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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
0
25
50
Bellar
ine
Corio
Geelon
g
Geelon
g Wes
t
Newto
wn
Sth B
arwon
Geelon
g Pt B
Geelon
g Pt C
admission rate
0
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