health and well-being plan 2017-21 · health and well-being plan 2017-2021. the health and...

HEALTH AND WELL-BEING

PLAN 2017-21

PLANNING FOR OUR PEOPLE

OUR PLACE OUR FUTURE

2 CESSNOCK CITY COUNCIL – Health and Well-being Plan 2017-21

CONTENTS

PAGE OF CONTENTS .............................. 2

ACKNOWLEDGEMENT OF

COUNTRY ......................................................... 3

MAYOR FOREWORD ............................... 4

EXECUTIVE SUMMARY ......................... 5

ACTION PLAN 2017-2021 ..................... 6

Implementation and Evaluation ............................................. 30

THE CONTEXT OF THE PLAN ........ 31

Council’s Involvement in Health and Well-being...... 34

SOCIAL PROFILE ...................................... 36

Population Growth between Census Years ................... 37

Income ........................................................................................................ 38

Unemployment .....................................................................................39

Education Attainment ......................................................................39

Housing ...................................................................................................... 40

Socio-Economic Indexes for Areas (SEIFA)................... 40

HEALTH PROFILE ..................................... 41

Modifiable Health Risks .................................................................. 41

Prevalence of Disease ..................................................................... 42

Mental Health ......................................................................................... 43

Affordability in Accessing Health Care .............................. 43

CONSULTATION METHODOLOGY ...................................... 45

Engagement with the Community ........................................ 45 Discussion with Cessnock City Council Staff ................ 45 Review of Previous Planning Processes ........................... 45

COMMUNITY CONSULTATION OUTCOMES .................................................. 46

Community Survey ........................................................................... 48

OVERALL FINDINGS AND CONCLUSION ............................................ 50

Healthy Environments .................................................................... 50 Healthy Communities ..................................................................... 50

CONCLUSION ............................................ 53

References............................................................................................... 54

Page of

Contents

3

CESSNOCK CITY COUNCIL – Health and Well-being Plan 2017-2021

Cessnock City Council acknowledges that within its local government

area boundaries are the Traditional Lands of the Wonnarua people,

the Awabakal people and the Darkinjung people. We acknowledge

these Aboriginal peoples as the traditional custodians of the land on

which our offices and operations are located, and pay our respects

to Elders past and present. We also acknowledge all other Aboriginal

and Torres Strait Islander people who now live within the

Cessnock local government area.

Acknowledgement of

Country


Mayor

Foreword

COUNCILLOR BOB PYNSENT MAYOR OF THE CITY OF CESSNOCK

It is with great pleasure I present Council’s

Health and Well-being Plan 2017-2021.

The health and well-being of our

community is of paramount importance.

Council is well placed to play its part in

engaging and providing services to the

community that improve health and well-

being outcomes. It is pleasing to see that

through local partnerships Council is a

supporter of the 5 Ways to Well-being

Framework and has been included as part

of our action plan.

Over the years, Council has implemented a

range of programs to increase health and

well-being, this Plan is an opportunity to

build on our previous work and progress

into the future.

This Plan has been developed and

informed by community consultation. The

time generously provided by people and

service providers who participated in the

community consultation process is greatly

appreciated.

I look forward to what we can achieve

over the next four years through the

implementation of the actions set out

under this Plan.

5


Executive Summary

The Health and Well-being Plan 2017-2021 (the

Plan) provides Cessnock City Council (Council) with

strategic direction for how it can play its part in

improving the health status of residents living

within the local government area. The aim of the

Plan is to provide Council with localised actions

that encourage healthy environments, liveable

communities and well-being.

A Plan that focusses on health and well-being is

important for the Cessnock local government area

as it has a higher than state average for a number

of concerning health conditions including

overweight and obesity, cardio-vascular disease,

psychological distress and some types of cancer.

Traditionally local governments have had a role in

addressing statutory public health matters at a

localised level.

In recent times there has been acknowledgement

that local government also has a role in

addressing health issues through planning and

designing environments that encourage healthy

lifestyles and community well-being.

In preparing the Plan a number of consultation

methods were used. These methods included

consultation with service providers and focus

sessions with community groups interested in

health and well-being. A written survey was also

made available to the community.

In considering the findings and optimising health

and well-being, Council has the ability to be

dynamic in the areas of healthy environments and

healthy communities and is the focus of this Plan.

The diagram below lists the Plan’s two focus

areas.

Executive

Summary

Healthy

Communities

Healthy Environments

Health

and

Well-being


The aim of the Plan is to provide Council with

actions that encourage healthy environments,

liveable communities and well-being.

The Plan is based on two focus areas and they

are:-

Healthy Communities


For each of the two focus areas, there are a

number of themes and these themes comprise

actions, outcomes, measures and a suggested

timeframe for completion. The Plan’s themes are

listed in the below diagram and in total there are

19 themes and 45 actions are listed in the Plan.

Insert – Information on the 5 ways to well-being and

diagram of five ways to well-being



Bring to the table win-win survival strategies

to ensure proactive domination. At the end of the

day, going forward, a new normal that has

evolved from generation X is on the runway

heading towards a streamlined cloud solution.

User generated content in real-time will have

multiple touchpoints for offshoring.



Action Plan

2017-2021

THEMES

• Food Safety and Security

• Asbestos Management

• Healthy Built Environments

• Smoke Free Environments

Focus Area:


• Active Communities

• Eating for Better Health

• Responsible Alcohol Consumption

• Illicit Drug Use Prevention

• Smoking Cessation

• Skin Protection

• Safer Communities

• Water Safety

• Road Safety

• Housing and Affordable Housing

• Inclusion, Participation and Connectivity

• Mental Well-being

• Life Long Learning

• Being Mindful

• Giving and Volunteering

Focus Area:

Healthy Communities

7


Incorporation of the 5 Ways to Well-being Framework and

Healthy Communities

The focus area for Healthy Communities is

inclusive of the 5 Ways to Well-being Framework.

The 5 Ways to Well-being Framework developed

by nef (new economics foundation) is an evidence

based approach to public health promotion. The

inclusion of the framework in Council’s Plan was

inspired by local secondary school, Mount View

High. The school had been successful in securing

a $30,000 funding grant from the Department of

Education and had commenced implementing the

framework at similar time to Council developing

its Health and Well-being Plan.

With the synergies apparent, the school, Council

and the Cessnock Healthy Lifestyle Network (a

locally based networking group for people with an

interest in health promotion and includes

professionals and community representatives)

developed a partnership to collaboratively

consider how the 5 Ways to Well-being

Framework could be embedded not just within

the school environment but also within the wider

community. It was obvious that Council’s Health

and Well-being Plan presented great opportunity

to include and ensure actions had a relationship

to the 5 Ways to Well-being Framework.

Well-being is a concept grounded in feeling good

and functioning well (new economics foundation).

It encourages people to be mindful of what they

can do to be an active participate in caring for and

improving well-being.

The 5 Ways to Well-being Framework is applicable

to the Healthy Communities focus area only. In

the context of this Plan, the 5 Ways to Well-being

Framework is defined as:-

1.Connect

Connecting with people; participation in the

community; provision of places to engage.

2. Be Active

Engage in physical activity; be active in making

positive health decisions, provide infrastructure that

supports and enables physical activity.

3. Take Notice

Take time to be mindful of surroundings; listen and

support people.

4. Keep Learning

Be a learner; gain knowledge; be inquisitive; learn

new ways of doing things.

5. Give

Volunteering within the community.

Within the Plan and for the Healthy Communities

focus area only, an indication is provided for each

action as to their relationship to the 5 Ways to

Well-being Framework. The focus area for Healthy

Environments is outside of the framework and

hence was not able to be applied.


Focus Area 1:

Healthy Communities

Themes

Active Communities

Eating for Better Health

Responsible Alcohol Consumption

Illicit Drug Use Prevention

Smoking Cessation

Skin Protection

Safer Communities

Water Safety

Road Safety

Housing and Affordable Housing

Inclusion, Participation and Connectivity

Mental Well-being

Life Long Learning

Being Mindful

Giving and Volunteering

Vegie Patch – Eating for Better Health

9


Strategic Direction Action Outcome & Measures Timeframe Links to

5 Ways to

Well-being

1.1 Active Communities

1.1a)

Central business district

areas provide a physical

environment where

walking is an accessible

means of active

transport.

Seating will continue to be

provided within central

business districts. When

selecting and placing street

furniture, CPTED principles

will be considered.

Outcome:

Active transport is

facilitated and

encouraged within the

Cessnock local

government area.

Measures:

- Observations for use

of seating.

- Requests for

additional seating are

investigated.

- Incidences of

vandalism to seating

reduced.

