HEALTH AND WELLBEING PLAN 2017- 2021 - SOUTHERN GRAMPIANS SHIRE COUNCIL - Southern Grampians ...
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SOUTHERN
GRAMPIANS
SHIRE
COUNCIL
HEALTH AND
WELLBEING
PLAN
2017–202 1
CONTENTS
04 Executive Summary
06 Introduction
06 Scope of this plan
07 Past Achievements and Review
10 Council Policies and Strategies
11 Link to the Council Plan
12 Understanding Health and Wellbeing
12 What’s it all about?
12 The GLOBE Systems Approach
16 Desired Outcomes
18 How do we want to work differently into the
future, and to achieve what?
20 What are desired outcomes for identified
key fluencies?
23 Translating Desired Outcomes into Actions -
Working towards Collective Impact AN
25 Conclusion
ENVIRONMENT
26 Appendix 1 – Developing the Plan THAT WILL
28
29
Appendix 2 – Acknowledgements
ENSURE GOOD
HEALTH, ON
Appendix 3 – Workshop Participants
30 Appendix 4 – Legislative context
31
EQUAL TERMS,
The Public Health and Wellbeing Act 2008
31 Other legislation
31 References
FOR ALL OUR
Note: Appendix 3 contains a listing of the acronyms
used in the document.
RESIDENTS
2 HEALTH AND WELLBEING PLAN 2017-2021
The core health and wellbeing outcomes at the centre of the Southern Grampians
community’s health and wellbeing system remains similar to the past, being:
Family Overweight and
Mental Health Physical Health
Violence Obesity
Suicide Alcohol and Other Education Attain-
Prevention Drugs ment
This Plan places more emphasis on the influencing factors and their relationships. Having
this systems view will assist partners in identifying opportunities to work beyond single
health issues during implementation. These key influencing factors are grouped and
summarised below:
• Physical Activity • Parental Skills • Access to Appropriate
• Community and Recreation • Engagement in Education Services
Spaces • Health Knowledge
• Healthy Eating
EXECUTIVE
• Sedentary Behaviour
SUMMARY
• Healthy Environment • Community Connection • Access to Housing
• Adaptation to Climatic • Inclusion and Equity • Individual and Family
Events • Resilience Stress
• Access to Transport • Employment and Financial
• Technological Security
Connectedness
The Southern Grampians community has some maturing initiatives making progress to
The approach used throughout the stakeholder
The aim of this Plan is to lead consultation process has been new, innovative
achieve a few of the desired outcomes outlined in this Plan. These will continue to be
supported and encouraged to grow and adapt and seek opportunities to support a broader
and inspire a large community and certainly adaptive. It has proven successful
range of outcomes where relevant. In other areas, there is strong activity at the project level,
in challenging our traditional approach to thinking
effort and partnership towards about both the development and implementation of
but there is general consensus that working together towards a collaborative approach will
achieve better outcomes, faster. The initial strategies focus on bringing partners together to
creating an environment the Southern Grampians Health and Wellbeing Plan.
explore ways of working better, whilst supporting ongoing activities.
that will ensure good health, This Plan recognises the broader community health
Four foundational themes have also been identified to be implemented to support success
on equal terms, for all our and wellbeing systems, its influencing factors and
across all health and wellbeing outcomes. They are:
their relationships. This has led to a diverse group
residents. of partners (Appendix 3) being part of the Plan and • Continuing the strategic collaboration conversation
recognises the contribution of and opportunity for, • Shared measurement program
many partners contributing towards achieving the • Empowering the whole community to act
core health and wellbeing outcomes.
• Skill development for collective impact, systems thinking and community empowerment
4 HEALTH AND WELLBEING PLAN 2017-2021 5
INTRODUCTION lts
hc
a re s
ystem a
ttr
i Inf
an
ts
bu
alt
Quality
a
du
tes
He
nd
rA
ch
Affordability Accessability
de
ild
Ol
ren
Responsiveness
Good health and wellbeing is d etermin ellbeing
ial an dw ou
oc t an
important to everyone and enables
tc
S
s
lt h
Environment Wellness
om
Hea
people to more fully participate
e
s
Socioeconomic Community Death Illness
in communities, education and
employment opportunities. Good Cultural Equity
health and wellbeing is also dp
rotective
fa
an
le
essential for a strong economy.
