Living Well Regional Plan for Health and Wellbeing for the Cities of Unley and Mitcham - City of ...
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Living Well
Regional Plan for
Health and Wellbeing for
the Cities of Unley and Mitcham
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Healthy(Environs(Pty(Ltd(has(prepared(this(Plan(on(behalf(of(
the(Cities(of(Unley(and(Mitcham.(
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We(acknowledge(the(contribution(of(the(following(members(
of(the(Regional(Public(Health(Plan(Project(Team:(
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• Megan(Berghuis((Project(Manager)(–(General(
Manager(Community((City(of(Unley)(
• Jack(Darzanos(–(Manager(Environmental(Health(
Services((City(of(Mitcham)(
• Celine(Luya(N(Manager(Community(Services((City(of(
Unley)(
• Jenny(Sandow(–(Manager(Positive(Ageing(and(
Community(Care((City(of(Mitcham)(
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Date!of!issue:!30/07/14!
Status:'Final'
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Table'of'Contents'
Part!A!–!Purpose!and!Principles!
INTRODUCTION'................................................................................................................................'1!
WHY'PLAN'FOR'PUBLIC'HEALTH'AND'WELLBEING?'...........................................................................'1!
OUR'APPROACH'TO'DEVELOPING'THE'LIVING'WELL'PLAN'................................................................'2!
THE'INTERNATIONAL,'NATIONAL'AND'STATE'POLICY'CONTEXT'........................................................'3!
THE'ROLE'OF'LOCAL'GOVERNMENT'IN'PUBLIC'HEALTH'AND'WELLBEING'..........................................'5!
THE'CORPORATE'POLICY'CONTEXT'FOR'THE'CITIES'OF'UNLEY'AND'MITCHAM'..................................'6!
GUIDING'PRINCIPLES'FOR'THE'‘LIVING'WELL’'PLAN'..........................................................................'6'
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Part!B!E!Our!State!of!Health!
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RESEARCH'BACKGROUND'.................................................................................................................'9!
REGIONAL'OVERVIEW'.......................................................................................................................'9!
The!Area!............................................................................................................................................................................!9!
The!Population!................................................................................................................................................................!11!
OUR'COMMUNITY'...........................................................................................................................'12!
Community!Strengths!.....................................................................................................................................................!12!
Social!Indicators!..............................................................................................................................................................!12!
Education!and!Lifelong!Learning!.....................................................................................................................................!12!
Personal!Health!...............................................................................................................................................................!13!
Childhood!Health!............................................................................................................................................................!13!
Community!Services!........................................................................................................................................................!14!
Community!Arts!and!Culture!..........................................................................................................................................!14!
OUR'ECONOMY'...............................................................................................................................'16!
Economy!.........................................................................................................................................................................!16!
Employment!....................................................................................................................................................................!16!
OUR'ENVIRONMENT'........................................................................................................................'17!
Built!Environment!...........................................................................................................................................................!17!
Housing!...........................................................................................................................................................................!17!
Transport!........................................................................................................................................................................!18!
Open!Space!.....................................................................................................................................................................!18!
Natural!Environment!......................................................................................................................................................!19!
Waste!and!Resource!Management!.................................................................................................................................!19!
Climate!Change!...............................................................................................................................................................!20!
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Part!C!E!Strategic!Directions!
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INTRODUCTION'...............................................................................................................................'22!
OUR'POTENTIAL'PARTNERS'.............................................................................................................'22!
PRIORITY'1'Q'STRONGER'AND'HEALTHIER'COMMUNITIES'AND'NEIGHBOURHOODS'FOR'ALL'
GENERATIONS'.................................................................................................................................'24!
What!are!we!already!doing?!...........................................................................................................................................!24!
State!and!Regional!Strategy!References!.........................................................................................................................!25!
Strategic!Directions!.........................................................................................................................................................!25!
PRIORITY'2'Q'INCREASING'OPPORTUNITIES'FOR'HEALTHY'LIVING,'HEALTHY'EATING'AND'BEING'
ACTIVE'.............................................................................................................................................'28!
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What!are!we!already!doing?!...........................................................................................................................................!28!
State!and!Regional!Strategy!References!.........................................................................................................................!29!
Strategic!Directions!.........................................................................................................................................................!29!
PRIORITY'3'Q'PREPARING'FOR'CLIMATE'CHANGE'..............................................................................'32!
What!are!we!already!doing?!...........................................................................................................................................!32!
State!and!Regional!Strategy!References!.........................................................................................................................!32!
Strategic!Directions!.........................................................................................................................................................!33!
PRIORITY'4'Q'SUSTAINING'AND'IMPROVING'PUBLIC'AND'ENVIRONMENTAL'HEALTH'PROTECTION'..'35!
What!are!we!already!doing?!...........................................................................................................................................!35!
State!and!Regional!Strategy!References!.........................................................................................................................!35!
Strategic!Directions!.........................................................................................................................................................!36!
ESTABLISHING'A'SYSTEM'FOR'PLAN'IMPLEMENTATION'AND'EVALUATION'.....................................'38!
REFERENCES'....................................................................................................................................'39!
GLOSSARY'.......................................................................................................................................'40!
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Tables'
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Table!1!–!State!of!Health!Framework!.......................................................................................................!9!
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Figures'
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Figure!1!–!The!Planning!Process!...............................................................................................................!3!
Figure!2!E!Influencing!the!Determinants!of!Health!in!the!Cities!of!Unley!and!Mitcham!...........................!7!
Figure!3!–!Population!Profile!for!the!Cities!of!Unley!and!Mitcham!compared!to!Metropolitan!Adelaide!!
(by!service!age!groups)!............................................................................................................!11!
Figure!4!–!Living!Well!Governance!Model!..............................................................................................!38!
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Maps'
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Map!1!–!The!Planning!Region!and!SLA!Boundaries!................................................................................!10!
