Regional Health and Wellbeing Plan Is a Joint Initiative of the Following Councils Located in the South East Local Government Area (SELGA)

South East Local Government Association (SELGA) REGIONAL PUBLIC HEALTH &

WELLBEING PLAN

2014 -2017

VERSION 7

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

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

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.

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 wellbeing 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.

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.

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”

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 public health issues, strategies, and policies specified by the Minister.

The Act creates a role for Councils to become the public health authorities for their region. Each Council must prepare a public health plan for either a single council region or, as in the case of this Plan, a group of Councils may prepare a joint Regional Public Health Plan with the agreement of the Minister for Health. The Act also provides for formal partnership agreements with state and federal government agencies and non-government organisations to become Public Health Partner Authorities which assist councils to achieve their public health objectives.

Section 51(6) provides guidance for Public Health Plans and Sections 5.1(8) and 5.1(9) provide a framework for Public Health Plans. The SELGA Health and Wellbeing Plan in principle follows the guidance provided in Section 51.

3.2 Local Government Act (1999)

Section 122 of the Local Government Act (1999) requires Councils to prepare strategic management plans which address amongst other things, the economic, social, physical and environmental development of the area, partnerships with other Councils, and the role of Local Government in coordinating service delivery with State and national governments.

The SA Public Health Act (2011) makes provision for regional public health plans to be developed and adopted in conjunction with Strategic Management Plans or incorporated into a Strategic Management Plan.

4. Policy 4.1 South Australian Public Health Plan (SAPHP) – A Better Place to Live

. The SAPHP sets the scene and provides a framework for Local Government Health Plans to follow. . It emphasises the need to build a better and more co-ordinated system for public health and public health planning. . A better place to live has four priority areas, this may include, but is not limited to:

1. Stronger and Healthier Communities and Neighbourhoods for all generations

. Improved access to parks and playgrounds . Improved footpaths and street lights . Increased cycle ways . Improved public transport . Increased social connectedness, volunteering, community participation . Community safety

2. Increasing Opportunities for Healthy Living, Eating and Being Active . Increasing physical activity . Better access to healthy food . Tobacco/alcohol/drug reduction

3. Preparing for Climate Change . Extreme weather events . Planning for longer term weather change, shade, green space, pools . Consider impacts of rising sea levels

4. Sustaining and Improving Public and Environmental Health . Water quality . Food safety . Waste management . Immunisations . Safety and health standards of dwellings . Sufficient community infrastructure

4.2 Other Strategies and Policies specified by the Minister

Section 51(9)(a) of the South Australian Public Health Act 2011 requires regional health plans to address any public health issues, strategies, and policies specified by the Minister. These plans are additional to the SAPHP and have been developed to address specific issues or problems. They guide action between councils at a regional level and provide assistance to organisations which may become Public Health Partner Authorities with the SELGA Regional Health Plan Group."

A list of other informative documents include: . South Australia’s Strategic Plan . State Government Strategic Priorities and associated Action Plans, in particular:

- Safe Communities Healthy Neighbourhoods - Every Chance for Every Child - Vibrant City . The Planning Strategy for South Australia: 30 Year Plan for Greater Adelaide and related Regional Plans and policy library . Prospering in a Changing Climate: A Climate Change Adaptation Framework for South Australia, August 2012 . Green Infrastructure Strategy . The People and Parks Strategy . South Australian Tobacco Control Strategy 2011-2016 . South Australian Alcohol and Other Drug Strategy 2011-2016 . Aboriginal Health Care Plan . Eat Well Be Active Strategy 2011-2016 . Chronic Disease Action Plan for South Australia 2009-2012 . South Australia’s Communities for All: Our Age Friendly Future . South Australia’s Oral Health Plan 2010-2017

4.3 Local Community Plans and Existing Individual Health Plans

Each participating Council has a Community Plan and some have health plans which address in part health and wellbeing. The information and actions from within these plans have contributed to the development of this Regional Health and Wellbeing Plan. 4.4 How It Comes Together

The SELGA Regional Health & Wellbeing Plan has been developed in consultation with a range of stakeholders and is based on key data for the region. The key strategies within the document align directly back to the four (4) priorities of the State Health Plan, ensuring each Councils individual actions work towards the key targets identified within the State Health Plan. The diagram below demonstrates how these key strategies and actions have be developed and also shows the collaborative effort between all tiers of government and other potential health partners. The development of this Plan is consistent with the requirements of Section 51 of the SA Public Health Act 2011 using the actions below.

5. The Limestone Coast Region, Health and Wellbeing

5.1 General Overview

The Limestone Coast region in the South East of South Australia is strategically located midway between Melbourne and Adelaide. The region extends from Bordertown and Keith in the north to the coastal fishing ports of Port MacDonnell and Carpenter Rocks in the south. It is bounded by the South Australian and Victorian State border in the east and by the Coorong and by the sea to the west.

The Limestone Coast has a rich human history, both pre- and post-European settlement, and has an extensive geological and geomorphologic history which has resulted in a land surface that is now generally low and undulating. Transiting from north to south there are exposed basement granites overlain by terrestrial and marine sediments. These deposits have been further shaped by geological process. The resulting landscape, seen today, features coastal and inland dune systems, lakes, swamps and lagoons. The region has a land area of 21 376 square kilometres (2.1 million hectares), much of it with fertile soils.

With access to underground water and a Mediterranean-type climate, the region has established a significant primary industry based land use. Primary industry activities include viticulture, forestry, dairy, livestock (beef, sheep meat and wool), aquaculture, grains and pasture, fresh and processing potatoes and vegetable seeds.

In 2006-07 the region contributed $2.7 billion to the State economy of which $2.2 billion was exported. Agriculture, forestry and fishing provided $521 million of these earnings and employed 21% of the workforce. Increasing economies of scale and mechanisation in various sectors has resulted in a decline in workforce requirements over the past decade. (Source: Primary Industries & Regions SA Limestone Coast Economic Diversification Report).

Limestone Coast / South East Local Government Area Map

5.2 Limestone Coast Region Health and Wellbeing Issues There were several data sets available to the planning group that have been evaluated to determine the health and well-being issues impacting on communities within the Limestone Coast Region.

In particular the Medicare Local Needs Assessment Report Template 2013 provided considerable data regarding the determinants of health, the burden of disease and the health risks plus demographic and social issues information.

This information is supported by the Population Health Profile of the South East Local Government Area prepared by the Public Health Information Development Unit (PHIDU) and the University of Adelaide - to support Local Government in the preparation of its regional public health plans under section 51 of the South Australian Public Health Act 2011.

The Profile contains a selection of indicators of public and population health and their determinants, drawn largely from data published for the Local Government Areas (LGAs) and Statistical Local Areas (SLAs) by the Public Health Information Development Unit. The indicators selected are consistent with the approach outlined in the State Public Health Plan: South Australia: A Better Place to Live. At this early stage of the development of public health planning in South Australia, this profile does not present a complete picture, nor is it representative of the entirety of information available on which to base a comprehensive assessment of public health. It does however provide a very good start and a foundation on which we can build.

Refer to Appendix A for the selected indicators of population health and its determinants, South East Local Government area compared with non-metropolitan South Australia.

5.2.1 Index of Relative Socio-economic Disadvantage (IRSD)

Whilst the natural resources and economic indicators are positive for the region, there are a number of issues that impact on the future health and well-being of the Limestone Coast. For example the Index of Relative Socio-economic Disadvantage (IRSD) is one of four Socio-Economic Indexes for Areas (SEIFAs) compiled by the Australian Bureau of Statistics (ABS) after the census of Population and Housing.

The IRDS scores each area by summarising attributes of the population, such as low income, low education attainment, high unemployment and jobs in relatively unskilled occupations. It reflects the overall average level of disadvantage of the population in an area.

The index has a base of 1000 for Australia: scores above 1000 indicate relative lack of disadvantage and those below relatively greater disadvantage. The IRDS score of 965 indicates a similar level of relative disadvantage in the SELGA Group compared with non-metropolitan South Australia overall (962). The lowest scores at the LGA level considered in this Plan is Wattle Range (946), with the highest in Robe (1013) and Grant (1018).

Limestone Coast / South East Local Government Area Map of Socio Economic Disadvantage

5.2.2 Employment In June 2011, 6% fewer people in the SELGA Group aged from 16 – 64 years were receiving unemployment benefits from Centrelink than was the case across the non- metropolitan areas overall – 5.3%.

5.2.3 Childhood Obesity

Obesity in childhood can cause a range of physical and emotional health problems. Obesity also increases the risk of premature illness, a range of chronic diseases, disability and reduced life expectancy.

Boys

About one in twenty (or 5.4%) four year old boys in the SELGA group were assessed as being obese: this was 11% below the rate in non-metropolitan areas overall (6.0%).

Girls

Relatively fewer girls than boys in the SELGA Group were assessed as being obese (3.8%); and the proportion was 13% below the non-metropolitan average (4.3%).

5.2.4 Education

Almost one fifth (19.1%) of the 16 year old population of the SELGA Group were not participating in full-time secondary education; this was a slightly higher (4%) proportion when compared with the non-metropolitan areas overall (18.3%). There were higher proportions in Naracoorte and Lucindale (25.0%) and Grant (23.5%), and lower proportions in Robe (13.3%) and Tatiara (13.1%).

School leavers who are identified as enrolled at a South Australian university at 31 March 2013, as a proportion of the population aged 17 years, at 30 June 2012. ‘School leavers’ are students who attained a Year 12 qualification in 2012 in South Australia through the completion of one or more Year 12 courses; may include (unless noted otherwise) adult students, part time students and students doing one or more subjects to improve their overall score (repeating students).

12.2% of students in the SELGA Group who attained a Year 12 qualification in 2012 and were enrolled in a South Australian university in 2013. This was just two thirds of the non-metropolitan average. Robe had by far the highest proportion (34.7%, well above the non- metropolitan average of 19.1%), and Grant had the lowest (8.2%).

5.2.5 Recipients of the Disability Support Pension

This is defined as people aged 16 to 64 years in receipt of a Disability Support Pension (DSP) from Centrelink or a Service Pension (Permanently Incapacitated) from the Department of Veterans’ Affairs (DVA), as a proportion of the population aged 16 to 64 years (June 2011). The SELGA Group had a lower proportion of its eligible population receiving the Disability Support Pension, being 6.7% compared with 8.2% for the non-metropolitan areas (or 22% lower).

5.2.6 Low income households under mortgage stress

Households in the bottom 40% of the income distribution (those with less than 80% of median income), spending more than 30% of their income on mortgage repayments as a proportion of mortgaged private dwellings.

Fewer low income households were assessed as being under mortgage stress at the 2011 Census using this definition. This equated to 9.3% in the SELGA Group compared with 10.4% in the non-metropolitan areas overall (11% fewer). Robe (15.1%) and Tatiara (11.4%) had the highest proportions of their populations under mortgage stress, and Naracoorte and Lucindale had the lowest (8.2%).

