Frankston Mornington Peninsula Primary Care Partnership

Transcription

1 Frankston Mornington Peninsula Primary Care Partnership Strategic Plan

2 Frankston Mornington Peninsula Primary Care Partnership Strategic Plan Preamble In 2013, the Frankston Mornington Peninsula Primary Care Partnership (FMPPCP) made the strategic decision to integrate its planning processes with those of its collaborators to develop a single primary health care planning framework for the Frankston Mornington Peninsula catchment. In partnership with local government, Peninsula Health, the Frankston Mornington Peninsula Medicare local (FMPML), the FMP PCP developed the Peninsula Model of Primary Health Planning ( the Peninsula Model see Appendix 1). The Peninsula Model provides not just a shared framework for collaborative planning and service development, but a platform for enhanced service delivery with a focus on shared priorities identified through a rigorous population health planning process. The FMPPCP is uniquely placed to share the leadership and focus its resources on auctioning the Peninsula Model priorities, which have been developed in alignment with PCP guiding principles of: Tackling health inequalities Person and family centred Evidence based and informed Cross-sector partnership Accountable governance Wellness focus Sustainability. The development of the Peninsula Model and its priorities was informed by inter-sectoral and community consultation, and its implementation is guided by Alliances with ongoing consumer representation and engagement. The Peninsula Model strategic management is governed by the Peninsula Model Executive Group (PMEG) comprising the membership of the previous FMPPCP Strategic Directions Committee and the Executive group of the FMPML. PMEG is chaired by the Chair of the PCP. Separate governance arrangements remain in place for each organisation, including a PCP Sub-Committee to oversight PCP-specific business and strategy. The PCP remains auspiced by Peninsula Health. FMPPCP Strategic Plan

3 The Strategic Plan Goals: are maximise health and wellbeing outcomes promote health equity avoid unnecessary hospital presentations and admissions. In summary, the FMPPCP through the Peninsula Model aims to improve client and patient experiences of the health and community care system by facilitating a more integrated joined up system with a focus on better health outcomes, particularly for populations at greatest risk and of greatest need. Priority issues The priority issues of the Peninsula Model are: Ageing Well Child Health Aboriginal Health Mental Health Chronic Disease Prevention and Better Health e-health Work on each priority facilitated and directed by an Alliance of stakeholders and consumers. The FMP PCP provides secretariat and project support to the Alliances and their working groups. Details of each Alliance are available on the Peninsula Model website and in Appendix 2: Summary of Alliance Workplans. FMPPCP Strategic Plan

4 Member Agencies As of January 2014 there were 39 FMP PCP member agencies. These are listed below. 1. Anglicare Victoria 2. Baptcare 3. Brotherhood of St Laurence 4. Commonwealth Carer Respite and Carelink Centre- Southern Region 5. Community Support, Frankston 6. Connecting Skills Australia 7. Extended Families Australia 8. Family Life 9. Focus Individualised Support Services 10. Frankston City Council 11. Frankston Mornington Peninsula Medicare Local 12. Gambler s Help Southern 13. Good Shepherd Youth & Family Services 14. Headspace Frankston 15. IMPACT Support Services 16. Konnections 17. Life Works Relationship Counselling and Education Services 18. Mental Illness Fellowship Victoria 19. Menzies 20. Mind Australia 21. Mornington Peninsula Shire Council 22. New Hope Foundation 23. Oz Child 24. Peninsula Health 25. Peninsula Home Hospice 26. Peninsula Support Services 27. Prestige Inhome Care 28. RecLink 29. Royal District Nursing Service 30. Seniors Community Care 31. Skills Plus 32. South East Centre Against Sexual Assault (SECASA) 33. Southern Cross Care 34. Southern Peninsula Community Care 35. The Village Baxter 36. Villa Maria Southern 37. Vision Australia - Dandenong 38. Wesley Mission Victoria Aged Care and Support Service Southern Region 39. Women s Health in the South East (WHISE) FMPPCP Strategic Plan

