Connect November 2020 | An Adelaide PHN Publication

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NOVEMBER 2020 | | 8219 5900

Connect August 2020 | Adelaide PHN in Action

CONTENTS Adelaide PHN In Action 3 4 5 6 8 10 12 14 16 18 20 24 25 27 29 30 31

CEO Foreword Annual Report Introducing our Innovate RAP Supporting the Response to COVID-19 Towards Wellness Exploring our New AOD Framework Managing Persistent Pain Commissioning Matters Enabling Choice Annual General Meeting Primary Health Care Awards Supporting Older People Impacted by COVID-19 Mental Health Clinical Workgroups New Fibromyalgia Health Pathway Mental Health Services for Residential Aged Care Facilities Christmas Closure and CRU Hours Living Well with Persistent Pain Program


Primary Health Care in Action

Cover Photo | Mount Osmond Trail, Eastern Adelaide Region, @Joeyjones

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Deb lee

2020 is just flying by (it’s the only thing that is these days!) Here we are already in November, counting down and hoping for a relatively “normal” Christmas. The Adelaide PHN Annual General Meeting (AGM) has happened and like most interactions this year was conducted via Zoom on Wednesday 28 October. Our annual report is interactive and online and you can find all the information about our fantastic achievements at 2020 has seen us all do things differently and this year even our Annual Primary Health Care Awards continue but with a different format – join us in celerating the tremendous work of local primary health care services across our region on page 20). Without you, our stakeholders, commissioned service providers, partners and community members none of this would have been possible and we would very much like to take this opportunity to thank you all, most sincerely, for your commitment, expertise and passion for improving the health of our community. This AGM saw the resignation of our inaugural Chair, Dr Nick Vlachoulis who we are certain will remain a dedicated primary health care champion and be the best ambassador for Adelaide PHN. We welcome our new Chair, Mr Tom Symonds – who was nominated and elected to the Chairs role in August this year. We look forward to Tom’s stewardship into the future. As you would expect there is lots of great information contained in this edition of Connect – and did I say – don’t forget to check out our 2019/20 Annual Report – we think its brilliant! We wish you all a merry, truly relaxed and joyous Christmas. We look forward to working alongside you in 2021. Regards, Deb Lee, Adelaide PHN CEO

Connect August 2020 | Adelaide PHN in Action


ANNUAL REPORT 2019/20 Adelaide PHN is celebrating our achievements and demonstrating our impact with the launch of our 2019/20 online annual report. This year, our annual report highlights our achievements across each of our seven national priority areas, and explores some aspects of our work in more detail via three key stories. Achievements from within our annual report include: • Our commissioning portfolio growing to a total of 168 contracts worth over $45 million • Our suite of mental health commissioned services supporting over 13,900 people across the metropolitan Adelaide region • Our digital health team supporting a 166% increase in My Health Record discharge summaries • Over 39,500 total Closing the Gap (CTG) services provided to support the health and wellbeing of local Aboriginal and Torres Strait Islander people • The establishment of four GP-led Respiratory Clinics which contributed to the 151,285 COVID-19 tests undertaken across South Australia

Start exploring these achievements and more at or view our highlights summary brochure here. Visit our annual report page to find an archive of our previous annual reports.

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Introducing our

INNOVATE RECONCILIATION ACTION PLAN Starting our Reconciliation Journey Aboriginal health is a key priority area for Adelaide PHN. We are committed to ensuing that Aboriginal people and communities are better connected to health, and continue to work with our commissioned service providers to address health inequities and increase access to culturally appropriate services in our region. Our vision for reconciliation is focused on the respect and acknowledgement of the unique, ongoing connections that Aboriginal people have with the land and country within our region. In 2018, we committed to establishing a Reconciliation Action Plan (RAP) to support our journey to achieve our vision for reconciliation. From the four different RAP types available (as set out by Reconciliation Australia), we aligned with the Innovate RAP, recognising our sphere of influence and establishing the best approach to implement actions to advance reconciliation with Aboriginal communities in the Adelaide PHN context. To help establish our RAP, we consulted with Aboriginal communities, local Elders, our membership groups, stakeholders and staff. After two years of consultation, we are excited to announce that our Innovate RAP received final endorsement from Reconciliation Australia in September 2020 and will span for a period of two years from July 2020 – July 2022. To enable our continuing journey and as part of our RAP framework, we established an internal Aboriginal Working Group, Ngadlurlu Kumangka (“we do it now together”) to lead the implementation of our Innovate RAP, which will be supported by all portfolios within our organisation. The development of our Innovate RAP will provide us with the guidance to embed Aboriginal community connections into all

that we do and will guide our organisation on its journey to strengthen capacity for the provision of culturally safe and responsible services. Our Innovate RAP maps out the next phase of our path towards reconciliation and will: Support us in strengthening and maintaining our relationships with Aboriginal people, communities and organisations ​ upport us in working effectively with S Aboriginal people to ensure that the services we commission are culturally safe, appropriate and respectful Help us embrace mutual learning and ensure the success of our reconciliation journey is embedded within our organisation We would again like to take this opportunity to thank our Aboriginal Community Advisory Council for their continued support and guidance in developing this plan. We are proud to stand by the 1,000 other organisations across Australia that have formally committed to reconciliation through the RAP Program.

Please visit our website to access a copy of our Innovate RAP.

Connect August 2020 | Adelaide PHN in Action

Supporting the response to

COVID-19 Adelaide PHN continues to play a key role in the South Australian response to COVID-19; find out how we’ve been supporting the response and primary health care providers across our region. Since March, Adelaide PHN has been an active partner in the SA Health COVID-19 Command Centre along with other key stakeholders including Country SA PHN, the South Australian Police (SAPOL), the South Australian Fire and Emergency Services Commission (SAFECOM) and both South Australian Metropolitan and Country Fire Services (SA MFS and CFS respectively). Together, these stakeholders have been working together to ‘flatten the curve’, reducing the spread of COVID-19 across the state, through collaboration and pooling of both resources and expertise. Across our involvement in the Command Centre, Adelaide PHN has continued to advocate for ongoing inclusion and consideration of GPs, general practice and other primary health care providers in the State’s response to COVID-19. Since early April, Adelaide PHN has led the establishment of four Commonwealth funded GP-led Respiratory Clinics across the metropolitan region - harnessing local general practice teams to provide dedicated COVID-19 testing services for those experiencing mild to moderate symptoms. As dedicated testing services, these Respiratory Clinics help increase Personal Protective Equipment (PPE) use across our region and reduce both demand and risk to general practice teams. These clinics continue to enable providers and practice teams to return their focus to the ongoing care of patients, especially those needing management of chronic diseases.

