Connect November 2019 | An Adelaide PHN Publication

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CONNECT NOVEMBER 2019


A Message from our CEO

4

Christmas Closure

6

Commissioning Matters

8

2019 Annual Dinner

10

2019 Primary Health Care Awards

11

News from HealthPathways

16

What’s Been Happening in Digital Health

18

Leading the Country with Health Care Homes

22

The Lived Experience Telephone Support Service

24

ARANAP - Lucy’s Story

26

Supporting Providers to Work Together

28

Greater Choice for at Home Palliative 30 Care Measure Sponsorships

31

Membership Update

32

Adelaide Pain Support Network 33

PRIMARY CARE IN ACTION 34

CONTENTS

ADELAIDE PHN IN ACTION


Page | 3 2018/19 ANNUAL REPORT HIGHLIGHTS

COMMISSIONING OVERVIEW

168 contracts or agreements

140 168

worth over

$38 ALCOHOL & OTHER DRUGS

ABORIGINAL HEALTH

8 services worth over

$3.3 million

of

contracts or agreements directly measure outputs and outcomes

17 services worth over

$6 million

3,030 closed episodes of treatment

MENTAL HEALTH

DIGITAL HEALTH

$17.4 million

4,418 primary health care enquiries supported

69,000 service contacts 8,000 people supported

95%

36 services worth over

of general practices and pharmacies in our region are registered with My Health Record

VIEW THE FULL ANNUAL REPORT ONLINE HERE


Hello fromDeb! Another year hurtling to its end, and what a year it has been – with my now customary reflection and what we have achieved, what we could do better and what still needs to be done. Adelaide PHN is now in its fifth year of operation, so there is much to continue to reflect on. This year our Key Thematic Goal for Adelaide PHN is ‘demonstrating our impact’. There is absolutely no doubt that we have made a significant difference to the experience of the health care system for our community, and alongside that we have made an impact on improving people’s health outcomes. The key question is - now that we are focused on outcomes, collaboration and integration, how do we share this? How do we ensure that these changes, value add activities, projects continue, and focus on quality improvement, capacity building, collaboration and integration? How do we ensure that they are recognised, valued and sustainable? How do we bring on board more champions to work in sustainably innovative and collaborative ways – integrating the many pieces that make up a great primary health care system? We will - collect measurable outcomes, provide the good news stories in innovative ways, broaden our key engagement and partnership work, make good use of our learnings, combine our resources across our stakeholder groups, support each other, listen to our community and codesign solutions to key areas of need. You will find some of our infographic snapshots in this newsletter, demonstrating the fantastic impact that has been made this past financial year. Our annual Primary Health Care Awards offer up the highest quality work that showcases collaboration and integration, both with Adelaide PHN commissioned services and importantly, collaboration and integration with other funded projects. Well done to all our 2019 Primary Health Care Award recipients!


Page | 5 We will continue to work alongside our community, our membership and our many and varied stakeholders, to ensure that we are aware of priority needs, areas of emerging need and ongoing issues with gaps in services and continuity. We will continue to work and advocate, at all levels, to ensure that our South Australian metropolitan community have a health system that is easy to navigate, provides high quality, effective and efficient services and responds quickly to areas of high and immediate need. Of course, it is not a quick fix nor an immediate solution, it requires all of us to work together in a spirit of collaboration and integration. It requires bucket loads of passion, commitment and expertise. To misquote that famous advert phrase: “it won’t happen overnight – but it WILL happen”! And in no small part, the role that you play, you as a community member, a provider, a service user, a family member, friend or support person – you – are pivotal to the achievement of this goal! Together our focus continues to be on high quality, effective, efficient, person centred services. Services that work together to improve the experience and the outcomes of the people they serve. Services that value collaboration and integration over funding competition. My absolute grateful thanks to our wonderful Adelaide PHN staff and our Board – without them, Adelaide PHN could not do the job that it does! We wish you all a merry, truly relaxed and joyous Christmas. We very much look forward to working with you in 2020. Warm Regards,


CHRISTMAS CLOSURE The Adelaide PHN office will be closed on Friday 20 December 2019 and will reopen Monday 6 January 2020.

ADELAIDE PHN CENTRAL REFERRAL UNIT (CRU) The Adelaide PHN CRU provides both administrative and clinical triage for all formal Mental Health Treatment Plan (MHTP) referrals for Adelaide PHN’s commissioned primary mental health care services. During the Christmas and New Year period, 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. To access the CRU, call the Mental Health Enquiry Line on 1300 898 213 or fax 1300 580 249 or use secure messaging.


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CHRISTMAS AFTER HOURS SUPPORT SERVICES WALK IN AFTER HOURS MENTAL HEALTH SERVICE Sonder’s Walk In After Hours Mental Health Service supports people aged 18 years and over in the after hours period between 5.00pm - 10.00pm Monday, Thursday, Friday and Saturdays. Phone 8209 0711 or visit sonder.net.au/after-hours/ for more information.

