Adelaide Hills Area Health Service Plan 2011 2020 FINAL
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Adelaide Hills (Mount Barker, Mount Pleasant, Gumeracha, Strathalbyn) 10 Year Local Health Service Plan 2011 – 2020 Mount Pleasant District Hospital Gumeracha District Soldiers’ Memorial Hospital Mount Barker District Soldiers’ Memorial Hospital Strathalbyn and Districts Health Services Adelaide Hills Community Health Service Country Health SA Local Health Network 1 10 Year Local Health Service Plan Adelaide Hills Country Health Services 2011 - 2020 Table of Contents 1. Executive Summary .......................................................................................................3 2. Catchment summary......................................................................................................8 3. Needs Analysis summary............................................................................................ 11 4. Local implications of Statewide plans........................................................................ 15 5. Planning Principles...................................................................................................... 16 6. Service Delivery Plan................................................................................................... 17 6.1 Core Services to be Sustained ............................................................................... 17 6.2 Strategies for new / expanded services .................................................................. 24 7. Key Requirements for Supporting Services............................................................... 33 7.1 Safety and Quality .................................................................................................. 33 7.2 Patient Journey ...................................................................................................... 34 7.3 Cultural Respect..................................................................................................... 35 7.4 Engaging with our community................................................................................. 36 7.5 Local Clinical Networks .......................................................................................... 37 8. Resources Strategy ..................................................................................................... 38 8.1 Workforce............................................................................................................... 38 8.2 Infrastructure .......................................................................................................... 40 8.3 Finance .................................................................................................................. 41 8.4 Information Technology.......................................................................................... 42 8.5 Risk Analysis.......................................................................................................... 43 9. Appendix ...................................................................................................................... 44 9.1 Leadership Structure .............................................................................................. 44 9.2 Methodology........................................................................................................... 44 9.3 Review Process...................................................................................................... 45 9.4 Glossary................................................................................................................. 46 Date: 8 August 2011 2 1. Executive Summary “We acknowledge this land as the traditional lands for the Peramangk people and that we respect their spiritual relationship with their country. We also acknowledge the Peramangk people as the custodians of the Adelaide Hills region and that their cultural and heritage beliefs are still as important to the living Peramangk people today.” The Hills Area is east of the capital city of Adelaide in South Australia with Mount Barker 33 kilometres, Strathalbyn 56 kilometres, Mount Pleasant 54 kilometres and Gumeracha 36 kilometres from Adelaide. There are four Hospitals and a Community Health Service in the Hills Area including Mount Barker District Soldiers’ Memorial (DSM) Hospital, Strathalbyn and District Health Service, Gumeracha District Soldiers’ Memorial (DSM) Hospital and Mount Pleasant District Hospital. Adelaide Hills Community Health Service (AHCHS) is a multidisciplinary agency providing a diverse range of community health preventative, early intervention, health promotion, better care in the community and hospital avoidance / GP Plus health service programs. The Hills catchment area extends to Kersbrook and Springton to the north, Lobethal and Stirling to the west, Callington and Palmer to the east, and Ashbourne and Milang to the south. The resident population for the Hills Area Hospitals is 60, 690 (DPLG, Population Projections 2011). The resident population incorporating the total catchment for Adelaide Hills Community Health Service is 84,548. People from Aboriginal and Torres Strait Islander backgrounds comprise 0.7% of the population catchment, compared with 1.7% of the total South Australian (SA) population. There are 439 people who have identified themselves as Aboriginal in the last ABS Census. The Peramangk people are the original custodians of the land in the Hills Area. Over the past 10 years the District Council of Mount Barker (DCMB) has been the fastest growing non coastal Council within Australia, averaging 3% growth per annum 1. The Hills Area is one of the fastest growing populations in South Australia with the conservative projected population estimated to increase to 81,639 by the year 2021. The Country Health SA Local Health Network (CHSALHN) projected population for the broader Adelaide Hills Community Health Service catchment is estimated to increase to 105,758 by the year 2021. However the SA Department of Planning and Local Government 2 sets a population growth target of 20,300 by 2024, for the combined population of the townships of Mount Barker, Littlehampton and Nairne, leading to a population of approximately 40,000 people. This is a doubling of the existing population for that area 3. This 10 Year Local Health Service Plan recommends the same approach to planning health services for the Hills Area and the Mount Barker and Strathalbyn districts in particular. The Hills Area 10 year Health Service Plan reflects consultation between the Adelaide Hills Health Advisory Council, the Adelaide Hills Division of General Practice and the existing Country Health SA health units, namely Adelaide Hills Community Health Service, and Mt Pleasant, Gumeracha, Mt Barker and Strathalbyn Hospitals. The plan is about providing services closer to home for the Hills Area residents and providing better care in the community resulting in hospital avoidance. The overall vision supported within the plan is that in 10 years time (2020) 80% of the hills area population have access to services that meet 80% of their health care needs within the hills area. This will mean in real terms a transition of primary and secondary services across the region. It will require Mt Barker DSM Hospital to provide a new range of services aligned with statewide plans so that only patients requiring highly specialised or complex care will need to access this type of care in Adelaide. These services will be supported by rehabilitation services at Strathalbyn Health Services, integrated closely with statewide rehabilitation directions and an Integrated Health Care Centre at Mt Barker built on the Hospital Grounds and linked to services throughout the hills area. Existing services provided at Mt Pleasant Hospital are to continue and an expanded role in bowel screening program to be investigated. Existing services at Gumeracha Hospital are to continue. Adelaide Hills Community 1 The District Council of Mount Barker (2009). Council Submission to the Draft 30 Year Plan for Greater Adelaide. 2 SA Department of Planning and Local Government (2009). Planning the Adelaide we all want: Progressing the 30 Year Plan for Greater Adelaide. 3 SA Department of Planning and Local Government (2009). Planning the Adelaide we all want: Progressing the 30 Year Plan for Greater Adelaide. 3 Health Service is to have an expanded role in collaboration with all key stakeholders within the Integrated Health Care Centre. A GP Plus Super Clinic has been supported by the federal Minister for Health, the Hon. Nicola Roxon who has pledged up to $7 Million seeding funding to the Adelaide Hills Division of General Practice. The Division and Hills Area Health Advisory council support the building of the GP Plus Centre at Mt Barker on the Hospital Grounds. Through this vision, priority needs identified through the needs analysis process which informed the planning process will be addressed. ENHANCED PRIMARY HEALTH CARE • Partnerships and collaboration across organisations such as those evidenced within the SA Inner Country Health Network will result in better health outcomes for the population • Increased flexible funding arrangements that support changing models of care and enable greater provision of outpatient, day patient and community based care is enabled through effective partnerships to maximise expertise and funding streams. • Strengthened primary and community based care and transition services to and from hospital via the Better Care in the Community initiative (incorporates self managed care for chronic disease). •