Healthy North Coast Practitioner Newsletter by Healthy North Coast

October 2014 | Edition 5

Healthy North Coast practitioner newsletter North Coast Medicare Localâ&#x20AC;&#x2122;s premier communication for General Practice, Aboriginal Medical Services, Aged Care, Pharmacy and Allied Health

3 1

GP Focus

AMS Focus

AgedCare Focus

Pharmacy Focus

AlliedHealth Focus

inside 3. GP Focus 11. AMS Focus 20. Aged Care Focus 22. Pharmacy Focus 24. Allied Health Focus 28. Healthy North Coast News 30. Events 31. Classifieds

Would you like a hard copy of this newsletter? If so, please email your name and postal address to healthynorthcoast@gmail.com and write “Copy of Healthy North Coast Practitioner Newsletter” in the subject line.

GPFocus

PAL UPDATE North Coast GP Training News Congratulations to the following staff from North Coast GP Training (NCGPT), who were recently celebrated at the final annual General Practice Education and Training (GPET) conference in Brisbane in September: The 2014 Supervisor of the Year Award was presented to Dr John Vaughan from Port Macquarie. When asked about his award, John said: “I’m receiving this award on behalf of all of NCGPT’s supervisors, all of whom do a superlative job. And I believe that’s the case because of the wonderful support we’re given from NCGPT.”

Further congratulations to Dr Murtaza Ahmed, a registrar at Camden Haven Medical Centre in Laurieton, who won the Tony Buhagiar medal for the top Objective Structured Clinical Examination mark in NSW in this term’s RACGP examination round.

Dementia Resources Alzheimer’s Australia has launched a collection of resources that will help improve the understanding of dementia and develop dementia-friendly communities and organisations. These include: •

The 2014 General Practice Education and Training (GPET) Medical Educator of the Year Award was presented to Ballina’s Dr Genevieve Yates. A proud NCGPT CEO, John Langill, has said of the award recipients: “Genevieve is a passionate medical educator who consistently goes the extra mile for the doctors she teaches, and John continually impresses with his dedication to his role and to the profession of general practice. Both of these awards are very well deserved.” NCGPT registrar, Dr Anthea Dallas, was awarded the 2014 GPET Registrar Research Prize. Anthea’s paper is titled “Securing Antibiotics for the Future – Exploring the Attitudes of Trainees in General Practice.”

•

‘First Steps to a dementia-friendly Australia’ is a collection of examples from across Australia that highlight what being dementia friendly means in practice. ‘Dementia-friendly guide’ provides a practical framework based on a change management approach of eight steps. The process and activities being undertaken in the Port Macquarie region of New South Wales are used as a case study throughout the Guide to demonstrate how the community is following a change management approach to make it dementia-friendly. ‘Is it Dementia?’ is a resource that has been developed to help recognise the signs of dementia. The resource comprises a suite of 12 short films as well as factsheets and facilitator guide questions.

Foot Care in South West Rocks NCML would like to acknowledge the podiatrists who have offered to provide Foot Care Service at South West Rocks to ensure a positive transition for patients. NCML has been providing free basic foot care to low risk clients one day per week since 2006 and on 12 August 2014 these services ceased. The four podiatrists who have offered their services are: • • • •

Amy Cutler Podiatry, 0405 439 471 Belreigh Podiatry, 02 6562 2254 Peter Wynd Podiatry, 02 6566 7522 Ryan James Podiatry, 02 6584 8899

Infection Management To assist in managing infections optimally, the laboratory staff at Coffs Harbour Health Campus Clinical Services have compiled a summary of all the positive culture organisms for the last 12 months. This relates to hospital-based specimens and is divided into blood culture, urine culture and other cultures. The organisms have attached antibiotic sensitivities. These resources can help guide decisions on antibiotic choice when de-escalating from broad spectrum antibiotics following a positive culture. They can be viewed at http://bit.ly/1nOuLXY.

GPFocus PAL UPDATE

Participate in research: Advance care planning survey How do you make decisions about initiating advance care planning with your patients?

The survey is open to any GP or GP registrar, who is currently practising in Australia. It takes approximately 15 minutes to complete and is completely anonymous. The survey can be accessed at www.gpsurvey.rcswa.edu.au.

Researchers from the University of Western Australia are coordinating a survey to better understand how Australian GPs use advance care planning in clinical practice. The survey uses hypothetical clinical cases, and asks for you to make some clinical judgements in response to each case.

