Healthy Food Connect - Geelong Access to healthy food for all REPORT – Food Access Needs Assessment 2013 Authors: Kat Cust & Ruth Cuttler, Bellarine Community Health Key Contributor: Amanda Stirrat, City of Greater Geelong Introduction Food security has been recognised as a national and state priority. Within the City of Greater Geelong, evidence shows not everyone has regular access to food1,2,3,4,5. Food that is safe, nutritious and culturally appropriate. In 2012, the City of Greater Geelong committed to developing a food policy. This policy offers an unprecedented opportunity to systematically embed strategies to promote current and future food security for the Geelong community. Food choices are largely determined by factors beyond the control of the individual. People and communities don’t have access to food for two overarching reasons. The first relates to issues of the broad food supply system (eg. Location of food outlets, availability within outlets, pricing, quality). The second relates to issues of personal access to food (eg. Income, knowledge and skills, storage facilities, mobility)6. Climate change, housing stress and increasing petrol prices exert additional pressure on these determinants and thus peoples ability to be food secure. This pressure produces changes in primary food production, food and transport costs and urban development at the expense of food access and availability. An environment that makes nutritious food accessible, available and affordable creates a stronger and more sustainable community. Local government can have a strong impact on food security by taking action across the Environments for Health - natural, built, economic and sociocultural. This action will secure food for the current and future population of Geelong. Healthy Food Connect is a framework that supports local governments to work across the Environments for Health to improve food security. Healthy Food Connect outlines a process to identify and address food system issues. This process will enable Council to put the Food Policy into action. The first step in the Healthy Food Connect process is to identify barriers and enablers of food access within the local food system. Bellarine Community Health and the City of Greater Geelong have led this process, with training and tools provided through Healthy Together Geelong. This report outlines the findings of the food access needs assessment and makes recommendations for future action. FOOD SECURITY POLICY CONTEXT Commonwealth Government Perspective A National Food Plan The Commonwealth Government is developing Australia’s first National Food Plan to better integrate all aspects of food policy. This will ensure Australia has a sustainable, globally competitive, resilient food supply that supports access to nutritious affordable food. State Government Perspective State Food Policy The election of a new coalition government in Victoria in late 2010 resulted in a new ministry of Agriculture and Food Security being established, headed by The Hon Peter Walsh. This led to a commitment to develop a State Food Policy using an interdepartmental approach. Whilst this policy is yet to be completed, the Victorian Government provided substantial information on food for Victoria to the Commonwealth government during the National Food Policy consultation. Victorian Public Health and Wellbeing Plan The Victorian state government released the first Victorian Public Health and Wellbeing Plan in 2011, providing clear direction for action on nine priority health issues. Improving access to healthy food (an alternative descriptor to addressing food security) is one of these priority health promotion issues. Healthy Together Victoria In line with the actions outlined in the Victorian Public Health and Wellbeing Plan, the Victorian government has made the major investment of establishing Healthy Together Victoria in 14 local governments. Healthy Together Victoria aims to build a platform for prevention through targeted action in the setting of workplaces, schools/early childhood venues and in the community. Initial focus is on promoting physical activity and healthy food intake. Healthy Food Connect is a key strategy to improve healthy food intake in the broad community setting. Continued VicHealth – ‘Food For All’ Projects Victoria’s peak Health Promotion body, VicHealth, believes local government authorities are ideally placed to develop relevant, integrated and long-lasting strategies and solutions. Hence, VicHealth funded the Food For Al l Program (8 projects in 9 councils, 2005-08) improving access to healthy food and establishing an evidence base for action. Local Government Perspective History of Addressing Food Security Addressing food security has long been core business of local, for example; Maternal Child Health Nurses educate parents about healthy eating for preschool aged children; Environmental Health Officers ensure that local food retailers and restaurants use good practices to ensure the food they sell is safe; Community transport helps people get to and from the shops; Meals on wheels gets food into the homes of people who have a limited capacity to perhaps cook or get to shops; Planners ensure new neighbourhoods are walkable so access to the shops along with other service hubs is optimal. Legislation for Addressing Food Insecurity Method The first two steps of the Healthy Food Connect Framework were undertaken. These steps were to: Undertake a local food access needs assessment Identify and prioritise actions Food Access Needs Assessment An existing and recommended Municipal Food Security Scanning Tool (VLGA) was