Ongoing

Be Active

1.1b)

The Cessnock local

government area is an

engaging and safe place

to cycle.

Implement the Cessnock

City Council Cycling Plan

and promote the use of the

cycleway network.

Outcome:

Infrastructure that

supports cycling is

provided within the

Cessnock local

government area.

Measures:

- Improvements to the

cycleway network.

- Observations for

community use of

cycleways.

- Feedback from

residents and visitors.

- Supporting

infrastructure is

installed at Council

owned/managed

facilities, for example

bike racks.

Ongoing

Be Active



5 Ways to

Well-being

1.1 Active Communities (continued)

1.1c)

People are provided

with an opportunity to

engage and participate

in physical activity

programs as part of

Council community

events.

Opportunities will be

sought to include at least

one activity that

encourages physical activity

during Youth Week,

NAIDOC Week and Seniors

Week and will be listed in

the calendar of events

program.

Outcome:

Through collaboration

and the sharing of skills,

expertise and resources,

there is increased

opportunity for a diverse

calendar of events to be

provided to the

community.

Measures:

- Activities are provided

encouraging people

to be physically active.

- Feedback from

participants.

Ongoing

Be Active

Connect

1.1d)

Residents and visitors

are provided with

opportunity to engage

in active living with a

wide range of

recreation and sporting

facilities provided.

Implement strategies listed

in recreation and open

space planning instruments

and includes the Recreation

and Open Space Strategic

Plan and site specific

master plans.

Outcome:

Recreation facilities are

used by the community to

achieve an active lifestyle

and recommended levels

of physical activity.

Measures:

- Council facilities are

used for a range of

activities.

- Council facilities are

available to the

community for health

and well-being

programs.

Ongoing

Be Active

11



5 Ways to

Well-being

1.1 Active Communities (continued)

1.1e)

All populations have

opportunities to engage

in healthy activities.

Continue to provide

recreational facilities which

enable the delivery of a

range of health and

recreation programs to all

population groups and

abilities.

Outcome:

Barriers for engagement

with recreation facilities

are minimised.

Measures:

- Recreation facilities

are accessed by a

range of population

groups.

- Access barriers to

community facilities

are reduced.

Ongoing

Be Active

Connect

1.2 Eating for Better Health

1.2a)

Healthy catering is

provided at community

events.

Develop a healthy catering

policy for implementation

at community events where

catering is funded by

Council and/or provided at

a Council hosted

community event.

Outcome:

Attendees at council

hosted community events

have access to healthy

and nutritious foods.

Measures:

- Adoption of a healthy

catering policy.

- Council community

events provide

healthy catering.

2018

Keep Learning

Be Active



5 Ways to

Well-being

1.2 Eating for Better Health (continued)

1.2b)

The community has

access to fat and salt

reduced foods.

Advocate for the delivery of

community based

programs that provide

healthy food options.

Outcome:

Through collaboration

and the sharing of skills,

expertise, knowledge and

resources, healthier foods

are provided.

Measures:

- Collaborative

partnerships formed

to deliver a range of

programs.

- Food outlets cook

with healthier oils.

- Healthier oils are

used as part of food

supply and food

preparation

benefiting the

consumer.

Ongoing

Be Active

Keep Learning

1.2c)

Infrastructure that

encourages healthy

cooking is available

within the Cessnock

local government area.

In the design of any new

community centre,

consider the inclusion of a

commercial kitchen that

can be used to facilitate

healthy cooking programs.

Infrastructure that allows

pop-up cooking

demonstrations should

also be considered and

provision of BBQ facilities

in accordance with

Council’s open space and

recreation design

guidelines.

Outcome:

The community has

access to cooking facilities

and a commercial kitchen

for healthy cooking

programs.

Measures:

- Installation of a

commercial kitchen.

Ongoing

Keep Learning

13



5 Ways to

Well-being

1.3 Responsible Alcohol Consumption

1.3a)

Young people are aware

of the risks of alcohol

misuse.

Council’s youth service

‘CYCOS’ to continue

working in partnership with

external organisations to

implement youth based

community programs that

address alcohol

consumption and misuse.

Outcome:

Young people are

provided with an

opportunity to be better

informed on the potential

consequences of alcohol

misuse.

Measures:

- Youth alcohol misuse

prevention programs

are delivered by

Council.

- Young people

participate in Council

programs.

- Outcome of any

qualitative and

quantitative program

evaluations.

Ongoing

Connect

Keep Learning

Be Active

1.3b)

Council and stakeholder

organisations

collaborate to promote

the safe consumption of

alcohol.

Continue being an active

member of the Cessnock

Liquor Accord.

Outcome:

Collaboration and sharing

of knowledge and

expertise will assist to

make communities safer.

Measures:

- Number of meetings

attended per annum.

- Number of meetings

held per annum.

Ongoing

Connect

Keep Learning



5 Ways to

Well-being

1.4 Illicit Drug Use Prevention

1.4a)

Council collaborates

with stakeholder

organisations to prevent

illicit drug use.


member of the Cessnock

Local Government Area

Interagency, Youth

Interagency and Cessnock

Community Safety Precinct

Committee.

Outcome:

Programs are delivered

educating the dangers of

drug use.

Measures:

- Community messages

are delivered with a

wide audience reach.

Ongoing

Connect

Keep Learning

1.4b)

Young people are aware

of the dangers of illicit

drug use.

Council’s youth service

‘CYCOS’ to continue

working in partnership with

external organisations to

implement youth programs

that educate the dangers of

illicit drug use.

Outcome:

Young people are better

informed on the

consequences of illicit

drug use.

Measures:

- Illicit drug use

prevention programs

delivered by Council.

- Young people

provided with an

opportunity to

participate in

programs.

- Outcome of any

qualitative and


evaluations.

Ongoing

Connect

Keep Learning

1.5 Smoking Cessation

1.5a)

Council is supportive of

community programs

that encourage smoking

cessation.


member of collaborative

networks, including the

Cessnock Healthy Lifestyle

Network.

Outcome:

Rates of smoking for

individuals decrease.

Measures:

- Council is a member

of collaborative

health networks that

aim for smoking

cessation programs

being delivered within

the local government

area.

Ongoing

Be Active

15



5 Ways to

Well-being

1.6 Skin Protection

1.6a)

Skin protection and the

prevention of skin

cancer is highly valued

by the community.

Reduce skin cancer risk

across the community by

improving sun protection

opportunities through the

delivery of a range of

community programs.

Outcome:

The incidence of skin

cancer is reduced within

the Cessnock local

government area.

Measures:

- Community messages

are delivered with a

wide audience reach.

- Installation of signage

promoting a sun-safe

message at key public

spaces.

Ongoing

Be Active

Take Notice

1.6b)

Recreation spaces such

as children’s

playgrounds, skate

parks and outdoor gyms

are designed to provide

adequate shelter.

Incorporate within Council

planning instruments the

requirement to consider

synthetic sun shelter and

natural shading for outdoor

recreation and open space

areas.

Outcome:

The requirement for sun

shelter is clearly

documented in Council

planning instruments and

funding sources such as

Section 94 Contribution

Plans and Voluntary

Planning Agreements are

accessed.

Measures:

- Required

amendments made to

planning instruments

supporting improved

shading.

- Funding sources

identified for work

improvements.

2019

Connect



5 Ways to

Well-being

1.7 Safer Communities

1.7a)

Council and stakeholder

organisations

strategically collaborate

to achieve a safer

community.

Continue to be an active

member of collaborative

network groups that strive

for safer communities and

includes domestic violence

and crime prevention.

Outcome:

Collaboration and sharing

of knowledge and

expertise assists to make

communities safer.

Measures:

- Number of

Community Safety

Precinct Committee

meetings attended per

annum in comparison

to number of

meetings held.

- Number of Cessnock

Anti-Violence Network


annum in comparison

to number of

meetings held.

- Number of Cessnock

General Interagency


annum in comparison

to number of

meetings held.

Ongoing

Connect

1.7b)

Council is well prepared

in assisting the

community in a disaster

situation.

Continue to be an active

member of the Lower

Hunter Emergency

Management Coordinating

Committee.

Outcome:

Council is aware of its

responsibilities as

documented in its

Emergency Management

Plan.

Measures:

- In situations where the

Emergency

Management Plan is

enacted, feedback is

considered as part of

the event’s review

process.

Ongoing

Connect

Keep Learning

17



5 Ways to

Well-being

1.7 Safer Communities (continued)

1.7c)

Council is a leader in

applying the principles

of Crime Prevention

through Environmental

Design to its community

facilities.