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Message(from(the(Mayors(
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Local(government(plays(a(key(role(in(shaping(the(local(environment(for(the(wellbeing(of(our(
communities.(‘Living(Well’(is(the(first(Regional(Public(Health(and(Wellbeing(Plan,(developed(through(
a(collaborative(approach(for(the(Cities(of(Unley(and(Mitcham.(The(Plan(presents(an(opportunity(for(
our(Councils(to(work(together(to(establish(regional(directions(for(addressing(public(health(and(
wellbeing,(recognising(the(public(health(issues(as(well(as(community(strengths(of(the(region.(
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Through(this(Plan,(we(have(considered(how(our(functions(and(services(influence(the(health(of(the(
local(community(and(where(there(are(opportunities(for(initiatives(to(improve(health(and(wellbeing(
for(each(local(area,(as(well(as(the(inner(south(region(overall.(
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It(is(important(to(acknowledge(that(our(Councils(are(not(solely(responsible(for(planning(local(
environments(and(services(to(address(our(community’s(health(needs.(A(collaborative(approach(with(
State(government(and(community(stakeholders(is(needed(to(strengthen(community(wellbeing(in(our(
region.(
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‘Living(Well’(guides(both(our(Councils(on(opportunities(to(address(the(public(health(and(wellbeing(of(
the(region(through:(
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• The(provision(of(Council(services,(programs(and(facilities.(
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• Opportunities(for(partnerships(with(others.(
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• Advocacy(on(behalf(of(our(community.(
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We(look(forward(to(building(our(regional(approach,(partnerships(and(community(engagement(to(
achieve(our(strategic(directions(for(‘Living(Well’(in(Unley(and(Mitcham.(
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Lachlan&Clyne& Michael&Picton&
Mayor& Mayor&
City&of&Unley& City&of&Mitcham&
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The Purpose and Principles of the Living Well Strategy
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Introduction'
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The!Cities!of!Unley!and!Mitcham!have!committed!to!a!regional!approach!to!planning!for!
the!public!health!and!wellbeing!of!their!communities.!‘Living!Well’!sets!directions!for!
promoting!community!health!in!the!region.!The!Plan!considers!Council!functions!which!
influence!health!and!the!role!of!local!government!as!the!local!‘Public!Health!Authority’!
under!the!South(Australian(Public(Health(Act(2011.1!!
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This!Plan!seeks!to!recognise!public!health!issues!for!both!Cities!and!the!opportunities!for!
collaboratively!promoting!community!wellbeing.!The!Plan!also!acknowledges!the!
characteristics!and!strengths!of!Unley!and!Mitcham.!
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‘Living!Well’!is!the!first!Regional!Public!Health!Plan!developed!in!response!to!the!
planning!requirements!of!the!SA(Public(Health(Act(2011.1!!Both!the!Cities!of!Unley!and!
Mitcham!already!undertake!a!range!of!initiatives!which!support!community!health!and!
wellbeing.!This!Plan!seeks!to!recognise!and!build!upon!existing!Council!achievements!and!
set!priorities!for!the!next!five!years!having!regard!to!the!State!Public!Health!Plan!and!
regional!attributes.!
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The!Plan!considers!the!following!priority!areas!of!the!State!Public!Health!Plan!‘South!
Australia:!A!Better!Place!to!Live’:2!
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• Stronger!and!Healthier!Communities!and!Neighbourhoods!for!All!Generations.!
• Increasing!Opportunities!for!Healthy!Living,!Healthy!Eating!and!Being!Active.!
• Preparing!for!Climate!Change.!
• Sustaining!and!Improving!Public!and!Environmental!Health!Protection.!
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A!key!aim!of!this!first!Plan!is!to!establish!a!foundation!for!regional!collaboration!and!
partnerships!for!strengthening!community!health.!
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‘Living!Well’!is!structured!as!follows:!
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• Part!A!–!The!Purpose!and!Principles!of!the!‘Living!Well’!Plan.!
• Part!B!–!Our!Regional!State!of!Health.!
• Part!C!–!Strategic!Directions!for!‘Living!Well’!in!Unley!and!Mitcham.!
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Why'Plan'for'Public'Health'and'Wellbeing?'
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Ultimately!good!public!health!relies!on!us!building!community!wellbeing!and!supporting!
our!communities!to!live!healthy!and!active!lifestyles.!Public!health!planning!recognises!
the!important!role!of!local!government!in!promoting!community!wellbeing!and!providing!
environments!supportive!to!good!health.!
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SA(Public(Health(Act(2011(
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Public(Health(is(the(health(of(individuals(in(the(context(of(the(wider(community.1!
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The!public!health!planning!system!under!the!SA(Public(Health(Act(2011!provides!a!
flexible!approach!to!planning!for!community!health!and!wellbeing!for!South!Australians.1!
It!recognises!that!we!need!to!maintain!the!significant!advances!of!the!public!health!
system!in!protecting!the!community!from!infectious!disease,!whilst!preparing!for!new!
and!emerging!public!health!challenges!such!as:!
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• Increasing!chronic!disease!(those!diseases!that!are!related!to!preventable!risk!
factors,!such!as!diabetes!and!heart!disease).!
• New!or!reEemerging!infectious!diseases.!
• Public!health!risk!factors!such!as!excessive!use!of!tobacco!and!alcohol.!
• The!global!challenge!of!climate!change!and!the!potential!implications!on!public!
health.!
• Addressing!mental!illness,!psychological!distress!and!wellbeing.!
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The!SA(Public(Health(Act(2011!establishes!a!system!of!public!health!planning!by!State!
and!local!government.!Through!assessing!the!state!of!health!for!South!Australia!and!for!
local!regions!we!can!plan!for!evolving!public!health!priorities.!
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SA(Public(Health(Act(2011(
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This(is(an(Act(for(the(twenty(first(century.(It(is(helping(our(communities(prepare(for(and(
meet(the(health(challenges(of(this(century(and(have(a(better(chance(to(build(stronger(
healthier(communities.1!
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Our'Approach'to'Developing'the'Living'Well'Plan'
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A!Regional!Public!Health!Plan!Project!Team!comprising!staff!representatives!from!the!
Cities!of!Unley!and!Mitcham!has!overseen!the!development!of!the!Living!Well!Plan.!
Developing!the!Plan!has!involved!the!following!stages:!
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• A'review'of'existing'Council'strategies'and'projects!of!relevance!to!the!priority!
themes!of!the!State!Public!Health!Plan.!!This!review!involved!meetings!with!
relevant!Council!staff.!The!findings!to!this!review!are!provided!in!the!‘Regional!
Public!Health!and!Wellbeing!Plan!E!Audit!Report’.3!!
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• An'assessment'of'the'state'of'health'in'the'region,!drawing!on!various!research!
including!the:!Public!Health!and!Information!Development!Unit!(PHIDU)!
