-life               Bhutan and how these vary across
health, wealth and happiness                  which indicator is reliable, information     dimensions, allowing the construction             districts and across time, and will also
                                              governance, impact, indicator sets and       of different indexes                              inform government policy. (Ura, 2008)
                                                                                                                                                                        ”
When understanding the interactions           data sources. (Marmot, 2010)                 • incorporate questions to capture
between health, wealth and happiness                                                       people’s life evaluations, hedonic                Ura (2008) argues that the reason for
it is important to consider two main          Additional evidence which argues             experiences and priorities                        measuring all of the dimensions is that
factors. Firstly, that “health is a state     for a need to “shift emphasis from           • assess sustainability using a well-             happiness does not depend on any
of complete physical, mental and              measuring economic production                identified dashboard of indicators                individual aspect, but “having sufficient
social well-being and not merely the          to measuring people’s well-being”            • develop a set of physical indicators            achievements in each of the 9 dimensions” .
absence of disease or infirmity” (World       comes from the recent Report by the          covering the environmental aspects of
Health Organization, 1946) but also that      Commission on the Measurement                sustainability. In particular there is a          The evidence presented shows that well
“human health is a subsystem of the           of Economic Performance and Social           need for a clear indicator of our proximity       being is not dependent on any one single
Earth‘s health. You cannot have well          Progress (2009). The report also argues      to dangerous levels of environmental              issue. We must therefore move towards a
humans on a sick planet. (Berry, 2003)
                             ”                that it is important to:                     damage. (Commission on the Measurement of         far more holistic notion of health, wealth
                                              • distinguish between an assessment          Economic Performance and Social Progress, 2009)   and happiness, because the factors that
These statements highlight the fact           of current well-being and an                                                                   influence these outcomes are many.
that health, wealth, happiness, society       assessment of sustainability, whether        One set of indicators based on the
and sustainability are intrinsically linked   this can last over time                      concept that well-being is determined             An example we could learn from is
and fundamentaly dependent on one             • look at income and consumption             by wide and varied influences is the              Freiburg, in the Rhine Valley, where
another.                                      rather than production, when                 Gross National Happiness (GNH)                    planning decisions are made with a focus
                                              evaluating material well-being               Index developed in Bhutan. The index,             on the well being of the population,
The recent Marmot Review of                   • emphasise the household perspective        inaugurated and launched by the Prime             ensuring that developments are:
health inequalities also provides             • consider income and consumption            Minister of Bhutan in 2008, is made up            • making places to live fulfilled lives
strong evidence that the social and           jointly with wealth                          of the following dimensions:                      • supporting community interaction
environmental dimensions which                • give more prominence to the                1. Psychological Well-being                       • prioritising the ease of local movement
influence health are wide and varied.         distribution of income, consumption          2. Time Use                                       • paying particular attention to the role of
These include adequate standards of           and wealth                                   3. Community Vitality                             public transport. (WHO Collaborating Centre
living, decent work, fair employment,         • broaden income measures to non-            4. Culture                                        for Healthy Cities and Urban Policy and South West
a good start, education, appropriate          market activities                            5. Health                                         Regional Public Health Group, 2008)



08
MATTHEW TAYLOR                                                                                   Health, Wealth and Happiness: what makes a prosperous region?

                                                                                individuals and communities so that    represented in the mass media).
                                                                                not only do they have more control,
                                                                                not only does more of the money        It is in organisations - at work, in
                                                                                circulate in those communities         clubs and charities - that we close
                                                                                but the resources enable people        this distance between personal
                                                                                to move from dependency to             efficacy and social pessimism.
                                                                                independence.                          So an important question for the
                                                                                                                       South West Observatory is how
                                                                                Third, we need to encourage people     institutions in the region operate. Are
                                                                                to behave in ways which enhance        they innovative, open and inclusive
                                                                                what David Halpern has called the      or hierarchical, bureaucratic and
                                                                                hidden wealth of nations. This is      conservative?
                                                                                the web of goodwill, trust, caring,
                                                                                reciprocity and volunteering that      Last week I was at a meeting in the
                                                                                largely determines the health of       West of England to discuss issues
                                                                                society. Human beings are naturally    facing small market towns. Too
                                                                                inclined to empathy and reciprocity    much of the talk was about how the
                                                                                - we developed these instincts in      towns suffer from the failures of
                                                                                small homogeneous communities          policies set down by central or local
                                                                                but now live in diverse, fast moving   government. Yet, any of these towns
One way for the South West to think      we face, giving decision makers at     mass societies. What are the new       could transform their prospects
about future challenges is to ask        all levels permission to make the      ways of growing and protecting         by increasing their own structures
what model of citizenship is needed      right choices for the long term and    social capital?                        of challenge and support. If local
for the region to be successful. In      also recognising that the options                                             businesses were more innovative,
the face of the short term problems      open to them depend a lot on how       In seeking to promote a sustainable    if local social networks were better
of public service funding and rising     we run our lives. For example, the     model of citizenship what happens      exploited, if local people themselves
social needs, the longer term            trade off between economic growth      in organisations is crucial. There     got together to develop new ideas
challenge of climate change and finite   and environmental sustainability       is a gulf between how we feel          and commit to a shared vision
natural resources, and the overall       can be less difficult if individuals   about our own lives and our            then so much could be achieved
context of globalisation, how do we      and communities agree to do things     view of society as a whole. We         despite the failings of town hall and
need to live to prosper?                 differently.                           tend to be optimistic (if anything     Whitehall.
                                                                                too optimistic) about how our
There are three dimensions to            Second, we need more creative          own lives will go while we are         Of course, government policy
creating sustainable citizenship         and resourceful citizens. There are    far too pessimistic about what         matters to the region’s future,
for the twenty first century. We         implications here for education, for   is happening in society at large.      as does the state of the national
need citizens who are engaged            the way we deliver public services     Equally, while we tend to be           economy and the global environment.
in decision making. This doesn’t         and for promoting and supporting       tolerant and understanding about       But the most powerful place to start
only, or even mainly, mean turnout       enterprise. For example, how can we    the people we know we can be           this conversation is asking how we
in elections. It is about people         change the way we spend public and     judgemental and harsh about            need to live if we are to create the
understanding the kinds of issues        third sector money on disadvantaged    strangers (especially as they are      better future to which we aspire.


                                                                                                                                                         09
NIGEL F JUMP                                                                                           Health, Wealth and Happiness: what makes a prosperous region?

                                           Whilst we may debate what                we need to be aware of “money            £250,000 bonus feels hard done by
                                           “remunerated work” means, it is          illusion” over time and space. If I      when his colleagues get £500,000
                                           hard to deny its role as a basis for     have £10 now and you had £5 thirty       even though, in any wider sense, he
                                           sustainable welfare for individuals      years ago, you might have been           is prosperous. At another extreme,
                                           and groups across space and time.        “better off” then than I am now,         concern about relative prosperity is
                                           Academic and research studies of         in the sense that your purchasing        behind the importance people put on
                                           health, wealth and happiness are         power may have been greater.             national collective bargaining in the
                                           clear that economic or financial         Similarly, £5 to spend in a relatively   work place.
                                           prosperity are the bedrock of much       poor, developing country in 2010
                                           human activity. Of course, we can        may buy a lot more than £10              • Asymmetric prosperity
                                           extend these traditional measures        spent in central London. Absolute        Financial prosperity relative to our
                                           to better reflect other welfare          prosperity, then, needs to be            neighbours is not all that matters.
                                           issues, as the English RDAs have         measured against some concept of         People are also concerned about
                                           done with the development of             reality; its implied access to real,     direction: they seem to value things
                                           the Regional Index of Sustainable        valued resources.                        differently according to whether
                                           Economic Wellbeing, but we can                                                    they are rising or falling. To explain,
                                           not replace them entirely. In            • Relative prosperity                    if I earn £10 an hour and then get a
                                           environmental, social and cultural       People are not just interested in        raise to £12 an hour, I will be pleased
What is prosperity?                        terms, human satisfaction is rooted      their absolute prosperity, however.      in the short term but I will quickly
                                           in the removal of fundamental            They also care about their relative      get used to the new wage rate and
Prosperity can be defined in many          economic concerns because that           prosperity. It is not just how           soon “take it for granted” If the
                                                                                                                                                         .
ways. Here, I concentrate on one           then allows the building of higher       much I have but how much I have          extra £2 an hour is then removed,
important aspect: “a successful,           aspirations and ambition - known as      compared with other people that          whatever the reason, I will be
flourishing or thriving … especially       culture.                                 can affect my contentment. A             dissatisfied and the hurt will last.
in financial respects. Whilst it is
                      ”                                                             famous experiment at Havard              For many people, the pain of losing
not everything, financial prosperity       It is useful to dig deeper into the      showed that students offered             income often seems to be greater
is a crucial part of overall well-being.   economic psychology of what              a smaller absolute amount of             than the pleasure of acquiring it:
Indeed, I would argue that it is a         people mean by prosperity. We            money preferred that to a larger         we are asymmetric in our response
sine qua non for health, wealth            can recognise five different ways        amount when their peers were             to changes in prosperity. This has
and happiness. Whatever the flaws          of looking at this issue; all of which   given less rather than more than         very real consequences, as we can
of GDP/GVA as comprehensive                have evidence to support them,           them. In figures, for example, they      see in the various disputes currently
indicators of these three factors,         but are also areas of debate. I use      thought it was better to have $100       underway in the UK transport sector
they are an important component            money as the measuring stick:            if everyone else got $50 than to         and as we may well see to a much
of well-being, representing a clear        it is the best tool we have as an        have $150 when everyone else got         greater extent as the government
measure of the income rewards of           objective ruler to compare value.        $200. We see this relative affect        tries to cut our public sector cloth
work effort available to households                                                 in many situations, e.g. when we         back towards our means in the next
and individuals. They attempt to           • Absolute prosperity                    rue the “inequity” of differentials      few years.
capture the “what we get out               If I have £10 and you have £5, I am      in wages and bonuses within
for what we put in” of human               probably more prosperous than            organisations and societies. The         • Intergenerational prosperity
endeavour.                                 you in absolute terms. However,          investment banker who gets a             This asymmetry can extend

