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 YELP Accords With Taskforce's Discussion Paper, in particular YELP involves -

"•    Engage key leaders and build new partnerships across federal, state and territory governments, national agencies, professional associations, local government, peak community groups, non government organisations, the private sector, the philanthropic sector and academia.

  •    Commission and promote the uptake of new monitoring, evaluation and surveillance models for illness prevention.

  •    Serve as an authoritative source of information on evidence, policy and practice.

  •    Develop the evidence base on prevention through the design, implementation and evaluation of large-scale programs to improve the health and Wellbeing of the population, or population sub-groups, by testing innovative strategies, programs and policies for illness prevention/health promotion.

  •    surveillance, prevention research, evaluation, economic impact research and modelling

  •    leadership and management.

For newly emerging areas of health risk – such as obesity – there are benefits from adopting a ‘learning by doing’ approach.

There is also much evidence about the effectiveness of interventions that is yet to be captured. These factors speak to a ‘learning by doing’ approach – that is, the staged trialling of a package of interventions accompanied by an appropriate allocation of resources as well as comprehensive monitoring and evaluation."

Australia: the healthiest country by 2020 - A discussion paper prepared by the National Preventive Health Taskforce

Executive summary

The purpose of the paper:

The discussion paper outlines the case for reform in our approach to the prevention of illness and the promotion of health. Major changes in the way we behave as individuals, as families, as communities, as industries, as states and as a nation will be required.

YELP provides a 'major change in the way we behave as individuals, as communities and as a nation by providing the Implementation Strategy to tangibly assist Interested Adults 'inter alia' desist any/all of the Taskforce's Three Public Health Risks and foster a Sense of Community.

Whose responsibility is Preventive health?

Australia cannot become the world’s healthiest nation unless health becomes everyone’s business. Industry as supplier, marketer and employer; unions; the media as promoter; community and non-government organisations; philanthropists; academe – they all have influential roles to play. Similarly, all governments – local, state and federal across many sectors, led by the health sector – have distinct roles.

Prevention must become the business of state and federal Treasuries, and of leaders in the private sector.

The RTV Promotion of Hilly Rides Challenge,will profile approx half of the 50 Volunteers who have Improved Personal Health & Fitness, and accept that they have to take much greater responsibility for their own health because the fiscal purse is shrinking due to Baby Boomers living a lot longer whilst the taxpayer pool is shrinking.

The choices we have to make

We need urgent and sustained action.

The certainty of what needs to be done varies between the three immediate priorities: tobacco, alcohol and obesity.  We know what we need to do to get our smoking rates down.  Much is known about measures to reduce the harm caused by alcohol and overweight and obesity, but there is more to be learned.  However, our need for knowledge should not stop action – we must act now on the basis of what we know, following the best practice and advice available, and learning by doing.

Lessons from tobacco control are instructive, but approaches to obesity and alcohol will differ as governments, industry and communities work together to reshape consumer demand and support individuals in exercising healthy choices. The emphasis will be on reshaping attitudes and behaviours, rather than prohibiting them.

Hilly Rides Challenge, which re-ignites Youthful Exuberance, will 'reshape attitudes and behaviours'

What do we need to do?

Obesity

The Taskforce believes that in order to halt and reverse the rise in overweight and obesity the major actions are:

  • Close the gap for disadvantaged communities through the development of targeted approaches to overweight and obesity for disadvantaged groups, particularly Indigenous and low-income Australians, pregnant women and young children.

  • Build the evidence base, monitor and evaluate the effectiveness of actions.