Population!Health!Profile!for!the!region;!the!Department!of!Communities!and!
Social!Inclusion!Survey!of!Community!Strengths;!and!the!Health!Atlas!of!the!region!
prepared!by!Healthfirst!Network.!During!this!stage,!meetings!were!also!held!with!
the!Central!Adelaide!and!Hills!Region!and!the!Southern!Adelaide!Fleurieu!and!
Kangaroo!Island!Region!Medicare!Locals!to!discuss!regional!community!health!
issues!and!initiatives.!
• Community!consultation!on!the!draft!‘Key!Directions’!for!the!Plan!via!online!
consultation!and!mail!out!of!information!to!various!groups.!!
• Progress!presentations!to!Council!Elected!Members!and!Executive!Management.!
• A!workshop!with!staff!from!the!Cities!of!Unley!and!Mitcham!to!review!proposed!
strategic!directions!for!the!‘Living!Well’!Plan.!
• Consultation!on!the!draft!Living!Well!Plan,!including!submission!of!the!Plan!to!the!
Chief!Public!Health!Officer!of!the!Department!for!Health!and!Ageing.!
• Finalisation!of!the!Plan.!
The!key!planning!stages!are!summarised!in!Figure!1.!
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Figure'1'–'The'Planning'Process'
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The'International,'National'and'State'Policy'Context'
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The!‘Living!Well’!Plan!is!guided!by!the!higherElevel!policy!context!for!public!health.!At!
both!the!National!and!State!level!it!is!recognised!that!we!need!to!tackle!unhealthy!
lifestyles!and!provide!supportive!environments!to!address!rising!rates!of!overweight!and!
obesity!and!chronic!disease.!4,5!!
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The!report!of!the!National!Preventative!Health!Taskforce!targets!obesity,!tobacco!and!
the!excessive!consumption!of!alcohol!as!the!key!modifiable!risk!factors!driving!around!30!
per!cent!of!the!burden!of!disease!in!Australia.4!!
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The!Taskforce!seeks,!by!2020,!to1:!
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• Halt!and!reverse!the!rise!in!overweight!and!obesity.!!
• Reduce!the!prevalence!of!daily!smoking!from!16.6!per!cent!to!10!per!cent!or!less.!!
• Reduce!the!proportion!of!Australians!who!drink!at!levels!which!place!them!at!
short!term!harm!from!20!per!cent!to!14!per!cent!and!the!proportion!at!longer!
term!harm!from!10!per!cent!to!7!per!cent.!
• Contribute!to!the!‘Close!the!Gap’!targets!for!Indigenous!Australians.!
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The!South!Australian!Public!Health!Plan!established!under!the!SA(Public(Health(Act(2011,!
titled!‘South!Australia:!A!Better!Place!to!Live’,!seeks!to!strengthen!and!improve!
coordination!of!public!health!management!in!the!State.2!The!Plan!identifies!systemE
building!actions!for!developing!an!effective!public!health!planning!framework!across!
State!and!local!government.!This!planning!framework!is!a!key!driver!for!the!State!
Strategic!Priority!‘Safe!Communities!Healthy!Neighbourhoods’.!2!
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‘South!Australia:!A!Better!Place!to!Live’!identifies!four!priority!areas!for!promoting!public!
health,!including:!2!
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• Stronger!and!Healthier!Communities!and!Neighbourhoods!for!All!Generations.!
• Increasing!Opportunities!for!Healthy!Living,!Healthy!Eating!and!Being!Active.!
• Preparing!for!Climate!Change.!
• Sustaining!and!Improving!Public!and!Environmental!Health!Protection.!
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The!‘Living!Well’!Plan!considers!the!implications!of!the!above!priority!areas!for!the!Cities!
of!Unley!and!Mitcham.!The!Plan!also!considers!a!wide!range!of!State!and!Regional!
strategies!of!relevance!to!the!region.!These!are!referenced!against!the!Plan!actions!in!
Part!C.!
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On!an!international!level,!the!report!of!the!Commission!on!Social!Determinants!of!
Health,!recommends!global!action!to!address!health!inequity.6!‘A!key!aim!of!the!
Commission!has!been!to!foster!a!global!movement!on!social!determinants!of!health!and!
health!equity’.!6!The!report!provides!recommendations!for!addressing!the!daily!living!
conditions,!which!contribute!towards!health!status,!including!recommendations!for!local!
government!to!establish!‘participatory!governance!mechanisms!that!enable!
communities!and!local!government!to!partner!in!building!healthier!and!safer!cities’.6!!
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!!We!note!that!in!the!2014E15!Federal!Budget!the!Australian!National!Preventative!Health!Agency!has!been!transferred!to!
the!Department!of!Health.!
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The'Role'of'Local'Government'in'Public'Health'and'
Wellbeing'
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Councils!influence!the!local!social,!economic!and!natural!and!built!urban!environments!
that!are!critical!to!promoting!healthier!lifestyles.!!Various!Council!functions!shape!our!
local!environment!and!play!a!role!in!protecting!and!promoting!health:!
• Community!services!and!events!assist!to!promote!socially!interactive!and!vibrant!
communities.!
• Libraries!provide!opportunities!for!community!education!and!information!sharing.!
• Urban!and!infrastructure!planning!functions!can!promote!environments!for!
physical!activity!and!access!for!people!of!all!ages!and!abilities.!
• Environmental!health!functions!and!services!such!as!immunisation!are!important!
for!providing!safe!environments!and!controlling!infectious!diseases!in!our!
community.!
The!‘Living!Well’!Plan!seeks!to!recognise!and!build!upon!the!current!activities!of!the!
Cities!of!Unley!and!Mitcham!which!influence!public!health!and!wellbeing.!The!Plan!
reflects!a!collaborative!approach!between!the!two!Councils!drawing!on!common!public!
health!issues!and!community!strengths!as!well!as!the!unique!characteristics!of!each!
Council!area.!!
A!range!of!stakeholders!play!a!role!in!shaping!the!health!the!region.!This!Plan!recognises!
the!scope!of!local!government’s!role!in!promoting!public!health!and!the!partnerships!or!
advocacy!needed!to!encourage!action!by!other!organisations.!!
The!Cities!of!Unley!and!Mitcham!will!adopt!a!variety!of!roles!to!address!the!objectives!
and!strategies!outlined!in!Living!Well.!The!role!of!the!Councils!will!depend!on!the!
significance!of!the!issue,!available!resources!and!funding!and!legislative!responsibilities.!
