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Health Needs Assessment 2017

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Health Needs Assessment 2017 Health Needs Assessment 2017 Technical Report LIST OF ACRONYMS ABS Australian Bureau of Statistics ACCHO Aboriginal Community Controlled Health Organisation ACT Australian Capital Territory ADHD Attention Deficit/Hyperactivity Disorder AECD Australian Early Development Census AIHW Australian Institute of Health and Welfare AOD Alcohol and Other Drugs CALD Culturally and Linguistically Diverse CAMHC Child and Adolescent Mental Health Services CKD Chronic Kidney Disease CMHT Community Mental Health Team COPD Chronic Obstructive Pulmonary Disease CSU Charles Sturt University ED Emergency Department FTE Full Time Employee GAMS Griffith Aboriginal Medical Service GP General Practitioner HACC Home and Community Care HPV Human Papilloma Virus IARE Indigenous Area IRSD Index of Relative Socio-Economic Disadvantage LGA Local Government Area MLHD Murrumbidgee Local Health District MPHN Murrumbidgee Primary Health Network KBC Australia | Rebbeck Consulting P a g e | 2 MPS Multipurpose Service NDIS National Disability Insurance Scheme NGO Non-Government Organisation NHPA National Health Performance Authority NSW New South Wales PENCAT Clinical Audit Tool PHIDU Public Health Information Unit RDAA Rural Doctors Association of Australia SA South Australia SRG Service Related Groups TAFE Technical and Further Education UTI Urinary Tract Infection VMO Visiting Medical Officer KBC Australia | Rebbeck Consulting P a g e | 3 Contents List of Acronyms ...................................................................................................................................... 2 1 Introduction .................................................................................................................................... 6 2 Overview Of the Murrumbidgee ..................................................................................................... 6 2.1 The Health Service System in the Murrumbidgee .................................................................. 8 3 Understanding our Community: Key Facts about the Population ................................................ 12 3.1 Who lives in the Murrumbidgee PHN? ................................................................................. 12 3.2 Population Flows ................................................................................................................... 12 3.3 Population Growth ................................................................................................................ 13 3.4 Aboriginal People .................................................................................................................. 13 4 Health Determinants ..................................................................................................................... 14 4.1 Socioeconomic Status ........................................................................................................... 14 5 Risk Factors and Health Status ...................................................................................................... 16 5.1 Childhood Immunisations ..................................................................................................... 16 5.1.1 MPHN Response 2016 ................................................................................................... 16 5.2 Risk factors and Living with Long term conditions ............................................................... 16 5.2.1 MPHN Response 2016 ................................................................................................... 17 5.3 Cancer Screening................................................................................................................... 17 5.3.1 MPHN Response 2016:.................................................................................................. 17 5.4 Chronic conditions ................................................................................................................ 18 5.5 Life Expectancy...................................................................................................................... 20 5.5.1 Causes of death ............................................................................................................. 20 Proposed Response ........................................................................................................................... 21 5.6 Cancer incidence ................................................................................................................... 21 5.7 Hospitalisations and Potentially Preventable Hospitalisations ............................................ 21 5.8 MPHN Integrated System of Primary Care ........................................................................... 23 6 Specific Population Groups ........................................................................................................... 24 6.1 Child and Maternal Health and the Early Years .................................................................... 24 6.1.1 Child Development ........................................................................................................ 25 6.1.2 Importance of the Early Years ....................................................................................... 25 6.2 Young People ........................................................................................................................ 27 6.2.1 What do we know about young people in the Murrumbidgee? ................................... 27 KBC Australia | Rebbeck Consulting P a g e | 4 Proposed Response ....................................................................................................................... 28 6.3 Older People ......................................................................................................................... 29 6.3.1 What do we know about the older population of the Murrumbidgee? ........................ 29 7 Mental Health, Suicide Prevention and Alcohol and Other Drugs................................................ 31 7.1 Introduction .......................................................................................................................... 31 7.2 What do we know about the mental health of people living in the Murrumbidgee? .......... 31 7.3 Service and System Needs .................................................................................................... 32 7.3.1 MPHN response 2016 ................................................................................................... 34 7.4 Suicide in the Murrumbidgee ............................................................................................... 36 7.4.1 What do we know about suicide in the Murrumbidgee? .............................................. 36 7.4.2 Service and system needs ............................................................................................. 36 7.4.3 MPHN Response 2016 ................................................................................................... 37 7.5 Alcohol and Other Drugs ....................................................................................................... 39 7.5.1 What do we know about Alcohol and Other Drugs in the Murrumbidgee? ................. 40 7.5.2 Service and System Needs ............................................................................................ 40 8 Workforce ..................................................................................................................................... 43 8.1 General Practitioner workforce ............................................................................................ 43 8.2 Mental Health Nurses ........................................................................................................... 44 8.3 Allied Health Services ............................................................................................................ 44 8.4 Aboriginal Health Workforce ................................................................................................ 45 References ............................................................................................................................................ 46 KBC Australia | Rebbeck Consulting P a g e | 5 1 INTRODUCTION In 2015, the Australian Government established Primary Health Networks (PHNs) as regional entities with the key objectives of: Increasing the efficiency and effectiveness of medical services for patients, particularly those at risk of poor health outcomes, and Improving coordination of care to ensure patients receive the right care in the right place at the right time. The Murrumbidgee Primary Health Network (MPHN) is the regional entity with coverage of communities in south west NSW. The Australian Government has identified six priorities for targeted work by PHNs. These are mental health, Aboriginal and Torres Strait Islander health, population health, health workforce, eHealth and aged care. PHNs are commissioners of health services. At its simplest, commissioning is the process of planning, agreeing, funding and monitoring services. Central to this is the continuous assessment of the needs of the population, and determining priorities. This document is a summary of the analysis of the health and service needs within the Murrumbidgee, to inform and support priority setting and planning by the MPHN. This document draws on needs assessments undertaken by the MPHN in 2015 and 2016, and incorporates findings from more recent consultations
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