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PLANNING FOR HEALTH IN LOCAL GOVERNMENT

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Health Planning in Local Government, October 2003. 1. PLANNING FOR HEALTH IN LOCAL GOVERNMENT ... Breadth need to respond to full gamut of community issues ... – PowerPoint PPT presentation

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Title: PLANNING FOR HEALTH IN LOCAL GOVERNMENT


1
PLANNING FOR HEALTH IN LOCAL GOVERNMENT
  • THE LOCAL GOVERNMENT PLANNING CONTEXT
  • Kerry Stubbings
  • Manager Social Policy and Health Support
  • Moreland City Council
  • Oct. 2003.

2
  • Provide a brief overview of the
  • wider context for planning in Local Government.
  • Discuss MPHPs and health planning in this
    context.
  • Discuss some key issues and challenges for
    effective planning and action on improving health
    and wellbeing.

3
The unique place of Local Government
  • Across the life stages Cradle to the grave.
  • Focus on community as a whole at a local level.
  • Planning, funding, service provision, community
    building and advocacy roles.
  • Wider context of State and Commonwealth policies.

4
LOCAL GOVERNMENT PLANNING
  • DRIVEN BY
  • Good Governance Responsibilities
  • Legislative Responsibilities
  • Funding Agreement Responsibilities
  • Changing demands/needs of the community and the
    and the political environment

5
LOCAL GOVERNMENT ACT
COUNCIL CORPORATE PLAN
HEALTH ACT MPHPS
BEST VALUE
PLANNING ACT MSS
LOCAL GOVERNMENT PLANNING
Accreditation
OTHER LEGISLATIVE PLANNING RESPONSIBILITIES eg
Roads Plans
SPECIFIC SERVICE PROGRAM PLANNING Eg HACC
LOCAL AREA COMMUNITY PLANNING
PARTNERSHIP PLANNING eg PCP
LIFE STAGE AND POPULATION GROUP PLANNING eg
Early Years
6
The Local Government Planning Repertoire
..waltzes, rock and free form flight?
  • Sorting out the hierarchy of plans.
  • Relationship between legislated plans and other
    plans.
  • Different models, processes, timing and
    stakeholders.
  • Strategic and/or operational.

7
Applying different lenses
  • Healthy Public Policy planning
  • Addressing goals for improved population health
    outcomes. Health Promotion planning.
  • Triple Bottom Line planning
  • Addressing social, economic and environmental
    goals. Understanding the interdependencies-enviro
    nments for health.
  • Partnership planning
  • Links, relationships, collaboration, formal
    agreements
  • Community Planning
  • Community visioning, community driven,
    processes of engagement and ownership

8
Local Government Act 1989
  • GOVERNANCE RESPONSIBILITIES/PURPOSE/POWERS
  • Currently
  • Councils submit a corporate plan comprising
    corporate objectives for 3 years, strategies,
    performance indicators, a resource allocation
    plan plus a one year business plan.
  • Proposed amendments 2002
  • Formalises role as a distinct and essential tier
    of government.
  • Will require a Council Plan for 3 years rather
    than annually plus A Strategic Resource Plan.
  • Requires community consultation beyond just a
    statutory process. Public have a right to make
    a submission.
  • New election cycle of four year terms aligned in
    November.

9
Purposes under the LG ACT
  • to provide for the peace, order and good
    government of its municipal district
  • to facilitate and encourage appropriate
    development of its municipal district in the best
    interests of the community and
  • to provide equitable and appropriate services and
    facilities for the community and to ensure that
    those services and facilities are managed
    efficiently and effectively and
  • to manage, improve and develop the resources of
    its district efficiently and effectively.

10
MUNICIPAL PUBLIC HEALTH PLANS
  • Health Act 1958
  • Each Council produces a Municipal Public Health
    Plan every 3 years with an annual review.
  • The planning cycle includes needs assessment,
    research, community consultation, partnership
    development.
  • Outlines ways councils and their partners can
    prevent or minimise health risk and enable
    residents to achieve maximum wellbeing.

11
Environments for Health
  • The Policy Framework for Municipal Public Health
    Planning developed in partnership between State
    and Local Government.
  • Focus on determinants of health framework for
    developing healthy public policy at local
    government level.
  • Supportive environments for health
  • Four environmental dimensions - social,
    economic, built, natural.

12
The Planning Act- MSS
  • The strategic plan for land use.
  • Framework for the Planning Scheme.
  • Transport, land use zoning, development approvals
    framework, heritage, open space.
  • Required to be done every three years.

13
Best Value LG ACT
  • Replaced Compulsory Competitive Tendering (CCT)
    in December 1999.
  • Aimed to enable councils to determine the most
  • effective means of providing a service to the
    community.
  • Act outlines six Best Value Principles that
    councils must observe.

14
Best Value Principles
  • Quality and Cost standards for all services
  • Responsiveness to community needs
  • Accessible and appropriately targeted services
  • Continuous improvement
  • Regular community consultation
  • Frequent reporting to the community

15
Common Features of the Legislated Plans?
  • Strategic long term view
  • Community engagement and consultation
  • Grounded in analysis of current and changing
    community needs
  • Aim for improved outcomes for community - social,
    economic and environmental goals
  • Each has impact on population health and
    wellbeing
  • Evaluation, reporting on outcomes

16
Planning Linkages
State and Commonwealth Govt Policy Legislation
Funding Agreements
Best Value Business Planning Triple Bottom Line
Reporting Monitoring Evaluation
17
Component and complementary plans
  • Community Safety Plans
  • Leisure Plans
  • Life Stage Plans eg Early Years
  • Multicultural Plans
  • Disability Plans
  • Transport Plans etc etc..

