Banyule People: Health and Wellbeing Policy and Strategy 2013-2017

1

Banyule People: Health and Wellbeing Policy and Strategy 2013-2017

2

Contents Page No People: Health and Wellbeing Policy and Strategy

Introduction 3

Scope 3

Application Period 3

Charter of Human Rights and Responsibilities

Legislative context

4

Relationship to the City Plan 5

Relationship with Banyule’s Municipal Public Health and Wellbeing Plan 6

Relationship with Banyule’s Municipal Planning Scheme 6

Policy and strategy development process 7

Policy and strategy review 7

People: Health and Wellbeing Policy 8

Our policy commitment 9

Policy statement 10

Key Directions 10

Principles 10

Council’s Role 10

Evaluation and monitoring progress 11

Background 12

Rationale for the People Key Directions 17

Policy Context 22

People: Health and Wellbeing Strategy 25

Key presenting issues 26

Our Objective for People 29

Key Directions 29

Strategic framework for the People Key Directions 29

Structure 32

3

Banyule People: Health and Wellbeing Policy and Strategy 2013-2017 Introduction The People: Health and Wellbeing Policy and Strategy is the primary policy and strategy document that supports the ‘People – Community Strengthening and Support’ objective of the Banyule City Plan 2013-2017. It provides the broad ‘Health and Wellbeing’ policy context for all Council related strategies, policies, plans and activities. The ‘People’ Policy and Strategy recognises the critical importance of health and wellbeing to quality of life, quality of human relationships and the capacity to participate in education, work, recreation and the community. The City Plan identifies six key directions which Council will focus its commitment in achieving its People objective. We will support health and community wellbeing through the following key directions:

• Promote and support health and wellbeing. • Provide services for people at important life stages. • Develop and promote safety and resilience in our community. • Celebrate and promote Banyule’s diversity and heritage. • Support people to achieve their economic potential. • Plan and prepare for emergency events.

Scope The People: Health and Wellbeing Policy and Strategy will apply to all Councillors, Council officers, contractors and Consultants engaged by Banyule City Council. It will also influence all strategies, plans and activities developed or conducted by Banyule City Council. Application period Date policy/strategy approved by Council: 17 June 2013 Date policy/strategy due for review: 1 July 2017. Note: The policy and strategy will be reviewed in line with the review of Banyule’s City Plan (2013-2017). Date of policy/strategy revocation: 12 months after review due date Victorian Charter of Human Rights and Responsibilities In developing this policy and strategy, the subject matter has been considered to determine if it raises any human rights issues. In particular, whether the scope of any human right established under the Victorian Charter of Human Rights and Responsibilities Act 2006 is in any way limited, restricted or interfered with by the contents of this policy. It is considered that the subject matter does not restrict, limit or interfere with any human rights. It is considered that the Banyule Health and Wellbeing Policy is consistent with, and advances, the principles of important rights contained in the Charter. The human rights most relevant to this policy are the rights to:

• freedom of expression (section 15) • take part in Public Life (section 18) • protection of families and children (section 17) • cultural rights (section 19) • freedom of movement (section 12)

4

Banyule People: Health and Wellbeing Policy and Strategy 2013-2017 Legislative Context The National Health Reform Agreement between the Australian and State governments and Victorian State Government public health legislation provide the major legislative and policy contexts for Council’s PEOPLE: Banyule Health & Wellbeing Policy and Strategy (2013-17) The City Plan together with the Banyule People: Health and Wellbeing Policy & Strategy also meet Banyule’s obligation for a Municipal Public Health and Wellbeing Plan under the Victorian Public Health and Wellbeing Act 2008. The other legislative driver of the Health and Wellbeing Policy is the Local Government Act 1989.

5

Banyule People: Health and Wellbeing Policy and Strategy 2013-2017 Relationship to the City Plan Banyule’s City Plan 2013-2017 sets the strategic direction for Council responsibilities over the next four years. It outlines priorities and helps guide the services we provide to the community. The City Plan is informed by and used by Councillors, Council staff, community members, relevant stakeholders, agencies, the State Government, and residents. As shown in the chart below the City Plan has five interlinked objectives: people, planet, place, participation and performance. Performance is at the core of the City Plan and underpins Council’s organisational culture and way of working to achieve its objectives. Planet, Place and People are the three interconnected policies that form the heart of what Council will deliver over the four year period. Participation forms a ring around all of Council’s activity and is paramount in our activities and how we work with others to achieve our objectives. The People Policy and Strategy is the document that supports the ‘People’ objective of the Banyule City Plan 2013-2017. Each of the other objectives also has a supporting policy and strategy document, and an annual action plan.

6

Banyule People: Health and Wellbeing Policy and Strategy 2013-2017 Banyule’s Municipal Public Health and Wellbeing Plan The People Policy and Strategy provides the framework to promote good health and wellbeing at all ages within Banyule. The four-year strategy is supported by an annual action plan, and has been developed in partnership with participating agencies and our community. The combination of the relevant sections of the City Plan and the Banyule People: Health and Wellbeing Policy & Strategy represents and satisfies the statutory requirements for a Municipal Public Health and Wellbeing Plan as required by the Victorian Health and Wellbeing Act 2008.

