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Designing Healthy Homes: Why New Social Housing Must Prioritise Mental and Physical Health

20th May 2026

By Sarah Davey, Head of Development, CHIC

The case for change

Housing policy continues to focus on delivery targets. With around 1.3 million households on social housing waiting lists in England, that pressure is clear. But volume alone cannot define success. The homes built today will shape health outcomes for decades.

As Sarah Davey explains, “We cannot separate housing delivery from health. If we do, we build in long term challenges for residents, landlords and public services. Quality must sit alongside quantity.”

Why health matters in housing

Housing is a key determinant of health. Poor conditions are linked to respiratory illness, mental health challenges and reduced life expectancy. Social housing residents are more likely to experience damp, cold and inadequate space and layouts.

Expectations of the home have also shifted. It is now a place to live, work and recover, which makes the quality of design even more important.

Getting the fundamentals right

Natural light supports sleep, mood and concentration. Ventilation reduces damp and mould, an issue brought into sharper focus through Awaab’s Law. These are essential to healthy living, not optional features.

Space and layout also matter. Overcrowding affects wellbeing and development, particularly for children. Homes should support privacy, flexibility and everyday use.

“Design decisions made early have lasting consequences,” says Sarah. “Getting space and layout right from the outset avoids higher costs later.”

Looking beyond the front door

Health is shaped by the wider environment. Access to green space improves wellbeing and supports physical activity, yet is still often undervalued. In practice, it functions as essential infrastructure.

Shared outdoor areas and safe communal spaces can reduce isolation and support stronger communities.

The overlooked risks

Noise and thermal comfort are often underestimated. Poor acoustics disrupt sleep and increase stress. Overheating is an increasing risk as temperatures rise.

Addressing these issues early in the design process is more effective than reacting later.

Designing for healthier lives

Design can encourage healthier behaviours. Safe walking routes, accessible stairs and usable play spaces make physical activity easier to incorporate into daily life.

As Sarah puts it:

“Good design should make the healthy choice the easy choice.”

Building for the future

Accessibility must be built in from the start. Homes that support changing needs allow residents to remain independent and reduce pressure on services. This also protects long term value for housing providers.

Residents are an important source of insight. Meaningful co design leads to better outcomes and stronger communities, ensuring developments respond to real needs.

Prevention is better than cure

Designing for health is both a social and economic priority. Preventative investment reduces future costs linked to healthcare, maintenance and tenancy management. New developments offer the opportunity to embed these principles from the outset.

As Sarah concludes:

“Every design choice either creates pressure later or helps reduce it. Healthier homes deliver better outcomes for everyone.”

A necessary shift

Housing providers do more than deliver homes. They shape the conditions for peoples lives. The question is no longer whether health should be prioritised, but whether it can afford to be ignored.

The role of procurement

A procurement consortium has a key role in turning these principles into practice. By setting clear standards, shaping frameworks and working with trusted supply chains, it can ensure that health focused design is delivered consistently and at scale. It also supports members in balancing cost, quality and compliance without compromising long term outcomes.

As Sarah highlights:

“Procurement should not be seen as a constraint. It is a lever to raise standards, share best practice and deliver better homes more efficiently.”

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