Health & Wellbeing Pillar

Priorities & Action 2009

Presentation

Overview of Pillar projects and action areas Nine project areas – three themes

Closer view of top three priority areas of need

Early Years, Addressing Disadvantage & Social Inclusion Health Workforce & Infrastructure Health & Wellbeing Partnerships

Supporting evidence Levels of disadvantage Major growing gap in available health workforce Growth and dependency on Partnerships as new social infrastructure

Taking a longer term view – examples

Pillar became site for PCP – resulting in major core and project funding $350K per year with additional funds for discrete projects @ $150K per year,

considerable amount carried forward

Alignment of pillar priorities & PCP deliverables completed

End of current funding period – June 2009

Preparation of strategic plan for submission to DHS by November 2009 for next funding period 2009/12

New ongoing Governance structure implemented

Business Plan for 2009 and draft budget for 2009/10 completed

Health & Wellbeing Pillar

Early Years, Disadvantaged Communities & Social Inclusion

Health Workforce & Infrastructure

Preventative Health Strategy

Chronic Disease Management

Health & Wellbeing Partnerships

Integrated Health Promotion

Integrated Planning Frameworks

Data Powerhouse Service Coordination

Priority Areas of Need

Future Directions

System Improvements

Early Years, Addressing Disadvantage & Social Inclusion

October Forum Child Health & Wellbeing: Are we really regenerating for our next generation?

Support & development for those working with refugees in Geelong & Colac

Professional development of practitioners working with vulnerable families through Kid’s Life – obesity prevention program

Supporting the implementation plan for the affordable housing strategy

Conducting a demonstration project to improve referral & uptake of support services for young men who have problem gambling issues

Supporting health professionals and GPs to provide services to disability clients who have complex care needs

Study of key determinants of health & wellbeing in disadvantaged rural and regional communities

Early Years CoGG GPS BoQ SCS COS

Fully immunised children between 60-63 months

Maternal & child health attendance

Pregnancies to females under 20 years of age

One parent families with children under 15

Education

15 -19 years not working or studying at all

Highest year of school completed (15 years & over)

Least % pf population with a bachelor degree

Socio-Economic Factors

Relative Socio- Economic disadvantage (2006 SEIFA)

Electronic Gaming Machine expenditure

Gross weekly income of <$350 per week

Rental (state housing, community, co-op, church group)

Homelessness ( type of dwelling from census night)

Labour force participation (15 years and over)

Levels of disadvantage across G21

Levels of disadvantage across G21

Mental health & well-being

CoGG

GPS

BoQ

SCS

COS

Population living alone

Work/Life balance

Help from friends or family when needed

Feel safe on street after dark

Opportunities to have a say on important issues

Self assessed mental & behavioural problems

▪

Self assessed mood problems (affect)

▪ ▪

High or very high psychological distress levels

▪

Physical wellbeing & risk factors

CoGG

GPS

BoQ

SCS

COS

Hospital admission rates for diabetes complications

People over 15 years who are overweight but not obese

▪ ▪

People over 15 years who are obese

▪

People over 18 years who are physically inactive

▪

Number of current smokers over 18 years

▪

Alcohol consumption at high risk to health (over 18)

Food Insecurity

Hospital admission rates for dental conditions

• One third of all ACSC admissions are from residents of Corio -highest ACSC admission rate in Greater Geelong

• Corio residents greatly overrepresented in ACSC admissions – they are more likely to have preventable hospital admissions than other residents of Geelong

Barwon Health, ACSC admissions and admission rates by SLA of patient, 2006/07

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25

50

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Corio

Geelon

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Geelon

g Wes

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Sth B

arwon

Geelon

g Pt B

Geelon

g Pt C

admission rate

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1500

3000admissionsadmission rate per 1000 people

admissions

Impacts on health system & funding

Health Workforce & Infrastructure

3rd highest employer / industry for G21 region – and growing Predicted incapacity in key professions to meet growing demand

Significant micro-economic reform in health through: New regional structures proposed for primary health care (PHC) Overdue PHC infrastructure (physical, technological, social) Health workforce recruitment, education & training New national bodies & taskforces – Commonwealth & State relations New models of care and new professional roles and professions

Positioning G21 to take up major Commonwealth & state initiatives Kardinia Health - Super clinic development Clinical training & placement innovations Education & training opportunities Community need & readiness

Service demand forecasts to 2018, Victoria

is it sustainable?

X

Ageing Health Workforce…where entry is no match for exit or meeting new

demands

Health & Wellbeing Partnerships

Major partner in state government - DHS Service agreement for Primary Care Partnership New service agreement to be signed July 2009 Other key partners with Dept Planning & Community Devt and Dept Education & Early Child Development

Integrated Health Promotion & Community Strengthening Increased role to build partnerships across region 40 agencies/organisations actively participating in pillar work Collaborative work with local government in municipal public health planning , Early Years planning, access to services, community safety

Dept Of Justice – new funding partner $100K increasing links to community service organisations

Policy, Research & Advocacy Invited to partner in research with Deakin, contribute to state wide and national policy forums, collaborative approach to regional priority & area based planning

Two key forums in October 2009

How does a healthier lifestyle build a wealthier community?Prof Rob Moodie

Professor Nossal Institute, Melbourne University & Chair of Technical Panel to the Bill

and Melinda Gates Foundation’s HIV in India Chair of National Preventative Health Taskforce (to be Agency)

Are we really regenerating for our next generation?

Prof Frank Oberklaid Royal Children’s Hospital and member of Victorian Social Inclusion Board

Ms Clare Martin CEO, Australian Council of Social Services; former Chief Minister Northern Territory

Dr Mark Kennedy GP & G21 Board Member and member of HWB Pillar Executive member

Taking a longer term view with G21 community issues

Chair Lenny JennerDeputy Jason TrethowanBoard Liaison Mark KennedyDirector Anne Somerville

Questions