Relationship with Banyule’s Municipal Planning Scheme (MPS) Health and wellbeing is influenced by the built environment. The MPS is the primary decision-making vehicle for shaping land-use and property development in Banyule. The MPS is driven by the State Planning Policy Framework (SPPF) as well as many general and particular provisions which guide on-the-ground development – such as ResCode for residential development. Banyule’s local decision-making is guided by the Municipal Strategic Statement (MSS), which sits below the SPPF. Banyule’s MSS has a suite of themes for Cultural Heritage, Land Use, Natural Environment, Built Environment as well as Transport and Access. These themes help to inform the use of planning tools, such as zones and overlay, which implement the intent of the MSS into decision-making for property development. Banyule’s ‘Place’ Policy and Strategy describes the buildings, structures and spaces in which we live, work, shop and play. It is about our surroundings and how we interact with these surrounds as we move about and access different places. ‘Place’ also shapes our interactions with other people and influences the quality and frequency of our social and economic activities. Thus ‘Place’ influences health and wellbeing - for example, accessibility in terms of disability, pram access, walkability, transport, cost and hours of operation. The physical aspects of place, its infrastructure and scope, shape social interactions that occur within places.

People (Health & Wellbeing) Strategy

Participation Policy & Strategy

Peo

ple

Pol

icy

Place Policy & Strategy

Planet Policy & Strategy

Performance Policy & Strategy

People Key Directions:

Promote and support health and wellbeing. Provide services for people at important life stages. Develop and promote safety and resilience in our community. Celebrate and promote Banyule’s diversity and heritage. Support people to achieve their economic potential. Plan and prepare for emergency events.

Health & Wellbeing is influenced by responses in

provided in:

7

Banyule People: Health and Wellbeing Policy and Strategy 2013-2017 The MPS guides many planning decisions in Banyule, although decision making for changing public land is made through the State Government and its agencies, particularly for land owned or managed by State Agencies and Departments. This includes land used for public hospitals, regional open space, public transport and major roads in Banyule. Federal land, such as the Simpson Army Barracks, is informed by Federal legislation and decision making. Aspects for public health and wellbeing are woven into the SPPF and the MSS in the Banyule Planning Scheme, as well as the building control system that is informed by the Building Regulations and the Building Code of Australia. In the MSS, this includes a suite of issues and objectives to promote land use and development that is sensitive to changing community needs for access to community facilities, public transport and the siting of property development that takes advantage of existing facilities and public spaces, such as public hospitals. Policy and strategy development process This policy and strategy was developed by drawing on the following information sources:

• A review of current literature and policy initiatives around the theme of public health and wellbeing.

• Discussions with Councillors and staff. • Discussions with local organisations and other stakeholders. • A review of Australian and Victorian government policy and legislation, in particular,

the National Health Reform Agreement and the Victorian Health and Wellbeing Act 2008.

• Council commissioned research documents, especially: − Banyule’s Health and Demographic Profile. − Banyule Community Priorities Survey 2009. − Banyule Household Survey 2011. − Health and Wellbeing Discussion Paper for the Banyule Community Plan and

Action Plan 2010-2012. • The People: Health and Wellbeing Policy and Strategy 2009-2013. • Council’s other major policy and strategy frameworks. • The development of Banyule’s City Plan 2013-2017.

The policy and strategy have been developed in parallel with the wider City Plan and Community Plan review process, which has included comprehensive consultation across Banyule’s local communities. Policy and strategy review Any person who wishes to provide input, feedback or comment on this policy and strategy can do so: By email: enquiries@banyule.vic.gov.au By facsimile: 9499 9475 By post: PO Box 51 Ivanhoe 3079. By telephone: 9490 4222

8

Banyule People: Health and Wellbeing Policy 2013-2017 Our Objective for People Support and strengthen the health and wellbeing of the Banyule community.

9

Banyule People: Health and Wellbeing Policy 2013-2017 Our policy commitment

Council will support its commitment to Health and Wellbeing in Banyule by:

• Promoting and supporting health and wellbeing.

• Providing services for people at important life stages.

• Developing and promoting safety and resilience in our community.

• Celebrating and promoting Banyule’s diversity and heritage.

• Supporting people to achieve their economic potential.

• Planning and preparing for emergency events.

10

Banyule People: Health and Wellbeing Policy 2013-2017 Policy Statement This policy supports all five objectives in the City Plan, in particular:

People: community strengthening and support Support and strengthen the health and wellbeing of the Banyule community.

Key Directions This policy provides the rationale for Banyule’s key directions within its People objective:

• Promote and support health and wellbeing.

• Provide services for people at important life stages.

• Develop and promote safety and resilience in our community.

• Celebrate and promote Banyule’s diversity and heritage.

• Support people to achieve their economic potential.

• Plan and prepare for emergency events.

Principles • Integration - Integrating the promotion of health and wellbeing into Council’s

planning for Banyule’s social, economic, built and natural environments. • Partnerships - Developing cross-sector partnerships to bring together skills and

resources that can achieve more effective community health and wellbeing outcomes. Collaborations, joint advocacy and action can have a bigger impact on policy makers and governments.

• Whole-of-life planning of services, activities and resources addressing life stages, transition points, and diversity.

• Evidence-based planning - Health and wellbeing planning based on research, monitoring and commitment to evaluating progress.

• Community engagement – Providing opportunities for the community to be involved in the planning, implementation and evaluation of the People: Health and Wellbeing Policy and Strategy.

Council’s Role • Planner. With legislated responsibilities in this area, Council plays a key role in

identifying significant health issues in the community. It then works with other agencies and community groups and residents to find ways to respond these issues.

• Funder. Access to income through a property-based tax provides local government with a significant advantage over other health and wellbeing agencies working within the municipality. Council is able to contribute its own funds to support the operation of services it provides directly, or to fund other agencies to provide much needed services.

• Advocate. As the tier of government closest to its constituents, local government has a clear mandate to advocate on behalf of its community to secure resources and influence change to the advantage of its residents.

• Service provider. Local government in Victoria plays an active and trusted role in the delivery of services to groups in the community.