implemented. The tool scans food security across the four ‘Environments for Health’ (Natural, Socio-Economic, Built and Economic). The tool was conducted for the City of Greater Geelong as a whole and then focussed on the specific sites of Norlane/Corio, Portarlington/Indented Head/St Leonards and Highton. The Health (General Amendment) and Local Government Act enacted in 1998 and amended in 2003 contains a number of objectives, roles and functions that directly support local action to address food insecurity. Where applicable, existing food access information and community consultations were used1,2,3,4,5. Remaining data gaps were researched. Municipal Public Health and Wellbeing Plans (MPHWP) The entire tool took 10 weeks to complete. MPHWPs make provision for councils to document their major public health activities in a public health plan, this takes into account the dynamic nature of local government and the fact that public health issues and priorities change over time. Food security is identified as an issue to address in the MPHP of the following G21 local government areas; Geelong City Council, Golden Plains Shire, Surf Coast Shire and Colac-Otway Shire. Healthy Together Geelong The City of Greater Geelong was selected as one of the 14 Prevention Community Model sites. Increasing the amount of fruit and vegetables consumed in the region is a key deliverable of this program, with a focus on workplaces, schools, kindergartens and childcare facilities as intervention settings. Strategies in these settings will only be successful if everyone has access to affordable and nutritious food. Hence, for Healthy Together Geelong to address key deliverables equitable access to food is essential across the region and investment in Healthy Food Connect is a key strategy to achieve this. Identify and Prioritise Actions In a workshop led by Bellarine Community Health, the completed VLGA Scanning Tool was analysed and key action identified and prioritised. This process was guided by the Healthy Food Connect Scanning Resource Manual. Findings Health and Wellbeing Dimensions – Issues Ageing population, with some communities particularly affected Summary: Considerations Positive Ageing Strategy does not address food security Primary Health Care agencies are funded to support ageing within the home and the Active Service Model Less than half of population completing secondary education, particularly in disadvantaged suburbs Neighbourhood houses with training qualifications across COGG Community interest in gardening Corio/Norlane have high representation of all groups at-risk of food insecurity Strong presence of emergency relief programmes and community driven initiatives to increase access to fresh food in this area Relatively high, or increasing proportions of lone person and single parent households in areas of relative disadvantage Relatively low breastfeeding rates Opportunities Embed consideration of access to fresh foods into the Positive Ageing Strategy Support existing community organisations to build knowledge and education systems, particularly relating to household food production Resource an independent Emergency Food Relief Network Refer BUILT and ECONOMIC Dimensions Primary Health Care organisations committed to promoting breastfeeding Explore community need for supports to increase breastfeeding Populations at risk of food insecurity are dispersed throughout COGG. However, some suburbs and townships have higher proportions of these at risk communities. Population level strategies, such as Council plans, will address some barriers to food security for all. Evidence demonstrates that areas with higher proportions of at risk communities should be prioritised when specific interventions are being planned to address food insecurity. Previous action to address food security in these areas has enhanced existing community capacity. Council has a role in supporting community led interventions through simplified regulatory processes. There is the opportunity for Council to work with key internal and external partners to explore the need for support for breastfeeding in the community. Natural Dimensions – Issues Large arable land resource surrounding urban areas Summary: Considerations Proportion of arable land has decreased significantly in past 20 years Opportunities Adopt Food Sensitive Planning and Urban Design (FSUD) Tool Embed food security initiatives in the Municipal Strategic Statement Food production profile shifting to smaller & indoor farming Local food production and manufacturing is a significant industry Transport routes important determinant of farm siting Local access to produce is limited, except for niche markets See ECONOMIC Environment Explore potential of initiatives to increase local access to local food producers Information on local food production is limited Community driven initiatives Community gardens located across suburbs in COGG Programmes to support local growing exist Food waste identified as an issue by stakeholders Improve social connection rather than food security outcomes Community driven and often associated with community gardens or neighbourhood houses Some initiatives exist to rescue food waste i.e. Second Bite No initiatives exist to address food waste from local producers despite some interest No population level approaches to reduce food waste Support community led interventions through simplified regulatory processes Explore initiatives to increase local access to primary producer second grade products The COGG area has substantial access to agricultural land and a strong history of agricultural production. There is a shift in the