5 STRATEGIC INTENT STATEMENTS FRANKSTON MORNINGTON PRIMARY CARE PARTNERSHIP STRATEGIC PLAN (Year 1-2) Strategy Goals: maximise health and wellbeing outcomes promote health equity avoid unnecessary hospital presentations and admissions Target Populations are Aboriginal and Torres Strait Islanders, Vulnerable children and families, Older people, people with complex needs. FMPPCP is also taking a place based approach and targeting the small areas of Frankston North, Hastings and Rosebud West. FMPPCP strategic plan aligns to the PCP program logic guiding principles of tackling health inequities, person and family centred care, evidence based and evidence-informed decision making and action, cross-sector partnerships, accountable governance, wellness focus and sustainability. FMPPCP priority areas CHRONIC DISEASE MANAGEMENT AGEING WELL ABORIGINAL HEALTH CHILD HEALTH MENTAL HEALTH ALCOHOL AND DRUGS FMPPCP Key Priorities Chronic Heart Failure Chronic Pain Diabetes Support SMR Koolin Balit implementation TBC Social connectedness End of life care Dementia PCP DOMAIN 1: EARLY INTERVENTION AND INTEGRATED CARE including service co-ordination priorities Early intervention services Vulnerable children Advocacy. Anxiety and Depression. Chronic schitzophrenia. Homelessness. Youth To develop of a shared e referral system to be trialled in youth, mental health and aged care sectors Chronic Disease Alliance to Implement the FMPPCP Diabetes Model developed in the PCP strategic plan X FMPML, BSL, PH, FCC, MPS, RDNS X X X X FMPML, PSS, Headspace, FCC, PH Each Alliance will identify a priority care pathway project. FMPPCP will resource Chronic Disease, mental health and Child Health X End of life care X X X X PCP DOMAIN 2: CONSUMER AND COMMUNITY EMPOWERMENT FMPPCP STRATEGIES Consumers will be active members of each Alliance FMPPCP HP Co-ordinator will develop an evidence brief and strategy for community development/consumer engagement for primary FMPPCP in partnership with the FMPML will develop a Peninsula Model website for co-ordination of delivery, consumer engagement and empowerment through health literacy X see smoking cessation model in Domain 3 X X X X X X X X X X X X X X X X X PCP DOMAIN 3: PREVENTION AND BETTER HEALTH Every Alliance will incorporate health promotion agenda as one of four areas of intervention Advocacy Advocacy Partnership with RDNS TBC on a Project with rooming house population (many with chronic and complex health issues) to involve the target population in developing a smoking cessation model tailored to their needs. Advocacy TBC Advocacy TBC Advocacy TBC Advocacy TBC Primary Prevention OF Chronic Disease - place-based prevention community project. Communtiy consultation; review of community strengthening programs in 'hot spot' areas; evidence brief to inform interventions. Smoking Prevention and Cessation e Health Evaluation of the FMP SmokeFree charter; Rooming house/vulnerable/complex client - tailored cessation model - in partnership with PH, RDNS, CityLife. Pilot model will be further tailored for other high smoking prevalence populations. Youth prevention program to be developed Development of a shared e-referral platform for the catchment, to be initialled tiralled with the aged care, mental health and youth sectors STRATEGY DETAIL FOR EACH PRIORITY IS AVAILABLE IN PENINSULA MODEL ALLIANCE WORK PLANS INCLUDING EVALUATION PLANS. SOME STILL IN DEVELOPMENT FMPPCP Strategic Plan

6 Appendix 1 Governance Layer Entities in their own right with legislated requirements regarding local area health planning. Peninsula Health Primary Care & Population Health Committee Comprehensive Needs Assessment Strategy Layer Peninsula Health Department of Health Southern Metropolitan Region Frankston City Council Mornington Peninsula Shire Frankston/Mornington Peninsula Primary Care Partnership Frankston-Mornington Peninsula Medicare Local Peninsula GP Network Department of Human Services Southern Region Peninsula Home Hospice Monash University Royal District Nursing Service Peninsula Support Services Health Service Mapping Health Service Utilisation Data Catchment Health Priorities Coordination Layer Enablement Resources Peninsula Model Executive Group (PMEG) Service Development & Codesign Facilitators Standard service redesign and facilitation methodology includes: Project management Stakeholder engagement Consumer engagement Evaluation Program logic Design Principles: Demonstrable, targeted impact Consumer-centred Increasing access and equity Partner co-designed Population health based Evidence informed A focus on the social determinants of health Building on existing work/ organisations Frankston Mornington Peninsula Medicare Local (FMPML) Frankston Mornington Peninsula Primary Care Partnership (FMP PCP) Operating as a virtual team Aboriginal Health Aboriginal Health Alliance Strategic guidance to Alliances Ageing Well Alliance Ageing Well Alcohol and Other Drugs Alliance Chronic Disease The Peninsula Model Alliances Children s Health Alliance Mental Health Chronic Disease Management Alliance e-health Alliance electronic inter-connectivity between providers Peninsula Model Working Groups in support of the Alliances Mental Health Alliance Vulnerable Children & Families Prevention and Better Health Alliance Consumer / Carer / Input Delivery Layer Health, Community and Social Services Local Governments Local Health Network GPs & other Primary Health Care Providers Resource Layer Employees Outlets/Sites Financial Resources Information Systems Policy Models of Care / Practice Evidence-base FMPPCP Strategic Plan