op
ct
k
Behaviours
or
Ris
pe
s
g
The World Health Organisation’s defines of ‘health’ as;
un
Ad
Psychosocial Biological
yo
s n
ul
a
d
“…a state of complete physical, mental and social
t
ts
wellbeing, and not merely the absence of disease or en
sc
Social capital
ole
infirmity” (WHO, 1948) Ad
The relationships between the multiple contributions to
health and wellbeing over the life course is illustrated
in figure 1 opposite (Ansari et al. 2003; National Health Figure 1: Relationship
between determinants
Information Standards and Statistics Committee
of health and wellbeing
2009). Inequalities in health can lead to, or result from, across the life course
inequalities in various other areas of life – housing,
education, employment and transport accessibility among
others. The link between poor health and poverty is clear:
those with the least resources suffer more from avoidable Past Achievements and Review
illness and reduced life expectancy, often across
generations. Recognising that these are circumstances The following table has been extracted from This is the starting point for a realisation
in which people are born, grow up, live, work and age the Health and Wellbeing Plan 2013-2017. It that to affect a different outcome a different
can lead to policies and strategies that consider the outlines the goals identified in that plan and approach needs to be taken. This means
Health and Wellbeing of our residents. For example, attempts to indicate the progress made in that moving forward we need to include a
employment, education, attention to the early years of the last four years. much more robust measurement plan and
life, housing, social connections, and access to transport, look to resource appropriate data collection
Table 1 reinforces the challenge of and analysis where required.
healthy food and health services.
influencing a measurable change in
reported areas within in a short four year A successful and valuable model that could
Scope of this plan time frame. There are also limitations with be expanded upon or considered as an
the datasets in that many of the datasets example is the Great South Coast childhood
This plan includes a focus on many of the same health used have not be recollected, or in the obesity data collection undertaken in 2015
issues and approaches as the 2013–2017 plan as their same way, between plans, and therefore, and 2017, of which analysis of change at
importance has not changed. In most cases change in may indicate no change. On the surface, behaviour and outcome level, for each local
any one area of public health requires a long timeframe it may indicate that despite considerable LGA is in the process of being finalised.
for any improvement to be realised. effort not a lot of significant measurable
improvement has been achieved using
state-wide or national datasets.
6 HEALTH AND WELLBEING PLAN 2017-2021 7
What did we How will we know we’ve done it? What did it What did it How do we What did we How will we know we’ve done it? What did it What did it How do we
want to do? look like in look like in compare to want to do? look like in look like in compare to
2013? 2016? the State? 2013? 2016? the State?
Improve Adults (15+ years) who have completed 33.33% 33.3% 49.8% Increase in people feeling part of the 77.7% of 81.9% of 61.0% of
educational Year 12 or equivalent (Source: ABS) community residents feel residents feel residents feel
attainment and (Source: VicHealth Indicators Survey part of the part of the part of the
lifelong learning Percentage of 15-19 year olds fully 93.20% (6.8% N/A N/A community community community
engaged in education or employment not)
(Source: ABS) Volunteering levels (Source: ABS) 49.2% N/A N/A
volunteer
Improve mental Reduced rates of harmful alcohol 16.4% 24.7% 29.4% more than
health, reduce consumption once per
family violence (Source: Victorian Population Health month
and prevent Survey)
harm from Increase percentage of people 40.9% 43.2% (2015) 74.2%
alcohol and Reduced rates of smoking Males 19.7%, Males 19.7%, Males 21.4%, improved proximity to public transport
other drugs (Source: Victorian Population Health Females Females Females (Source Dept Health LG Profile)
Survey) 19.2% 19.2% 16.9%
Improved satisfaction with footpaths, Satisfaction Satisfaction N/A
Reduced rates of Family Violence 10.1 per 1000 17.6 per1000 11.9 per1000 recreation facilities and appearance of Rating of 77 Rating of 77
(Source: Victoria Police) population population population public spaces. (Source: Community
Satisfaction Survey)
Decreased rates of people reporting 11.6% 8.3% (2015) 12.6%
high psychological distress (Source: Improve our Percentage of people experiencing 19.5% N/A N/A
Victorian Population Health Survey) community’s transport limitations (Source: VicHealth
fair access Indicators Survey)
Promote healthy Increased self-reported levels of 54.1% 80.20% 77.30% to services
eating and wellbeing (Source: Community (Community (VicHealth improving health
encourage Indicators Victoria) Indicators 2015) and wellbeing
regular physical Victoria)
activity
Increased rates of fruit and vegetable 47.6% not 52.5% not 51% Table 1: Evaluation of Health and Wellbeing Plan 2013-2017
intake (Source: Victorian Population eating enough eating enough
Health Survey) fruit and fruit and
vegetables vegetables
Halt the increase in levels of overweight 66.7% Males, 55.3% Males, 58% Males,
and obesity 52.2% 49.9% 41.7%
(Source: Victorian Population Health Females Females Females
Survey)
Increased levels of physical activity 20.9% don’t 20.7% don’t 26.6%
(Source: Victorian Population Health meet physical meet physical
Survey) activity activity
guidelines guidelines
Improved satisfaction with footpaths, Satisfaction Satisfaction N/A
recreation facilities and appearance of Rating of 77 Rating of 77
public spaces. (Source: Community
Satisfaction Survey)
8 HEALTH AND WELLBEING PLAN 2017-2021 9
Link to the Council Plan
In the outer ring of Figure 2 below the five key
COUNCIL POLICIES
priorities for the Council Plan 2017-2021 are depicted.
