Newsletter Articles - December 2017
Volume 3   |   Issue 12


Message from the CEO

Country SA PHN (CSAPHN) has recently sought to re-commission a wide range of allied health and chronic disease activities, currently provided across mostly northern parts of country SA. The re-commissioning was directed by the Commonwealth as part of its strategy to enhance service delivery to the community, in chronic disease support for rural people and to better integrate services and improve local community sustainability and resilience in health care.

Tenders were let for services across the West, North, Mid North and Yorke Peninsula and through the Mallee, Kangaroo Island and down to Kingston and Robe. The Tenders for services were specifically targeted to local government areas of fewer than 5000 persons and for services to be delivered inside the communities and well connected to general practice and local allied health and community health providers. The services to be provided including ‘wrap around’ activities for chronic disease, including such disciplines as podiatry, physiotherapy, mental health counselling, chronic disease nursing support and even health navigation for consumers seeking access to extended care beyond their community. There is a focus on disadvantaged communities and individuals and the services will supplement and integrate with the community health network.

The Tenders have now closed, with a wide range of providers offering their services. A review will identify preferred Tenders and an independent commissioning committee with provide recommendation to the CSAPHN. The activities offered by the preferred providers will be co-designed with local health to ensure the ideal fit to the local community with a view to implementation by July 2018.

The CSAPHN is looking forward to active engagement with local leaders in health service delivery in the new year, in order to achieve the best result within the limitations of the funding available, which is the same funding as previously used for commissioned like services, but better targeted through this reinvigorated initiative.

On an entirely different subject, The Country SA PHN wishes all of its communities, stakeholders and partners a very Merry Christmas, New Year and summer break and thanks all who have contributed to our work and the wider work of communities in providing for better health for our very wide ranging communities and their needs. Stay safe and enjoy your families and friends.


Yorke & North Annual Combined Practice Planning Meeting 2017

On Wednesday 22 November 2017, the Yorke and North team held their second annual combined Practice Network Planning meeting in Wallaroo.  This annual occasion aims to bring Practice Manager and Practice Nursing staff together to both;

  • reflect on the previous year’s work and the support provided by the Yorke and North team and more broadly by CSAPHN, and
  • the opportunity to consult with the practices and plan for the coming year

The Inaugural meeting held in 2016, attracted 22 attendees from 14 different General Practices across the region.  2017 saw a good increase in attendance, with 34 participants representing 19 General Practices throughout the Yorke and North.  Representatives from as north as Orroroo, as south as Mallala and Minlaton and the many locations in between commenced the day with a re-cap of 2017.  Practices were provided with a reflection on the years activities, identifying their expectations and needs, and what level of response was provided by the Yorke and North Team.

The meeting focus then moved on to one of ‘High Performing Practices’.  The Yorke and North team were pleased to invite Mr Danny Haydon, Executive Officer Clare Medical Centre and former National President of the Australian Association of Practice Management to deliver an engaging and highly motivating presentation to the group.  The presentation provided insight as to how high performing practices operate in today’s changing climate and encouraged the local staff to look inward at practical changes they could make to improve their own efficiencies and service.  

“The presentation was so brilliant”, voiced Bryony Cook, Practice Manager from Peterborough Medical Centre.  “It was just the kind of information I was hoping to hear in assisting me to think about the future for our Practice.”  The Yorke and North team wish to thank Danny for his support in attending the combined meeting and the feedback from the attendees was extremely positive, citing the relevance and content as highly valuable for General Practices at this time.

This presentation was followed up by an interactive session on a range of digital health changes and expectations, presented by Sarah Wiles from CSAPHN Digital Health and Service Integration.  Sarah’s expertise is always fully appreciated by the Practice staff and her presentations were a valuable addition to the day.

Advancements in technology spilled into the 2018 planning session with the Yorke and North team conducting their consultative survey ‘live’ via mobile phones and iPads.  Instant results could be viewed in live time, providing the attendees with a general feel for what support they would like through 2018.  This information will be more formally collated and fed back to the Practices along with the resulting engagement strategy for 2018.

The planning meeting was a great success, filled with valuable information and as always, a little Xmas cheer.  We’d like to thank the attendees for their ongoing support and enthusiastic participation, and we extend our thanks also to the relevant General Practices in supporting their staff to attend and contribute.