5.2.7 Dwellings rented from Housing SA

Housing plays an important role in the health and wellbeing of South Australians and, in doing so, promotes positive health, education, employment and security for individuals. Social housing continues to be rationed to those in the highest category of need, such as people who are homeless, whose life or safety is at risk in their accommodation, and those whose condition is aggravated by their housing or who have very high rental costs. Housing assistance is also targeted towards key special needs groups including Aboriginal South Australians, those with disability, the young and the elderly.

Whilst Councils have limited input into the number of Housing SA properties available in each council region, they can advocate to the State Government where a need is identified.

5.2.8 Women smoking during pregnancy

Maternal smoking during pregnancy carries a higher risk of adverse outcomes for the baby before and after delivery. This include premature birth, miscarriage and perinatal death, poor intra-uterine growth and Sudden Infant Death Syndrome (SIDS). Other problems include a higher risk of disability and developmental delay, decreased lung function, and increased respiratory illness, which may affect children through to adulthood.

Almost a fifth (19.9%) of pregnant women who gave birth over the three years 2008 to 2010 reported smoking during their pregnancy – this was 5% below the non- metropolitan average rate (20.8%). However, the proportion in Kingston (32.3%) was 55% above the non-metropolitan average, with the next highest being in Wattle Range (23.2%). Low proportions were recorded in Grant and Robe (both 14.3%).

5.2.9 Childhood Immunisation

Immunisation coverage among South Australian children is a significant public health issue. If a significantly large proportion of children in a community are immunised against a particular infectious disease, then the potential for that disease to spread is greatly reduced. Another important implication of immunisation is the decrease in human suffering, disability and cost of health care and economic loss through preventing an infectious disease and its consequences.

At one year of age

The rate of immunisation of infants at one year of age in the SELGA Group was 93.8%, which is consistent with the non-metropolitan average of 92.6%. Kingston 97.1% had the highest proportion of fully immunised one year old infants, and Grant had the lowest 89.0%.

At five years of age The proportion of children in the SELGA Group who were fully immunised at five years of age was 89.8%. This was comparable with the non-metropolitan average of 89.4%. Robe (86.1%), and Naracoorte and Lucindale (86.4%) had the lowest proportions of five year old children who were fully immunised, with Tatiara having the highest (93.9%).

5.2.10 Children and young people who are clients of the Child and Adolescent Mental Health Service

Markedly more children and young people aged 0 to 19 years in the SELGA Group were clients of CAMHS, with a rate 25% above that in the non-metropolitan areas overall (This is almost three times the metropolitan rate). However it should be noted that Mount Gambier has relatively more clients (as a percentage of population) than across the nonmetropolitan areas (a substantial 58% more). This figure is reflective of the service operating out of Mt Gambier. CAMHS provides an important range of services to the SELGA region.

5.2.11 Type 2 diabetes

Type 2 diabetes is the most common form of diabetes, and its prevalence is increasing across South Australia. Control of modifiable risk factors such as weight, obesity and physical inactivity is key to preventing type 2 diabetes and reducing its complications. Aboriginal people are three times as likely as non-Indigenous people to have diabetes; and have higher hospitalisation and death rates than other Australians. Diabetes

prevalence and death rates for the poorest fifth of the population are also nearly twice as high as for the most affluent fifth of the population.

The proportion of the population of the SELGA Group estimated to have type 2 diabetes is 3.4%, this was 6% below the non-metropolitan average of 3.5%.

5.2.12 Tobacco smoking

The smoking rate in the SELGA Group is estimated at 22.7%. This is comparable to the non-metropolitan average (22.9%). Higher estimates were recorded for Wattle Range (23.9%), Kingston (23.6%) and Robe (23.1%); the lowest smoking estimate was for Naracoorte and Lucindale (21.9%).

5.2.13 Obesity

Obesity can in itself lead to high blood pressure and high blood cholesterol. Excess body weight, high blood pressure and high blood cholesterol can all contribute to the risk of heart disease and amplify each risk factor's effects if they occur together. Excess body fat also increases the risk of developing a range of other health problems including type 2 diabetes, cardiovascular disease, certain cancers, sleep apnoea, osteoarthritis, psychological disorders and social problems. Councils can play an important role in encouraging activity and healthy lifestyles that combats obesity in the community.

Males The estimated obesity rate for males in the SELGA Group is 18.9%. This is 3% below that in the nonmetropolitan areas overall which is 19.4%. One in five males was estimated to be obese in Wattle Range (20.0%) and Kingston (20.0%). The lowest estimate was for Naracoorte and Lucindale (16.5%).

Females The estimated obesity rate for females in the SELGA Group is 17.5%, this is 3% below the non-metropolitan rate of 18.0%. The highest percentages of obesity in females ranged from 17.7% in Wattle Range, to 16.5% in Robe.

5.2.14 Daily fruit consumption by adults

The consumption of adequate daily amounts of fresh fruit and vegetables is associated with good nutrition and good health. Diets high in vegetables and fruit are associated with lower rates of many cancers, coronary heart disease, stroke, hypertension, cataracts and macular degeneration of the eye, and type 2 diabetes. The current recommended intake of fruit for adults is two serves or more per day.

The extent to which adults in the SELGA Group met the daily requirement for fruit intake is estimated at 48.2%. This is comparable with the non-metropolitan average of 48.4%. Naracoorte and Lucindale (49.1%) had the highest estimated proportion of adults eating the recommended level of fruit each day, and Robe (46.2%) had the lowest.

5.2.15 Low income households under rental stress

A family or individual is considered to be under rental stress if they are in a low-income bracket and pay more than 30% of their income on rent. Acute housing stress occurs when 50% of income is spent on housing. In 2006, Census data showed that around a fifth of Australian households (23%) rented their home from a private landlord. As it is almost impossible for all but the most disadvantaged families to access public housing, renting privately has become the only housing option for low income households. For many low income households who rent, shortages of affordable

rental housing, rising rents, and tight vacancy rates are factors that exacerbate their position and move them closer to the poverty line. This situation can also negatively affect their health and wellbeing. Younger people and older people in private rental, lone-parent and single person households, women, people born in a non-English speaking country, and unemployed people are groups most likely to be living in unaffordable housing.

The proportion of households experiencing rental stress in the SELGA Group was 22.9%. This was comparable with the non-metropolitan average of 23.0%. Wattle Range recording the highest proportion of households experiencing rental stress (22.1%).

5.2.16 No motor vehicle available to the household

Ready access to transport provides a link with social and work-related activities. While public transport can adequately provide this link for some households, for others this access can only be achieved through owning a car. People living in households without a car face many disadvantages in gaining access to jobs, services and recreation, especially if they are in low-density outer suburbia, or in rural or remote areas, or in a country town. The ability to afford to run and maintain a vehicle in reliable condition to meet their transport needs, and the costs of registering and insuring a vehicle, are other important factors. Not all South Australians are able to drive, have access to, or own a passenger vehicle. For these people, a city which is car dependent may restrict their access to services, employment, shopping, social and other activities. Transport services, which are offered by Local Councils, can provide much needed assistance, especially for residents who are older and no longer able to drive.

Compared with the non-metropolitan area average, a slightly lower proportion of households in the SELGA Group did not have a motor vehicle garaged or parked there on Census night in 2011: 6.0% in the SELGA Group and 6.3% in the non-metropolitan areas.

5.3 Limestone Coast Regional Health and Wellbeing Priority Goals

This Health and Wellbeing Plan seeks to address the key issues impacting on the health and well-being of the communities within the Limestone Coast by taking action that is commensurate with the roles of Councils and that are achievable and relevant. The Plan has been developed to link into the wider South Australian Strategic Plan and South Australian Public Health Plan.

Consideration has been given to ensure the Plan is pragmatic and delivers real outcomes that will ultimately assist the health and wellbeing of people who live within the Limestone Coast region.

Each Individual Council undertook audits in accordance with the South Australian Health Guidelines. These audits have assisted in forming the actions for the next five years.

Individual Council audits, statistical data researched and the key issues summarised within this document, indicate that the priorities over the next five years of this plan are to facilitate and encourage:

. Sufficient physical activity

. Healthy eating and access to nutritious food

. Social inclusion and opportunities to participate and connect with others

. Community safety and the use of drugs and alcohol

. Improved environmental health including tobacco control and climate change management

. Access to community services, transport education affordable housing and open space.

These goals are contained throughout the action sheets within the structure of the framework of the State Health Plan for easy comparison and reporting.

WATTLE RANGE COUNCIL HEALTH AND WELLBEING ACTION PLAN

The Actions and Projects within this plan for Wattle Range Council are budgeted in the 2014/15 budget. Council is committed to the health and wellbeing of its residents. This is demonstrated by the $2,739,747 cost associated with the delivery of this Plan to ensure a safe, healthy and sustainable community.

6.1 Stronger and Healthier Communities and Neighbourhoods for all Generations (Wattle Range Council)

Note: Code for Wattle Range Council timing = Short (1-2 years), Med (2-5 years), Long (5-10 years)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.1.1 Improved  Consider priority – WRC Community Consultation Short Term Seeking Audit completed – Access to parks conduct review funding priorities identified and  Endeavour to have all Medium playgrounds ability standard Term Additional Ongoing pathways resources  Audit and where required identified, fence Monthly playground playgrounds audits

6.1.2 Improved  Upgrade pathways WRC SA Power Network Long term $80,000 for Council continues to Footpaths and within budget to footpath meet asset Street Lights appropriate standards renewal management strategy  Audit street light Short Term $3,000 – standards and create a lighting Priority Program of maintenance Improvements 6.1.3 Increased Cycle  Complete on-road bike WRC DTPI Medium $2,000 per Undertaking works in Ways plans for various Community Consultation Term annum accordance with bike townships plan  Start to implement on- Planning Institute of road paths Australia 6.1.4 Improved  Investigate public WRC - Social DPTI Short Term Seeking Report is presented Public transport options – Issues Australian Red Cross funding to Council for Transport purchasing/ leasing or Committee Community Benefit SA consideration outsourcing a $50,000 community bus 6.1.5 Increased  Prepare Suicide WRC Service/Community/sports Ongoing Within Increase participation social Prevention Strategy Clubs Short – Long Council rate to community connectedness, Churches Term Budget events. Resources

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator volunteering,  Continue to participate Office Consumer Business Ongoing community in the Liquor Licensing Affairs participation Accord Group Community Groups Reports are  Community Planning Volunteers presented to Council Policy adopted Victims of Crime for consideration  Encourage facilitation of Medicare Local Event such as – Celebrate Seniors, walking groups, Beachport Triathlon. 6.1.6 Community  Continue to participate WRC Police Short – Long Within Report is presented Safety in the Liquor Licensing Community Term Council to Council 14/15 Accord Group Budget budget process.  Support temporary and Resources permanent Dry Zones  Better Street Lighting  Better and maintained Ongoing Footpath  Better and maintained $190,000 car parking (Beachport  Fenced playground Boat Ramp)