Development and Distributing of Resources Across the COVID-19 pandemic, Adelaide PHN has led the distribution of PPE resources to primary health care providers across the Adelaide region. Through our Commonwealth and State partnerships, we have been able to supply providers with the PPE they need to keep safe from both the State and National Medical Stockpiles. In addition, Adelaide PHN has been actively sourcing and funding additional PPE (such as hand sanitiser) from private suppliers to fill supply gaps and inconsistent commercial supply. General practices, pharmacies and eligible allied health providers can find out more via our PPE distribution page and request allocation via the expression of interest form.

For more information about how we’re supporting the local response, please visit

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Connect August 2020 | Adelaide PHN in Action


WELLNESS Adelaide M e t ro p o l i t a n I n t e g rat e d M e n t a l H e a l th & Suicide P re ve n t i o n Pl a n

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Approximately 240, 000 people across the Adelaide metropolitan region who experience mental health challenges will benefit from a better and more coordinated local mental health care system under the Towards Wellness Plan. The Towards Wellness: Adelaide Metropolitan Integrated Mental Health and Suicide Prevention Plan (Towards Wellness) launched in October 2020. The plan formalises the commitment of key local service providers to work together towards system improvement and ensure anyone who experiences mental health challenges across the metropolitan region can access the right support, at the right time and in the right place. In a landmark partnership, Adelaide PHN, the four metropolitan Local Health Networks (LHNs), Wellbeing SA and the Office of the Chief Psychiatrist SA have collaborated on the development, ensuring a more person centred and whole of system approach underpin the plan’s delivery over the next five years. Towards Wellness is guided by the Fifth National Mental Health and Suicide Prevention Plan, and follows both a local needs assessment and consultation with the Adelaide community including mental health care providers, people with a lived experience of mental health challenges and their carers. The plan responds to an identified need for improvement in the way the local mental health care system is planned and integrated to more adequately meet the needs of people and their carers. It emphasises practical solutions and actions that will bring about real change in the way

services are coordinated and delivered, and specifies clear roles and responsibilities for these actions. Siloed service provision, a particular concern identified through the development of the plan, will be addressed by establishing better linkages between services. In turn, these improved pathways of care will support more responsive mental health care, ensuring support is stepped up or down as needed. Ultimately, Towards Wellness will deliver better care, improved outcomes and a more seamless journey for people experiencing mental health challenges or are at risk of suicide across the Adelaide region.

The Towards Wellness plan is available to read at towardswellness. We would like to extend our gratitude to all individuals and organisations who have contributed to this plan and look forward to working with the Adelaide mental health care community across implementation. The development of this plan has been led by Adelaide PHN, Northern Adelaide Local Health Network (NALHN), Central Adelaide Local Health Network (CALHN), Southern Adelaide Local Health Network (SALHN), the Women’s and Children’s Health Network (WCHN), Wellbeing SA and the Office of the Chief Psychiatrist SA.

Connect August 2020 | Adelaide PHN in Action

Exploring Our New

AOD Framework

Supporting Our AOD Treatment Services Redesign Adelaide PHN has been actively redesigning how our commissioned alcohol and other drugs (AOD) treatment services will be delivered across the Adelaide metropolitan region and have developed an new Framework to guide those organisations applying to deliver these services across the 2021-23 period. Adelaide PHN has been commissioning AOD services within the Adelaide region since 2016, and across this time our AOD commissioned services providers have certainly made a significant contribution to the lives of many people adversely affected by substance use. However, guidance from the AOD treatment sector and direction from the Commonwealth both advocate for increased innovation and re-design in how these services are purchased and delivered. This has presented an exciting opportunity for Adelaide PHN to consider how we can commission treatment services to better meet the needs of the local community and AOD treatment sector, and place greater focus on measuring performance based on outcomes. To support the redesign, Adelaide PHN has developed the Adelaide PHN AOD Treatment and Quality Framework (the Framework) to provide information and guidance around the required structure for the delivery of our commissioned AOD treatment services.

Developed throughout 2020, the Framework brings together all the information and requirements underpinning the redesign, including defining the parameters and scope for these services in line with national and state strategies and frameworks, as well as Commonwealth funding requirements. Alignment with State based AOD treatment funding is key for maximum impact and value for money in achieving a reduction in harmful substance use in the metropolitan community. In writing the Framework, Adelaide PHN has made sure to consider what services are available across the region; ensuring for instance no duplication with the range of services commissioned and provided by the Drug and Alcohol Services South Australia (DASSA). The Framework outlines the long and short term outcomes, covers service delivery principles, defines the priority populations, settings, and substances of concern for treatment services. It also explores integration and workforce requirements for providers delivering services under the Framework. Over recent months, Adelaide PHN has conducted consultations regarding the draft Framework to gather the thoughts of a range of stakeholders: including the general AOD treatment sector, the Aboriginal and Torres

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Ultimately, the Framework will support our commissioned service providers to deliver consistent and high-quality treatment services and interventions and support the local system to deliver equitable care to the Adelaide community. Strait Islander AOD treatment sector, and local Aboriginal and Torres Strait Islander communities. Feedback from the consultations identified a number of key themes including the development of peer workforce, the need for ongoing cultural awareness and safety strategies, and the need for aftercare. These themes, and other information identified during the consultation, will also be used to update the Adelaide PHN annual Needs Assessment.

Adelaide PHN’s Needs Assessment can be accessed on our website. We look forward to sharing our AOD Treatment Framework with you shortly.

REMINDER Adelaide PHN is currently inviting applications from suitably qualified and experienced organisations located within South Australia to deliver AOD treatment services within the Adelaide metropolitan region during 2021-2023. Find out more here.