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Council!roles!in!this!Plan!have!been!defined!by!the!following!categories:!
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• Coordinate'–!Council!has!a!lead!role!in!project!management!and!program/service!
delivery.!It!is!a!core!role!and!function!of!Council.!Council!has!direct!legislative!
responsibilities.!!
• Facilitate!–!Council!can!facilitate!public!health!outcomes!through!partnerships,!
consultation,!information!provision!or!community!support.!!
• Advocate!–!The!strategy!is!outside!of!the!scope!of!Councils!role.!Council!will!
advocate!on!behalf!of!the!community!to!the!responsible!agency!or!government!
department.!
• No'Role—!There!are!times!Council!does!not!have!a!role!to!play.!
The!system!of!public!health!planning!by!State!and!local!government!in!SA!is!one!that!
allows!for!‘continuous!improvement’!with!each!five!year!planning!cycle.!Council!Public!
Health!Plans!cannot!address!all!public!health!issues,!rather!they!are!a!first!step!to!
articulating!key!public!health!issues!to!be!managed!within!the!scope!of!current!Council!
functions.!!
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The!State!Public!Health!Plan!highlights!that!public!health!is!a!shared!concern!and!shared!
responsibility!across!all!spheres!of!government!(Federal,!State!and!local).2!!Whilst!
Councils!are!the!local!‘public!health!authority’!under!the!SA(Public(Health(Act(2011,!they!
are!not!solely!responsible!for!addressing!public!health!priorities!in!their!region.!Public!
health!planning!provides!a!mechanism!for!Councils!to!adopt!a!variety!of!roles!for!
addressing!public!health!matters!for!their!communities.!These!roles!may!include!directly!
coordinating!actions!through!to!facilitating!partnerships!or!advocating!for!action!by!
other!agencies.!2!
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The'Corporate'Policy'Context'for'the'Cities'of'Unley'and'
Mitcham'
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The!Living!Well!Strategy!seeks!to!build!upon!the!vision!of!the!City!of!Unley!Community!
Plan!2033!and!the!City!of!Mitcham!Strategic!Plan:!Mitcham!2030.5,6!!The!Plan!is!a!key!
strategic!management!document!for!both!Councils.!
The!Plan!details!recommended!objectives!for!the!region!to!address!the!four!key!priority!
areas!of!the!State!Public!Health!Plan.!Implementation!will!require!recognition!and!
integration!of!these!themes!across!relevant!Council!planning!processes!and!projects.!
Potential!linkages!between!the!Council!planning!frameworks!(as!detailed!in!each!Council!
Corporate!Plan)!and!the!State!Health!Plan!priorities!are!summarised!in!Appendices!A!and!
B.!!
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City(of(Unley(Community(Plan(2033(Vision(
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Our(City(is(recognised(for(its(vibrant(community(spirit,(quality(lifestyle(choices,(
diversity,(business(strength(and(innovative(leadership.7(
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City(of(Mitcham,(Mitcham(2030(Vision(
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A(healthy,(inclusive(and(prosperous(community,(living(and(working(in(harmony(with(
the(environment.(8!
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Guiding'Principles'for'the'‘Living'Well’'Plan'
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The!Cities!of!Unley!and!Mitcham!are!committed!to!the!following!concepts!for!improving!
wellbeing!in!the!region.!These!principles!underpin!our!‘Living!Well’!Plan.!
1. Address the social determinants of health
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‘Living!Well’!focuses!on!influencing!the!broader!determinants!of!health!for!Unley!
and!Mitcham!residents.!It!is!recognised!that!the!broad!strategic!directions!for!both!
Councils!influence!community!wellbeing!(as!shown!in!Figure!2).!
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Health(and(wellbeing(are(determined(by(a(range(of(factors(including(the(social,(
economic,(environments(and(cultural(contexts(in(which(people(live(their(lives.(As(
such,(engagement(across(sectors(is(required(to(develop(policies(which(support(
health(and(wellbeing(and(reduce(the(number(of(people(living(in(the(community(
with(disability(and(illness(as(they(age.!7!
!
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Figure'2'Q'Influencing'the'Determinants'of'Health'in'the'Cities'of'Unley'and'
Mitcham'
!
!
!
!
!
2. Embracing the life-course approach and active ageing
!
Both!Councils!are!focused!on!providing!a!supportive!environment!for!health!across!
all!age!groups.!‘Health!is!not!a!‘point!in!time’,!but!rather!the!accumulation!of!many!
circumstances,!choices!and!events!that!have!occurred!in!the!life!of!an!individual’.!9!
The!Cities!of!Unley!and!Mitcham!acknowledge!the!important!contribution!of!older!
residents!to!the!community.!The!population!of!the!region!is!ageing!and!there!is!a!
higher!proportion!of!people!aged!65!plus!years,!when!compared!to!the!metropolitan!
average.!Both!Council!areas!have!a!higher!proportion!of!residents!aged!80!years!and!
over!compared!with!metropolitan!Adelaide.!A!vast!majority!of!people!in!this!age!
group!live!healthy!and!active!lives!and!this!can!be!supported!through!social!and!
physical!infrastructure.!!
7!!
!
This!Plan!embraces!the!concept!of!the!‘lifeEcourse!approach’!and!key!pillars!of!active!
ageing:!health,!lifelong!learning,!participation!and!security.!These!pillars!provide!a!
framework!for!individuals!and!population!groups!to!‘realise(their(potential(physical,(
social(and(mental(wellbeing(throughout(the(life(course(and(to(participate(in(society(
according(to(their(needs,(desires(and(capacities(while(providing(them(with(adequate(
protection,(security(and(care(when(they(require(assistance’.9!
!
The!Councils!adopt!the!‘lifeEcourse!approach’!to!planning!for!the!region’s!ageing!
population.!Ageing!is!intergenerational,!meaning!ageing!is!occurring!in!all!
generations.!The!aim!is!to!support!the!local!community!to!maintain!independence!
and!prevent!disability!as!they!age!(i.e.!live!above!the!disability!threshold!for!as!long!
as!possible).!9!
!
3. Promoting community strength and capacity for wellbeing
!