6.2 Increasing Opportunities for Health Living, Eating and Being Active (Wattle Range Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.2.1 Increasing Physical  Promote and encourage increased WRC Country Short Within Increase participation. Activity physical activity and healthy eating Health SA Term Council throughout the Region. Including Budget the promotion of the following: Community Resources o Life Be in it Program Groups o Beachport Triathlon o Join the local walking $2,000 group and other available Volunteers Community tai chi and mature movers Challenges Heart plus staff Foundation time 6.2.2 Better Access to  Participate and encourage Millicent WRC Community Short Nil Increased consumption Healthy Food Community Garden and promote Members/ Term rates as detailed in the the same opportunities to other Volunteers State SA Health Survey. townships Approved Healthy  Develop and implement a Council Eating Policy health eating policy Yearly/ ongoing 6.2.3 Tobacco/Alcohol/Drug  Support State and Regional WRC SA Health Short Nil Decrease usage rate as Reduction program and detailed in the State  Promote the implementation of a Country medium Survey. smoke-free Sporting Clubs Health Term  Advocating return of alcohol and drug counselling services Drug and Alcohol Support SA

6.3 Preparing for Climate Change (Wattle Range Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.3.1 Extreme  Promote library and Visitor Information WRC Doctors and Health Short term Within Level of use of Weather Centres as a place for refuge in extreme Services Council facilities in extreme Events heat Budget conditions.  Provide cold water in these facilities for SA Health Resources Ongoing the public  Participate Regional extreme weather planning. 6.3.2 Planning for  Work with Community, including WRC Local Government Short and Within Report is presented to Longer Term households, businesses, community Association medium Council Council 14/15 budget Weather groups and sporting clubs to develop a term Budget process. Change, shared understanding of the likely Resources Shade, Green impacts of climate change and identify Ongoing sustainable approaches to adaptation. Space, Pools  Continue to apply the Building Code of Australia to ensure o Thermal, light and ventilation aspects are achieved, and; o Built form suits the likely weather conditions  Review Current Shade cover in pools and playgrounds.  Complete Rivoli Bay Study July 2014 $50,000 6.3.3 Consider  Ensure that the public health issues of WRC Local Government Ongoing Within Future Council Impacts of impacts of rising sea levels are clearly Association Council Strategic Plans that Rising Sea identified and actions developed to Budget include relevant Levels address, these embedded into Council’s DCSI Resources actions. relevant strategic Plans.  Complete Rivoli Bay Study To be $50,000 completed 2014/2015

6.4 Sustaining and Improving Public and Environmental Health (Wattle Range Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.4.1 Water Quality  Work towards the development of WRC EPA Ongoing Within Appropriate testing partnerships with DPTI and EPA to Council is undertaken continue to address the water quality SA Health Budget testing issues for Lake of Siloam Resources  Continue with the annual monitoring Australian Water of Lake of Siloam due to primary Quality Centre $10,000 contact use  Continue with sampling of drinking $1,500 water supplied by rainwater tanks to water Council owned buildings sampling 6.4.2 Food Safety  Improve food safety standards across WRC Environmental Ongoing Within Meet regulatory the community through ongoing Health Australia Council requirements. program of regular inspections, Budget education, encouragement and SA Health Resources enforcement of food businesses within the Region. Food Businesses  Annual food sampling to ensure proper food handling practices are WRC Community Groups $1500 for adhered to from food businesses. food  Promote FoodSafe Food Handlers sampling Training.  Promote the National Accredited $20,000 Food Safety Short Course in- conjunction with TAFE SA 6.4.3 Waste  Continue to deliver and enhance WRC Zero Waste Ongoing Within Reduced waste to Management waste education Programs Council landfill.  Provide a high standard and fit for Veolia Budget Meeting Zero purpose waste & recycling services to Resources Waste SA targets. our community including the Cleanaway promotion of food waste recycling. $2,064,747 EPA

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator  Improve waste management Natural Resources Within practices by working with businesses Management Board Council to assist in reducing the impact of Budget their businesses on the environment. Resources  Continue to undertake a regulatory role in assessing and approving wastewater applications $30,000 6.4.4 Immunisations  Increase the rate of immunisation in WRC Country Health Ongoing Within Meeting the parts of the region that are lower Council targets provided by than others compared to South Doctors – Medical Budget SA Health Australia, by promoting the services Centres Resources Communicable available. Disease Control Branch. 6.4.5 Safety and  Continue to undertake a regulatory WRC Environmental Ongoing Within Meet legislative Health role in education, encouragement Health Australia Council requirements. Standards of and enforcement of non-complying Budget Dwellings housing standards. Housing SA Resources

$10,000 6.4.6 Sufficient  Ensure adequate funding is provided WRC Sports Club Ongoing Within Funding allocated Community to maintain the recreational facilities, Council in budget process. Infrastructure including street scapes, tree planting Budget Complete annual and art to appropriate standard. Resources capital works program. $175,000 (Penola Pool upgrade)

6.4.7 Public  Continue with monitoring water WRC Ongoing Within Annual Reporting Swimming quality in public pools and private Council to SA Health Pools and Spas pools where it’s been used for public Budget swimming lessons, ensuring that Resources water is within the prescribed levels

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.4.8 High Risks  Maintain an updated Register with WRC Ongoing Within Appropriate Manufacturing details of all warm water and cooling Council records are Water Systems water systems in the Council Area Budget maintained.  Ensure the annual audits and water Resources sampling are being conducted by a third party Auditor  Ensure units are renewed annually and Certificates are issued out 6.4.9 Public Health  Investigate customer complaints and WRC Ongoing Within Complaints provide feedback to the complainant Council of outcome to the investigation in a Budget timely manner Resources

NARACOORTE LUCINDALE HEALTH AND WELLBEING ACTION PLAN

6.1 Stronger and Healthier Communities and Neighbourhoods for all Generations (Naracoorte Lucindale)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.1.1 Improved  Provide adequate NLC ETSA Ongoing Seeking Evidence of further Access to parks lighting funding facilities playground and  Endeavour to have all Medium Audit. playgrounds ability standard Term Within As detailed within pathways Council Councils Operational Budget Service Standards and Resources Annual Plan Ongoing 6.1.2 Improved  Endeavour to have all NLC Community Consultation Ongoing As detailed within Footpaths and ability standard Councils Operational Street Lights pathways Medium Service Standards and  Audit street light Term Annual Plan standards and create a Priority Program of Improvements 6.1.3 Increased Cycle  Complete on-road bike NLC DTPI Short As detailed within Ways plans for various Community Consultation and Medium Councils Operational townships Term Service Standards and  Start to implement on- Planning Institute of Annual Plan road paths Australia 6.1.4 Improved  Investigate public NLC - Social DPTI Short Term Seeking Public transport options – Issues Australian Red Cross funding Transport purchasing a red cross Committee Community Benefit SA community bus 6.1.5 Increased  Prepare Suicide NLC Service/Community/sports Ongoing Within Increase participation social Prevention Strategy Clubs Short – Long Council rate to community connectedness,  Continue to participate Churches Term Budget events. volunteering, in the Liquor Licensing Office Consumer Business Resources community Accord Group Affairs Ongoing Community Groups participation  Better Street Lighting Volunteers Victims of Crime

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator  Adopting community Medicare Local Planning Policies  Encourage facilitation of Events – Celebrate Seniors 6.1.6 Community  Continue to participate NLC Police Short – Long Within As detailed within Safety in the Liquor Licensing Community Term Council Councils Accord Group Budget  Support temporary and Resources Operational Service permanent Dry Zones Standards and Annual  Better Street Lighting Plan  Better and maintained Footpath  Better and maintained Ongoing car parking  Fenced playground

6.2 Increasing Opportunities for Health Living, Eating and Being Active (Naracoorte Lucindale)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.2.1 Increasing Physical  Promote and encourage increased NLC Country Short Within Increase participation. Activity physical activity throughout the Health SA Term Council Region. Including the promotion of Budget the following: Community Resources o Life Be in it Program Groups o Join the local walking group and other available Volunteers exercise programs. E.g. tai chi and mature movers Heart Foundation 6.2.2 Better Access to  Participate and encourage the NLC Community Short Nil Increased consumption Healthy Food community involvement in Healthy Members/ Term rates as detailed in the Eating. Volunteers State SA Health Survey.

Yearly/ ongoing 6.2.3 Tobacco/Alcohol/Drug  Support State and Regional NLC SA Health Short Nil Decrease usage rate as Reduction program and detailed in the State  Promote the implementation of a Country medium Survey. smoke-free Sporting Clubs Health Term  Advocating return of alcohol and drug counselling services Drug and Alcohol Support SA

6.3 Preparing for Climate Change (Naracoorte Lucindale)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.3.1 Extreme  Promote library and Visitor Information NLC Doctors and Health Short Within Preparation of Weather Centres as a place for refuge in extreme Services term Council Limestone Coast Events heat Budget Zone Emergency  Provide cold water in these facilities for SA Health Resources Management Plan the public  Participate Regional extreme weather Ongoing planning. 6.3.2 Planning for  Work with Community, including NLC Local Government Short Within Ongoing Longer Term households, businesses, community Association and Council Weather groups and sporting clubs to develop a medium Budget Change, shared understanding of the likely term Resources Shade, Green impacts of climate change and identity sustainable approaches to adaptation. Space, Pools  Continue to apply the Building Code of Australia to ensure o Thermal, light and ventilation aspects are achieved, and; o Built form suits the likely weather conditions  Review Current Shade cover in pools and playground.

6.3.3 Consider  Ensure that the public health issues of NLC Local Government Ongoing Within Impacts of impacts of rising sea levels are clearly Association. Council Ongoing Rising Sea identified and actions developed to Budget Levels address, these embedded into Coastal Protection Resources Council’s relevant strategic Plans. Board. (Although NLC is land locked there is an overall issue for the Regional Health DCSI Plan)

6.4 Sustaining and Improving Public and Environmental Health (Naracoorte Lucindale)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.4.1 Water Quality  Work towards the NLC EPA Ongoing Within Meet Safe Drinking development of partnerships Council Water Act Standards with DPTI and EPA to continue SA Health Budget to address the water quality Resources testing issues for Lake of Australian Water Siloam Quality Centre  Continue with sampling of drinking water supplied by rainwater tanks to Council owned buildings 6.4.2 Food Safety  Improve food safety standards NLC Environmental Ongoing Within across the community through Health Australia Council ongoing program of regular Budget inspections, education, SA Health Resources encouragement and enforcement of food Food Businesses businesses within the Region.  Annual food sampling to NLC Community ensure proper food handling Groups practices are adhere to from food businesses.  Promote FoodSafe Food Handlers Training.  Promote the National Accredited Food Safety Short Course in-conjunction with TAFE SA 6.4.3 Waste  Continue to deliver and NLC Zero Waste Ongoing Within As detailed within Management enhance waste education Council Councils Operational Programs Enviro Tec Budget Service Standards and  Provide a high standard and fit Resources Annual Plan for purpose waste & recycling EPA

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator services to our community Natural Resources Within including the promotion of Management Council food waste recycling and Board Budget weekly removal of waste that Resources cannot be recycled.  Improve waste management practices by working with businesses to assist in reducing the impact of their businesses on the environment.  Continue to undertake a regulatory role in assessing and approving wastewater applications 6.4.4 Immunisations  Increase the rate of NLC Country Health Ongoing Within Annual Statistics immunisation in parts of the Council provided by SA Health - region that are lower than Doctors – Medical Budget Communicable Disease others compared to South Centres Resources Control Branch. Australia, by promoting the services available. 6.4.5 Safety and  Continue to undertake a NLC Environmental Ongoing Within As detailed within Health regulatory role in education, Health Australia Council Councils Operational Standards of encouragement and Budget Service Standards and Dwellings enforcement of poor housing Housing SA Resources Annual Plan standards.