Take care during the holiday season

The holiday season is a time of celebration, togetherness, and happiness, but it can also bring challenges to physical and emotional health. It’s especially important to remember to take care of yourselves at this time. As health professionals there is a great responsibility to the public accompanied by a responsibility to care for yourselves.

De-stress. Holidays can be a stressful time. You may be working, and feel the stress of managing work duties along with additional commitments to your friends and family. There may be financial stress with the pressure of buying gifts. Try to anticipate sources of stress and develop a plan to manage them.

Watch your alcohol intake. Summer is here, and the weather is conducive to outdoor living and socialising. We are also entering the traditional holiday season and with it comes a range of events, gatherings and celebrations: it is common for alcohol to feature at these occasions. In the interests of long-term health, take the time to reflect on your alcohol consumption, and ask yourself whether you need to consider modifying your intake:

  1. Plan limits on your alcohol consumption before you start drinking
  2. Alternate non-alcoholic drinks into your drinking
  3. Try a low-alcohol alternative
  4. Eat before and whilst drinking
  5. Consider scheduling alcohol-free days into your week

Help others. Depression and suicidality can increase during the holidays. Watch for signs of depression among your colleagues, friends and family. Take an active role to support those in need. Invite those colleagues or friends who are alone over the holidays to spend time with you.

For support during these times you can contact:

CRANAplus Bush Support Services
Call 1800 805 391 Toll Free Number www.crana.org.au/support

  • Toll free 24hr Telephone Counselling every day of the year for ALL remote health workers/service providers and their families.
  • It’s free and it’s confidential. You can also remain anonymous at all times, if you wish.
  • Calls from mobile phones to the Bush Support Services 1800 805 391 Toll Free Number can be returned at the caller’s request

Doctors’ Health SA
Urgent Advice call 8366 0250 www.doctorshealthsa.com.au/emergency-support
Doctors or medical students from within South Australia as well as doctors and students from within the Northern Territory can call DHSA at any time (24/7) on 8366 0250 for urgent, confidential advice. You will speak with one of the experienced and caring General Practitioners. You can also:

Lifelie
Call 13 11 14 www.lifeline.org.au
Lifeline provides confidential telephone counselling. The free service:

  • Is staffed by trained volunteers who are supported by professional staff
  • Provides advice on relationship problems and personal wellbeing
  • Helps people who may be thinking about suicide
  • Is available 24 hours, 7 days a week

MensLine Australia
Call 1300 78 99 78 www.mensline.org.au

  • A unique telephone and online support, information and referral service, helping men to deal with relationship problems in a practical and effective way
  • Available 24/7

Nurse & Midwife Support
Call 1800 667 877 Toll Free Number www.nmsupport.org.au

  • The telephone helpline provides free and confidential support 24/7, to all nurses, midwives and nursing and midwifery students Australia wide.
  • Counsellors are available to discuss any health-related issues. Nurse & Midwife Support provides confidential advice and referral for nurses, midwives, students, employers, educators, concerned others and the public

Regional Access
Call 1300 032 186 www.saregionalaccess.org.au
Free professional telephone and online counselling 24 hours a day, seven days a week for people 16 years and older living or working in regional South Australia.

Sources:

  1. ‘National Guidelines for Alcohol Consumption’. Australian Government Department of Health  www.alcohol.gov.au
  2. www.beyondblue.org.au
  3. www.crana.org.au
  4. www.doctorshealthsa.com.au
  5. www.lifeline.org.au
  6. www.mensline.org.au
  7. www.nmsupport.org.au


Optimal Cancer Care Pathways

In a significant development in cancer care in Australia, national Optimal Cancer Care Pathways have been developed to promote consistent, quality cancer care. They aim to improve patient outcomes by ensuring that all people diagnosed with cancer receive the best care regardless of where they live or receive cancer treatment.

The Optimal Cancer Care Pathways have been developed through the National Cancer Expert Reference Group and has achieved national endorsement of the Optimal Cancer Care Pathways and national agreement to pilot the adoption of some of these pathways in state and territory health services during 2016-17. The pathways have been endorsed by the Cancer Australia, Cancer Council Australia, the Australian Health Minister Advisory Council and the COAG Health Council (comprising Health Ministers representing all Australian jurisdictions). In addition, each specific pathway was developed by an expert group including clinicians specialising in treatment of the particular tumour, GPs and consumers, and in consultation with medical colleges and peak health organisations.

This is the most comprehensive set of guidelines for cancer care in Australia. The Optimal Cancer Care Pathways describe the key steps in a patient’s cancer journey and expected standards of care at each stage. The pathways also ensure that those providing care understand how to coordinate the patient care between each stage.

