1. Health & Wellbeing Pillar Priorities & Action 2009

2. 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

3. 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

4. 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

5. 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

6. Early Years CoGGGPSBoQSCSCOS 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

7. Mental health & well- being CoGGCoGG GPSGPS BoQBoQ SCSSCS COSCOS 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 CoGGCoGG GPSGPS BoQBoQ SCSSCS COSCOS 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

8. Impacts on health system & funding

9. 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

10. Service demand forecasts to 2018, Victoria is it sustainable? X

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

12. 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

13. 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

14. Chair Lenny Jenner Deputy Jason Trethowan Board LiaisonMark Kennedy DirectorAnne Somerville Questions