7 Peninsula Model Alliances Summary of Plans February FMPPCP Strategic Plan

8 FMP - Health Priorities and Alliances Priority Health Issue Aboriginal Health Ageing Alliance Aboriginal Health Alliance Ageing Well Alliance Chronic Disease Chronic Disease Management Alliance Mental Health Vulnerable Children and Families Prevention and Better Health Alliance Alcohol and Other Drugs Alliance Mental Health Alliance Children s Health Alliance Ehealth Alliance 2 FMPPCP Strategic Plan

9 Summary of Achievements Appendix 2 7 Alliances meeting regularly with agreed work plans 5 Alliances with established working groups that have agreed or are developing measurable outcomes (2 Alliances currently establishing working groups) An effective executive group (PMEG) that provides strategic leadership in local area planning and provides the authorising environment for the collaborative work of the Peninsula Model A live Peninsula Model website with plans for enhanced functionality being developed Over 20 agencies, 15 private primary care providers, 10 GPs, and 5 consumers represented on Alliances Additional GPs, providers and consumers being engaged through focus groups Agreement on a common service redevelopment methodology and common tools to undertake work 3 FMPPCP Strategic Plan

10 Building Foundations The Peninsula Model provides a strong partnership platform that can deliver: Intersectoral approaches and models of service delivery Improved outcomes for clients Government s policy reform (eg. mental health, drug and alcohol, Close the Gap) Joined up public and private services 4 FMPPCP Strategic Plan

11 Shared Goals The Peninsula Model partners have joint ownership of the Shared Goals of the Peninsula Model Appendix 2 Consumer (C) Service Delivery (SD) Health Promotion (HP) Service System (SS) Shared Goals Address the service gaps for local consumers Provide consumer-centred, coordinated and integrated services Impact the long term health of the local community through targeted and impactful health promotion initiatives Improve capacity to deliver evidence based care Outcomes Accessible, equitable services that meet local consumer health needs Improved consumer health journeys Improved long term health of the community Resources and capabilities better aligned to meet local needs at a consistent high standard 5 FMPPCP Strategic Plan

12 Children s Health Alliance Key Priorities: 1. Streamlined pathways to early intervention services for children with developmental delay 2. Improved access to services and supports for vulnerable families 3. Advocacy that delivers more early intervention services targeted to those most in need 6 FMPPCP Strategic Plan

13 Membership Peninsula Model Alliance: Children s Health Alliance Membership February 2014 Organisation Name Title Chair - Peninsula Health Community Health Karen Anderson Program Manager Child & Family Services Biala (ECIS) Marlene Fox Manager Frankston City Council Mandy Gatliff Family & Youth Manager Mornington Peninsula Shire Council Liz Palk Maternal & Child Health Coordinator Mornington Peninsula Shire Council Karen McFarland Early Years Community Facilitator (Best Start) Sprout Paediatric Therapy Services Monica Leo Director Consumer Representative Lisa Guest Consumer Peninsula Speech Pathology Services, PAHN Megan Ingram Principal Speech Pathologist Frankston-Mornington Peninsula PCP Peninsula Health Kathy McMahon Director of Paediatrics South Coast Medical Centre, Blairgowrie Dr Damian Flanagan GP Ballarto Medical Centre, Carrum Downs Dr Ehab Mostokly GP Department Human Services Judith Luttrell Health & Education Assessment Coordinator Anglicare Steve Watkinson Manager Families Services Department Education and Early Childhood Development Frankston-Mornington Peninsula Medicare Local Dennis Pratt Dr Helen Keleher Allied Health Linda Biddle Mental Health Nurse Senior Regional Advisor Performance & Planning Director Population Health Planning & Stakeholder Relations Frankston-Mornington Peninsula Medicare Local Ruth Azzopardi Director of Service Development Frankston-Mornington Peninsula Medicare Local Suzanne Heppell Project Officer (Alliance Secretariat) FMPPCP Strategic Plan