11

Banyule People: Health and Wellbeing Policy 2013-2017

Evaluation and Monitoring Progress Council is committed to high quality, responsive and effective services and program planning. As a part of this commitment we regularly monitor and evaluate the progress of our policies, strategies and plans through project level indicators. We also monitor and take action in response to changing population level health and wellbeing indicators to gauge trends, progress and emerging issues.

12

Banyule People: Health and Wellbeing Policy 2013-2017 Background What is health and wellbeing? A major driving force in human activity is our desire for optimal health, for better living conditions and an improved quality of life. We seek this for our family, our community and ourselves. Many factors contribute to a sense of wellbeing including good health, sufficient income, rewarding work, harmonious personal relationships, adequate housing, perceptions of safety and time for cultural and leisure activities. Wellbeing is fundamental to quality of life, quality of human relationships and the capacity to participate in work and the community. Research shows that social, economic and environmental factors influence good health and wellbeing. The state of individual health and wellbeing across the life span makes a difference to the way people live, how their time is spent and how they participate in the community. Good health and wellbeing can be supported at any age through individual and public policy measures, such as promoting age friendly environments. We can also strive to improve our health and wellbeing, regardless of age, illness and disability. Factors affecting health and wellbeing – the social determinants of health Promoting health and wellbeing focuses on addressing the determinants of health, not just health problems. These include the social, behavioural, economic and environmental conditions that are the root causes of health and illness such as:

• Supportive relationships – support and nurture through family and community. • Sufficient income – command over economic resources, enabling consumption. • Education and training – realisation of personal potential through education. • Rewarding work – satisfying and rewarding work both economic and non-economic. • Perceptions of safety – personal safety and protection from crime. • Culture, identity and leisure – time for access to cultural and leisure activities. • Housing – shelter, security and privacy through housing. • Transport - effective and affordable transport networks.

We work with local organisations, service providers, the community, and other levels of government to provide services, facilities and an environment that supports and enhances our community’s health and wellbeing. We also work with these partners to advocate to address gaps in facilities and service delivery.

13

Banyule People: Health and Wellbeing Policy 2013-2017 The Banyule Community The population of Banyule is changing. Our population is:

• Growing, but not as quickly as across Victoria. • Ageing, but we’ve also recently experienced a mini ‘baby boom’. • Increasingly diverse and multicultural. • Varied, some parts of Banyule are among the most disadvantaged in Victoria, and

others among the most advantaged. Banyule has an official 2011 population of 122,722 which has grown 3% since 2006. In comparison, Victoria’s population grew by 8% in the same period. If current demographic trends continue, Banyule’s population is projected to continue to rise over the next two decades, to 131,447 in 2021 and 138,835 in 2031 (Victoria in Future, 2012). However, Banyule’s population growth rate is expected to be lower than for the whole of Melbourne. Over the period 2011 to 2031 this represents annual growth of 0.58% for Banyule and 1.54% for Melbourne.

Banyule has a significant ageing population; however, similar to the nation as a whole, it is also experiencing a ‘baby boom’, with a strongly increasing number of 0 to 4 year olds. Compared to Greater Melbourne, Banyule has a lower proportion of residents in the younger age groups and a higher proportion of residents in the older age groups. However, the picture is changing. Although the older age groups (60 to 69 years of age) have grown in size between 2006 and 2011 (by 2,003 or 19%), so have the very youngest age group (0 to 4 years of age) by 914 or over 13%. Most of the ‘baby boom’ is attributed to existing families increasing in size.

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

2011 2016 2021 2026 2031Year

Popu

latio

n of

Ban

yule

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

Popu

latio

n of

Mel

bour

ne

Banyule

Melbourne

14

Banyule People: Health and Wellbeing Policy 2013-2017

Cultural Diversity A greater proportion of Banyule residents were born overseas compared to five years ago (22.1%, up from 19.7%), a trend that mirrors the broader picture in Victoria (26.2%, up from 23.8%). Likewise, a greater proportion of residents speak a non-English language at home (19.6%, up from 17.0%). The dominant birthplaces of Banyule residents born overseas are Italy and China, with emerging trends for China, India, New Zealand, Malaysia, Somalia, South Africa and Iran.

15

Banyule People: Health and Wellbeing Policy 2013-2017 Between 2006 and 2011, Banyule experienced a significant shift in cultural and linguistic diversity. There are fewer residents with an Australian ancestral background, and more from other ancestral backgrounds. Ancestral groups with the largest increase in numbers include English, Irish, Scottish, Italian and Chinese. The population of Indian ancestry residents has almost doubled in number, and those with Somali ancestry have increased significantly as a proportion of their total population size. There are over 50 different cultural backgrounds identified by Banyule residents. Over a fifth of Banyule residents were born overseas, and just over 4% arrived in Australia during or after 2006. Nearly a fifth of residents speak a language other than English at home, which is a rise of almost 20% from 2006. Indigenous Australians Banyule’s Aboriginal and Torres Strait Islander population is also increasing with the majority aged less than 20 years. Households There was an increase in the number of dwellings in Banyule between 2006 and 2011 of 1,918, a growth of 4.1%, however the increase was not as large as in Victoria where the number of dwellings rose by 8.6%. The total number of households in Banyule increased by 1,446 between 2006 and 2011 however the average household size remained stable in Banyule and Victoria at 2.56 persons per household. For over 100 years the average household size across Australia has been in decline; although it is too early to suggest that the trend in Banyule and Victoria is reversing, the figures indicate that the decline has at least temporarily halted and levelled. Health Status Male life expectancy is slightly higher in Banyule than the Victorian average (80.6 % in Banyule compared to 80.3% in Victoria), and female life expectancy is slightly lower than the Victorian average (84.2% in Banyule, compared to 84.4% in Victoria). However, Banyule has a high concentration of residents living in public housing properties (Heidelberg West, Heidelberg Heights & Bellfield), who experience lower life expectancy, and increased health and wellbeing concerns. More than 6,000 residents in Banyule have a profound or severe disability. Almost 12,000 people act as carers of other people, with this role taken on mostly by people in their middle years. Employment, unemployment & income In Banyule, 58,669 residents are employed from a total labour force of 61,388. Full-time workers account for 59% and part-time workers account for 35% of the workforce. 4.4% of residents are unemployed. The statistics compare favourably with Melbourne as a whole, where the unemployment rate is 5.5%. Nationally the figure is 5.6%. Banyule has a higher proportion of part-time workers than Melbourne; 35% compared to 32.3%. However, the trend in Banyule and Melbourne over the past ten years has seen a growing proportion of the workforce on part-time hours.