MENTAL HEALTH Expressions of interest for Transition to Primary Health Care project Northern NSW Local Health District (NNSWLHD), in partnership with NCML and Mission Australia (Partners in Recovery program), is undertaking a project to develop a process and support structure so that patients with mental health concerns can be better linked to support provided by the primary health care network in the community. To develop an effective and safe ‘pathway’, discussions are taking place with patients, carers and other parties to inform this process. It is very important that the views of general practitioners are represented in these discussions so that GP-centred care is well understood. We are seeking expressions of interest from GPs who are interested in participating in these discussions. We would welcome interest from GPs from small or large practices and from doctors with varied experience consulting with clients with mental health conditions. Please email an expression of interest to Ms Wendy Pannach, NCML at wpannach@ ncml.org.au or phone Mr Rik Barker, NNSWLHD on 0459 827 685 for more information.

A Spotlight on Perinatal Depression Research shows that depression and/or anxiety are experienced by at least one in ten women during pregnancy; the figure rises to one in six women in the year following birth. Less commonly, severe mental health disorders such as puerperal psychosis and bipolar disorder arise or recur. 4

The perinatal period (including pregnancy and the following year) is a time of great change in a woman’s life. Women are at greater risk of experiencing symptoms of more serious mental health problems when they: • • • •

Have had mental health problems before Do not have enough support Have been through difficult times (family problems, abuse or loss) Feel isolated either by distance, culture or both, including Aboriginal and Torres Strait Islander women and women from culturally and linguistically diverse backgrounds

Treating perinatal depression is critical, not only for the patient, but also for the future health and well-being of her child(ren) and partner. The evidenced-based beyondblue Perinatal Clinical Practice Guidelines (http://bit.ly/ ZtRwFG) recommend an approach based on routine assessment of emotional health and well-being during both pregnancy and the following year. The assessment includes questions about psychosocial factors that may increase a woman’s likelihood of mental health problems. It also asks about any symptoms of depression or anxiety experienced in the previous week, using the Edinburgh Postnatal Depression Scale (EPDS). If a woman has psychosocial factors and/or symptoms, the health professional uses clinical judgement to decide whether she would benefit from follow-up care. In the early postnatal period, it is also important to begin to assess the relationship between mother and baby, and be aware if there are any signs of puerperal

psychosis or bipolar disorder, particularly in women who have had these disorders before. Women with severe symptoms are likely to require a care plan that integrates these approaches, and they may need to consider also taking medication. If hospital admission is required, mother and baby should be kept together wherever possible. In some situations, specific therapy may be appropriate, for example early parenting care where a woman has symptoms worsened by sleep deprivation, bereavement counselling for parents whose baby has died, or mother-infant psychotherapy to treat difficult mother and baby relationships. Patients with perinatal depression who hold a Health Care Card can be referred to Healthy Minds by completing a Healthy Minds referral form (download from http:// bit.ly/1BATXSw) and a Mental Health Treatment Plan. Healthy Minds is a mental health service for vulnerable people (people on a health care card or in severe financial stress). It provides free psychological services to eligible people. Maternal and child health nurses may provisionally refer women with perinatal depression to Heathy Minds. Please call our team on 1300 137 237 for more information about Healthy Minds.

GPFocus NATIONAL PRESCRIBING SERVICE Antimicrobial resistance — it’s happening right now A recent World Health Organization (WHO) report ‘Antimicrobial resistance: Global report on surveillance’ reveals that resistance levels of common pathogens to ‘last-resort’ treatments are alarmingly high in some parts of the world, including Australia. Australia is recognised as one of the highest users of antibiotics in the developed world.

NPS MedicineWise is continuing to ask health professionals across the agricultural, veterinary and health sectors to band together to preserve the effectiveness of antibiotics. Whether you use, prescribe, dispense or provide advice about antibiotics, you can make a difference. Pledge to join the fight against antibiotic resistance today at http://bit.ly/1rGPgEc.