At least 12 Indigenous Australians (10 from remote areas) would be included in the 10 months Primary Research Programme for the Two "Deal Breaker" Purposes Of The Primary Research Programme, namely to -

A.         monitor 50 Volunteers which explicitly targets the Disadvantaged and Disabled in lower socio-economic regions who are all leading a Sedentary Lifestyle and afflicted by at least one of the Taskforce's Three Public Health Risks,complete Two Legendary Endurance Cycling Challenges and quantify the Hypothesis' ability to reduce each of the Fifteen Problems, which include the Taskforce's Three Public Health Risks; and

B.         create a highly impressive RTV Promotion titled "Hilly Rides Challenge" by filming selective Volunteers during the Primary Research Programme (and other Participants from amongst the 5,000 new Participants in the Pilot) which highlights -

*           how personally satisfying and enjoyable it is to complete Two Legendary Endurance Cycling Challenges amidst a LCCBSG, assisted by a REC and relying on e-Learning and Training Techniques on YELP Website, thereby commencing a Local Community Healthy Lifestyle; and

*           the Economic Return On YELP Capex of YELP to mitigate the Fifteen Problems, which include the Taskforce's Three Public Health Risks.  AND

Tobacco

Strengthen, skill and support primary health care to help people make healthy choices:

Support brief interventions as part of routine practice by health professionals and other health workers in primary health care settings to assist changes in drinking behaviour and attitudes to alcohol consumption.

Close the gap for disadvantaged communities:

  • There is a need for tailored approaches and services to reach Indigenous and other disadvantaged groups.

As explained in definition of Primary Research Programme and Section 16(c) selecting 10 aboriginals from a remote settlement represents a 'brief intervention' and a 'tailored' approach to reach Indigenous Australians'.

 

What action do we need for effective national prevention?

 

Among its tasks, a national agency would:

  • Ensure the delivery of a minimum set of evidence-based, illness prevention/health promotion programs that are accessible to all Australians.

  • Engage key leaders and build new partnerships across federal, state and territory governments, national agencies, professional associations, local government, peak community groups, non government organisations, the private sector, the philanthropic sector and academia.

  • Commission and promote the uptake of new monitoring, evaluation and surveillance models for illness prevention.

  • Serve as an authoritative source of information on evidence, policy and practice.

  • Develop the evidence base on prevention through the design, implementation and evaluation of large-scale programs to improve the health and wellbeing of the population, or population sub-groups, by testing innovative strategies, programs and policies for illness prevention/health promotion.

  • Ensure the development of the necessary national workforce for illness prevention/health promotion, working with and through relevant national, state and local agencies to build capability in:

    • surveillance, prevention research, evaluation, economic impact research and modelling

    • leadership and management.

The YELP Holistic First Business Plan meets all of the above 'tasks'.

1.3 Understanding the challenges

  • Climate change and sustainability represent both a challenge and an opportunity. There are many issues where improving health is entirely compatible with increasing sustainability, such as promoting walking and cycling as a means of transport.

Climate Change is one of the Fifteen Problems that YELP would treat

1.5 A framework for prevention

A strong Preventive health strategy needs a framework that takes into account the key issues affecting Australians today, such as equity, health and the environment.

The environment is one of the Fifteen Problems that YELP would treat

1.6 Principles for Preventive health

Equity

Prevention activities should be accessible to all, based on health needs, not on an ability to pay.

YELP would be accessible to all Interested Adults

Inequality arising from geographic location, socio-economic status, language, culture, Indigenous or ethnic status must be identified and addressed.

Governance principles

Common frameworks

An international review of chronic disease prevention programs prepared for the Taskforce indicates that the use of a comprehensive framework is a common feature of prevention strategies. Important components of such a framework include:

  • a commitment to improving the links between research, policy and practice

YELP provides an Implementation Strategy to put 'research' and 'policy' into 'practice'

A strong support system

Prevention policies and programs require strong support systems and structures. These include linked components such as:

  • adequately funded and relevant research

  • comprehensive and relevant data collection systems

  • shared information across governments and other sectors

  • a strong surveillance system

  • a skilled and motivated workforce

  • effective national public education

  • locally identified mechanisms to establish and maintain partnerships and collaborations

YELP achieves all 7 above bullet points.  4½ year Budget Costs are only $20m which reduces after 2012, Base Case Financial Model and Return On YELP Capex Software quantify savings.  It is a JV between 'Public Sector' and 'Private Sector' with input from Pioneer Fit Old Farts, to provide a platform for Philanthropy.   3 episodes from March 2013 of Hilly Rides Challenge will achieve costless national public education.

2.1 The scale of the epidemic

One of the greatest public health challenges confronting Australia and many other industrialised countries is the obesity epidemic.

