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Priority One - Integrated Design & Delivery Creang integrated catchment based primary healthcare that provides the right service in the right place in a mely manner. Goal To design ‘right fit’ integrated services in the key heath and wellbeing areas of Aged Care, Mental Health, Child and Family Health and Health Promoon especially as they relate to Aboriginal and Torres Strait Islanders, CALD, Refugee and Asylum Seeker communies. What you will see: Develop an annual set of research based posion papers and forums on selected health/wellbeing issues and service delivery topics for member organisaons. Idenfy service alignment opportunies and integrated service delivery approaches between stakeholders for the purpose of addressing health inequalies, access barriers and securing sustainable pracce shiſts. Connued integraon of State and Naonal eHealth and Service Coordinaon principles and pracces across current and emerging services in and outside of the catchment. A specific focus on developing and supporng integrated planning and delivery opportunies between services for Aboriginal & Torres Strait Islanders. Develop, resource and promote partnership based iniaves that drive the use of electronic referral and coordinaon care pathways for at risk and chronic disease consumers. Focus on integrated Governance and collaboraon systems which will secure the idenficaon of defined local health and wellbeing issues and the combined service system acons necessary to address them. Priority Two - Responsive and Effectiveness Idenfy service system gaps and work with member organisaons to develop a set of primary health services more capable of impacng on idenfied current stress points and strategically ensure services are best placed to meet future growth demands. Goal Work with parcipang member organisaons to improve individual and collecve capacity to establish evidenary and purposeful evaluaon and research arrangements which will beer idenfy acon at the local level. What you will see: Support praccal and defined integrated cross sector partnership work to improve service coordinaon, assessment and care pathways between consumers and public /private services and from under represented community groups. Promote a gendered approach to the development and use of evidenary frame works, resources and workforce training models when working with member organisaons. Act with Commonwealth, State and Local Government to facilitate staged realignment of current services or idenfy further investment opportunies required to develop services capable of impacng on persistent service gaps and inequalies. Work with agencies to assist them in moving towards building knowledge and organisaonal capacity in developing health literacy approaches to addressing key prevailing social health determinants. Support member organisaon understanding of and alignment with other services in addressing upstream health determinants, local prevenon priories (for example mental health, oral health and physical acvity) and downstream chronic disease priority condions. Priority Three - Collaboration, Evidence and Innovation Model the development of new and shared innovave primary health and wellbeing infrastructure and service delivery models in the catchment. Goal Build on current service infrastructure planning plaorms and integrated business models in order to maximise sustainable inter-organisaonal collaboraon and acon. What you will see: Develop with member organisaons and key stakeholders data, reports and forums on the current level of integrated community infrastructure and health investment acvity across the catchment. Support member organisaons and consumers to jointly consider innovave local integrated soluons to the design and delivery of community infrastructure. Collaboravely promote the integraon of mulfaceted and cross discipline services and intervenons. Develop research based posion papers and forums in order to strategically highlight innovave responses to needed local infrastructure development across the interface catchment. Align with Government primary health infrastructure development direcons and support sector preparedness to respond. Facilitate and resource meengs with local public and private service and planning stakeholders in order to idenfy opportunies to create integrated community based service soluons. Develop shared data collecon and analysis systems to inform the development of an integrated and coordinated response to addressing local health and wellbeing priories. Priority Four - Consumer Involvement Idenfy and support meaningful opportunies for consumers to both partner with local organisaons in the management of their care and parcipate in local service design and delivery discussions. Goal Support consumer experiences (from mainstream and marginalised groups) as an important quality measure for all local services in order to connually refine the funcon of local services, their person centred responsiveness and relevance to the local community. What you will see: Influence member services to beer strengthen access pathways and shape services in response to the needs of mainstream and under represented communies including Aboriginal and Torres Strait Islanders, Refugee and Asylum Seekers and young people. Develop a register of Consumer Groups which are available to assist member agencies when planning, implemenng or evaluang programs. Support in the design, implementaon and analysis of evaluaon processes and strategies including a register of evaluators to conduct focus groups or other forms of evaluaon. Develop key posion and issue papers promong best pracce in community parcipaon models across both mainstream and under represented groups. Support capacity building of member organisaons to resource, document and implement respecul and reciprocal consumer engagement and parcipaon pathways. Priority Five - Prevention in Practice Idenfy both the need for planned increased collaboraon across the primary prevenon system and the value of integrated health promoon in meeng the demands of the social and environmental determinants of health as a cause of health inequity in the catchment. Goal Nominate capacity development acvies with member services, that will increase joint preventave acons across the primary care and wellbeing sector. What you will see: Focus on building awareness about the importance of evidenary integrated health promoon pracce in order to reduce health inequalies based on social and environmental determinants of health and wellbeing. Focus on developing a local integrated planning framework which recognises the importance and effecveness of integrated health promoon pracce in the establishment and maintenance of a responsive prevenon system. Local primary health and wellbeing planning frameworks are cognisant and inclusive of the role of non-tradional health partners from Transport, Housing, Educaon and Employment. A clearer alignment of the roles and responsibilies for the design and delivery of defined and accessible integrated Health Promoon by both health and non-health providers and planners in the catchment. Hume Whittlesea Primary Care Partnership 2013 - 2017 Strategic Plan