You can help tackle antimicrobial resistance

Encourage patients to join the fight

WHO is calling on health professionals to help fight global antibiotic resistance by boosting antimicrobial stewardship. Applying stewardship strategies will minimise the negative impact of antibiotics, such as antibiotic resistance. This includes:

WHO is also calling on individuals to help fight global antibiotic resistance by: •

Only using antibiotics when they have been prescribed by an appropriately authorised health professional

•

Practising and promoting infection control and prevention

•

Prescribing and dispensing antibiotics only when they are needed

Completing the course of antibiotics that has been prescribed by their health professional. This may mean continuing to take the antibiotics after starting to feel better, or not taking all of the antibiotics supplied in the packet

•

Prescribing and dispensing the right antibiotic regimen, dose, duration, and route of administration to treat the infection

Applying the ‘MIND ME’ acronym is recommended best practice when prescribing antimicrobials:

•

Never using antibiotics that have been prescribed for someone else or use leftovers from old prescriptions

•

Suggesting your patients visit the NPS website http://bit.ly/1ryYmWg

Microbiology guides therapy wherever

Further details of the WHO Report and the Australian situation can be viewed at http://bit.ly/1xE4dMe.

Indications should be evidence-based Narrowest spectrum required Dosage appropriate to the site and type of

Exploring Inhaled Medicines Use and Asthma Control

possible

infection

Minimise duration of therapy Ensure monotherapy in most situations

Pledge your support

NCML, in partnership with NPS Medicinewise, continue to provide educational visits on the above program delivered as a one-to-one or group meeting for GPs and practice nurses for the remainder of 2014. The focus of the visit is to review the latest evidence and updated Australian asthma guidelines for treating asthma in adults, adolescents and children.

New NPS program – Back to Basics for Fatigue: A Diagnostic Approach NPS Medicinewise’s next program provides guidance on the diagnostic approach to fatigue and is designed to support decision-making in what can be challenging consultations. The program, based on key principles outlined in ‘Fatigue: a diagnostic approach in primary care’, published by Therapeutic Guidelines, is a key practice decision tool which can help achieve better outcomes for patients. The program looks at the benefits of patient-centred approaches, including emphasising the importance of clinical history and physical examination. While recognising the limitations of medical testing for a significant proportion of fatigue presentations, it provides guidance on when testing is more appropriate, and which tests to recommend. NPS facilitators will commence delivering this program from October 2014. Educational visits can be arranged by contacting your local NPS facilitator: Tweed Valley Jill Hayward 07 5523 5500 jhayward@ncml.org.au Northern Rivers Sally Herbert 02 6622 4453 sherbert@ncml.org.au Mid North Coast Michael Driscoll 02 6659 1800 mdriscoll@ncml.org.au Hastings Macleay Lesley Burrett 02 6562 1055 lburrett@ncml.org.au

GPFocus eHEALTH How healthy is eHealth?

Telehealth

Recent statistics indicate that eHealth is strong and the roll-out of eHealth across the country remains steady. A recent opinion piece in PULSE IT reflects on the recent Federal Government review and casts a bright light on the debated eHealth record system. The full article can be viewed at http://bit.ly/1sO82x7.

Telehealth is an exciting and increasingly popular tool in health service delivery in remote and rural settings. In short, telehealth refers to the delivery of health-related services and information via telecommunications technologies.

Update on eHealth record facts and figures Another recent PULSE IT article reflects on Department of Health statistics. Data indicates that as of 1 September 2014: • • • • • •

7,477 health care providers, including over 5,000 general practices and 1,134 pharmacies have registered to participate in eHealth 1,851,693 consumers have registered for an eHealth record – this figure grows by an average of 10,000 registrations per week 30,879 shared health summaries have been uploaded There were 57,106 discharge summaries on the system There were 262,823 prescription records in the National Prescription and Dispense Repository (NPDR) There were 222,507 dispense records in the NPDR

The full article can be viewed at http://bit.ly/1rNTL1l. Please contact your local Provider Assistance Liaison team if you would like to know more about eHealth, or for support to register or implement eHealth in your practice.

In the general practice setting, telehealth has been used to enable GP-facilitated specialist consultations for patients otherwise unable to attend face-to-face, in addition to assisting Aged Care Facility residents attend GP and/or specialist consultations without the need to leave the comfort and security of the facility. It has proven to be effective in breaking down geographical barriers that would otherwise prevent patients from receiving the timely medical care they need. RACGP and ACRRM have a library of resources and useful information to support you to implement telehealth services within your practice: •

ACRRM has resources, online learning modules and a telehealth user’s directory. This is free of charge, however some areas of ACRRM require you to register http://www. ehealth.acrrm.org.au/

•

RACGP has a range of resources available including the ‘Implementation Guidelines For Video Consultations In General Practice’. http://bit.ly/1rGPlrC

TIP: If you provide telehealth services at your practice, include this information in a footnote on your referrals so that specialists know that tele-consults are an option.

