4Beginnings of modern public health Sir Edwin Chadwick, social reformer and central actor in the sanitary movement in the 1840s. Secretary to the Poor Law commissioners.During the 1854 Cholera outbreak in London, Dr John Snow plotted the cholera cases on a map of Soho and showed that a high concentration of cholera cases around a water pump on Broad Street.
5Tuesday 30 November 2010White paper hands responsibility for public health to local authoritiesHealth secretary Andrew Lansley … called the white paper a radical plan to tackle the causes of premature death and ill health. Public health was also about the environment, poverty, education and housing, which were key concerns of local authorities. "People's health and wellbeing will be at the heart of everything local councils do. It's nonsense to think that health can be tackled on its own," he said. "Directors of public health will be able to champion local co-operation so that health issues are considered alongside housing, transport, and education”.“Great expectations - public health is coming home”
6“Building on local government’s long and proud history of public health leadership, our vision is for local authorities to use their new responsibilities and resources to put health and wellbeing at the heart of everything they do, thereby helping people to lead healthier lives, both mentally and physically…Local authorities are democratically accountable stewards of their local populations’ wellbeing. They understand the crucial importance of “place” in promoting wellbeing. In other words, the environment within which people live, work and play, the housing they live in, the green spaces around them, and their opportunities for work and leisure, are all crucial to their health and wellbeing…Local authorities can fulfil their duties in a wide range of ways, including the way they operate the planning system, policies on leisure, key partnerships with other agencies for example on children’s and young people’s service ...promoting community renewal and engagement, development of social networks…Local political leadership will be critical in ensuring that public health receives the focus it needs”.
7National context Health Reform National Partnership Agreement on Preventive HealthAustralian National Preventive Health AgencyMedicare LocalsNational Health Performance Authority: Healthy Communities reportsHealthy Communities Reports will…provide contextual information about each local area, allowing comparisons with Australian averages, and preventive health risk factors and other measures of community health and wellbeingMajor Cities Unit reports egCreating Places For People: an urban design protocol for Australian Cities
9Victorian Public Health and Wellbeing Plan 2011-2015 Goal: To improve the health and wellbeing of all Victorians by engaging communities in prevention and by strengthening systems for health protection, health promotion and preventive healthcare across all sectors and levels of government.The Victorian Public Health and Wellbeing Plan was released on September 1, 2011.Victoria’s first public health and wellbeing plan – it is both a response to the legislative requirement under the Victorian Public Health & Wellbeing Act that a plan to identify public health priorities for the state be developed every four years, and an important companion document to the overarching Victorian Health Priorities Framework which articulates the long-term planning and development priorities for Victoria’s health system.The plan aims to build on the current strengths of public health in Victoria, while at the same time providing a solid foundation to meet future challengesThe Plan represents a cross-government, cross-sector approach to prevention, and sets the agenda for improving health and wellbeing across the state over the next four years.