16

Banyule People: Health and Wellbeing Policy 2013-2017

Although the current headline unemployment figure might not be cause for alarm in Banyule, trends indicate that unemployment is growing. In Banyule the unemployment rate rose from 4.2% in 2006 to 4.4% in 2011. Unemployed residents are unevenly spread across Banyule and some areas demonstrate much higher unemployment rates than others. For instance, 11.2% of residents in Heidelberg West and Bellfield are unemployed, compared to 2.6% in Briar Hill (however the unemployment rate in Heidelberg West and Bellfield actually decreased from 12.4% in 2006, against the overall trend). Banyule has a higher proportion of people earning a high income (those earning $1,500 per week or more) and a lower proportion of low income persons (those earning less than $400 per week). There is a degree of variation in individual incomes across the municipality, reflected in the individual income quartiles data. Heidelberg West in particular, differs significantly from the Banyule average. For further demographic, health and wellbeing information, please refer to Banyule’s Health and Wellbeing Profile 2013

17

Banyule People: Health and Wellbeing Policy 2013-2017 Rationale for the People Key Directions Key Direction 1 Promote and support health and wellbeing Good health and wellbeing is fundamental to quality of life, quality of human relationships and the capacity to participate in education, work, recreation and the community. Good health and wellbeing can be supported at any age through individual and public policy measures, such as promoting age friendly environments. The World Health Organisation defines health as “a state of complete physical, social and mental wellbeing, and not merely the absence of disease or infirmity.” Physical health refers to the functioning of the physical body. There are many different diseases, injuries and disabilities that can impair this functioning to a greater or lesser degree. Mental health refers to people’s emotions, thoughts and feelings. Generally a person with good mental health is able to handle day-to-day events and obstacles, work towards important goals and function effectively in society. Social health is directly related to the quality of relationships established within families and communities. The emotional care and psychological support provided by families is fundamental to individual wellbeing. They are the building blocks of our society providing guidance on social values, building confidence, and interpersonal skills, and fostering a sense of belonging. Our environment, local community, and local services and facilities, also shape our health and wellbeing. Banyule residents self-rate their health as higher than the Victorian average. This is supported by life expectancy data that shows Banyule residents have a comparable (for males) and higher (for females) life expectancy than other Victorians. The major threats to our health lie in lifestyle related factors. While no specific data exists for Banyule, overweight, obesity and smoking are the main reasons behind poor health in Australia. There is a body of substantial research that documents the health benefits of moderate and regular physical activity. It is well recognised that healthy eating and physical activity can reduce the level of obesity in society and have major preventative benefits for diabetes, arthritis and musculoskeletal conditions, cardiovascular disease, mental health and some cancers. Regular quality exposure to nature has also been shown to be important. Council’s role in public health focuses mainly on health promotion and prevention activities. We also play a role in the minimisation of disease, illness and injury, reducing health and wellbeing inequalities, and supporting health-focused behaviours and conditions. This is particularly important given the recent emergence of new public health risks such as the impact of climate change and the spread of swine flu during 2009.

18

Banyule People: Health and Wellbeing Policy 2013-2017 As a statutory authority, Banyule also has a number of public health responsibilities. These responsibilities are focused on protecting the community (or sections of it) from the outbreak of disease associated with factors such as food contamination, infectious diseases and pollution. These responsibilities are also widening. For example, there is now an emphasis on developing a municipal response to new health risks associated with climate change such as illness as a consequence of heat stress. At a broader level these responsibilities extend to the recovery function performed by local government in situations of municipal emergency. We work with partner agencies and the local community to promote and support the health and wellbeing of those who live, work and play in Banyule. Key Direction 2 Provide services for people at important life stages Banyule’s population is changing and growing every year. Banyule has a significant ageing population; however, similar to the nation as a whole, it is also experiencing a ‘baby boom’, with a strongly increasing number of 0 to 4 year olds. There is a slight decrease in the number of dwellings occupied by traditional family groups. The locations where high numbers of children and young people live are changing. An increase in the overall birth rate, multiple dwelling sites and a slight growth in migrants coming to Banyule are leading to our overall growth. To enjoy health and wellbeing, people need strong social connections to family, friends and the wider community. Such connections support the development of mutual trust, shared values and more cohesive communities. People’s need for services and care are highly age related. For families with children, formal child care may be needed to supplement parental care. For families with older people, caring revolves around whether these older family members are independent, affected by a disability, mobile or socially connected. Local government in Victoria is actively involved in supporting individuals and families at key life stages, in particular families with young children, young people, older people and people with a disability. Beyond their families, people connect to the broader community through networks established around areas of common interests such as schools, workplaces, voluntary activities or community groups. These interactions generate additional benefits to communities such as fostering acceptance of diversity and encouraging involvement in decision making that can improve community life. By participating in community activities people contribute to community wellbeing, gain a sense of value and worth, and can take pride in achievements. They are also able to begin to influence decision makers who have control over resources. However some people experience barriers to participation. Most commonly these take the form of access, language, cultural and social barriers. People who encounter barriers to connecting effectively with their community can become socially isolated. This experience can adversely affect their health and wellbeing. When significant numbers are excluded, community cohesion can be disrupted as negative attitudes develop in the absence of knowledge and understanding.

