Established in 2001, the Healthy & Sustainable Settings Unit aims to support the holistic and integrated development of healthy settings – acknowledging that “health is created and lived by people within the settings of their everyday life; where they learn, work, play and love” (WHO, 1986) and that many health challenges are interrelated and can be best tackled through comprehensive, integrated programmes in the contexts and places where people live their lives. Bridging research, policy and practice, the unit has a global reputation and is concerned to facilitate ecological approaches to health and wellbeing within and across a diversity of organisational and geographical settings – and to increase understanding of ‘what works and why’ in different contexts.
The unit’s work is informed by:
The Healthy & Sustainable Settings Unit has wide-ranging expertise and its diverse portfolio includes:
Specific roles currently include:
Over recent years, the Unit has been commissioned to co-ordinate the UK Healthy Cities Network, one of 20 WHO accredited networks in Europe and provide operational management for the European WHO Collaborating Centre for Health in Prisons.
The Healthy and Sustainable Settings Unit’s portfolio of research, development and programme implementation is explicitly oriented to ensure ‘real-world’ impact. Examples include:
Higher Education: Groundbreaking research conducted by the Healthy and Sustainable Settings Unit has been instrumental to the adoption of the ‘whole system’ settings approach to promoting health and wellbeing within higher education. Resulting impacts are institutional (adoption/implementation of Healthy Universities model by higher education institutions, supported by the UK Healthy Universities Network, co-ordinated and co-chaired by Mark Dooris), national (growing appreciation of value of Healthy Universities approach by national bodies) and international (publication of an International Charter and establishment of an International Network and Steering Group chaired by Mark Dooris).
Criminal Justice: The Healthy and Sustainable Settings Unit’s therapeutic horticulture programme, Greener on the Outside for Prisons, has contributed learning and innovation regionally and nationally – impacting positively on the health, wellbeing, safety and rehabilitation of some of the most vulnerable people in society. Evaluative research has informed future strategic and system-level planning for offender management and health and justice, whilst also levering further research and implementation funding. The programme has also connected with the work of the World Health Organisation’s Collaborating Centre on Health in Prisons and Health in Prisons Programme.
Healthy Settings: From 2007-2012, Professor Mark Dooris chaired the International Union for Health Promotion and Education’s Global Working Group on Healthy Settings (now an interest group) – and in recognition of his leadership in this field has been keynote speaker at numerous international conferences, thereby influencing further research, policy and practice.
Healthy Cities: Mark was also a member of the evaluation team for Phases III and IV of the World Health Organisation’s European Healthy Cities initiative.
Farrier, A., Baybutt, M. & Dooris, M. (2018) Mental Health and Wellbeing Benefits from a Prisons Horticultural Programme. International Journal of Prisoner Health. doi: 10.1108/IJPH-11-2017-0055.
Baybutt, M, Dooris, M. and Farrier, A. (2018) Growing Health in UK Prison Settings. Health Promotion International. doi: 10.1093/heapro/day037.
Farrier, A., Dooris, M. and Froggett, L. (2017) Five ways to wellbeing: holistic narratives of public health programme participants. Global Health Promotion. https://doi.org/10.1177/1757975917732352
Dooris, M., Farrier, A., and Froggett, L. (2017) The Wellbeing: The Challenge of ‘Operationalising’ an Holistic Concept within a Reductionist Public Health Programme. The Wellbeing: The Challenge of ‘Operationalising’ an Holistic Concept within a Reductionist Public Health Programme. Perspectives in Public Health 138(2): 93-99. https://journals.sagepub.com/doi/10.1177/1757913917711204
Baybutt, M. and Chemlal, K. (2016) Health Promoting Prisons: Theory to Practice. Global Health Promotion, 23 (1): . pp. 66-74. doi: 10.1177/1757975915614182
Dooris, M., Farrier, A., Doherty, S., Holt, M., Monk, R. and Powell, S. (2018) The UK Healthy Universities Self-Review Tool: Whole System Impact. Health Promotion International: 32(3): 448:457: doi: 10.1093/heapro/daw099
Dooris, M. (2016) International perspectives on healthy settings: critical reflections, innovations and new directions. Global Health Promotion 23 (Suppl. 1): 5-7.