14 Key Outcomes Short Term (6-12mths) Care pathways development of two aged based care pathways (that includes public & private services) Service navigation resources for providers and consumers distributed to all GPs, & promoted face to face with 20 GP practices Trial of a new collaborative care model in 2 general practices Streamlined approaches to 3½ yr health checks between GP & MCHN A minimum of 15 GPs engaged in universal educational events Medium Term (12mths 2 yrs) Reduced waiting lists for early intervention services Increased participation of children and vulnerable families in primary health services Increased GP referrals to ECIS, PH and private providers (using AH active partners) by 15% Increased number of Expanded Healthy Kids Check by 15% Long Term (2 5yrs ) More services available for children and vulnerable families Increased number of children & vulnerable families accessing services 8 FMPPCP Strategic Plan

15 Chronic Disease Management Alliance Key Priorities: In relation to 1.Chronic Pain 2.Chronic Heart Failure and 3.Diabetes (Type 2) develop a catchment approach to: Reducing the risk Diagnosing early Providing best care and support in the early stages Providing best long term care and support Providing best care and support during acute episodes 9 FMPPCP Strategic Plan

16 Membership Peninsula Model Alliance: CDM Alliance Membership February 2014 Organisation Name Title Chair - Peninsula Health Iain Edwards Director Chronic Disease & Aged Services Cranbourne Rd Medical Centre Susan Boucher General Practitioner The Sports Injury Clinic Michelle Blake Physiotherapist Terry White Pharmacy - Rosebud Gary Smethurst Pharmacist Health Information Consultancy Christine Avery Diabetes Nurse Educator PACE Health Management Ryan Poole Exercise Physiologist Peninsula Health Vicki Davies Manager, Sub-acute Ambulatory Care Services TBC Psychologist Peninsula Health Linda Rabbidge Program Manager, Early Intervention In Chronic Disease Mornington Peninsula Shire Council Peter Cracknell Coordinator, Intake & Assessment for Aged & Disability Services Frankston City Council Gretchen Strauss Coordinator, Community Care Royal District Nursing Service St John of God Frankston Rehabilitation Hospital Sally Faulkner Director of Nursing TBC Frankston- Mornington Peninsula Medicare Local Ruth Azzopardi Director of Service Development Frankston-Mornington Peninsula Primary Care Partnership Christine Burrows Executive Officer Frankston- Mornington Peninsula Medicare Local TBC Manager, Service Integration 10 FMPPCP Strategic Plan

17 Key Outcomes Short Term (6-12 mths) Care pathways for Type 2 diabetes, chronic pain and chronic heart failure Consistent dissemination of high quality consumer resources for Type 2 diabetes, chronic pain and chronic heart failure New models and approaches to pain management and diabetes implemented Improved consumer and service provider navigation of services Improved coordination of care for people with chronic disease across the care continuum. Medium Term (12mths 2 yrs) Improved HBa1C management across the catchment (60% of diabetic patients with Hba1C levels managed at 7) Effective use of a telehealth solution by patients with chronic heart failure, that improves the management of symptoms, coordinates care and avoids unnecessary hospitalisations Long Term (2 5yrs ) Reduced hospitalisations for people with pain, diabetes complications and 11 chronic heart failure by 10%. Appendix 2 FMPPCP Strategic Plan

18 ehealth Alliance Key Priorities: 1. Facilitate the implementation of a Peninsula-wide ereferral capability 2. Improve the adoption of PCEHR across the FMP catchment 12 FMPPCP Strategic Plan

19 Membership Appendix 2 Peninsula Model Alliance: ehealth Alliance Membership February 2014 Organisation Name Title Chair - Peninsula Health Mark Gravell Head of IT Systems Family Doctor, Frankston Joe Radcliffe General Practitioner Mirella Timi and Associates Mirella Timi Psychologist Baxter Pharmacy Bruce Hamilton Pharmacist Peninsula Health Kim Wong Specialist Peninsula Health Lyn Jamieson Clinical Systems Director Peninsula Health Kim Dobson Manager, Mount Eliza Aged Care Assessment Service Frankston City Council Leonie Reints Manager, Active Ageing and Disability Services Mornington Peninsula Shire Council Jenny Van Riel Manager, Aged and Disability Services MIND Australia Denis Hovic Area Manager, Outer South Peninsula Support Services Terry Palioportas Chief Executive Officer Headspace Frankston Rose-Mary Dowling Manager Royal District Nursing Service Joy Jarratt Client Services Manager Royal District Nursing Service Honni O Day Development Co-ordinator Solution Services Brotherhood of St Laurence Lisa Rollinson Senior Manager, Community Aged Care Frankston-Mornington Peninsula Medicare Local Ruth Azzopardi Director of Service Development Frankston-Mornington Peninsula Primary Care Partnership Christine Burrows Executive Officer Frankston- Mornington Peninsula Medicare Local David Hutcheson ehealth Project Co-ordinator (Alliance Secretariat) FMPPCP Strategic Plan

