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South East Local Government Association (SELGA) REGIONAL PUBLIC HEALTH & WELLBEING PLAN 2014 -2017 VERSION 7 1 Version No. Issued: 1 SELGA - Jan 2014 2 SELGA - Combined Councils - Feb 2014 3 SELGA - Combined Councils - Mar 2014 4 SELGA - Combined Councils – May 2014 5 SELGA - Combined Councils – June 2014 6 SELGA – Combined Councils – August 2014 7 SELGA – Combined Councils – September 2014 2 Table of Contents Page No. Executive Summary ............................................................................................................................ 5 1. Introduction .............................................................................................................................. 6 2. Policy & Legislative Context ...................................................................................................... 8 3. Legislation ................................................................................................................................. 9 3.1 South Australian Public Health Act, 2011 ....................................................................... 9 3.2 Local Government Act, 1999 ........................................................................................... 9 4. Policy ...................................................................................................................................... 10 4.1 South Australian Public Health Plan .............................................................................. 10 4.2 Other Strategies and Policies specified by the Minister .............................................. 11 4.3 Local Community Plans and Existing Individual Health Plans ....................................... 12 4.4 Home it Comes Together .............................................................................................. 12 5. The Limestone Coast Region, Health and Wellbeing ............................................................. 13 5.1 General Overview .......................................................................................................... 13 5.2 Limestone Coast Regional Health and Wellbeing Issues .............................................. 15 5.3 Limestone Coast Regional Health and Wellbeing Priority Goals .................................. 25 6. Limestone Coast Action Plan .................................................................................................. 26 6.1 Stronger and Healthier Communities and Neighbourhoods for all Generations ......... 27 6.2 Increasing Opportunities for Healthy Living, Eating and Being Active ......................... 29 6.3 Preparing for Climate Change ....................................................................................... 30 6.4 Sustaining and Improving Public and Environmental Health........................................ 31 7. Implementation, Evaluation and Governance ....................................................................... 81 8. Glossary ............................................................................................................................. 83 Appendix A Limestone Coast Region Demographics .............................................................. 85 Appendix B Selected Indicators of Population Health……………………………………………………….. 89 3 4 Executive Summary The Regional Health and Wellbeing Plan is a joint initiative of the following Councils located in the South East Local Government Area (SELGA): . Tatiara District Council; . Kingston District Council; . District Council of Robe ; . Naracoorte Lucindale Council; . Wattle Range Council; and . District Council of Grant. This is a five (5) year plan aimed at improving the health and wellbeing of the region’s residents. In preparing the plan, consideration was given to the objectives and targets in the South Australian Health Plan “A Better Place to Live”. Each Council listed in the plan has different resources and capabilities with respect to the delivery of public health initiatives. These differences are recognised through the inclusion of a separate Action Plan for each Council. These can be viewed at the end of this document. The specific actions the Regional Health Plan addresses include: . Improving access to services and facilities; . Community transport considerations; . Suicide prevention; . Healthy lifestyle; . Drug and alcohol use; . Obesity; . Immunisation; and . Planning for the impacts of potential long term changes in the region’s climate. Each Council will be required to report on their progress in delivering the Plan every two years commencing at the end of 2014. 5 Introduction Under the South Australian Public Health Act (2011,) South Australian Councils have a statutory responsibility to develop a plan that seeks to protect, improve and promote public health and well- being within their Council area. The Act describes in more detail the function of Councils which is to remain autonomous and determine the public health priorities and subsequent activities within their Council area. The Act recognises Local Government’s role as: . Public health authorities for their areas; . Preserving, protecting and promoting public health within their areas; . Cooperating with other authorities involved in the administration of the Act; . Ensuring adequate sanitation measures are in place in their areas; . Identifying risks to public health within their areas; . Assessing activities and development to determine and respond to public health impacts; . Providing or supporting activities within their areas to preserve, protect or promote public health; and . Providing or supporting the provision of immunisation programs for the protection of public health. The SELGA Public Health and Wellbeing Plan is a statement and action plan of what the participating Councils will do to help achieve the identified goals during the next 5 years. Participating Councils Councils within the SELGA Limestone Coast Region agreed that a joint Public Health and Wellbeing plan should be developed. It was also agreed the plan should recognise there may be issues that are unique to a particular Council area and that individual Councils may need to develop individualised strategies that are relevant to their situation. The Councils that have participating in the SELGA Public Health and Wellbeing Plan include: 1. Tatiara District Council; 2. Kingston District Council; 3. District Council of Robe; 4. Naracoorte Lucindale Council; 5. Wattle Range Council; and 6. District Council of Grant. Section 51(1) of the Act stipulates that Ministerial approval is required for a group health plan and this approval will form part of the formal adoption process. 6 Process The development of this Plan is the result of several months of preparation, consultation and deliberation that included: . research of available data sets and consideration of the health and wellbeing issues facing the region; . consideration of what needs to be done over the next 5 years to achieve the long term goals; . consultation with individual Councils; and . consultation with local communities and specific interest groups (Once endorsed by Council and placed on public exhibition for comment) Implementation of the Plan will be subject to Council budgets and reporting is required by September 30 2014 and every 2 years following. 7 2. Policy and Legislative Context The "SA Public Health Act 2011" defines public health as follows: Section (3)(1) Public health means the health of individuals in the context of the wider community: (2) Without limiting the definition of public health in subsection (1), public health may involve a combination of policies, programs and safeguards designed – (a) To protect, maintain or promote the health of the community at large, including where one or more persons may be the focus of any safeguards, action or response; or (b) To prevent or reduce the incidence of disease, injury or disability within the community. Public Health maintains a focus on: . Clean water; . Sewerage; . Safe disposal of waste; . Improved housing and community amenity; . Clear air; . More nutritious and safer food; . Adequate heating and cooling; . Immunisation; and . Tobacco/alcohol/drugs. Based on the population health needs assessed by the SELGA Plan, public Health activity in the future will also address: . Obesity; . Physical activity; . Fast foods; . Mental health; and . Public Amenity and Social Health "Public health is about engaging and preventing the causes that make members of the community sick. It’s about providing education and timely information so the community can live a healthy and fulfilled life” 8 3. Legislation 3.1 South Australian Public Health Act, 2011 The SA Public Health Act, 2011 (the Act) aims to preserve, protect and promote public health and reduce the incidence of preventable illness, injury and disability. In South Australia Public health is influenced by how safe people feel, the opportunities people have to work, study, participate in community life, undertake physical activity, and eat healthy food. The Act aims to encourage and assist people to live healthier lives and to be well. It establishes eight principles that guide the development of the Public Health Plan. The Act requires Public Health Plans to: . Provide a comprehensive assessment of the state of public health in the region; . Identify existing and potential public health risks; . Develop strategies to address and eliminate or reduce those risks; and opportunities to promote public health in the region; and . Address any

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