LIVED EXPERIENCE TELEPHONE SUPPORT SERVICE (LETSS) LETSS is a free, after hours telephone service designed to provide non-clinical mental health information. The service is delivered by experienced peer workers between the hours of 5.00pm - 11.30pm, 365 days a year. Access the service via 1800 013 755 or online chat service via letss.org.au.

ADELAIDE AFTER HOURS A free and easy to use online directory detailing Adelaide health services open after 5.00pm. It lists local Adelaide region doctors, pharmacists, dentists and hospitals available in the after hours period. To access these services, please visit adelaideafterhours.com.au.


COMMISSIONING MATTERS

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.

ABORIGINAL AND TORRES STRAIT ISLANDER CULTURAL ADVISORY SERVICES FOR HEADSPACE CENTRES PROJECT Adelaide PHN requests proposals from Aboriginal and Torres Strait Islander Community Controlled Organisations and Aboriginal and Torres Strait Islander businesses to deliver the Aboriginal and Torres Strait Islander Cultural Advisory Services for headspace Centres Project (the Project). The Project aims to enhance the capability and capacity of headspace Centres in the Adelaide metropolitan region to deliver culturally appropriate, sensitive and safe primary mental health care services for young Aboriginal and Torres Strait Islander people. The Project requires the successful applicant to: • undertake cultural competency and cultural safety audits of headspace Centres • support headspace Centres to enhance service provision for young Aboriginal and Torres Strait Islander people • provide cultural supervision and mentoring for Aboriginal and Torres Strait Islander Youth Peer Workers engaged by headspace Centres • provide advice and support to Adelaide PHN on key aspects of the Project, including participatory evaluation Commissioning closed on Friday 15 November 2019. Adelaide PHN is now considering applications.


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HEADSPACE MARION CENTRE REQUEST FOR TENDER (RFT) Adelaide PHN invites tenders from suitably qualified and experienced organisations, including those outside of the Adelaide metropolitan region, to establish and deliver the headspace Marion Centre. The headspace Marion Centre aims to deliver support and services for young people aged 12-25 years with, or at risk of, mild to moderate mental issues. The successful applicant(s) will be: • required to establish the headspace Marion Centre within the City of Marion Local Government Area boundaries • expected to commence delivery of the services by 1 July 2020 • required to establish the service within the preceding six months (January – June 2020) The tender closed on Monday 18 November 2019. Adelaide PHN is now considering applications.

As always.... Adelaide PHN advertises 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 their contact details with TenderLink to ensure timely receipt of notifications. Please contact TenderLink on 1800 233 533 for all registration queries and support. Our Commissioning Handbook - The Service Provider’s Guide is available on 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.


celebrating our achievements at our

2019 ANNUAL DINNER To celebrate our valued members, stakeholders and commissioned service providers, Adelaide PHN held its Annual Dinner on Saturday 19 October 2019 in the beautiful Ian McLachlan Room at the Adelaide Oval. With over 200 guests in attendance, stakeholders were treated to a fabulous night, starting with a very engaging and interactive Welcome to Country by Uncle Mickey O’Brien, followed by the celebration of our Primary Health Care Award Winners and presentation by our guest speaker, Dr Tim Duncan. It was a wonderful opportunity to share our achievements from the last 12 months, as our CEO presented an overview of our online Annual Report which included two videos about our Health Care Homes program and commissioned Lived Experience Telephone Support Service. Thank you to everyone who attended this wonderful night and helped make it a great success. We have been overwhelmed with positive feedback and look forward to continue working with you all in 2020. The dinner was very kindly sponsored by Global Health.

Primary Health Care Award Winner, Reynella Medical Centre

Primary Health Care Award Winner, Australian Refugee Association


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Dr Nick Vlachoulis, Deb Lee & Rick Albertini - Adelaide PHN Chair, CEO & Finance Chair

Dr Tim Duncan, Guest Speaker

Adelaide Oval, Ian McLachlan Room

Adelaide PHN Board Members

Jill Agius, Parry Agius, Uncle Michael O’Brien, Schania Czygan, Tanya Hunter & Michele Robinson Uncle Michael O’Brien, Welcome to Country

GOLD SPONSOR OF ADELAIDE PHN’S 2019 ANNUAL DINNER

Adelaide PHN Membership Advisory Council Representatives


announcing our

primary health care award winners Adelaide PHN’s Primary Health Care Awards are designed to celebrate outstanding achievement by our commissioned service providers, members and partners in improving the health and wellbeing of our community across the Adelaide metropolitan region.

OUTSTANDING ACHIEVEMENT IN:

HEALTH PROMOTION AND EARLY INTERVENTION WINNER | REYNELLA MEDICAL CENTRE For their Women’s Health Clinic which launched in February 2019 to provide additional access to cervical screening in an inviting, relaxed environment. Clinics were held once a month for five months and during that time over 100 women were screened. More than half of those had not been screened in over four years, several had never been screened, a number of high-risk results were returned and referred for follow up.

RUNNER UP | AUSTRALIAN REFUGEE ASSOCIATION For their Healthy Living Expo that was hosted in April 2019 to promote health care services to people from culturally and linguistically diverse (CALD) refugee backgrounds. The event reached approximately 350 attendees including those from Syrian, Afghan and Burmese communities. The Expo allowed attendees to connect with health care providers in culturally appropriate settings across 33 stalls, providing information about dental, asthma, cancer and screening, mental health, physiotherapy, chronic pain, disability, children’s health, pharmacy, sexual health and first aid services.