10UK Faculty of Public Health Three key domains of public health practice The science and art of promoting and protecting health and well-being, preventing ill-health and prolonging life through the organised efforts of society.Health ImprovementHealth ProtectionImproving services
11Policy PrioritiesThe plan identifies opportunities for actions in five policy priorities:strengthen the prevention system – through governance and leadership, information systems, financing and resource allocation, partnerships, and workforce developmentsupport priority settings for action an engagement – with a focus on local communities, workplaces, early childhood and education settings, and health servicescontinue to protect the health of Victorians – including communicable disease control, immunisation, environmental health, food safety, and incident and emergency responsekeep people well – focussing on healthy eating, physical activity, tobacco control, oral health promotion, reducing misuse of alcohol and drugs, sexual health promotion, mental health promotion, injury prevention, and skin cancer preventionstrengthen preventive healthcare – including cancer screening, newborn screening, and early detection and intervention services
12Strategic directions 2011-2015 Build prevention infrastructure to support evidence-based policy and practiceDevelop leadership and strengthen partnerships to maximise prevention efforts across sectorsReview financing and priority setting mechanisms to ensure available resources are based on population need and potential for impactDevelop effective modes of engagement and delivery of evidence-based interventions in key settingsStrengthen local government capacity to develop and implement public health and wellbeing plansImprove health service capacity to promote health and wellbeingIntegrate statewide policy and planning to strengthen public health and wellbeing interventionsIncrease the health literacy of all Victorians and support people to better manage their own healthTailor interventions for priority populations to reduce disparities in health outcomesThere are nine strategic directions which consolidate all of the opportunities for progress identified within the plan
13Monitoring & ReviewGovernance – Prevention and Population Health Advisory Board (includes other portfolios, VicHealth, CCV, Heart Foundation, MAV)Monitoring and reporting on public health and wellbeing & the determinants of health and wellbeing: eg Victorian Population Health Survey; Chief Health Officer’s report; State of Victoria’s Children report; CIV.Evidence translation and brokerage – The Centre for Excellence in Intervention and Prevention Science (CEIPS): links to research and evaluation expertise in Victoria (VicHealth, universities etc), nationally (eg NH&MRC, ANPHA, AIHW), and internationally
14Other related initiatives include NPAPH: State initiatives (incl PCM) and Healthy Communities (Commonwealth)Metropolitan Planning StrategyPositive Ageing in Local Communities/Age friendly communitiesPedestrian Advisory Council (DoT)Sports Injury Prevention TaskforceParliamentary Inquiry into Environmental Design and Public HealthWorkHealthVarious initiatives: VicHealth, Heart Foundation etc
15Prevention Community Model: Linking state policy & local community action on health Universal – Whole of StateHealth Promoting Early Childhood Settings & Schools Policy + Accreditation ModelHospital food & drink guidelinesHealthy Eating Advisory ServiceEnvironments for HP WorkplacesDepartment of Health as a HP orgPrevention Workforce Innovation Strategy (Networks of Practice)Healthy Living Web 2.0Life! Chronic disease preventionVictorian Prevention Achievement ProgramHealth checks & health coachingCommunityDigital community engagementHealthy Living ProgramsTargeted social marketing in local settingsLeadership for HealthHealth Promoting Early ChildhoodHealth Promoting workers & workplacesHealth Promoting SchoolsHealth Promoting Local GovernmentEnabling InfrastructurePrevention PartnershipNetworks of practicePrevention Area WorkforcePrevention FundingCEIPS
16Lead role of local government at the community level Public Health and Wellbeing Act 2008The function of a Council under this Act is to seek to protect, improve and promote public health and wellbeing within the municipal district by:(a) creating an environment which supports the health of members of the local community and strengthens the capacity of the community and individuals to achieve better health(b) initiating, supporting and managing public health planning processes at the local government level(c) developing and implementing public health policies and programs within the municipal district…In preparing a municipal public health and wellbeing plan, a Council must have regard to the State Public Health and Wellbeing Plan.Victorian Health Priorities FrameworkAll local governments will have Municipal 'Healthy Communities‘ Public Health and Wellbeing Plans that are well known to their local communities and that promote healthy living.
17VPH&WP: Priority settings for action and engagement: local communities and environments For all communities, the primary strategic planning mechanism for public health and wellbeing efforts is the MPHWPBuild on the Environments for Health framework to support next wave of municipal health and wellbeing planningBuild on the experience of Positive Ageing in Local Communities Project, and the Improving Liveability for Older People initiativeLink to opportunities to improve health and wellbeing in development of a Metropolitan Planning Strategy.
18New Planning GuideMeeting the requirement under section 26(3) of the Public Health and Wellbeing Act 2008 that councils developing MPHWPs ‘have regard to the Victorian Public Health and Wellbeing Plan’Meeting requirements under section 14 of the Climate Change Act (2010) (section 14) which requires decision makers to have regard to climate changeUnderstanding the legislated provisions for the requirements, timing and annual review of MPHWPs, andThe essential elements of good practice in planning for healthy communitiesImportance of an integrated approach
19Additional ResourcesResource for including public health and wellbeing matters into Council PlansA tool to guide annual reviews of MPHWP was developed by the Southern Metropolitan RegionOngoing resourcesAccess to dataRegional office support