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Annexure N

YELP Achieves All The Taskforce's "Terms of Reference"

The Preventive Health Taskforce's   Terms of Reference were to provide evidence-based advice to government and health providers – both public and private – on Preventive Health programs and strategies, and support the development of a National Preventive Health Strategy was to provide a blueprint for tackling the burden of Lifestyle Related Chronic Disease. 

The blueprint was to be directed at Primary Prevention and address all relevant arms of policy and all available points of leverage, in both the health and non-health sectors, in formulating its recommendations.

The taskforce was also required to:

1.          support the further development of the evidence base on Preventive health, to inform what works and what doesn’t;

2.          provide advice for policy makers on what strategies work best at a population level, and on the best buys for government investment in Primary Prevention;

3.          provide advice on the most effective strategies for targeting prevention in high risk sub-population including Aboriginal and Torres Strait Islander peoples and people living in rural and remote locations;

4.          provide guidance and support for clinicians, particularly in Primary Care settings to play a more effective role in Preventive Health care;

5.          provide advice to Government on options for better integration of Preventive health practice into the Medicare Schedule and other existing government programs; and

6.          support the development of inter governmental and Public-Private Partnerships on Preventive Health.

The Business Plan Developer's  Four  Interdependent  Preventive Health Business Plans  -

(I.)         use Adverse Effect And Cause Logic to treat some of the Causes of the Fifteen Problems (include Taskforce's Three Public Health Risks) with the Negligent Lifestyle Annual Costs exceeding $155b; and

(II.)        provide evidence-based advice on Preventive Health programs/strategies which to 'inter alia' reduce Lifestyle Related Chronic Disease in the main caused by not maintaining a Healthy Diet, Sedentary Lifestyle and Craving Harmful Habitual Stress Releases. 

The Five Business Plans are directed at Primary Prevention and address relevant arms of policy and available points of leverage, in both the health and non-health sectors by Capturing The Synergies and Harnessing Private Sector Infrastructure & PPP Skills under Joint Venture  PPPs which provide a robust platform for Philanthropy.  The non-health sectors are Environment, Heritage and the Arts or Dept of Climate Change, DIISR and RET which enjoy some overlap and collectively with Health & Ageing 'inter alia' facilitate Interested Adults  Improving Personal Health & Fitness living a Local Community Healthy Lifestyle by Interested Adults -

*           replacing Craving Harmful Habitual Stress Releases, not maintaining a Healthy Diet and a Sedentary Lifestyle (generally characterised by Obesity);

*           with Hankering For A Beneficial Stress Release which is Fun And Addictive.

 

The Five Business Plans, in particular the YELP Holistic First Business Plan, -

1.          has reviewed >70 Reference Documents, Health Agencies, Health Programmes and Websites, including previous Dept of H&A's Preventive Health programmes such as Focus on Prevention and Be Active Australia, to determine what works and what doesn’t as Obesity and alcohol related problems continue to increase.  The Business Plan Developer has often opined in his reviews why the vast majority have not been cost-effective - in the main because humans generally only change their Lifestyle Behaviour when they are -

             (a)        attracted to an alternative lifestyle because it appears to be Fun & Addictive (ie. rewards by dangling a carrot); or

             (b)        fearful of the consequences (ie. breathalysers reduce drink driving, radar speed devices reduce road fatalities, "Smoking Kills" warnings have reduced cigarette smoking) (ie. punishes by threatening a stick). 

             The YELP  SPV would package LDREGs under the Optimum, Uniform Delivery Model which foster a Sense Of Community -

             i)         on the YELP Website;

             ii)        through RECs encouraging/supporting LCCBSGs; and

             iii)       an Annual YELP Presentation Awards Dinner to render more fashionable Exceptional Community Contributions;

2.          provide advice for policy makers on what strategies work best at a population level by utilising the enormous power of the internet through the YELP Website, and on the best buys for government investment in Primary Prevention by employing lower cost RECs who possess Eleven Sports Administration Attributes and utilising Twelve Low Cost Propagation Initiatives, where the YELP Budget is split 50/50 under the 50/50 Funding Model administered by the YELP  SPV between Two Major & Two Minor Public Sector Equity Holders enjoying the PPP expertise of 12 Private Sector Equity Holders for the Purpose Of The YELP  SPV to cost-effectively reduce the >$155b Negligent Lifestyle Annual Costs of Fifteen Problems, largely caused by the Taskforce's Three Public Health Risks with cost savings quantified by Return On YELP Capex Software.