The!Cities!of!Unley!and!Mitcham!are!focused!on!supporting!community!capacity!to!
improve!health!and!wellbeing.!The!Councils!are!committed!to!promoting!community!
strengths!and!facilitating!community!engagement,!cultural!activity!and!vibrancy!to!
support!wellbeing.!Building!wellbeing!is!fundamental!to!supporting!resilience!to!
overcome!health!challenges!and!enhance!quality!of!life.!
!
The!Councils!support!Martin!Seligman’s!concept!of!a!flourishing!community!which!is!
vibrant,!resilient!and!inclusive.!The!Councils!are!committed!to!incorporating!
Professor!Seligman’s!PERMA!theory!of!wellbeing,!which!promotes!five!key!indicators!
for!wellbeing:!Positive!emotion,!Engagement,!Relationships,!Meaning!and!
Accomplishment.!10!
!
(
‘Adelaide!should!be!a!place!where!people!find!positive!emotion!through!parks!
and!public!spaces;!engagement!in!cultural!institutions!and!events;!better!
relationships!through!social!interactions;!and!meaning!and!accomplishment!
through!work,!education!and!city!life’.10!
!
!
!
4. Working in partnership
!
Providing!a!supportive!environment!for!health!requires!action!across!a!range!of!
government!and!community!stakeholders.!The!Councils!seek!to!strengthen!
partnerships!for!taking!action!across!the!social!determinants!of!health.!
Implementing!our!strategic!directions!for!‘Living!Well’!may!involve!partnerships!with!
other!government!agencies,!nonEgovernment!organisations!(NGOs)!local!community!
groups,!research!institutions!and!other!Councils.!Part!C!‘Strategic!Directions’!
highlights!potential!partner!organisations!for!each!of!the!Plan!priority!areas.!
!
5. Embracing an equity approach
!
The!Councils!are!committed!to!addressing!health!inequities!within!the!community.!
Engaging!our!community!across!all!sectors!and!ensuring!equal!opportunity!for!all!to!
access!Council!services!is!fundamental!to!promoting!healthy!outcomes!for!the!
community!as!whole.!‘Living!Well’!will!consider!equitable!benefits!across!all!groups!
and!age!sectors.!
! !
8!Our Regional State of Health
!
!
Research'Background'
!
As!part!of!the!public!health!planning!process,!Councils!are!required!to!comprehensively!
assess!the!state!of!health!in!the!region.1!The!Cities!of!Unley!and!Mitcham!adopted!a!
broad!approach!to!assessing!the!‘regional!state!of!health’!with!consideration!of!the!
social!and!environmental!determinants!which!influence!community!wellbeing.!The!
Victorian!Community!Wellbeing!Indicators!Framework!was!used!as!a!guide!to!structuring!
our!research!approach.11!SA!Health!and!the!SA!LGA!are!adopting!this!framework!for!
building!a!dataset!to!inform!public!health!planning.!The!state!of!health!summary!
framework!is!presented!in!Table!1.!
!
Table'1'–'State'of'Health'Framework'for'the'Cities'of'Unley'and'Mitcham'
!
Our'Community' Our'Economy' Our'Environment'
Social!Indicators' Economic!Activity! Built!Environment!
Education!and!Lifelong!Learning! Employment! Natural!Environment!
Waste!&!Resource!
Community!Strengths! Work!Life!Balance!
Management!
Personal!Health! ! Climate!Change!
Childhood!Health! ! !
Community!Services! ! !
Community!Arts!and!Culture! ! !
!
The!information!presented!in!this!section!is!from!a!range!of!sources!as!outlined!in!the!
references!Section.!
!
This!state!of!health!review!also!draws!on!the!qualitative!feedback!obtained!from!
meetings!with!Council!staff!and!the!Medicare!Locals!(Central!Adelaide!and!Hills!Region!
and!the!Southern!Adelaide!Fleurieu!and!Kangaroo!Island!Region).!
!
Data!tables!for!the!region!are!provided!in!Appendix!C.!A!regional!public!health!atlas,!
incorporating!key!data!maps!for!the!region!is!provided!in!Appendix!D.!
!
Regional'Overview'
!
The&Area&
!
The!City!of!Unley!is!located!four!kilometres!from!the!Adelaide!Central!Business!District!
(CBD).!Mitcham!Council!adjoins!the!Unley!Council!area!to!the!South.12!
!
The!City!of!Unley!covers!an!area!of!14.4!square!kilometres!and!has!a!population!of!over!
39!000!residents.12!The!population!is!expected!to!increase!by!an!estimated!7!000!by!
2040!based!on!a!targeted!growth!response!to!the!30!Year!Plan!for!Greater!Adelaide.!
9!!
!
The!City!of!Mitcham!is!located!six!kilometres!from!the!CBD!and!has!a!population!of!
approximately!65!000!residents.8!The!Council!covers!an!area!of!75!square!kilometres!
extending!into!the!Mitcham!Hills.!According!to!population!estimates!compiled!by!PHIDU!
the!population!is!expected!to!increase!to!around!73,060!by!2025,!an!increase!of!12.3%!
from!2011.13((
!
The!City!of!Unley!is!within!the!Central!Adelaide!and!Hills!Medicare!Local!(CAHML)!
Region.!The!City!of!Mitcham!is!largely!within!the!Southern!Adelaide!Fleurieu!and!
Kangaroo!Island!Medicare!Local!(SAFKI)!Region,!although!a!small!area!is!also!located!in!
the!CAHML!region.!
!
Within!the!region,!there!are!two!public!hospitals!(Flinders!Medical!Centre!and!the!Daw!
Park!Repatriation!Hospital)!and!three!private!hospitals!(Flinders!Private!Hospital,!
Blackwood!and!District!Community!Hospital!and!the!Fullarton!Hospital).!
(
Five!ABS!Statistical!Local!Areas!(SLAs)!fall!within!the!region.!These!SLAs!are!shown!in!
Map!1!and!include!Unley!East,!Unley!West,!Mitcham!Hills,!Mitcham!North!East!and!
Mitcham!West.!
!
!
Map'1'–'The'Planning'Region'and'SLA'Boundaries'
!
&
&
&
!
!
10!!
The&Population&
&
The!Cities!of!Unley!and!Mitcham!have!similar!age!profiles.!The!region!has!a!balance!of!all!
age!groups,!as!shown!in!Figure!3.!Both!Unley!and!Mitcham!Councils!have!a!higher!
percentage!of!the!population!above!85!than!the!Greater!Adelaide!region.!There!is!an!
increasing!proportion!of!‘soon!to!be!ageing’!adults!in!the!region,!highlighting!the!
importance!of!encouraging!and!supporting!these!age!groups!to!remain!healthy,!active!
and!independent!as!they!age.!