10
Health, Wealth and Happiness: what makes a prosperous region?

backwards and forwards a long way.                                                                                    the long term. I would argue that,
Most of us are “better off” than                                                                                      though imperfect, it has proved
our parents and they were “better                                                                                     better than any alternative at
off” than our grandparents. Most                                                                                      solving the great intergenerational
of us aspire for our children and                                                                                     issues of the day. Society needs
grandchildren to be “better off”                                                                                      to recognise property rights and
than ourselves. Is this fundamental                                                                                   to balance market power and
to human nature or a consequence                                                                                      information with optimal regulation.
of the period of growth we have                                                                                       Generating institutional trust,
experienced in the last 150 years?                                                                                    thereby, the market offers the SW
These intergenerational matters play                                                                                  region robust hopes for sustained
a key role in many important matters                                                                                  prosperity in the years ahead.
that we currently face. Climate
change, for example, is partly about
intergenerational prosperity. We can
take the approach “live for today and
let tomorrow look after itself” or we
can say “I will sacrifice some of my
prosperity for future. Essentially,
                       ”
we make these decisions about
value over time every day when
we decide to spend, to save and to      lessons of sustainability in wealth   innovation to entrepreneurship and
invest and when we vote for “jam        accumulation.                         competitiveness. On the demand
today” or “jam tomorrow”    .                                                 side, this means the evolution of
                                        Assuming these five aspects of        values to reflect new scarcities,
• Sustained prosperity                  prosperity ring true, we can return   needs and aspirations.
These quasi-political issues take       to the essential argument that
us to the final aspect of prosperity.   economic prosperity is part of our    Against this background, our
Many people prefer a degree of          make up and an essential part of      fiscal and monetary levers needs
certainty in their income stream.       a sustainable future. Economic,       to foster personal incentives,
There can be no “steady state”          social and environmental aspects of   aspiration and motivation. Policy
but one only has to think what has      health, wealth and happiness can      has to work with the market: a
happened to people’s consideration      not be divorced from each other. In   system in which exchange creates
of health, wealth and happiness         turn, given increases in population   value and “putting aside today
during the recession to understand      and productivity over time, it        for the benefit of tomorrow” is at
how important sustained prosperity      implies that, for the foreseeable     the heart of human activity. At its
can be for many. Mind you, given        future, growth will remain a key      best, this “capitalism” is not about
the UK proclivity to indulge in         element of human reality. On the      accumulating “stuff” and instant
repeated property booms, you have       supply side, this links through       gratification. Rather, it is about
to ask whether we really learn the      employment, skills, technology and    development and prosperity for


                                                                                                                                                        11
DAME SUZI LEATHER                                                                                 Health, Wealth and Happiness: what makes a prosperous region?

                                        capital investment, for growth in
                                        enterprise and an expansion of
                                        the knowledge economy. And they
                                        are right to do so. As we have
                                        seen recently economic resilience
                                        matters. But so too does social
                                        resilience. We are at heart social
                                        and spiritual beings. And if we are
                                        to protect and foster authentic
                                        well-being we need to pay
                                        attention to growing those aspects
                                        of our lives.

                                        A basic psychological need is
                                        to love and be loved. The social
                                        connectedness in which love
                                        is embedded starts with the
                                        family, so I believe that those
                                        commentators who emphasise the
What is prosperity?                     family are right. But I do not think
                                        that strengthening the family can      And so we come to difference and            in inequality and to look beyond the
To prosper means to thrive, to do       be divorced from public policy; nor,   inequality itself. How is this related      culture of personal contentment
well, to succeed. It does not mean      in my view, does a strong state        to prosperity? The answer, as Richard       to a concern for those who do not
to get, or be, rich. Indeed the drive   imply weak families.                   Wilkinson and Kate Pickett have so          share in comparative well-being. To
for riches is often anathema to                                                brilliantly shown in The Spirit Level, is   be vigilant about the more distant
prosperity. We seem to be almost        Next we require others to              very strongly indeed. More unequal          dangers that result from a short-
hard-wired to want to improve           recognise us, to treat us, as          societies have poorer outcomes              run preoccupation with individual
our lot but when the concept of         having worth. What we might call       whether you measure it by teenage           comfort.
improvement is purely a material        the politics of respect. This is not   pregnancy, drug use, crime, ill-health
notion and when it is based only        just a matter of us each being         (mental and physical), educational          There is a substantial role for
on individual gain then, ironically,    nice to each other in our private      attainment and so on. The forces            government (central and local) in
we begin to drive out precisely that    lives, although that is necessary.     driving increases in inequality are         minimising - through social security,
which underpins true prosperity.        Again, there are public policy         plain – you only have to consider how       state pensions, health care and
So, if we wish to build a prosperous    dimensions: equality of opportunity    inequality has grown in recent times        education - inequality and its
region, what should we aim for?         to education, health and social        in spite of unprecedented amounts           effects. But I am interested also
                                        services, policing, broadband and      of money and effort being devoted to        in informal organisations whereby
There will be others who argue          so on. Underpinning this politics of   combating it.                               we express a concern for the well-
an economic case, who will focus        respect must be a recognition of                                                   being of others, through activities
on jobs and employment, who             diversity and equal opportunities      So seeking prosperity requires us           which lie outside politics and public
will explain the need for inward        regardless of difference.              continually to strive against increases     provision but which nevertheless


12
Health, Wealth and Happiness: what makes a prosperous region?

reflect and advance concern for          So, in a sense, it also is with society.   or the neighbour who will go in and     This matters because we are social
others. The small acts of kindness       Deeper social roots, means richer          sit with an elderly confused parent     beings, we derive our sense of
which show neighbourliness, the          societal loam, better able to help         while their son or daughter gets        ourselves from how others perceive
voluntary organisations which build      individuals withstand the vicissitudes     a break, or the community music         and treat us. And prosperity in the
connectedness, the patchwork of          of life. Reliable, dependable,             group which puts on monthly live        modern world requires a continuing
citizens who do so much to stabilise     adequately funded public services          performances in the village hall,       and resilient intermeshing of
and sustain our social fabric.           may in effect be socially stabilising,     or the environmental volunteer          the myriad communities which
                                         but they will never absolutely replace     who helps clear the drainage ditch      constitute our civic society. We need
So as we try to arrive at a common       in efficacy and reach the authentic,       around that precious land, whether      community organisations strong
articulation of what prosperity          simple and responsive provision of         it’s the avid walker who picks up       enough to secure people’s identities
means let me put the case                charitable activity.                       litter as he strides across the moor,   and relationships.
for including in it: richness of                                                    or the young woman who meets
associational forms. How can we          So whether it’s faith communities,         prisoners through the gate release      I belive that there is a strong case
prosper without that complex social      play groups, older people’s                scheme, these all share something       to be made for regional prosperity
connectedness which constitutes          lunch clubs, environmental or              in common. They all demonstrate a       depending on a healthy third sector
civic society?                           arts organisations, whether it’s           sense of connectedness and mutual       comprising organisational forms
                                         the volunteer who supports the             responsibility. They represent what     which express, foster and cement
A system which allows for few            frightened young parent who is             social science jargon might term        connectedness.
or no social forms between the           overwhelmed by the yo-yo-ing               ‘polyvalent social links’ or, more
individual or family and the state       emotions of caring for a tiny child,       prosaically, ‘social glue’.
is totalitarian. A system which
structures most relations between
individuals through corporations, as
modern Japanese society has done,
is proving to be peculiarly vulnerable
to the new social challenges
of unemployment and aging.
(Interestingly there are now in Japan
deliberate attempts to try to create
and foster civic society.)

So what would a region seeking
prosperity try to foster? An analogy
from climate science might help.
The thickness of soil determines
how much carbon is released to the
atmosphere. A thicker layer traps
more carbon. And what determines
the soil’s thickness? The length of
plant roots.

                                                                                                                                                             13
PROFESSOR KATIE WILLIAMS                                                                                    Health, Wealth and Happiness: what makes a prosperous region?

                                           housing is still delivered in ‘placeless’,    and green space; good public transport       in anything close to the definition
                                           single-use, speculative, developments,        and other transport infrastructure;          of a sustainable community set out
                                           with little urban design or civic merit. In   buildings that can meet different needs      above (Williams and Lindsay, 2007). A
                                           this paper, I ask what is going wrong,        over time and that minimise the use          number of reports have assessed the
                                           and offer some thoughts on what we            of resources; well integrated mix of         UK’s progress and conclude that while
                                           could do to deliver more sustainable          decent homes of different types and          some new housing developments
                                           and prosperous (in the widest sense)          tenures; good quality local public           are performing better than previous
                                           places in the SW.                             services; sense of place; right links        developer norms in terms of urban
                                                                                         with the wider; regional, national and       design, and some aspects of energy
                                           First, is seems useful to set out             international community; sufficient          efficiency, travel behaviour and
                                           exactly what is meant by a sustainable        size, scale and density and the right        community development, they are
                                           community. In the UK, a definition is         layout to support basic amenities            not delivering on community cohesion
                                           used that encompasses both new and            in the neighbourhood and minimise            (many are just remote dormitory
                                           regeneration schemes. Sustainable             use of resources (including land).           settlements), service provision and
                                           communities are argued to have                Summarised from ODPM, 2003, p.5              many other key sustainability features
                                           a mixture of specific physical and                                                         (findings summarised from reports by Williams,
                                                                                                                                      2007; Williams and Lindsay, 2007; Sustainable
                                           non-physical qualities (see the table         Sustainable communities are seen as
                                                                                                                                      Development Commission, 2007; Power 2004;
                                           below); with a fundamental focus on           desirable in the UK because they are a       CLG, 2006; TCPA, 2004, RICS, 2007).
Sustainable and Prosperous                 achieving balanced and integrated             genuine attempt to avoid past failures
Communities in the South West:             social, economic and environmental            in housing and planning. The concept         These same reports offer some
how can we achieve quantity                components. The emphasis is on                has incorporated lessons learnt from         insights into why things are going
and quality?                               housing and other uses, such as               mass social housing, periods of poor         wrong, citing variously, a mismatch
                                           employment, community, and                    design (urban and architectural) and         between delivery partners’ aspirations,
Even given the current economic            education, with a real concern for the        ineffective, property-led, regeneration.     objectives and timescales (particularly
climate, it is likely that there will be   needs of communities now and in               More specifically, sustainable               between regulators and regulated)
large scale housing, and therefore,        the future. Importantly, ‘sustainable         communities are an attempt to                and a lack of local benefits accruing
urban growth in the South West             communities’ are presented as ‘mixed’         address the ‘sustainability agenda’, by      from new developments (which
in the next 20-30 years. Latest            communities, containing, for example,         valuing the environmental, social and        means that new housing is seen as
projections show that the number           social and private housing, a mix of          economic attributes of a scheme              an imposition not a responsibility, and
of households in the Region will           housing forms and household types.            over time.                                   hence treated as a numbers game,
increase by 36% between 2006                                                                                                          rather than an exercise in ‘place-
and 2031. The Government’s stated          A sustainable community has: a                Although we have had pro-sustainable         making’). In these circumstances, sites
aim is to accommodate this growth          flourishing local economy; strong             communities policy guidance for              are often developed speculatively,
in sustainable (and prosperous)            leadership; effective engagement and          over a decade, and the ‘Sustainable          with no detailed or long-term plans
communities: we have had central           participation (especially in the planning,    Communities Programme’ since 2003,           by the local authorities. The problem
government guidance and ‘sustainable       design and long-term stewardship of           evidence of progress on the ground is        with this system is summed up by
communities’-focused policy for over       the community); active voluntary and          disappointing. Although it is difficult to   Liz Pearce, Chief Exec of the British
10 years. Yet, we seem to struggle         community sector; diverse, vibrant and        get a true picture of advances, recent       Property Federation when she states
to deliver, both in terms of quality       creative local culture; safe and healthy      research suggests that only a minority       ‘One of the shortcomings of the
and quantity, and the majority of our      local environment; well-designed public       of all new housing is being delivered        predominant build-for-sale housing

