CORE Health impact assessment (HIA)

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Section 1 of 16 - Proposal

This is a CORE Health Impact Assessment (HIA) template to be used for routine proposals, projects and programmes. For more substantial programmes, please go back to the contents page and download the 'Comprehensive HIA template' - https://www.staffordshire.gov.uk/Healthimpactassessments

Title:

First name:

Surname:

Name of the organisation you are contacting us from:

Date HIA began*:

Proposal Summary*:Maximum length 5000 charactersA

Contributors / key experts:

Locality affected*:Newcastle-under-LymeStaffordCannock Chase DistrictEast Staffordshire DistrictSouth Staffordshire DistrictTamworthLichfieldStaffordshire Moorlands DistrictSelect all that apply

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CORE Health impact assessment (HIA)