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OUTSTANDING ACHIEVEMENT IN:

IMPROVING ACCESS AND EQUITY WINNER | PSYCHMED For their MATRIX Program which provides group-based education and therapy to support the recovery of methamphetamine users. MATRIX clients frequently experience social rejection, shame and stigma, and this can be a major barrier to their long-term recovery. With this in mind, the MATRIX team are innovating with collaborations aimed at supporting long-term recovery. This includes pathway development with SA Dental Services, enabling client’s access to dental care in a timely manner, and partnerships with the hairdressing and beauty industry enabling access to free makeovers for people in recovery. These collaborations resulted in improved confidence and self-esteem, and reduced stigma faced by those with a lived experience of methamphetamine use.

RUNNER UP | OARS COMMUNITY TRANSITIONS For their drug and alcohol treatment program for people who have been recently released from prison - Counselling, Health and Substance Management (CHaSM). The program works with the Department of Corrections to begin this support while clients are still in prison. Once released, CHaSM provides specialist counselling, group support and case management, all tailored to supporting a population group who are at very high risk of poor mental and physical health outcomes. Since the program began, 451 clients have engaged in the CHaSM service for one to one counselling. Of these, 92.2% of clients were reported as not returning to prison and 21.3% were reported as completely abstinent from their alcohol or substance use at end of treatment. Group support has also been delivered to 1120 people.

Primary Health Care Award Runner Up, PsychMed

Primary Health Care Award Runner Up, OARS Community Transitions


OUTSTANDING ACHIEVEMENT IN:

INTEGRATION AND COLLABORATION WINNERS (DRAW) | THE ACT CENTRE AND ABORIGINAL COMMUNITY CONNECT The ACT Centre and Aboriginal Community Connect have partnered to provide a comprehensive, seamless walk-in service for Aboriginal and Torres Strait Islander community members experiencing mental health issues and/or drug and alcohol dependency. Providing access to immediate mental health and drug and alcohol support in a holistic ‘one stop shop’ model. Community members can access psychological assessment and therapy, case management, housing support, emergency food relief and ongoing group therapies. It also offers support for the entire family, including children and youth.

WINNERS (DRAW) | HEADSPACE EDINBURGH NORTH (LEAD AGENCY SONDER)

The headspace Employment Support program integrates vocational support for young people aged 12-25 within the mental health service at headspace Edinburgh North. Employment specialists provide individual support and work alongside youth workers and mental health clinicians to ensure coordinated support suited to each young person’s need. The program partners with Orygen, the National Centre of Excellence in Youth Mental Health, IPS Works and headspace National to draw on their expertise in delivering the model.

Primary Health Care Award Winners, The ACT Centre

Primary Health Care Award Winners, headspace Edinburgh North


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OUTSTANDING ACHIEVEMENT IN:

INTEGRATION AND COLLABORATION RUNNERS UP (DRAW) | ADELAIDE PAEDIATRICS For their Northern Paediatrics Partnership Program which is a private-public collaboration facilitating timely, free autism and developmental assessments for children and young people, launched in November 2018. The partnership is redirecting patients under the age of 18 on the NALHN waiting list to Adelaide Paediatrics Elizabeth for assessments, leading to timelier diagnostic assessments required to receive NDIS and school support. By June 2019, the program provided 97 children autism spectrum disorder assessments, 16 children a psycho-educational assessments and 31 children with additional therapies.

Primary Health Care Award Runners Up, headspace Port Adelaide, Thrive and Adelaide Medical Solutions

Primary Health Care Award Runners Up, Adelaide Paediatrics

RUNNERS UP (DRAW) | HEADSPACE PORT ADELAIDE, THRIVE AND ADELAIDE MEDICAL SOLUTIONS With 43% of Australians with anxiety or depression having a physical health condition, headspace Port Adelaide and Adelaide Medical Solutions have developed a collaborative partnership to address young people’s physical health care needs in a primary mental health care setting. Together they are incorporating a general practice into a headspace centre, staffed by a GP, practice nurse and dietician. This is underpinned by a formal Memorandum of Understanding, along with shared protocols, information systems and clinical reviews.


news from

HEALTHPATHWAYS new pathway now live Cognitive Impairment and Dementia Pathway now live on the HealthPathways SA site.