Patrick, R., Dooris, M. and Poland, B. (2016) Healthy cities and the transition movement: converging towards ecological well-being? Global Health Promotion 23 (Suppl. 1): 90-93.
Newton, J., Dooris, M. and Wills, J. (2016) Healthy universities: an example of a whole-system health-promoting setting. Global Health Promotion 23 (Suppl. 1): 57-65.
Dixey, R., Nyambe, S., Foster, S., Woodall, J. and Baybutt, M. (2015) Health promoting prisons – An impossibility for women prisoners in Africa? Agenda, 29 (4): 95-102. https://doi.org/10.1080/10130950.2015.1110943.
Holt, M., Monk, R., Powell, S. and Dooris, M. (2015) Student perceptions of a healthy university. Public Health. 129: 674-683. doi: 10.1016/j.puhe.2015.03.020
Dooris, M., Wills, J. and Newton, J. (2014) Theorising Healthy Settings: a critical discussion with reference to Healthy Universities. Scandinavian Journal of Public Health 42 (Suppl 15): 7–16. doi: 10.1177/1403494814544495
Dooris, M., McCart, D., Hurley, M. and Baybutt, M. (2013) Probation as a Setting for Building Wellbeing through Integrated Service Provision – Evaluating an Offender Health Trainer Service. Perspectives in Public Health 133(4): 199-206. doi:10.1177/1757913913486036
Dooris, M. (2013) Bridging the Silos: Towards Healthy and Sustainable Settings for the 21st Century Bridging the Silos: Towards Healthy and Sustainable Settings for the 21st Century[MTD<oCH&M2] . Health & Place 20: 39-50. https://doi.org/10.1016/j.healthplace.2012.11.009
Eadie, D., MacAaskill, S., McKell, J & Baybutt, M. (2012) Barriers and facilitators to a criminal justice tobacco control coordinator: an innovative approach to supporting smoking cessation among offenders. Addiction 107 (Suppl. 2): 26–38. doi:10.1111/j.1360
Doherty, S., Cawood, J. & Dooris, M. (2011) Applying the whole system settings approach to food within universities. Perspectives in Public Health 131(5): 217-224. doi: 10.1177/1757913911413344
Dooris, M. & Heritage, Z. (2011) Healthy cities: facilitating the active participation and empowerment of local people. Journal of Urban Health doi:10.1007/s11524-011-9623-0
Dooris, M., McCart, D., Hurley, M. & Baybutt, M. (2013) Probation as a Setting for Building Wellbeing through Integrated Service Provision – Evaluating an Offender Health Trainer Service. Perspectives in Public Health 133(4): 199-206. doi:10.1177/1757913913486036
Poland, B., Dooris, M. & Haluza-Delay, R. (2011) Securing ‘supportive environments’ for health in the face of ecosystem collapse: meeting the triple threat with a sociology of creative transformation. Health Promotion International 26 (Supplement 2): ii202-ii215. doi: 10.1093/heapro/dar073
Cawood, J., Dooris, M. & Powell, S. (2010) Healthy universities: shaping the future. Perspectives in Public Health 130 (6): 259-260. doi: 10.1177/1757913910384055
Dooris, M. & Doherty, S. (2010) Healthy Universities: current activity and future directions – findings and reflections from a national-level qualitative research study. Global Health Promotion 17(3): 6-16. doi: 10.1177/1757975910375165
Dooris, M. & Doherty, S. (2010) Healthy Universities: time for action – a qualitative research study exploring the potential for a national programme. Health Promotion International 25(1):94-106. doi: 10.1093/heapro/daq015
Orme, J. & Dooris, M. (2010) Integrating health and sustainability: the higher education sector as a timely catalyst. Health Education Research 25(3): 425-437. doi: 10.1093/her/cyq020
Poland, B. & Dooris, M. (2010) A green and healthy future: a settings approach to building health, equity and sustainability. Critical Public Health. 20(3): 281-298. doi: 10.1080/09581596.2010.502931
Springett, J., Whitelaw, S. & Dooris, M. (2010) Editorial: sustainable development, equity and health – time to get radical. Critical Public Health 20(3): 275-280. doi: 10.1080/09581596.2010.502932
Dooris, M. (2009) Holistic & sustainable health improvement: the contribution of the settings-based approach to health promotion. Perspectives in Public Health, 129: 29-36. doi: 10.1177/1757913908098881
Heritage, Z. & Dooris, M. (2009) Community participation & empowerment in Healthy Cities. Health Promotion International, 24: i45-i55. doi: 10.1093/heapro/dap054
Dooris, M., Sedgley, L. & Dugdill, L. (2008) A reflective analysis of the development of a regional workplace health strategy in the North West of England. International Journal of Workplace Health Management 1: 209-218. doi: 10.1108/17538350810926552
Doherty, S. & Dooris, M. (2006) The healthy settings approach: The growing interest within colleges and universities. Education and Health 24 (3): 42-43.