The Health and Wellbeing Plan is a key strategic plan
AND STRATEGIES
to support and assist in the measurable outcomes for
the Southern Grampians Community.
The Council Plan is the central planning
Southern Grampians Shire instrument of Council and the primary strategic
Figure 2: Council Plan
Linked to Health and
Council provides more than driver for whole-of-council priorities and the Wellbeing
activity of all business units. It is prepared every
70 different services to its four years following local government elections Support our
communities. and reviewed annually.
Community
As well as implementing various commonwealth The Municipal Strategic Statement provides
and state government programs, Council also the broad outline and vision for existing
provides a range of discretionary services in and future land use within a municipality. It
response to local community needs. provides the rationale for the zone and overlay
requirements and particular provisions in
In order to best use limited resources to provide
effective local government and services for
Council’s planning scheme.
Plan Built Develop
the community, councils undertake extensive The Municipal Public Health and Wellbeing Environment Economy
strategic planning across all areas of service Plan aims to develop and promote a healthier MUNICIPAL
delivery. To assist in providing strategic community and provides the strategic driver for HEALTH AND
direction to the delivery of services Council has Council’s health and wellbeing related activity WELLBEING
developed a number of plans. In general these
plans and strategies are guided by three high-
across the organisation. Like the Council Plan it
is also prepared every four years following local
PLAN
level plans required by legislation: government elections and reviewed annually.
• Council Plan – required by the Local
Government Act 1989
• Municipal Strategic Statement – required
by the Planning and Environment Act 1987.
Provide Natural Provide
Environment Leadership
• Municipal Public Health and Wellbeing
Plan – required by the Public Health and
Wellbeing Act 2008
10 HEALTH AND WELLBEING PLAN 2017-2021 11
& shared measures
Common agenda
for systems
Collective
UNDERSTANDING
change
Impact
HEALTH AND WELLBEING
Education Attainment
program & work
Fully integrated
planning in
Integrate
What’s it all about? Appendix 1 illustrates the outcome from the first
place
two workshops and outlines the approach taken.
This Health and Wellbeing Plan identifies goals and
Overweight & Obesity
This approach identifies the key cause and effect
strategies for creating a local community in which relationship and thus the key influencing factors we
people can achieve maximum health and wellbeing. need to target in order to achieve transformation.
Enjoying good health and wellbeing means:
The Southern Grampians Community Wellbeing
Shared mission,
goals, decision
Good start – genes, food, water, air, housing, stakeholder group (identified in Appendix 3),
Collaborate
making &
resources
space, transport, safety discussed at length where current work in each
domain lies on the collaboration continuum. The
Good future – education, skills, work, income, self-
group formed a strong consensus that in order to
esteem
work most effectively, all variables need to be moved
Good care – life skills, health care and community along the continuum to some degree. Whilst it’s not
services, social policy a realistic expectation that we achieve collective
working together
impact on all issues, the aim is to move the
Systematically
Coordinate
for greater
outcomes
Good support – parents, family, friends, social majority of variables along. Two variables, namely
connections Technological Connectedness and Access to
Suicide
Appropriate Services were identified as exceptions
All of us, Local, State and Federal Government,
to this goal. These two issues were not considered
business, health agencies and community members
to be as complex as others and therefore do not
play a role in creating an environment for our
warrant partnerships beyond the Communicate to
community to prosper. The goals and strategies
Coordinate range of the spectrum.