!
The!Kaurna!people!are!the!traditional!custodians!of!the!region.!At!the!time!of!the!2011!
Census!the!number!of!persons!reporting!to!be!of!Aboriginal!and!Torres!Strait!Islander!
(ATSI)!origin!was!313!in!the!City!of!Mitcham!and!144!in!the!City!of!Unley.!13!
!
Figure'3'–'Population'Profile'for'the'Cities'of'Unley'and'Mitcham'compared'to'
Metropolitan'Adelaide'(by'service'age'groups)'
25"
20"
15"
Percent'
Unley"
Mitcham"
10" Greater"Adelaide"
5"
0"
0"to"4"" 5"to"11" 12"to"17"" 18"to"24" 25"to"34"" 35"to"49"" 50"to"59" 60"to"69" 70"to"84" 85+"
Age'
!
Source: Australian Bureau of Statistics, Census of Population and Housing 2006 and 2011. Compiled and
presented in profile.id by .id, the population experts.!
!
!
The!majority!of!the!population!is!comprised!of!people!who!are!middle!aged,!youth!and!
young!adults,!highlighting!the!importance!of!maintaining!a!focus!on!youth!health!and!
engagement.!!
!
The!population!is!culturally!diverse.!The!City!of!Unley!has!72.2%!of!the!population!born!
in!Australia.!The!most!common!places!of!birth!outside!Australia!are!the!United!Kingdom,!
China,!Greece,!India!and!Italy.14!
!
74.6%!of!City!of!Mitcham!residents!indicated!that!they!were!born!in!Australia.!The!most!
common!places!of!birth!outside!Australia!include!the!United!Kingdom,!China,!India!and!
New!Zealand.14!
!
11!!
As!at!the!2011!Census!2.3%!of!residents!in!Unley!and!1.4%!of!residents!in!Mitcham!were!
‘born!overseas!and!reported!to!have!poor!proficiency!in!English’.!13!
!
Our'Community'
!
Community&Strengths&
!
Overall!the!region!of!Unley!and!Mitcham!has!a!strong!sense!of!community.!There!is!
significant!community!involvement!in!the!region!through!volunteering,!community!
services,!social!and!cultural!programs!and!facilities!and!events.!It!is!these!strengths,!
which!need!to!be!further!promoted!through!the!‘Living!Well’!Plan!to!build!community!
capacity!for!wellbeing.!!
!
A!higher!percentage!of!the!community!undertake!a!volunteer!role!compared!to!the!
metropolitan!average,!with!24.3%!of!City!of!Mitcham!residents!and!22.5%!of!City!of!
Unley!residents!undertaking!volunteer!work.!14!
!
A!survey!into!community!strengths!indicators!gathered!from!interviews!with!over!10,000!
South!Australians!(354!representing!the!City!of!Unley!and!321!representing!the!City!of!
Mitcham),!confirms!positive!perceptions!of!belonging!and!a!strong!sense!of!community!
within!the!region!(key!results!are!summarised!in!Table!5,!Appendix!C).15!
!
Social&Indicators&
!
The!SocioEEconomic!Index!for!Areas!(SEIFA)!suggests!that!the!Cities!of!Unley!and!
Mitcham!overall,!are!less!disadvantaged!compared!to!Greater!Adelaide.!The!City!of!
Unley!has!an!average!index!of!1064.3!and!the!City!of!Mitcham!1068.3,!compared!to!
993.1!for!Greater!Adelaide.!However,!there!are!pockets!in!the!region!which!are!close!to!
the!metropolitan!average,!or!have!a!slightly!lower!SEIFA!index!rating!than!the!
metropolitan!average!(as!is!the!case!for!the!suburb!of!St!Marys!in!the!western!region!of!
the!City!of!Mitcham!which!has!a!SEIFA!rating!of!966).13!SEIFA!scores!for!the!region!are!
shown!in!Maps!2!and!3!in!Appendix!D.!
!
Education&and&Lifelong&Learning&
!
There!is!a!high!level!of!education!in!the!region.!The!Australian!Early!Development!Index!
(AEDI)!highlights!that!the!percentage!of!children!identified!as!developmentally!
vulnerable!for!one!and!two!or!more!domains!is!lower!than!the!average!for!Greater!
Adelaide.!The!SLA!of!Mitcham!West!has!the!highest!percent!of!children!developmentally!
vulnerable!on!one!or!two!more!domains!(21.7!percent).13!
!
The!region!has!a!higher!percentage!of!children!participating!in!fullEtime!secondary!school!
and!a!higher!percentage!of!school!leavers!attending!University.!!
!
The!Council!libraries!are!recognised!as!vital!lifeElong!learning!providers!to!encourage!
equitable!access!to!advancing!digital!services!as!well!as!reading,!learning!and!
entertainment!opportunities.!Community!Centres!throughout!the!region!also!provide!a!
range!of!skills!development!opportunities.!!
!
12!!
Personal&Health&
!
Indicators!of!personal!health!highlight!that!rates!of!chronic!disease!conditions!in!the!City!
of!Unley!and!the!City!of!Mitcham!are!generally!at!or!near!the!metropolitan!average.!!
However,!chronic!disease!rates!in!the!community!are!still!a!public!health!priority!for!the!
region!with!average!age!standardised!rates!of!31.7!per!100!population!for!
musculoskeletal!system!disease,!29.8!per!100!population!for!respiratory!system!disease!
and!17.2!per!100!population!for!circulatory!system!disease!(refer!Table!6!Appendix!C).13!
!
Chronic!disease!risk!factor!rates!are!generally!lower!than!rates!for!greater!Adelaide.!
However,!the!levels!of!smoking,!obesity!and!physical!inactivity!should!still!be!target!
areas!for!public!health!intervention!with!an!average!smoking!rate!of!13.7!per!100!
population,!obesity!rate!of!13!per!100!population!and!a!physical!inactivity!rate!of!29.9!
per!100!population!(refer!Table!7!Appendix!C).!13!
!
‘Good!mental!health!is!fundamental!to!the!wellbeing!of!individuals,!their!families!and!
the!population!as!a!whole’.16!!Mapping!of!psychological!distress!by!Healthfirst!Network!