Almost 10% of Australians over 65 have dementia, and it often has distressing impacts on both the individual and those that they love. GPs will often see these individuals as the condition develops or be the ones that families turn to as they observe increasing cognitive impairment. HealthPathways SA has developed a Cognitive Impairment and Dementia Pathway with the support of specialist practitioners in this area. The pathway is now available to assist GPs in: • the timely assessment and diagnosis of dementia • differentiation from conditions which may present in a similar way or which are reversible • management steps and support for individuals and their families • referral information regarding appropriate local services

Dr Chris Moy, GP Clinical Editor for HealthPathways South Australia


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GET INVOLVED: UPCOMING CONSULTATIONS Prior to being published, clinical pathways go through a broad consultation process. The HealthPathways SA team are seeking clinicians to review draft pathways (which can be used as a CPD activity). Clinical pathways coming up for consultation include: • TIA (Transient Ischaemic Attack) and Stroke • Unsettled Infant • Diabetes Eye Disease Screening • Foot Complications in Diabetes • Heart Murmurs in Children • Perinatal Depression and Anxiety • Irritable Bowel Syndrome • Iron Deficiency in Adults • Borderline Personality Disorder If you are a clinician interested in getting involved with HealthPathways SA, express your interest by contacting the team today at SouthAustralia@healthpathwayscommunity.org

Find out more or register via the Project site


WHAT’S BEEN HAPPENING IN

DIGITAL HEALTH November has seen the endof the first quarter of the new Practice Incentives Program (PIP) Quality Improvement (QI) Incentive. Adelaide PHN has been able to support 207 general practices across the Adelaide metropolitan region with a fully subsidised PenCS licence. Adelaide PHN’s fully subsidised licence includes the new PIP QI essential package to support the Quality Improvement Practice Incentive Program. For more information on licensing, training and/or resources in relation to the PenCS tool please contact the Adelaide PHNs Digital Health team at digitalhealthinfo@adelaidephn.com.au.

PIP QI In collaboration with Quitline, Adelaide PHN is helping local practices with identified smoking patients who would like support with smoking cessation. If your practice would like support for patients around smoking cessation and more information about how this relates as a PIP QI activity, please contact the Quitline via email gpengagement@cancersa.org.au, or contact your Adelaide PHN Practice Facilitator on practicesupport@adelaidephn.com.au. For more information, resources and referral pathways to support your patients with smoking cessation, please visit the Quitline website.


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MY HEALTH RECORD Adelaide PHN continues to work with primary health care providers around the My Health Record (MyHR) and as a result, our region has seen high engagement of health care services connecting to the MyHR. We have seen...

303

269

general practices register, making up

pharmacies register, making up

93%

82%

of general practices in our region

of pharmacies in our region

In addition to:

53

allied health providers

29

specialist services

4

dental services

Earlier in the year, SA Health began uploading radiology and pathology results to the MyHR. As of October 2019, there have been over two million pathology results and over 125,000 radiology results uploaded to consumer’s MyHR. Adelaide PHN continues to support providers with resources and training in relation to the MyHR. The team can also support community groups if required. Please contact Adelaide PHN’s Digital Health Team via email: digitalhealthinfo@adelaidephn.com.au. Information to support consumers in understanding the MyHR can be found via myhealthrecord.gov.au


SECURE MESSAGING Adelaide PHN is encouraging and supporting the use of secure messaging and eReferrals across the Adelaide metropolitan region. The benefits of Secure Message Delivery (SMD) to providers may include: • secure exchange of clinical information and documents such as eReferrals and discharge summaries, preventing unauthorised interception of the message content • reduced use of paper correspondence - less time chasing clinical information and investigations, resending or chasing referrals, scanning, printing, filing and posting • confidential patient correspondence only seen by treating clinicians (no scanning necessary) • system notification of successful message delivery, so that sending organisations know that a message has been received and decrypted by the intended receiving organisation • potential to improve the timeliness of receipt of clinical information, and therefore the quality of care provided • over time as software vendors enhance their digital health functionality, patient data contained in CDA documents, such as pathology results, will be able to be imported directly into the relevant fields in your patient’s record. This will help consolidate the information in your clinical software rather than you needing to click into separate tabs to find scans and reports


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Did you know that Adelaide PHN’s Primary Mental Health Service, Central Referral Unit (CRU) utilises secure messaging to receive referrals and send correspondence back to the sender? This negates that need for printing and faxing, saves time and ensure we receive your patients referral in a timely manner. In order to support the adoption SMD across the Adelaide PHN region, we are offering a free licence to ReferralNet secure messaging to practices who would like to utilise SMD to support sending of referrals and clinical documents. Primary health care providers who decide they would like to access a ReferralNet licence will be provided with support to implement the program and training in how to use the system. Does your practice use Argus? Did you know that your software is interoperable with ReferralNet? Meaning you can send information securely to ReferralNet providers without the need to implement the ReferralNet platform. If your practice would like to access a free ReferralNet licence to support sending information via a secure messaging platform, or if your practice utilises Argus and would like training, please contact Adelaide PHN’s Digital Health Support team via email digitalhealthinfo@adelaidephn.com.au or call your Adelaide PHN Practice Facilitator on 8219 5900.