Dooris, M. (2006) Editorial – Healthy settings: future directions. Promotion & Education XIII (1): 4-6. doi: 10.1177/10253823060130010101
Dooris, M. (2006) The challenge of developing corporate citizenship for sustainable public health: an exploration of the issues, with reference to the experience of North West England. Critical Public Health 16 (4):331-343. doi: 10.1080/09581590601045170
Dooris, M. (2005) Healthy settings: challenges to generating evidence of effectiveness. Health Promotion International 21 (1): 55-65. doi: 10.1093/heapro/dai030
Dooris, M. (2005) A qualitative review of Walsall Arts into Health Partnership. Health Education 105 (5): 355-373. doi: 10.1108/09654280510617187
Dooris, M. (2004) Joining up settings for health: a valuable investment for strategic partnerships? Critical Public Health 14 (1): 49-61. doi: 10.1080/09581590310001647506
Dooris, M. (2002) The Health Promoting University – opportunities, challenges & future developments. Promotion & Education Supplement 1 – Special Edition: 20-24. doi: 10.1177/10253823020090010112
Dooris, M. & Martin, E. (2002) The Health Promoting University – from idea to implementation. Promotion & Education Supplement 1 – Special Edition: 16-19. doi: 10.1177/10253823020090010111
Dooris, M. (2001) The ‘health promoting university’: A critical exploration of theory and practice. Health Education 101 (2): 51-60. doi: 10.1108/09654280110384108
Dooris, M. (1999a) Healthy cities & local agenda 21: The UK experience – challenges for the new millennium. Health Promotion International 14 (4): 365-375. doi: 10.1093/heapro/14.4.365
Dooris, M. (1999b) The health promoting university as a framework for promoting positive mental well-being – a discourse on theory & practice. International Journal of Public Mental Health 1 (4): 34-44.
Dooris, M., Doherty, S. and Orme, J. (2016) The Application of Salutogenesis in Universities. Chapter in: Mittelmark, M. The Handbook Of Salutogenesis, pp.237-245. New York: Springer. New York: Springer.
Dooris, M. and Doherty, S. (2015) Healthy University – University of Central Lancashire. Case Study in: Cross, R., Woodall, J., Green, J. and Tones, K. Health Promotion: Planning and Strategies (3rd Ed.). London: Sage.
Baybutt, M., Acin, E., Hayton, P and Dooris, M. (2014) Promoting health in prison: a settings approach. Ch21 in: Enggist, S. Møller, L., Galea, G. and Udesen, C. Prisons and Health, pp.180-184. Copenhagen: WHO Regional Office for Europe..