20 Key Outcomes Short Term (6-12 mths) Procurement of an ereferral capability for use across the catchment Effective implementation and use of the ereferral system by a defined group of early adopters 25% of GPs and pharmacists using PCEHR Medium Term (12mths 2 yrs) FMP ereferral capability used across all core health service sectors 25% of allied health, RACFs and public services using PCEHR 50% of GPs and pharmacists using PCEHR Long Term (2 5yrs ) Electronic interoperability between all provider groups Secure transfer of health information Improved patient journey through FMP health services 14 FMPPCP Strategic Plan

21 Prevention and Better Health Alliance Key Priorities: 1. Smoking prevention and cessation 2. Prevention of family violence, particularly violence against women and children, and improved access to services 3. Primary prevention of chronic disease through a place based approach 15 FMPPCP Strategic Plan

22 Membership Appendix 2 Peninsula Model Alliance: Prevention and Better Health Alliance Membership February 2014 Organisation Name Title Chair - Frankston Mornington Peninsula Medicare Local Frankston Mornington Peninsula Primary Care Partnership Helen Keleher Vacant Director, Population Health Planning and Stakeholder Relations Integrated Health Promotion Coordinator Peninsula Health Community Health Jon Adams Health Promotion Team Leader Peninsula Health Community Health Christine Burrows Director, Child and Family Services Frankston City Council Vacant Department of Health, Southern Metro Region Monica Bensberg Senior Public Health Officer Family Life Joe Cauchi Director of Partnerships and Special Projects Women s Health in the South East Sue Glasgow CEO Frankston Mornington Peninsula Medicare Local Monash University Emma Dunstan Vacant Prevention and Better Health Coordinator (Alliance Secretariat) Mornington Peninsula Shire Lisa Gray Team Leader, Health & Wellbeing Peninsula Health Community Health Marg Martin General Manager, PH Community Health 16 FMPPCP Strategic Plan

23 Outcomes Short term (6mths-12mths): Coordinated catchment plans for primary prevention that focus on disadvantaged groups for smoking cessation, family violence and chronic disease in working age adults. Medium term (12-24mths): Organisations working in partnerships across sectors, implementing evidence informed approaches to their primary prevention Long term (2-5yrs): New learnings and promising practices documented Resources and activities integrated across organisations, sectors and settings Reduced social and health inequalities Improved quality of life for priority groups 17 FMPPCP Strategic Plan

24 Aboriginal Health Alliance Key Priorities: 1. Establish a Koolin Balit Aboriginal Health Council to address health-related issues for Aboriginal people in FMP 2. Continue to strengthen Aboriginal culture 3. Deliver an Aboriginal community responsive prevention package locally in the catchment 4. Develop a coordinated Aboriginal Health service system 5. Empower sustainable Aboriginal community health. 18 FMPPCP Strategic Plan

25 Membership Peninsula Model Alliance: Aboriginal Health Alliance Membership February 2014 Organisation Name Title Appendix 2 Chair - Peninsula Health Shane Wright Cultural Ambassador Department of Health, SMR Peter Sproules Area Manager, FMP Manager, Aboriginal Health Peninsula Health Bel Berry Director, Complex Services Mornington Peninsula Shire Jenny Macaffer Social Planning and Community Development Willum Warrain Gathering Place Glenys Watts Secretary Frankston Gathering Place Dianne Aiello Chair Hastings Central Medical Muhammad Khalid Practice Manager Mornington Peninsula Shire Beryl Wilson Community Development Officer Headspace Rosemary Dowling Manager DDAC- Bunurong Health Service Frankston LIN (Local Indigenous Network) Bunurong Elder TBC Barry Firebrace Aunty Caroline Briggs Cranbourne Medical Centre Bradley Gray GP Frankston Mornington Peninsula Medicare Local Frankston Mornington Peninsula Medicare Local Department of Justice Department Education and Early Childhood Development Brotherhood St Laurence Ruth Azzopardi Irene Fisher Tim Kanoa Eric Clarke Grant Lee Elder Director, Service Development Aboriginal Health Manager Koorie Education Coordinator FMPPCP Strategic Plan