LEADING THE COUNTRY WITH A NEW MODEL OF CARE:

HEALTH CARE HOMES As one of ten regions implementing the Commonwealth’s Health Care Homes (HCH) Trial, our HCH practices are leading the country in terms of engagement with this exciting new model of care. The HCH trial is designed to help people better manage their health conditions by providing access to coordinated and integrated care, tailored to their needs. Across the Adelaide metropolitan region, we now support 14 HCH sites with a collective 2,326 patients participating in the trial. To put this success in perspective, enrolments from across our region make up 23% of ALL national HCH enrolments; a testament to how diligently our practices have worked to investigate this model of care. A focus of the 18/19 year, has been the roll out of a shared care planning software to the broader health care ‘neighbourhood’ including allied health providers and community pharmacists. Across our region, shared care planning has been embraced by these providers with 2,217 allied health referrals generated and sent electronically. Since the implementation of community pharmacy in the program an additional 1,478 pharmacy referrals have been generated. Through utilising this software, participating allied health providers and pharmacists can communicate instantly with other members of a person’s care team, thereby supporting more timely, coordinated and responsive care. In the coming year, we look forward to capitalising on the groundwork laid recently to extending the application of this shared care planning software within our region’s local hospitals. This will support access to real time comprehensive information about a person’s diagnosis, medications, care team members and ongoing treatment plan.


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Watch the Health Care Homes video via our Youtube chanel or online 18/19 Annual Report.


LETSS

The Lived Experience Telephone Support Service

Reflecting on success and a new video to support promotion This year, as part of our work in the person-centred care space, we have been actively considering how we can harness the experience of those with a lived experience of our local health system to improve health outcomes and delivery of primary care across out region. In response to an identified need for mental health support in the after-hours period and a more person-centred approach to supporting those trying to navigate or find information about local mental health services, we commissioned ‘Links to Wellbeing’ to deliver an after hours, peer-led telephone service. Launched 1 October 2018, LETSS provides non-clinical mental health information and support for people experiencing mental health concerns, as well as those caring for them, to better navigate the local mental health system.


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A peer-led service... Central to the success of this service has been the delivery of support by trained peer support workers who each have a lived experience of recovery and managing their own mental health challenges. These support workers draw upon this experience to provide support and understanding to LETSS clients.

When people call and they know that I have lived experience... they just feel more assured, like we understand what they’re saying and they notice the difference between us and other services. I‘ve lost count of the times callers say ‘I just feel like you get it’... - Cam, LETSS Peer Worker

Success so far... Across the 18/19 year, LETSS provided a total of

3210 service contacts to callers or those accessing the service via the web chat option.

Client satisfaction with the service is high with:

83% 83%

Adelaide PHN recently produced a video with the LETSS team and production team at ASN Media. The video was created to showcase the LETSS program at a Health Leaders’ Congress in Queensland during October 2019.

indicating that the service met their needs, and

reporting that they would recommend LETSS to a friend

Watch the video

Watch the video | via our Youtube chanel or online 18/19 Annual Report Explore other commissioned services | adelaidephn.com.au/directory Visit the LETSS program website | letss.org.au


ADELAIDE REFUGEE AND NEW ARRIVAL PROGRAM HOW INTEGRATION IS SUPPORTING BETTER HEALTH FOR PEOPLE FROM REFUGEE AND NEW ARRIVAL BACKGROUNDS Commissioned by Adelaide PHN, the Adelaide Refugee and New Arrival Program (ARANAP) is designed to improve the health of refugees and new arrivals, build capacity of primary health care workers and increase integration of services for these communities. Delivered by Australian Refugee Association (ARA) and Survivors of Torture and Trauma Assistance and Rehabilitation Service (STTARS), this program provides refugee health nurses and bilingual, bi-cultural staff to enable individuals and families to better connect with appropriate medical services. Across the year, ARANAP has: Received over

Provided over

referrals and supported better access to primary health care services

face to face appointments with culturally and linguistically diverse people in need

300

700

Whilst these figures are impressive, the success of the ARANAP is best captured by the experiences and stories of those people who have been supported by the program – like Lucy’s* on the following page.


y r o t uL cy’s S

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Lucy, a 35 year old Syrian woman, arrived in Australia at the end of 2016 with her husband and four children. Lucy was referred in to the ARANAP due to difficulty finding a ‘good’ GP and for dental issues. It was found that Lucy was suffering from persistent headaches, iron deficiency, chest pain and sinus issues and had visited multiple different GPs to try and find relief. Across various appointments, many of which had not utilised interpreters, Lucy had received a myriad of different explanations for her illnesses. Lucy tried to seek out a GP who spoke her language. “I travel one hour by bus to see this particular GP but the doctor is always in a hurry, does not give me enough time to talk about my health.” ​ ucy was prescribed migraine medication (Eletriptan), to be taken ‘prn’ L (as required). However, she was self-administering daily and stated that this medication was causing a range of side effects such as chest pain and tightness, pain radiating along the arm, limb weakness, and shortness of breath. She had continued to take Eletriptan as it was the only medication helping with her migraines. Due to these symptoms, Lucy was admitted to hospital on several occasions and required cardiac investigation. Through the ARANAP program Lucy was connected in with a Refugee Health Nurse who was able to assist with coordinating Lucy’s care and attend appointments with her. Lucy’s nurse was able to support a more holistic approach to Lucy’s health: advocating for a medication review, chronic disease screening and cervical screening, as well as facilitating discussion of Lucy’s sinus problems between Lucy and the GP and providing nutritional and exercise advice. Lucy was also linked to an ARANAP bilingual worker who supported and advocated for her and her family to access appropriate dental services. ​ Lucy now has better understanding of her medication and how to manage her health. Since ARANAP, Lucy has not required further emergency ambulance call outs. The ARANAP will be expanded in 2019-20 to include a health literacy component to further support people from refugee and new arrival backgrounds in understanding their health conditions and the Australian health system.

