Why the new NPPF must plan for people, not just units
Words by Emma Cooke, head of external affairs.
The National Planning Policy Framework (NPPF) is often described in the dry language of “targets,” “uplifts,” and “statutory duties.” But for those of us who live in the results of these decisions, it is something much more visceral. It is the blueprint for our health, the architect of our social lives, and the gatekeeper of our quality of life.
As the government consults on its December 2025 draft, the central mission is clear: growth.
But at the Quality of Life Foundation, we have a question: What kind of growth? If we build 1.5 million homes but neglect the health and social fabric of the people who live in them, we aren’t building a future – we are building a legacy of inequality.
The vanishing thread of health
In recent years, we’ve fought to see health integrated into every level of planning. Yet, in this new draft, that thread is becoming dangerously thin. The removal of key principles – like those found in the former paragraph 96 – has left a vacuum where a ‘health duty’ should be.
When planning becomes purely about the delivery of housing and infrastructure, it stops being about people. We believe that a local plan should not be considered ‘sound’ if it cannot prove it will actively reduce health inequalities.
This isn’t just a matter of aesthetics or convenience; it is a matter of life expectancy.

