Message from the CEO
We live in interesting times and of course this month we have seen a change of Government and with that, a new State Health Minister, Stephen Wade and new and interesting directions in health are forecast.
A new and welcome focus, is the promise to establish “Wellbeing SA”, as a prevention, health promotion and primary health care agency, within SA Health. It is proposed that “Wellbeing SA” will advocate for and purchase services in public health and health promotion, will include a health promotion branch and focus on preventing health issues before they arise. The new directions also propose the maximisation of partnerships for prevention across South Australia, through networks which embrace all Government Departments, the Commonwealth Government, Primary Health Networks, local Councils, Local Health Networks, and non-government organisations. This is certainly consistent with the new SA Health, Strategic Plan presented last year which had a focus on the need for partnering.
This focus on wellbeing and health prevention and promotion is one that the CSAPHN is very pleased to see and fully supports and looks forward to contributing to.
The new government while in opposition widely circulated views on decentralisation of health with country areas clearly identified as an issue and this note includes a link to the direction in this regard. This is a key extract from same:
Decentralising the public health system through the establishment of metropolitan and regional boards of management
Within its first 100 days …..
They also published a workforce strategy of relevance to the country regions and again I have included a link to same herein.
Our Rural Health Workforce Plan will include:
Our Rural Health Workforce Plan will:
All of the above has impact on our region and forecasts change and changes in priorities of government as it relates to health. This is the future and we positively embrace the future.
HealthPathways South Australia Portal Now Live
SA Health, Adelaide PHN and Country SA PHN are pleased to announce the HealthPathways portal is now available to GPs and health professionals across South Australia.
HealthPathways is a free web based portal that gives GPs and health professionals quick access to the latest clinical information and resources relevant to patient care.
We encourage all GPs and health professionals in South Australia to go to the HealthPathways South Australia project site to register for a login and to find out more about the program http://saproject.healthpathwayscommunity.org/.
Yorke & North Practice Managers Meeting
Country SA PHN Yorke and North team were pleased to hold a Practice Managers workshop in conjunction with GPex on Wednesday 14 February 2018.
A total of 32 practice managers and office staff, representing 22 practices in the region, participated in the workshop held at Clare Country Club.
Country SA PHN presents on My Health Record and My Gov Registration at Port Elliot Computing Group
The Port Elliot Computing Group (PECC) has been working with the Country SA PHN to deliver community education sessions on topics including Dementia, safe driving, schools program for young carers and Memory and Ageing. The PECC currently has 28 volunteers assisting community to log into My Gov and My Health Record, as well as assist with other community requests.
Miriam Daniels, outgoing president, requested Country SA PHN present for the second year at their AGM on Monday 5 March. Sarah Wiles from the Digital Health Team offered a comprehensive presentation on My Health Record and My Gov registration and fielded many questions. The audience would have kept going, only stopped by enticement of tea and supper by Miriam and her committee.
Liz from the Regional Strategies and Service Design Team and Sash also from the Digital Health team were present to mingle and respond to queries during this time. Both Country SA PHN teams are planning return trips for one on one assistance at the centre.
Health Care Home Update
Country SA PHN will soon be making available training in Motivational Interviewing, Health Coaching and Self-Management to support Health Care Homes and their wider Health Care Neighbourhood in delivering quality primary health care to their patients as part of a care team.
The Health Care Neighbourhood includes specialists, allied health professionals, pharmacists and other health care providers (both public and private) outside the Health Care Home who play a vital role in delivering the care needed by patients with chronic and complex conditions.
The training which will be offered includes:
The training will be made available to Health Professionals in the following locations:
Registration for the training is essential and will open in the coming weeks. There will be a maximum of 20 participants per session and Health Care Homes staff will be given priority for attendance.
The Pain Revolution – Principles, pearls and pitfalls
CSAPHN is currently partnering with the Queen Elizabeth Hospital (QEH) Pain Management Unit to pilot a project on the Yorke Peninsula to develop and implement a GP-led, practice based multidisciplinary pain management program.
Through this project we were lucky enough to engage Professor Lorimer Moseley to present a highly entertaining education session on the science behind pain to 40 health professionals in Kadina recently. Lorimer is recognised world wide for his contribution to the pain field and has been awarded prizes from the World Peak Body on Pain - the IASP - the American, British and European Pain Societies, and physiotherapy or pain societies in 12 other countries.
Practices participating in the pilot are Moonta Medical Centre, Owen Terrace Medical Practice, Kadina Medical Associates and Broughton Clinic. The project is also engaging Allied Health Providers to provide them with clinical upskilling and to identify referral pathways. The QEH Pain Management Unit Specialists are delivering outreach clinics for patients with highly complex chronic pain management needs.
Women under 25 do not need routine cervical screening under the National Cervical Screening Program.
Routine cervical screening is not recommended in the renewed program for women under 25 years. Some women under 25 will present with an expectation for routine screening, having had previous Pap tests. It is important that these women are aware that Medicare does not fund routine HPV cervical screening tests in women under 25.
Pathology laboratories are reporting that a significant number of samples are being submitted from women under 25 years of age. Given Medicare does not fund routine HPV cervical screening tests in women under 25 these will either need to be privately funded by the patient or, with the consent of the referring practitioner, not be processed by the laboratory.
Commencing screening at age 25 will reduce the investigation and treatment of common cervical abnormalities that would usually resolve by themselves. The time from HPV infection to cervical cancer is usually 10 to 15 years.
Women under 25 years who are currently under clinical management for a cervical abnormality should be managed according to the recommendations on transitioning women in the 2016 Guidelines.
To avoid out of pocket fees for your patients, you should familiarise yourself with the Pathology Test Guide for Cervical and Vaginal Testing.
To further assist healthcare providers, NPS MedicineWise through its RADAR publication has posted a comprehensive article outlining what providers need to be aware of when requesting the new Cervical Screening Test.