Often, informal
below provide the blueprint for our work in the
Cooperate
interaction
on specific
projects
coming years. Figure 3 developed in the final workshop,
represents the next stage in the evolution of the
plan. This represents a more in-depth analysis of
The GLOBE Systems Approach
Mental Health
how we (as agencies and Council) are currently
What influences health and wellbeing is complex. working together. The concept of the Collaboration
In order to identify areas where change maybe Continuum was also explored in the context of the
key influencers with consideration to the collective
Communicate
effective it is important to first understand the
Physical Health
Inter-agency
information
networking
Family Violence
sharing &
complexity. Southern Grampians Shire Council impact.
in partnership with Southern Grampians Glenelg
The key influencers are also reviewed in relation to
Primary Care Partnership and Deakin University
the desired long term outcomes as a measure of
decided to employ a process where workshop
success (Table 3).
participants identified factors within Southern
Grampians that influenced the health and wellbeing
of the community and how these factors were
Alcohol & Other
No systematic
connection
interrelated. Through three workshops a “picture”
Figure 3: Workshop 3 – Collective Impact
agencies
between
Co-exist
drugs
of the complex nature of health and wellbeing
emerged.
clients, partners
for resources,
attention etc.
Competition
Compete
12 HEALTH AND WELLBEING PLAN 2017-2021 13
14
Compete Co-exist Communicate Cooperate Coordinate Collaborate Integrate Collective
Impact
Physical Activity
Sedentary Behaviour
Healthy Eating
Community & Rec Spaces
HEALTH AND WELLBEING PLAN 2017-2021
Health Knowledge
Parental Skills Engagement in Education
Acess to Housing
Access to appropriate services
Individual &
Family Stress Healthy Environment
Employment & Financial Security Adaptation to Climatic Events
Access to Transport Inclusion & Equity
Technological Connectedness
Resilience
Community Connection
15
DESIRED
OUTCOMES
How do we want to work How are we How do we want Desired Key Strategies Key
differently into the future, and currently to be working? Outcomes Partners
working?
what do we want to achieve?
Mental Health
A number of Develop and share a clear 2021 - Improved Bring partners NCFH
organisations are mutual understanding awareness of self- together to
Winda-Mara
From the 3rd workshop the stakeholder group also developed a broad outline of how we are currently working working in silos of referral pathways. care, reduced stigma determine
and more importantly what we will strive to do differently in the future to influence future desired outcomes. Educate practitioners and knowledge around common goals Vic Pol
and community around availability of services and objectives PHN
The desired outcomes intentionally focus on a longer term timeframe than four years. This acknowledges the available services for mental health
complex challenges involved in influencing a collective community cultural transformation. This detailed below 2037- Increase mental YacVic
wellbeing work
in Table 2. Break down barriers wellbeing
and ways of GSG LLEN
between services
working together
Empower the community better Brophy
Table 2: How We are Currently Working
to take action through Lifeline
How are we How do we want Desired Key Strategies Key more community
Wellways
currently to be working? Outcomes Partners workshops and events –
working? eg Casterton Resilience
Project. Use these as
Obesity an opportunity to create
Number of Increase integration, 2021 - No increase in Grow and adapt SGSC more social community
agencies achieving a collective childhood overweight or GenR8 Change interaction
SGGPCP
contributing to impact approach through obesity Suicide
the backbone of maintaining and building WDHS
2037 - A reduction in Increase cross 2021 - Increase access to Work with Great Lifeline
GenR8 Change on current activity
obesity rates across collaboration between support services South Coast
Deakin weights Ensure organisations the whole Southern NCFH
services Suicide Prevention
and measures , maintain their support for Grampians Population 2021 - Improved
Group to explore YacVic
several agencies GenR8 Change education and awareness
opportunity GSG LLEN
providing capacity around suicide/mental
Continue engagement of of the work
for data collection health Wellways
community being relevant
2037 - To reduce suicide and supported
Embed weights and rates in the Shire of by Southern
measures through State Southern Grampians Grampians
Government/Department community, also
of Education in conjunction
with any work
discussions in
SG progressing
mental health
collaboration work.
16 HEALTH AND WELLBEING PLAN 2017-2021 17
How are we How do we want Desired Key Strategies Key How are we How do we want Desired Key Strategies Key
currently to be working? Outcomes Partners currently to be working? Outcomes Partners
working? working?
