Statewide design, service and infrastructure plan for Victoria’s health system 2017–2037 Statewide design, service and infrastructure plan for Victoria’s health system 2017–2037 ‘The building blocks alone do not constitute a system, any more than a pile of bricks constitutes a functioning building. It is the multiple relationships and interactions among the blocks—how one affects and influences the others, and is in turn affected by them—that convert these blocks into a system.’ Source: de Savigny & Taghreed 2009 To receive this publication in an accessible format, email <[email protected]>. Authorised and published by the Victorian Government, 1 Treasury Place, Melbourne. © State of Victoria, Department of Health and Human Services, October 2017 Except where otherwise indicated, the images in this publication show models and illustrative settings only, and do not necessarily depict actual services, facilities or recipients of services. This publication may contain images of deceased Aboriginal and Torres Strait Islander peoples. Where the term ‘Aboriginal’ is used it refers to both Aboriginal and Torres Strait Islander people. Indigenous is retained when it is part of the title of a report, program or quotation. ISBN 978-0-7311-7285-6 (Print) ISBN 978-0-7311-7286-3 (pdf/online/MS word) Available at <https://www2.health.vic.gov.au/hospitals-and-health-services/health-system-design-planning/statewide-plan> Printed by Warratah Group, Port Melbourne (1702022) Aboriginal acknowledgement The Victorian Government proudly acknowledges Victoria’s Aboriginal community and their rich culture and pays respect to their Elders past and present. We acknowledge Aboriginal people as Australia’s first peoples and as the Traditional Owners and custodians of the land and water on which we rely. We recognise and value the ongoing contribution of Aboriginal people and communities to Victorian life and how this enriches us. We embrace the spirit of reconciliation, working towards the equality of outcomes and ensuring an equal voice. 3 Statewide design, service and infrastructure plan for Victoria’s health system 2017–2037 4 Ministers’ foreword Victorians rightly want a health system that we we know where and when we need to invest in can all be proud of and rely on now and into infrastructure, programs, services and resources the future. to meet the health care needs of communities across the state. Every Victorian, regardless of where they live, should be able to access high-quality, safe care It will drive reform and improvement in our health when they need it. system so we can find new, more effective ways to deliver better, safer care and treat more That’s why we’ve been working hard every day patients, sooner. to rebuild our health system and make the right investments to ensure we have the right resources, We would like to sincerely thank the Ministerial services and infrastructure in place to best meet Advisory Council, chaired by Ms Patricia Faulkner the health care needs of the community. AO, which was pivotal in shaping the directions and actions of this plan. Because every Victorian deserves first-class care when they need it most, we’re investing an extra The statewide plan prepares our health system for $2.9 billion in healthcare, with major upgrades at the future—now. some of our busiest hospitals. We’re also planning We look forward to continuing to work together for a new Footscray Hospital, in addition to the with all Victorians to deliver better health, better record health investment in our last two access and better care. State Budgets. Already our significant investments are beginning to pay dividends, with ambulances arriving faster, and more Victorians getting the surgeries, care and treatment they need sooner. And doctors and nurses are now getting the support and the modern facilities and equipment they need to do their jobs in saving lives. But we know that to keep pace with the growing demand for health care in our community we not The Hon Jill Hennessy Martin Foley MP only need to invest now, we need to plan for MP Minister for Housing, the future. Minister for Health Disability and Ageing And that’s exactly what our Statewide design, Minister for Ambulance Minister for Mental service and infrastructure plan for Victoria’s Services Health health system 2017–2037 will do. Minister for Equality Minister for Creative The plan provides a blueprint to guide investment Industries in our health system over the next 20 years so 5 Statewide design, service and infrastructure plan for Victoria’s health system 2017–2037 Contents Ministers’ foreword 5 Contents 6 Executive summary 9 Section 1: Our future health system 17 Designing our future system 18 Why plan now? 18 What are our planning priorities? 20 How was the plan developed? 21 How will the plan be used? 22 System design principles 25 Our 20-year outlook 26 What will be different? 26 How will we get there? 28 How will we measure our progress? 