Dooris, M. & Barry, M. (2013) Overview of implementation in health promoting settings. Chapter in: Samdal, O. and Rowling, L. The Implementation of Health Promotion in Schools: Exploring the Theories of What, Why and How, pp.14-33. London: Routledge.. ISBN: 9780415525589
Baybutt, M. & MacAskill S. (2013) Smoking and mental disorder: special circumstances. Chapter 7 in: Britton, J. (Ed.) Smoking and Mental Health. A Joint Report by the Royal College of Physicians and the Royal College of Psychiatrists, pp.130-155. London: RCP. ISBN: 9781860165085
Dooris, M. & Barry, M. (2012) Overview of implementation in health promoting settings. Chapter In: Samdal, O. & Rowling, L. The Implementation Of Health Promotion In Schools: Exploring The Theories Of What, Why And How. London: Routledge. ISBN: 9780415525589
Dooris, M. (2012) Settings for promoting health. Chapter in: Jones, L and Douglas, J. Public Health: Building Innovative Practice, pp.346-376. London: Sage/Milton Keynes: Open University Press. ISBN: 9781446207741
Dooris, M. (2012) The Settings Approach: An overview – looking back, looking forward. Chapter in: Scriven, A. and Hodgins, M. Health Promotion Settings: Principles and Practice, pp.17-34. London: Sage. ISBN: 9780857025463
Dooris, M., Doherty, S., Cawood, J. & Powell, S. (2012) The Healthy Universities Approach: Adding Value to the Higher Education Sector. Chapter in: Scriven, A. and Hodgins, M. Health Promotion Settings: Principles and Practice, pp.53-69. London: Sage. ISBN: 9780857025463
Dooris, M. (2009) Sundhedsfremmende settings: Teori, politik og praksis [Health promoting settings: theory, policy and practice]. Chapter in: Carlsson, M.; Simovska, V. & Jensen, B. Sundhedspædagogik og Sundhedsfremme. Teori, Forskning og Praksis [Health Pedagogy and Health Promotion: Theory, Research and Practice]. Copenhagen: Aarhus University. ISBN: 9788779343993
Dooris, M., Poland, B., Kolbe, L., de Leeuw, E., McCall, D. & Wharf-Higgins, J. (2007) Healthy settings: Building evidence for the effectiveness of whole system health promotion – challenges & future directions. Chapter in D.V. McQueen & C.M. Jones (Eds.) Global Perspectives on Health Promotion Effectiveness. New York: Springer Science & Business Media, pp. 327-352. ISBN: 9780387709734
Dooris, M. & Hunter, D. (2007) Organisations & settings for promoting public health. Chapter in C. Lloyd, S. Handsley, J. Douglas, S. Earle & S. Spurr (Eds.) Policy & Practice in Promoting Public Health. London: Sage/Milton Keynes: Open University, pp. 95-125. ISBN: 9781412930734
Baybutt, M., Hayton, P. & Dooris, M. (2006) Prisons in England & Wales: An important public health opportunity? Chapter in J. Douglas, S. Earle, S., S. Handsley, C. Lloyd & S. Spurr (Eds.) A Reader in Promoting Public Health: Challenge & Controversy. London: Sage/Milton Keynes: Open University Press, pp. 237-245. ISBN: 9781412930758
WHO* (2002) Community Participation in Local Health & Sustainable Development (European sustainable development & health series: 4). Copenhagen: WHO Regional Office for Europe. *acknowledged as main author. ISBN: 9289010843
Dooris, M. & Thompson, J. (2001) Health-promoting universities: An overview. Chapter in A. Scriven & J. Orme (Eds.) Health Promotion: Professional Perspectives. Basingstoke: Macmillan, pp. 156-168. ISBN: 9780333948347
Tsouros, A., Dowding, G., Thompson, J. & Dooris, M. (Eds.) (1998) Health Promoting Universities: Concept, Experience & Framework for Action. Copenhagen: WHO Regional Office for Europe. ISBN: 9289012854
Dooris, M., Dowding, G. & Thompson, J. (1998) The settings-based approach to health promotion. Chapter in A. Tsouros, G. Dowding, J. Thompson, & M. Dooris (Eds.) Health Promoting Universities: Concept, Experience & Framework for Action. Copenhagen: WHO Regional Office for Europe, pp.18-28. ISBN: 9289012854
Doherty, S., Dooris, M. and Holt, M. (in press2018) It takes a whole university to create health and wellbeing. University & College Counselling Journal 6(2): 10-15.