6.4.6 Sufficient  Ensure sufficient recreational NLC Sports Club Annually Within As detailed within Community facilities, sporting venues, Council Councils Operational Infrastructure library, swimming lake and Budget Service Standards and pools are provided. Resources Annual Plan  Ensure adequate funding is provided to maintain the recreational facilities to high standard

KINGSTON DISTRICT COUNCIL HEALTH AND WELLBEING ACTION PLAN

6.1 Stronger and Healthier Communities and Neighbourhoods for all Generations (Kingston District Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.1.1 Improved Continue to fund additional KDC N/A Ongoing Within Asset Management Access to parks low level recreational, Budget and Plan is adhered to and tourism and community Asset and low level playgrounds open space infrastructure in Management recreational, tourism accordance with Annual Plan and community open Business Plan & Budget allocations. space infrastructure allocations and Long Term allocations are Financial Plan allocations. incorporated into the Annual Business Plan & Budget. 6.1.2 Improved Maintain existing and KDC N/A Ongoing Within Street lights are Footpaths and investigate opportunities for Budget and checked to ensure Street Lights improved street lighting and Asset street lights are public lighting especially in Management maintained. high risk areas. Plan allocations. 6.1.3 Increased Cycle Footpath renewal program KDC N/A Ongoing Within Asset Management Ways shall continue during the Budget and Plan is adhered to course of the strategic plan Asset and footpath renewal with a view to continue Management program and improvement of footpath Plan footpath/bicycle track infrastructure and bicycle allocations. allocations are tracks provided to the incorporated into the community to promote both Annual Business Plan attractive street scapes and & Budget. healthy outcomes. 6.1.4 Improved Support provision of Red KDC Red Cross Ongoing Within Councils purchases Public Cross passenger vehicle. Budget and Red Cross vehicle. Transport Asset Management Plan allocations.

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.1.5 Increased Support community groups, KDC N/A Ongoing Within Two rounds of the social sporting clubs and Budget and Community connectedness, volunteers through Asset Assistance Program to volunteering, mechanisms including direct Management be conducted each community budget allocations, Plan year. Community Assistance allocations. participation Program, and in-kind In-kind support is support. provided to community groups, Commit to general town sporting clubs and improvement through street volunteers (e.g. grant and open space applications). improvements, maintenance of infrastructure and Council approves a buildings and support of the plan to establish a Kingston Town Improvement vegetation area for Committee, support for the the residential zoned Tree Planters group and area adjacent to the other environmental groups. Golf Course and Cemetery and allocates funds to develop in the Asset Management Plan.

Council provides assistance and support for the Kingston Town Improvement Committee and Tree Planters group. 6.1.6 Community Investment in infrastructure KDC N/A Ongoing Within Infrastructure and Safety and assets renewal, Budget and asset renewal replacement, upgrades and Asset spending matches or

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator new assets shall at least Management exceeds average match depreciation charges Plan depreciation charges on a rolling 3 year basis. allocations. on a rolling 3 year basis. Where applicable investigate road safety improvements in Asset Management high trafficable areas to Plan is adhered to improve vehicular, and walking/bike pedestrian and cyclist’s track light allocations safety. are incorporated into the Annual Business Plan & Budget and the lights are installed.

6.2 Increasing Opportunities for Health Living, Eating and Being Active (Kingston District Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.2.1 Increasing Physical Footpath renewal program shall KDC N/A Ongoing Within Asset Management Activity continue during the course of the Budget and Plan is adhered to and strategic plan with a view to continue Asset footpath renewal improvement of footpath Management program and infrastructure and bicycle tracks Plan footpath/bicycle track provided to the community to promote allocations. allocations are both attractive street scapes and incorporated into the healthy outcomes. Annual Business Plan & Budget. 6.2.2 Better Access to Distribute information on healthy KDC SA Health Ongoing Nil Increased Healthy Food eating. consumption rates as detailed in the SA Health Survey.

6.2.3 Tobacco/Alcohol/Drug Promote STAR Club for clubs and KDC SELGA Ongoing. Within Decrease in usage Reduction associations within the Council district. budget rates as detailed in the allocations. SA Health Survey.

6.3 Preparing for Climate Change (Kingston District Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.3.1 Extreme Participate in Limestone Coast Zone KDC Ongoing Within Preparation of Weather Emergency Management Committee. budget Limestone Coast Events allocations. Zone Emergency Management Plan. 6.3.2 Planning for Identify potential impacts of sea level KDC Ongoing Within The South East Longer Term change on Kingston and Cape Jaffa as part budget Coastal Management Weather of the Community Emergency Risk allocations. Strategy is Change, Management plan and undertake regional implemented through Shade, mapping initiatives. the Limestone Coast and Coorong Coastal Green Space, Management Group. Pools

6.3.3 Consider Identify potential impacts of sea level KDC Ongoing Within The Coastal Impacts of change on Kingston and Cape Jaffa as part budget Protection Board Rising Sea of the Community Emergency Risk allocations. coastal erosion Levels Management plan and undertake regional survey is monitored mapping initiatives. and reported to Council.

Council budgets annually for sand replenishment works to repair Kingston foreshore erosion.

6.4 Sustaining and Improving Public and Environmental Health (Kingston District Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.4.1 Water Quality Continue with sampling of drinking KDC SA Health Ongoing Within Meet Safe Drinking water supplied by rainwater tanks budget Water Act standards. to Council buildings. allocations.

6.4.2 Food Safety Improve food safety standards KDC Environmental Health Ongoing Within Businesses meet food across the community through Australia budget safety standards. ongoing program of regular allocations. inspections, education, SA Health encouragement and enforcement of food businesses. Food Businesses 6.4.3 Waste Investigate and implement an KDC Ongoing Within Electronic waste Management electronic waste disposal service at budget disposal service is set up the Kingston Transfer Station and allocations. at the Kingston Transfer promote the service to the Station. community. Electronic waste Implement the Kingston Landfill disposal service Closure plan and throughout the information is published period of this plan commit in the Coastal Leader appropriate resources required by and on Council’s web the plan. site.

Council allocates $10,000 per annum for the closure plan implementation. KDC SA Health Ongoing Within Council allocates 6.4.4 Immunisations Council will continue to manage budget funding annually for the and provide immunisation services allocations. immunisation program. through agreements with the State and Council’s preferred practitioner service, who under agreement shall

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator provide on-ground immunisation delivery. KDC N/A Ongoing Within Housing standards meet 6.4.5 Safety and Continue to undertake a regulatory budget the National Health role in education, encouragement allocations. Construction Code. Standards of and enforcement of housing Dwellings standards.

KDC N/A Ongoing Within Infrastructure and asset 6.4.6 Sufficient Investment in infrastructure and Budget and renewal spending Community assets renewal, replacement, Infrastructure upgrades and new assets shall at Asset matches or exceeds Management average depreciation least match depreciation charges Plan charges on a rolling 3 on a rolling 3 year basis. allocations. year basis.

Support medical services through The Medical Centre the maintenance and ongoing lease continues for the leasing of the purpose built Council owned Kingston Medical Centre second 5 year term.

building. New District Hall toilet is

built and existing toilets Plan for and during the term of this plan upgrade the existing toilet upgraded.

facilities and build a new District Hall toilet facility.

DISTRICT COUNCIL OF ROBE HEALTH AND WELLBEING ACTION PLAN

6.1 Stronger and Healthier Communities and Neighbourhoods for all Generations (District Council of Robe)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.1.1 Improved  Provide adequate public DCR ETSA Ongoing Seeking Playground Access to parks lighting Community funding Audit. and  Create and maintain a Medium playgrounds range of facilities that Term Within Ongoing are accessible and Council functional to all Budget members of the Resources community 6.1.2 Improved  Endeavour to have all DCR Community Consultation Ongoing As detailed within Footpaths and ability standard Councils Operational Street Lights pathways Medium Service Standards  Audit street lighting to Term and Annual Business identify areas of town Plan not serviced adequately by lighting  Install solar lights in those areas where power not available. 6.1.3 Increased  Implement Robe Cycling DCR DTPI (Open Space Funding) Short As detailed within Walking /Cycle and walking Trail Community Consultation and Medium $ Councils Operational Ways Strategy Term Service Standards and Annual Plan 6.1.4 Improved  Investigate public DCR Australian Red Cross Short Term As detailed within Public transport options – SELGA Councils Operational Transport  Support Red Cross Service Standards provision of passenger and Annual Business vehicle Plan  Support RSL Community Bus Robe RSL 6.1.5 Increased  Prepare Suicide DCR Service/Community/sports Ongoing Within As detailed within social Prevention Strategy Clubs Council Councils Operational

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator connectedness,  Better Street Lighting Churches Short – Long Budget Service Standards volunteering,  Adopting community Term Resources and Annual Business community Planning Policies Volunteers Plan participation  Encourage facilitation of Events Local medical services providers Emergency services 6.1.6 Community  Support temporary and DCR SAPOL Short – Long Within As detailed within Safety permanent Dry Zones Community Term Council Councils Operational  Better Street Lighting Robe Surf Life Saving Budget Service Standards  Better and maintained Robe Primary School Resources and Annual Business Footpath Robe Kindergarten Plan  Better and maintained Kingston Community School car parking Kangaroo Inn Community  Animal management – School primarily dogs CCOWS  Regularly maintained playgrounds  Support Surf Life Saving Group  Support local education providers and childcare services in their community safety programs and Kidsafe SA

6.2 Increasing Opportunities for Health Living, Eating and Being Active (District Council of Robe)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.2.1 Increasing Physical  Promote and encourage increased DCR Country Short Within Increase participation. Activity physical activity throughout the Health SA Term Council Council .Promote Councils Coastal Budget trail network Community Resources  Extend Councils coastal trail and Groups cycling trail net work  Support the Off Road Cycling Association Volunteers  Review types of equipment provided in Council playgrounds to Heart encourage and promote ongoing Foundation physical activity for all age groups DPTI – Open Space Funding  Renew Robe Skate park facilities 6.2.2 Better Access to  Distribute information on healthy DCR SA Health Short Nil Increased consumption Healthy Food eating Robe Primary Term rates as detailed in the School State SA Health Survey. Robe Kindergarten Yearly/ ongoing CCOWS 6.2.3 Tobacco/Alcohol/Drug  Support State and Regional DCR SELGA Short Nil Decrease usage rate as Reduction program SA Health and detailed in the State  Promote the implementation of a medium Survey. smoke-free Sporting Clubs Country Term  Advocating alcohol and drug Health counselling services within the region. Drug and  Promote the STAR Club format for Alcohol clubs and associations within the Support SA district. SELGA – Regional Star Club Officer

6.3 Preparing for Climate Change (District Council of Robe)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.3.1 Extreme  Promote library and Visitor Information DCR Doctors and Health Short term Within As detailed within Weather Centres as a place for refuge in extreme Services Council Councils Operational Events heat Budget Service Standards  Participate Regional extreme weather SA Health Resources and Annual Business planning. Plan  Ensure Coastal dunes are protected and enhanced  Include development planning principles that mitigate the effects of extreme weather events with planning documents 6.3.2 Planning for  Work with Community, including DCR Local Government Short and Within As detailed within Longer Term households, businesses, community Association medium Council Councils Operational Weather groups and sporting clubs to develop a term Budget Service Standards Change, shared understanding of the likely Resources and Annual Business Shade, impacts of climate change and identify Plan sustainable approaches to adaptation. Green Space,  Continue to apply the Building Code of Pools Australia to ensure o Thermal, light and ventilation aspects are achieved, and; o Built form suits the likely weather conditions  Review Current Shade cover in July 2014 $50,000 playgrounds. 6.3.3 Consider  Ensure that the public health issues of DCR Local Government Ongoing Within Ongoing Impacts of impacts of rising sea levels are clearly Association Council Rising Sea identified and actions developed to To be Budget Levels address, these embedded into DCSI completed Resources Council’s relevant strategic Plans, with 2014/2015 an emphasis on the operation of the CWMS system.