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Page 1: Hume Whittlesea Primary Care Partnership 2013 - 2017 ......stakeholders in order to identify opportunities to create integrated community based service solutions. • Develop shared

Priority One - Integrated Design & DeliveryCreating integrated catchment based primary healthcare that providesthe right service in the right place in a timely manner.

GoalTo design ‘right fit’ integrated services in the key heath and wellbeing areas of Aged Care, Mental Health, Child and Family Health and Health Promotion especially as they relate to Aboriginal and Torres Strait Islanders, CALD, Refugee and Asylum Seeker communities.

What you will see:• Develop an annual set of research based position papers and forums on selected health/wellbeing issues and service delivery topics for member organisations. • Identify service alignment opportunities and integrated service delivery approaches between stakeholders for the purpose of addressing health inequalities, access barriers and securing sustainable practice shifts.• Continued integration of State and National eHealth and Service Coordination principles and practices across current and emerging services in and outside of the catchment.• A specific focus on developing and supporting integrated planning and delivery opportunities between services for Aboriginal & Torres Strait Islanders. • Develop, resource and promote partnership based initiatives that drive the use of electronic referral and coordination care pathways for at risk and chronic disease consumers.• Focus on integrated Governance and collaboration systems which will secure the identification of defined local health and wellbeing issues and the combined service system actions necessary to address them.

Priority Two - Responsive and EffectivenessIdentify service system gaps and work with member organisations to develop a set of primary health services more capable of impacting on identified current stress points and strategically ensure services are best placed to meet future growth demands.

GoalWork with participating member organisations to improve individual and collective capacity to establish evidentiary and purposeful evaluation and research arrangements which will better identify action at the local level.

What you will see:• Support practical and defined integrated cross sector partnership work to improve service coordination, assessment and care pathways between consumers and public /private services and from under represented community groups.• Promote a gendered approach to the development and use of evidentiary frame works, resources and workforce training models when working with member organisations.• Act with Commonwealth, State and Local Government to facilitate staged realignment of current services or identify further investment opportunities required to develop services capable of impacting on persistent service gaps and inequalities.• Work with agencies to assist them in moving towards building knowledge and organisational capacity in developing health literacy approaches to addressing key prevailing social health determinants. • Support member organisation understanding of and alignment with other services in addressing upstream health determinants, local prevention priorities (for example mental health, oral health and physical activity) and downstream chronic disease priority conditions.

Priority Three - Collaboration, Evidence and Innovation Model the development of new and shared innovative primary health and wellbeing infrastructure and service delivery models in the catchment.

GoalBuild on current service infrastructure planning platforms and integrated business models in order to maximise sustainable inter-organisational collaboration and action.

What you will see:• Develop with member organisations and key stakeholders data, reports and forums on the current level of integrated community infrastructure and health investment activity across the catchment.• Support member organisations and consumers to jointly consider innovative local integrated solutions to the design and delivery of community infrastructure.• Collaboratively promote the integration of multifaceted and cross discipline services and interventions.• Develop research based position papers and forums in order to strategically highlight innovative responses to needed local infrastructure development across the interface catchment.• Align with Government primary health infrastructure development directions and support sector preparedness to respond.• Facilitate and resource meetings with local public and private service and planning stakeholders in order to identify opportunities to create integrated community based service solutions. • Develop shared data collection and analysis systems to inform the development of an integrated and coordinated response to addressing local health and wellbeing priorities.