quantity and variety of local agricultural production which will impact the region economically. Higher quality agricultural land on the Bellarine Peninsula could be threatened by future urban development. Existing agricultural, economic and food security networks present an opportunity for a co-ordinated approach to addressing fresh food production and supply within the COGG. There are community-driven initiatives to increase local household production, such as Community Gardens, spread across the COGG. Anecdotal evidence suggests that Council processes act as a barrier to this community action. Identifying and addressing these internal barriers is an opportunity for the COGG to support these community-level initiatives. Food waste from retail outlets and primary producers has been identified as an issue by stakeholders. There are services oriented toward food rescue and emergency food relief. Further exploration of opportunities for enabling local access to local produce usually wasted is warranted. Socio-cultural Dimensions – Issues COGG is a resettlement site for newly arrived refugees. People from NESB, ATSI and newly emerging cultural groups clustered mostly in two suburbs Culturally appropriate food for CALD communities is not readily available commercially within COGG Food affordability is identified as a significant issue for CALD communities Events promoting food and social connectedness are associated with local food production Summary: Considerations Key agencies exist in resettlement sites of Corio/Norlane, allowing development of CALD community networks and associations but risks isolation from the broader community Food security identified and addressed as issue by key agencies Supermarkets intimidating to CALD community members Some communities more adept at applying food preparation skills to locally available foods Living in rental accommodation is a disincentive for home food production Many CALD community members travel to Melbourne markets to access affordable, culturally appropriate foods Access to employment limited by language and other barriers Incomes low due to reliance on welfare funding High concentration of events on the Northern Bellarine Peninsula Community-driven events Opportunities Work with existing support organisations to increase frequency of positive cultural activities across COGG Embed Food Security Initiatives in the COGG Diversity Plan Work with key agencies to explore options for increasing local access to culturally appropriate foods Support key agencies to promote access to public transport options for people from CALD communities Explore opportunities for increased food production Support existing initiatives to develop food co-operatives Support local communities to promote local food production Seek opportunities to partner with key stakeholders i.e. Agricultural network and Geelong Otway Tourism Whilst currently representing a relatively small proportion of the COGG population, communities from CALD and ATSI populations are at high risk of food insecurity and should be prioritised when planning interventions. There are a number of key stakeholders working directly with these communities to address food security and social connectedness issues. Council could support these stakeholders through partnership to: address transport and community safety issues, explore possibilities for access to agricultural land, and support an increase in cultural events across the region. The recognition of Food Security and the promotion of a positive, inclusive food cultures in the Diversity Plan would guide this process. Areas with closer links to agricultural production, such as the Bellarine Peninsula, have stronger social food cultures. There are opportunities across other regions of Geelong to build stronger connections to local food production through similar events. The emerging interest in local food production should be harnessed and used to promote the region and support economic viability. crisis in areas of highest need Economic Dimensions – Issues High price of healthy food basket across COGG Two fruit and vegetable wholesalers provide to retail outlets in COGG, dictating price, variety and quality available Fresh food variety and quality is lower in outlets supplying low income areas Access to personal and public transport is a barrier, particularly in areas with no local access to fresh foods Emergency food relief services exist and are concentrated in the CBD and Corio/Norlane Summary: Considerations Some initiatives exist to address this issue Lack of competition at wholesaling level Limited local access to foods produced locally There is a relative dominance of take away outlets in low income areas vs. fresh food outlets Communities with access only to independent grocers face higher food costs Community transport is concentrated in the area of highest need The Transport Connections Project improves awareness of and access to public transport across COGG Safety concerns are a significant barrier to active transport At risk communities with limited access to public transport outside these areas have limited access to emergency food relief Existing initiatives address Opportunities Support existing initiatives and explore new opportunities to increase local access to local affordable produce Explore strategies to increase access to locally produced foods Support establishment of food –related social enterprises in areas of disadvantage Develop economic strategies to support and increase local food production Overlay existing GIS mapping of fresh food outlets with Public Transport Routes Support local initiatives to establish