Family Violence Education Attainment
Working in silos Come together and 2021 - Decrease in Work SGGPCP The Beyond the Build further 2021 = Increase the Grow and adapt GSG LLEN
where we are identify who is involved incidence of family collaboratively to: Bell initiative is in connections. Expand number of students Beyond the Bell
SGSC SGSC
working – an in what area of Family violence and increase place, with current both organisational completing year 12 or
Determine
evident lack of Violence – early in awareness and WDHS emphasis on the partners and community equivalent
enablers and
collaboration intervention, prevention community support. early year’s sector. commitment
barriers to the WH BSW 2021 - Increase
or response? Identify Our community feels Growing Greater Establish an all-inclusive attainment rates for
community VicPol
how can we collaborate empowers and knows Readers project and sustainable transition vulnerable groups,
engaging in
better in each of these where/how to seek help Monivae including the program. This may begin including; Aboriginal &
family violence
areas and any potential College Lets Read Book with a specific transition Torres Strait Islander,
2037- Half the current prevention
intersects between boxes is proving worker CALD, LGBTI and
incidence rate in the Wannon
Consistent
Emphasise Gender Southern Grampians (at Water successful students with disabilities
definitions of Work with the community
Equality in all Family 2017) Beyond the Bell to identify ‘Literacy 2021 - Increase equitable
family violence
Violence prevention efforts reorientating Champions’ transition to school
2037 - Build a generally and messaging
Take a multi-agency resilient community within community efforts to readiness indicators,
Strengthen collaboration
approach to reducing the empowerment of establish local protocol
2037 – Prevent Continue between education
stigma of Family Violence community around this
generational Family important providers to improve/
through education Council, Maternal diversify student 2037 - Greatly increase
Violence initiatives
Build the communities including: and Child Health pathways the number of students
capacity to speak and Library completing year 12 or
White Ribbon Day
out/ seek assistance. Services are equivalent
Incorporate education Gender Equity partnering to
2037 - Vulnerable groups
around basic resources Focus at Southern deliver specific
have improved access
eg- emergency housing Grampians project works
to education attainment
Council
supports and programs
Alcohol and drug use 2037 - Reduce the gap/
At national Improve how we engage 2021- Increase multi Explore SGG differential of above
level there with our community to agency collaboration opportunities Physical Health
are education empower them to make to resource SGGPCP
campaigns and genuine change backbone support Providing facilities Drive change through 2021 - An increase in NCFH
Winda-Mara
changes to 2037 - Decrease rates for collective and resources to Southern Grampian behaviours that allow for
packaging and of smoking, illicit drug work or view VicPol the community Shire Council user group an increase in physical
marketing that use and excess alcohol to incorporate agreements – education, health and decrease in
Community
consumption across all SGSC empowerment and determinants of chronic
effect our region work into other strengthening
ages initiatives with resources disease
ICE group is PDH grants available
more capacity to community Promote different types of 2037 - Decrease in
developing an
educational App groups for projects activities available across incidence of chronic
that will enhance the Southern Grampians disease
Physical Health
Up skill community to
National Centre drive development of
for Farmer resources and programs
Health engaging
Better coordinate
vulnerable farmer
any current activity or
population with
program that improves
physical health
the natural or built
awareness clinics
environment
and checks
18 HEALTH AND WELLBEING PLAN 2017-2021 19Key
Desired Outcome - 2021 Desired Outcome - 2037 Key Strategies Partners
What are desired outcomes Parental Skills Explore opportunities SGGPCP
to integrate actions YacVic
for identified key fluencies? Have built agency knowledge
within these influencing CFA
and capacity to investigate
factors from across other GSG LLEN
parents needs
initiatives and projects Mulle-
Engagement in Education raterong
Increase opportunities for VicPol
parents to be involved in schools NCFH
The focus then shifted to the desired changes to the identified key influencing factors (Table 3 below). These
WDHS
have been grouped according to their relationship to the overarching health and wellbeing principles (as
PHN
detailed in Table 2 and as illustrated in Appendix 1). They represent the five priority clusters which are also
represented on the Collective Impact continuum (Figure 3). Health Knowledge
Ensure community access to
This process also recognised whilst the current plan spans only four years, genuine social change requires
reliable sources of key health
a much longer timeframe. It also highlights the challenges as some areas the stakeholders struggled to
knowledge.