Priority Four - Consumer Involvement Identify and support meaningful opportunities for consumers to both partner with local organisations in the management of their care and participate in local service design and delivery discussions.

GoalSupport consumer experiences (from mainstream and marginalised groups) as an important quality measure for all local services in order to continually refine thefunction of local services, their person centred responsiveness and relevance tothe local community.

What you will see:• Influence member services to better strengthen access pathways and shape services in response to the needs of mainstream and under represented communities including Aboriginal and Torres Strait Islanders, Refugee and Asylum Seekers and young people. • Develop a register of Consumer Groups which are available to assist member agencies when planning, implementing or evaluating programs.• Support in the design, implementation and analysis of evaluation processes and strategies including a register of evaluators to conduct focus groups or other forms of evaluation.• Develop key position and issue papers promoting best practice in community participation models across both mainstream and under represented groups. • Support capacity building of member organisations to resource, document and implement respectful and reciprocal consumer engagement and participation pathways.

Priority Five - Prevention in Practice Identify both the need for planned increased collaboration across the primaryprevention system and the value of integrated health promotion in meeting the demands of the social and environmental determinants of health as a cause ofhealth inequity in the catchment.

GoalNominate capacity development activities with member services, that will increase jointpreventative actions across the primary care and wellbeing sector.

What you will see:• Focus on building awareness about the importance of evidentiary integrated health promotion practice in order to reduce health inequalities based on social and environmental determinants of health and wellbeing.• Focus on developing a local integrated planning framework which recognises the importance and effectiveness of integrated health promotion practice in the establishment and maintenance of a responsive prevention system.• Local primary health and wellbeing planning frameworks are cognisant and inclusive of the role of non-traditional health partners from Transport, Housing, Education and Employment. • A clearer alignment of the roles and responsibilities for the design and delivery of defined and accessible integrated Health Promotion by both health and non-health providers and planners in the catchment.

Hume WhittleseaPrimary Care Partnership2013 - 2017Strategic Plan

Page 2: Hume Whittlesea Primary Care Partnership 2013 - 2017 ......stakeholders in order to identify opportunities to create integrated community based service solutions. • Develop shared

City of Hume... At a glance Situated in Melbourne’s northern interface growth corridor, the City of Hume is one of the fastest growing and largest growth municipalities in Melbourne. From 2011 to 2036, the population is forecast to grow by 79.5%, from around 175,000 to almost 316,000. Hume is the 12th most disadvantaged local government area in Victoria and the third most disadvantaged in Metropolitan Melbourne.In the City of Hume residents are relatively young in age with a higher proportion of family households compared to Metropolitan Melbourne. Hume city is a culturally diversepopulation and according to Hume City Health And Wellbeing Plan 2013–2017, 37.9% of the population were born overseas.The HWPCP acknowledges the Gunung-William-Balluk of the Wurundjeri people as the traditional owners and custodians of this area. In 2011 there were 1,046 Aboriginal people living in Hume municipality.

City of Whittlesea... At a glanceWith the Hume municipality located to its west, the City of Whittlesea is in Melbourne’s northern interface growth corridor. The population is expected to exceed 250,000 by 2030, with growth concentrated in the developing areas of Mernda-Doreen, South Morang and Epping North.In 2013, the population of the City of Whittlesea is 165,000 which is projected to increase by 19% by 2017. The City of Whittlesea has significant socio-economic disadvantage in parts of the municipality. Based on the Index of Relative Socio-Economic Disadvantage (IRSD) score, the City of Whittlesea is the 38th most disadvantaged municipality in the State and is ranked 6th most disadvantaged in metropolitan Melbourne.The HWPCP acknowledges the Wurundjeri Willam people as the traditional owners and custodians of this area. According to City of Whittlesea Council Plan 2013–2017, the City of Whittlesea has the fourth highest Indigenous population in metropolitan Melbourne.Approximately 30% of Whittlesea residents are from a country where English is not their first language and this is twice that of the Victorian State average. The most common languages used other than English are Italian, Macedonian, Greek, Arabic and Vietnamese.