14
Health, Wealth and Happiness: what makes a prosperous region?

model is that the developer does          is not to say that ‘anything goes’ but       design by showing people do not                local authorities have greater local
not retain long-term interest in the      that we need to find housing solutions       necessarily behave more sustainably            autonomy and financial independence,
site. There is no incentive to produce    focused around agreed principles             in so-called ‘sustainable’ housing             and work within more flexible regional
a design better than the minimum          (of sustainable development, such            schemes (Williams et al., 2009). Again, this   planning frameworks. They often lead
needed to make a sale, and issues         as the prudent use of resources              needs careful consideration to ensure          in master planning and engagement.
such as the design of the public          and social equity) but then to realise       we are not repeating past mistakes in          In many instances, local authorities are
realm and long term maintenance           a range of solutions, which could            physical determinism.                          landowners (or have some stake in the
can be sidelined without any impact       include, for example community land                                                         land) and can therefore demonstrate
on profit.’ Further, delivery problems    trusts, more co-housing, small scale         In addition, we need to develop more           leadership, and they can often borrow
were also found with the complexity       developments and also some larger            sustainable and effective delivery             money at cheaper rates from municipal
of the process, including numerous        new settlements. We need to accept           mechanisms. We need to maximise                banks to forward-fund. A wider range
agents, mismatched regulatory and         also that with multiple visions go wide-     what we can do within the current              of house-builders is often involved
funding systems, and poor phasing         ranging actions to achieve sustainable       planning and delivery systems                  (self-procurement groups, private and
of infrastructure and amenities. In       communities, some actions may be             (learning from good practice in the            social landlords, etc), and this gives
addition, private investment was often    top-down and capital intensive, others       UK). We have to maximise the variety           a wider choice of types and tenures
difficult to secure and maintain, and     more community (or individually)             of public-private partnership models           of housing, and more long term
community participation was found to      driven. But we need this sophisticated       that can be used, depending on local           interests. Large scale neighbourhood
be problematic. Many of the reports       vision, delivered by people with             circumstances (Studdert, 2009). We also        developments often have more local
also cite a low skills base, within and   experience and knowledge of                  have to ensure committed leadership            support than in the UK because of
between professions trying to deliver     different models.                            from individuals or organisations that         sustained municipality and community
sustainable communities. And, partly                                                   have medium or long term interests,            involvement, and visible benefits
as a consequence of these problems,       We also need to develop a stronger           rather than short term goals: this could       (op cit).
the sustainable communities agenda        evidence base around sustainable             be from LAs, architects, developers,
is also not meeting housing targets:      communities and act on it. We need           communities or land owners. And we             In conclusion, it is possible, but
housing completions have halved since     to monitor what works and what               have to develop teams with mutual              difficult to deliver truly sustainable
2007 and most completed units have
      ,                                   does not. Unfortunately, much ‘good          interests, with better skilled team            communities in the UK, where people
had some sort of subsidy.                 practice’ is now accepted wisdom, and        members. Project management and                can live prosperous and healthy lives.
                                          is not based on learning or evidence.        community engagement also have                 We need a wider portfolio of options
So, what could we do to deliver better    For example, current policy advice is        to be prioritised from the outset and          than the straightforward build-for sale
quality and quantity? First, I believe    for higher density housing, yet recent       managed so all stakeholders are                model, with more skilled, pro-active,
we need a far more sophisticated          research questions the desirability of       involved early enough in the process.          confident and visionary professionals
and varied vision of what we want         high density developments, showing                                                          involved in delivery. We also need
to achieve. We need to lose the           a correlation between density and            Finally, we need to learn from places          to focus our efforts on what works:
obsession with finding one model of       dissatisfaction with the area (Bramley and   where higher quality and faster                especially taking into account how
sustainable living (see Guy and Marvin,   Power, 2009). This type of evidence has      housing delivery works. We need to             people really want to live. We also
1999). ‘Sustainable’ communities          to be weighed against the strategic          take note of what is happening in other        need to press for higher quality built
can be found in multiple guises, and      benefits of higher densities in a far        countries and see what is potentially          environments, and to seek wider
could include different urban forms,      more considered way. Other new               transferable (see Studdert, 2009; Falk and     changes that move us towards the
designs and scales. And crucially, we     research challenges the conventional         Hall, 2009). For example, in countries         benefits of some the European
must find more local solutions. This      wisdom on sustainable neighbourhood          such as Germany and Sweden                     delivery models.


                                                                                                                                                                        15
SIMON MAUGER                                                                                    Health, Wealth and Happiness: what makes a prosperous region?

                                         Despite education policies that have       when futures thinking feels a            In a ‘prediction culture’ educators
                                         sought to ever more closely tie            confirmatory exercise rather than an     are politically contracted to adapt
                                         students’ educational experiences          exploratory one; for futures thinking    and modernise to prepare students
                                         to their future economic activities,       is by definition a starting point, not   for futures designed and decided
                                         there is in fact very little opportunity   a means of setting out a repertoire      elsewhere; discouraged from actively
                                         for students to meaningfully reflect       of solutions. It is an ‘open process’,   exploring the features of social or
                                         upon their individual and collective       involving understanding the nature       technological change historically
                                         futures in schools, colleges and           of uncertainty, inclusive of allowing    and in contemporary society.
                                         universities, and limited support for      the qualitative and emotional drivers    The education institution is no
                                         them to develop positive strategies        as well as the quantitative and          longer seen as a site within which
                                         for shaping and directing their future     more rehearsed evidence. But we          alternative ideas for the future can
                                         trajectories. Instead, young people’s      have contemporary obsession with         be shaped and generated. This is
                                         experiences of preparing for their         quantitative indicators as opposed       unhealthy both for the institutions
                                         futures may be characterised by            to qualitative understanding and a       and for the individual.
                                         careers guidance acknowledged              prolonged focus on the quantitative
                                         as inadequate, and by pessimistic          generates short-sightedness and          With each new government, an
                                         visions of future catastrophe at a         overbearing attention on the present     alternative social future is presented
Health, Wealth and Happiness             global and societal level, resulting
and Futures Thinking*                    in children overly optimistic about
                                         their chances of achieving fame
We live in uncertain times. In           and fortune and overly pessimistic
our internal worlds we are very          and passive in the face of global
familiar with futures thinking - we      concerns.
plan our future, rehearse possible
situations, and we develop internal      More fundamentally, there is
dialogues that can propose and argue     ambivalence in our culture that
viewpoints. At a psychological level     on one hand proposes high levels
this is a very necessary and healthy     of uncertainty (environmental,
process. These are skills are closely    social, economic), while suggesting
associated with our mental wellbeing     paternalistic political models to be
and our capacity to interface with       in charge of solutions, if only we
the external world, nurturing and        agree and comply. Futures thinking
applying the strategies and tactics      is misrepresented as being about
that we need to survive and flourish.    prediction, prescribing ‘answers’ so
Many therapies are essentially based     that stakes can be claimed. The real
on working to develop this capacity.     empowerment of citizens actually
But to what extent does society,         engaging with uncertainty is not
and in particular education, assist us   politically proposed as a matter for
develop these skills, or indeed even     mature citizen involvement. In this
acknowledge them?                        culture, we should be suspicious


16
Health, Wealth and Happiness: what makes a prosperous region?

and with these future visions,            strategies for responding to,        of whatever age to understand            * This Paper is both a summary
new responsibilities for education,       shaping and adapting to socio-       how best they might contribute           of and development from a
skills and learning are proclaimed        technical change? How do             individually and collectively to         Discussion Paper prepared for the
- prepare ‘good citizens’, ensure         we move beyond either naïve          imagining, building and shaping          ESRC Education Futures Seminar
workplace skills, teach sustainability.   complacency or blind pessimism       alternative futures for themselves,      Programme 2010, co-authored by
Analysis of representations of the        in building our understanding        their communities and their planet.      Professor Keri Facer, Professor
future in policy, however, suggests       about possible social futures        So, to fully equip individuals           Anna Craft, and Simon Mauger.
that these future visions are more        and education’s role in shaping      to engage with their possible
likely to be rhetorical than premised     these? And how do we equip           futures, to explore their current
upon thoughtful, democratic and           individuals, institutions and        situation and possible trajectories,
considered examination of possible        education systems to debate          to rethink how their past leads to
social change. The transformation of      and create the desirable social      their present, is a radical challenge
‘the future’ into a rhetorical device     and educational futures that         to current temporal stances in
in political discourse rather than an     they may imagine? What we do         education and for learning through
emergent reality of social change         know at present is that in our       life, but it is fundamental to the
has a number of implications: it          culture there are limited external   health, wealth and happiness of
treats the future as something that       tools to support individuals         our region.
can be mobilised at will rather than
a consequence of our contemporary
actions and decisions; it militates
against the careful questioning of
the evidence and ideas used to
inform these future visions; and
it discourages examination of the
diversity (or more often, uniformity)
of voices involved in producing ideas
of the future. In short, it provides a
very poor basis for any attempts to
plan or prepare us for the complex,
contested and uncertain futures we
will undoubtedly have.

How might those concerned with
education and learning through life
contribute to developing thoughtful
engagement with future possibilities?
How do we draw on the lessons
learned from our existing research
traditions to enhance education’s
capacity for developing informed


                                                                                                                                                         17
JONATHON PORRITT                                  CBE                                                 Health, Wealth and Happiness: what makes a prosperous region?

                                         of the British economy will not only
                                         address issues such as climate change
                                         and peak oil, but it will also support
                                         the development and growth of
                                         completely new industries and, with
                                         that, new investment and new jobs.