populate. The gaps in the below table were not populated by the stakeholder group and have been left
intentionally blank and will be reviewed at the next workshop. Increase community
understanding of good
nutrition
Table 3: Desired Outcomes by Key Influences
Access to Appropriate Develop an agreed SGGPCP
Key Services combined advocacy VicPol
Desired Outcome - 2021 Desired Outcome - 2037 Key Strategies Partners paper regarding access PHN
Have developed a four year All community members have
Within the implementation SGSC to services for all partners Winda-Mara
Physical Activity plan to identify and map current awareness and access to
of GenR8 Change, to use in their advocacy WDHS
An increase in participation in A continued increase in service provision and future appropriate services in the
work towards achieving SGGPCP work NCFH
physical activity and utilisation of participation in physical providers Southern Grampians region
these outcomes, YacVic
existing community spaces activity and utilisation of WDHS LLEN
whilst recognising
existing community spaces
the opportunity and Winda-Mara Healthy Environment Increase discussions GHCMA
Community and Recreation Spaces influence these have on with natural resource SGSC
Mulle- Protection and maintenance of Increase environmental
Compliant, accessible and Our community and recreation other health outcomes, managers about the DWELP
raterong our natural assets sustainability and quality
inclusive facilities that are well spaces are well utilised particularly mental interconnection between SGGPCP
within the Southern
utilised and are responsive to the health and community healthy environment and
Grampians
communities identified needs connection healthy people
Adaptation to Climatic Events Support the most SGGPCP
Healthy Eating
disadvantaged and
An increase in environments The entire Southern Increase adaptation to the Increase neighbourhood
vulnerable people to
where the healthy choice is the Grampians community is impacts of climate change liveability
adapt to climate change
easy choice consuming a diet in line through gaining a better
with the Australian Dietary understanding of how
An increase in community Guidelines and this is the community partnerships
education and skill to make ‘norm’ build community
healthy choices
resilience
Physical Activity
Integrate this work with
Begin working in a more co- Continue working
resilience activity outlined
ordinated way to increase collaboratively to increase
below
awareness of sedentary awareness of sedentary
behaviour and plateau its behaviour and decrease its
presence in lifestyles within the presence in lifestyles within
Southern Grampians the Southern Grampians
20 HEALTH AND WELLBEING PLAN 2017-2021 21Key
Desired Outcome - 2021 Desired Outcome - 2037 Key Strategies Partners
Community Connection Bring partners together SGGPCP
to determine common LLEN
Increase the number of All members of the Southern
goals and objectives for
community members that are Grampians community are DE&T
resilience, community
connected, both socially and connected, either socially or Mulle-
connection, inclusion
digitally digitally raterong
and equity activity at
Inclusion and Equity the program level and WH BSW
determine ways of VicPol
working together better CFA
Resilience
Continue supporting YacVic
activities, including
NCFH
L2P Mentoring
DET
Programme TRANSLATING DESIRED
Greater Grants Criteria OUTCOMES INTO ACTIONS -
Implementation of
WORKING TOWARDS
COLLECTIVE IMPACT
Disability Action Plan
User Group Inclusion
Clauses
Youth Leadership
Programme
Promote Inclusive Events The stakeholder group identified that generally
Promote Inclusive In addition to the above agencies should be investing in empowering the
approach with sporting strategies and revised community to be a part of the solution, continuously
and user groups learning from the community around what’s
Bring local community Winda-Mara
outcomes as recorded by important and responding with appropriate support.
Access to Transport
transport providers each table group, the entire It was also noted that the eight outlying township
together to explore ways WDHS community plans should be considered to give
to improve access to
stakeholder group held insight into where each community has readiness
SGSC
transport together comprehensive conversation to act.
Technological Connectedness Implement SGSC Digital SGSC at the conclusion of workshop The table below outlines specific actions developed
Technology Strategy PHN
three that formed several to work towards the achievement of desired
outcomes. Whilst our starting point does include
Access to Housing Develop stronger
relationship with
Winda-Mara
recommendations for the way initiatives currently these are intended by way of
Salvo Con-
Collate and evaluate data on All community members to
organisations working in nect forward. example only and are not meant to suggest that
availability of housing have access to appropriate the efforts to provide innovative solutions will be
these sectors in order to
housing Office of Following discussion and reflection of where, within satisfied by simply continuing to accomplish these.
progress work
Housing each issue, agencies are currently working on the
Individual and Family Stress
SGSC collaboration continuum, it became clear that in
Identify individual risk factors and A reduction in the risk factors addition to setting goals for each determinant of
solutions to manage individual that are causative of individual Mulle-
raterong community wellbeing, it is equally important to
and family stress and family stress create targets and strategies to ensure increased
WDEA
Employment and Financial Security collaboration in our work.
Westvic
Collate and evaluate quantitative To attain and maintain the
Centrelink
and qualitative data to obtain capacity for employment
a better understanding of opportunity and hence St Laurence
employment and financial financial security
security in our community
22 HEALTH AND WELLBEING PLAN 2017-2021 23Table 4: Translating Outcomes into Actions and Measures
Who
will our What does When do
What do we partners success look we want to
want to do? be? like? How will we do this? achieve this?