Connect August 2020 | Adelaide PHN in Action

Photo | Members of the Afghani community group participating in hydrotherapy and the making herbal massage creams to support their management of persistent pain

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MANAGING PERSISTENT PAIN With People From CALD and Refugee Backgrounds Whilst persistent pain can affect people of any age and any background, people from culturally and linguistically diverse (CALD) backgrounds, especially those from refugee backgrounds, often report unique challenges with persistent pain. In response, Adelaide PHN has contracted the Survivors of Torture and Trauma Assistance and Rehabilitation Service (STTARS) to work alongside Afghani, Syrian and Bhutanese communities to design appropriate programs of support. Programs have a focus on gentle exercise and information sessions designed around each culture’s own understanding of pain and how to manage it. The program is already seeing great results. For example, STTARS have been working closely with a community of Afghani men here in Adelaide. Together with a facilitator, the group have been discussing their own experiences with pain and some of the ways in which pain is managed here in Australia. The group have been considering ways they can manage their own pain and have been making herbal massage creams and attending hydrotherapy sessions as a group. The latter of these interventions has been a very new experience for members of the group, with some of the men having never been submerged in water before now learning to swim. It is anticipated that these sessions will also support the creation of an online video made by the participants, in their own language to help other members of their community to understand and manage pain.

This article has been written in collaboration with Adelaide PHN and STTARS team members. Find out more about how Adelaide PHN is responding to the health needs of CALD communities across Adelaide via our online directory. * Forum of Australian Services for Survivors of Torture and Trauma (FASSTT)

How is the experience of pain is different for people from refugee backgrounds? Cultural beliefs, values and customs all play an important part in the experience of pain. For instance, beliefs about what pain means and the significance of suffering pain can affect the intensity of experienced pain. There is a complex interplay between pain and traumatic memories connected to the refugee experience, with each having the potential to increase the other. This is important considering that approximately 70% of people who arrive in Australia as refugees have experienced severe abuses of human rights and an estimated 30% of refugees have experienced torture*. Prolonged periods of extreme hardship and the living conditions many refugees have faced, can cause or exacerbate a range of medical conditions that contribute to persistent pain. People from these backgrounds are often living with medical conditions which, due to circumstances, have not received timely or adequate treatment, or have been unable to be treated altogether.

Connect August 2020 | Adelaide PHN in Action

COMMISSIONING MATTERS Highlights from our development and commissioning team Adelaide PHN receives funding from the Australian Government Department of Health to commission services which meet the health needs of the Adelaide metropolitan community. Below is a summary of our recent commissioning activities.



Adelaide PHN invites applications from suitably qualified and experienced organisations located within South Australia to deliver AOD treatment services within the Adelaide metropolitan region across 20212023.

Adelaide PHN has commissioned Corporate Health Group (CHG) to deliver the Living Well with Persistent Pain (LWwPP) Program – North.

Adelaide PHN’s AOD Treatment Services Program 2021-2023 aims to deliver a range of high quality, person centred AOD treatment interventions to priority populations in the metropolitan area. Adelaide PHN is commissioning services within the following areas: • Aboriginal and Torres Strait Islander people • Young people aged 10-25 years with complex needs • Young people aged 10-25 years • Other population-based priority groups To apply (and review all the relevant documents) please see: adelaidephn

The LWwPP Program aims to implement a multi-disciplinary, collaborative primary care-based persistent pain management program in Adelaide, which: • Supports individuals to better understand their condition • Equips them with the necessary tools to improve their quality of life • Minimises the burden of pain on the individuals and the wider community Find the LWwPP Program in our website’s online directory of programs and services here:

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A consortium led by Neami National has been selected by Adelaide PHN to deliver the Continuity of Service (CoS) Program services within the Adelaide metropolitan region. CoS is an Australian Government initiative that began in 2019 to deliver a mixture of psychosocial support activities for clients who previously accessed support under Partners in Recovery (PIR), Support for Day to Day Living in the Community (D2DL) and Personal Helpers and Mentors (PHaMs) and who have been found ineligible for the NDIS. Neami National and its consortium partners (Mission Australia, UnitingCare Wesley Bowden, Life Without Barriers and Community Access and Services SA) were selected as the preferred provider of the service by Adelaide PHN, which manages the funding on behalf of the Australian Government following a competitive tender process.

Adelaide PHN’s Commissioning Handbook – The Service Providers Guide is available via our website. This handbook is a great resource that not only articulates our expectations but also provides some useful tips to aid the commissioning process for our current and future partners.

Adelaide PHN advertises all commissioning opportunities via Tenderlink, an online e-Procurement system. Organisations that wish to apply for Adelaide PHN tenders, and receive tender notifications must register on the e-Procurement system. To register, visit tenderlink. com/adelaidephn Organisations already registered, are reminded to regularly check and update your contact details to ensure timely receipt of notifications.

Connect August 2020 | Adelaide PHN in Action

ENABLING CHOICE AN UPDATE ON OUR RESPONSE TO THE COMMONWEALTH’S GREATER CHOICE FOR AT HOME PALLIATIVE CARE MEASURE Enabling Choice for South Australians (ECSA) is an Adelaide PHN program aiming is to improve the quality and processes underpinning advance care planning in residential aged care facilities (RACFs). The projects first iteration came to an end in June 2020 but renewed funding will see the program continue for another year. A review of the initial 2020 program was conducted with the support of the program’s quality improvement facilitators and lead nurses who collected data to assist in measuring effectiveness and change to June 2020. A highlight of some of these outcomes can be found on the following page. As the program continues across 2021, our dedicated quality improvement facilitator and participating RACF staff are set to build on ECSA’s success to date and further embed advance care planning across each RACF organisation. Adelaide PHN looks forward to keeping you up to date with ECSA progress over the coming year.

This article was written by an ECSA quality improvement facilitator. Aged care is a national priority area for Adelaide PHN, explore our suite of dedicated programs and services via our website’s directory.

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ECSA has achieved successful change in the advance care planning process in 71% (20 of 28) facilities within the scope of the allocation of lead nurse time.

RACFs have begun to put formal processes in place and have face to face conversations with residents and families.