6.4 Sustaining and Improving Public and Environmental Health (District Council of Robe)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.4.1 Water Quality  Continue with sampling of DCR EPA Ongoing Within As detailed within drinking water supplied by Council Councils Operational rainwater tanks to Council SA Health Budget Service Standards and owned buildings Resources Annual Business Plan Australian Water Quality Centre $1,500 water sampling 6.4.2 Food Safety  Improve food safety standards DRC Environmental Ongoing Within As detailed within across the community through Health Australia Council Councils Operational ongoing program of regular Budget Service Standards and inspections, education, SA Health Resources Annual Business Plan encouragement and enforcement of food businesses Food Businesses within the Region.  Annual food sampling to ensure DCR Community $1500 for proper food handling practices Groups food sampling is adhered to from food businesses. $20,000  Promote FoodSafe Food Handlers Training.  Promote the National Accredited Food Safety Short Course in-conjunction with TAFE SA 6.4.3 Waste  Continue to deliver and WRC Zero Waste Ongoing Within As detailed within Management enhance waste education Council Councils Operational Programs Budget Service Standards and  Provide a high standard and fit EPA Resources Annual Business Plan for purpose waste & recycling services to our community Natural Resources $2,064,747 including the promotion of food Management waste recycling and weekly Board

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator removal of waste that cannot be Within recycled. Council  Operate a Community Waste Budget Water Management Scheme for Resources the township of Robe, involving the collection and treatment of the towns effluent  Improve waste management practices by working with $30,000 businesses to assist in reducing the impact of their businesses on the environment.  Continue to undertake a Recreation regulatory role in assessing and Ground approving wastewater Committee applications Robe Golf Club  Liaise with Robe Golf Club and Robe Football Club relating to the ongoing use of treated waste water on their sporting grounds. 6.4.4 Immunisations  Increase the rate of DCR Country Health Ongoing Within Annual Statistics immunisation in parts of the Council provided by SA Health - region that are lower than Doctors – Medical Budget Communicable Disease others compared to South Centre Resources Control Branch. Australia, by promoting the services available. 6.4.5 Safety and  Continue to undertake a DCR Environmental Ongoing Within Health regulatory role in education, Health Australia Council Standards of encouragement and Budget Dwellings enforcement of poor housing Housing SA Resources standards.

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.4.6 Sufficient  Ensure sufficient recreational DCR Sports Club Annually Community facilities, sporting venues, Infrastructure library, beach access are provided. Total Cost of  Ensure adequate funding is Strategy provided to maintain the recreational facilities to high As detailed standard. within Councils  Provision and maintenance of Operational the Robe Medical Centre. Service  Provision of Casuarina Lodge, Standards and community housing for Annual Business disadvantaged community Plan members  Provide and maintain adequate public conveniences to cater for tourists and visitors

DISTRICT COUNCIL OF GRANT HEALTH AND WELLBEING ACTION PLAN

6.1 Stronger and Healthier Communities and Neighbourhoods for all Generations (District Council of Grant)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.1.1 Improved Continued review and DCG N/A Short-Long Within On-going playground Access to parks implementation of Council’s Term Annual audits. and Playground plan as per Budget playgrounds annual budget. Resources

Ensure the standard of DCG Short-Long Within Adherence to the term Annual Asset Management Council’s Parks and Gardens Budget Plan & Council’s and foreshore areas are Resources Strategic maintained. Management Plan expected Outcomes. Advocate for, assist and DCG Short- submit funding applications Medium Successful Grant for local sporting, Term Funding and Budget recreational and cultural allocations as per facilities (eg. Development of Annual Business Plan. Browns Bay Toilet and Car parking facilities) 6.1.2 Improved Maintain and improve on DCG N/A Short- Within Annual Budget Footpaths and existing public area lighting. Medium Annual Allocation and Term Budget Business Plan Street Lights Allocations Objectives

Footpath maintenance and installation as per 10 Year DCG Short- Annual Budget Medium Allocation and Roadworks Plan Term Roadworks Plan objectives. 6.1.3 Increased Cycle Continued Implementation of DCG & Community Medium Within Budget Allocations Ways Council’s Bike Plan Township term Annual and Annual Business recommendations Groups Budget Plan objectives Allocations

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.1.4 Improved Promote the Mount Gambier DCG N/A Short- N/A As per Strategic Public & District Airport to other Medium Management Plan Transport Airline Carriers Term

Continued support of the DCG Port MacDonnell Senior Short – Within Budget Allocations for Port MacDonnell Senior Citizens Medium annual Social Security and Citizens Bus Service (by way Term budget Welfare expected of donation) allocations outcomes in the for strategic donations management plan. 6.1.5 Increased Continue Annual Township DCG Community Engagement Short – Long N/A As per Strategic social meetings and planning. Term Management Plan connectedness, and outcomes within volunteering, Township Plans community Continue Supporting and DCG Barry Maney Group, Medium Within Meet Budget participation facilitating the Gear2Drive Government of South Term Budget Allocation and program. Australia Community Benefit allocation Business plan SA. expected outcomes.

Support community groups, DCG Community Short – Long Within Annual Budget sporting groups and term Budget allocation and as part volunteers through direct allocation of strategic grant funding, assisting with management plan grant applications and in-kind expected outcomes. support and recognising services provided.

Support the retention of the Youth Advisory Committee DCG YAC Long-term Within As per Strategic (YAC) and youth initiatives to Budget Management Plan ensure retention and allocation expected outcome for development. Community

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator Maintain a Council Web-site DCG N/A Short –Med N/A Development & and Facebook page to term Support. encourage open communication. Meeting Governance objectives from the Support and encourage DCG Community Short - N/A Strategic membership and Medium Management Plan. participation of the Progress Advisory committees & Meeting the strategic associations as an effective plan objective of partnership between Council supporting, and respective townships. encouraging, and increasing volunteering. 6.1.6 Community Advocate for better mobile DCG Telecommunication Med- Long N/A On-going strategic Safety coverage and the broadband Companies term management plan internet throughout the objective. district.

Advocate for better power DCG SA Power Network Med-Long N/A On-going strategic supply for all townships in term management plan the district. objective.

Ongoing upgrading and DCG Adjoining Councils Short-Med As per Meeting outcomes maintenance of roads within term annual and objectives from the district and border road budget the 10 year networks as per the allocation Roadworks Plan set Roadworks Plan. out annually in the business plan & budget.

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator Animal management and the DCG Dog & Cat Management Short term N/A As per objectives in facilitation of the Delta Dog Board Council’s Cat & dog program in school within the Management Plan. district.

Maintaining and installing DCG N/A As per Meeting outcomes bike paths & footpaths near Med-Long annual outlined in the to school and community term budget Roadworks plan and facilities to encourage safer allocations. Bikepath plan. walking and cycling.

Work with the Country Fire DCG CFS Annual Annual fire Service and other Mid-long Budget prevention stakeholders in assisting with term allocations. inspections of bushfire education and properties in the prevention programs and district and ongoing projects in the District. advocacy of education campaigns and assisting with advertising during Fire Season.

6.2 Increasing Opportunities for Health Living, Eating and Being Active (District Council of Grant)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.2.1 Increasing Physical Annually reviewing the Playground Plan DCG N/A Short – As per Annual Playground Activity and auditing of playgrounds to provide Long annual Audit outcomes. up to date relevant equipment to term budget and attract participation in physical activity. business plans.

Support for local sporting clubs, DCG Community Short- As per Meeting budget through direct funding, advocacy and Groups Long annual requirements and in-kind-support. term budget for expected outcomes community within the strategic grant management plan. funding & in-kind- support. DCG Support and promote activities within Community Short- As per Meeting requests from the region such as; riding for the Groups long annual community groups disabled, cave diving, fishing, and term business within budget limits. tourism within the region. plan for community grant funding annual business plan objectives.

Seek funding for construction projects DCG DPTI, Short- As per Success with funding such as the wharf upgrade and new Community Med annual applications and recreational jetty, boatramp and term business budget allocations by additional carparking at Port plan, Council for the projects MacDonnell. budget and to eventuate.

ability to Installation and upkeep of footpaths DCG N/A Long- gain other and bike paths. term government funding.

As per Meeting outcomes budget from the Roadworks allocations. and Bikepath Plans.

6.2.2 Better Access to Encourage and support the use of the DCG Community Short- As per Increased usage of the Healthy Food Port MacDonnell Community Garden. Long annual garden by members of Term budget the community.

allocation.

DCG Meals on Short- As per Maintenance and Continued support for the local Port Wheels Long annual upgrades in line with MacDonnell Meals on Wheels kitchen. Term budget the Asset Management allocation Plan for Council owned buildings.

Support Life Education for Children Inc. DCG Life Education Short- As per As per annual business through annual donations. Inc. Med annual plan term budget allocations/donations allocation to health education programs. 6.2.3 Tobacco/Alcohol/Drug Continuing to be a smoke free DCG N/A Long- N/A Reduced numbers of Reduction workplace and support employees in tem employees who the quest for quitting smoking. smoke.

Support state and regional programs DCG Mount Med- N/A Expected Outcome in Gambier Long Council’s Strategic and advocate for better and increasing Health Term Management Plan for medical services for drug & alcohol support services in the South East. Advisory Community Council, SA Development & Health Support.

6.3 Preparing for Climate Change (District Council of Grant)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.3.1 Extreme Undertake and assist with bushfire DCG CFS Short-Long As per Ongoing Strategic Weather prevention and emergency management Term annual Management Plan Events planning, strategies and advocacy to protect budget expected outcome. communities. allocations.

Work with stakeholders in developing an DCG Emergency Services Med Term N/A Expected outcome in (CFS, Police etc.), the current Strategic Emergency Management Plan for Council. LGA Management Plan.

Annual funding to the lifeline ‘Care Ring’ telephone program. DCG Lifeline Short-Med As per As per annual Term annual business plan funding budget allocations for social allocation security and welfare under initiatives. Social Security & Welfare funding. 6.3.2 Planning for Continue to apply the Building Code of DCG N/A Short – Within Within expected Longer Term Australia to ensure; thermal, light and Long Term annual outcomes of Councils Weather ventilations aspects are achieved and built budget strategic Change, form suits the likely weather conditions. resources. management plan.