*parts of this story have been edited to preserve anonymity


SUPPORTING PROVIDERS TO WORK TOGETHER GP and Hospital Consultants’ Workshop Since November 2018, Adelaide PHN has held three GP Round Table Workshops to proactively engage with over 30 local general practitioners working across the Adelaide region. Facilitated by Enzyme Group, these workshops served as a forum for GPs to provide feedback on the work and direction of Adelaide PHN, discuss ways in which our organisation can support general practice, and identify opportunities to enhance the relationship between primary, acute and tertiary care. In the consolidated report of the three round tables, participating GPs identified that Adelaide PHN and GPs have a shared responsibility in addressing many of the issues and opportunities facing general practice. Participating GPs also identified the following top four priorities for action in the future: • • • •

poor relationship between acute and primary care general practice education, training and business support difficulty accessing quality mental health services greater understanding of PHN functions and capacity

As part of Adelaide PHN’s response to the first priority and following the CALHN GP/Hospital Consultant Workshop in June, Adelaide PHN partnered with SALHN and NALHN to continue engagement with local GPs and hospital consultants to discuss opportunities to improve the relationship between primary and acute care.


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Following the same Enzyme format, the two GPs/Hospital Consultants Workshops were held in October and have provided the platform upon which we can build better working relationships and achieve better health outcomes. Summary reports of the SALHN and NALHN workshops will be made available on the Consultation Reports page via the ‘Our Work’ tab on our website. Keep an eye out on our Announcements page.

A follow-up to the CALHN workshop for GPs in the central area will be held on: Thursday 28 November 2019 6.00pm - 8.00pm Royal Adelaide Hospital Visit Adelaide PHN’s website or click here to register you interest.

Adelaide Primary Health Network and AGPAL Workshop: RACGP Standards, transitioning to 5th edition To support general practice with the transition from the 4th to 5th RACGP Standards edition, Adelaide PHN and AGPAL ran three education and training workshops across the south, centre and northern Adelaide regions. The three workshops highlighted the key changes between the 4th and 5th RACGP Standards edition, outlined the new Standards structure and concepts, and assisted practices to identify and interpret the new 5th edition indicators which included discussions to determine how their practice team may already be meeting these evidence requirements. For more information on accreditation or for support in relation to accreditation please contact our Practice Facilitators via email: practicesupport@adelaidephn.com.au


Supporting

PALLIATIVE CARE GREATER CHOICE FOR AT HOME PALLIATIVE CARE MEASURE Adelaide PHN is working with Residential Aged Care as part of the Government Greater Choice for At Home Palliative Care Measure. Eight organisations and 30 of their facilities are currently involved in mapping and auditing their process for advance care planning and how this information is documented and utilised to care for the resident and their family. Two Adelaide PHN Quality Improvement Coordinators are leading the project with the support of 25 lead nurses who are beginning to implement quality improvement activity. This implementation is underpinned by training for staff. From September to December 2019, 96 registered nurses have attended ‘Vital Talk’ training facilitated by a Palliative Care Consultant. This training aims to improve skills and confidence to have conversations with residents and families about the things that are most important to them from admission in aged care to the end of life. The Palliative Care training was also well attended, with 100 personal care staff in attendence. The training focused on providing high quality care for residents at the end of their lives. The project continues until June 2020.

To find out more, please contact Adelaide PHN’s Quality Improvement Coordinators on 8219 5900.


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Adelaide PHN Sponsorships

GP19 Conference In recognition of the valuable contribution GPs make to the health of our communities, Adelaide PHN sponsored six GPs from across the Adelaide metropolitan region to attend the GP19 conference held in Adelaide between 24-26 October 2019. We had many expressions of interest to attend and the selection process was a difficult one. Dr Zarrinkalam was one of the GPs sponsored to attend the conference: “It was educational, informative and inspiring. There was a good combination of workshops and speeches covering a wide range of topics: everyday practice, academics, researches, evolving trends and future (future patients, future general practices and future opportunities). It was a good “brain-teaser”... taking part in such a big gathering [also] boosted my [pride with] being a GP”. Adelaide PHN would like to thank Dr Zarrinkalam for her positive comments and feedback in relation to the conference. We trust that those who attended the conference found it a enjoyable and valuable experience.

If you would like to hear about upcoming sponsorship opportunities, sign up to our fortnightly e-newsletter, Primary Links.


MEMBERSHIP UPDATE Goodbye The Northern Adelaide Local Health Network (NALHN) is soon to be saying goodbye to Dr Elaine Pretorius, a longstanding member of the Diabetes and Endocrine team. Dr Pretorius has accepted a position as the Executive Director of Medical Services for Limestone Coast Local Health Network, based in Mount Gambier. Adelaide PHN would also like to thank her for her contribution and commitment to our Northern Clinical Council, which she is also leaving. We wish her all the best with her new endeavour.