Lead nurses with training, support and coaching have gained confidence in facilitating advance care planning conversations.

Advance care planning is beginning to be recognised as an ongoing conversation and is revisited when there is any change in the resident’s health status or at care plan reviews.

The SPICT and surprise question have become recognised tools for identifying deterioration and triggers to review the advance care plan and discuss the changes with the resident and family.

Lead nurses have described the rapport they develop with the resident and the family through these conversations and how they find out so much about their values, wishes and preferences.

A significant change has been in the acknowledgement of the resident’s wishes and not their family’s - previously advance care planning defaulted to the family who were asked to complete the document the facility utilised.

A comprehensive resource has been developed reflecting the experience and views of the quality improvement facilitators and informed by other lead staff involved. Ongoing, this resource will support RACF staff through the process of advance care planning.

Connect August 2020 | Adelaide PHN in Action


FIFTH ANNUAL GENERAL MEETING Adelaide PHN held its fifth Annual General Meeting (AGM) on Wednesday 28 October 2020. In keeping with our flexible and adaptive approach to our work across the COVID-19 pandemic, our Board and CEO made the decision mid-winter to hold an online AGM via Zoom. Whilst the year has certainly had its challenges, the 19/20 year has been a productive period for the Board, leadership group and staff. A summary of our AGM can be found below.

AGM Summary • Adelaide PHN’s Presiding Chair (20152020) and Board Director - Dr. Nick Vlachoulis - commenced the AGM by welcoming the chairs from our Clinical and Community Advisory Councils, in addition to the Network Leadership Group, fellow Board members and staff to the meeting. • The minutes from our 2019 AGM, were accepted as a true and accurate record of the proceedings. • The Presiding Chair highlighted the successes of Adelaide PHN including the commissioning of 168 services and agreements, worth $45 million. He congratulated the Adelaide PHN executive and staff team for their ability to be responsive and innovative. He also discussed how Adelaide PHN’s new membership model is an example of how consultation and redesign helps to ensure the needs of our members and organisation are met.

• Adelaide PHN’s CEO – Deb Lee – celebrated the launch of our 19/20 Annual Report, highlighting achievements such as our support for the COVID-19 response and frontline primary health care providers across the pandemic, a 74% increase in referrals being process through our Central Referral Unit and the development and launch of our Innovate Reconciliation Action Plan (RAP). • Deb thanked and acknowledged all our outgoing members for their commitment, dedication, passion and expertise. To all our new and current members, Deb said she was looking forward to an exciting year in 2021. • The Chair informed members that the Nominations and Member Elected Director processes for remainder of the 20202021 were suspended in March 2020, as a result of the COVID-19 pandemic. Dr Nick Vlachoulis and Ms. Fiona Raschella, selfnominated for reappointment and the members endorsed their reappointment for a further three years.

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Find a copy our our annual report - -

• Dr Vlachoulis subsequently informed the members he resigned as a Director and Chair of the Adelaide PHN Board in August 2020. He announced the election of a new Chair, Mr. Tom Symonds, and invited Tom to introduce himself. • Mr. Rick Albertini, Adelaide PHN Chair of Finance, tabled the finances for 2019/20, links to which can found in Adelaide PHN’s 19/20 Annual Report and on Adelaide PHN website. • The Chair thanked members for attending and the meeting formally concluded at 8.05pm.

Photo | Top: Mr. Tom Symonds, Board Chair (2020). Bottom: Dr. Nick Vlachoulis, Adelaide PHN’s Presiding Chair and Board Director (2015-2020).

Connect August 2020 | Adelaide PHN in Action


PRIMARY HEALTH CARE AWARDS 2020 Adelaide PHN’s Primary Health Care Awards are designed to acknowledge the outstanding achievements of our commissioned service providers and general practices across the metropolitan region. Our 2020 awards span three categories and this year, have focused on providers and practices who have gone above and beyond to support their communities throughout the COVID-19 Pandemic. Categories were as follows: • OUTSTANDING INNOVATION IN CONTINUED SERVICE DELIVERY The COVID-19 pandemic has disrupted normal life around the world, which includes the way many services have had to operate. This category celebrates those services who have implemented innovative practices to continue supporting their communities during the COVID-19 pandemic. • OUTSTANDING ACHIEVEMENT IN ENSURING HIGH LEVELS OF ACCESS AND EQUITY Delivery of high quality health services to people most in need of support has been especially relevant across the pandemic. This category recognises those services who have been working to improve the health and wellbeing of our communities, particularly those at risk of poor health outcomes or COVID-19. • OUTSTANDING ACHIEVEMENT IN PROMOTION AND EARLY INTERVENTION SERVICES Promoting wellbeing and the prevention of disease is pivotal to good health outcomes for our community, especially during a pandemic. This category serves to acknowledges services who have put intended effort into encouraging and enabling people to take ownership of their health and wellbeing. The 2020 winners and runners up have each received professional development scholarships up to the value $4000 and $2000 respectively, to continue to build team and service capacity. Congratulations to all winners, runners up and nominees; please join us in celebrating their achievements across the next few pages.

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Photo | The team at Morphett Vale Family Practice

Morphett Vale Family Practice

For ensuring continuity of access to care for patients during the COVID-19 pandemic, including multi-tiered triage system and development of a drive through testing service. Other strategies to improve patient access included, home translation services, telehealth consultations, continued residential care facility service, home visit services, increased staff hours, hiring of additional staff and bulk billing.

Runner Up | Developing Minds Psychology

For their timely response and implementation of changes to practice to continue supporting their community in a safe and efficient way. Developing Minds demonstrated excellence through quick implementation of strategies such as telehealth, development of resources to help support communities with understanding COVID-19 challenges (including a three minute animated video for children), online service delivery and restructure of service hours and staffing.

Connect August 2020 | Adelaide PHN in Action

Outstanding achievement in ENSURING high levels of ACCESS and EQUITY

*Photo | ARANAP team members * This photo was taken prior to the COVID-19 pandemic

Australian Refugee Association

For supporting culturally and linguistically diverse communities during COVID-19, including significant adjustments to Adelaide PHN funded Adelaide Refugee and New Arrivals Program (ARANAP). This included the introduction of an after hours emergency helpline for clients requesting crisis support, information and referral, and conducting wellbeing checks to as many clients as possible to disseminate information about COVID-19 in clients’ own language.