Shade, Develop environmental management plans DCG DCG Med-Long As per Expected outcome Green Space, Term budget from Council’s and source funding for implementation of Pools allocations Strategic key environmental strategies and actively and ability Management Plan. participate in formal agreements between state & local government to deal with to gain external climate change and adaption strategies. funding.

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator Continue Council’s partnership with the DCG Government of Short-med N/A Increased uptake of Energy Advisory Service and the ‘Be energy South Australia – term information by the Smart’ program, providing advice and Energy Advisory community. information to the community on issues of Service heating, cooling and energy consumption. DCG Coastal Protection Short-Long Within Expected outcomes 6.3.3 Consider Implement and annually review the Board term allocated of the Coastal Impacts of Council’s Coastal Management Plan and resources Management Plan. Rising Sea ensure the public health implications are Levels embedded into the plan and strategic plan. and budget.

6.4 Sustaining and Improving Public and Environmental Health (District Council of Grant)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.4.1 Water Quality Continue to work with the Lake DCG Lake Bonney Long N/A Expected Outcome in Bonney Management Committee to Management term Council’s Strategic improve the quality of the lake. Committee Management Plan

Work with relevant organisations in DCG Blue Lake Catchment Long N/A Expected Outcome in ensuring the environmental Committee, EPA, SA term Council’s Strategic protection of the Blue Lake Health Management Plan catchment area.

Continue monitoring the Little Blue DCG Australian Water Short- As per Ongoing risk audits and Lake for algal blooms as per the Quality Centre long budget management plans. Councils risk management term allocation strategies. for water monitoring

Assess and analyse water usage of DCG Med Expected Outcome in Council’s parks, buildings and N/A term N/A Council’s Strategic facilities to reduce water usage and Management Plan the reliance on reticulated sources.

Continued monitoring of Council’s DCG Australian Water Short & As per Annual reporting to SA recycled water sources that are Quality Centre, EPA, SA long annual health and the EPA. irrigated to land. Health term budget allocation for water monitoring 6.4.2 Food Safety Improve food safety in the district DCG SA Health, Long Within Annual reporting to SA through ongoing inspections, Environmental Health term annual Health & Council education and enforcement of food Australia, Community & budget businesses and community food businesses. allocations education.

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator Promote I’m Alert Food safety DCG TAFESA, City of Mount Short- N/A Increased knowledge of training and the TAFESA Food Safety Gambier Long food safety and handling Course. term amongst food businesses. 6.4.3 Waste Maintain Councils six Community DCG EPA Med As per Disposal of the end Management Wastewater Management Schemes term annual waste product to the and continue to investigate the best budget most environmentally use of biosolid waste from septic allocations beneficial tank desludging programmes. and available industry/programme. disposal options.

Continue to undertake a regulatory DCG, SA SA Health Short- N/A As required under The role in assessing, approving and Health, Long South Australian Public enforcing on-site wastewater term Health Act 2011 applications.

Identify and implement waste DCG Community, ZeroWaste Med As per As per annual business management strategies for the SA term annual plan allocations for community and continue providing budget waste management. Waste Transfer Station facilities to allocation the DC Grant communities at a and business reduced rate, where sustainable, to plan. encourage and increase current recycling efforts and deter illegal dumping.

Monitor and implement strategies DCG ZeroWaste SA Short- As per As per Council’s to reduce illegal dumping (eg. Long annual Strategic Management surveillance camera programme in term budget Plan and annual budget hotspots for dumping and pursue allocation expenditure. enforcement where evidence is and business available). plan.

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.4.4 Immunisations Support South East Regional DCG SE Regional Community Long N/A As per strategic Community Health Service with the Health Service SA Term management plan on-going immunisation programmes expected outcome; in schools. Community Development & Support.

SE Regional Community Long N/A As per strategic Support and promote the ongoing community immunisation Health SA & Medical Term management plan programmes run by Community Centres expected outcome; Community Health SA and individual Medical Development & Support. Centre in the area.

6.4.5 Safety and Continue to undertake a regulatory DCG N/A Long Within Housing standards meet Health role in education, encouragement Term annual the National Standards of and enforcement of housing budget Construction Code. Dwellings standards. allocations.

Continue to undertake a regulatory DCG Housing SA, Long Within As per strategic and partnership role with Environmental Health term annual management plan enforcement, encouragement and Australia (SA) budget expected outcome; education when poor housing is allocations. Community identified within the Council area. Development & Support 6.4.6 Sufficient Continued implementation of DCG N/A Short- Within Integration with the Community Council’s ten year integrated asset Long annual Long Term Financial Infrastructure management system for all Council Term budget Management Plan. owned/managed major assets. allocations.

Advocate for, assist and submit DCG N/A Long Within Expected Outcome in funding applications to maximise term annual Councils Strategic the provision of services, facilities budget Management Plan; and projects as identified and allocations Community supported by the community (sport, and Development and recreational, education, cultural successful Support. facilities and health and medical funding.

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator services, infrastructure (power supply, telecommunication etc.). Within As per budget allocation Support medical services through DCG Local GP’s and visiting Med annual and building the maintenance and on-going lease health professionals. Term budget maintenance plan. of the E A Milstead Health Centre at allocations Port MacDonnell for use by visiting and Building health professionals. Maintenance Plan.

TATIARA DISTRICT COUNCIL HEALTH AND WELLBEING ACTION PLAN

6.1 Stronger and Healthier Communities and Neighbourhoods for all Generations (Tatiara District Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.1.1 Improved Develop and improve TDC Bordertown on the Move, Ongoing Improved facilities Access to parks recreation facilities with the Keith Urban Development, and increased and installation of new Mundulla on the Move, patronage. playgrounds equipment, safe walkways Keith War Memorial, and adequate lighting where Padthaway Progress, necessary in townships. Willalooka Progress and Wolseley Community Club 6.1.2 Improved Review and improve lighting TDC & SA Power Network. Council will Substantial Community Footpaths and provided to public facilities, Community need to satisfaction rating for Street Lights roads and open spaces. prioritise Councils provision of works. footpaths and safety. Continue footpath upgrade and maintenance program. Audit $ 30k undertaken by SA Power Network. Many areas do not meet Australian Standards. Currently obtaining updated designs. 6.1.3 Increased Cycle Plan a network of shared TDC & DPTI As per the Substantial Subject to budget Ways paths designed to provide Community asset allocation. walking & cycling access management between townships & plan community facilities. Update local area strategic bicycle plans for Bordertown and Keith

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.1.4 Improved Continue to fund the Red TDC Australian Red Cross Ongoing 20k Continual use of the Public Cross vehicle and support PG Stone red cross vehicle by Transport providers of volunteer driver the community to programs that transport access health people to health services. appointments.

Partner with neighbouring Councils & other agencies to advocate for flexible transport options to support identified need. DPTI pay the Community Bus operated by cost. private operator. 6.1.5 Increased Foster & encourage TDC Migrant Resource Centre, Ongoing Annual Increase participation social community spirit, Community groups, budget at community events. connectedness, volunteering & community Volunteers, Australian volunteering, leadership. Institute of Meal Health & Menswatch Program community Studies. (AIMHS) being held in the Support cultural groups and Tatiara district with participation celebrate their heritage. optimum participation. Continue to support volunteer recognition activities.

Support families, the elderly & people with disabilities to actively engage & participate in their community.

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator Continue to support the Men’s Shed

Continue with the community grants scheme to assist the work of community groups in improving their facilities.

Advocate, promote and assist where practicable to host a Menswatch Program.

6.1.6 Community Participate in & promote TDC Police 4 years No impact Reduction in crime & Safety community safety forums Community damage to including Neighbourhood infrastructure. Watch, Road Safety & the Dry zone committee. Long term Budget considerations Continuation of dry zone in the Bordertown Town Centre zone.

Improve the safety of the community: Implement safe design principles for all new public places.

Ensure accessibility of public spaces for all members of the community including those with disabilities.

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator Implement where Ongoing appropriate and review where required Councils Road Safety Plan, Fire Prevention Plan, Business Continuity Plan and Emergency Management Plan. .

6.2 Increasing Opportunities for Health Living, Eating and Being Active (Tatiara District Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.2.1 Increasing Physical Create a safe physical environment that TDC Sporting Long Budget Increased participation Activity supports and promotes incidental clubs, Term allocations rate. physical activity. Community groups, Enable healthy, active & participative Service clubs, communities through provision of Migrant recreational & leisure services for Resource people of all ages, cultures, abilities & Centre. gender by delivering a range of infrastructure & programs.

Retain the Swim School program administered by Council and support Increase patronage the Heated pool aquatics program involved in the during the winter months. swimming programs.

6.2.2 Better Access to Continued support and involvement in Community Community Long Minimal Aged continually Healthy Food local meals on wheels program. Health & TDC Health & TDC term utilizing the program TDC Ongoing

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator Increase food outlets knowledge of food Food outlets utilizing safety and enforce food handling TDC the on line food regulations. handlers training.

Sell healthy food at Swimming pool State canteens. Government Continue to be GMO Advocate for the district to be GMO free. free.

6.2.3 Tobacco/Alcohol/Drug Provide smoke free public places TDC Police, Ongoing Nil Reduced usage rate as Reduction including playgrounds and buildings Heart detailed in the State Foundation, survey. Ongoing promotion of drug and alcohol Country free events. Health, Drug and Alcohol support SA

6.3 Preparing for Climate Change (Tatiara District Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.3.1 Extreme Promote public places such as the libraries TDC Community Ongoing Nil Increased patronage Weather as a place to visit in extreme weather in extreme weather Events conditions. conditions

6.3.2 Planning for Assist the Community to proactively TDC Community Ongoing AMP Longer Term respond to climate change. DPTI Development Weather Plan Review Change, Investigate the impacts of climate change Shade, on land use & how the outcomes may be incorporated into the Development Plan. Green Space,

Pools Advocate for appropriate support & response to the social needs related to climate change. Annual Incorporate adaptation strategies & Budget measures identified in the Tatiara Climate Change Adaptation Report.

Maintain the existing pool shades to provide maximum protection for patrons on the lawned areas at the Bordertown and Keith Pools.

6.4 Sustaining and Improving Public and Environmental Health (Tatiara District Council)

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator 6.4.1 Water Quality Protect & Enhance the natural TDC EPA Ongoing Annual Results of water testing landscape, urban tree scape & water SA Water budget are within acceptable ways SA Health allocation levels for the use.

Continue to supply non-potable water supply to the residents of Wolseley.

Work with SA Water monitoring the water supply to Bordertown.

Continue with the testing of monitoring bores at the Pigeon Flat Land fill.

