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. 2021 May 3;98(3):415–427. doi: 10.1007/s11524-021-00537-y

Conflict in best practice:

• Despite long-standing best practice guidance on urban design/planning, there is still confusion about trade-offs, e.g.:

-.Urban (access to jobs, amenities, community) vs. sub-urban (access to nature, tranquility and clean air)

- Socio-economic necessity (e.g. use of car to access jobs) vs active travel (e.g. on rural/suburban greenfield sites, cycling seen as leisure-only activity, not as a mode of travel)

Conflicting priorities:

• Demands different (e.g. consumer/convenience vs government/politics/economics vs scientist/health/climate)

• Certain trade-offs irreconcilable— prioritisation needed (e.g. sports pitches vs woodland)

Speculation vs risk aversion:

• Developers specialize in speculation, but shareholders require low risk (i.e. 10% ROI; ‘would go out of business at 15% profit’)

• ‘Intensive systems’ of risk management controls therefore crucial, but also severely constraining

Public vs private:

• Private rental sector has the coldest homes, which Councils are not able to remedy

Health ‘premium’ vs affordability:

• Private sector expect purchasers to pay for health premium (i.e. additional cost of higher quality development), yet house prices/affordability a constant challenge and priority