19

Banyule People: Health and Wellbeing Policy 2013-2017 Key Direction 3 Develop and promote safety and resilience in our community People want to feel safe in their homes, streets, shopping centres, public and open spaces. Perceptions of safety and experiences of crime or accidental injury can have significant effects on health and wellbeing. Individuals benefit from living in a society where community values are widely accepted and upheld, social support services are readily available and criminal justice systems operate effectively to minimise harm to people and property. Individuals who are victims of crime and their families can suffer in many ways, and the fear of crime can also affect and restrict people’s lives. There are high financial costs incurred by society in preventing crime, like providing justice infrastructures, repairing criminal damage, supporting victims and dealing with offenders. Intimate partner violence has a greater impact on the health of Victorian women under the age of 45 than any other risk factor, including obesity, high cholesterol, high blood pressure and illicit drug use. In 2011-12 there was an average of 20 incidents of family violence in Banyule reported to police every week. A significant majority of victims are female. Key Direction 4 Celebrate and promote Banyule’s diversity and heritage Banyule’s population is represented by a diverse range of people’s backgrounds, cultures and heritage. Past and current cultures play a strong role in determining values, aspirations and meaning to peoples’ lives. The Banyule community has been shaped by a rich legacy of past and current artistic and cultural influences. Council recognises, respects and celebrates the ongoing cultural heritage and connection to this land of the Wurundjeri willam people. The heritage and cultural expression of Banyule’s many migrant groups is also significant for the continued development of the City’s distinctiveness and sense of identity. People’s values and actions are influenced at all levels by cultural factors, which also provide meaning and tradition. People participating in various forms of cultural expression, such as the arts, are empowered through being creative, developing and using skills, and contributing cultural identity.

20

Banyule People: Health and Wellbeing Policy 2013-2017 Leisure time gives people an opportunity to recover from pressures of work and other commitments, to bond with family and community members, to pursue their interests, and to reflect on their life direction and meaning. Culture determines many aspects of social life. Both culture and leisure activities assist in developing a national identity and forming community networks and bonds crucial to social cohesion. Around 39% of Banyule residents participate in organised sport, which is lower than the metropolitan average of 44%. However, participation in arts and cultural activities is slightly above the metropolitan average. There are important health and wellbeing outcomes that come from facilitating and providing opportunities for community interaction and active living. This includes the design, safety and people-friendly atmosphere of public spaces, parklands and trails, walkable neighbourhoods and activity centres.

Key Direction 5 Support people to achieve their economic potential A supportive business environment contributes to individual opportunities for entrepreneurialism and business start-ups, and enables creativity and innovation to flourish. The wider benefits are an increase in the number of local job opportunities and the positive effects generated by increased concentrations of economic activity. Council can also support economic opportunity through its role as a significant local purchaser of goods and services, and its influence over its supply chains. Responsible procurement practices are widely considered to include consideration of economic as well as social and environmental impacts. Accessing economic opportunities and having the capacity to participate in the economy are important contributors to people’s overall wellbeing. Fulfilling economic potential can increase resilience to change and provide a strong foundation for increasing the robustness of other wellbeing factors, such as mental and physical health.

21

Banyule People: Health and Wellbeing Policy 2013-2017 The standard of living enjoyed by individuals and families is closely related to their level of disposable income. People with limited resources can experience hardship in meeting the basic costs of living, and may become dependent on others to meet these costs. Many studies show that people or groups who are socially and economically disadvantaged have reduced life expectancy, premature mortality, increased disease incidence, increased biological and behavioural risk factors for poor health, and lower overall health status. The level of socio-economic disadvantage in Banyule is measured by the Index of Socio-Economic Disadvantage. This index reveals that Banyule is generally an advantaged municipality. However, there are great disparities within the municipality. There are some parts of Banyule that are among the most disadvantaged in Victoria, and others among the most advantaged. About 22% of the Banyule population aged over 15 years is reliant on Centrelink payments as a primary source of income. Key Direction 6 Plan and prepare for emergency events As the closest level of government to our community, we have a responsibility for, and commitment to, their ongoing wellbeing. We have an important role under Victoria’s emergency management arrangements as we hold information about our community and vulnerable people. We work with emergency services, agencies and the community to facilitate emergency planning, support emergency response and coordinate emergency relief and recovery. Previous emergency experiences across the state have demonstrated that people with vulnerabilities may not adequately interpret community warnings and may not be able to activate their response plans, which increases their risk in an emergency event. The vulnerable persons register aims to provide evacuation information to emergency services and agencies. With a focus on strengthening community resilience we will continue to implement the requirements of the Vulnerable Person in Emergencies Program, which includes collaboration with Police Victoria, Department of Health and Human Services and Australian Red Cross.

22

Banyule People: Health and Wellbeing Policy 2013-2017 Through community consultation and results from the Emergency Preparedness Survey, we will develop and implement a Strategic Plan for Disaster Resilience. This will incorporate community education material and support to residents so that they can plan and prepare for emergency events which may impact them. Resident resilience will increase through planning and preparedness activities. Banyule will also continue to prepare for Council’s response, relief and recovery obligations and focus on:

• Reviewing plans, • Roles and recruitment, • Training and education including exercising, and • Ensuring municipal emergency planning interoperability with business continuity.