Work together All relevant Self-assessed Forums 3 to 4 times annually Every year
to move along agencies progress from review progress and identify
the continuum current level of emerging opportunities
of collaboration interaction.
towards Collective Ultilise opportunities provided
Impact through Beyond the Bell to
build our skills and expertise in
CONCLUSION
Collective Impact
Use a systems All relevant Self-assessed Build skills and experiential Every year
approach to agencies progress from practice of agencies, community
support an current level of groups and community members
improved interaction
understanding of Use frameworks and tools to
the problems and support a Collective Impact and
identify solutions. Systems Thinking approach to all At first glance this approach
of our health promotion/prevention
work seems quite a chaotic outcome,
Develop and All relevant Self-assessed Develop a shared measurement Every year but as the layers are explored
share outcomes agencies progress from plan that has a mix of outcome
and measurement current level of measures as well as intermediate
a different view of health and
plans, in order interaction impact and process measures. wellbeing emerges.
to measure and
monitor changes. Explore ways to resource key local There is a strong recognition among the Southern
data collection and analysis work Grampians Community Wellbeing stakeholder group
to provide timely feedback about of a need to change the traditional way we approach
how the system is changing. the Municipal Public Health and Wellbeing Planning
process. There is also now a strong consensus from
Empower the community to be the group that there should not be priority areas sitting
the solution in addressing social in ‘silos’, but instead work being invested towards
issues many parts of community wellbeing as a whole that
reflects everyone’s contributions.
“Public health is what we, as a society, do
collectively to assure the conditions in which people
can be healthy. Public health focuses on prevention,
promotion and protection rather than on treatment,
on populations rather than individuals, and on the
factors and behaviour that cause illness and injury.”
Victorian Public Health and Wellbeing Plan,
2011-15
However, as this plan demonstrates influencing
change in the health and wellbeing of a community
is complex and requires help and cross-agency
co-ordination to effect genuine change.
24 HEALTH AND WELLBEING PLAN 2017-2021 25APPENDIX ONE
Figure 4: Workshop 1 - Systems Approach
DEVELOPING THE PLAN
Figure 5: Workshop 2 - Systems Approach Including Resources
For example a solid line arrow indicates a
In developing the priorities positive relationship – better Access to Transport
to be addressed in this improves access to Appropriate Services as one
improves so does the other.
Plan, the current evidence
of our community’s health A dotted line arrow indicates a negative
relationship – an increase in the consumption of
and wellbeing was carefully Alcohol and Drugs may result in a reduction in
examined, the stakeholders Engagement in Education, as one increases, the
other decreases.
were consulted to better
The second workshop expanded this concept
understand the issues and the (Figure 4) by adding people and “poker chips”
policies and actions of others representing the level of resources available from
the agencies attending. This picture illustrates
around Australia and around clearly where no resources are being expended.
the world were analysed. It also suggests that a possible barrier to
meaningful change is not necessarily a lack of
The blue boxes in Figure 3 are identified as neither resources nor agency commitment.
key areas of health outcomes; they are the
fundamentals to a balanced picture of health
and wellbeing. Each coloured group surrounding
them represents a cluster of influencers and the
arrows represent the nature of the influence.
26 HEALTH AND WELLBEING PLAN 2017-2021 27APPENDIX TWO
APPENDIX THREE
ACKNOWLEDGEMENTS STAKE HOLDER GROUP -
WORKSHOP PARTICIPANTS
We wish to thank all the participants over the series Listed below are the agencies and community groups that generously participated
in the workshop process which forms the foundations of this plan. The ongoing
of three workshops that all came and contributed so partnerships and common understanding will be used to review and inform Health
openly and whole heartedly to the process and the and Wellbeing into the future.