                                         Let us just take a look at one feature
                                         of this process, the campaign to
                                         improve the energy efficiency of
                                         existing homes (often referred to as
                                         “The Great British Refurb”), which
                                         some commentators predict will
                                         become the UK’s largest single
                                         engineering project since the Second
                                         World War. Our homes are responsible
                                         for around 27% of the country’s
                                         carbon emissions; and all the main
                                         political parties now acknowledge
Practically realising prosperity         that action to improve the energy          the regional economy of the South         renewal of our poorest communities
                                         efficiency of existing housing is an       West have been undermined and             we MUST prepare!
For society to prosper there is a        essential component of the nation’s        rendered less resilient by the collapse
role for government in supporting        strategy to meet our carbon reduction      of its manufacturing base. But here,      Our government and its agents,
communities and addressing the           commitments.                               with the demand created by the desire     (including the banks....we own them
evil of poverty.                                                                    to improve over 25 million existing       and as a result we find ourselves
                                         Predictions based on the experience        homes, we are in serious danger of        in a once-in-a-lifetime position to
One of the most important                of our neighbours in Europe,               creating a new manufacturing ‘sector’.    influence their investment policies)
features of a modern and resilient       particularly the Germans, who are                                                    must respond with a concerted
economy is its ability to provide        now eighteen years into a serious          Clearly this is a major opportunity,      strategy designed to support
access to sustainable, properly          ‘retrofit’ of their housing stock,         a real example of how the recovery        business and ensure this programme
paid employment. In the past, a          indicate that such a programme is          from this current recession can be        is supplied with the resources it
legitimate criticism of a great deal     likely to create over 200,000 jobs. Add    genuinely ‘green’. However these          requires. In addition we must also
of green politics has been that it       to this the potential benefits that new,   things don’t happen by themselves.        respond with investment to develop
ignored this essential requirement,      cheap sources of energy will bring         In order to ensure that the UK and        the skills and knowledge of the
and I believe this has undermined        to the significant proportion of the       the South West does benefit from          workforce, not only targeting existing
the ability of green campaigners to      UK population who are experiencing         this opportunity and, perhaps more        industries, but also unemployed
appeal to the core of British opinion.   problems heating their homes. This         importantly from a sustainable            people and those communities
                                         is amazing!                                development point of view, in order to    who have faced exclusion from the
Today, I am very happy to say, things                                               ensure that those benefits contribute     employment opportunities of the past
have changed; the decarbonisation        There is little doubt that the UK and      to the sustainable regeneration and       few decades.

18
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Gabriel Scally                       Katie Williams                            Many thanks to the speakers                Front cover and conference
Berry, T. (2003). The Mystique of    Bramley G and Power S (2009)              who gave presentations and/or              photography by James Hembrow,
the Earth. Caduceus, Spring 2003     www.CityForm.org; CABE (2009) who         took part in panel debates at this         Captured Studios
(Issue 59).                          Should Build Our Homes?, CABE 2009;       conference, and especially those           www.captured-studios.co.uk
Commission on the Measurement        CLG (2007) Eco-Towns prospectus,          who contributed to this report.
of Economic Performance and          www.communities.gov.uk;                                                              Conference design by
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Marmot, M. (2010). Fair Society,
Healthy Lives - The Marmot
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                                                                                                presentations
                                                                                               SOUTH WEST OBSERVATORY
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Review. The Marmot Review.
Ura, K. (2008). Explanation
                                     Eco-towns: The Economic Issues,
                                     URBED; Falk N (2008) Making Eco-                     SPONSORS
                                                                               download from www.swo.org.uk/
                                                                               events/conference-2010
                                                                                                                          Published August 2010
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of GNH Index. Retrieved              Towns work: Developing Vathorst,
une 10th, 2010, from Gross           Amersfoort NL; Guy S and Marvin
National Happiness - The Centre      S (1999) Understanding Sustainable
for Bhutan Studies: www.             Cities: Competing Urban futures,
grossnationalhappiness.com/          European and Regional Studies, Vol.6,
gnhIndex/intruductionGNH.aspx        No.3, pp. 268-275; ODPM (2003)
WHO Collaborating Centre for         Sustainable Communities Plan, www.
Healthy Cities and Urban Policy      communities.gov.uk; Studdert (2009);
and South West Regional Public       Williams K (2010) Sustainable Cities,
Health Group. (2008). South          research and practice challenges,
West England Freiburg Study          International Journal of Urban
Tour, Summary Record and Photo       Sustainable Development, 1(1);
Report.                              Williams, K, Lindsay, M, Dair, C (2009)
World Health Organization. (1946).   Neighbourhood Design and sustainable
Preamble to the constitution of      Lifestyles, in Jenks M and Jones C
the World Health Organiszation       Dimensions of the Sustainable City,
as adopted by the International      Springer. Williams and Lindsay (2007)
Health Conference, New York, 19-     The Extent and Nature of Sustainable
22 June, 1946. WHO.                  Building in England: An Analysis
                                     of Progress, Planning theory and
                                     Practice, 8(1), pp 27-45; Williams K
                                     and Dair C (2007) What is Stopping
                                     Sustainable Building in England?
                                     Barriers Experienced by Stakeholders in
                                     Delivering Sustainable Developments

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Health, Wealth and Happiness: Conference Essays