29 Section 2: Our priorities for action 31 Priority area 1: Building a proactive system that promotes health and anticipates demand 32 Current state 32 Future state 37 Initial steps 38 Priority area 2: Creating a safety and quality-led system 46 Current state 46 Future state 49 Initial steps 49 6 Priority area 3: Integrating care across the health and social service system 54 Current state 54 Future state 55 Initial steps 56 Priority area 4: Strengthening regional and rural health services 64 Current state 64 Future state 66 Initial steps 67 Priority area 5: Investing in the future—the next generation of healthcare 76 Current state 76 Future state 77 Initial steps 77 Section 3: Healthcare locality planning 83 Delivering the healthcare infrastructure needs of local communities 84 Locality plans for outer-urban growth areas and inner Melbourne 86 Northern growth area 88 Western growth corridor 89 South-eastern growth area 90 Inner Melbourne 91 Locality planning for other parts of the greater Melbourne metropolitan area 92 Melbourne’s inner north, inner south, eastern and southern areas 92 Locality planning for regional cities and rural areas 96 Barwon 98 Great South Coast 99 Central Highlands 100 Wimmera Southern Mallee 102 Loddon Campaspe 103 Mallee 104 Goulburn 105 Ovens Murray 106 Gippsland 107 Next steps 110 Glossary of key terms 112 Appendix 1: Membership of the Ministerial Advisory Council 114 Appendix 2: Our priorities for action—implementation plan 115 References 126 7 Statewide design, service and infrastructure plan for Victoria’s health system 2017–2037 8 Executive summary Our current health system delivers some of the These priorities recognise where we can use new highest standards of care and outcomes when opportunities to anticipate demand and build the compared with similar systems internationally. capacity we need to future-proof our system. This But our health system is under growing pressure— statewide plan will guide workforce development, from unprecedented population growth and capacity building and infrastructure investment ageing, from the rise in chronic disease, from to ensure everyone in Victoria has access to the more people surviving what were previously fatal care they need, when and where they need it, conditions, from the rising costs of care and regardless of where they live. technology, and from community expectations The plan will support joined-up planning across for better, more convenient and health services, local government, community personalised services. health services, Primary Health Networks, The Victorian Government is responding to these Aboriginal community-controlled health services pressures by delivering lasting changes to the and other service sectors. It will guide strategic health system, focusing on five priority areas that planning by public health services, and support will chart our path forward over the work with the private sector on innovative ways to coming 20 years: provide care and respond to demand. 1. building a proactive system that promotes The plan links to broader government planning, health and anticipates demand including the work of Regional and Metropolitan Partnerships, to ensure a unified approach to the 2. creating a safety and quality-led system health and wellbeing, environmental, housing, 3. integrating care across the health and social employment, education and transport needs of service system local communities. 4. strengthening regional and rural It provides the pathway towards our health health services system of the future. 5. investing in the future—the next generation of healthcare. 9 Statewide design, service and infrastructure plan for Victoria’s health system 2017–2037 Priority area 1: Building a proactive We will target new investment to address system that promotes health and priority needs and future demand. anticipates demand We will do this by: We will increase prevention and • investing in services and infrastructure to meet early intervention. the needs of a growing population, particularly We will do this by: in our inner and outer metropolitan growth areas, and to manage the flow-on impacts • tasking groups of providers to keep people for our major referral hospitals that provide healthy or prevent avoidable hospital visits, and specialist services for all Victorians giving them flexible funding to do it • developing locality plans that focus on the • developing health and wellbeing hubs that needs of particular areas aligned with Regional make it easier for people to access what they and Metropolitan Partnerships need to stay well or recover sooner in • focusing on prevention, early intervention the community and closing the gaps in clinical mental health • improving data, information and online tools to services and alcohol and other drug help people better manage their own care and treatment services participate in the care they receive • improving access to first responders by • supporting family violence reforms and links to creating better service links, new capacity and Support and Safety Hubs.