Social Model of HealthThe social model of health is an evidenced and conceptually integrated framework within which improvements in health and wellbeing are achieved by directing effort towardsaddressing the social and environmental determinants of health and wellbeing. The HWPCP uses a social model of health approach in the planning and implementation of strategic priorities with its partners across cities of Hume and Whittlesea.The HWPCP recognises the positive outcomes in catchment-focussed health planning and isa local leader in supporting coordination across a continuum of health promotion, prevention, early intervention, diagnosis, treatment, recovery/rehabilitation and palliative care.

What is the Hume Whittlesea PCP?The Hume Whittlesea Primary Care Partnership (HWPCP) is a voluntary alliance of primary care agencies operating in the local government areas of Hume and Whittlesea, located in outer Northern Metropolitan Melbourne.It is one of 30 Primary Care Partnerships (PCPs) across Victoria that is funded by the VictorianDepartment of Health as part of its PCP strategy.PCPs are the Department’s preferred platform for driving primary health care initiatives that require a partnership approach.

The Hume Whittlesea Primary Care Partnership is a well established network leader of local health and human service organisations working together to find smarter

ways of making the care system work better, so that the wellbeing of ourcommunity is improved.

2013-2017 HWPCP STRATEGIC PLAN - KEY PRIORITIES

Priority ONE - Integrated Design and Delivery

Priority THREE - Collaboration, Evidence and Innovation Priority FOUR - Consumer Involvement

Priority FIVE - Prevention in Practice

Priority TWO - Responsive and Effectiveness

HWPCP MISSION STATEMENTTo use a population based approach in developing a local service system which responds to growth and is -

Person centred – an equity focused system responsive to need without prejudice, which enables empowerment

of people and builds their capacity.

Integrated – a holistic system which ismulti-disciplinary and emphasises

health promotion, protection and prevention.

Accessible – services are integrated so they areaccessible across all sectors.

High quality – best practices are delivered toagreed standards in a responsive manner.

INTERGRATED PRINCIPLES

Health and Wellbeing Equity Evidence Driven Innovation Governance Wellness Focus SustainabilityCoordination

HWPCP 2013 - 2017 Strategic Plan

To build the capacity of primary healthcare services within the catchment to become stronger personcentred, health promoting, early intervention and treatment focused quality local service system

HWPCP VISION

LOCAL- Municipal Public Health and Wellbeing Plans- Healthy Together Victoria Roadmap / Plans

- HWPCP Member Strategic Plans

REGIONAL- NWMR Regional Health and Wellbeing

Implementation Strategy- NWMR Regional Management Forms

Integrated Area Planning

STATE- Victorian Public Health and Wellbeing Plan 2011-15

- Victorian Health Priorities Framework 2012-22(Metropolitan, Rural and Regional)

- Doing it with us not for us: Strategic direction 2010–13 - Victorian PCP Program Logic 2013 - 2017

NATIONAL- National Primary Health Care Strategic Framework

- Preventative Health Taskforce Strategy

AMES Settlement Australian Greek Welfare Society Brotherhood of St Laurence Bubup Wilam Bundoora Extended Care Centre Dianella Community Health ServiceHume City Council Kangan Institute Kildonan Uniting Care LINK Community Transport Macedonian Welfare Melbourne City Mission Mind Australia NEAMI North North West Area Mental Health

Northern Health Northern Melbourne Medicare Local Plenty Valley Community Health ServiceRoyal District Nursing Service Spectrum Sunbury Community Health Centre Vincent Care Victorian Aboriginal Health Service Victorian Foundation for Survivorsof TortureVictorian TransCultural Mental HealthCity of Whittlesea Whittlesea Community Connections Women’s Health in the North Youth Projects

HWPCP Partnerships Acknowledging both member organisations and those organisations who contributed to the development of the 2013-17 Strategic Plan –

HUMEWHITTLESEA

Kinglake West

Whittlesea

Yan YeanSunbury

Craigieburn

BroadmeadowsEpping

Bundoora

More information To find out more about the Hume Whittlesea Primary Care Partnership, go to our website at: www.hwpcp.org.au, all information correct at time of printing. Hume Whittlesea Primary Care Partnership 2013

The Hume Whittlesea Primary Care Partnership acknowledges the traditional owners of the land on which we provide all our services. We all pay our respects to their Elders past and present, and express our hope for reconciliation, justice and the recognition of the ongoing living culture of all Aboriginal people.

HWPCP Strategic Plan2013-2017