Optimal Cancer Care Pathways can be used by health services and professionals as a tool to identify gaps in current cancer services and inform quality improvement initiatives across all aspects of the care pathway. They can also be used by clinicians and health professionals as an information resource to promote discussion and collaboration with patients and people affected by cancer.

Optimal Cancer Care Pathways have been developed for fifteen tumour streams: lung, colorectal, hepatocellular carcinoma, prostate, lymphoma, melanoma, pancreatic, ovarian, malignant glioma, head and neck, breast, oesophagogastric, basal cell and squamous cell carcinoma, endometrial, and acute myeloid leukaemia.

There are three versions for each Optimal Cancer Care Pathway – detailed clinical pathways for cancer specialists, quick reference guides for GPs and other primary health professionals, and guides for patients themselves.

The clear and integrated articulation of best practice for cancer care will improve outcomes for patients across the country – and brings a huge range of collective experience and expertise together to ensure the best approaches and the best outcomes in cancer treatment apply across the country.

The links to the Optimal Cancer Care Pathways are below:

Detailed clinical pathways for cancer specialists, health professionals and health service administrators. http://www.cancer.org.au/health-professionals/optimal-cancer-care-pathways.html

Quick reference guides for GPs to familiarise GPs and other primary care providers with the cancer care pathways http://www.cancer.org.au/health-professionals/optimal-cancer-care-pathways.html

Patient ‘what to expect’ guides to help patients and their carers understand the cancer care pathway and what to expect at each stage. http://www.cancerpathways.org.au/optimal-care-pathways

Further information can be obtained by contacting This email address is being protected from spambots. You need JavaScript enabled to view it.


Chronic Hepatitis B

In 2015, the proportion of people living with chronic hepatitis B in South Australia was just over 15,000, with less than 40% still undiagnosed. In Country SA the prevalence of Hepatitis B is concentrated in remote Outback-North and East area where prevalence is double the average for Country SA. Proportion of people engaged in clinical care in SA was three times higher in Adelaide (6.2%) than in Country SA (1.9%).

In light of this, ASHM in partnership with Hepatitis SA will be running a 1 day 40 Category 1 RACGP and 30CPD ACRRM course on how to manage and treat patients with chronic hepatitis B.  Successful completion of online and face to face modules will accredit primary care practitioners to prescribe HBV treatment in the community. This means your CHB patients can be comfortably managed in your care and receive support from a linked specialist or viral hepatitis nurse that ASHM facilitates.

To register click here

  • Are you aware of who you should be screening and testing for hepatitis B? Learn more about the national hepatitis B testing policy. Here
  • Hear from local SA specialist’s advice for GPs, on managing chronic hepatitis B in primary care. Here
  • Did you know there are dedicated team of SA Viral Hepatitis Support nurses that provide advice to GPs on the management of patients with viral hepatitis, including assistance with referral to local specialists. Learn more on SA viral hepatitis nurses.  Here
  • Are you aware that GPs in SA can be accredited to prescribe hepatitis B treatment in the community? Learn more about ASHMs HBV s100 Prescriber Program. Here

For more information about hepatitis B visit www.ashm.org.au or https://hepatitissa.asn.au/.


ReturnToWorkSA Scheme Support – We’re here to help.

Our Scheme Support team is here to help you navigate the Return to Work Scheme.

Our highly qualified team includes clinicians from a number of medical and allied health backgrounds who are able to provide you and your practice staff with education and advice on all areas relating to working with patients who have work injury claims; from clinic based, face-to-face support, to extended training programs.

Whether it be managing a challenging case or expanding on your current knowledge of our Return to Work scheme, our team is available to assist with strategies aimed at supporting the optimal management of your patients. We also provide a number of online services for providers, offering a fast, secure and easy way to do business with us.

For more information, or to organise a practice visit, please call us on (08) 8238 5757, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit our website.


COTA Australia needs your help - measuring quality and consumer choice in aged care

COTA Australia is asking Australians their views about the quality of life and quality of care in aged care services as part of a project to better understand the information consumers want to choose their aged care providers.

COTA Australia has long been a proponent of the need for consumers to have access to information that's meaningful, answers the questions we need to know and is accessible and simple to navigate. COTA Australia believes good quality, reliable, easy to understand information was needed to help older Australians compare the quality of services and choose an aged care provider that suits their needs.

