Health Planning for Sustainable Progress - The Moreland Community Population Health Wellbeing Indicators Project

1. 1 Health Planning for Sustainable Progress - The Moreland Community Population Health & Wellbeing Indicators Project Presented by Kerry Stubbings, Kathryn Spargo Manager Social Research Social Policy & Health Support Analyst Moreland City Council 16 October 2003

2. 2 Introduction Original Aim: “To integrate planning, partnership and community participation by establishing an agreed set of issues and an agreed process for monitoring and evaluating health and well being in Moreland.” “… through a process of developing agreed indicators of community health and wellbeing in Moreland and developing a system of reporting progress on these indicators through an easily accessible web based system.”

3. 3 Objectives Development of a set of indicators based on the determinants of health, the ‘Environment for Health Framework’ and the Moreland MPHP 2003. Development of an integrated and sustainable approach to the monitoring and evaluation of health and wellbeing planning/action by Council. Improved opportunities for community engagement in the process of monitoring progress in community health and wellbeing. Provide easily accessible information about health and wellbeing in Moreland for stakeholders and community through Council’s Webpage and other mechanisms.

4. 4 Context Developed in context of major strategic projects: Review of Moreland Municipal Public Health Plan. Review of the Moreland Municipal Strategic Statement (MSS). Sustainability & Triple Bottom Line reporting. Implementation of Best Value.

5. 5 Council context Established commitment to the MPHP as a key Council Plan. Changing governance – election of new Councillors, linked to change of CEO and then senior management team. Uncertainty about Council’s overall approach to ‘council planning’. Given changes in the governance context, earlier ideas about a wider Community Planning process were revised with an impact on the role and scope of this project.

6. 6 Methodology Linked process with the development of the new MPHP 2002/03. Established a Cross Council Working Group. A literature review and other research to develop a framework and selection criteria for the indicators. Draft set of Population Health and Wellbeing Indicators developed. Internal workshops held to clarify scope and develop draft set of Indicators.

7. 7 Methodology An ‘Indicators template’ based on the selection criteria developed. Internal & external consultation and review of the draft indicators. A system to develop and update the indicators currently being finalised. Endorsement by senior management and Council. Brief for website & website development.

8. 8 Stakeholders All Council Departments Partners: through the Moreland Health, Safety & Wellbeing Leadership Group. The Leadership Group comprises senior representatives from key government departments (incl DHS), hospitals, local services( eg Community Health) and the PCP. MPHP Steering Group. Councillors Community

9. 9 Anticipated outcomes Mechanism for monitoring progress against the MPHP goals. Strengthen a cross-Council, integrated approach to the MPHP. Development of a set of broad ‘state of the community’ indicators which are easily accessible via council’s website. Mechanism for engaging the community in ongoing development and monitoring of the MPHP.

10. 10 What happened? MPHP developed with 14 key Elements based on the Determinants of Health - used as the basis for the Indicators. Framework Paper established selection process and criteria of the indicators (with consultancy support) An Indicators Template Tool developed. A ‘first cut’ set of Moreland Health and Wellbeing Indicators developed.

11. 11 Linking the MPHP Goals with the Indicators 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

12. 12 Purpose of the Indicators? Clarifying the primary purpose of the indicators Clarifying what types of indicators: indicators of efficiency (process) Indicators of productivity (outputs) indicators of effectiveness (outcomes) ‘proxy’ indicators community managed & owned indicators internal organisational indicators?

13. 13 Indicator Criteria Checked for: validity responsiveness reliability meaning and relevance to key stakeholders accessibility strategic value timely and efficient measurement and monitoring sustainability

14. 14 ‘First Cut’ Moreland Health and Wellbeing Indicators A focus on broad ‘state of the community’ indicators as opposed to the ‘key performance indicators’ for specific actions in the MPHP. What is available and possible now? What is desirable - what we would to highlight for development?

15. 15 Indicator Selection Template Element /Goal Data Source What does it measure? Strengths/Limitations - apply agreed criteria. Geographic region Years data available Frequency of updating? Cost to update? Who will be responsible for update? The data itself - years, geographic area, units of measure

16. 16 Example indicators Employment Goal: A fair and prosperous local economy that maximizes the number of local jobs and develops new economic opportunities throughout the city. Individuals experience full, productive, stable employment and fair returns on individual labour. Indicator 1: Unemployment rate Unemployment rate as the percentage of the labour force which is unemployed. Indicator 2: Labour market participation rate The participation rate is the percentage of the population in the labour force by region (NW region =Hume & Moreland). The ABS defines the participation rate as "for any group, (it is) the labour force expressed as a percentage of the civilian population aged 15 years and over in the same group".