Australia is one of the most overweight developed nations, with overweight and obesity now affecting over 60% of Australian adults[21] and one in four children. The situation is worse for Aboriginal and Torres Strait Islander people, with nearly one in three Indigenous Australian adults obese.

Of the 50 Volunteers in the Primary Research Programme, at least 12 would be Aboriginal and Torres Strait Islander people.

2.6 Halting the epidemic

For newly emerging areas of health risk – such as obesity – there are benefits from adopting a ‘learning by doing’ approach.

There is also much evidence about the effectiveness of interventions that is yet to be captured. These factors speak to a learning by doing’ approach – that is, the staged trialling of a package of interventions accompanied by an appropriate allocation of resources as well as comprehensive monitoring and evaluation.

Primary Research Programme is ‘learning by doing’

2.7 Priorities for action

Major imperatives are to :

  • Close the gap for disadvantaged communities through the development of targeted approaches to overweight and obesity for disadvantaged groups, particularly Indigenous and low-income Australians, pregnant women and young children

  • Build the evidence base, monitor and evaluate the effectiveness of actions taken

 Base Case Financial Model and Return On YELP Capex Software in 9 mths Primary Research Programme'build the evidence base, monitor and evaluate the effectiveness of actions taken'.

4.7 Priorities for action

Internationally, experts agree that an effective strategy consists of a comprehensive approach including:

  • improving health outcomes for Indigenous people

Reshape consumer demand  towards safer drinking through:

  • Addressing the cultural place of alcohol.

Social marketing and public education are required, and will be more effective if the marketing of alcoholic beverages is restricted, including curbing advertising and sponsorship of cultural and sporting events.

Strengthen, skill and support primary health care to help people in making healthy choices:

  • Supporting brief interventions as part of routine practice by trusted health professionals and other health workers in primary healthcare settings can assist changes in drinking behaviour and attitudes to alcohol consumption.

Close the gap for disadvantaged communities

  • There is a need for tailored approaches and services to reach Indigenous and other disadvantaged groups.

As explained in definition of Primary Research Programme and Section 16(c) selecting 10 aboriginals from a remote settlement represents a 'brief intervention' and a 'tailored' approach to reach Indigenous Australians and other disadvantaged groups.

 

5.3 Major imperatives to strengthen support systems

LEADERSHIP AND COORDINATION

The NPA would consist of a relatively small group of credible leaders in prevention, with a track record and capacity to ‘make things happen’ for Preventive health reform.

A JV between 'Public Sector' and 'Private Sector' with input from Pioneer Fit Old Farts, which provide a platform for Philanthropy , in particular Corporate Philanthropy will make things happen.

By bringing together expertise across relevant areas, a national agency would provide leadership for the implementation of the National Preventive Health Strategy and build prevention systems with strong capabilities in the following areas:

  • Ensure the delivery of a minimum set of evidence-based, prevention programs that are accessible to all Australians.

  • Contribute to closing the gaps between Indigenous Australians and the rest of the population in association with other relevant organisations such as the National Indigenous Health Equity Council.

  • Engage key leaders and build new partnerships across federal, state and territory governments, national agencies, professional associations, local government, peak community groups, NGOs, the private sector, the philanthropic sector and academe.

  • Support the integration of research, policies and strategies for illness prevention/health promotion across sectors and settings within and beyond health care.

  • Commission and promote the uptake of new monitoring, evaluation and surveillance models for illness prevention.

  • Promote the benefits of illness prevention/ health promotion as measured by these new evaluation models.

  • Develop the evidence base on prevention through the design, implementation and evaluation of large-scale programs to improve the health and wellbeing of the population, or population sub-groups, by testing innovative strategies, programs and policies for illness prevention/health promotion.

  • Ensure the development of the necessary national workforce for illness prevention/health promotion, working with and through relevant national, state and local agencies to build capability in:

    • surveillance, prevention research, evaluation, economic impact research and modelling

    • social marketing and public education

    • community development

    • leadership and management.

The YELP Holistic First Business Plan provides capabilities in all of the above 'areas'.