Womens Health Business Case Report

2.6 Performance & Outcomes

• 3.4 Support healthy ageing ensuring people can live more years in full health and independently at home An increased focus on promoting positive health behaviours across the population, delivering early risk- based interventions, supporting people to manage chronic conditions, and being responsible for their own health across their lifespan, will not only help strengthen the opportunity for people to benefit fromwellness no matter their age, but relieve some of the pressure on the system • 3.7 Partner to address the social determinants of ill health in our communities There is widespread evidence of a strong relationship between health and social determinants of health. Social determinants of health such as income, education and housing can strengthen or undermine someone’s health trajectory and outcomes. Therefore, NSWHealth’s efforts to support people to be healthy and well, and to address social determinants of health cannot be achieved in isolation and requires us to work collaboratively across health disciplines and with partner agencies and organisations. 2.5.2.4 NSW Health - Integrated Prevention and Response to Violence, Abuse and Neglect (IPARVAN) Framework (2019) 40 The IPARVAN framework outlines a public health response to violence and abuse and neglect which promotes integrated service delivery at system, service and practice levels. Integrated responses are defined as ‘the provision of service responses in accordance with a person-centred approach that provides seamless care across multiple services, adopts a multidisciplinary and trauma-informed approach, and is designed around the holistic needs of the individual throughout the life course’. Women’s Health Centres have significant expertise responding to the complex health needs of women who have experienced violence, abuse and neglect. The holistic Women’s Health Program service model is particularly well suited to addressing the needs of women experiencing complex trauma associated with these issues. The model is aligned to the key system design principles outlined in the IPARVAN Framework including: • Person and family-centred, holistic and seamless care – that prioritises the safety, well-being and unique needs and preferences of the person and their family. • Minimising the impact of trauma and supporting recovery from trauma – via Trauma Informed Care • Early intervention – to change the long term trajectory of chronic disease and adverse health outcomes for people who have experienced violence, abuse or neglect • Equitable, accessible and consistent service responses • ‘No wrong door’ – collaboration to support people and their families to access the most appropriate service responses.

KEY MESSAGES • Women’s Health Centres have achieved strong performance against Women’s Health Program targets and KPIs set by Local Health Districts • Over the last 3 years, 70% of Centres achieved overperformance against their KPI targets in 50% or more of the key outcomes focused KPIs, despite COVID disruptions. • The unique, holistic Women’s Health Program model allows Centres to provide services to women presenting with a broad range of health issues, many of which fall at the intersection of health outcomes and social outcomes identified as Government policy priorities • Effective intervention, support, education and prevention activities provided through the Women’s Health Program to address key presenting health issues is the foundation for achieving the sustained, desired improvements in both health and social outcomes • Across the sector, Women’s Health Centres anticipate that the proposed investment, providing sustainable funding to support staff, servicing and infrastructure, will further increase both their capacity and effectiveness to deliver health outcomes 2.6.1 Women’s Health Program Performance Women’s Health Program KPIs for each Women’s Health Centre are negotiated with Local Health Districts in response to local priorities and reflected in individual funding agreements. Each KPI has both a target and an actual value, enabling sector-wide performance to be considered. An assessment of Women’s Health Centres against available outcomes and performance data for the last 3 years showed that almost 70% achieved overperformance against their KPI targets in 50% or more of the key outcomes focused KPIs (see Fig 8). It is important to note that these reporting years were all impacted by COVID which placed restrictions on many face-to-face programs, and the KPIs were generally not adjusted to reflect this impact. Considering the disruptions of the last three years, this strong performance is a demonstration of the capacity and resilience of Women’s Health Centres and their staff, to support clients and deliver outcomes under challenging conditions.

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Sustainable Investment in the NSWNGOWomen’s Health Program