Runner Ups (Draw) Arkaba Medical Centre

The Arkaba Medical Centre undertook two major initiatives during the COVID-19 pandemic. The first ensured the continuation of medical services to patients and the community, through establishment of the Adelaide Central Respiratory Clinic, a dedicated COVID-19 testing facility. The second initiative maximized the safety of the clinic’s patients, doctors, nurses and staff through the restructuring of staff teams and work environments to ensure safety and reduce transmission risk of COVID-19.

Adelaide Disability Medical Services

Comprehensive Annual Health Assessments for people living with an intellectual disability help identify any current physical, psychological or social needs that need to be addressed in the broader context of a person’s disability. These assessments are traditionally booked as a single hour-long appointment, however due to the pandemic, the practice utilised existing infrastructure to re-design the format of these assessments, including use of telehealth and splitting of activities across two visits to allowing for a more comprehensive assessment.

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PsychMed Photo | PsychMed team members

For responding promptly to address the unique effects of the pandemic including stress and anxiety. Strategies included creating resources and early intervention services, and dissemination of information across social and traditional media. Additionally, PsychMed collaborated with the South Australian Department of Health to create resources to better equip frontline service providers and assist patients with information and access to available support services.

Runner Up | Belair Medical

For easy and safe access to flu vaccinations for at risk communities. Belair Medical implemented a drive through flu vaccination clinic to encourage at risk patients to safely and quickly access their flu vaccinations. This process allowed the practice to vaccinate most of their over 65 year old, chronic disease, pregnant and immuno-suppressed patients within the first 3 - 4 weeks of the vaccine availability.

Connect August 2020 | Adelaide PHN in Action


Older People Impacted by COVID-19 Adelaide PHN is supporting the mental health and wellbeing of people 65 years and over, (55 years and over for Aboriginal and Torres Strait Islanders) who have been impacted by the physical and social distancing measures associated with the COVID-19 pandemic. The pandemic has had a significant impact on older people who have been found to be particularly vulnerable and more likely to experience social isolation and loneliness because of their disconnection from loved ones and loss of access to services. Effects may range from low level situational distress, to more intense needs associated with ongoing mental ill health and/or physical health needs requiring tailored management and support. In response Adelaide PHN has developed a suite of interventions which address the mental health and wellbeing needs of this group, improve access to mental and physical health services and establish connection and/or reconnection to local community networks. This will include increasing the capacity of existing mental health services to provide appropriate treatment and care navigation services. We will also be commissioning new services to deliver allied health led reconditioning and resilience packages, peer support and social networking activities in the community. Each approach is designed to

support integration across services and connection with general practice. Interventions will be rolled out over the coming months and we will keep you up to date and informed of specific activities as they become available.

Visit our website’s Directory of Services and Programs to explore what else we are doing within the National PHN priority areas of aged care and primary mental health care.

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CLINICAL WORKGROUPS EXPLORE YOUTH MENTAL HEALTH One of the priorities of the Towards Wellness plan is to improve access and coordination of services for youth aged 12 to 25 years with chronic and complex (severe) mental health conditions, through the development of step up and step down pathways between GPs, the Integrated Practice Units and the Local Health Networks (LHNs). This will include investigation into the feasibility of a ‘single point of entry’ to improve overall access to regional youth services. One action to help improve access to and coordination of youth mental health services, is to develop, review and improve the localisation of youth mental health HealthPathways in collaboration with HealthPathways SA. To achieve this, four region specific Youth Mental Health Pathways Clinical Workgroups (YMHP CWG) were conducted in early November to clarify starting points for the detailing of current services available to this population. The workgroups brought together service providers, key stakeholders and local GPs to discuss the interface between the tertiary, community and primary care services. The YMHP CWG were specific to the metropolitan area. As HealthPathways SA is a state-wide platform, the clinical pathways developed following these workgroups will take into consideration management and referral variations across the state via a separate engagement strategy to ensure a ‘country voice’ is considered and incorporated.

THE TOWARDS WELLNESS PLAN The Towards Wellness: Adelaide Metropolitan Integrated Mental Health and Suicide Prevention Plan formalises the commitment of key local service providers to work together towards system improvement and ensure those experiencing mental health challenges across the metropolitan region can access the right care and support.

Facilitated by Adelaide PHN, in collaboration with HealthPathways SA, the workgroups provided an overview of the Towards Wellness plan, HealthPathways SA and explored examples of positive outcomes for young people, interface issues, referral challenges and tangible solutions and system redesign opportunities.

Find out more about HealthPathways via the project site and read more about the Towards Wellness plan on page 8. This article was written by an Adelaide PHN Integration Coordinator.

Connect August 2020 | Adelaide PHN in Action

25–74 years old

CERVICAL screening




A simple test could save your life. Talk to your GP about cancer screening today.

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NEW FIBROMYALGIA PATHWAY Fibromyalgia is a commonly encountered chronic widespread pain condition which has historically been a challenge to clinicians and patients. It can and should be managed within general practice. Dr Simon Lockwood Rural GP in Roxby Downs and HealthPathways SA GP Clinical Editor

HealthPathways SA team recently published the fibromyalgia pathway on the online portal. “Fibromyalgia is a diagnostic challenge and the pathway provides effective guidance in the assessment of this condition through the simple use of diagnostic criteria and judicious use of investigations” suggests Dr Lockwood. “The pathway outlines effective treatment that is possible in the general practice setting utilising a multidisciplinary approach with a combination of non-pharmacological and pharmacological treatments.” The development of a local pathway was suggested by the team at Bridges and Pathways Institute Inc. to support early intervention and offer solutions to improve management and services for South Australians affected by complex pain syndromes. Developed by Dr Lockwood, in conjunction with SA Rheumatologist Dr Richard Kwiatek, the pathway underwent months of development with a dynamic consultation process. The pathway incorporates contemporary guidelines using multimodal frameworks and alignment with local management options. The pathway will help GPs and other health professionals to build confidence in supporting people living within the varied and fluctuating clinical spectrum typical of fibromyalgia. The fibromyalgia pathway provides information on: • Cause, diagnostic and assessment advice • Self-management and education resources • Team management considerations • The efficacy of different approaches and treatment options • Referral guidance for advice and supports Access and more information Visit to learn more about HealthPathways SA, to register and access the portal. Contact the HealthPathways SA team at:

Connect August 2020 | Adelaide PHN in Action

This event is delivered by the Australian Refugee Association (ARA) and is supported by funding from Adelaide PHN

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MENTAL HEALTH SERVICES FOR RESIDENTS OF RESIDENTIAL AGED CARE FACILITIES Relationships Australia South Australia (RASA) has been commissioned by Adelaide PHN to deliver mental health services for older people residing in residential aged care facilities (RACFs). The services, known as Supporting Emotional Wellness in Aged Care, commenced February 2020 and to date more than 20 RACFs from across the Adelaide metropolitan region have registered to receive the program. Photo | Members of the Supporting Emotional The services are free and delivered within the RACFs by qualified mental Wellness in Aged Care team health clinicians including social workers, psychologists, occupational therapists and mental health nurses. Services include low intensity group sessions, individual and group psychological therapy sessions and mental health literacy training for RACF staff. RASA has been able to work with RACFs to ensure that whenever possible, services continue to be delivered despite the impacts of COVID-19.

The program is suitable for people with mild to moderate mental health concerns with GPs and RACF clinical team leaders able to refer. Residents with severe and complex needs and significant behavioural issues will continue to be able to access support through the Older Persons Mental Health Services or the Dementia Behaviour Management Advisory Service. In order to access the program RACFs must first register. Please find a link to the request to register form here RASA staff will then make contact to discuss the process for enabling the delivery of the program on site.

To learn more about the program and services provided, visit the Directory of Services and Programs page on Adelaide PHN’s website or contact Adelaide PHN’s Capacity Building Coordinator, Casey McDonald, via

Connect August 2020 | Adelaide PHN in Action

Adelaide PHN

Christmas Closure

Adelaide PHN’s office will be closed on Tuesday 22 December 2020 and will reopen Wednesday 6 January 2021.

Adelaide PHN’s Central Referral Unit During our office closure, our Central Referral Unit (CRU) will be operating between 9.00am - 12.00pm Monday – Friday (not including public holidays) to process priority and suicide prevention referrals only. Providers can continue to send referrals via secure messaging (ReferralNet or Argus): • Name - Central Referral Unit URN - refnet:CRU • For information and support about referrals, please contact the Mental Health Enquiry Line on 1300 898 213

Our Commissioned After Hours Mental Health Support Services A reminder that the operating hours of many of our commissioned services and programs may change over the Christmas period, please confirm operating hours directly with these services. To continue to support access to appropriate mental health care in the after hours period, the following services are operating over the holiday period as detailed below: • The Northern Walk In After Hours Mental Health Service (delivered by Sonder) will continue to operate 5.00pm - 10.00pm Monday, Thursday, Friday and Saturdays. Visit the webpage here. • The Southern Walk In After Hours Mental Health Service (delivered by Links to Wellbeing) will continue to operate 5.00pm - 10.00pm Monday, Thursday, Friday and Saturdays. Visit the webpage here. • The Lived Experience Telephone Support Service (LETSS) operates 365 days a year and will continue to operate 5.00pm 11.30pm, across the holiday period. Access the service by calling 1800 013 755 or visit

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MORE OPTIONS For Helping People to Manage Ongoing Pain

Chronic or persistent pain is a common problem for many people. In fact, one in five people, or 20% of the population, live with persistent pain. In the Adelaide metropolitan area, Adelaide PHN has been working to support both people living with chronic pain and those providing care and assistance. The Living Well with Persistent Pain Program operates in northern, western and central Adelaide It is an educational program which supports people to understand their pain and provides information on a range of skills to assist them to make positive life changes. This is done through a multidisciplinary team of health professionals providing individual sessions and group education covering a range of topics. Referrals to both services are through general practitioners and more information on this is available on Adelaide PHN’s website. Contact the programs at: • Georgia Neave (North) | or call 08 8354 9800 • Tania Vinci (West) | or call 0450 539 733 Alongside these programs, Adelaide PHN is proud to support the Adelaide Pain Support Network. The network normally runs in the Adelaide CBD, at the Queen Elizabeth Hospital and at Modbury. Since COVID-19, it has shifted to Zoom and people living within Country SA have been invited to attend. The group is facilitated by dedicated volunteers who have lived experience and have been trained in facilitation. The sessions connect people with shared experiences of pain to help each other and learn together. Along with setting personal action plans and goals, participants listen to presentations by health professionals from various disciplines and watch evidence based educational videos. Visit for more details or contact: Mary Wing: .

This article has been written in collaboration with Living Well with Persistent Pain Team.

Highlights of programs and activities ADELAIDE ADELAIDE affecting the delivery and experience of primary care in Adelaide. PRIMARY CARE IN ACTION PRIMARY CARE IN ACTION

Highlights of programs and activities affecting the delivery and experience of primary health care across the Adelaide metropolitan region

A NEW RELIABLE RESOURCE DRUG INFORMATION DIRECTORY Are you looking for reliable information regarding alcohol and/or other drugs (AOD) for yourself, someone you care for or a patient? Not sure where to start? The Alcohol and Drug Foundation (ADF) support a Drug Information Directory (DID) - a searchable directory for research and information on AOD. The directory includes a collection of websites formally reviewed and rated out of five stars by the ADF. Search the directory to find ratings, reviews and summaries of websites related to drugs and alcohol, mental health and health promotion. DID is particularly useful for stakeholders who operate in the AOD, health promotion, social work and research space.