Continue to sample rain water at Council owned premises as required. 6.4.2 Food Safety Improve food safety standards TDC SA Health Ongoing 40k pa Reduce food bourne across the community through diseases. regular auditing and education of Environmental Health business owners, volunteers etc. Australia Reduce expiation notices issued. Promote Food Safe Food Handling on Business Owners line training. Community Groups Undertake enforcement action where non – compliance re-occurs on a regular basis. 6.4.3 Waste Ensure and promote waste TDC Zero Waste Ongoing Within Reduction in waste Management reduction, recycling & reuse through Council going into the waste community education and public EPA budget stream. awareness programs. resources

Action # Risk Factor Action Driver Partner Timing Cost Performance Indicator Support establishment of businesses SA Health Proportion of household to utilize waste streams. waste collected in Waste Carriers kerbside collection Continue to undertake a regulatory recycled versus landfill. role in assessing and approving Envirotec wastewater systems. 6.4.4 Immunisations Promote and deliver immunisation TDC Country Health Ongoing Council Statistics provided by SA services to all age groups in the Bordertown Memorial budget Health – Communicable community. Hospital Disease Control Branch. Keith & District Hospital 6.4.5 Safety and Continue to monitor and take TDC SA Health Ongoing 5k Reduction in Orders Health appropriate action in collaboration Housing SA Standards of with the Housing Improvement Dwellings Branch if dwellings are sub-standard.

6.4.6 Sufficient Plan and provide infrastructure TDC Sporting Clubs Ongoing Community Continued participation Community appropriate to the community Volunteer groups such grants in sports in facilities that Infrastructure needs. as Over 50’s. funding. meet the need of the community.

7. Implementation, Evaluation and Governance

7.1 Implementation The processes for implementing the PHP will be developed during 2014 during which time SA Health and the LGA will be working to build the capacity of councils, and other agencies to support the public health goals of local government. Contact Officer: A senior contact officer will be appointed who will perform operational liaison functions with SA Health and the LGA and will be the principal point of contact with Public Health Partner Authorities.

Regular meetings of the Steering Group: the Steering Group will continue to meet on a regular basis to oversee the implementation of the PHP. There will be a role for managers of different areas of service delivery within council to implement actions within their areas of responsibility. The Steering Group will be responsible for preparing reports on the implementation of the PHP to the executive membership of the Limestone Coast. This may include assigning responsibility for across-Council coordination to a senior manager.

Integration into Strategic Management Plans: Individual Councils will consider the most effective ways to integrate this PHP into their Strategic Management Plans following the review of planning obligations contained in Section 122 of the Local Government Act 1999.

Development of Partnerships: SA Health will take a lead role in establishing partnership arrangements with the State and Federal Government Agencies identified in the action plan. This will be an ongoing process during 2014 as agencies formally take on the role of Public Health Partner Authorities and develop their capacities to respond to the needs of councils identified in PHP’s. Some of these agencies already have partnership arrangements with councils in the Limestone Coast to provide services such as HACC funding, transport and disaster management which are identified in this PHP. In these cases, the existing partnerships will be strengthened by a more formal arrangement.

7.2 Evaluation The legislation requires Council’s to report on progress of implementing the PHP to the Chief Public Health Officer every 2 years. A report on the implementation of the PHP should be provided to SA Health by the end of 2014. The evaluation measures have been selected on the basis of the SMART principles: Specific; Measurable; Ambitious and Achievable; Results- based and Time-bound.

7.3 Governance The Limestone Coast provides an organisational structure to effectively coordinate the implementation of the PHP at a regional level. The association has been established to carry out a coordinating, advocacy and representational role for its constituent councils across the region. Its charter establishes a role to facilitate and coordinate activities of local government

at a regional level related to environment, economic and social development. This scope will allow it to address the range of strategic priorities of the PHP. The purpose of the Association includes the development and management of policies which guide the conduct of programs and projects in the region with the objective of securing the best outcomes for the communities in the region.

8. Glossary

Affordable housing is housing that is appropriate to the needs of households with low and moderate incomes (i.e. up to 120% of gross annual median income). The indicative affordable house purchase price for these groups—currently $255,000—is determined by the affordability indicators gazetted on 8 October 2009 (p. 4,818) or as amended from time to time under the Development Act 1993 and South Australian Housing Trust (General) Regulations 1995.

BDP refers to the Better Development Plan modules. This is the former name for the Department of Planning Transport and Infrastructure (DPTI)’s Planning Policy Library which contains a suite of ‘best practice’ planning policies for use by Council’s when updating their Development Plans.

CHESS Principles are principles for healthy environments, enabling professionals to work intersectorally and collaboratively to strategically devise policy and subsequent actions for wellbeing. These include Connected Environments, Healthy Eating Environments, Safe Environments and Sustainable Environments.

Climate Change refers to any significant change in the measures of climate lasting for an extended period of time. In other words, climate change includes major changes in temperature, precipitation, or wind patterns, among others, that occur over several decades or longer.

Connected Environments are places where basic needs are provided locally so it is easy and convenient to get prom place to place by using active transport. Additionally, Connected Environments may also refer to the connected ways of working through collaboration to achieve inter-sectoral planning design and implementation from the outset.

Development Plan is a statutory document that provides policies to assess development applications. For a council to ensure development outcomes are in accordance with its strategic management plan, the Development Plan must reflect the council's vision and complement the State's Planning Strategy.

Healthy Eating Environments are environments where there is a good choice of fresh food which is culturally appropriate, delicious and reasonably priced.

Local Government Authorities (LGA) LGA means the Local Government Association of South Australia; Notifiable condition means a disease or medical condition that is a notifiable condition under Part 9;

Public Health means the health of individuals in the context of the wider health of the community.

Safe Environments are the foundation of a healthy city. Community Safety audits and the use of ‘Crime Prevention Through Environmental Design’ are examples of this, used to ensure environments are safe and to encourage use of public areas.

Social support includes resources provided by other persons or ‘information leading the subject to believe that he is cared for and loved, is esteemed and valued, and belongs to a social network of communication and mutual obligation’. There is now substantial evidence to show that social support is beneficial to health and that social isolation leads to ill health. Social support has a positive effect on many different aspects of both physical and mental health; while ‘vulnerability factors’, such as lack of support, predispose a person to the development of ill health following a stressor such as an acute life event. Two types of mechanisms—direct effects and indirect (or ‘buffering’) effects—have been described for the action of social support on health.

Sustainable Environments are environments that facilitate growth and change over time and are ultimately supportive of good health.

APPENDIX A Limestone Coast Regional Demographics

RDA South Australia Limestone Coast Geography Land area - square kilometres 21,330 985,292 Land area as a percentage of the state - per cent 2.2 100 Area of agricultural land (2006) - hectares '000 1,745 55,408 Demographics Total population (2010) - all persons 66,724 1,640,638 Males (2010) - all males 33,894 810,264 Females (2010) - all females 32,830 830,374 Change in population (2001-2010) - per cent change 6.6 9.0 Change in population (2001-2005) - per cent change 2.6 2.8 Change in population (2005-2010) - per cent change 3.9 6.0 Population as a percentage of state population (2010) - per cent 4.1 100.0 Population density (2010) - persons/square kilometre 3.13 1.67 Birth rate (2010) - babies born per 1,000 people 12.2 12.2 Death rate (2010) - deaths per 1,000 people 7.0 7.9 Population projections (Dept. of Planning Transport & Infrastructure Limestone Coast Regional Planning Strategy) 2016 68,860 1,770,644 2021 70,565 1,856,435 2026 72,018 1,935,161 Projected change in population from 2011 to 2026 - per cent 7.7 16.1 CAGR for region, 2011-2026 0.5 1.0 Age profile (2010) 0-14 years 20.0 17.8 15-24 years 12.3 13.6 25-34 years 12.5 13.0 35-44 years 13.9 13.6 45-54 years 14.6 14.0 55-64 years 12.2 12.3 65-74 years 7.7 8.0 75-84 years 4.9 5.3 85 years and over 1.8 2.3 Indigenous population (2006) - all persons 780 24,823 Indigenous population as a percentage of total population (2006) - % 1.2 1.6

RDA Limestone Coast South Australia Health (Selected LGAs) Low birth weight babies (2006 to 2008) - as a percentage of total births 6.7 6.8 Mothers who reported smoking during pregnancy (2006 to 2008) - per cent 20.7 16.7 Children fully immunised at 12 to less than 15 months of age (2008) - per cent 94.3 91.8 Obese persons 18 years and over3 (2007-08) – per cent 18.4 17.4 Overweight (not obese) persons 18 years and over3 (2007-08) – per cent 29.7 29.4

Housing characteristics Median house price (September quarter 2011) – Mount Gambier - $ 218,000 360,000 Dwelling fully owned (2006) – per cent 34.7 33.7 Dwelling being purchased (2006) – per cent 33.1 33.5 Dwelling being rented (2006) – per cent 25.5 25.6 Rent assistance from Centrelink (March quarter 2011) - per cent of population 5.8 6.5 Average residential valuation (2010) - $ 212,074 344,446 Average rates per residential property (2010) - $ 933 1,065

Income Average wage and salary income (2009) - $ 37,203 41,896 Average own unincorporated business income (2009) - $ 17,532 19,659 Average investment income (2009) - $ 7,595 7,651 Average superannuation and annuity income (2009) - $ 19,885 24,793

Income support (Selected LGAs) Age pension recipients (2009) - per cent 73.0 77.5 Disability support recipients (2009) - per cent 5.7 7.1 Single parent payment recipients (2009) - per cent 6.2 5.8 Unemployment benefit recipients (2009) - per cent 4.4 4.5 Long-term unemployment benefit recipients (2009) - per cent 3.3 3.2 Youth Unemployment benefit recipients (2009) - per cent 6.9 6.1 Low income and welfare dependant families with children (2009) - per cent 9.5 9.5 Children in low income families (2009) - per cent 20.4 22.0 Health care card holders (2009) - per cent 8.2 8.8 Pensioner concession card holders (2009) - per cent 20.9 23.6 Total Centrelink card holders (2009) – per cent 23.7 26.8

RDA South Australia Limestone Coast Trade Exports (2006/07) - $ billions 2.2 27.4 Imports, (2006/07) - $ billions 2.2 30.8

Labour force Labour force (June 2011) 37,762 861,537 Total employed (June 2011) 35,875 814,507 Total unemployed (June 2011) 1,887 47,030 Participation rate (2009) 72.5 63.1 Unemployment rate (June 2011) - per cent 5.0 5.5 Number of job service/disability employment service providers 22 450

Education Full-time participation in secondary school education at age 16 (2006) - per 74.6 78.4 cent Participation in VET courses (2009) - per 1,000 persons 105.7 73.5 NAPLAN results2 (2011) – average score Year 3 Reading 408 402 Spelling 393 392 Numeracy 381 379 Year 5 Reading 470 478 Spelling 458 474 Numeracy 460 471 Year 7 Reading 529 534 Spelling 516 533 Numeracy 534 535

APPENDIX B Selected indicators of population health and its determinants for SELGA compared with non-metropolitan South Australia