  • 1. Conference Essays 2010 Health, Wealth and Happiness: what makes a prosperous region?
  • 2. What do we envisage when we wish each other a prosperous New Year? How can we make it happen here and now? The South West Observatory’s 7th Annual Conference brought together a broad range of expertise to consider how distinct notions of prosperity are correlated, how to articulate and measure a common understanding of prosperity, and how to bring it about. The South West Observatory is a data and intelligence network, working to inform policy and decision making through the exchange of ideas beyond thematic and spatial boundaries. With a combination of presentations and ‘question time’ style debate, the conference gave delegates the opportunity to understand and explore the interrelationship of public policy objectives. The event programme, session summaries, speakers’ biographies and presentations from the day SW are available to view or download from www.swo.org.uk/events/ SOUTH WEST OBSERVATORY conference-2010 Health, Wealth and Happiness: What Makes a Prosperous Region? South West Observatory 7th Annual Conference The Assembly Rooms, Bath Wednesday 31 March 2010
  • 3. CONTENTS Health, Wealth and Happiness: what makes a prosperous region? 02 Introduction Vinita Nawathe • Managing Director of the South West Observatory 04 Robert Kennedy speech 05 Understanding and measuring Professor Martin Boddy • Chair, SWO health, wealth and happiness Board and Executive Dean, Faculty of Environment and Technology, UWE 06 Sustainable Development Indicators Dr Sara Eppel • Head of Sustainable and Wellbeing Measures Products and Consumers, Defra 08 Understanding and measuring Paul Brown • Deputy Director health, wealth and happiness (on behalf of Dr Gabriel Scally, Regional Director of Public Health for the South West) 09 Developing a principled prosperous Matthew Taylor • Chief Executive, society and releasing human potential Royal Society for the Encouragement of Arts, Manufacture & Commerce (RSA) 10 Panel debate: What is prosperity? Nigel Jump • Chief Economist, South West Regional Development Agency 12 As above Dame Suzi Leather • Chair, Charity Commission 14 Sustainable Communities in the Professor Katie Williams • Director of South West - how can we achieve the Centre for Environment & Planning, quantity and quality? UWE 16 Health, Wealth and Happiness, and Simon Mauger • Regional Programme Futures thinking Director (South West), NIACE 18 Practically realising prosperity Jonathon Porritt CBE • Former Chair, Sustainable Development Commission and Founder, Forum for the Future 19 Bibliography and Acknowledgements 01
  • 4. VINITA NAWATHE Health, Wealth and Happiness: what makes a prosperous region? At the heart of SWO is a social enterprise set up to develop and co-ordinate an intelligence network that supports and enhances the work of its members. The SWO network is made up of publicly funded bodies that provide data, analysis and research mostly within, and about, the South West. It achieves efficiencies through sharing best practice and resource, Better Information, Better avoiding duplication and getting Understanding, Better Decisions bigger bang for buck through joint working and joint commissioning. The South West Observatory (SWO) promotes evidence-based In our view, evidence - data, policy making. research and analysis - are weapons in an armoury. Evidence While this is not contentious does not replace decision- in principle, there can be some making, it helps it. The stronger resistance from some policy your evidence the stronger and decision makers. For some, your argument, the more you evidencing everything sounds understand the better prepared technical, dull and slow, while for you are for counter-argument. some others, evidence is only useful if it backs up the decision However, decisions can still be already made - so called policy- made on gut instinct, for political based evidence. expediency, or despite some evidence - and can still be the The challenge for the South West right decision in a given situation. Observatory is in promoting the Evidence goes beyond hard role of evidence beyond a nice to statistics and measured indicators have add-on - especially for those and is the sum of all the available who believe politicians are elected information including knowledge to “do things” and quickly - to an about public perceptions, integral, informing, authority-giving preferences and behaviour and must-have part of the policy- the past and likely outcomes of making process. contiguous policy interventions. 02
  • 5. Health, Wealth and Happiness: what makes a prosperous region? One of our aims at SWO is to Robert Kennedy was a common facilitate functional conversations inspiration for some, and so his - between researchers and policy 1968 speech at the University of makers, across policy silos and Kansas kicks off this tour of ideas. sector perspectives. To that end, we arrange technical workshops, I hope this collection of views policy seminars and an annual provides food for thought, adds conference to share knowledge to understanding and ultimately and expertise from within and informs some good policy and beyond our network. We want to decision making. avoid the situation where an expert in any particular field sees a newly To paraphrase a colleague at the announced policy or decision and Public Health Observatory in a says (to themselves or the press) World Cup year, here at SWO, “They wouldn’t have done that if we aim to provide you with the they’d known what I know!” football to kick around, but you play your own game and score The theme for our conference in your own goals. March 2010 was Health, Wealth and Happiness; what makes a prosperous region. It brought together a broad range of expertise to consider how distinct notions of prosperity are correlated, how to articulate and measure a common understanding of prosperity, and how to bring it about. The range of ideas and viewpoints on the day certainly started some conversations. With many people currently grappling to express a collective aspiration in 2010 terms, we had a lot of requests for the day’s ideas to be captured and taken forward. I am pleased that nine of our speakers were able to turn their talks into essays to share with delegates and a wider audience. 03
  • 6. ROBERT KENNEDY SPEECH Health, Wealth and Happiness: what makes a prosperous region? “Too much and for special locks for our Yet the gross national in short, except that too long, we seemed doors and the jails product does not allow which makes life to have surrendered for the people who for the health of our worthwhile. personal excellence and break them. It counts children, the quality of community values in the destruction of their education or the And it can tell us the mere accumulation the redwood and the joy of their play. everything about of material things. loss of our natural It does not include the America except why wonder in chaotic beauty of our poetry we are proud that we Our Gross National sprawl. It counts or the strength of are Americans.” Product, now, is over napalm and counts our marriages, the $800 billion dollars a nuclear warheads intelligence of our Robert F. Kennedy year, but that Gross and armored cars for public debate or the University of Kansas National Product - if we the police to fight the integrity of our public 18 March 1968 judge the United States riots in our cities. It officials. It measures of America by that - that counts Whitman’s neither our wit nor Gross National Product rifle and Speck’s knife. our courage, neither counts air pollution and And the television our wisdom nor our cigarette advertising, programs which learning, neither our and ambulances to glorify violence in compassion nor our clear our highways order to sell toys to devotion to our country, of carnage. It counts our children. it measures everything 04
  • 7. PROFESSOR MARTIN BODDY Health, Wealth and Happiness: what makes a prosperous region? of economic performance is, 1968 expressed this with great others has focused on self-reported according to the Office of National eloquence. levels of happiness and the factors Statistics, ‘an integral part of the that account for differences in this UK national accounts … a measure Also, in richer countries at least, across time and place. of total economic activity in a the link between output and region’. It measures the total value measures of well-being such as We need to define both our of goods and services (including health, education and job security priorities and objectives and the public sector) produced in a given are at best weak. And paradoxically, measure we use to set targets and time period. Expressed in terms levels of self-reported happiness or chart progress. To polarise things of output per head or output satisfaction with life have not risen there are perhaps four alternatives. per worker, it is a measure of with rising levels of GDP . First: ‘it’s the economy, stupid’, and productivity, the key measure of to quote economist Paul Krugman, ‘competitiveness;’ according to There are four main alternatives ‘productivity isn’t everything but in the Treasury. to GDP each of which embodies , the long run it is almost everything’ different definitions of prosperity and that’s what we should focus Levels of output are strongly linked and well being and, by implication, on. Second: to quote Layard, to income, unemployment, job different goals. First, the Index of ‘happiness is the overarching good’, security, health and life expectancy. Social and Economic Wellbeing and we should focus on the causes And the recent ‘recession’ - provides a single monetary of happiness and our leverage over negative change in GDP for two measure which factors in social them. Third: to quote the Stiglitz quarters - recently reminded us of and environmental costs and the Commission set up by President what happens when output falls positive contribution of unpaid Sarkhozy, ‘measures of well-being and it all goes horribly wrong. caring, volunteering and other should be put in the context of Understanding and measuring factors to provide an alternative to sustainability’ and we should health, wealth and happiness So what’s wrong with that? GDP Second, the United Nations . combine goals of well-being and The problem is that GDP simply has developed indices of human environment. Fourth; to quote Tim How we measure progress is measures the monetary value of development potential which Jackson writing for the Sustainable fundamental to how we define our the goods and services produced combine life expectancy and Development Commission, policy goals. The measures we use, regardless of the benefit - or harm educational attainment with GDP ‘prosperity without growth is no the performance indicators we set - to people and society of what to provide a single numerical index longer a utopian dream. It is a define and shape thinking on where is being produced. It takes no which can be used to compare financial and ecological necessity.’ we should be heading. Prosperity account of the impact of producing places and track change over And we must abandon goals built can be defined in terms of affluence, those goods and services on time. The Department for Food, around output growth and GDP . growth and wealth. But it can also environmental sustainability of Environment and Rural Affairs encompass welfare, wellbeing consumption of non-renewable has developed a ‘score-card’ and happiness - and these are not resources. And it takes no account including 68 indicators spanning necessarily the same thing. of the distribution of benefits the economy, climate change and across society - of inequalities energy, natural resources and Gross Domestic Product, the widely in distribution. Robert Kennedy’s sustainable communities. Finally used ‘official’ headline measure speech in Kansas as long ago as economist Richard Layard among 05
  • 8. DR SARA EPPEL Health, Wealth and Happiness: what makes a prosperous region? • achieve personal goals & participate The slide below illustrates the green space, biodiversity habitats, • supportive personal relationships correlation between areas of flood risk, road accidents and • communities deprivation and poor environmental presence of ‘regulated sites’. • health quality, with some startling results. • financial & personal security A couple of the qualitative indicators • rewarding employment give us a good handle on issues of • healthy & attractive environment perception, such as perceptions of anti social behaviour, or self reported The wellbeing indicator is just one general health. With health, for of the 68 sustainable development example, over 90% of boys and girls indicators which are published aged under 15 rate themselves as in annually in ‘Sustainable development good or very good health, whereas indicators in your pocket’ and on this falls to around 70-75% of men Defra’s website, as easy to read pie and women in the general population. charts and graphs with traffic light assessments of progress. The 68 The main wellbeing indicator which indicators already include wellbeing came into effect in 2007 has the measures such as fear of crime, following as part of its cluster of numbers of workless households and measures: rates of suicide, which demonstrate the mix of qualitative and quantitative Each column is 1/10th of the • Overall life satisfaction data that contributes to understanding population by area of deprivation, • Overall life satisfaction by Wellbeing indicators - what do we wellbeing. and the colours represent 1, 2, 3 or social grade measure and what can it show? 4 environmental conditions that are • Satisfaction with aspects of life The framework of wellbeing that was ‘least favourable’ (meaning in the • Satisfaction with aspects of life, When the 2005 Sustainable agreed across Government covers the worst 10% in England. So in the least by social grade Development Strategy was published following: deprived/most affluent areas about • Satisfaction with aspects of life, in 2005, Government committed to 30% of the population live in areas by age looking holistically at wellbeing, to where there is one or possibly two • Frequency of positive and see what is might mean for policy environmental issues that that may negative feelings and how it might be measured. A be least favourable. By contrast in the • Frequency of positive and cross-Government group identified most deprived areas over 80% of the negative feelings, by social grade measures to contribute to a basket population live in areas that may be • Frequency of feelings or activities of wellbeing indicators. A common affected by at least one environmental which may have a positive or understanding of what wellbeing is condition that is least favourable. The negative impact on wellbeing was established: correlation between deprivation and • Level of participation in sport poor environmental quality is shown • Access to green space • positive physical, social and to be strong. Conditions examined are • Level of participation in mental state air quality, river water quality, housing other activities • individuals have a sense of purpose conditions, fly-tipping, litter, detritus, • Positive mental health 06