food co-operatives and food-related social enterprise Ensure access to local retail outlets is considered in initiatives to improve township walkability Address safety concerns in initiatives to improve walkability Resource an independent Emergency Food Relief Network The lack of competition at wholesale and retail level in COGG is a major determinant of fresh food availability, variety and quality. Strategies to increase local access to local food producers should be prioritised. Take away, convenience and liquor outlets are concentrated in areas of relative disadvantage, where access to fresh food outlets is lower. A long-term, strategic approach that involves planning and economic strategies is required for this food supply issue to be addressed. Food costs are an issue, particularly in areas of disadvantage. Access to local, affordable fresh food remains an issue in communities with access only to major shopping centres rather than smaller retail strips. Rising transport costs impact on food choices, reinforcing the need to work with local retailers to increase local access. Mapping existing transport routes to fresh food outlets within suburbs will inform future strategies to address transport costs and food accessibility. There are a number of organisations working to provide emergency food relief that would benefit from support to establish a network to further co-ordinate actions. In addition, there is an ongoing need for a separate broader network that focusses on environmental and systems approaches to address food security. based lifestyles Built Dimensions – Issues Food security not currently considered in planning documents including the Municipal Strategic Statement Existing strategies to increase cycling and walkability focus on recreational rather than functional activities Road and general safety present barriers to accessing retail centres in some areas Public transport links the CBD to shopping centres, but there is often limited transport within communities, particularly in areas of disadvantage The density of convenience, liquor and take away food outlets is higher in areas of disadvantage New areas of housing development create walking distances of >500 metres to local food access and vehicle- Popular urban design promotes vehicle-dependence Summary: Considerations Walkability strategies have been embedded in the Statement previously. Lack of data on access to cycling and walking amenities Community advocacy exists to address issues of local walkability on the Northern Bellarine Peninsula Cultural discrimination is an issue for some CALD communities Road safety fears on community walking routes have been identified as a barrier Low car ownership in areas of disadvantage Community transport access higher on the Bellarine Peninsula Evidence suggests take away and convenience outlets frequently sited near schools 11 suburbs in COGG do not have access to a local supermarket Development areas are on fringe of existing communities often without placement of additional retail strips Opportunities Adopt FSUD tool for future development Apply model of embedding walkability in planning to food security Address information gaps Build functional activity focus into existing strategies to address cycling and walkability Build on existing strategies to address community safety and walkability Map public transport routes to retail strips and within communities Investigate revitalisation of existing retail strips Adopt FSUD and apply prospectively to urban planning Explore options with Planners to limit the amenity, density and location of takeaway and fast food outlets Food security is not currently considered in Council documents outside the Public Health and Wellbeing Plan. The commitment to developing a Food Policy requires a cross-Council approach that embeds food security issues in planning documents. The Food Sensitive Planning and Urban Design (FSUD) document is designed to enable this process. There is internal interest and external support available to Council for adopting the FSUD into current planning. Existing strategies to improve walkability and cycling can be strengthened to create active routes to food retailers. Planning for food secure communities can align with existing strategies to improve community safety, active transport and economic development. Embedding food security into these areas will require leadership and a coordinated approach within Council and with existing community partners. Support for a broad Food Security Coalition, using existing partnerships is an opportunity to inform this process. Key Recommendations (Added July 2013) Evidence gathered across the Environments for Health identifies a range of opportunities for action. Despite the fact that food insecurity exists, there are significant community resources tackling the issue. Therefore, recommendations have been prioritised that: - build on existing partnerships and council capacity link to existing council policy will positively impact the greatest proportion of the population Council has a role in supporting community stakeholders to implement interventions in at-risk communities, but will have greatest influence on population level strategies. Such an approach requires collaboration within Council. This collaboration must be coordinated, strategic and have a focus on clear outcomes. The following recommendations suggest a range of strategies, across all of the Environments for Health, to address food security. These recommended strategies are further detailed on the following page, with suggested leads for each recommendation from within Council. Short Term