The determinants of health in cities are mediated by good urban planning; and supported by huge dollops of community participation. The relationship between resources such as land, food, biodiversity, air, energy, water and local amenities at neighbourhood level that provides the basis healthy lives, health equity and a healthy planet. Environmental Stewardship for Health is a para-academic consultancy that specialises in providing workable impact; through team working for better policy, participation and planning; and through encouraging new partnerships, new programmes and new perspectives.