Newly constructed Council

community facilities to

consider and implement

Crime Prevention through

Environmental Design

principles.

Outcome:

Council owned

community facilities are

less susceptible to

opportunistic crime and

malicious damage.

Measures:

- Crime prevention

through

environmental design

principles are

incorporated into

newly constructed

Council owned

community facilities.

- Incidence of damage

and repair costs for

community facilities is

reduced.

Ongoing

Keep Learning

1.7d)

Key outdoor public

spaces are safer places

for people to engage

with.

In consultation with the

NSW Police Force and the

community, Alcohol Free

Zones and Alcohol

Prohibited Zones are

designated at key locations

across the Cessnock local

government area and

signposted accordingly.

Outcome:

Alcohol is prohibited at

designated public places

and the enforcement of

this is made clear to the

community.

Measures:

- Key outdoor public

spaces are audited to

determine need for

alcohol free or

alcohol prohibited

signage.

- Signs are installed to

inform either alcohol

free or alcohol

prohibited.

- Qualitative feedback

from NSW Police and

stakeholders.

Ongoing

Connect



5 Ways to

Well-being

1.8 Water Safety

1.8a)

Water safety education

programs are delivered

with a strong focus on

community capacity

building.

Continue to deliver

education to pool owners

increasing skills and

knowledge for pool water

safety.

Outcome:

Pool owners value the

importance of water

safety and are aware of

their legislative

responsibilities.

Measures:

- Community education

initiatives delivered.

- Resources distributed

that encourage pool

safety.

- Compliance with the

Swimming Pools

(Amendment) Act

2012.

Ongoing

Keep Learning

1.8b)

Public pools are a place

for the community to

learn how to swim.

Continue to encourage

learn to swim programs

being made available at

public pools.

Outcome:

People are provided with

the opportunity to learn

how to swim.

Measures:

- Community education

initiatives are

available to residents.

Ongoing

Keep Learning

1.9 Road Safety

1.9a)

Best practice road

safety initiatives are

delivered benefitting

residents and visitors to

the Cessnock local

government area.

Continue to deliver the

strategies listed in the

Cessnock City Council Road

Safety Strategic Plan 2014-

2018.

Outcome:

The road network within

the Cessnock local

government area is made

safer for users.

Measures:

- Implementation of the

strategies listed in the

Road Safety Strategic

Plan.

- Outcome of any

qualitative and


evaluations.

2014

to

2018

Keep Learning

19



5 Ways to

Well-being

1.10 Housing and Affordable Housing

1.10a)

Housing in the Cessnock

local government area

is affordable for

residents.

Council to be a strong

advocate for an increase in

the availability of

appropriate, affordable

housing solutions which

are of benefit to the local

community.

Outcome:

The need for local

affordable housing

solutions is advocated at

a local, state and federal

level.

Measures:

- Representations made

by Council advocating

for affordable

housing.

Ongoing

Connect

1.10b)

A range of appropriate

housing options are

available in the

Cessnock local

government area.

Council to develop a

housing strategy that

considers future supply

and demand for affordable

housing and includes

supported accommodation,

boarding homes and group

homes.

Outcome:

The community is

provided with increased

affordable housing

options.

Measures:

- Development of a

Housing Strategy.


housing strategy.

Project

commenced

and is for

completion in

2019

Connect

1.10c)

Best practice protocols

are implemented when

engaging with people

who are homeless.

Council staff who as part of

their role, regularly engage

with the community in

public places, to be made

aware of the NSW

Government Protocol for

Homeless People in Public

Places.

Outcome:

The protocol for

Homeless People in

Public Places assists to

inform engagement with

people who are

homeless.

Measures:

- Staff awareness for

the protocol.

- Value of the protocol

by Council staff in

informing their

practice.

- Number of times the

protocol has been

consulted.

2018

Give

Take Notice



5 Ways to

Well-being

1.11 Inclusion, Participation and Connectivity

1.11a)

The Cessnock local

government area is an

accessible and inclusive

community.

Local governments are

legislatively required to

have a Disability Inclusion

Action Plan by July 2017.

Council will deliver the

strategies listed in the Plan

that guides accessible and

inclusive communities.

Outcome:

Council has an adopted

strategic approach for how

it could assist to enhance

access and inclusion in the

delivery of its services.

Measures:

- Adoption of the

Disability Inclusion

Action Plan by the

legislated required date.


Disability Inclusion

Action Plan.

- Qualitative feedback on

access and inclusion

from both residents and

visitors.

2017

to

2021

Connect

1.11b)

The community is aware of

programs and services

available within the

Cessnock local government

area.

Council will continue to

provide an online events

calendar and community

directory and will be

regularly promoted within

the community to increase

their usage.

Outcome:

The community is aware

and has access to a range

of social, recreation and

health services.

Measures:

- Level of usage for the

community directory.

- Number of services

listed on the community

directory.

- Number of events listed

on the events calendar.


from residents and

service providers on the

value and use of the

directory.

Ongoing

Keep Learning

Connect

Be Active

21



5 Ways to

Well-being

1.11 Inclusion, Participation and Connectivity (continued)

1.11c)

Council owned and

managed community

facilities along with Council

initiated events are

inclusive of all people,

including people who have

physical, intellectual,

cognitive, sensory

disabilities and people with

mental health conditions.

Community facilities and

events are welcoming,

engaging, inclusive, safe

and accessible.

Outcome:

Barriers to engaging with

Council owned

community facilities and

events are minimised.

Measures:

- Rates of facility usage.

- Analysis of

demographic usage

for facilities.


on access and

inclusion for Council

owned community

facilities.

- Accessible community

events are provided.

- Outcome of

evaluations for Council

community events.

Ongoing

Connect

1.11d)

The Cessnock local

government area has a

range of transport options

available to residents and

visitors.

Advocate for increased

transport options and

includes public and

community transport

services.

Outcome:

Residents and visitors

have access to transport.

Measures:

- A range of transport

options are available

to the community.

- Frequency and

availability of

transport options.

Ongoing

Connect



5 Ways to

Well-being

1.11 Inclusion, Participation and Connectivity (continued)

1.11e)

Council participates in

community programs that

encourage well-being.

Look for opportunities to

incorporate the “5 Ways to

Well-being Framework” in

Council initiated

community plans and in

the Seniors Week, Youth

Week and NAIDOC Week

Events Calendar.

Outcome:

The “5 Ways to Well-being”

is promoted and

understood within the

community.

Measures:

- Incorporation of the

framework into Council

projects where relevant.


from the community.

Ongoing

Give

Connect

Be Active

Keep Learning

Take Notice

1.12 Mental Well-being

1.12a)

The Cessnock City Library

Service is a resource for

health and well-being and is

freely available to the

community.

Literature and information

(includes information

sessions) for mental health

and well-being to be made

available at both Cessnock

and Kurri Kurri Libraries.

Outcome:

Free mental health

information is available to

the community.

Measures:

- Literature is available to

the community.

- Information sessions are

made available to the

community that discuss

mental health and/or

well-being.


from library users and

the community.

Ongoing

Take Notice

Keep Learning

1.12b)

The prevalence of mental

health within communities is

acknowledged.

Ensure that suitable

training in mental health is

made available and

promoted to employees

who provide direct

community services to the

public including CYCOS and

library service staff.

Outcome:

People with a mental health

issue feel able and safe

when accessing services

delivered by Council.

Measures:

- Customer satisfaction

when engaging with

Council.

Ongoing

Keep Learning

Take Notice

23



5 Ways to

Well-being

1.12 Mental Well-being (continued)

1.12c)

Community facilities are

provided to enable the

delivery of social and mental

health support services.

Implement the actions

listed in the Cessnock City

Council 2031: A Vision for

the Future, Community

Infrastructure Strategic

Plan.

Outcome:

Facilities are available

enabling the delivery of a

wide range of community

services.

Measures:

- A range of facilities are

made available to the

community.

- Community centres

have the capacity to

accommodate not for

profit mental health

services.

Ongoing

Connect

1.13 Life Long Learning

1.13a)

Cessnock City Library

provides a range of

opportunities for the

community to engage and

participate in learning.

Implement the Cessnock

City Library Review, Report

and Strategy 2014-2024.

Outcome:

Both Cessnock and Kurri

Kurri Libraries deliver a

range of children and

adult education

programs.

Measures:

- Delivery of education

programs.

- Community

participation in

education programs.

Ongoing

Keep Learning

Connect



5 Ways to

Well-being

1.14 Being Mindful

1.14a)

People are provided with an

opportunity to engage and

participate in programs that

encourage mindfulness as

part of Council community

events.