Personal health and wellbeing (Per cent, Rate) Self-assessed health as fair, or poor, 2007–08 16.8 13.2 13.3 14.2 14.8 14.3 15.9 15.5 15.3 16.2 15.5 14.7 High/ Very high levels of psychological distress , 2007–08 11.7 10.0 10.4 9.6 10.5 9.6 11.0 10.8 12.3 11.5 12.1 11.7 Type 2 diabetes, 2007–08 3.5 3.4 3.0 3.2 3.2 3.3 3.4 3.4 3.5 3.5 3.5 3.4 Mental health problems: males, 2007–08 10.7 10.3 9.8 9.7 10.4 9.6 10.5 10.3 10.7 11.1 10.8 10.1 Mental health problems: females, 2007–08 12.6 10.6 10.7 10.8 11.2 10.5 11.8 11.7 12.1 12.2 12.1 11.8 Smoking, 2007–08 22.3 22.8 23.1 21.9 23.6 22.3 23.9 22.7 18.9 22.9 19.9 20.3 Obese males, 2007–08 20.1 17.4 17.6 16.5 20.0 16.9 20.0 18.9 17.3 19.4 17.9 19.6 Obese females, 2007–08 17.7 17.5 16.5 17.4 17.0 17.3 17.7 17.5 16.7 18.0 17.0 16.4 Physical inactivity, 2007–08 40.1 36.5 37.3 36.1 36.9 37.0 39.3 38.5 35.1 37.9 35.8 34.3 Fruit consumption: adults, 2007–08 47.9 48.3 46.2 49.1 47.9 48.7 48.2 48.2 50.9 48.4 50.2 50.2 Median age at death: males, 2003–07 76.0 75.0 77.0 79.5 78.0 78.0 77.0 77.0 78.0 76.0 77.0 76.0 Median age at death: females, 2003–07 83.0 82.0 84.0 84.0 85.0 84.0 82.5 83.2 83.0 83.0 83.0 83.0 Premature mortality: males, 2006–10 319.2 217.3 260.9 234.8 273.2 270.8 273.8 281.9 305.3 327.2 312.7 303.9 Premature mortality: females, 2006–10 200.8 194.9 116.5 164.1 126.1 183.1 239.9 200.6 186.4 196.2 189.4 184.4 Premature mortality: 15 to 24 yrs, 2003–07 101.4 .. .. 114.8 0.0 .. 120.7 106.6 44.4 79.6 52.4 .. Premature mortality from suicides, 2006–10 12.4 12.8 0.0 ...... n.a. 12.9 12.2 12.8 12.3 Admissions to hospital: total, 2009/10 32383.9 16901.0 27117.3 35652.4 29185.5 35945.0 36191.6 32867.4 34689.3 32969.0 34264.8 .. Admissions to hospital: potentially avoidable conditions, 2005/09 and 2006/07 3605.9 2090.9 2810.5 3809.0 3156.1 4905.1 4252.2 3840.4 3167.3 3882.7 3427.7 .. Difficulty accessing services, 2010 33.7 36.2 36.6 36.6 37.6 37.0 36.7 35.6 26.0 35.8 28.5 29.7 HACC: clients living alone, 2010/11 30.8 25.7 42.3 38.8 33.1 38.7 39.1 34.2 37.2 27.9 34.3 37.5 HACC: non-English speaking clients, 2010/11 9.3 2.9 0.0 2.3 0.0 .. 4.5 5.6 14.2 3.7 10.9 9.4 Clients of community health services, 2009/10 10172.8 5144.7 6917.0 10707.3 7400.8 10344.2 10199.8 9791.6 1893.6 10963.0 4435.9 .. Clients of community mental health services, 2009/10 1944.4 724.4 895.3 1174.5 1626.2 1099.6 1360.5 1585.7 1372.0 1323.1 1399.4 .. Residential aged care places per 1,000 population aged 70 yrs & over, 2011 67.0 62.2 0.0 81.6 96.1 83.7 105.4 77.4 97.0 83.1 93.2 87.0 Community connectedness, 2010 (Per cent) Able to get support in times of crisis 92.0 92.0 90.9 92.5 93.1 92.5 92.2 92.2 91.9 91.9 91.9 92.1 Disagree/strongly disagree with acceptance other cultures 4.4 .. 3.7 .. 4.2 .. 4.1 3.9 4.4 4.1 4.3 5.9 Government support as main source of income in last 2 years 33.4 24.3 23.7 24.8 28.7 23.8 31.8 30.1 29.5 31.6 30.1 27.6 Accessed the Internet at home in the past 12 months 71.2 73.3 75.3 74.2 73.2 74.5 72.2 72.6 73.8 72.1 73.4 75.6 Personal and community safety, 2010 (Per cent) Feel very safe/safe walking alone in local area after dark 50.2 52.2 50.8 51.8 52.2 52.6 51.4 51.3 43.5 51.0 45.4 47.3

Note: Rate ratio is the ratio of the percentage or rate in the area to that in the non-metropolitan area of the State overall

Indicators Mount Naracoorte Wattle South Metro South Gambier Grant Robe and Lucindale Kingston Tatiara Ranges East LGA AdelaideNon- metro SAAustralia Australia Per cent/ Per cent/ Per cent/ Per cent/ Per cent/ Per cent/ Per cent/ Per cent/ Per cent/ Per cent/ Per cent/ Per cent/ rate rate rate rate rate rate rate rate rate rate rate rate Population Profile, 2011 Census (Per cent, Index) Born overseas in predominantly non-English speaking countries - country 1 (in this SLA/ LGA) of top ten for SA - Italy 0.7 0.3 0.2 0.1 0.1 0.2 0.7 0.5 1.7 0.3 1.3 0.9 - country 2 (in this SLA/ LGA) of top ten for SA - India 0.2 0.0 0.2 0.2 0.1 1.1 0.0 0.3 1.5 0.3 1.2 1.4 - country 3 (in this SLA/ LGA) of top ten for SA - China 0.1 0.0 0.0 0.4 0.0 0.8 0.0 0.2 1.3 0.1 1.0 1.5 Born overseas & reports having poor proficiency in English 1.1 0.1 0.0 2.1 0.0 1.4 0.3 1.1 2.7 0.5 2.1 2.6 Aboriginal and Torres Strait Islander peoples 2.3 1.4 1.2 1.5 1.5 0.7 1.6 1.8 1.3 3.6 1.9 2.5 People who provide unpaid assistance to others 11.0 11.4 10.2 9.9 11.1 9.9 12.1 10.7 11.8 11.8 11.8 10.9 People with a profound or severe disability: all ages 4.7 2.9 3.0 3.5 4.7 4.2 4.4 4.2 4.4 4.6 4.4 4.6 People with a profound or severe disability: 0 to 64 yrs 3.4 2.3 1.9 1.9 2.6 1.9 3.0 2.7 2.8 3.1 2.8 2.5 People with a profound or severe disability: 65 yrs & over 12.6 7.7 7.3 12.6 12.5 17.2 11.9 12.4 13.4 11.7 12.7 17.8 Index of Relative Socio-economic Disadvantage 927 1018 1013 996 975 996 946 961 991.1 962.0 983.3 1002 Employment, 2011 (Per cent) Unemployment beneficiaries: total 6.8 3.5 3.2 4.3 3.8 2.7 5.8 5.3 4.7 5.6 5.0 4.2 Unemployment beneficiaries: six months or longer 5.6 2.5 2.4 3.2 3.5 1.8 4.7 4.2 3.6 4.5 3.9 3.1 Unemployment beneficiaries: young people 9.4 4.2 .. 4.7 .. .. 6.4 6.3 6.4 7.7 6.8 5.5 Education (Per cent) Aged 16 years and not participating in full-time secondary education, 2011 19.4 23.5 13.3 25.0 0.0 13.1 19.5 19.2 16.2 18.3 16.9 20.9 School leavers admitted to university, 2013 11.5 8.2 34.7 12.9 18.8 18.3 9.2 12.2 35.7 19.1 31.1 31.3 Children whose mother has low educational attainment, 2011 22.2 14.0 5.7 19.5 26.5 15.1 18.4 19.2 17.1 20.1 17.9 22.2 Young people learning or earning, 2011 75.9 81.6 80.8 75.7 87.8 86.8 78.0 78.7 80.9 76.7 79.8 80.1 Income and wealth (Per cent) Children in low income, welfare-dependent families, 2011 29.6 11.5 10.7 13.8 21.6 19.8 22.2 22.3 23.0 23.9 23.4 21.5 Age Pension recipients, 2011 82.3 54.8 61.6 62.3 72.0 70.7 75.4 73.3 76.5 78.6 77.2 74.6 Disability Support Pension recipients, 2011 8.7 4.5 3.5 4.1 6.3 3.7 7.7 6.7 6.9 8.2 7.3 5.6 Pensioner Concession or Health Care card holders, 2011 30.3 16.6 18.6 20.3 26.5 20.4 27.5 25.4 26.2 29.0 27.0 23.0 Housing stress: mortgage holders, 2011 8.4 8.7 15.1 8.2 10.3 11.4 10.7 9.3 8.4 10.4 8.9 10.5 Housing stress: renters, 2011 27.6 21.2 19.5 15.1 19.8 11.8 22.1 22.9 26.9 23.0 25.9 25.2 Housing rented from Housing SA, 2011 10.3 0.0 2.6 3.3 2.1 1.9 4.6 5.9 6.4 5.5 6.1 4.1 Recipients of rent relief from Centrelink, 2011 17.4 7.9 8.6 10.3 14.5 8.3 11.1 13.0 14.6 13.8 14.4 15.7 No motor vehicle available to household, 2011 8.7 1.6 2.4 4.6 3.6 4.0 5.6 6.0 9.6 6.3 8.7 8.6 Early life and childhood (Per cent, Rate) Total fertility rate, 2011 2.0 2.4 2.7 2.3 1.8 2.4 2.4 2.2 1.8 2.2 1.9 1.88 Women smoking during their pregnancy, 2008–10 20.8 14.3 14.3 16.3 32.3 17.5 23.2 19.9 13.0 20.8 15.0 13.7 Immunisation at 1 yr of age, 2011/12 94.4 89.0 92.0 93.5 95.7 97.1 92.8 93.8 92.2 92.6 92.3 91.8 Immunisation at 5 yrs of age, 2011/12 89.8 88.8 86.1 86.4 91.7 93.9 90.7 89.8 87.0 89.4 87.7 90.0 Obesity: four year old boys, 2010–2012 3.9 4.4 .. 7.3 .. 12.2 5.0 5.4 5.3 6.0 5.5 .. Obesity: four year old girls, 2010–2012 4.6 .. .. 4.3 .. .. 3.0 3.8 3.8 4.3 4.0 .. Fruit consumption: children aged 5 to 17 years, 2007–08 55.5 59.6 73.4 61.3 57.2 60.9 54.7 57.9 57.8 57.8 57.8 61.0 Infant death rate, 2006–10 5.8 14.1 ...... n.a. 3.4 6.1 4.2 4.3 Child mortality rate (deaths 1 to 4 yrs), 2006–10 97.5 0.0 0.0 0.0 0.0 .. .. n.a. 18.6 30.0 21.8 20.1 Children and young people who are clients of CAMHS, 2008/09 and 2009/10 4935.7 763.3 2160.9 2492.1 1551.2 2054.5 3074.4 3908.2 1353.0 3119.1 1958.0 .. AEDI: Children developmentally vulnerable on one or more domains, 2009 15.4 10.0 31.0 20.0 .. 36.3 16.1 18.5 23.0 22.6 22.9 23.6