  • 9. Health, Wealth and Happiness: what makes a prosperous region? The overall life satisfaction (on But the variation from the average is Finally, the ‘happiness’ questions. a scale from 0 to 10) plotted on the horizontal axes. These This slide highlights different feelings consistently show an average are coloured according to socio- felt every day or most days over the around 7 and the most economic group. The orange group preceding 2 weeks. 73% of people common score being 8 out of (group E - casual labourers, state had felt happy, but only 60% of group 10. But the more informative pensioners, unemployed) has around E (casual labourers, state pensioners, element is perhaps the difference 10% fewer people being satisfied for unemployed) said they had felt happy in perception between the red almost all the aspects - particularly so every day or most days. The response columns (managerial and in relation to relationships, standard for ‘engaged’ varied considerably with professionals), through to the of living, day to day activities, health, up to 75% of group A (managerial) orange columns (people who achievement of goals and future feeling engaged but as low as 48% have never been in paid financial security. By contrast, around for Group E. The results for ‘everything employment). The highest 5% more people in this group than the was an effort’ also highlighted a orange columns is also on level 8/10 average were satisfied in relation to marked difference for group E with but never rises above 18% of The following slide shows the details feeling part of their community. with 22% agreeing to this statement, respondents and is more spread across of satisfaction with different aspects against 11% for Group A. 5/10 through to 10/10. The managerial of life. Eleven aspects on the left This graph illustrates results that column (red) by contrast peaks (from relationships to community), are change as people move through significantly at 8/10 with 30% qualitatively rated, and the variation in different life stages (based on results of respondents selecting this: the answers is shown. So, on average for different age groups). Standard 88% of the population were fairly or of living stays at around 80-85% of very satisfied with their relationships, people fairly or very satisfied, until 86% their accommodation, 85% their they hit around age 55 or so when it standard of living etc. rises to over 90%. Similarly, the results for ‘ability to influence own life’ curve upwards at this age - in this case after a steady downward trend since the early 20s. In summary, if the South West region is keen to develop its own set of wellbeing indicators, I would very much recommend capturing some from the national set. Wellbeing does not The good news for the South West of have a single indicator it is a basket of England, is that the local populations’ indicators, and I hope these examples overall dissatisfaction with their lives is have shown the richness of information the lowest across England. So the that can be captured from different factors that bring people a good quality groups of society, which can be very of life are clearly high in this region. helpful for targeting policy interventions. 07
  • 10. DR GABRIEL SCALLY Health, Wealth and Happiness: what makes a prosperous region? skills, opportunities, physical • develop and implement robust, reliable 6. Education environment, capability, social support measures of social connections, political 7 Environmental Diversity . and social capital, service provision, voice, and insecurity that can be shown 8. Living Standard relative income inequality and financial to predict life satisfaction 9. Governance capability. The review also highlights • assess inequalities in a comprehensive The index is “generated to reflect the a number of issues which affect the way in all the dimensions happiness and general well-being of the quality and selection of indicators to • assess the links between various Bhutanese population more accurately measure health inequalities. These quality- of-life domains for each person, and profoundly than a monetary measure. include importance, feasibility and and this information should be used The measure will both inform Bhutanese cost, availability, clear relevance to when designing policies in various fields people and the wider world about the interventions, technical issues, criteria/ • provide the information needed current levels of human fulfilment in Understanding and measuring guidance, smallest population for to aggregate across quality-of-life Bhutan and how these vary across health, wealth and happiness which indicator is reliable, information dimensions, allowing the construction districts and across time, and will also governance, impact, indicator sets and of different indexes inform government policy. (Ura, 2008) ” When understanding the interactions data sources. (Marmot, 2010) • incorporate questions to capture between health, wealth and happiness people’s life evaluations, hedonic Ura (2008) argues that the reason for it is important to consider two main Additional evidence which argues experiences and priorities measuring all of the dimensions is that factors. Firstly, that “health is a state for a need to “shift emphasis from • assess sustainability using a well- happiness does not depend on any of complete physical, mental and measuring economic production identified dashboard of indicators individual aspect, but “having sufficient social well-being and not merely the to measuring people’s well-being” • develop a set of physical indicators achievements in each of the 9 dimensions” . absence of disease or infirmity” (World comes from the recent Report by the covering the environmental aspects of Health Organization, 1946) but also that Commission on the Measurement sustainability. In particular there is a The evidence presented shows that well “human health is a subsystem of the of Economic Performance and Social need for a clear indicator of our proximity being is not dependent on any one single Earth‘s health. You cannot have well Progress (2009). The report also argues to dangerous levels of environmental issue. We must therefore move towards a humans on a sick planet. (Berry, 2003) ” that it is important to: damage. (Commission on the Measurement of far more holistic notion of health, wealth • distinguish between an assessment Economic Performance and Social Progress, 2009) and happiness, because the factors that These statements highlight the fact of current well-being and an influence these outcomes are many. that health, wealth, happiness, society assessment of sustainability, whether One set of indicators based on the and sustainability are intrinsically linked this can last over time concept that well-being is determined An example we could learn from is and fundamentaly dependent on one • look at income and consumption by wide and varied influences is the Freiburg, in the Rhine Valley, where another. rather than production, when Gross National Happiness (GNH) planning decisions are made with a focus evaluating material well-being Index developed in Bhutan. The index, on the well being of the population, The recent Marmot Review of • emphasise the household perspective inaugurated and launched by the Prime ensuring that developments are: health inequalities also provides • consider income and consumption Minister of Bhutan in 2008, is made up • making places to live fulfilled lives strong evidence that the social and jointly with wealth of the following dimensions: • supporting community interaction environmental dimensions which • give more prominence to the 1. Psychological Well-being • prioritising the ease of local movement influence health are wide and varied. distribution of income, consumption 2. Time Use • paying particular attention to the role of These include adequate standards of and wealth 3. Community Vitality public transport. (WHO Collaborating Centre living, decent work, fair employment, • broaden income measures to non- 4. Culture for Healthy Cities and Urban Policy and South West a good start, education, appropriate market activities 5. Health Regional Public Health Group, 2008) 08
  • 11. MATTHEW TAYLOR Health, Wealth and Happiness: what makes a prosperous region? individuals and communities so that represented in the mass media). not only do they have more control, not only does more of the money It is in organisations - at work, in circulate in those communities clubs and charities - that we close but the resources enable people this distance between personal to move from dependency to efficacy and social pessimism. independence. So an important question for the South West Observatory is how Third, we need to encourage people institutions in the region operate. Are to behave in ways which enhance they innovative, open and inclusive what David Halpern has called the or hierarchical, bureaucratic and hidden wealth of nations. This is conservative? the web of goodwill, trust, caring, reciprocity and volunteering that Last week I was at a meeting in the largely determines the health of West of England to discuss issues society. Human beings are naturally facing small market towns. Too inclined to empathy and reciprocity much of the talk was about how the - we developed these instincts in towns suffer from the failures of small homogeneous communities policies set down by central or local but now live in diverse, fast moving government. Yet, any of these towns One way for the South West to think we face, giving decision makers at mass societies. What are the new could transform their prospects about future challenges is to ask all levels permission to make the ways of growing and protecting by increasing their own structures what model of citizenship is needed right choices for the long term and social capital? of challenge and support. If local for the region to be successful. In also recognising that the options businesses were more innovative, the face of the short term problems open to them depend a lot on how In seeking to promote a sustainable if local social networks were better of public service funding and rising we run our lives. For example, the model of citizenship what happens exploited, if local people themselves social needs, the longer term trade off between economic growth in organisations is crucial. There got together to develop new ideas challenge of climate change and finite and environmental sustainability is a gulf between how we feel and commit to a shared vision natural resources, and the overall can be less difficult if individuals about our own lives and our then so much could be achieved context of globalisation, how do we and communities agree to do things view of society as a whole. We despite the failings of town hall and need to live to prosper? differently. tend to be optimistic (if anything Whitehall. too optimistic) about how our There are three dimensions to Second, we need more creative own lives will go while we are Of course, government policy creating sustainable citizenship and resourceful citizens. There are far too pessimistic about what matters to the region’s future, for the twenty first century. We implications here for education, for is happening in society at large. as does the state of the national need citizens who are engaged the way we deliver public services Equally, while we tend to be economy and the global environment. in decision making. This doesn’t and for promoting and supporting tolerant and understanding about But the most powerful place to start only, or even mainly, mean turnout enterprise. For example, how can we the people we know we can be this conversation is asking how we in elections. It is about people change the way we spend public and judgemental and harsh about need to live if we are to create the understanding the kinds of issues third sector money on disadvantaged strangers (especially as they are better future to which we aspire. 09
  • 12. NIGEL F JUMP Health, Wealth and Happiness: what makes a prosperous region? Whilst we may debate what we need to be aware of “money £250,000 bonus feels hard done by “remunerated work” means, it is illusion” over time and space. If I when his colleagues get £500,000 hard to deny its role as a basis for have £10 now and you had £5 thirty even though, in any wider sense, he sustainable welfare for individuals years ago, you might have been is prosperous. At another extreme, and groups across space and time. “better off” then than I am now, concern about relative prosperity is Academic and research studies of in the sense that your purchasing behind the importance people put on health, wealth and happiness are power may have been greater. national collective bargaining in the clear that economic or financial Similarly, £5 to spend in a relatively work place. prosperity are the bedrock of much poor, developing country in 2010 human activity. Of course, we can may buy a lot more than £10 • Asymmetric prosperity extend these traditional measures spent in central London. Absolute Financial prosperity relative to our to better reflect other welfare prosperity, then, needs to be neighbours is not all that matters. issues, as the English RDAs have measured against some concept of People are also concerned about done with the development of reality; its implied access to real, direction: they seem to value things the Regional Index of Sustainable valued resources. differently according to whether Economic Wellbeing, but we can they are rising or falling. To explain, not replace them entirely. In • Relative prosperity if I earn £10 an hour and then get a environmental, social and cultural People are not just interested in raise to £12 an hour, I will be pleased What is prosperity? terms, human satisfaction is rooted their absolute prosperity, however. in the short term but I will quickly in the removal of fundamental They also care about their relative get used to the new wage rate and Prosperity can be defined in many economic concerns because that prosperity. It is not just how soon “take it for granted” If the . ways. Here, I concentrate on one then allows the building of higher much I have but how much I have extra £2 an hour is then removed, important aspect: “a successful, aspirations and ambition - known as compared with other people that whatever the reason, I will be flourishing or thriving … especially culture. can affect my contentment. A dissatisfied and the hurt will last. in financial respects. Whilst it is ” famous experiment at Havard For many people, the pain of losing not everything, financial prosperity It is useful to dig deeper into the showed that students offered income often seems to be greater is a crucial part of overall well-being. economic psychology of what a smaller absolute amount of than the pleasure of acquiring it: Indeed, I would argue that it is a people mean by prosperity. We money preferred that to a larger we are asymmetric in our response sine qua non for health, wealth can recognise five different ways amount when their peers were to changes in prosperity. This has and happiness. Whatever the flaws of looking at this issue; all of which given less rather than more than very real consequences, as we can of GDP/GVA as comprehensive have evidence to support them, them. In figures, for example, they see in the various disputes currently indicators of these three factors, but are also areas of debate. I use thought it was better to have $100 underway in the UK transport sector they are an important component money as the measuring stick: if everyone else got $50 than to and as we may well see to a much of well-being, representing a clear it is the best tool we have as an have $150 when everyone else got greater extent as the government measure of the income rewards of objective ruler to compare value. $200. We see this relative affect tries to cut our public sector cloth work effort available to households in many situations, e.g. when we back towards our means in the next and individuals. They attempt to • Absolute prosperity rue the “inequity” of differentials few years. capture the “what we get out If I have £10 and you have £5, I am in wages and bonuses within for what we put in” of human probably more prosperous than organisations and societies. The • Intergenerational prosperity endeavour. you in absolute terms. However, investment banker who gets a This asymmetry can extend 10