Opportunities will be

sought to include at least

one activity that

encourages mindfulness

during Youth Week,

NAIDOC Week and Seniors

Week and will be listed in

the calendar of events

program.

Outcome:

Through collaboration and

the sharing of skills,

expertise and resources,

there is increased

opportunity for a diverse

calendar of events to be

provided to the community.

Measures:

- Activities are provided

that encourage

mindfulness.

- Feedback from

participants.

Ongoing

Take Notice

1.15 Giving and Volunteering

1.15a)

People are aware of and

have access to volunteering

opportunities.

Community groups and

services within the

Cessnock local government

area that provide

volunteering opportunities

will be encouraged to list

on the community

directory.

Outcome:

A range of volunteering

opportunities that provide

for various interests are

listed on the on-line

community directory.

Measures:

- Community groups that

provide volunteering

opportunities are listed

on the community

directory.

Ongoing

Give

Connect

25


Focus Area 2:


Themes

Food Safety and Food Security

Asbestos Management

Healthy Built Environments

Smoke Free Environments

Above: Infrastructure such as pathways assists people to be active


Strategic Direction Action Outcome & Measures Timeframe

2.1 Food Safety and Food Security

2.1a)

Food safety education

programs are delivered with

a strong focus on

community capacity

building.

Continue to work in

partnership with food

proprietors to increase

skills, knowledge and

understanding of best

practice food safety

management.

Outcome:

Food premises within the

local government area have

best practice food safety

standards.

Measures:

- Education initiatives are

delivered within the

community.

- Training is provided to

the community.

- Resources are

distributed to the

community.

Ongoing

2.1b)

Food security is supported

with a variety of foods grown

and produced locally.

Continue to ensure that

the Cessnock local

government area has an

adequate supply of land

zoning to enable the

provision of primary food

production and farming.

Outcome:

The community has access

to locally grown and

produced foods.

Measures:

- Availability of land

zoned in the local

government area that

permits primary food

production and farming.

Ongoing

2.1c)

The community has access

to lands that enable fresh

food growth.

Council to investigate and

consider its position on

road reserves being used

for community gardens.

Outcome:

A determination is made for

the placement of

community gardens on

Council road reserves.

Measures:

- Report to Council and

determination made.

2020

27



2.2 Asbestos Management

2.2a)

Best practice asbestos

management is

implemented at Council.

Review the Asbestos

Management Plan and

ensure practices are

undertaken in accordance

with national and state

asbestos requirements.

Outcome:

Asbestos is identified and

managed safely.

Measures:

- Key stakeholders

identified and consulted

in the development and

implementation of the

Asbestos Management

Plan.

- Asbestos management

strategies implemented.

Ongoing

2.2b)

The community is aware that

illegal asbestos disposal is a

prosecutable offence.

Incidences of illegal

asbestos disposal on

Council owned land and/or

land managed by Council

are investigated.

Outcome:

Incidences of illegal

asbestos disposal are

minimised.

Measures:

- Number of incidents

notified.


investigated.


prosecuted.

Ongoing



2.3 Healthy Built Environments

2.3a)

Healthy by design principles

are included in Council

planning instruments.

Review Council planning

instruments to ensure

healthy by design

principles and

infrastructure that

provides connectivity

between villages,

townships and key centres

are included.

Outcome:

Communities are well

planned and engage

residents in healthy, active

living.

Measures:

- Key stakeholders

identified and consulted

to determine if

amendments are

required within Council

planning instruments.

- Required amendments

made to planning

instruments.

- Observations of

residents engagement

in active living within

new residential

subdivisions.

2020

2.3b)

Localities are designed to

enable participation in active

transport.

Implement Council

strategic plans that

encourage active transport

and include Pedestrian

Access Mobility Plan,

Cycling Strategy and

Section 94 Contributions

Plan.

Outcome:

Infrastructure the supports

active transport is provided

within the Cessnock local

government area.

Measures:

- Construction and

extension of pathways

(measured in metres).

- Observations for

community use of

pathways.

- Cycleways are available

across localities.

- Availability of end of trip

facilities.

Ongoing

29



2.3 Healthy Built Environments (continued)

2.3c)

Cultural and tourism

opportunities that

encourage participation in

recreation activities are

available to residents and

visitors.

Implement the strategies

listed in the Cessnock City

Council Economic

Development Strategy and

Recreation and Open

Space Strategic Plan that

seeks to encourage

participation in cultural

activities, nature based

recreation and ecotourism.

Outcome:

The integration of tourism,

culture and the natural

environment provides a

niche opportunity to

engage people in physical

exercise.

Measures:

- Availability of a range of

activities for residents

and visitors.

- Feedback from people

engaging in the activity.

Ongoing

2.4 Smoke Free Environments

2.4a)

The community is aware of

smoke free laws.

Public spaces that Council

has responsibility for to be

audited to ensure that

legislated smoke free areas

(as prescribed under the

Smoke-free Environment

Act 2000) are adequately

signposted.

Outcome:

Council is compliant with

the Smoke-free

Environment Act 2000.

Measures:

- Public spaces are

audited to determine

compliance with the

legislation.

- Smoke free signs

installed across the

local government area

where required.

- Installed signs are

recorded on Council’s

Geographic Information

Management System.

2018


To ensure the implementation of the Plan, actions

will be embedded within Council’s long term

strategic planning processes and includes the four

year Delivery Plan and annual Operational Plan.

The implementation of the Plan will be discussed

with the Cessnock Healthy Lifestyle Network. This

networking group’s membership includes health

professionals and community representatives. The

network will assist in the monitoring process by

providing feedback regarding perceptions for how

the Plan is meeting its intended strategic

directions. Given the expertise of the networking

group they are also an invaluable resource if

further consultation is required for how Council

could implement with best practice its Health and

Well-being Plan.

In terms of ongoing evaluation, the Plan will be

reviewed on an annual basis. This process will

include an analysis for each action as well as an

evaluation as to the progress of the entire plan.

The progress of Council in achieving the actions

listed in the Plan will be aligned to the Delivery

Plan and annual Operational Plan reporting

process.

At the conclusion of the four year Health and Well-

being Plan, a written evaluation will occur and will

be reported to Council. This written evaluation will

advise of the achievements and identify any

actions that are outstanding. Any actions that

remain outstanding will be considered for

inclusion in future planning processes.

Implementation and

Evaluation

31


Section One: Context of the Plan & Literature Review

The World Health Organisation defines health as a

“state of complete physical, mental and social

well-being and not merely the absence of disease

or infirmity”. In achieving a healthy community,

the World Health Organisation (2016) encourages

the development of locally based strategies. In

developing locally based strategies, the World

Health Organisation highlights the value of

community participation, empowerment,

intersectoral partnerships and participant equity.

According to the World Health Organisation, a

Healthy City aims to:-

Create a health-supportive environment

Achieve a good quality of life

Provide basic sanitation & hygiene needs

Supply access to health care

Traditionally local governments have had a role in

addressing statutory public health matters at a

localised level. Additionally, local government also

undertake a range of other activities intended to

protect and promote the health and well-being of

communities. These activities are listed on the

Local Government NSW (2016) website and

include:-

Provision of sporting and recreational

facilities and open space

Sun protection through shade both natural

and synthetic

Promotion of mental health and well-being

Promotion of physical activity

Promotion of safety and injury prevention

Harm prevention associated with alcohol and

other drugs

Provision of food services (for example

healthy catering at Council events)

In recent times there has also been

acknowledgment that local government has a role

in addressing the social determinants of health

and is an emerging area. This approach

recognises that health and well-being can be

influenced by social and environmental

conditions. The demographics for the Cessnock

local government area indicate lower levels of

educational attainment, a high unemployment

rate, high rates of individual low income, a

moderate to high need for increased affordable

housing and a Socio-Economic Index for Small

Areas score that indicates a high level of

disadvantage being experienced within the

community. The social determinants of health

also acknowledge that health and well-being is

linked to supportive, equitable, inclusive and safe

environments.

Local government also has an important role in

addressing health issues through planning and

designing environments that encourage healthy

lifestyles. The Planning Institute of Australia (2003)

acknowledges the link between the built

environment, urban planning and liveable

communities. Research from Wright, MacDougall,

Atkinson (1996) advises ‘that if people have

adequate paths to walk on, feel safe, have

destinations to walk to and people to stop and

chat with, they are much more likely to engage in

physical activity and walk instead of driving’.

The House of Representatives Standing

Committee on Health and Ageing (2009), found

that ‘urban planning plays a significant role in

creating healthy urban environments which

increase levels of physical activity and decreases

sedentary behaviour. Healthy urban

environments can encourage healthy living and

urban planning has been identified as a key driver

of obesity and an area where action must be

taken in order to reduce the levels of obesity in

Australia’.