IMMUNE RESPONSE Immunisation Requirements for Childcare Enrolment An Australian Childhood Immunisation Register (ACIR) immunisation history form (IMMU13) should be completed when the ACIR does not have evidence that a child is fully vaccinated (for example, children on vaccination catch-up schedules or children who have recently arrived in Australia and their vaccination history has not been recording in ACIR). ACIR will accept immunisation information for children even if they do not have a Medicare card. To indicate the child’s “Immunisation history is not available but (I) believe the child identified on this form is age appropriately immunised or is following an approved catch-up schedule”, tick the highlighted strip at the bottom of section B on the form. The form will also require the GP’s

details, provider number and signature. Send the form to ACIR while keeping a copy for the practice and providing a copy to the parent/carer. If it is urgent, the form can be returned via fax. If the parent/carer has made the decision not to vaccinate or is only consenting to selected vaccines, then an Immunisation exemption conscientious objection (IMMU12) form needs to be filled in. ACIR forms are available at http://bit. ly/1vz6tB7.

ACIR and Immunity to Varicella It is still possible to notify ACIR of a child’s natural immunity to varicella to cover the 18-month schedule. However, children born after 1 January 2012, who only have the varicella natural immunity recorded at 18 months, will be considered due for the 18 month Measles, Mumps and Rubella (MMR) component (and overdue at 19 months).

Save the Date app NSW Health is currently running a “Save the Date” media campaign encouraging parents/carers to download the smartphone app and have their children vaccinated on time. The app can be downloaded at http://bit.ly/1uk3tIn.

GPFocus IMMUNE RESPONSE PBAC Decisions Not To Recommend The Pharmaceutical Benefits Advisory Committee (PBAC) has rejected the submission to include the Meningococcal B (4CMENB) ‘Bexsero’ vaccine in the National Immunisation Program. More information regarding the PBAC outcome can be viewed at http://bit.ly/1uD1Vf8.

Medical Director and issues with electronic notifications to ACIR Here are some troubleshooting suggestions for vaccine information electronically transmitted to ACIR via Medical Director (MD): •

Make sure there is a registered GP or AMS provider number (not a nurse or medical student) associated with the vaccines given

•

Batch numbers are capital/lower case sensitive and need to be entered without spaces or dashes. ACIR will block the vaccine if the batch number is not recognised

•

Vaccines placed in ‘other’ will not be transmitted to ACIR. These need to be notified manually

•

When performing immunisation catchup schedules, MD does not always send vaccines outside the standard age related schedule (i.e. entered as dose applicable). Vaccinations from the age schedule that are highlighted in MD (by the green arrow) will be the only vaccines that transmit. Vaccines entered in other age-related schedules may not transmit (as can occur in delayed or missed age related schedules)

•

Checking the receipts/claims on the ACIR payment statements to the practice can highlight any information not processed by ACIR. A list of children and vaccines is provided in the statement, plus ‘explanation codes’ of any non-payments

•

You can check the ACIR immunisation statement against MD’s list of vaccines given for the same period by using your MD search tab. To produce a search of immunisations given from MD, click the ‘search’ tab at the top, then click on ‘immunisation’. Under interval time, choose an interval or click on ‘other’ and enter the dates. Ensure that all vaccinators and childhood immunisations are ticked. Press OK to generate the search

ORAL HEALTH Child Dental Benefit Scheme (CDBS) The CDBS provides up to $1,000 over two consecutive calendar years for dental treatment for eligible children aged 2 to 17 years. Families who are Health Care Card holders or receive a Centrelink payment or Family Tax Benefit A may be eligible for the CDBS. Please inform parents/guardians of children who may benefit and be eligible about the CDBS. Families can confirm their eligibility by phoning Medicare on 132 011. More information regarding the CDBS can be viewed at http://bit.ly/1s6Uz1m.

Free public dental health clinics for children on the Mid North Coast The Mid North Coast Local Health District provides free dental care for all children under 18 years of age. Please encourage patients who may benefit to take advantage of the clinics in the following locations: • • • • •

Port Macquarie Wauchope Laurieton Kempsey Coffs Harbour

For more information, please visit http://bit.ly/1xjJ6fh.

