2017–202 1
      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
      26      Appendix 1 – Developing the Plan              THAT WILL
              Appendix 2 – Acknowledgements
                                                            ENSURE GOOD
                                                            HEALTH, ON
              Appendix 3 – Workshop Participants
      30      Appendix 4 – Legislative context
                                                            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.
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

                                                                                                  • Sedentary Behaviour

                                                                                                  • 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

                                                                                                 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
                                                                                                                                                             a   re s
                                                                                                                                                                      ystem a
                                                                                                                                                                                i                             Inf




                                                                                                                                                        Affordability      Accessability




                                   Good health and wellbeing is                                                              d   etermin                                                                        ellbeing
                                                                                                                         ial               an                                                              dw                        ou
                                                                                                                    oc                       t                                                        an
                                   important to everyone and enables



                                                                                                                                                                                               lt h
                                                                                                                           Environment                                                                         Wellness

                                   people to more fully participate

                                                                                                                  Socioeconomic        Community                                                      Death                       Illness

                                   in communities, education and
                                   employment opportunities. Good                                                               Cultural                                                                        Equity

                                   health and wellbeing is also                                                                                                dp

                                   essential for a strong economy.




                                   The World Health Organisation’s defines of ‘health’ as;

                                                                                                                                                       Psychosocial            Biological

                                                                                                                            s                                                                                                 n


                                   “…a state of complete physical, mental and social

                                   wellbeing, and not merely the absence of disease or                                                                                                                          en
                                                                                                                                                                  Social capital

                                   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
    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)

                        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

                        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

                                                                                                                        priorities for the Council Plan 2017-2021 are depicted.
                                                                                                                        The Health and Wellbeing Plan is a key strategic plan

                                                                                                                        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.
            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
            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


                                                                                                                                                                                                              Education Attainment
                                                                                                                                                               program & work
                                                                                                                                                               Fully integrated

                                                                                                                                                                 planning in
     What’s it all about?                                   Appendix 1 illustrates the outcome from the first

                                                            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),


                                                                                                                                                                  making &
     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
                                                            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


                                                                                                                                                                  for greater
     Good support – parents, family, friends, social        majority of variables along. Two variables, namely
     connections                                            Technological Connectedness and Access to

                                                            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


                                                                                                                                                                 on specific
     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

     effective it is important to first understand the

                                                                                                                                                                                   Physical Health


                                                                                                                                                                                                                                                     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
     interrelated. Through three workshops a “picture”
                                                                                                                    Figure 3: Workshop 3 – Collective Impact


     of the complex nature of health and wellbeing

                                                                                                                                                               clients, partners
                                                                                                                                                                for resources,

                                                                                                                                                                attention etc.

12    HEALTH AND WELLBEING PLAN 2017-2021                                                                                                                                                                                                                              13
                                      Compete                  Co-exist                 Communicate                  Cooperate          Coordinate   Collaborate   Integrate   Collective

                                                                                                                    Physical Activity

                                                                                                                 Sedentary Behaviour

                                                                                                                    Healthy Eating

                                                                                                 Community & Rec Spaces

                                                                                                     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


                                                                                                     Community Connection


     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
     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
     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
     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
     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
     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
                         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
                                                                                                                                                                          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
     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
                                                       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
                                                                                                                     and checks

18   HEALTH AND WELLBEING PLAN 2017-2021                                                                                                                                                                                            19
                                                                                                                       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
     have been grouped according to their relationship to the overarching health and wellbeing principles (as
     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
     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
     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
                                          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
     Physical Activity
                                                                                                                                                                                            Integrate this work with
      Begin working in a more co-              Continue working
                                                                                                                                                                                            resilience activity outlined
      ordinated way to increase                collaboratively to increase
      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                                                                                                                                                                                               21
     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
                                                                             Continue supporting         YacVic
                                                                             activities, including
                                                                             L2P Mentoring
                                                                             Programme                                 TRANSLATING DESIRED
                                                                             Greater Grants Criteria                   OUTCOMES INTO ACTIONS -
                                                                             Implementation of
                                                                                                                       WORKING TOWARDS
                                                                                                                       COLLECTIVE IMPACT
                                                                             Disability Action Plan
                                                                             User Group Inclusion
                                                                             Youth Leadership
                                                                             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
                                                                             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
                                                                                                                       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
     Employment and Financial Security                                                                                 collaboration in our work.
     Collate and evaluate quantitative    To attain and maintain the
     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                                                                                                                                                                                             23
Table 4: Translating Outcomes into Actions and Measures

                              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

                                                                  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,

                                                                                                                       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                                                                                                                                          25

                                                                                                                           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                                                                                                                                       27

                                                                                                                                                                                                      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)
                                                                                                                                                                         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
                                                 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)
                                                 implementation of this plan.                                                           Hamilton Community             Westvic Staffing Solutions
                                                                                                        Secondary & Primary
                                                                                                                                         House                           (Westvic)
                                                                                                                                        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                                                                                                                                                          29

                     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                                                    
                     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     
                     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                                                                                                                                                                              31
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