(refer!to!Map!9,!Appendix!D)!highlights!that!regions!to!the!west!and!closer!to!the!CBD!
have!higher!rates!(ASR/100)!of!psychological!distress.!All!regions!have!lower!rates!of!
physychological!distress!than!Metropolitan!Adelaide!(12.1),!SA!(12.3)!and!Australia!
(11.7).!MitchamEWest!has!a!rate!similar!to!the!Australian!rate.!Rates!of!self!reported!
mental!health!and!behavioural!problems,!obtained!through!the!2007E08!National!Health!
Survey!(Maps!10!and!11!of!Appendix!D)!are!higher!towards!the!west!of!the!region,!
however!all!rates!are!below!the!average!for!Metropolitan!Adelaide.!16!
!
Premature!mortality!rates!among!young!people!aged!15!to!24!years!in!Unley!and!
Mitcham!(46.7!deaths!per!100,000!population!at!these!ages)!were!lower!over!the!period!
2003!to!2007!in!comparison!to!Greater!Adelaide!(with!a!rate!of!44.4).!However,!Mitcham!
–!North!East!had!a!rate!(58.6!deaths!per!100,000!population!at!these!ages),!which!was!!
higher!than!the!average!for!Greater!Adelaide.!13!
!
During!the!period!of!2003!to!2007!there!were!fewer!deaths!from!suicide!in!Unley!and!
Mitcham!when!compared!to!Greater!Adelaide.!The!rate!of!premature!mortality!from!
suicide!was!highest!in!the!Unley!East!SLA!(15.0!deaths!per!100,000!population).13!
Childhood&Health&
!
Indicators!of!childhood!health!for!the!region!highlight!that!the!percentage!of!children!
fully!immunised!at!one!year!of!age!is!close!to!the!metropolitan!average!(at!92.1%).!The!
percentage!of!children!fully!immunised!at!five!years!of!age!is!slightly!lower!at!(88.9%).!
This!is!consistent!with!state!level!trends.!There!is!a!need!to!work!with!the!State!
government!to!improve!immunisation!levels!for!the!preEschool!age!group.!13!
!
Levels!of!obesity!of!children!aged!four!in!the!region!were!generally!lower!than!Greater!
Adelaide.!There!was!a!higher!percent!of!obesity!in!boys!aged!four!in!the!Mitcham!West!
SLA.!13!
!
!
!
!
!
!
!
13!!
Community&Services&
!
Overall!there!is!adequate!access!to!facilities!and!services!in!the!region,!with!a!high!
percentage!of!respondents!to!the!2012!community!strengths!survey!(91.7%!in!Unley!and!
94%!in!Mitcham)!rating!their!local!community!in!terms!of!facilities!and!services!as!good!
to!excellent.!15!
!
In!June!2011,!the!rate!of!Residential!Aged!Care!places!in!Unley!and!Mitcham!was!33%!
higher!than!the!rate!across!the!metropolitan!areas!overall.!The!region!has!a!significant!
number!of!Residential!Aged!Care!providers!including!Anglicare,!ACH!Group,!Eldercare,!
Southern!Cross,!ECH!Inc,!Resthaven!and!Calvary!Home!Care.!This!highlights!the!
significance!of!the!Residential!Aged!Care!sector!with!regard!to!partnerships!for!
promoting!the!health!and!wellbeing!of!older!residents!in!the!region.!The!rate!of!
residential!aged!care!places!per!1000!population!aged!over!70!years!is!shown!in!Map!4!
Appendix!D.!As!shown!in!this!figure!there!are!higher!rates!of!residential!aged!care!places!
per!1000!population!aged!70!years!and!over!in!the!North!East!of!Mitcham!with!the!
highest!rate!in!Unley!East.!There!may!be!a!need!to!address!the!level!of!facilities!for!the!
Mitcham!West!and!Hills!SLA!areas.!
!
The!region!has!a!significant!number!of!Home!and!Community!Care!(HACC)!Program!
clients.!Based!on!2010/11!data,!a!high!percentage!of!HACC!clients!live!alone!(39.8%),!
which!is!7%!higher!than!for!metropolitan!Adelaide.!The!City!of!Unley!has!a!higher!
percentage!of!HACC!clients!who!are!nonEEnglish!speaking!(20.3%!compared!with!the!
metropolitan!area!overall,!at!14.2%).10!
!
A!lower!proportion!of!the!population!in!Unley!and!Mitcham!are!clients!of!community!
health!services!than!is!the!case!across!the!metropolitan!Adelaide!(60%!lower).!Similarly,!
a!lower!proportion!of!the!population!in!Unley!and!Mitcham!are!clients!of!community!
mental!health!services!than!across!metropolitan!Adelaide!(35%!below).!!
!
The!City!of!Unley!has!a!significant!number!of!community!health!Non!Government!
Organisations!(NGOs)!with!their!primary!offices!based!in!the!Council!area,!including!
NGOs!providing!services!across!the!areas!of!carer!support,!mental!health,!drug!and!
alcohol!support,!aboriginal!health,!seniors!support!and!cancer!support.!
Community&Arts&and&Culture&
!
Involvement!by!communities!in!arts!activity!can!contribute!significantly!to!individual!and!
community!wellbeing.!Both!Councils!support!arts!events!and!initiatives!such!as:!
!
• The!City!of!Unley:!New!Arrivals!Programs,!celebration!of!Reconciliation!Week,!the!
Unley!Libraries!Festival,!the!South!Australian!Living!Arts!Festival,!FEAST!festival,!
various!popEup!community!events!and!arts!exhibitions,!summer!events!and!music!
program,!Ignite!Unley,!Gourmet!Gala,!Tour!Down!Under,!Neighbour!Day,!Australia!
Day!celebrations!and!Youth!Week!events.!The!City!of!Unley!focuses!on!brokering!
cultural!vitality!through!partnerships!with!community!groups,!local!businesses!and!
art!sector!stakeholders.!Unley!also!actively!encourages!and!supports!many!
community!events!from!trader!events!to!community!activities.!
!
• The!City!of!Mitcham:!Celebration!of!National!Youth!Week,!live!music!events,!
various!heritage!events!and!programs!through!the!City!of!Mitcham!Heritage!Centre!
and!Cultural!Village!Committee,!Australia!Day!celebrations.!The!City!of!Mitcham!
has!a!significant!focus!on!heritage!activities.!