We will continue to contribute to the North West Metropolitan Region emergency management collaboration project, which ensures an appropriate and adequate response in the event of an emergency, through increasing available resources that are needed to assist the community immediately after an emergency event. Policy context The National Health Reform Agreement between the Australian and State governments and Victorian State Government public health legislation provide the major legislative and policy contexts for Council’s PEOPLE: Banyule Health & Wellbeing Policy and Strategy (2013-17) Australian Government The key aim of the Health Reform Agreement is to deliver a nationally unified and locally controlled health system to ensure future generations of Australians enjoy world class, universally accessible health care. In 2010 the Council of Australian Governments (COAG), agreed to major health reforms and funding arrangements implemented through the development of the National Health & Hospitals Network (NHHN). Actions include:

• introducing new financial and governance for the public hospital system and primary health and aged care; recognising the State’s role as system managers of the public hospital system.

• confirming State government’s role in public health. • and recognising the Commonwealth’s role to provide full funding and to take

responsibility for aged care, general practitioners, (GPs), and building a national primary health care system.

Sub regional “Medicare Locals” have been funded to coordinate service planning with general practitioners, key primary care providers and local governments.

23

Banyule People: Health and Wellbeing Policy 2013-2017 Victorian Government Key State government health and wellbeing related legislation and policy context includes: Victorian Health Priorities Framework (2012-2022) The Victorian Health Priorities Framework 2012-2022 (and Metropolitan Health Plan) identifies seven long term health and wellbeing development priorities for implementation within public and private sectors. The priorities include:

• a health system responsive to people’s needs. • improving individual health status and experiences. • expanding service, workforce & system capacity. • increasing system’s financial sustainability and productivity. • continuous improvements and innovation. • increasing accountability and transparency. • utilising e-health and communications technology.

The Victorian Public Health & Wellbeing Act (2008) The Victorian Public Health & Wellbeing Act (2008) aims to promote and protect public health and wellbeing in Victoria. The Act is implemented through the Victorian Public Health & Wellbeing Plan (2011-15), Metropolitan Health Plan and the proposed Victorian Primary Health Care Plan (in development). The Victorian Health & Wellbeing Plan focuses on:

• Primary prevention – whole population • Secondary prevention – targeted to at risk groups • Early intervention and treatment - targeted at individuals. Early intervention and

treatment is also included as a focus in the proposed Victorian Primary Health Care Plan, (in development)

Local government and primary care organisations both provide key primary care services, eg. immunisation, Maternal and Child Health, other child and family services, HACC services. The MPH&WP aims to improve the health and wellbeing of all Victorians by engaging communities in prevention, and by strengthening systems for health protection, health promotion and preventive healthcare across all sectors and all levels of government. Local government roles implemented through Municipal Public Health and Wellbeing Plans range from primary prevention (‘well’), secondary prevention (‘at risk’), through to working in partnerships to care for people with chronic diseases and conditions. Municipal Environments for Health MPH&WP Planning Framework This key planning Framework was developed by the Department of Health, Vic Health and the Municipal Association of Victoria in partnership with Victorian local governments. Banyule City Council participated in the development of the Framework. The Framework provides policy and other resources for local governments to address social, economic, built and natural environments that impact on health and wellbeing. The Banyule City Plan (in addition to this People Policy and Strategy) is informed by the Environments for Health Planning Framework.

24

Banyule People: Health and Wellbeing Policy 2013-2017 Victorian Department of Health, North and West Health & Wellbeing Implementation Strategy, 2011-15 Over the last two years the Department of Health (North & West Metropolitan Region), Victorian government departments (Education, Transport, Housing, and Employment), CEOs of north western municipalities and other key organisations, developed a Regional Health & Wellbeing Implementation Strategy. The Strategy includes a systemic framework for whole of North West planning for health and wellbeing. Banyule City Council is a formal partner in the North and West Strategy. Victorian Climate Change Act (2011) The Act addresses climate change and adaptation and requires the development and use of strong planning frameworks for key across government decision making to address climate change. It includes the development of climate change adaptation strategies with a focus on harm and risk reduction. Local governments are required to:

• include planning for climate change within Municipal Public Health and Wellbeing Plans.

• develop health adaptation approaches focusing on decreasing harmful impacts on vulnerable individuals and groups.

• improve individual and community capacity. Victorian Emergency Management Act (1986) Victorian local governments play a major role in responding to, and assisting recovery from the adverse effects of emergencies on local communities. Commonwealth, State and local governments are working in partnership to develop coordinated resources to support “community resilience” in local and wider communities.

Country Fire Authority Act (1958) The CFA Act requires Council to appoint a Municipal Fire Prevention Officer (MFPO) and any number of assistant MFPO’s. It also requires Councils to maintain a Municipal Fire Prevention Plan which must be audited by the CFA every three years. Metropolitan Fire Brigades Act (1958) Section 5A of the MFB Act requires each Council in the metropolitan district to appoint a Fire Prevention Officer. As Banyule is on the border of the metropolitan zone, Banyule City Council comes under the jurisdiction of both the CFA and the MFB Acts.

25

Banyule People: Health and Wellbeing Strategy 2013-2017

Objective for People Support and strengthen the health and wellbeing of the Banyule community.

26

Banyule People: Health and Wellbeing Strategy 2013-2017 Key Presenting Issues Responding to the diversity of community needs, interests and perspectives Banyule Council is committed to supporting and strengthening health and wellbeing. A demographic snapshot reveals the diversity of Banyule residents and thus the challenge facing Council is to plan, advocate and partner to provide responsive and appropriate services and facilities to meet the diversity of needs.

• If current demographic trends continue, Banyule’s population is projected to grow from 122,722 in 2011 to over 130,000 in 2031 and just under 140,000 by 2031.

• We have an ageing population. People of 65 years and over account for just over 15% of the population, but by 2031 this figure is expected to reach nearly 20%.