  • 13. Health, Wealth and Happiness: what makes a prosperous region? backwards and forwards a long way. the long term. I would argue that, Most of us are “better off” than though imperfect, it has proved our parents and they were “better better than any alternative at off” than our grandparents. Most solving the great intergenerational of us aspire for our children and issues of the day. Society needs grandchildren to be “better off” to recognise property rights and than ourselves. Is this fundamental to balance market power and to human nature or a consequence information with optimal regulation. of the period of growth we have Generating institutional trust, experienced in the last 150 years? thereby, the market offers the SW These intergenerational matters play region robust hopes for sustained a key role in many important matters prosperity in the years ahead. that we currently face. Climate change, for example, is partly about intergenerational prosperity. We can take the approach “live for today and let tomorrow look after itself” or we can say “I will sacrifice some of my prosperity for future. Essentially, ” we make these decisions about value over time every day when we decide to spend, to save and to lessons of sustainability in wealth innovation to entrepreneurship and invest and when we vote for “jam accumulation. competitiveness. On the demand today” or “jam tomorrow” . side, this means the evolution of Assuming these five aspects of values to reflect new scarcities, • Sustained prosperity prosperity ring true, we can return needs and aspirations. These quasi-political issues take to the essential argument that us to the final aspect of prosperity. economic prosperity is part of our Against this background, our Many people prefer a degree of make up and an essential part of fiscal and monetary levers needs certainty in their income stream. a sustainable future. Economic, to foster personal incentives, There can be no “steady state” social and environmental aspects of aspiration and motivation. Policy but one only has to think what has health, wealth and happiness can has to work with the market: a happened to people’s consideration not be divorced from each other. In system in which exchange creates of health, wealth and happiness turn, given increases in population value and “putting aside today during the recession to understand and productivity over time, it for the benefit of tomorrow” is at how important sustained prosperity implies that, for the foreseeable the heart of human activity. At its can be for many. Mind you, given future, growth will remain a key best, this “capitalism” is not about the UK proclivity to indulge in element of human reality. On the accumulating “stuff” and instant repeated property booms, you have supply side, this links through gratification. Rather, it is about to ask whether we really learn the employment, skills, technology and development and prosperity for 11
  • 14. DAME SUZI LEATHER Health, Wealth and Happiness: what makes a prosperous region? capital investment, for growth in enterprise and an expansion of the knowledge economy. And they are right to do so. As we have seen recently economic resilience matters. But so too does social resilience. We are at heart social and spiritual beings. And if we are to protect and foster authentic well-being we need to pay attention to growing those aspects of our lives. A basic psychological need is to love and be loved. The social connectedness in which love is embedded starts with the family, so I believe that those commentators who emphasise the What is prosperity? family are right. But I do not think that strengthening the family can And so we come to difference and in inequality and to look beyond the To prosper means to thrive, to do be divorced from public policy; nor, inequality itself. How is this related culture of personal contentment well, to succeed. It does not mean in my view, does a strong state to prosperity? The answer, as Richard to a concern for those who do not to get, or be, rich. Indeed the drive imply weak families. Wilkinson and Kate Pickett have so share in comparative well-being. To for riches is often anathema to brilliantly shown in The Spirit Level, is be vigilant about the more distant prosperity. We seem to be almost Next we require others to very strongly indeed. More unequal dangers that result from a short- hard-wired to want to improve recognise us, to treat us, as societies have poorer outcomes run preoccupation with individual our lot but when the concept of having worth. What we might call whether you measure it by teenage comfort. improvement is purely a material the politics of respect. This is not pregnancy, drug use, crime, ill-health notion and when it is based only just a matter of us each being (mental and physical), educational There is a substantial role for on individual gain then, ironically, nice to each other in our private attainment and so on. The forces government (central and local) in we begin to drive out precisely that lives, although that is necessary. driving increases in inequality are minimising - through social security, which underpins true prosperity. Again, there are public policy plain – you only have to consider how state pensions, health care and So, if we wish to build a prosperous dimensions: equality of opportunity inequality has grown in recent times education - inequality and its region, what should we aim for? to education, health and social in spite of unprecedented amounts effects. But I am interested also services, policing, broadband and of money and effort being devoted to in informal organisations whereby There will be others who argue so on. Underpinning this politics of combating it. we express a concern for the well- an economic case, who will focus respect must be a recognition of being of others, through activities on jobs and employment, who diversity and equal opportunities So seeking prosperity requires us which lie outside politics and public will explain the need for inward regardless of difference. continually to strive against increases provision but which nevertheless 12
  • 15. Health, Wealth and Happiness: what makes a prosperous region? reflect and advance concern for So, in a sense, it also is with society. or the neighbour who will go in and This matters because we are social others. The small acts of kindness Deeper social roots, means richer sit with an elderly confused parent beings, we derive our sense of which show neighbourliness, the societal loam, better able to help while their son or daughter gets ourselves from how others perceive voluntary organisations which build individuals withstand the vicissitudes a break, or the community music and treat us. And prosperity in the connectedness, the patchwork of of life. Reliable, dependable, group which puts on monthly live modern world requires a continuing citizens who do so much to stabilise adequately funded public services performances in the village hall, and resilient intermeshing of and sustain our social fabric. may in effect be socially stabilising, or the environmental volunteer the myriad communities which but they will never absolutely replace who helps clear the drainage ditch constitute our civic society. We need So as we try to arrive at a common in efficacy and reach the authentic, around that precious land, whether community organisations strong articulation of what prosperity simple and responsive provision of it’s the avid walker who picks up enough to secure people’s identities means let me put the case charitable activity. litter as he strides across the moor, and relationships. for including in it: richness of or the young woman who meets associational forms. How can we So whether it’s faith communities, prisoners through the gate release I belive that there is a strong case prosper without that complex social play groups, older people’s scheme, these all share something to be made for regional prosperity connectedness which constitutes lunch clubs, environmental or in common. They all demonstrate a depending on a healthy third sector civic society? arts organisations, whether it’s sense of connectedness and mutual comprising organisational forms the volunteer who supports the responsibility. They represent what which express, foster and cement A system which allows for few frightened young parent who is social science jargon might term connectedness. or no social forms between the overwhelmed by the yo-yo-ing ‘polyvalent social links’ or, more individual or family and the state emotions of caring for a tiny child, prosaically, ‘social glue’. is totalitarian. A system which structures most relations between individuals through corporations, as modern Japanese society has done, is proving to be peculiarly vulnerable to the new social challenges of unemployment and aging. (Interestingly there are now in Japan deliberate attempts to try to create and foster civic society.) So what would a region seeking prosperity try to foster? An analogy from climate science might help. The thickness of soil determines how much carbon is released to the atmosphere. A thicker layer traps more carbon. And what determines the soil’s thickness? The length of plant roots. 13
  • 16. PROFESSOR KATIE WILLIAMS Health, Wealth and Happiness: what makes a prosperous region? housing is still delivered in ‘placeless’, and green space; good public transport in anything close to the definition single-use, speculative, developments, and other transport infrastructure; of a sustainable community set out with little urban design or civic merit. In buildings that can meet different needs above (Williams and Lindsay, 2007). A this paper, I ask what is going wrong, over time and that minimise the use number of reports have assessed the and offer some thoughts on what we of resources; well integrated mix of UK’s progress and conclude that while could do to deliver more sustainable decent homes of different types and some new housing developments and prosperous (in the widest sense) tenures; good quality local public are performing better than previous places in the SW. services; sense of place; right links developer norms in terms of urban with the wider; regional, national and design, and some aspects of energy First, is seems useful to set out international community; sufficient efficiency, travel behaviour and exactly what is meant by a sustainable size, scale and density and the right community development, they are community. In the UK, a definition is layout to support basic amenities not delivering on community cohesion used that encompasses both new and in the neighbourhood and minimise (many are just remote dormitory regeneration schemes. Sustainable use of resources (including land). settlements), service provision and communities are argued to have Summarised from ODPM, 2003, p.5 many other key sustainability features a mixture of specific physical and (findings summarised from reports by Williams, 2007; Williams and Lindsay, 2007; Sustainable non-physical qualities (see the table Sustainable communities are seen as Development Commission, 2007; Power 2004; below); with a fundamental focus on desirable in the UK because they are a CLG, 2006; TCPA, 2004, RICS, 2007). Sustainable and Prosperous achieving balanced and integrated genuine attempt to avoid past failures Communities in the South West: social, economic and environmental in housing and planning. The concept These same reports offer some how can we achieve quantity components. The emphasis is on has incorporated lessons learnt from insights into why things are going and quality? housing and other uses, such as mass social housing, periods of poor wrong, citing variously, a mismatch employment, community, and design (urban and architectural) and between delivery partners’ aspirations, Even given the current economic education, with a real concern for the ineffective, property-led, regeneration. objectives and timescales (particularly climate, it is likely that there will be needs of communities now and in More specifically, sustainable between regulators and regulated) large scale housing, and therefore, the future. Importantly, ‘sustainable communities are an attempt to and a lack of local benefits accruing urban growth in the South West communities’ are presented as ‘mixed’ address the ‘sustainability agenda’, by from new developments (which in the next 20-30 years. Latest communities, containing, for example, valuing the environmental, social and means that new housing is seen as projections show that the number social and private housing, a mix of economic attributes of a scheme an imposition not a responsibility, and of households in the Region will housing forms and household types. over time. hence treated as a numbers game, increase by 36% between 2006 rather than an exercise in ‘place- and 2031. The Government’s stated A sustainable community has: a Although we have had pro-sustainable making’). In these circumstances, sites aim is to accommodate this growth flourishing local economy; strong communities policy guidance for are often developed speculatively, in sustainable (and prosperous) leadership; effective engagement and over a decade, and the ‘Sustainable with no detailed or long-term plans communities: we have had central participation (especially in the planning, Communities Programme’ since 2003, by the local authorities. The problem government guidance and ‘sustainable design and long-term stewardship of evidence of progress on the ground is with this system is summed up by communities’-focused policy for over the community); active voluntary and disappointing. Although it is difficult to Liz Pearce, Chief Exec of the British 10 years. Yet, we seem to struggle community sector; diverse, vibrant and get a true picture of advances, recent Property Federation when she states to deliver, both in terms of quality creative local culture; safe and healthy research suggests that only a minority ‘One of the shortcomings of the and quantity, and the majority of our local environment; well-designed public of all new housing is being delivered predominant build-for-sale housing 14
