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Public Health and Community Wellbeing Plan

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Public Health and Community Wellbeing Plan Public Health and Community Wellbeing Plan 2015 -2020 ACKNOWLEDGEMENTS CONTENTS This Plan has been prepared by Council staff with valued Mayor’s message 3 input from the business and residential community, local service providers and NGOs, Elected Members, and State Executive Summary 4 government agencies. The research and consultation phases were assisted by 1. Introduction 8 consultants Healthy Environs Pty Ltd., URS (Aust) Pty Ltd, and Urban and Regional Planning Solutions (URPS). 2. What determines health and wellbeing ? 12 The City of Port Adelaide Enfield acknowledges that we are in the traditional country of the Kaurna people of the Adelaide 3. Legislative context 14 Plains. We recognise and respect their cultural heritage, beliefs South Australian Public Health Act 2011 and relationship with the land. We acknowledge they are of Local Government Act 1999 continuing importance to the Kaurna people living today. Development Act 1993 4. Policy context 16 “Everyone should pull themselves up by their SA State Public Health Plan State and Commonwealth funding context own bootstraps … but first we must make Council’s corporate and strategic planning context sure everyone has boots ” 5. Preparing the Public Health and 20 Jessye Norman Community Wellbeing Plan 6. The Port Adelaide Enfield region 22 6.1 The population 6.2 The environment 7. The status of the community’s 40 Health and Wellbeing The current burden of disease, and trends 8. Strategies for Health and Wellbeing 46 Stronger, Healthier Communities for all generations Increasing Opportunities for Healthy Living, Eating and Being Active Preparing for Climate Change Sustaining and Improving Public and Environmental Health 9. Evaluation and Reporting 62 10. Appendices 64 Appendix A Review of current Council Plans and Strategies regarding health and wellbeing Appendix B Principles (Section 5 SA Public Health Act 2011) 2 MAYOR’S MESSAGE We face fast growing changes and challenges to the continued health and wellbeing of our community - challenges that should be tackled together by all levels of government, and the wider community. This Plan sets out how the City of Port Adelaide Enfield and the elected members of Council are determined to ensure our City continues to be a highly valued place to live, work and prosper. It reflects the care and concern that we have for both the individual and collective health of our community, especially the young and the elderly, and how we can do all we can to ensure best practice and the best possible outcomes for all. Believe me, it’s no easy task. Port Adelaide Enfield, more than most other cities, has a growing and highly diversified population, including a major proportion of indigenous and new arrival communities. All have special needs and issues, which makes it vitally important that Council sets in place strong and effective strategies that will promote and sustain the wellbeing of our community. Mayor Gary Johanson 3 EXECUTIVE SUMMARY Why the Plan ? Regional health and wellbeing priorities – Port Adelaide Enfield Council has understood the importance research outcomes of evidence-based planning for health and wellbeing since It is important that sound research and evidence informs the 1992 when the first environmental health-related studies were prioritisation of efforts and investments in the Council area developed with the local community. Since then Environmental and across the region. Sections 6 and 7 of the Plan summarises Health Management Plans, Social Development Plans, and a the key population, health, and environmental attributes of the wide range of other planning instruments have been prepared Council area, in order to understand the particular elements on a regular basis, to ensure that Council’s and its partners’ that may pose a risk to health and wellbeing - and also to resources are prioritised to address emerging issues and identify particular groups whose circumstances may put them opportunities, and with a particular focus on locations or at greater risk. communities most in need. Consultation with the Council community, non-government The SA State Government, via the SA Public Health Act 2011, service providers, and government agencies, has added valuable now requires all Councils (individually or as regional groupings) input to the research and the Plan. to prepare Public Health Plans to support health and wellbeing An overview of the demography, health profile, and risk issues outcomes for their communities, via programs developed and in the Council area is available in the Stage 1 Research Report delivered in co-ordination with State agencies and community (Healthy Environs 2013) which is available on Council’s website. organisations. The Public Health and Community Wellbeing In summary, the research has identified a wide range of key Plan 2015-2020 (‘the Plan’) has been prepared to provide a issues and priorities, including sound basis for ongoing collaboration between the three levels of government, public and private sector agencies in the region, • The population of the Council area is increasingly and the wider Council community – with the aim of improving culturally diverse – an indicator of that diversity being that health and wellbeing outcomes across the City. approximately 30% of residents do not speak English at home as their first language. There is a need to ensure migrants and ‘new arrivals’ in particular are able to access social and health resources equally - but this rich diversity also presents great opportunities to build on the positive strengths that these vital cultures, perspectives, and enterprises bring to our society • The wider population across the area are seeing statistical improvements in income, employment, and educational qualifications over time, but this is starkly contrasted with some pockets of poverty and disadvantage – which is reflected in poor health and developmental outcomes in those areas, particularly for children. (Note : The principle of health equity is key to the determination of priorities in this Plan) 1 • Aboriginal and Torres Strait Islander communities play a vital role in the life and culture of the Council area. While the data is showing a positive improvement across a range of health-related issues, there remains a need to ensure the ATSI community have equal access to health resources and programs - particularly those supporting family and cultural wellbeing, and employment and training • Due to the high level of historic and ongoing industrial and related logistics activities in some parts of the Council area, there are neighbourhoods where adjacent land use activities present a risk of impacts on health and wellbeing outcomes, particularly in relation to residents’ proximity to major transport corridors and heavy industry 1 The SA Public Health Act 2011 includes a set of key Principles to guide the planning and implementation of health and wellbeing 4 legislation and activities (See Appendix B). • The critical need to enable and promote physically active • In an area where some groups are already experiencing, lives and improved nutrition is highlighted by the health and are vulnerable to, economic or environmental profile of the population. The Plan supports this key stressors, the challenges of projected climate change priority via the co-ordinated and collaborative delivery of will add further pressure to both the population and its health and wellbeing programs to support communities supporting social and physical infrastructure – particularly and schools, and via the application of optimal urban during extreme weather events such as heatwaves or design and planning to improve opportunities for physical increased inundation in flood-prone areas. Adaptation activity, mobility, and accessibility. The State Government planning for climate change is therefore a key element in will also continue to play a key collaborative role in this Plan delivering these important primary health aims, in order • Employment and training continue to be key indicators to minimise the burden to the State of costly medical of wellbeing in the region, underpinning access to health interventions that result from inadequate investment in resources and opportunities. Unemployment, and under- preventive health programs employment (particularly of women) is a significant • The general ageing of the population and increased issue in some parts of the Council area, and has inter- numbers of ‘frail aged’ in our community (while not generational consequences for families unique to the Port Adelaide Enfield Council area) will • The regulation of environmental health and bring significant challenges in relation to the greater level communicable disease control continues to be a major and range of specific Council and other services required requirement in the region, particularly with regard to food to support older citizens into the future. Council will need safety, legionella control, accommodation and wellbeing to plan for recreational services and urban design that standards for vulnerable groups, management of hazardous allows older people to remain active and healthy in their and putrescible waste, and control of preventable diseases neighbourhoods. Mental health services, family support, through immunisation and education. The number of and social services are also important for those at Supported Residential Facilities in the area ( the highest of risk of isolation any Council area in the State) requires particular focus for • Social connection, lifelong learning,
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