Wells, Licata, Mackenzie, Gillham, Holder &

Butterworth (2007) extend further on the

relationship between the built environment,

urban planning and liveable communities stating

The Context of

the Plan


that the way we design cities, towns and

subdivisions and organise our lives affects:-

Our access to nutritious food,

transportation, employment and social

activities

Our ability to feel safe and connected to

others

Our opportunities to exercise

Our potential exposure to pollutants and

toxins

All our senses

Our emotions and memories

Veterans Memorial Park, Aberdare

Example of a park considered to be good design. It includes a natural shaded

playground, toilet facilities, fencing, BBQ area and seating.

33


The Strategic Framework The Plan has been developed to action outcomes

of the ‘Cessnock 2023, Community Strategic Plan’

for the Cessnock local government area.

In developing Cessnock 2023, Council undertook a

comprehensive program of community

consultation activities. Cessnock 2023 is

categorised into five broad priority areas. One of

the five priority areas is for ‘Accessible

Infrastructure, Services and Facilities’. This priority

area lists an objective to ‘Develop a Health

Strategic Plan for the Cessnock local government

area’ (objective 4.3.1a).

In addition to Cessnock 2023, Council has a

number of other Plans that have relevance to

healthy communities. These Plans were also

consulted and are listed below.

Council’s next Community Strategic Plan -

Cessnock 2027 and its corresponding Delivery

Program and Operational Plan list actions that

ensure the implementation of the Health and

Well-being plan.

Council Plans with Links to Healthy Communities

Cessnock CBD Masterplan (2012)

Aquatic Needs Analysis (2014)

Recreation and Open Space Strategic Plan (2009)

Skate and BMX Facilities Needs Assessment 2020 (2011)

Recreation Needs Analysis (2017)

Cycling Strategy (2016)

Road Safety Strategic Plan (2014-2018)

Economic Development Strategy (2014)

2031: A Vision for the Future: Community Infrastructure Plan (2016)

Pedestrian Access and Mobility Plan (2016)


Council’s Involvement in Health and Well-being

Local government is well placed to influence

positive health outcomes and liveable

communities. Programs that Council is

already delivering that support health and

well-being include:-

Council is a member of a number of

networks and includes Cessnock/Kurri

Kurri Local Health Advisory Committee,

Cessnock Healthy Lifestyle Network,

Healthy Oils Project Partner and

General and Youth Inter-agency.

The provision of a diverse range of

recreation sports infrastructure and

open space, enabling participation in

physical activity and social connectivity.

The Cessnock local government area

has a number of designated off leash

dog park areas.

Alcohol Free Zones are established in

areas located within Cessnock, Kurri

Kurri and Weston. These zones are

current until 30 September 2017.

Council civic events and includes Spring

Awakening and Carols in the Park are

alcohol free.

Council regularly inspects all types of

food establishments, to ensure that

they are compliant with the Food Act

2003.

In seeking to reduce the levels of

unhealthy saturated and trans fats in

the local food supply, Cessnock City

Council, in partnership with the Heart

Foundation NSW has implemented the

Healthy Oils Project. The Healthy Oils

Project encourages business owners to

switch to healthier cooking oil for

shallow and deep frying.

Council as an employer has

implemented a Wellbeing@Work

initiative. This includes adopting a

Health and Well-being Policy, the

provision of a Corporate Fitness

Program (Fitness Passport) and a Flu

Vaccination Scheme. Staff also have

access to the Employee Assistance

Program for confidential and

independent Counselling and the

Employee Giving initiative allows staff

to contribute to charities via donations,

including payroll deductions. Also being

implemented is the Mental Health

Awareness Initiative. The initiative is

designed to increase staff knowledge

on the impact of mental health and

encourage awareness for how people

can be supported.

Promotion of safety campaigns ranging

from road safety, pool safety and on-

site sewage management. Both the

outdoor public pools provide users of

the pool with free access to sunscreen.

Development and implementation of a

range of strategic plans that support

healthy environments and active living.

Examples include Cycling Strategy and

Recreation Needs Analysis.

The Recreation Services Team

collaborated with the Samaritans

Foundation Diocese of Newcastle,

Coalfields Healthy Heartbeat and

Cessnock Healthy Lifestyle Network to

construct an outdoor gym. The outdoor

gym was installed at Miller Park,

Branxton June 2016 and was a result of

the Newcastle Permanent Charitable

Foundation awarding $52,000 to the

project group.

Cessnock Youth Centre and Outreach

Service (Council’s youth service) delivers

many health and well-being programs.

These include skate events held at local

parks and involvement in school based

programs that discuss topics such as

mental health, self-esteem, road safety,

alcohol and drug use. The council

owned youth centre has undergone

recent refurbishment and now provides

two office/clinic rooms for visiting youth

services, enabling it to become a youth

hub for service providers and young

people.

35


Social and

Health Profile


Social Profile

The 2011 Census recorded a population of

50,840 people within the Cessnock local

government area. The Estimated Resident

Population as at 30 June 2015 was 55,862.

As at Census 2011, 2,457 people (4.8%)

identified as an Aboriginal and/or Torres

Strait Islander persons.

The age profile of residents within the

Cessnock local government area can provide

key insights into the level of demand for

health services and facilities. Through the

identification of an age profile, the

population can be distributed into categories

which are somewhat reflective of typical life-

stages. The below table provides an

overview of the age profile and is grouped

from the perspective of typical life stages.

Census data for 2006 and 2011 is also

compared.

Age Profile - Service Age Groups

Cessnock LGA 2011 2006 Change

Service

Age Group

(years)

Number % Regional

NSW % Number %

Regional

NSW %

2006 to

2011

Babies and

pre-schoolers

(0 to 4)

3,803 7.5 6.3 3,032 6.6 6.1 +771

Primary

schoolers

(5 to 11)

4,861 9.6 9.0 4,856 10.5 9.7 +5

Secondary

schoolers

(12 to 17)

4,316 8.5 8.2 4,176 9.0 8.8 +140

Tertiary

education &

independence

(18 to 24)

4,402 8.7 8.1 3,864 8.4 8.0 +538

Young

workforce

(25 to 34)

6,266 12.3 10.4 5,555 12.0 10.8 +711

Parents and

homebuilders

(35 to 49)

9,967 19.6 19.5 9,698 21.0 20.9 +269

Older workers

& pre-retirees

(50 to 59)

6,821 13.4 13.9 6,310 13.7 13.6 +511

Empty nesters

and retirees

(60 to 69)

5,629 11.1 11.9 4,219 9.1 10.3 +1,410

Seniors

(70 to 84) 3,912 7.7 10.3 3,776 8.2 9.8 +136

Elderly aged

(85 and over) 863 1.7 2.3 713 1.5 1.9 +150

Total

Population 50,840 100.0 100.0 46,199 100.0 100.0 +4,641

37


The age profile suggests that the Cessnock

local government area when compared to

Regional New South Wales has a higher

percentage of younger population groups.

For instance, the Cessnock local government

area has a:-

Larger percentage of 'babies and pre-

schoolers' (0 to 4 years) (7.5%

compared to 6.3%)

Larger percentage of ‘primary

schoolers’ (5 to 11 years) (9.6%

compared to 9.0%)

Larger percentage of ‘tertiary education

and independence’ (18 to 24 years)

(8.7% compared to 8.1%)

Larger percentage of 'young workforce'

(25 to 34 years) (12.3% compared to

10.4%)

When compared to Regional New South

Wales, the Cessnock local government area

has a lower percentage of people in the

older age groups. For instance, it has:-

Smaller percentage of ‘empty nesters

and retirees' (60 to 69 years) (11.1%

compared to 11.9%)

Smaller percentage of 'seniors' (70 to

84 years) (7.7% compared to 10.3%)

Smaller percentage of ‘elderly aged’ (85

years and over) (1.7% compared to

2.3%)

Population Growth

between Census Years When comparing 2006 Census with 2011

Census, the Cessnock local government area

population increased by 4,641 people or an

approximate growth of 9%. This represents

an average annual population growth of

1.9% during the five year Census period,

suggesting that the Cessnock local

government area is a fast growing

community. Note: the annual population

growth for Australia was 1.6% and 1.1% for

New South Wales between Census Years

2006 and 2011.

In understanding further this population

growth, the largest increase in service age

groups within the Cessnock local

government area between Census 2006 and

2011 were:-

‘Babies and pre-schoolers’ (0 to 4 years)

(+771 persons)

‘Tertiary education & independence’ (18

to 24 years) (+538 persons)

‘Young workforce’ (25 to 34 years) (+711

persons)

‘Empty nesters and retirees’ (60 to 69

years) (+1,410 persons)

The following chart provides an overview of

change in age structure between Census

Years 2006 and 2011.


