Department of Health Victoria Hume Region Tony Dunn

1. Department of HealthVictoriaHume RegionTony Dunn

2. What do I do? • Regional Director for Health and Aged Care for Hume Region – Department of Health Victoria • Department – Melbourne (50 Lonsdale) and regionally • Manage Victorian governments interests in the regions public hospitals and aged care centres, public health and environmental health, mental health, drugs and alcohol, primary care, community health, health promotion, maternity, palliative and many other health areas. • Also represent health and region with other government departments and NSW Health. • Also represent health in region for emergency management and planning (recent examples are Kinglake and Numurkah)

3. Hume Region Hume Region is one of 8 regions in Victoria and covers 12 local government areas – Alpine, Benalla, Indigo, Mansfield, Mitchell, Moira, Murrindindi, Shepparton, Strathbogie, Towong, Wangaratta and Wodonga.

4. HUME REGION

7. Hume Region – health determinants 274,236 (ABS ERP. 2010) + additional 51,112 residents in Albury  aged population, while other age groups  - 2010 65-85yrs 14% (38,331) 85+yrs 2.1% (5,656) - 2022 65-85yrs 17.8% (58,008) 85+yrs 2.5% (8,144) 65+  dependency ratio - 2010 35.7% under 15 /over 65 4.01 working age people for every person 65+ - 2022 39.1% under 15/over 65 3 working age people for every person 65+ 4,564 - second highest % of Aboriginal population out of 8 regions in Victoria 6.1% unemployment – highest in Vic. 36.5% of people with household income less than $650 66.5% did not complete year 12 – second highest in Vic. 32.3% near public transport – lowest in Vic. (72.3%) 93.5% households have vehicle

8. Hume Region - Health Behaviours Hume Region is ranked second out of eight regions in Victoria for people at risk of short term harm from alcohol consumption (13.6%), compared to Victoria (10.2%). Around half the population (50.2%) do not meet dietary requirements for fruit and vegetable dietary guidelines, with Hume Region males ranked as highest in Victoria. Hume is ranked second out of the eight regions for people who are overweight/obese (55.4%), compared to Victoria (48.6%) - with Hume Region males ranked number one. Effectiveness 25.4% do not meet physical activity guidelines, compared to Victoria (27.4%). Hume Region is ranked second out of the eight regions for people who smoke (21%), compared to Victoria (19.1%). Efficiency 11.2% report a high/very high degree of psychological distress, similar to Victoria (11.4%).

9. Hume Region - Health Status  84.1 female life expectancy (lower than Victoria 84.4) 79.3 male life expectancy (lower than Victoria 80.3) Efficiency

10. SHEPPARTON SNAPSHOT

11. Topical Health issues in Hume and GV • Cross Border issues • Patient access and transport • Emergency Management • Chronic Disease Management • Aged Care • Service coordination and corporate efficiency • Sustainability and acute sector challenges– small rurals • Workforce – Medical and Nursing • Telehealth\technology support

12. What are some of the things we need to do? • Improve service coordination and corporate cooperation – partnering across all sector – catchment or sub-regional planning • Develop health promotion/early intervention focus • Better manage chronic disease and aged care • Develop closer ties with GPs\Medicare Locals • Support best practice –viability, efficiency, sustainable • Use of technology to overcome issues with geography, access or workforce constraints

13. Experience with Boards • Generally Board governance works well • Only issue is tends to promote introspective view – i.e. look after health service interests • More and more we need to think in catchments or sub regional for service and sustainability especially small rurals • Importance or ongoing training and proper orientation and briefing of new and existing board members • Department – we get involved where Boards operation issues occur, CEO/Board issues occur or Health Service governance fails