3.          provide advice on the most effective strategies for targeting prevention in high risk sub-population including Aboriginal and Torres Strait Islander peoples and people living in rural and remote locations by including 12 Indigenous Australians (10 aboriginals who live on a remote settlement in western NSW or western Vic and 2 Torres Strait Islanders  who live in a city) amongst the 25 Disadvantaged  Volunteers over the 10 Months Tenure Of Primary Research Programme in order to quantify the Hypothesis' scope to reduce the $155b annual burden from the Fifteen Problems largely caused by the Taskforce's Three Public Health Risks;

4.          provide guidance and support for clinicians, particularly in Primary Care settings to play a more effective role in Preventive Health by Reducing Supplementary Patient Guidance Role of GPs due to RECs performing the Final Three Stages as explained in the Business Plan Developer's Letter to Jennifer Doggett dated 23 June 2008 informing that YELP is in accord with Primary Care at GP Super Clinics -  post 2014 voluntary Accredited Participants would replace RECs  Supervising  Abled  Interested Adults thereby enabling RECs to limit their duties to -


*           Supervising  Disabled and Disadvantaged  Interested Adults; and

             *           supporting the vital role of Community Support Providers who are the backbone of LCCBSGs which foster a Sense Of Community; and

5.          provide advice to Government on options for better integration of Preventive Health practice and other existing government programs as listed in Array Of Reports For The YELP Pilot & Primary Research Programme, and including 5 attendees of The Salvation Army "Bridge Program" on an eight to 10 month drub rehab programme amongst the 50 Volunteers; and

6.          support the development of inter governmental (Four Public Sector Equity Holders) and public-private partnerships on Preventive Health through the YELP  SPV, under a PPP, Capturing The Synergies by implementing the Two Purposes Of YELP  SPV, and also in all Five SPVs under the Two National Preventive Health Research Programmes.

YELP may initially be thought as primarily useful for reducing Obesity and correlated Type 2 Diabetes.  However, its greatest $ cost savings would be for Recreational Drug Abuse, Depression and Climate Change because these problems account for a greater relative share of the >$155b Negligent Lifestyle Annual Costs of Fifteen Problems. 

Resolute Diehards whom the Business Plan Developer has cycled with, details 20 Hard Heads, many of whom previously Abused (Traditional) Recreational Drugs of alcohol and cigarettes, but these days they Hanker For A Beneficial Stress Release - striving to maintain a Healthy Diet to remain competitive with their local cycling buddies in a Rigorous Recreational Exercise Activity and living a Local Community Healthy Lifestyle.  Ego is a powerful motivator to improve diet and remain fit.

The YELP  SPV would marshal RECs who possess the below 2nd and 11th of the Eleven Sports Administration Attributes to create and foster a Sense Of Community through LCCBSG which is paramount to reducing Depression and improving the QOL, particularly targeting up to 15% of the one in five Australians who are classified as Disabled:

 (ii)        "is a Community Support Provider through displaying a manifest Sense Of Community by having expended at least 10 years of giving to the local community in an unpaid capacity by selflessly and successfully motivating >100 adults to the joys of a regular, rigorous sport within a LCCBSG, incl monitoring their aerobic progression;"

 (xi)       "is approaching retirement age or recently retired and may welcome a career change (capped at 4 years) and accept a salary cut due to the Philanthropy opportunities to materially enhance a Sense Of Community by focusing on their true passion of encouraging other Interested Adults into a particular REA because of the patent benefits."

By possessing the 4th attribute of Talk The Walk Motivational Skills, RECs will also reduce Depression by assisting Interested Adults to Commit To And Complete Annual Endurance Sporting Event(s) that such Interested Adults previously thought well beyond them, which enhances Self-esteem to better handle the ‘hot kitchens of life’ (stressful situations in family and work life).  Being able to leave all the stresses behind and cycle, bushwalk, swim, kayak etc with your local mates in the great outdoors on the weekend, is a valuable “fall-back” to "keeping it all together" in today’s hectic lifestyle.

 

See Annexure P - draft article Having 'confidence in the structure'  not about  'spending squillions'