Income

An analysis of household income in the

Cessnock local government area as at

Census 2011 compared to Regional New

South Wales shows that there was a larger

proportion of high income households

(those earning $2,500 per week or more) and

a lower proportion of low income

households (those earning less than $600

per week). Overall, 13.8% of the households

earned a high income and 25.5% were low

income households.

39


When considering individual income,

compared to Regional New South Wales

there was a higher proportion of people

earning a high income (those earning $1,500

per week or more) as well as a higher

proportion of people earning a low income

(those earning less than $400 per week).

Overall, 10.2% of the population earned a

high income, and 40.7% earned a low

income.

Unemployment The Cessnock local government area has a

higher rate of unemployment when

compared to all neighbouring local

government areas. As at September 2016

the unemployment rates were Cessnock

7.9%, Singleton 4%, Lake Macquarie 5.8%,

Maitland 5.3%, Muswellbrook 6.9% and

Newcastle 6.8% (source: Department of

Education, Employment and Workplace

Relations, Small Area Labour Markets –

September Quarter 2016).

Education Attainment Analysis of the highest level of schooling

attained by the population in the Cessnock

local government area compared to Regional

New South Wales shows a higher proportion

of people who left school at an early level

(Year 10 or less) and a lower proportion of

people who completed Year 12 or

equivalent. Overall, 58.8% of the population

left school at Year 10 or below, and 24.2%

went on to complete Year 12 or equivalent.


Compared to Regional New South Wales,

within the Cessnock local government area

there was a lower proportion of people

holding formal qualifications (Bachelor or

higher degree; Advanced Diploma or

Diploma; or Vocational qualifications), and a

higher proportion of people with no formal

qualifications. Overall, 36.7% of the

population aged 15 and over held

educational qualifications, and 50.8% had no

qualifications.

Housing

In comparison to the neighbouring local

government area’s, Cessnock could be

perceived as having affordable house prices.

For example, at the time of preparing the

Plan, the average house price for the

Cessnock local government area was lower

when compared to neighbouring local

government area’s. However housing

affordability within the local government

area is an issue of concern, with 25% of

households earning a lower then average

income. In terms of rental accommodation,

the Centre for Affordable Housing lists the

Cessnock local government area as in

‘moderate to high need’ for increased

affordable housing.

Socio-Economic Indexes

for Areas (SEIFA)

The Socio-Economic Indexes for Areas

(SEIFA) score for the Cessnock local

government area was 936. This score

indicates a high level of disadvantage being

experienced within the community.

41


Health Profile

Modifiable Health Risks Data provided by the Public Health Information

Development Unit (2015), provides rates of

diseases and/or lifestyle indicators for the

Cessnock local government area. In

understanding the health profile for the Cessnock

local government area, comparisons are made to

New South Wales rate. In reviewing the data

provided by the Public Health Information

Development Unit (2015), a high rate of health

risks was noted for the Cessnock local

government area and includes:-

• obesity

• smoking

• physical inactivity

• alcohol consumption

These modifiable risks are things that local

government can have a role in addressing and

should be considered when determining the

Plan’s actions. The rates of modifiable health risks

for the Cessnock local government area are listed

in the following table.

Modifiable Health Risk Factors Cessnock Local

Government Area

(Rates per 100

population)

New South Wales

(Rates per

100 population)

Estimated population of smokers aged 18 years

and over, during 2011 to 2013

2.3 1.6

Estimated population, aged 18 years and over,

consuming alcohol at levels considered to be a

high risk to health during 2011 to 2013

5.6 4.8

Estimated number of people who are physically

inactive, aged 15 years and over (2008 data)

41.6 33.3

Estimated number of obese people, 18 years and

over

32.3 26.4

Estimated number of overweight people, 18

years and over

34.7 34.6

Estimated population, aged 15 years and over,

with fair or poor self-assessed health during

2011 to 2013

1.7 1.4

Source: Public Health Information Development Unit (2015)


Prevalence of Disease Data provided by the now disbanded Hunter

Medicare Local (2013) reported that the Cessnock

local government area when compared to New

South Wales had a higher incidence of

hospitalisations due to diabetes, coronary heart

disease and chronic obstructive pulmonary

disease. The table below indicates the prevalence

of disease for the Cessnock local government area

when compared to New South Wales.

Disease Indicators

(2011-13)

Cessnock Local

Government Area

(Rates per

100 population)

New South Wales

(Rates per

100 population)

Estimated number of people with circulatory

system diseases aged 2 years and over

18.8 17.6

Estimated number of people with hypertensive

disease

10.8 10.5

Estimated number of people with respiratory

system diseases

32.4 27.4


The average life expectancy for the Cessnock local

government area is approximately 80 years. The

below table reflects the premature cause of

mortality for the Cessnock local government area

and makes a comparison with rates for New

South Wales.

Data provided by the now disbanded Hunter

Medicare Local reported that in 2013 the

Cessnock local government area had a higher

prevalence of lung cancer and melanoma when

compared to New South Wales.

Premature Mortality by Cause

(2009-2012)

Cessnock Local

Government Area

(Rates per 100,000

population)

New South Wales

(Rates per 100,000

population)

Cancer

(0 to 70 year)

129.7 102.9

Circulatory System

(15 to 64 years)

69.3 48.9

Diseases from Respiratory

(0 to 74 years)

19.8 15.2

Ischaemic Heart Disease

(0 to 74 years)

38.0 25.6

Cerebrovascular Disease

(0 to 74 years)

15.5 9.1


43


Mental Health

The below table reflects the rates of mental health

for the Cessnock local government area. In

regards to suicide and mortality caused by self-

inflicted injuries, the table below indicates that the

rates for the Cessnock local government area are

almost double the New South Wales average, per

a 100,000 population.

Mental Health Cessnock Local

Government Area

(Rates per

100 population)

New South Wales

(Rates per

100 population)

Estimated population aged 18 years and over,

with high or very high psychological distress

12.2 10.5

Estimated population with mental and

behavioural problems

14.8 13.1


Suicide and Self-Inflicted Injuries Cessnock Local

Government Area

(Rates per 100,000

population)

New South Wales

(Rates per 100,000

population)

Population aged 0 to 74 years 17.3 9.3


Affordability in Accessing Health Care

A barrier to accessing health care can be

affordability. In regards to financial indicators, the

Public Health Information Development Unit

(2015) suggests the following data for the

Cessnock local government area and is based on

modelled estimates for 2010:-

24% of persons aged 18 years and over lived

in a household that had at least one cash

flow problem in a 12 month period.

33% of persons aged 18 years and over had

government support as their main source of

income, for 12 months or more, within a 24

month period.

14% of persons aged 18 years and over

delayed medical consultation because they

could not afford it.

11% of persons aged 18 years and over

delayed purchasing prescribed medication

because they could not afford it.


Community

Consultation

45


Consultation Methodology In preparing the Plan, the consultation

process extended over five months,

beginning February 2015 and ceasing June

2015. A number of consultation methods

were used and included:-

Engagement with the

Community

A written community survey was

made available online and paper

based surveys were available at both

Cessnock and Kurri Kurri libraries and

the Council Administration Building.

Consultation was undertaken with

service providers and community

groups to understand the range of

health and well-being initiatives

provided within the local community

and to understand gaps in service.

A local pre-school engaged with its

students on behalf of Cessnock City

Council to understand what makes a

healthy town. This engagement

assisted to understand the issues

important to children.

Service Providers and Community Groups

Involved in the Community Engagement Process

Cessnock Healthy Lifestyle Network Kurri Kurri Community Centre

Cessnock PCYC Kurri Kurri Pre-school and Kindergarten

Cessnock Samaritans and Information

Neighbourhood Centre

Abernethy Healthy Lifestyle Network

Discussion with Cessnock

City Council Staff

Discussion occurred with Cessnock City

Council staff involved in the delivery of

health and well-being infrastructure and

programs.

Review of Previous

Planning Processes

Council has a number of already adopted

plans that include a community consultation

process. These community consultation

findings were considered in the context of

this Plan.


Community Consultation

Outcomes

Community Consultation

Outcomes

Consultation occurred with service providers

and community groups to understand the

range of health and well-being initiatives

provided within the local community and to

understand perceived gaps.

It was noted that both the Kurri Kurri

Community Centre and Cessnock PCYC offer

diverse indoor programs that range from

passive to active recreation engagement.