18
Planning Linkages ..Moreland mark 2
City Vision
CITY PLAN A COMMUNITY PLAN Long
Term Incorporating MPHP and MSS and other
broad strategic plans
COUNCIL CORPORATE PLAN Including annual
budget annual business plan
Department Service Plans
19
Environments for Health Linkages
  • Identification and agreement on the contribution
    each plan should, can and will make to improved
    health and wellbeing outcomes
  • the key determinants of health
  • risk and protective factors
  • Leading the Way tools..

20
Moreland MPHP 2003 14 ACTION AREAS
  • Social and Economic Circumstances
  • Employment
  • Education
  • Housing
  • Built and Natural Environment
  • Early Years Birth to Adolescence
  • Personal Well-being and Safety
  • Access and Availability of Services
  • Social Inclusion and Social Support
  • Social Participation
  • Political Participation
  • Recreation, Arts and Leisure
  • Transport
  • Information
  • ROLES
  • Strengthen Community Capacity
  • Plan
  • Advocate
  • Provide Services

21
Key Planning challenges
  • Governance
  • Breadth need to respond to full gamut of
    community issues
  • Community engagement and accountability
  • Community planning
  • Stewardship of resources
  • Processes
  • Community Consultation
  • Timelines- aligning the planning cycles
  • Legislative compliance vs other drivers

22
Integration
  • Aligning different values and paradigms
  • eg urban development and design goals
  • with environmental sustainability
  • .with ..road engineering priorities ..
  • withfinancial planning
  • withaccess and equity goals
  • .all to support social model of health
    planning.
  • Understanding the barriers to integration and
    collaboration within Council, community and other
    levels of government.

23
  • Evaluation
  • Developing processes and tools for evaluation
  • Difficulty of measuring outcomes - long term and
    short term impacts
  • Skills and resources for using evidence based
    research, health impact assessment
  • Resources
  • Financial, staffing and skills capacity
  • Cost Shifting Increased responsibilities with no
    increase in resources
  • Efficient use of resources for planning processes

24
Some Traps.
  • Using the Hammer Legislating for planning at the
    local level
  • A tendency for State Govt. to use the
    legislative push to require planning for specific
    goals.
  • Risks level of commitment, quality and
    exacerbates cost shift to local government.
  • Response?
  • State and Local Government agree on a clear
    hierarchy of legislated strategic plans - LGA,
    MPHP and the MSS.
  • A consistent application of this by State
    Government Departments.

25
Overdosing on Strategic Planning
  • Overlaying many strategic planning processes in
    one community with potential for
  • confusion of purpose and goals
  • duplication of efforts and resources
  • community consultation fatigue or
  • scepticism
  • contradictory directions

26
Responses?
  • Align principles, values and goals through the
    Council Plan Healthy Public Policy.
  • Council Plan with the MPHP and MSS can provide
    the key framework, data and consultation input
    for other plans.
  • MPHP being identified as an overarching plan for
    health and wellbeing goals.
  • Identify common processes and timing.

27
  • Homogenising the plans
  • Efforts to align and integrate too much
    resulting in over simplification.
  • Best Practice planning in specialised areas
    jeopardised.
  • Responses?
  • Clarify/reach explicit agreement on the unique
    and specialised role for each strategic plan
    while aligning with the broader principles, goals
    etc.
  • Design the Councils Planning Map.

28
Great ideas but no action
  • Avoiding the rhetoric on the shelf.
  • Breadth of the MPHP and long term nature of the
    goals can lead to an over generalised plan.
  • Responses?
  • Balance strategic capacity of MPHP to raise
    awareness and lever resources, with capacity to
    deliver.
  • Implementation Plans - cross-referenced in
    related plans-linked to MPHP.

29
The myth of rational planning
  • Expecting rational, tidy planning
  • and implementation with disappointment and sense
  • of failure if things dont go as planned.
  • Responses
  • Understanding the dynamics we cant control it
    all
  • Ongoing processes for learning and review
  • Systems to respond when opportunity knocks

30
Evaluation
  • Evaluation undertaken as performance reviews
    of outputs rather than analysis of impact and
    outcome.
  • Long term nature of health outcomes.
  • Responses?
  • Pooling Council and other resources for
    evaluation of integrated strategies.
  • Developing common evaluation processes and
    indicators of progress.
  • Partnerships with research bodies.

31
To Conclude
  • Local Government is engaged in a complex and
    varied range of planning processes.
  • Moves for more legislated plans by State
    Government would further confuse and strain the
    system.
  • Opportunities for simplifying planning with
    agreement on
  • the hierarchy of plans
  • the unique role each plays and how they link.

32
  • MPHP is being identified as an overarching
    strategic plan complementing the MSS.
  • Use planning energy and resources more
    effectively to achieve better health outcomes
    through joined up -
  • Health Promotion planning
  • Community engagement
  • Local action
  • Evaluation
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