The project will canvass the views of all consumers, including older people, their families and friends (as well as aged care service providers) via online surveys.

To participate in the online survey before 31 December 2017:

Should you have any questions about this project, please don't hesitate to email This email address is being protected from spambots. You need JavaScript enabled to view it. or get in touch with Jude Harris, Senior Policy Officer on 03 9909 7916.


Ferrers Medical Clinic - GPs Wanted

Ferrers Medical Clinic are seeking 3 x VR General Practitioners, an opportunity is also available for a GP with obstetric skills for shared care. We are looking for GPs to join our multidisciplinary team of health care professionals.

Ferrers Medical Clinic is a large well-established, family-oriented clinic with a focus on providing quality health services and care to our patients.

The clinic currently has 11 doctors and offers a broad range of services including men’s and women’s health, pathology, chronic disease nurse led clinics, assessment and treatment of skin cancers, paediatrics and general medical treatment.

If you enjoy a work life balance that provides you with an outstanding income and great place to live all that a vibrant regional city has to offer.

Ferrers Medical Clinic is a well-established, well respected practice in our region, it is a DWS practice with a continually growing patient base.

The practice currently has two sites and is owned by working GP Partners who know the business and have a vision for the future which includes growing our business further to meet the health needs of the community.

The main site consults on Weekdays and some Evenings, and Saturday and Sunday morning consulting.

  • Existing large patient base
  • Excellent billing opportunities
  • Fantastic work life balance with flexibility
  • Outstanding induction and orientation program
  • Supportive Staff and Nursing team
  • Modern practice and latest equipment
  • AHPRA Specialist or General registration preferable
  • Limited registration may be considered upon request

Please send CV to our Practice Manager via email This email address is being protected from spambots. You need JavaScript enabled to view it. or phone 08 8725 4261.


Mill House Medical Centre - GP Wanted

VR GP required for a full time/ Part time position in an accredited newly renovated and expanded medical centre on the coast of the Fleurieu Peninsula at Middleton.  We can provide an established patient base and an opportunity to provide high quality medical care within a supportive and collaborative environment.

We are a traditional medical practice, with a focus on providing the highest standards of medical treatment, whilst maintaining continuity of care. Opening Monday to Friday 8.00am – 6.00pm and Saturday 8.00am – 1.00pm (doctors work alternate weekends) with no on call requirement ensures that there is a quality life work balance.

The patient base is sourced from all the local towns within a 20km radius. Our team of five doctors have a wealth of diverse experiences and knowledge. We are supported by a Clinical Coordinator, two practice nurses and three reception staff. As a holiday destination, our patient numbers increase during the holiday season and add an extra diversity to our practice. With a fully equipped treatment room and a Practice nurse we are able to provide a wide range of treatments and minor procedures. We a committed to continuing to develop and increase knowledge and provide placement to medical students from Flinders University SA as well as Registrars via GPEX.

For expression of interest or further information, please contact Dr Karen Salisbury 0405 818 677.


Rocky River Medical Practice Full-time GP

Rocky River Medical Practice is seeking a full-time GP with excellent experience in emergency medicine. This opportunity provides a unique experience with the successful candidate providing services across two rural locations approx. 10km apart, and requires a 1:2 on-call emergency rotation at the Laura Hospital.

Co-located within Southern Flinders Health sites in both Laura and Gladstone, the Rocky River Medical Practice operates with separate morning and afternoon shifts. The practice is supported by two part-time registered nurses and administrative staff, as well as visiting physiotherapy, podiatry, dietician and speech pathology services. Teaching opportunities are provided to medical students throughout the year.

Located in the mid north of SA, approx. 220km north of Adelaide, Laura is a farming district, growing cereal crops, as well as raising sheep and cattle. Other local producers include vineyards and olive groves, with the largest employer of the area being the Golden North ice cream factory.

For more information please contact Julie Arthur on 08 8667 2211 or email This email address is being protected from spambots. You need JavaScript enabled to view it..


 

CONTACT US

Beckwith Park, 30 Tanunda Road Nuriootpa SA 5355
PO Box 868 Nuriootpa SA 5355
T 08 8565 8900 F 08 8311 1723
E This email address is being protected from spambots. You need JavaScript enabled to view it.

@countrysaphn

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© 2015 COUNTRY SA PHN  
Country SA PHN gratefully acknowledge the financial and other support from the Australian Government Department of Health