!
14!!
The!City!of!Unley!participates!in!the!Local!Government!Creative!Communities!Network.!
The!Council!is!also!one!of!five!pilot!Councils!involved!in!developing!a!Cultural!Indicators!
Framework!for!evaluating!the!impact!of!arts!and!cultural!activities!on!the!wellbeing!of!
communities.!As!part!of!this!initiative!the!Council!recently!undertook!a!community!
survey!to!gather!information!about!the!cultural!facilities!and!activities!provided!in!the!
City!of!Unley.!This!survey!indicated!that!39.8%!of!respondees!rated!cultural!activities!as!
being!of!high!importance!to!their!wellbeing!and!40.4%!considered!cultural!activity!of!
importance!for!community!connection.!
!
The!Wayville!Showgrounds,!located!with!the!City!of!Unley,!attracts!approximately!1.3!
million!people!per!year!and!features!a!range!of!family!events,!concerts,!exhibitions!and!
the!annual!Royal!Adelaide!Show.!
!
Our'Community'–'Summary'Facts'
• The!Cities!of!Unley!and!Mitcham!have!similar!age!profiles.!!
!
Our! • Both!Unley!and!Mitcham!Councils!have!a!higher!percentage!of!the!population!
Population! above!85!than!the!Greater!Adelaide.!
!
• The!region!has!a!significant!youth!population.!
• The!region!overall!has!a!higher!level!of!advantage!than!for!Greater!Adelaide.!
However!there!are!pockets!of!the!region!which!are!close!to!or!slightly!lower!than!
the!metropolitan!average.!!
Social!
!
Indicators!'
• St!Mary’s!in!Mitcham!West!has!a!SEIFA!index!lower!than!the!metropolitan!
average.!
!
• The!SLA!of!Mitcham!West!has!the!higher!percent!of!children!developmentally!
vulnerable!on!one!or!two!more!domains!(21.7!percent)!of!the!Australian!Early!
Development!Index!(AEDI).!
!
• A!high!percentage!of!young!people!aged!16!in!the!region!participate!in!fullEtime!
Education!
secondary!education.!
and!Lifelong!
!
Learning!
• An!average!of!50.2%!of!school!leavers!across!the!region!were!admitted!to!
University!in!2013.!
!
• More!than!60,000!residents!across!the!region!are!members!of!Council!libraries.!
!
• A!high!percentage!of!residents!indicate!that!they!like!living!in!their!community!
Community! (97.9%!Unley!and!99.1%!Mitcham).!
Strengths! !
• 3
•Residents!feel!supported!by!their!friends!and!neighbours!(91.3%!for!both!Unley!
and!Mitcham).!!!!
4
! 0
• There!is!a!high!perception!of!safety!in!the!region!and!relatively!low!crime!rates.!
!!
!
• There!is!a!higher!percentage!of!volunteers!than!metropolitan!Adelaide.!
• Chronic!disease!risk!factor!rates!are!generally!lower!than!rates!for!greater!
Adelaide.!!
!
Personal! • The!most!common!chronic!diseases!in!the!region!are!musculoskeletal!system!
Health! disease,!respiratory!system!disease!and!cardiovascular!disease.!
!
• During!the!period!of!2003!to!2007!there!were!fewer!deaths!from!suicide!in!Unley!
and!Mitcham!when!compared!to!Greater!Adelaide.!
• The!percentage!of!children!fully!immunised!at!one!year!of!age!is!close!to!the!
Childhood!
metropolitan!average.!
Health!
!
15!!
Our'Community'–'Summary'Facts'
• Levels!of!obesity!of!children!aged!four!in!the!region!were!generally!lower!than!
Greater!Adelaide.!There!was!a!higher!percent!of!obesity!in!boys!in!the!Mitcham!
West!SLA.!
• The!rate!of!residential!aged!care!is!higher!than!metropolitan!Adelaide.!
!
• There!are!a!high!number!of!HACC!clients!in!the!region!of!which!39.8%!live!alone!
Community! and!a!significant!percentage!in!the!City!of!Unley!are!nonEEnglish!speaking!
Services! (20.3%).!
!
• There!is!a!significant!percentage!of!residents!providing!care!to!others!with!a!
disability.!!
Data!Gaps! • Potential!to!undertake!a!cultural!activity!survey!for!the!City!of!Mitcham!(following!
to!Address! LGA!pilot).!
'
Our'Economy'
Economy&
!
The!City!of!Unley!has!five!mixed!business!precincts!including!Unley!Road,!Goodwood!
Central,!King!William!Road,!Glen!Osmond!Road!and!Fullarton!Road!as!well!as!a!number!
of!shopping!centres,!the!commercial!precincts!of!Greenhill!Road,!Anzac!Highway!and!
South!Road.!
!
The!Unley!Council’s!Business!and!Economic!Development!Committee!aims!to!enhance!
and!sustain!the!City’s!position!in!the!retail!and!commercial!business!market!place!
working!with!the!five!trader!and!precinct!associations!in!the!area.!Council!also!places!
importance!on!community!events!for!promoting!vibrant!commercial!precincts.!!
!
The!majority!of!households!in!Unley!are!connected!to!the!internet!(83%)!and!most!have!
broadband!connections.!13!
!
The!City!of!Mitcham!has!district!level!‘activity!centres’!in!Cumberland!Park,!Mitcham!and!
Blackwood.!Areas!for!economic!regeneration!are!identified,!including!the!promotion!of!
education!and!research!institutes!(building!upon!Flinders!University)!and!future!industry!
along!the!South!Road!boundary!of!the!Council.!79.1%!of!homes!in!Mitcham!have!
internet!connection!and!most!have!broadband!connections.13!
!
The!percentage!of!homes!with!broadband!internet!connection!across!the!region!is!
shown!in!Map!11,!Appendix!D.!
!
Employment&
!
Both!Unley!and!Mitcham!generally!have!high!employment!levels.!In!the!City!of!
Unley,!93.5%!of!the!total!labour!force!(persons!aged!15!years!and!over)!are!
employed.!61%!of!employed!residents!work!fullEtime!with!38%!working!partEtime.!
The!top!three!employment!sectors!are!health!care!and!social!assistance,!scientific!
and!technical!services!and!education!and!training.14!
!
!
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