17. 17 Indicator 3: Local employment Number of people employed in local industry from ABS Census of Population and Housing – Profile of Working Population (Moreland). Potential indicators: Indicator 4: New business start-ups Would be useful as a measure of new economic opportunities. May be able to source relevant data via Business Victoria eg. new business enquiries, or ATO eg. GST registrations. Or through evaluation of the Brunswick Business Incubator and other Council auspiced programs such as ‘MoreBiz’ which could include measures of client business success and jobs created as a result.

18. 18 Example indicators Education Goal: All can access a good quality education and finish secondary school level locally. All can access lifelong learning options easily. Indicator 1: Participation in education and training Post secondary destination statistics- proportion of former year 12 students at Uni, TAFE/VET. Indicator 2: School Retention rates Retention in secondary schools between years 10 and-% of year 12 students in relation to year 10 students. Potential indicator: Community Education provision data via Neighbourhood Houses and Council’s Community Grants data.

19. 19 Built & Natural Environment Goal: An environmentally sustainable, viable, safe and livable city, where people can shop, work and socialise locally and that promotes physical activity and social connection. Indicator 1: Level of community use & satisfaction with natural open space Utilise question from the Moreland Community Perceptions Survey: whether you have used parks of reserves in the municipality over the past 12 months? & level of satisfaction with parks & reserves?

20. 20 Built and Natural Environment Indicator 2: No of Complaints Relating to Amenity Measurement of amenity issues that indicate the quality of the built and natural environment primarily via complaints recorded in Council Action Management System & Correspondence Register. Potential indicator: Average time spent by Moreland residents in the public realm The amount of time people spend outside is a reflection of the ‘environmental health’ of the municipality. Data not yet available - Council could gather this information from attendance at specified events held in natural open spaces or via a survey.

21. 21 Early Years: Birth to Adolescence Goal: Safe births, healthy and happy early years with minimal stress on family/home life. Indicator 1: Maternal and Child Health participation rates. Data on % of families attending MCHS for key stages. Indicator 2: Injury rates for children and young people. Monash Uni. Accident Research Centre (MUARC) data.

22. 22 What happened? Achievements A preliminary set of broad indicators linked to the goals of the Health Plan completed. Endorsement from key internal and external partners. Direct links established with other key Council strategic planning processes eg MSS and Council Plan Webpage being designed. Systems for ongoing development and updating being finalised.

23. 23 Other outcomes A means of advancing related Council work on indicators, particularly with regards to triple bottom line - the Council Plan, the MSS, the Economic and the Environmental Plans. Helped to clarify distinctions and links between strategic ‘state of the community’ indicators and ‘key performance indicators for Council actions.

24. 24 Generated commitment to development of indicators in partnership eg with Community Health Service re access to services. Internal research committee set up with coordination on indicator development as one of it’s key tasks.

25. 25 Limitations Timing: project took about 5 months longer than anticipated. Largely due to significant changes in Council affecting the ‘strategic planning agenda’, timelines, competing priorities, management changes etc. Indicators remain very much a ‘first cut’-Affirmed the limitations of how we collect and use data with no clear connection to broad goals and outcomes. Project is building enthusiasm for further collaborative indicator development (internally and externally).

26. 26 Community engagement and consultation has been very limited: while the MPHP goals were drawn from consultation, the first set of Indicators has been essentially developed by Council and specific partner organisations. Webpage Design: some delay clarifying links with Council page, ongoing management and costs etc. Partnership ownership: while the project has been supported by key partners opportunities for application in their organisations not well developed at this stage.

27. 27 Learnings? Agreement on Purpose of the Indicators Commence the discussion of the purpose of the Indicators much earlier. Ensure understanding and ‘ownership’ by senior management and Councillors. Community Engagement Would have integrated more explicit exploration of indicators into the consultation process for the MPHP. Next steps will include ‘testing’ them in targeted community settings, and wider engagement as part related community planning processes.

28. 28 Indicators and Data Planning for the collection and analysis of data with the agreed Council goals in mind ie using the opportunities to be ‘smarter’ about our data. Webpage Negotiated logistics of the webpage design/technicalities at the commencement of the project.

29. 29 References ‘Health, Safety and Wellbeing in Moreland- The Moreland Municipal Public Health Plan 2003. ‘Moreland Population Health and Well-being Indicators Project’. Feb. 2003. Prepared by Bessie Andriotis, ‘Flexible Alternatives’. 1) Background and Resources 2) Framework and Criteria Component.

30. 30 Questions?