AFAO National Symposium on PreventionAFAO National Symposium on Prevention

Rob MoodieRob Moodie

Chair, National Preventative Health Chair, National Preventative Health TaskforceTaskforceMay 27 1010May 27 1010

The National Preventative Health The National Preventative Health

StrategyStrategy

The Strategy sets out a ‘roadmap for action’ in three phases that is

Progressive

Determined

Comprehensive

Sustained

…..over the next ten years and beyond

Each arrow represents an enormous amount of work

Research, gathering evidence, building the case

Understanding community opinion

Communicating – changing public opinion

Understanding political and major stakeholder opinion

Building alliances

Using international experience

Getting the numbers

Turning the rhetoric of prevention into reality Turning the rhetoric of prevention into reality – the hard slog– the hard slog

1 million fewer Australians will smoke 330,000 fewer alcohol related hospitalisations

- cost saving of nearly $2 billion by 2020 -

Just stabilising obesity at current levels can

reduce an estimated 1.25 million deaths and save half a million lives between now

and 2050

Contribute to closing the Gap

What difference will the Strategy What difference will the Strategy make?make?

The Taskforce put forward 35 key action areas and 136 sub-recommendations.

Most are staged, and have been put forward for implementation over the coming decade.

Taking Preventative ActionTaking Preventative ActionThe Government’s Response The Government’s Response

The Commonwealth Government supports or has taken action in 28 key action areas, with 63 sub-recommendations addressed.

An additional five sub-recommendations are also being addressed, using approaches that are slightly different from the Taskforce’s proposals.

A further 49 are under consideration by the Commonwealth Government.

Taking Preventative ActionTaking Preventative ActionThe Government’s Response The Government’s Response

This is the first step in responding to the Taskforce’s final report, and further action will be taken in coming years.

15 of the sub-recommendations are the responsibility of state and territory governments, and will be referred to them for action.

Four others are not consistent with Government policy

Australian National Preventive Health Australian National Preventive Health Agency (ANPHA)Agency (ANPHA)

The first national agency dedicated to preventative health.

Consistent with the intent of the Taskforce, the Agency will be supported by an independent and expert cross -sectoral advisory council

Coordination of national efforts on the lifestyle risks of chronic disease

The Agency will work across jurisdictions and portfolios

Australian National Preventive Health Australian National Preventive Health Agency (ANPHA)Agency (ANPHA)

The Agency will bring together the best expertise in the country

It will play a role in gathering, analysing and disseminating the available evidence and evidence-based programs.

Pending successful passage of the legislation through Parliament in the Winter 2010 sittings, the Agency will be operational in mid to late 2010.

Australian Health Survey ($54 million) will provide key information on the prevalence of chronic diseases and their lifestyle related risk factors

Capturing around 50,000 Australians aged two years and over with results available in late 2012

Repeated every 5-6 years

a new National Longitudinal Study on Male Health, for which $6.9 million over four years:

SurveillanceSurveillance

Monitoring ProgressMonitoring Progress The Commonwealth, states and territories, will report annually on the prevalence of

key chronic conditions their lifestyle risk factors their effective treatment

They have agreed to report on progress in reducing the prevalence of unhealthy weight, smoking, physical inactivity and poor nutrition

Gives the Commonwealth (and the States!) an ability to continue to monitor progress and assess performance

ObesityObesity

Schools $325.5 million available to states and territories through the Healthy Children Initiativedevelopment of Health and Physical Education (HPE) in phase 3 of the national curriculum development

CommunitiesCOAG Healthy Communities Initiative12 pilot communities – in low SES communities

WorkplacesHealthy Workers Initiative of the National Partnership to implement healthy lifestyle programs in workplaces - $289.4 million

ObesityObesity

Social Marketing

extend the reach of the Measure Up campaign, with $41 million allocated to national level activities andadditional $18 million provided to the states and territories for local level complementary activities.

ObesityObesity

Phase out the marketing of EDNP food and beverage products on free-to air and Pay TV before 9pm within four years.

The Government notes this recommendation. Change is currently being achieved through a combination of Government regulation, industry self regulation and new television initiatives

Government will monitor their impact to ensure effectiveness in reducing children’s exposure to advertising

ObesityObesity

Develop methods for using taxation, grants, pricing incentives and/or subsidies to

promote active livingproduce healthier food and beverage products,consume healthier food and beverage products;decrease the production, promotion and consumption of unhealthy food and beverage products

Increased tobacco excise by 25% = pack of 30 cigarettes increases by $2.16 = the total price of an average pack of 30 cigarettes above $15.

Social marketing campaigns General population Also targeting higher risk – pregnant women,

prisoners, mental illness

TOBACCOTOBACCO

Plain Packaging – world first Update graphic warnings

Indigenous Tobacco control The Government is conscious of the need to

combat illicit trade in tobacco products.

TOBACCOTOBACCO

Australia, a world leader in the battle against smoking,stays in pole position with the government thereannouncing plans, from July, 2012, to force cigarettemanufacturers to remove all branding colours andlogos from cigarette packs……….

……..Australia’s new anti-tobacco initiative is an historic event, and other countries now need to follow suit.

The Lancet May 8, 2010

Alcohol

Alcopops - since the closure of the tax loophole, in a typical week Australians are consuming approximately 3.45 million less standard drinks of all spirit-based products compared to before the tax increase.

States and territories to harmonise liquor control regulations

The Commonwealth Government will pursue these recommendations through COAG and Ministerial Council on Drug Strategy (MCDS).

Establish the public interest case to exempt liquor control legislation from the requirements of National Competition Policy

The Ministerial Council on Drug Strategy concluded that National Competition Policy should not constrain licensing policy.

Regulate Alcohol Promotion

The Government notes the recommendation. The Government’s approach is to pursue voluntary and collaborative approaches with the alcohol industry before considering more mandatory regulation.

Regulate Alcohol Promotion

Phase out alcohol promotions to young people aged up to 25 years, including sponsorship of sport and cultural events

The Government notes this recommendation, but.. will not consider regulatory action at this time.

Establishment of a $25 million sponsorship fund as an alternative to alcohol sponsorship for community sporting and cultural organisations.

Commission modeling for a rationalised tax and excise regime for alcohol.

The Government will not amend alcohol taxation further while Australia is in the middle of a wine glut

Implement a minimum (floor) price of alcohol

The Preventive Health Agency will develop this concept for further consideration by Government.

Primary Care The Government will establish a network of new Medicare Locals across Australia.

One of the functions of Medicare Locals will be to deliver health promotion and preventative health programs targeted to risk factors in their local communities.

Supported in this role by the Australian National Preventive Health Agency, which will provide national standards and guidelines to support the roll-out of effective and appropriate programs.

Primary Care $449.2 million for coordinated care for individuals with diabetes, improve management and make sure they stay healthy and out of hospital

$632 million in the health workforce – 1,375 more GPs or GPs in training by 2013, and 680 more specialist doctors within a decade

$390.3 million over four years to boost support for nurse positions in general practice – to undertake a broad range of prevention activities, such as health assessments, health promotion and advice, etc

The Government’s Response

http://www.yourhealth.gov.au/internet/yourhealth/publishing.nsf/Content/report-preventativehealthcare