We would also like to thank Dr Deepa Taranath and Dave Jones, whose terms on our Clinical and Community Advisory Councils respectively have now concluded. Their commitment and contributions have certainly been valued.

More information about our membership can be found via our website: adelaidephn.com.au/about/working-with-community/membership/


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ADELAIDE PAIN SUPPORT NETWORK Congratulations to

Mary Wing

Mary Wing has recently been selected as a member of the International Association for the Study of Pain (IASP) Presidential Task Force: Global Alliance of Pain Patient Advocates. Mary runs the Adelaide Pain Support Network on behalf of Adelaide PHN and is an accomplished consumer advocate and peer supporter. The task force has been charged to design a strategy and plan to support the IASP to create an alliance of patient pain advocates from around the world. Among other things, the task force will research and recommend a governance structure to ensure that consumer voices and patient experience is incorporated into IASP programs and planning, such as the World Congress on Pain. They will also be responsible for identifying and recommending engagement points for patient advocates in IASP Special Interest Groups and national chapters, such as the Australian Pain Society. Mary says “I am really excited about it because the taskforce is comprised of consumers and clinicians. It’s an amazing initiative designed to have patients involved in research from the grassroots, raise awareness and reduce stigma faced by people with chronic pain.” For more information on the network, please visit: facebook.com/adelaide.painsupport/


PRIMARY CARE IN ACTION The following section of Adelaide PHN’s Connect newsletter includes highlights of local programs and activities affecting the delivery and experience of primary health care across the Adelaide metropolitan region. Would your organisation or practice like your activity featured in Connect? Get in touch with the comms team at comms@adelaidephn.com.au


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CAMHS CONNECT CHILD AND ADOLESCENT MENTAL HEALTH SERVICE The Child and Adolescent Mental Health Service (CAMHS) has launched a new, centralised triage service called CAMHS Connect. CAMHS Connect will provide a consistent, single phone entry point for new community referrals into CAMHS Monday - Friday, 9.00am - 5.00pm (excluding public holidays). Referrals can be made by health care providers, community, or self-referral. The service will undertake an initial phone assessment of a client’s needs and make recommendations for ongoing mental health support where appropriate.

Access CAMHS Connect via 1300 222 647 (1300 2 CAMHS). For more information, please visit wch.sa.gov.au/CAMHSConnect


ADELAIDE PRIMARY CARE IN ACTION

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

HEART FOUNDATION HEALTH PROFESSIONAL AMBASSADOR PROGRAM 2020 Are you passionate about supporting the heart health of your patients? Join the Heart Foundation Health Professional Ambassador Program in 2020. Applications are now open for health professionals including nurses, doctors, Aboriginal health workers (Cert IV) and practitioners, pharmacists, dietitians, physiotherapists, and exercise physiologists in South Australia, working in Primary Care, community health, Aboriginal health services and hospitals who are passionate about improving patient care and outcomes to join the Health Professional Ambassador program in 2020. The program links health professionals with the Heart Foundation to learn about the latest evidence on cardiovascular disease, understand the Heart Foundation’s work and messages that support heart health, and increase their knowledge and confidence in their professional role. Participants are required to attend four workshops in Adelaide throughout the year and undertake a workplace project to improve care of their patients with, or at risk of cardiovascular disease. Attendance at the program is free, however places are limited. A certificate is provided to all participants who complete the program for CPD records.


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Testimonials from past participants “When approached to complete this program I had very little background knowledge of what was entailed. Given many of our patients have heart disease I hoped to increase my knowledge of heart conditions and referral options. My expectations have been greatly exceeded!” “My experience of the program was overall empowering and educational. It allowed me to reflect upon my current practice and motivated me to increase the support I provide to my patients-more specialised.”

For more information and to apply, please visit the Heart Foundation’s website. Or contact Sabine Drilling 82242805 or sabine.drilling@heartfoundation.org.au Applications close 3 December 2019

YOUNG, DEADLY, SYPHILIS FREE #GETTESTED I’ve had mine...have you had yours?


ADELAIDE PRIMARY CARE IN ACTION

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

NEW RACGP CPD 2020-22 TRIENNIUM GUIDELINES The Royal Australian College of General Practitioners (RACGP) have recently released their CPD Guidelines for the upcoming 2020–22 triennium. In preparation for the Medical Board of Australia’s (MBA) Professional Performance Framework, the RACGP are making some changes to help GPs understand their new requirements and start transitioning towards them. In line with this, some of the changes being made include: • the terms Category 1 and 2 will no longer be used. Activities will be classed as CPD Activities or CPD Accredited Activities. They are different to the former categories • ability to self-record CPD Activities, including those activities which form part of a GP’s everyday professional practice. These activities accrue 2 points per hour • strengthened educational rigour of CPD Accredited activities – these activities are now broader and more varied and are allocated 40 points for the activity • there is no cap on the number of Activities that can be self-recorded • improvements to the MyCPD dashboard and introduction of an app to assist with self-recording The mandatory minimum requirements for the 2020–22 triennium remain the same: • 130 points for the triennium • 2 x CPD Accredited Activities • 1 x basic life support (BLS) / cardiopulmonary resuscitation (CPR)

For more information on the changed to the CPD program, please visit the RACGP website. For more information on the upcoming MBA Professional Performance Framework, please visit the Medical Board website.