Both the Kurri Kurri Community Centre and

Cessnock Samaritans Information

Neighbourhoood Centre offer a range of

programs that support food security, for

example the Kurri Food Co-operative (Kurri

Kurri Community Centre) and Emergency

Relief (Cessnock Samaritans Information

Neighbourhoood Centre). The Cessnock

Samaritans Information Neighbourhood

Centre provides many programs that

support social health, for example

counselling services and the Cessnock

Coalfields Healthy Heartbeat program is

based at the centre.

The Abernethy Healthy Lifestyle Association,

at its regular meeting held March 2015, was

briefed on Council’s intention to develop a

Plan, and an initial consultation occurred at

the meeting. As an outcome, the community

group developed a submission, which it

forwarded to Council for consideration. In

summary, the following suggestions were

put forward by the group:-

Establish a health branding for the

Cessnock local government area, for

example ‘Wholly Healthy Cessnock’.

Cessnock City Council staff could

facilitate community health programs

such as a Heart Foundation Walking

within the Cessnock CBD during

lunchtime.

Recognition for local schools who adopt

health initiatives such as ‘We Are What

We Eat’ programs or establish fruit and

vegetable gardens.

Council is encouraged to provide

healthy catering at Council initiated civic

events.

Where communities have

demonstrated preventative health

outcome improvements, incentive

based rewards be provided to the

community by way of infrastructure

development, for example drinking

fountains, barbeques in park areas.

Townships within the Cessnock local

government area enter and participate

in the ‘NSW Healthy Town Challenge’.

Increased public infrastructure

development that encourages adults to

exercise, for example construction of

outdoor gyms in local parks.

Public spaces be designed to engage,

bring the community together and be

places for celebrations. Examples that

enable such spaces include stepped

seating into sloping sites, barbeques,

shading and parks designed in

accordance with crime prevention by

environmental design principles.

For new sporting infrastructure

consider the inclusion of social

infrastructure as part of the design

process, for example, a café, alfresco

areas, wi-fi and seminar rooms.

Encourage the establishment of Park

Runs or similar at local parks, recreation

spaces, historical or tourist sites.

Establishment of a webpage with links

to information that assists community

groups to establish community health

initiatives. Information that was cited as

being useful included insurance

47


matters, how to establish a project,

governance and links to other local

health organisations.

Community notices be developed in

partnership with local community

organisations and be displayed in

prominent locations encouraging

people to be active.

The Cycling Plan developed by Cessnock

City Council was expressed as being a

positive initiative.

Cessnock City Council could investigate

and consider the concept of ‘Social

Bonds’ for the funding of health and

recreation infrastructure.

Place based planning be implemented

to ensure that infrastructure

development is aligned with the needs

and landscape of the community.

Community encouragement and

education regarding the benefits of

establishing a home fruit and vegetable

garden.

Where Council provides prizes or

incentives to the community, the

reward not be foods high in fat and/or

high salt foods.

The Cessnock Healthy Lifestyle Network is a

local group comprising professional health

workers, including Coalfields Healthy

Heartbeat, the Heart Foundation and Hunter

New England Area Health Service, a

Cessnock City Council officer and community

representatives. Feedback from this group

included ensuring that health impacts and

healthy urban design principles are

considered when determining development

proposals. It was also encouraged that

healthy catering be made available at Council

initiated civic events. To facilitate this, it was

suggested that a healthy catering policy for

Council hosted community events be

considered for adoption.

The NSW Commission for Children and

Young People encourage children to

participate in decision making processes that

impact on their lives. In assisting with how

children can be consulted the NSW

Commission for Children and Young People

has published a resource titled ‘Participation:

Sharing the Stage’. In providing young

children with a voice, Kurri Kurri Pre School

and Kindergarten engaged with its students

on behalf of Cessnock City Council to

understand what makes a healthy town. As

an outcome, the preschool provided Council

with a booklet that captured through both

words and artworks the thoughts of young

children.

Key messages from this engagement process

that were captured in the booklet include:-

Spaces for children need to be engaging,

interactive and adventurous. They need

to be a place that stimulates the mind

and senses.

A need for increased pathways to

enable safe walking in the community.

The importance of parks and

community spaces that bring people

together and allow for celebrations.

Infrastructure that supports play spaces,

for example water bubblers and shade.

Protection and engagement with natural

areas, allowing passive recreation such

as bird watching.

Signage in places where children play to

be placed at a height that is easily

viewable by children.

Outcome of Kurri Kurri Preschool and Kindergarten

consultation project


Community Survey

The written survey was made available

online from 9 March 2015 and closed

Wednesday 1 April 2015. Paper based

surveys were made available at both the

Cessnock and Kurri Kurri Libraries along with

the Cessnock City Council Administration

Building. Where paper based surveys were

received, they were later entered by

Cessnock City Council staff into the online

survey portal (survey monkey). In total, 97

surveys were received.

The availability of the survey was promoted

to the community via the Cessnock City

Council webpage and facebook site. Local

community service providers were also

encouraged to promote the survey amongst

their networks and to clients. Notices

promoting the survey were also placed at

both libraries.

The community survey comprised 10

questions. The survey enquired about

perceptions of health, neighbourhood design

which promotes active communities, gaps in

both local health infrastructure and

programs, along with thoughts regarding

healthy catering options at Council hosted

events.

Respondents were from a wide range of

townships within the Cessnock local

government area. Of the 97 respondents,

50% were aged between 35 and 59 years.

50% of all respondents perceived themselves

to have a somewhat healthy, active lifestyle.

In analysing the results of the community

survey, the following were key themes:-

78% of responses believed their

community is not a healthy community.

74% of people believed their

neighbourhood design did not

encourage healthy, active lifestyles.

There was concern for the high

prevalence of obesity within the


Cycleways and sealed pedestrian

pathways were commonly voiced as a

gap in infrastructure.

Unhealthy takeaway food options were

sited as a contributor to high obesity

rates and were perceived to be

excessively available within the

community.

Lack of affordable co-ordinated exercise

options within local parks. Examples

provided included boot camps, park

runs, yoga.

The absence of an outdoor gym within

the Cessnock local government area.

Note: the Samaritans Foundation

Diocese of Newcastle along with the

Cessnock Healthy Lifestyle Network and

the Cessnock Coalfields Healthy

Heartbeat was successful in being

awarded grant funds for the installation

of an outdoor gym at Miller Park,

Branxton. The outdoor gym was

installed June 2016.

Lack of a civic park in the Central

Cessnock area was commonly voiced.

The Healthy Heart Walk at Convent Hill,

Cessnock was commented as requiring

maintenance and revitalisation.

A lack of heathy cooking programs that

encouraged and educated healthy

eating.

Community safety including alcohol

misuse, drug use and violence were

noted as a concern.

Almost 80% of respondents would

choose the healthy catering option at a

community event.

49


Overall Findings and

Conclusion


Overall Findings

In determining the overall findings for the

Plan the following methodology was used:-

An analysis of the demographic profile

for the Cessnock local government

area.

An analysis of the health profile for

the Cessnock local government area.

Review of current Cessnock City

Council strategic plans that discuss

health and well-being.

Community consultation findings.

An understanding of current health

initiatives provided within the

Cessnock local government area and

future opportunities.

The findings indicate a number of concerning

health issues prevalent to the Cessnock local

government area however there is strong

community support for change and a

healthier community. As part of the

consultation process there were a number of

suggestions put forward by the community.

Council needs to be mindful of its charter

under the Local Government Act 1993, its

resources, expertise and limitations when

considering and deciding on the actions it

can deliver.


Local Councils can have a role in making

environments healthier, for example

strengthening smoke free environments in

public spaces. Smoke free environments is

an area that Council should be proactive in

given the local government area has a higher

rate of lung cancer.

Local government has a role in addressing

health issues through planning and

designing environments that encourage

healthy lifestyles and community well-being.

Certain types of development proposals

submitted to Cessnock City Council require

the inclusion of a Social Impact Assessment,

and this requirement is formalised via the

Cessnock Development Control Plan (2010).

Within the Cessnock Development Control

Plan it was noted that health impacts are

considered to some extent, however Council

has been encouraged to review the Cessnock

Development Control Plan Chapter ‘Social

Impact Assessment and Crime Prevention

through Environmental Design Guidelines for

a Proposed Development’, to determine if

there are opportunities to strengthen the

considerations for health impacts.

Healthy Communities

Local Councils traditionally have had a public

health role. Councils are increasingly

strengthening their role in modifiable health

risks such as reducing obesity and

encouraging environments that promote

physical activity. The health profile for the

Cessnock local government area indicates a

higher level of obesity and physical inactivity.

