MPHP

1. MPHP/CHP/PMHP/HP/LSC Planning Making Sense of the Rhetoric Thanks to Nicki Melville Hal Swerenson

2. Health Trends For the past decades health, welfare and community systems around the world have been moving to: Population based service planning Investment in health and well being Preventative strategies and health promotion.

3. Trends Underpinning this trend is a focus on Populations (rather than individuals) Causes, risk factors for illness and poor health (rather than treatment) Measurement of outcomes of health and wellness. International Debate and Influence World Health Organizations Declaration , 1958 The Ottawa Charter, 1986 Determinants of Health Agenda 21 – Earth Summit, 1992

4. Trends World Health Organization, 1958 Social Model of Health “Health is a complete state of physical, mental and social well being, not merely the absence of disease.”

5. Trends Ottawa Charter The process of enabling people to increase control over and to improve their health Build Health Public Policy Create Supportive environments for health Strengthen community action Develop personal skills Re-orient health service

6. Ottawa Charter Protective Factors Healthy Conditions State Environments Supportive Economic and Social Conditions Psychosocial Factors Valued role Positive self esteem Strong social networks Participation Effective Health Services Preventative Services Community participation Healthy Lifestyle Decreased tobacco, drugs and alcoholism Increased physical activity Positive mental health, good nutrition

7. Trends Agenda 21 – 1992 National Strategy for Ecological Sustainable Development Five Key Principles: Integrating economic and environmental goals in policies and activities Ensure that environmental assets are properly valued Provide equity within and between generations Deal cautiously with risk and irreversibility Recognize the global dimension.

8. Planning From research there are generally two purposes for planning Strategic Operational

9. Planning Strategic Broad ambit and time frame Population focus Priority setting Funding allocation and growth projections Operational Service/program/group specific Area or community based Governance and leadership Operational systems and procedures Resourcing Co-ordination Delivery Accountability and performance.

10. Current Planning Initiatives Municipal Public Health Plans Community Health Plans Local Safety Committees Primary Mental Health Local Learning and Employment Networks. Others?????

11. Municipal Public Health Plans By 2000 52% of the 78 local governments were implementing , 18% were developing 15% were reviewing their plans Survey in 2090 found many positive practices including Strategic planning Promoting useful partnerships Promoting community involvement

12. Municipal Public Health Plan Recommendations from 2000 review: More effective planning through whole of council Better data and grounding in theory Improved resources for development and implementation Enhanced collaborative partnerships across sectors Meaningful community involvement Better co-ordination between sub regional LGAs Enhanced reporting and communication outcomes.

13. Municipal Public Health Plans They will Document public health activity Set local priorities Assess needs and consult communities “Will inform and link with the Community Health Plans that Primary Care Partnerships develop” “Local Government is particularly well placed to identify strategies that have an impact on the broader determinants of health, such as physical environments, transport, social connection and local support networks” PCP Health Promotion Guidelines 2000

14. Municipal Public Health Plans September 2001 Framework To ensure that MPHPs can inform other planning processes effectively and prevent duplication of planning effort at a local level Recognize that greater effort is needed in preventing ill health and creating well being, especially among those whoa re most disadvantaged. Provides mechanisms to improve the health of populations through personal, social and environmental action rather than individual treatment.

15. Community Health Plans Part of the reform of Primary Care in Victoria through the Primary Care Partnership strategy. It addresses three key areas Partnerships Service planning and co-ordination Integrated health promotion.

16. Upper Hume Healthy Communities Plan Was developed within the Upper Hume catchments as an way to link the various planning frameworks as well as develop a sustainable model of ensuring the ongoing health and well being of the Upper Hume community utilizing a partnership approach.

17. Healthy Communities Plan “Beginning Values” Acknowledge the skills and expertise that already exists within the catchments Build the capacity of partners agencies Focused on the Social Model of Health/Triple Bottom Line not to build another bureaucracy Based on what we know and need

18. Healthy Communities Plan(Linking the MPHP and the CHP) Principles of the Ottawa CharterTriple Bottom LineSocial Determinants of HealthStrategic Operational MPHP Strategic area planning Community participation Health and well being outcomes Use date/needs for planning and evaluation Participation and partnerships Health promoting systems CHP Partnered service planning and delivery eg elderly Consumer and carer participation Priority setting for health and well being outcomes eg children Leaderships roles Integrated health promotion

20. Healthy Communities PlanValues Integrated and holistic planning and service delivery Active community participation Sustainable partnerships between our communities and our agencies.

21. Healthy Communities PlanOutcomes We contribute to and are supported by our communities People in our communities thrive We can obtain the services we need Our environment is safe, sustainable and attractive Our economy helps improve quality of life We have greater capacity to address social health issues.

22. Why has it Worked Common values Has history in working together within the health promotion area at a worker level Not seen as a bureaucracy Recognizes each partners skills and promotes capacity building. “natural geographic” Involvement of key health and community leaders Acceptance that not one agency can do it all Proactive rather than reactive – the agencies have driven it Key personnel in key roles within key agencies Population focus

23. Healthy Community Plan Future Challenges Cross border issues Moving from a “supported” approach to a “contribution” approach Regional provision vs local provision Changes in personnel Change of governments and hence approach eg return to competitive approaches Fear of larger agencies “taking over” All agencies take on the planning process into their own agency level planning processes

24. Healthy Communities Plan Success Stories Older Person Action Learning Project Health Promotion activities Best Practice Counseling model Youth Service Co-ordination project Information Bureau

25. ???????????? Health and Community Agencies are a piece within a jigsaw puzzle and therefore need to work with other parts of the jigsaw to achieve the total picture. Agencies are not, and never can be, the total jigsaw picture The challenge for all of us is to work out what the total jigsaw looks like, how the jigsaw will be pieced together and who will do what to achieve it.

26. Healthy Communities PlanPlanning Cycle