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Do you need mental health info or support? Worried Support Unsure

Lonely

Anxious

Depressed Angry

Info

Go to headtohealth.gov.au for info, services and advice, online or over the phone.


ADELAIDE PRIMARY CARE IN ACTION

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

PULMONARY HYPERTENSION AWARENESS MONTH To mark Pulmonary Hypertension Awareness Month this November, Lung Foundation Australia is raising awareness of the signs and symptoms associated with Pulmonary Arterial Hypertension (PAH) and connecting people living with PAH to the latest information, resources and support services.

LIVING WITH PULMONARY ARTERIAL HYPERTENSION BOOKLET This free resource, designed in collaboration with respiratory physicians, rheumatologists, cardiologists, PAH nurse consultants and people in the PAH community. The book outlines the symptoms, diagnosis and management of PAH, including important self-management tips. To download a free copy, visi the Lung Foundation website.

LIVE WELL, BREATHE BETTER PULMONARY HYPERTENSION WEBINAR SERIES This free online series features expert speakers and patients sharing tips and advice to live well with PAH. Through this series, Lung Foundation Australia strives to build the confidence, skills and knowledge of patients to navigate the health system and receive the best treatment and care possible. To register for the series, visit the events page on the Lung Foundation website.


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SOUTH AUSTRALIA’S ORAL HEALTH PLAN The South Australian Oral Health Plan 2019 - 2026 is the South Australian Government framework for oral health action in South Australia for the next seven years. It provides an overview of the current oral health status of South Australians, including priority populations, and identifies key action areas to address the oral health needs of the population. This Plan builds on both the foundations and achievements of the inaugural Plan released in 2010 and provides the South Australian context for the goals and principles of Healthy Mouths – Healthy Lives, Australia’s National Oral Plan 2015-2024. A healthy mouth is fundamental to overall health, wellbeing and quality of life. It enables people to eat, speak and socialise without pain, discomfort or embarrassment. Poor oral health can interfere with daily function, impacts on social interactions and work productivity and is associated with a number of health problems and conditions. Whilst oral health has improved in recent decades for many South Australians, the evidence shows there are still significant inequities in our community and areas of unmet need remain. The purpose of this Plan for the next seven years is to guide coordinated action that contributes to improved oral health. The development of this Plan has incorporated two consultation phases which included the public as well as the dental, wider health and community sectors. Thank you to everyone who provided feedback and in doing so shaped and influenced the Plan. A monitoring group comprising representatives from key stakeholders, including community, will be established in the near future to advise on implementation of the Plan and track progress.

For more information, please visit the SA Health website.


ADELAIDE PRIMARY CARE IN ACTION

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

REACH FOR THE FACTS ON PRESCRIPTION OPIOIDS Did you know, more people die from accidental prescription drug overdose than are killed on Australian roads? While prescription opioids can be very effective in managing severe pain (like many medications) they can also cause negative side effects and have unintended consequences.In fact, 80% of people who take prescription opioids for more than three months will have a negative side effect. South Australia has some of the highest dispensing rates of prescription opioids in the country and accidental deaths due to pharmaceutical have almost doubled in our state. Supported by more than a dozen organisations (including Adelaide PHN), ReachForTheFacts is the South Australian community awareness campaign to address the concerns arising from prescription opioid use. The campaign will run over the next 12 months, and includes television and radio ads, billboards, print media and a website – explore ReachForTheFacts now and keep an eye out!

Find out more at reachforthefacts.com.au


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SA CERVIX SCREENING PROGRAM CLINIC EXTENTION GRANTS 2019/20 SA Cervix Screening Program (SACSP) Clinic Extension Grants of up to $5,500 are now available. This funding is available to increase the reach of cervical screening clinics over a specified period of time, by enabling existing cervical screening providers to extend clinic hours or support outreach clinics to screen women who are overdue or who have never been screened. Notes: • organisations which already receive government funding for services that include cervical screening are not eligible to apply. (for the purposes of this application the term ‘government funding’ does not include MBS funding of PIP QI funding via the PHN’s) • if you are planning on targeting Aboriginal women as part of your application, please contact us as there is a separate set of grants that support projects for Aboriginal women Applications can be accessed here and close COB Wednesday 4th December 2019. View the guidelines via the SA Health’s Cervical Screening Grants page here.


EXPLORING adelaidephn.com.au Adelaide PHN’s website includes information about our organisation as well as opportunities to engage with our programs, services and activities. Explore our directory to find out more about what services and activities we have commissioned. Find our training and events calendar listing our local professionals development sessions for the primary health care workforce. We also offer a free career listing service for the primary health care sector. Visit the vacancies page to find out more, or explore primary care career opportunities across the

CONNECT WITH US adelaidephn.com.au 8219 5900 enquiry@adelaidephn.com.au

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.