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HealthInfoNet’s NEW SEXUAL HEALTH PORTAL We are delighted to let you know that the Australian Indigenous HealthInfoNet has added a new sexual health portal to its website. Through engagement with Aboriginal and Torres Strait Islander experts in the field, topics for the sexual health portal will focus on the aspects of sexual health that impact Aboriginal and Torres Strait Islander individuals and their communities. These topics include safe sex, healthy relationships, sexuality, sexually transmitted infections and blood-borne viruses, sexual disorders and reproductive health. Funded by the Australian Department of Health, the portal has information about publications, policies, health promotion and practice resources, organisations and workforce information to provide up-to-date relevant information for those working in this important area. Broome based artist Bec Morgan’s painting titled ‘Where the fresh water meets the salt water’ is the featured art of the new portal (and to the left) and represents the freshwater and saltwater people coming together. PVC Equity and Indigenous at Edith Cowan University Braden Hill, says of this important topic ‘This is a wonderful addition to HealthInfoNet’s already important work in ensuring the health and wellbeing of Aboriginal and Torres Strait Islander communities. The focus on sexual health is of vital importance and will enable an evidence informed approach to health care in relation to this sometimes complex area of health’. HealthInfoNet Director Neil Drew says, ‘There is a need for trusted evidence based information that is freely accessible in one place and this portal like our others delivers that’.

Visit the sexual health portal via healthinfonet’s website at: This article is based on content provided by Australian Indigenous HealthInfoNet.


Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.



Psychosis can be a frightening and often misunderstood illness that can turn a young person’s world upside down. The earlier it’s diagnosed, the sooner we can turn it around. headspace Early Psychosis offers specialist services to help young people experiencing psychosis. headspace National Youth Mental Health Foundation is funded by the Australian Government Department of Health.

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EXPERT ADVICE MATTERS TURN TO YOUR GP FOR CARE The Expert Advice Matters public advertising campaign encourages the community not to delay getting their health concern checked. Patients need reassurance that GPs are still available to give advice on all health matters, safely and easily, and their GP is the best support to turn to. This campaign is a reminder: • they can still talk to their usual GP about all of their health concerns (including those unrelated to COVID-19) • phone and video (telehealth) appointments are available to everyone • in-person appointments are still available and can be attended safely • if they do not have a regular GP to consult, they can find one through Health Direct • information is available for culturally and linguistically diverse communities. The digital campaign features adverts and information aimed at culturally and linguistically diverse communities. People who speak Mandarin, Cantonese, Vietnamese, Hindi and Arabic will find information on the website in their language. We’re inviting our diverse GP community to record messages for their community in any language they speak for our social media campaign. GPs can get involved by promoting the campaign on their own practice website and social media channels. Learn more about this initiative and the new downloadable assets on the Royal Australian College of General Practitioners (RACGP) website. Help us spread the word about continuing to access care from your GP.

Find more about this campaign via RACGP or visit This article was provided by the RACGP for publication.


Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.

REAL TIME PRESCRIPTION MONITORING ScriptCheckSA Update In 2018, the State Government committed $7.5 million to implement a real time prescription monitoring (RTPM) system in South Australia. RTPM is a computer based system which provides information to doctors and pharmacists about a patient’s use of monitored drugs when they are considering prescribing or supplying these medicines. Monitored drugs are medicines that are often associated with drug dependence, misuse, and diversion, and may lead to overdose and accidental deaths. They include a range of pain medicines, as well as medicines used for anxiety, narcolepsy or ADHD. ScriptCheckSA will help reduce misuse of these medicines and support people who genuinely need them to access them safely. ScriptCheckSA will not stop a doctor or pharmacist from prescribing or dispensing a monitored drug. Instead, the system provides real-time information to help doctors and pharmacists make decisions about the best course of treatment for a person. This information allows them to make safer clinical decisions before they prescribe or dispense a monitored drug. This means that they may potentially reduce the risk of death caused by preventable overdose. For patients, it is important to remember that the system will not stop them from obtaining their regular medicines where their doctor has identified a legitimate clinical need. A number of doctors and pharmacists are currently participating in a small-scale testing program to assess ScriptCheckSA. Participants in the testing program will first be asked to assess the online training modules which have been developed to support the implementation of ScriptCheckSA. These modules will then be made available to all doctors

and pharmacists prior to the full roll out of ScriptCheckSA. Participants will also get the opportunity to try out the ScriptCheckSA system and provide feedback on how it looks and works. Once the testing is complete, it is expected that all doctors and pharmacists will be able to access ScriptCheckSA by late March 2021. Systems like ScriptCheckSA are needed because of the increasing impact of prescription medicine misuse and related overdoses. Over the past decade, drug induced deaths were more likely to be due to prescription drugs than illegal drugs, and there has been a substantial rise in the number of deaths with a prescription drug present (AIHW). In fact, the Pennington Institute’s recent publication, Australia’s Annual Overdose Report 2020, reported that un-intentional deaths of South Australians involving pharmaceutical opioids such as oxycodone, increased by 47 per cent over a 15-year period (2004-2018). In 2018 alone, of the 1,740 Australians who died as result of drugs, pharmaceutical opioids were responsible for 655, and the anxiety medicines known as benzodiazepines were present in 883 (AIHW). ScriptCheckSA will play an important role in helping prevent drug related deaths in the future. Similar RTPM systems already exist in other states such as VIC, ACT and TAS and will soon be implemented in QLD, NT and WA.

Find out more via: scriptchecksa or send any queries about ScriptCheckSA to This article was written by an Adelaide PHN Integration and Design Officer based on reliable sources and was endorsed by the ScriptCheckSA team.

Beyond the Pandemic

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Living with Covid


In partnership with WA Primary Health Alliance, Nous Group invites you to register for a webinar series hosted by multi-award winning producer and broadcaster Dr Norman Swan, host of Radio National’s Health Report, co-host of Coronacast and commentator on ABC's 7.30 Report. Along with leading thinkers from across the health sector, Dr Swan will explore the long term implications of COVID-19 through a range of lenses.

TUESDAY November 17 4pm - 5pm AEDT

TUESDAY November 24 4pm - 5pm AEDT

TUESDAY December 1 4pm - 5pm AEDT SINGLE TICKET: $65 FULL SERIES: $200 PURCHASE TICKETS All proceeds from webinar ticket sales will go to Youth Focus in support of mental health and wellbeing for young people living in regional WA. We hope you will take this opportunity to listen to good content for a good cause.