Hancock, T. and Dooris, M. (2017) One Planet Regions: Planetary health at the local level. Lancet Planetary Health 1(3): e92-93.
Morley, A., Ramsingh, B., Dooris, M., Farrier, A., & Hollingsworth, A. (2017) Regional Responses: The Sustainable Food North West Research Collaboration. 22 February 2017. Food Research Collaboration Policy Brief. London: Food Research Collaboration, City University. ISBN 978-1-903957-22-6
Schoen, V., Durrant, R., Fishpool, M., Dooris, M. (2017) CSO-academic collaboration: theory and practice. 11 January 2017. Food Research Collaboration Policy Brief. London: Food Research Collaboration, City University. ISBN 978-1-903957-20-2.
Dooris, M. (2016) Healthy Settings: International perspectives on healthy settings: critical reflections, innovations and new directions. Global Health Promotion 23 (Suppl. 1): 5-7.
Patrick, R., Dooris, M. and Poland, B. (2016) Healthy cities and the transition movement: converging towards ecological well-being? Global Health Promotion 23 (Suppl. 1): 90-93.
Farrier, A. and Kedwards, J. (2015) Impact Report: Greener on the Outside for Prisons. Project Report. Groundwork UK, Manchester.
Baybutt, M. and Farrier, A. (2015) Greener on the Outside for Prisons: A Guide to Setting Up and Delivering a Prison-Based GOOP Project. UCLan/Big Lottery Fund. Manual. UCLan, Preston.
Woods, S. & Dooris, M. (2014) UK Healthy Cities Network Annual Report 2013. Preston: UCLan - Healthy & Sustainable Settings Unit
Cawood, J., Woods, S. & Dooris, M. (2013) UK Healthy Cities Network Annual Report 2012. Preston: UCLan - Healthy & Sustainable Settings Unit
Baybutt, M., Chesworth, B. & Dooris, M. (2013) An Evaluation of the Green Dreams Project: A Report by the Healthy Settings Unit at UCLan. Preston: UCLan - Healthy & Sustainable Settings Unit
Dooris, M., McCart, D., Hurley, M., Baybutt, M., Clarke, R. (2012) Evaluation of the Bury, Rochdale and Oldham Offender Health Trainer Implementation Project 2011-2012. Final Report. Preston: UCLan - Healthy & Sustainable Settings Unit
Baybutt, M., Farrier, A. & Dooris, M. (2012) Target: Wellbeing Pan-Regional Prisons Programme – Health, Inclusion and Citizenship. Final Report. Preston: UCLan - Healthy & Sustainable Settings Unit
Farrier, A., Dooris, M. & Froggett, L. (2009-2012) Target: Wellbeing Process Evaluation – Set of Research Reports. Preston: UCLan - Healthy & Sustainable Settings Unit
Baybutt, M. & Dooris, M. with McCart, D. (2011) Evaluation of Rochdale Offender Health Trainers Demonstration Project – Report of Findings. Preston: UCLan - Healthy & Sustainable Settings Unit
Timpson, C., Knuckey, S. Perkins, C., Bellis, M., Dooris, M. & Farrier, A. (2011) Target: Wellbeing Evaluation – Update Report 2011 (Reporting period April 2009-August 2010). Liverpool: LJMU – NWPHO.
Dooris, M., Cawood, J., Doherty, S. & Powell, S. (2010) Healthy Universities: Concept, Model and Framework for Applying the Healthy Settings Approach within Higher Education in England. Final Project Report – March 2010. Preston: UCLan / London: RSPH.
Giles, S.,Phillips, S., Timpson, C., Carlin, H., Perkins, C., Dooris, M. & Farrier, A. (2010) Target: Wellbeing Evaluation – Annual Report February 2010 (Reporting period April-September 09). Liverpool: LJMU – NWPHO.