• Accompanying Banyule’s ageing population there is projected to be some growth in the number of lone person households from 22% to 24% of all households.

• Despite our ageing population there has been a recent increase in the number of under-four year olds, conversant with a mini ‘baby boom’ across Australia.

• Banyule is culturally diverse, and is home to people from over 50 different cultural backgrounds. Nearly a fifth of the population speaks a language other than English at home.

• Banyule’s Indigenous population is small but growing. • Our unemployment rate of 4.4% is lower than the metropolitan average, but it is

growing, and there are significant pockets of unemployment in certain parts of Banyule, such as West Heidelberg.

• More than 5,600 residents (4.8% of the population) have a profound or severe disability.

• Over 12% of the population (or almost 12,000 people) acted as carers of other people, which is a higher proportion than in Victoria or Melbourne. The burden of caring falls mostly on people in their middle years.

Banyule has a mixture of household types with a large proportion of families with children (45% of all households) and significant proportions of couples without children (24%) and lone person households (23%). The mix of household types is not projected to change significantly over the next twenty years. The number of households is expected to grow by 17% between 2011 and 2031. Lone person households are expected to increase the most (by 26%), followed by families with children (22%) and couples without children (20%). The growth in the number of people living alone leads to an increased risk of social isolation. An increasing proportion of women in the workforce will ensure continued demand for child care and family support services. These population changes are likely to place further demands on Council and community-based services in coming years, and require increasingly flexible and innovative service delivery responses to ensure available resources are used efficiently and effectively. Our population density will increase as more people live in the same area. This has the potential to strain community relations as competition increases for resources like housing, community facilities, transport and public open space access.

27

Banyule People: Health and Wellbeing Strategy 2013-2017 Council supports the development of stronger communities and their social structures. This in turn supports the development of capable individuals who make positive contributions to broader society and Banyule. Social, economic and environmental factors affect health and wellbeing Many Banyule residents generally enjoy good health and wellbeing. However, there are risk factors associated with socio-economic disadvantage and individual lifestyles that continue to influence health related behaviours and wellbeing. These include:

• fruit and vegetable intake

• alcohol intake • physical activity • obesity/overweight • asthma

• diabetes • mental illness • tobacco smoking.

The 2010 Victorian Population Health Survey confirms that the numbers of overweight/and or obese children and adults in Banyule and Victoria have continued to increase. High body mass is a significant factor in the incidence of chronic diseases, in particular Diabetes 2. Victorian guidelines for sufficient physical activity, daily fruit and vegetable consumption for health are also not being met in Banyule and Victoria The most effective initiatives to improve the overall health and wellbeing of the Banyule community address social and health inequalities, as well as promote healthy behaviours (including physical activity, healthy eating, lower alcohol consumption and smoking cessation). Perceptions of Safety Residents want to feel safe and secure in their homes, streets, shopping centres and public spaces. Statistics show that Banyule is a comparatively safe place to be, though there is a perception among many in the community that this is not the case. Perceptions of safety have a strong impact on personal and community health and wellbeing. Safety concerns mean that many people may not be confident to use public parks or shopping centres, and people can become fearful of others behaviour. These fears restrict people’s lives by discouraging social interaction and physical activity. Intimate partner violence has a greater impact on the health of Victorian women under the age of 45 years than any other risk factor. The Banyule municipality has a significantly higher rate of reported family violence incidents than the metropolitan Melbourne area. Over a decade (1999-10 to 2011-12), incidents of family violence reported to police in Banyule increased by 129% as compared to a 74% increase across metropolitan Melbourne.

28

Banyule People: Health and Wellbeing Strategy 2013-2017 In 2011 VicHealth undertook a community wellbeing survey across Victorian local governments. Preparedness of individuals to intervene in situations of family violence was one of the measures of community wellbeing. In Banyule 96% of people surveyed indicated that they would be prepared to intervene if a family member or friend was in a situation of domestic violence. Respondents aged between 35 and 54 years were significantly more likely to intervene. Cultural heritage Banyule is now home to people from 143 countries, 125 of which are non-English speaking. Almost 1 in 5 people speak a language other than English at home. An increasing proportion of new residents are coming from Asian countries. Banyule also has a sizeable Aboriginal and Torres Strait Islander population. Council’s relationship with this community is being strengthened by developing a partnership that is based upon ongoing recognition, respect and celebration with Banyule’s Traditional Owners, the Wurundjeri wiliam people and Indigenous Australian residents. Both groups represent important parts of the cultural diversity of Banyule. The health and wellbeing of the Banyule community can be strengthened by supporting various forms or artistic and cultural expression that give meaning to people’s lives, strengthen connection to place and community, and nurture local creative industries. Public health risks Public health promotion focuses on the prevention and minimisation of disease, illness and injury. It aims to reduce health and wellbeing inequalities and support health-focused behaviours and conditions. The impact of climate change and the frequency of international travel are two factors that are contributing to the emergence of new public health risks. The devastation of the ‘Black Saturday’ bushfires and the spread of swine flu during 2009, are both examples of how widespread calamity can occur when a range of factors and circumstances combine at the same time. Climate change has a direct impact on health and wellbeing. Extreme weather events are increasing and people with chronic illnesses and disabilities, older people, young children and people on low incomes are particularly vulnerable. Droughts across Australia are also reducing the supply and increasing the cost of fresh food. This strategy views public health as a shared responsibility and relies on the development of strategic partnerships with a number of key players including local government to achieve its objectives.

29

Banyule People: Health and Wellbeing Strategy 2013-2017 Objective for People Support and strengthen the health and wellbeing of the Banyule community.