  • 17. Health, Wealth and Happiness: what makes a prosperous region? model is that the developer does is not to say that ‘anything goes’ but design by showing people do not local authorities have greater local not retain long-term interest in the that we need to find housing solutions necessarily behave more sustainably autonomy and financial independence, site. There is no incentive to produce focused around agreed principles in so-called ‘sustainable’ housing and work within more flexible regional a design better than the minimum (of sustainable development, such schemes (Williams et al., 2009). Again, this planning frameworks. They often lead needed to make a sale, and issues as the prudent use of resources needs careful consideration to ensure in master planning and engagement. such as the design of the public and social equity) but then to realise we are not repeating past mistakes in In many instances, local authorities are realm and long term maintenance a range of solutions, which could physical determinism. landowners (or have some stake in the can be sidelined without any impact include, for example community land land) and can therefore demonstrate on profit.’ Further, delivery problems trusts, more co-housing, small scale In addition, we need to develop more leadership, and they can often borrow were also found with the complexity developments and also some larger sustainable and effective delivery money at cheaper rates from municipal of the process, including numerous new settlements. We need to accept mechanisms. We need to maximise banks to forward-fund. A wider range agents, mismatched regulatory and also that with multiple visions go wide- what we can do within the current of house-builders is often involved funding systems, and poor phasing ranging actions to achieve sustainable planning and delivery systems (self-procurement groups, private and of infrastructure and amenities. In communities, some actions may be (learning from good practice in the social landlords, etc), and this gives addition, private investment was often top-down and capital intensive, others UK). We have to maximise the variety a wider choice of types and tenures difficult to secure and maintain, and more community (or individually) of public-private partnership models of housing, and more long term community participation was found to driven. But we need this sophisticated that can be used, depending on local interests. Large scale neighbourhood be problematic. Many of the reports vision, delivered by people with circumstances (Studdert, 2009). We also developments often have more local also cite a low skills base, within and experience and knowledge of have to ensure committed leadership support than in the UK because of between professions trying to deliver different models. from individuals or organisations that sustained municipality and community sustainable communities. And, partly have medium or long term interests, involvement, and visible benefits as a consequence of these problems, We also need to develop a stronger rather than short term goals: this could (op cit). the sustainable communities agenda evidence base around sustainable be from LAs, architects, developers, is also not meeting housing targets: communities and act on it. We need communities or land owners. And we In conclusion, it is possible, but housing completions have halved since to monitor what works and what have to develop teams with mutual difficult to deliver truly sustainable 2007 and most completed units have , does not. Unfortunately, much ‘good interests, with better skilled team communities in the UK, where people had some sort of subsidy. practice’ is now accepted wisdom, and members. Project management and can live prosperous and healthy lives. is not based on learning or evidence. community engagement also have We need a wider portfolio of options So, what could we do to deliver better For example, current policy advice is to be prioritised from the outset and than the straightforward build-for sale quality and quantity? First, I believe for higher density housing, yet recent managed so all stakeholders are model, with more skilled, pro-active, we need a far more sophisticated research questions the desirability of involved early enough in the process. confident and visionary professionals and varied vision of what we want high density developments, showing involved in delivery. We also need to achieve. We need to lose the a correlation between density and Finally, we need to learn from places to focus our efforts on what works: obsession with finding one model of dissatisfaction with the area (Bramley and where higher quality and faster especially taking into account how sustainable living (see Guy and Marvin, Power, 2009). This type of evidence has housing delivery works. We need to people really want to live. We also 1999). ‘Sustainable’ communities to be weighed against the strategic take note of what is happening in other need to press for higher quality built can be found in multiple guises, and benefits of higher densities in a far countries and see what is potentially environments, and to seek wider could include different urban forms, more considered way. Other new transferable (see Studdert, 2009; Falk and changes that move us towards the designs and scales. And crucially, we research challenges the conventional Hall, 2009). For example, in countries benefits of some the European must find more local solutions. This wisdom on sustainable neighbourhood such as Germany and Sweden delivery models. 15
  • 18. SIMON MAUGER Health, Wealth and Happiness: what makes a prosperous region? Despite education policies that have when futures thinking feels a In a ‘prediction culture’ educators sought to ever more closely tie confirmatory exercise rather than an are politically contracted to adapt students’ educational experiences exploratory one; for futures thinking and modernise to prepare students to their future economic activities, is by definition a starting point, not for futures designed and decided there is in fact very little opportunity a means of setting out a repertoire elsewhere; discouraged from actively for students to meaningfully reflect of solutions. It is an ‘open process’, exploring the features of social or upon their individual and collective involving understanding the nature technological change historically futures in schools, colleges and of uncertainty, inclusive of allowing and in contemporary society. universities, and limited support for the qualitative and emotional drivers The education institution is no them to develop positive strategies as well as the quantitative and longer seen as a site within which for shaping and directing their future more rehearsed evidence. But we alternative ideas for the future can trajectories. Instead, young people’s have contemporary obsession with be shaped and generated. This is experiences of preparing for their quantitative indicators as opposed unhealthy both for the institutions futures may be characterised by to qualitative understanding and a and for the individual. careers guidance acknowledged prolonged focus on the quantitative as inadequate, and by pessimistic generates short-sightedness and With each new government, an visions of future catastrophe at a overbearing attention on the present alternative social future is presented Health, Wealth and Happiness global and societal level, resulting and Futures Thinking* in children overly optimistic about their chances of achieving fame We live in uncertain times. In and fortune and overly pessimistic our internal worlds we are very and passive in the face of global familiar with futures thinking - we concerns. plan our future, rehearse possible situations, and we develop internal More fundamentally, there is dialogues that can propose and argue ambivalence in our culture that viewpoints. At a psychological level on one hand proposes high levels this is a very necessary and healthy of uncertainty (environmental, process. These are skills are closely social, economic), while suggesting associated with our mental wellbeing paternalistic political models to be and our capacity to interface with in charge of solutions, if only we the external world, nurturing and agree and comply. Futures thinking applying the strategies and tactics is misrepresented as being about that we need to survive and flourish. prediction, prescribing ‘answers’ so Many therapies are essentially based that stakes can be claimed. The real on working to develop this capacity. empowerment of citizens actually But to what extent does society, engaging with uncertainty is not and in particular education, assist us politically proposed as a matter for develop these skills, or indeed even mature citizen involvement. In this acknowledge them? culture, we should be suspicious 16
  • 19. Health, Wealth and Happiness: what makes a prosperous region? and with these future visions, strategies for responding to, of whatever age to understand * This Paper is both a summary new responsibilities for education, shaping and adapting to socio- how best they might contribute of and development from a skills and learning are proclaimed technical change? How do individually and collectively to Discussion Paper prepared for the - prepare ‘good citizens’, ensure we move beyond either naïve imagining, building and shaping ESRC Education Futures Seminar workplace skills, teach sustainability. complacency or blind pessimism alternative futures for themselves, Programme 2010, co-authored by Analysis of representations of the in building our understanding their communities and their planet. Professor Keri Facer, Professor future in policy, however, suggests about possible social futures So, to fully equip individuals Anna Craft, and Simon Mauger. that these future visions are more and education’s role in shaping to engage with their possible likely to be rhetorical than premised these? And how do we equip futures, to explore their current upon thoughtful, democratic and individuals, institutions and situation and possible trajectories, considered examination of possible education systems to debate to rethink how their past leads to social change. The transformation of and create the desirable social their present, is a radical challenge ‘the future’ into a rhetorical device and educational futures that to current temporal stances in in political discourse rather than an they may imagine? What we do education and for learning through emergent reality of social change know at present is that in our life, but it is fundamental to the has a number of implications: it culture there are limited external health, wealth and happiness of treats the future as something that tools to support individuals our region. can be mobilised at will rather than a consequence of our contemporary actions and decisions; it militates against the careful questioning of the evidence and ideas used to inform these future visions; and it discourages examination of the diversity (or more often, uniformity) of voices involved in producing ideas of the future. In short, it provides a very poor basis for any attempts to plan or prepare us for the complex, contested and uncertain futures we will undoubtedly have. How might those concerned with education and learning through life contribute to developing thoughtful engagement with future possibilities? How do we draw on the lessons learned from our existing research traditions to enhance education’s capacity for developing informed 17
  • 20. JONATHON PORRITT CBE Health, Wealth and Happiness: what makes a prosperous region? of the British economy will not only address issues such as climate change and peak oil, but it will also support the development and growth of completely new industries and, with that, new investment and new jobs. Let us just take a look at one feature of this process, the campaign to improve the energy efficiency of existing homes (often referred to as “The Great British Refurb”), which some commentators predict will become the UK’s largest single engineering project since the Second World War. Our homes are responsible for around 27% of the country’s carbon emissions; and all the main political parties now acknowledge Practically realising prosperity that action to improve the energy the regional economy of the South renewal of our poorest communities efficiency of existing housing is an West have been undermined and we MUST prepare! For society to prosper there is a essential component of the nation’s rendered less resilient by the collapse role for government in supporting strategy to meet our carbon reduction of its manufacturing base. But here, Our government and its agents, communities and addressing the commitments. with the demand created by the desire (including the banks....we own them evil of poverty. to improve over 25 million existing and as a result we find ourselves Predictions based on the experience homes, we are in serious danger of in a once-in-a-lifetime position to One of the most important of our neighbours in Europe, creating a new manufacturing ‘sector’. influence their investment policies) features of a modern and resilient particularly the Germans, who are must respond with a concerted economy is its ability to provide now eighteen years into a serious Clearly this is a major opportunity, strategy designed to support access to sustainable, properly ‘retrofit’ of their housing stock, a real example of how the recovery business and ensure this programme paid employment. In the past, a indicate that such a programme is from this current recession can be is supplied with the resources it legitimate criticism of a great deal likely to create over 200,000 jobs. Add genuinely ‘green’. However these requires. In addition we must also of green politics has been that it to this the potential benefits that new, things don’t happen by themselves. respond with investment to develop ignored this essential requirement, cheap sources of energy will bring In order to ensure that the UK and the skills and knowledge of the and I believe this has undermined to the significant proportion of the the South West does benefit from workforce, not only targeting existing the ability of green campaigners to UK population who are experiencing this opportunity and, perhaps more industries, but also unemployed appeal to the core of British opinion. problems heating their homes. This importantly from a sustainable people and those communities is amazing! development point of view, in order to who have faced exclusion from the Today, I am very happy to say, things ensure that those benefits contribute employment opportunities of the past have changed; the decarbonisation There is little doubt that the UK and to the sustainable regeneration and few decades. 18
  • 21. BIBLIOGRAPHY ACKNOWLEDGEMENTS Gabriel Scally Katie Williams Many thanks to the speakers Front cover and conference Berry, T. (2003). The Mystique of Bramley G and Power S (2009) who gave presentations and/or photography by James Hembrow, the Earth. Caduceus, Spring 2003 www.CityForm.org; CABE (2009) who took part in panel debates at this Captured Studios (Issue 59). Should Build Our Homes?, CABE 2009; conference, and especially those www.captured-studios.co.uk Commission on the Measurement CLG (2007) Eco-Towns prospectus, who contributed to this report. of Economic Performance and www.communities.gov.uk; Conference design by Social Progress. (2009). Report CLG, (2007) Homes for the Future, Thank you also to the sponsors Room 7 Advertising & Design by the Commission on the www.communities.gov.uk; DEFRA listed at the front of this publication www.room7 .uk.com Measurement of Economic (2006) Sustainable Communities: A for their support. Performance and shared agenda, a share of the action, Special thanks to Paul Brown Social Progress. TSO, Norwich; Falk N and Hall P (2009) The event programme, session (SW Public Health Observatory) and Marmot, M. (2010). Fair Society, Healthy Lives - The Marmot Why not Here? Town and Country Planning, Jan.; Falk N (2008) Beyond SW SW summaries andSOUTH WEST OBSERVATORY from presentations SOUTH WEST OBSERVATORY the day are available to view or SPONSORS Dominic Murphy (Creating Excellence) Review. The Marmot Review. Ura, K. (2008). Explanation Eco-towns: The Economic Issues, URBED; Falk N (2008) Making Eco- SPONSORS download from www.swo.org.uk/ events/conference-2010 Published August 2010 SWO Core Unit of GNH Index. Retrieved Towns work: Developing Vathorst, une 10th, 2010, from Gross Amersfoort NL; Guy S and Marvin National Happiness - The Centre S (1999) Understanding Sustainable for Bhutan Studies: www. Cities: Competing Urban futures, grossnationalhappiness.com/ European and Regional Studies, Vol.6, gnhIndex/intruductionGNH.aspx No.3, pp. 268-275; ODPM (2003) WHO Collaborating Centre for Sustainable Communities Plan, www. Healthy Cities and Urban Policy communities.gov.uk; Studdert (2009); and South West Regional Public Williams K (2010) Sustainable Cities, Health Group. (2008). South research and practice challenges, West England Freiburg Study International Journal of Urban Tour, Summary Record and Photo Sustainable Development, 1(1); Report. Williams, K, Lindsay, M, Dair, C (2009) World Health Organization. (1946). Neighbourhood Design and sustainable Preamble to the constitution of Lifestyles, in Jenks M and Jones C the World Health Organiszation Dimensions of the Sustainable City, as adopted by the International Springer. Williams and Lindsay (2007) Health Conference, New York, 19- The Extent and Nature of Sustainable 22 June, 1946. WHO. Building in England: An Analysis of Progress, Planning theory and Practice, 8(1), pp 27-45; Williams K and Dair C (2007) What is Stopping Sustainable Building in England? Barriers Experienced by Stakeholders in Delivering Sustainable Developments