Actions need to be developed that have a

focus on active lifestyles.

Although Council does not currently deliver

individualised health programs that provide

nutrition and physical exercise education, it

could have a role in modelling improved

nutrition and encouragement of physical

exercise. For example, Council delivers a

number of community events such as

Senior’s, Youth and NAIDOC Week. In their

calendar of events these celebratory weeks

could encourage the inclusion of free or

affordable physical activities.

If Council, in the future, was to deliver

community health and physical exercise

programs, it would need to engage staff or

providers with expertise in these areas which

would represent an additional financial

resource. Alternatively, Council could offer its

support to the not for profit and government

sector by providing funding letters of

support that aim to deliver localised

community nutrition and fitness programs.

In modelling good nutrition, it has been

suggested that Council adopt a position of

healthy catering at its community events.

There are a number of resources available to

51


Council that could assist with this process,

including a resource from the Heart

Foundation titled ‘A Healthier Serve, The

Heart Foundation’s Guide to Healthier

Catering’.

Communities that foster active transport, for

example the availability of walking and bike

paths, and good residential subdivision

design are encouraged. Good access needs

to be included when designing pathways and

cycling plans. Improved accessibility will be

of benefit to an ageing population, a group

that is expected to increase dramatically in

the next fifteen years.

Council has developed a number of strategic

planning documents and includes the

Recreation Needs Analysis, Cycling Strategy

and Pedestrian Access Mobility Plan. These

strategies all include extensive community

consultation. As part of the community

consultation process for this Plan, both

cycleways and recreational infrastructure,

such as sporting facilities, parks and

pedestrian pathways were highly regarded

as encouraging people to be active, and as a

result can improve individual health status.

In terms of the placement of new

recreational infrastructure it was suggested

that it be co-located near to social

infrastructure and/or include in its design

cafes, alfresco seating areas and wi-fi.

Outdoor gyms were commonly voiced by the

community as being needed. At the time of

developing this Plan, the Samaritans

Foundation Diocese of Newcastle along with

Coalfields Healthy Heartbeat and Cessnock

Healthy Lifestyle Network were awarded

$52,000 from the Newcastle Permanent

Charitable Foundation for an outdoor gym at

Miller Park, Branxton. The outdoor gym was

constructed June 2016 and will assist to

determine whether more outdoor gyms

should be available within the Cessnock local

government area.

In encouraging skin protection, it was

advocated that shading (both natural and

synthetic) be considered when designing

infrastructure. This is of particular

importance as the local government area has

a high rate of melanoma.

Addressing the social determinants of health

is an issue that Council should consider. The

demographics for the Cessnock local

government area indicate lower levels of

educational attainment, a high

unemployment rate, high rates of individual

low income, a moderate to high need for

increased affordable housing and a Socio-

Economic Index for Small Areas score that

indicates a high level of disadvantage being

experienced within the community. Given

the demographic profile of the Cessnock

local government area it is important that

initiatives be affordable and accessible.

In analysing the results of the community

consultation process, safer communities

were noted as a theme. In regards to crime

prevention, Council is a member of the

Cessnock Community Safety Precinct

Committee which is facilitated by the Central

Hunter Local Area Command. Council is also

represented at the Cessnock Anti-Violence

Network, a collaborative professional group

that has a focus on preventing and raising

awareness of domestic violence. In 2014, the

Cessnock local government area ranked 25

out of 139 New South Wales’s local

government areas (populations greater than

3000 people) for domestic violence related

assaults. A rank of 1 indicates the highest

level of domestic violence per a 100,000

population. Domestic violence prevention

programs require a collaborative community

approach. It is important that Council actively

participates in these networks and considers

how it can play its part in addressing this

issue.

The health profile for the Cessnock local

government area noted a higher rate for

alcohol consumption. Council currently has a

number of alcohol free zones and some

parks are alcohol prohibited. However,

further opportunities for expanding alcohol

free environments could be considered.

Council is a member of the Cessnock Liquor

Accord and this networking group

collaboratively considers safe alcohol

consumption.

In regards to mental health it was noted that

the community is experiencing higher levels

of psychological distress when compared to


rates for New South Wales. Additionally,

suicide and mortality caused by self-inflicted

injuries is almost double the average rates

for New South Wales, when considering a

per 100,000 population ratio. Although

Council does not provide clinical mental

health services to residents, a multi-sectorial

response is required, and all tiers of

government have a responsibility to be

active with this issue. For local government

its role could include mental health

resources being made available at its public

libraries and/or the availability of

infrastructure such as youth centres and

neighbourhood centres and access to

facilities that allow clinicians to deliver

mental health services.

It was noted in the consultation process that

some people suggested a need for new

services that already exist in the community.

This would suggest that there needs to be a

greater level of promotion of what is

currently available within the community,

and/or matters such as access and

affordability need to be considered. Council

itself is encouraged to consider how it

promotes its programs and infrastructure to

the community.

Council needs to be open to innovative ways

of delivering its services. An example cited in

the community consultation was the concept

of Social Benefit Bonds as a way of funding

infrastructure. A Social Benefit Bond is an

emerging approach to tackling social

challenges that brings together capital and

expertise from across the public, private and

not-for-profit sectors. A Social Benefit Bond

is defined as a ‘financial instrument that pays

a return based on the achievement of agreed

social outcomes. Private investors provide

capital to a service provider to achieve

improved social outcomes. If these outcomes

are achieved, there are cost savings to

Government that can be used to repay that

upfront investment plus a financial return’

(NSW Department of Premier and Cabinet,

2016). Although a new concept for local

government, it is currently being piloted by

the New South Wales State Government for

the delivery of welfare services with families

at risk.

Example of an alcohol free zone sign, adjacent to Cessnock Netball Courts

53


Conclusion

The Plan provides a four year framework for

improving opportunities for health and well-

being.

The development of the Plan has provided

Council with an opportunity to formally identify

how it can play its part in improving and

contributing to community health and well-

being.

Through the support of the community, a range

of actions have been identified and will be of

great benefit to residents and visitors to the


The Plan acknowledges the importance of

collaborating with other government

departments, businesses, community

organisations and groups in advocating for and

achieving healthy communities.

To ensure the implementation of the Plan,

actions will be embedded within Council’s

long term strategic planning processes and

includes its four year Delivery Plan and

annual Operational Plan.

At the conclusion of the four year Health and

Well-being Plan, a written evaluation will

occur and will be reported to Council. This

written evaluation will advise of the

achievements and identify any actions that

are outstanding. Any actions that remain

outstanding will be considered for inclusion

in future planning processes.

House of Representatives Standing Committee on Health and Ageing (2009), Weighing it Up: Obesity in

Australia, Commonwealth of Australia cited in Cessnock Liveable Communities Assessment, Hunter New

England Health Service, (2011, page 107)

Hunter New England Population Health and Hunter Regional Managers Network (2011), Cessnock Liveable

Communities Assessment: Final Report, Hunter New England Population Health

Local Government NSW (2016), Health http://www.lgnsw.org.au/policy/health

New Economics Foundation, (2011), ‘Five Ways to Wellbeing, New Applications, new ways of thinking’,

London

http://scanmail.trustwave.com/?c=4779&d=8seR2VDvioX972B8t8j88C5np1otqmsr0OpbBxTFyQ&u=http%3a

%2f%2fb%2e3cdn%2enet%2fnefoundation%2fd80eba95560c09605d%5fuzm6b1n6a%2epdf

NSW Department of Premier and Cabinet, (2016), ‘Social Benefit Bonds’,

http://www.dpc.nsw.gov.au/programs_and_services/social_impact_investment/social_benefit_bonds

Planning Institute of Australia (October 2003), Victoria Division, Planning Healthy Communities, ‘A PIA

discussion paper on public health and well-being: a basis for developing a draft policy statement on

planning for heath’.

Public Health Information Development Unit (2015), Social Health Atlas of Australia, New South Wales and

Act, Data by Local Government

Wells, V., Licata, M., Mackenzie, A., Gillham, K., Holder, R., & Butterworth, I. (2007) Building Liveable

Communities in the Lower Hunter Region, Hunter New England Population Health

World Health Organisation (2016), Types of Health Settings

http://www.who.int/healthy_settings/types/cities/en/

Wright C, MacDougall C. and Atkinson, R. (1996) Exercise in Daily Life: Supportive Environments, National

Heart Foundation of Australia, Adelaide.

References

55


62-78 Vincent Street Cessnock, NSW

Australia

Contact: tel:0249934300 tel:0249934100

Online help: [email protected]

http://www.cessnock.nsw.gov.au

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