26 Ageing Well Alliance Key Priorities: 1. Improve coordination and access to services for people living with dementia and their carers 2. Increase the number of people with Advance Care Plans (ACP) and the number of ACPs being respected 3. Identify vulnerable older people in the community who are not well connected and provide opportunities for these people to connect with each other and the general community 20 FMPPCP Strategic Plan

27 Membership Peninsula Model Alliance: Ageing Well Alliance Membership February 2014 Organisation Name Title Chair - Brotherhood of St Laurence Lisa Rollinson Senior Manager, Community Aged Care Peninsula Health Kim Dobson ACAS Manager Pharmactive Rob Sztar Pharmacist, Vice President of PAHN Frankston City Council Leonie Reints Manager, Active Ageing and Disability Services Mornington Peninsula Shire Jenny Van Riel Manager, Aged and Disability Services Peninsula Advisory Committee for Elders Margaret Godley Member Peninsula Health Allan Carlow Program Manager for Aged Persons Mental Health Peninsula Health Vicki Davies Manager Sub-Acute Ambulatory Care Services Peninsula Family GP Dr Jenny Downes- Brydon GP Family Doctor Dr Joe Radcliffe GP Royal District Nursing Service Glenda Valentine Client Services Manager Peninsula Home Hospice Rachel Bovenizer CEO Peninsula Health Iain Edwards Director, Chronic Disease & Aged Services Frankston-Mornington Peninsula Medicare Local Nick Jones Aged Care Project Officer (Alliance Secretariat) 21 FMPPCP Strategic Plan

28 Key Outcomes Appendix 2 Short Term (6-12 mths) Service pathways for dementia and ACP 20% of GPs and practice nurses attend dementia and ACP training Consistent ACP resources for providers and consumers 30% of new residents from 10 supported RACFs using the new ACP tool 90% of deceased people have their ACP respected and followed, preceding death at Peninsula Health Social connectedness strategy Medium Term (12 mths - 2 yrs) 30% of people aged 65+ have ACPs Service providers understand and use dementia service pathway Increased utilisation of dementia respite services Long Term (2 5yrs ) 90% of deceased people have ACP respected and followed preceding death 22 FMPPCP Strategic Plan

29 Mental Health Alliance Key Priorities: 1. Development and implementation of a shared Peer Workforce Framework across the catchment 2. Improved access to services for rooming house residents, and development of sustainable long term housing options for people with mental illness 3. Streamlined pathways of care for people with mild to moderate depression 23 FMPPCP Strategic Plan

30 Membership Peninsula Model Alliance: Mental Health Alliance Membership February 2014 Organisation Name Title Chair - Peninsula Support Services Terry Palioportas CEO Peninsula Support Services Cindy Keys Operations Manager Frankston City Council Liz Daley Manager Community Development Volunteer d Coordinator, Seawinds Community Hub Simon Dwyer Headspace Rose-Mary Dowling Manager RDNS Alison Webb IMPACT David Glazebrook CEO Consumer Representative Mental Illness Fellowship Sean Hegarty Regional Manager MIND Australia Denis Hovic Regional Manager Peninsula Health Bronwyn Lawman Director, Operations Peninsula Health/PenDAP Sean Jespersen Director, Clinical Services Peninsula Carer Council Aline Burgess Carer Representative South & Eastern Team Coordinator, RDNS Homeless Persons Program Mornington Peninsula Shire Council Peter Sibly Social Planner (Housing Justice and Advocacy) Salvation Army Robert Martin Director of South East Services Network Cranbourne Rd Medical Centre Meagan Lindorff Mental Health Nurse Frankston-Mornington Peninsula Medicare Local Ruth Azzopardi Director Primary Care Services & Development Frankston-Mornington Peninsula Medicare Local Sharon Collins Project Officer (Alliance Secretariat) Frankston-Mornington Peninsula Medicare Local Sarah Brown Executive Director Primary Care Programs 24 FMPPCP Strategic Plan

31 Key Outcomes Short Term (6mths) Peer workforce framework Service pathways for people with depression Resources for providers and residents of rooming houses Medium Term (18mths 2 yrs) Implementation and evaluation of Peer workforce framework 50% of rooming house residents with mental illness, linked to services Long Term (2 5yrs ) Sustainable housing for people with mental illness Strengthened partnerships, enhanced referral pathways and new models of care implemented 25 FMPPCP Strategic Plan