Key Directions ‘People’ is about our desire for optimal health, for better living conditions and improved quality of life. Good health is the state of complete physical, mental and social wellbeing and not merely the absence of disease. Health and wellbeing can be supported at any age through individual and public policy measures. Wellbeing is fundamental to quality of life, quality of human relationships and the capacity to participate in education, work, recreation and the community. We are committed to improving the health for our community and identifying and minimising threats to public health. This is a shared responsibility for which we have delegated legislative responsibility, and we undertake this in conjunction with other agencies and partners, such as the Department of Health, with whom we work closely. We will support health and community wellbeing through the following key directions:

1. Promote and support health and wellbeing.

2. Provide services for people at important life stages.

3. Develop and promote safety and resilience in our community.

4. Celebrate and promote Banyule’s diversity and heritage.

5. Support people to achieve their economic potential.

6. Plan and prepare for emergency events.

Strategic Framework for the People Key Directions The strategic framework and approach to deliver on the People key directions is as follows: Key direction 1 Promote and support health and wellbeing We will support and promote good health and wellbeing of our community. Council’s role in public health focuses mainly on health promotion and prevention activities. We also play a role in the minimisation of disease, illness and injury, reducing health and wellbeing inequalities, and supporting health-focused behaviours and conditions. We work with partner agencies and the local community to promote and support the health and wellbeing of those who live, work and play in Banyule. We are committed to providing accessible, safe and appealing sport, recreation and community activities. We will achieve this through direct service provision, support of organised community based recreational groups, advocacy, and planning with the community and key stakeholders.

30

Banyule People: Health and Wellbeing Strategy 2013-2017

Our focus areas

We will:

• Develop passive and active recreation, leisure and arts.

• Protect the community against preventable diseases and hazards associated with food, water and the environment.

• Foster communities that support and create opportunities for people to live healthy and fulfilling lives.

Key direction 2 Provide services for people at important life stages We will advocate for and support the development of services and resources for people of all ages, genders, abilities, cultures and household types in Banyule. This involves planning, developing and delivering appropriate services and resources in partnership with the community, other levels of government and key stakeholders. Our focus areas

We will:

• Promote healthy development of children, young people and their families.

• Support older people to live independently.

Key direction 3 Develop and promote safety and resilience in our community We will advocate for and work in partnership with the community, other levels of governments and key stakeholders to enhance and maintain safe social, built and natural environments in Banyule. This involves promoting and supporting individual and community safety in Banyule within the limits of Council’s influence and responsibility to our community. Our focus areas

We will:

• Support, address and advocate for community safety.

Key direction 4 Celebrate and promote Banyule’s diversity and heritage Together with our community and other key stakeholders, we will develop accessible and relevant cultural and arts activities to celebrate our cultural heritage, express identity and create social connection. Our focus areas

We will:

• Support leisure, arts and cultural activities that strengthen connection to place, heritage, diversity and community.

31

Banyule People: Health and Wellbeing Strategy 2013-2017 Key direction 5 Support people to achieve their economic potential Council will continue to work with small businesses, including start-ups, to provide access to support and advice, networking and training opportunities and group delivery programs. As Banyule’s population diversifies, more women return to work and retirement age increases, Council’s programs will change and adapt to meet local needs. Likewise, as the needs of businesses change in meeting the challenges of a dynamic economy, Council’s support will require a flexible and responsive approach. Improving business development and supporting the establishment and growth of businesses in Banyule will contribute to local employment opportunities and a sustainable local economy. Council will also continue to work in partnership with federal, state and regional bodies to create pathways to employment, training and other learning initiatives. We will help local small businesses succeed by providing them with skills, knowledge and resources to establish and grow, contributing to Banyule’s economic development and providing greater potential for local employment opportunities. Council can also support economic opportunity through its role as a significant local purchaser of goods and services, and its influence over its supply chains. Responsible procurement practices are widely considered to include consideration of economic as well as social and environmental impacts. Our focus areas

We will:

• Encourage and assist the development of small business.

• Review Council’s procurement guidelines with a stronger emphasis on the support of local employment, social and environmental impacts.

Key direction 6 Plan and prepare for emergency events Our municipal emergency planning strives to reduce risk and strengthen our community, increasing safety and resilience. Through community engagement we will promote emergency awareness and preparedness amongst our residents. We will continue to maintain our operational readiness and review arrangements in conjunction with business continuity planning, to improve our capacity to respond to emergency events. Our focus areas

We will:

• Strengthen community resilience.

• Maintain operational readiness.

32

Banyule People: Health and Wellbeing Strategy 2013-2017 Structure: Delivery of the People Strategy key directions will rely on the contribution from a range of plans across Council. Some plans will contribute to more than one key direction. The diagram below illustrates where each plan will make its principal contribution.

People: Health & Wellbeing Strategy

Promote & support health &

wellbeing

Banyule Recreation Plan

(in development)

Banyule Electronic Gaming Machine Plan

(in development)

Provide services for people at important life

stages

Banyule Positive Aging Plan

(in development)

Banyule Youth Strategic Plan

Banyule Early Years Plan

(in development)

Develop & promote safety & resilience in our

community

Safer Banyule Plan

Banyule Graffiti Management Plan (in development)

Celebrate & promote diversity

& heritage

Banyule Arts Plan (in development)

Banyule Aboriginal Heritage Study

Banyule Heritage Places Study

Banyule Art Collection Policy

Support people to achieve their

economic potential

Banyule Economic Development Plan (in development)

Prepare & plan for emergencyevents

Municipal Emergency Management Plan

Banyule Community Emergency Risk

Management Plan

Municipal Emergency Relief & Recovery

Plan

Municipal Fire Management Plan

Municipal Public Health Emergency

Management Sub-Plan

Animal Management Sub-Plan

Strategic Plan for Disaster Resilience