Installing green roofs and green walls in urban areas is suggested to supply multiple ecosystem services of benefit to human health and well-being. In a three-step literature review, we examined current knowledge on the link between public health and green roofs and green walls. A systematic search identified 69 scientific articles on green roofs/walls with a public health discourse. These articles were categorized according to type of health path covered (reduction of temperature, air pollution, noise or environmental appraisal) and coverage of issues of relevance for strategies on planning, design/construction, and maintenance of green roofs and green walls. Articles identified through the structured search were complemented with reviews (with no explicit public health rationale) covering reduction of noise, temperature, or air pollution and environmental appraisal. Other relevant studies were identified through snowballing. Several of the articles provided guidelines for optimizing the effect of green roofs/walls in supporting ecosystem services and maximizing well-being benefits to support health pathways identified. These included specifications about planning issues, with recommended spatial allocation (locations where people live, sun-exposed for maximum ambient temperature reduction) and with physical access needed for environmental appraisal. Recommendations regarding design parameters covered substrate depth (deeper generally being better), plant choices (more diverse roofs providing more services), and maintenance issues (moist substrate positively correlated with heat reduction).

Designing green infrastructure in cities requires vegetation that has multiple outcomes and functions, particularly using plants that have both attractive visual or aesthetic features and high biodiversity values. Plantings that have high visual appeal are more highly valued by people and increase their feeling of wellbeing. Increasing biodiversity in cities is one of the major challenges facing urban planning and design. However, balancing biodiversity and aesthetic outcomes in urban planting design is complex, and to date there are few methods that can be used to guide plant selection. To address this knowledge gap, we investigated the use of a colour theory framework for planting arrangements to see if we could design vegetation that is highly aesthetic and has high biodiversity. We did this by configuring planting combinations for living walls in Malmö, Sweden, using principles based on Johannes Itten’s colour theories. The plant combinations on each wall were graphically arranged using (1) colour analysis of each plant and (2) design of the plant species into two colour schemes: light-dark colour concept and a complementary colour concept. For each species used in the compositions we created a biodiversity classification, based on its pollination value, “nativeness” and conservation value as a cultivar; and a plant visual quality classification, based on the performance from living walls studies. The graphical colour composition and interlinked biodiversity value were then compared to designs created with randomly selected plant species. The results showed that it is possible to design a living wall based on colour theory without compromising with biodiversity outcomes, namely species richness, pollination and the nativeness of the species. The results also indicate the potential application of this design approach to deliver greater aesthetic appreciation and enjoyment from plantings. While more work is needed, this study has shown that a theoretical colour framework can be a useful tool in designing green infrastructure to improve delivery of both cultural and regulatory ecosystem services.