Guest speaker: Professor Greg Dore, Kirby Institute, University of NSW




The health system’s support to COVID ‘long-haulers’

The long-term implications that COVID has for Australia’s older people Guest speakers: Professor Susan Kurrle, The Univeristy of Sydney Professor Michael Kidd AM, Department of Health Stephen Teulan, Nous Group

Preparing for the biggest immunisation program in Australia’s history Guest speakers: Professor Terry Nolan, The University of Melbourne Raj Verma, Nous Group




COVID and Australia’s mental health – dealing with the symptoms that we will not have a vaccine for Guest speakers: Dr Jo-An Atkinson, The University of Sydney Dr Caroline Johnson, Melbourne Medical School Tim Marney, Nous Group

The pandemic that will shape a generation; how do we support our children and young people to be part of the conversation? Guest speakers: Zoe Robinson, Office of the Advocate for Children and Young People Dr Elizabeth Scott, Senior Psychiatrist, Headspace Emma White, Nous Group


Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.

eteran eteran Health Check

Health Check

DVA provides Veteran DVA provides Veteran Health Checks for Health Checks for all former-serving all former-serving Australian Defence Australian Defence Force (ADF) members. Force (ADF) members.

Veteran Health Checks Veteran are an opportunity for Health Checks are veterans to access a an opportunity for veterans to access a comprehensive health comprehensive health check with a General Practitioner (GP).check with a General Practitioner (GP).

Early intervention and targeted Early intervention referrals can help and targeted you enjoy betterreferrals can help health outcomesyou andenjoy better manage your health health outcomes and during transitionmanage to your health civilian life. during transition to civilian life. Find out more:

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CARESEARCH LAUNCHES NATIONAL PART OF LIFE CAMPAIGN CareSearch has launched a national campaign designed to increase community awareness of palliative care as well as highlighting a host of free resources and information anyone can access. The Part of Life campaign encourages all Australians to learn, care, and plan for death and dying. The campaign launch follows significant work by CareSearch and its partners to assist health professionals and community members with access to quality information. “Death and dying will affect all of us. It’s a part of life. And that means everyone has a role to play in palliative care,” CareSearch Director Professor Jennifer Tieman said. “CareSearch provides evidence, information, and practical palliative care resources for everyone involved in providing care or supporting people at the end of life.” Under the National Palliative Care Strategy, six guiding principles have been identified as fundamental to ensure that all people experience the palliative care they need. The CareSearch Part of Life campaign therefore highlights six important elements of palliative care, including that palliative care is person-centred care; that care is accessible; and that everyone has a role. “What we are hoping to achieve through this campaign is two-fold; we want to further support health professionals through easy access to quality information and we also want to lift community literacy as a way to encourage advance planning,” Professor Tieman said.

To explore the Part of Life campaign, please visit


Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.


Kidney Health Australia is launching its inaugural Kidney Health Red Socks Appeal during November to raise awareness and vital funds for people with kidney disease. With the Big Red Kidney Walks cancelled due to COVID-19, Kidney Health Australia has developed a new event that everyone can get involved in to show support for people living with kidney disease.

Roam, Run or Ride in your Red Socks to show you care As you know, people on dialysis spend on average 60 hours a month hooked to a lifesaving machine – so we’re asking everyone to walk, run or ride 60 km in November in a show of support. Or, take the extreme kidney challenge and roam, run or ride 150kms in November. Get your friends together and register as a team to have some fun, or do it solo and smash your fitness goals.

Round ‘em up for a Red Sock Event Hold a Red Sock Event with your renal unit, friends, family, or colleagues during November. It’s really easy and fun, just ask everyone to wear a pair a bright red socks and make a donation to your online page.

Getting involved is easy, simply register yourself or your team here and start fundraising!

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Connecting older people from diverse cultures with the services they need to live their best lives – at home and in the community.

How is support provided?

How do we help?

Who can we help?

Our EthnicLinks Information Hub delivers free information and support in the person’s preferred language to help them: • understand the range of services available to them so they can make informed decisions about their care • register with My Aged Care • navigate the aged care system so they access services which are right for them. The EthnicLinks Information Hub is being delivered by UnitingSA as part of the Aged Care Navigators Trial led by COTA Australia and funded by the Australian Government. Visit:

Information and support is provided face-to-face, over the phone and at information sessions delivered in English and other languages.

We can help people aged 65 and over who reside in metropolitan Adelaide and are from a non-English speaking background. We also provide information and advice to family, carers and service providers.

Want to find out more? Contact our friendly Aged Care Navigator on 0422 978 161 or


Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.


Two major health organisations join forces in an initiative aimed at improving health knowledge for refugee and migrant women. Jean Hailes for Women’s Health and the Centre for Culture, Ethnicity and Health (CEH) recently launched a valuable new toolkit that is hoped to help women with limited English to make informed decisions about their health. ‘My Body. My Health.’ is written in plain English and is accompanied by some 75 illustrations aimed at supporting refugee and migrant women to better understand not just their health, but the Australian health care system. The toolkit covers the topics of health checks, healthy eating, physical activity, emotional health and vitamin D. The free resource comes with a facilitator’s guide that can be used by health professionals, educators, social workers or community leaders to deliver the presentations..

The toolkit can be found on the Jean Hailes website

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Do you feel unhappy with your body? Do you worry about your weight? Do you feel guilty about food or exercise? Does social media impact your body image? Take a positive step forward to a happier you I am Media Smart is a research trial of two versions of Media Smart, a fully online and confidential program found to help both those with body image concerns and those already showing signs of an eating disorder. The trial is open to 13-25 year olds of any gender from Australia.

You are worthwhile and worth taking care of

Connect August 2020 | Adelaide PHN in Action

Connect with us 8219 5900 Exploring Find out more about Adelaide PHN’s programs and services via our online directory. Providers can find a calendar of local professional development opportunities and a resource library to support delivery of primary health care across the metropolitan region. Adelaide PHN’s career page includes listings of vacancies within general practice across the Adelaide region (a service offered for free to general practice teams).

Adelaide PHN distributes Connect to provide beneficial and relevant information. The content is sourced from credible organisations, but please note we do not undertake extensive quality reviews. While the Australian Government helped fund this document, it has not reviewed the content and is not responsible for any injury, loss or damage however arising from the use of or reliance on the information provided herein.