Dooris, M. & Doherty, S. (2009) National Research and Development Project on Healthy Universities: Final Report. London: Higher Education Academy HS&PSC.
Farrier, A., Dooris, M. & Froggett, L. (2009) XPRESS Well-Being on Prescription Project Evaluation Report. UCLan - Healthy & Sustainable Settings Unit/Psychosocial Research Unit.
Sedgley, L. & Dooris, M. (2007) NW Regional Workplace Health Strategy. Preston: UCLan.
Dooris, M. & Hobbs, A. (Eds.) (2003) Healthy Settings in England’s North West: Stitching the Tapestry Together. Report of Conference, 19 September 2002. Preston: UCLan.
Dooris, M. & Ratinckx, L. (2002) Review of Walsall’s Arts into Health Partnership. Final Report Commissioned by Walsall Metropolitan Borough Council and Walsall Health Authority.
Dooris, M. with Cotterill, A. (2001) Hemsworth Coalfield Partnership SRB5 Programme: Wellbeing Impact Assessment. Final Report commissioned by Wakefield HAZ.
Dooris, M. (1998) Working for Sustainable Health – University of Central Lancashire Health Promoting University. Phase I Progress and Evaluation Report. Preston: UCLan.
Current students include:
Members of the Healthy & Sustainable Settings Unit offer supervision in fields such as:
Michelle Baybutt is module leader for, and other Unit members teach on, PG4114 (Healthy Settings: Theory, Policy and Practice), which forms part of both the MSc Applied Public Health and the MSc Sustainability, Health & Wellbeing.
Members of the Healthy & Sustainable Settings Unit contribute to various undergraduate and postgraduate modules.
The Healthy & Sustainable Settings Unit has been commissioned by a range of organisations including the Health Service Executive for Ireland, the Health Promotion Agency for Northern Ireland and Coventry City Council to deliver tailored training and development courses in Healthy Settings.
Healthy and Sustainable Settings Unit
University of Central Lancashire
Tel: +44 (0)1772 895575
At their simplest, settings such as schools and workplaces are convenient places for health interventions. However, the healthy settings approach recognises that many health determinants and influences are interrelated and can be best tackled through comprehensive, integrated programmes in the contexts and places where people live their lives.
Drawing on organisational development and community development perspectives, the approach is ecological and systems-based, working towards whole system change – with the aim of integrating health and well-being within the ethos, culture, routine life and core business of settings. Action is usually focused in three areas, as illustrated in Figure 1:
Figure 1: The Healthy Settings Approach
Source: Adapted from:
Baríc, L., 1993 The settings approach – Implications for policy and strategy. Journal of the Institute of Health Education, 31, 17-24.
Dooris, M., Doherty, S., Cawood, J. & Powell, S. (2012) The Healthy Universities Approach: Adding Value to the Higher Education Sector. Chapter in: Scriven, A. and Hodgins, M. Health Promotion Settings: Principles and Practice. London: Sage.
The approach is values-based, uses a range of methods and holds a number of aspects in tension, as shown in Figure 2:
Figure 2: The Healthy Settings Approach – A Question of Balance
Source: Adapted from:
Dooris, M. (2004) Joining up settings for health: a valuable investment for strategic partnerships? Critical Public Health 14: 37-49.
Dooris, M (2013) Bridging the Silos: Towards Healthy and Sustainable Settings for the 21st Century. Health & Place 20: 39-50.
UCLan Social Spaces – Evaluative Research Study [UCLan, £13, 148]
Arts and Health
Healthy Settings - General
Healthy Universities: Whole University Leadership for Health, Wellbeing and Sustainability [Leadership for Higher Education, £8,000]
Prisons and Criminal Justice
Tackling Health Inequalities and Community Development
Mobilising Communities and Building Resilience and Capacity for Better Health and Wellbeing in Lancashire [Lancashire County Council, £40,000]
Propagating Success? The Incredible Edible Model – Evaluation of Social, Environmental and Economic Impacts [Ashden Trust/NISA, £20,000 via Manchester Metropolitan University]