Strategies: 1. Develop and implement a Food Policy for Geelong that addresses all facets of the food system and includes specific strategies to increase food security 2. Establish and resource a broad-based Food Network to lead internal and external action on food security and the food system 3. Build the capacity of the Emergency Food Relief Network to improve service coordination and increase access to nutritious foods for vulnerable groups Medium Term Strategies: 4. Integrate The Food Sensitive Planning and Urban Design principles into planning processes for existing and future urban growth areas 5. Decrease existing barriers and increase support to food-related social enterprises and cooperatives in communities at relative disadvantage 6. Identify and address existing fiscal and regulatory barriers to community led food security interventions 7. Develop and implement a ‘Local Food Culture’ strategy that promotes Geelong as a diverse, inclusive and active food producing region Long Term Strategies: 8. Explore strategic approaches to increase local capacity for food production and access 9. Embed Food Security initiatives into Council Plans and Policies as recommended by the Food Sensitive Planning and Urban Design Framework Environment Strategy All Develop and implement a Food Policy for Geelong that addresses all facets of the food system and includes specific strategies to increase food security All Establish and resource a broad-based Food Network to lead internal and external action on food security and the food system CoGG Division CoGG Department Community Services City Services Economic Planning and Development Projects Recreation and Central Geelong Corporate Services Aged Care and Disability Community Development Health and Local Laws Family Services Environment and Waste Services Parks and Support Services Planning Strategy and Economic Development Future Proofing Strategic Project and Urban Design Community Services City services Corporate Services Aged Care and Disability Community Development Emergency Management and Municipal Resources Environment and Waste services Communication and Marketing Organisation Development Customer Services Short Term Economic Medium Term Built/Natural Build the capacity of the Emergency Food Relief Network to improve service coordination and increase access to nutritious foods for vulnerable groups Integrate The Food Sensitive Planning and Urban Design principles into planning processes for existing and future urban growth areas City Services Community Services Corporate Services Economic Development, Planning & Tourism Projects Recreation and Central Geelong Aged Care and Disability Healthy Together Geelong Community Development Health and Local Laws Corporate Strategy and Property Management Communication and Marketing City Development Planning Strategy and Economic Dev’t Strategic Projects/Urban Design Events Central Geelong and Waterfront Strategy Division Decrease existing barriers and increase support to food-related social enterprises and cooperatives in communities at relative disadvantage Community Services Projects Recreation and Central Geelong Economic Development and Planning Corporate Services Socio-cultural Economic Identify and address existing fiscal and regulatory barriers to community led food security interventions Community Services Economic Development Planning & Tourism Corporate Services Socio-cultural Develop and implement a ‘Local Food Culture’ strategy that promotes Geelong as a diverse, inclusive and active food producing region Community Services Projects Recreation & Central Geelong Economic Development, Planning & Tourism Economic-Natural Explore strategic approaches to increase local capacity for food production and access through: Enabling local production, processing and manufacture Increasing wholesale and retail food competition Increasing local access to wholesale produce Community Services Economic Development Planning & Tourism Projects Recreation & Central Geelong General Embed Food Security initiatives into Council Plans and Policies as recommended by the Food Sensitive Planning and Urban Design Framework Community Services City Services Economic Planning and Development Projects Recreation and Central Environment Economic Medium Term (ctd) Longer Term Department Aged Care and Disability Healthy Together Geelong Health and Local Laws Community Development Events Central Geelong and Waterfront Planning Strategy and Economic Development Future Proofing Communication and Marketing Corporate Strategy & Property Management Organisation and Development Health and Local Laws Healthy Together Geelong Planning Strategy & Economic Development Strategy and Property Management Community Development Aged Care and Disability Healthy Together Geelong Family Services Arts & Culture Events Central Geelong and Waterfront Tourism Aged Care and Disability Health and Local Laws Healthy Together Geelong Community Development Planning Strategy and Economic Development Events Central Geelong & Waterfront Strategic Project & Urban Design As Appropriate Geelong Corporate Services References 1. City of Greater Geelong 2012. Food Security Needs Assessment Report. 2. Bellarine Community Health 2011. Food Security Needs Assessment – Older Adults on the Northern Bellarine Peninsula. 3. Food Skil Inc 2011. Business Plan of 3214 Fresh Food Markets. 4. Bellarine Community Health 2008. Food Security on the Northern Bellarine Peninsula. 5. City of Greater Geelong, 2008. Municipal Food Security RAP Trial Workbook 6. NSW Centre for Public Health Nutrition. Rychetnik, Webb, Story & Katz 2003. Food Security Options Paper.