journey we went on together, all with the driving goal
Western District Health Department of Education Years Network
to genuinely improve the wellbeing of the Southern Service (WDHS) and Early Childhood
Glenelg & Southern
Grampians community. Victoria Police (VicPol)
Development
Grampians LLEN (GSG
South West TAFE LLEN)
Department of Human
Services (DHS) Southern Grampians Women’s Health &
We wish to acknowledge Global Obesity Centre at Glenelg Primary Care Wellbeing BSW (WH BSW)
Deakin for their support in building the skills and RMIT Hamilton Campus
Partnership (PCP)
understanding of systems thinking in our region Department of Health Great South Coast Early
and providing time, tools and support for the Southern Grampians Shire Years Network
Brophy Family and Youth
workshop process. Council (SGSC)
Services (Brophy) Monivae College
South West Sport
Rural Access Wannon Water
South West Alliance of
Preschools/Kindergartens Winda-Mara Aboriginal
We wish to acknowledge the Southern Grampians Rural Health
Corporation
Glenelg Primary Care Partnership team. Their Community Transport
Wellways
support, guidance and input have made a Services Western District
significant contribution to the formation of this West Victoria Primary Employment Access
Country Fire Authority
plan. This ongoing partnership is also critical the Health Network (PHN) (WDEA)
(CFA)
implementation of this plan. Hamilton Community Westvic Staffing Solutions
Secondary & Primary
House (Westvic)
Schools
Mulleraterong Disability Youth Affairs Council
Service Clubs
Support (Mulleraterong) Victoria (YacVic)
National Centre for Farmer
Southern Grampians Early Life Lines
Health (NCFH)
28 HEALTH AND WELLBEING PLAN 2017-2021 29APPENDIX FOUR
LEGISLATIVE CONTEXT
The Public Health and Wellbeing Act 2008 Other legislation References
The Public Health and Wellbeing Act 2008 is a (e) be consistent with: Other recent Victorian legalisation that has • Australian Bureau of Statistics (ABS), 2011
major legislative driver for improving the health shaped public health and wellbeing includes: Census of Population and Housing - www.
and wellbeing of Victorians. The Act recognises (i) the Council Plan prepared under id.com.au
that Local Government has a significant role in section125 of the Local Government Act • Local Government Act 1989
promoting and protecting the public health and 1989 ; and • Australian Early Development Index 2012 -
• Improving Cancer Outcomes Act 2014 http://maps.aedi.org.au/
wellbeing of people living in Victoria.
(ii) the municipal strategic statement • Tobacco Act 1987 and amendments • Department of Health – Local Government
The section 26 of the Act requires that
prepared under section 12A of the Community Profiles 2012
1. Unless section 27 applies, a Council must, Planning and Environment Act 1987. • Radiation Act 2005
in consultation with the Secretary, prepare a • Great South Coast Health and Wellbeing
3. In preparing a municipal public health and • Safe Drinking Water Act 2003
municipal public health and wellbeing plan Profile 2013
wellbeing plan, a Council must have regard
within the period of 12 months after each • Drugs Poisons and Controlled Substances
to the State Public Health and Wellbeing Plan • Southern Grampians Shire Council Customer
general election of the Council. Act 1981
prepared under section 49. Satisfaction Survey 2012
2. A municipal public health and wellbeing plan • The Food Act 1984
4. A Council must review its municipal public
must: • VicHealth Indicators 2011 and Community
health and wellbeing plan annually and, if • Environment Protection Act 1970 Indicators Victoria – Southern Grampians
appropriate, amend the municipal public
(a) include an examination of data about Shire
health and wellbeing plan. • Planning and Environment Act 1987
health status and health determinants in the
municipal district; 5. Despite subsection (2)(c), a Council is not • VicHealth Indicators 2015 and Community
• The Climate Change Act 2010
required to provide for the involvement of Indicators Victoria – Southern Grampians
(b) identify goals and strategies based people in the local community when reviewing • The Transport Integration Act 2010 Shire
on available evidence for creating a local or amending a municipal public health and • Victoria In Future 2012, Department of
• The Sport and Recreation Act 1972 (amended
community in which people can achieve wellbeing plan under subsection (4). Planning and Community Development
in 2008)
maximum health and wellbeing;
6. A Council must give a copy of the current
• The Charter of Human Rights and • Victorian Population Health Survey by LGA
municipal public health and wellbeing plan to
(c) provide for the involvement of people in Responsibilities 2006 2008
the Secretary.
the local community in the development,
implementation and evaluation of the public 7. A copy of the current municipal public health
health and wellbeing plan; and wellbeing plan must be available for
inspection by members of the public at the
(d) specify how the Council will work in places at which the current Council Plan must
partnership with the Department and other be available under section 125(11) of the
agencies undertaking public health initiatives, Local Government Act 1989
projects and programs to accomplish the
goals and strategies identified in the public
health and wellbeing plan;
30 HEALTH AND WELLBEING PLAN 2017-2021 31SOUTHERN GRAMPIANS SHIRE COUNCIL 111 Brown Street (Locked Bag 685) Hamilton Victoria 3300 Phone (03) 5573 0444 Email council@sthgrampians.vic.gov.au Web www.sthgrampians.vic.gov.au
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