GPFocus

AFTER HOURS (SLEEP TIME UPDATE) General Practice Emergency Management education program

The second workshop in the series of five workshops has now been delivered in the Northern region at three locations. Participating General Practitioners and Practice Nurses enjoyed the simulation experience offered in the airways and breathing emergencies session. We would like to thank those that provided comments about the program’s success meeting their professional needs. Many reported they have learned about the potential clinical aids that would enhance their practice’s ability to manage emergency situations. Comments included – “Very good, relaxed learning environment”; “Really enjoyed seeing some of the latest technologies available”; “Thank you to all the presenters, everyone was approachable and non-judgemental”; “I really enjoyed working with a team and practicing airway emergency scenarios”; and “Looking forward to the next one”. The strong demand for Lismore and Murwillumbah has resulted in many missing a place. So ‘backfilling’ places to future workshops can be offered, it would be appreciated if those registered but unable to attend any session immediately advise an apology by phoning 6622 4453.

Additional Lismore workshops update NCML and the University Centre for Rural Health are in the process of finalising the dates for a Lismore afternoon series commencing before the end of 2014 and continuing into 2015. The availability of the heavily committed Educators and simulation labs has made it difficult to secure more dates to meet the considerable unmet demand. We hope to be in a position to offer places to those on the waiting list in the coming weeks. Planning for an additional evening series in 2015 is also underway. Lismore Workshop 1 – Airways, Thursday 11 December 2014 at 1:30-5:00pm. Additional workshop dates will be advised.

Mid North Coast Program set to thrill Excitement surrounding the Mid North Coast program has also meant some disappointment in the delay in securing a venue for a Port Macquarie program. NCML is delighted to announce the dates for the Port Macquarie series which will be held on Monday evenings. • • • • •

Workshop 1 – Airways 3 November Workshop 2 – Breathing 17 November Workshop 3 – Circulation 24 November Workshop 4 – Cardiovascular 1 December Workshop 5 – Disabilities 8 December

A direct e-marketing campaign to Hastings Macleay General Practices will occur the week commencing 6 October to allow registrations for the series. General Practitioners should watch their emails, and be quick to register, as there are a maximum of 20 places available. With Cat 1 RACGP points available, demand for this education series is expected to be high. Meanwhile, the Coffs Harbour GP community has enthusiastically registered for the Coffs Harbour series that kicks off on Wednesday evening 8 October at the iSim Centre within the Coffs Harbour Health Campus. NCML is pleased to deliver this popular education program in partnership with the University Centre for Rural Health and North Coast GP Training. General Practice Reminder – Practices should now have received their August PIP Statement from the Department of Human Services and a copy should be forwarded in preparation for the next After Hours PIP payment in November. Please send to either afterhours@ncml.org.au or fax to 02 6618 5499, Attention: After Hours Program.

CLINICAL TIP Don’t prescribe oral antifungal therapy for suspected nail fungus without confirmation of fungal infection. Approximately half of nails with suspected fungus do not have a fungal infection. As other nail conditions, such as nail dystrophies, may look similar in appearance, it is important to ensure accurate diagnosis of nail disease before beginning treatment. By confirming a fungal infection, patients are not inappropriately at risk for the side effects of antifungal therapy, and nail disease is correctly treated. choosingwisely.org

GPFocus

NEW TO HEALTHPATHWAYS – SEPTEMBER 2014 • • • •

Absolute Cardiovascular Disease Risk Assessment Measles Rabies and Australian Bat Lyssavirus (ABLV) Immunisation - Adolescent

HEALTHPATHWAY TOPIC OF THE MONTH: GP ANTENATAL SHARE CARE The HealthPathways Team have been working with local GPs, obstetricians and the Mid North Coast Local Health District to develop a model of care for GP Antenatal Shared Care on the Mid North Coast. In order to participate, you will be required to register and attend the GP Antenatal Shared Care education session on 11 October from 12:00-6:30pm. This is an exciting opportunity for GPs in Coffs Harbour and surrounding areas to come together with Local Health District specialists and focus on sharing antenatal care in the region. Antenatal Pathways that are being localised: • • • • • • • • • •

Routine Antenatal Care The Referral Process Hypertension in Pregnancy Anaemia in Pregnancy Heart Conditions in Pregnancy Gestational Diabetes Renal Disease in Pregnancy UTIs in Pregnancy Asthma in Pregnancy Epilepsy in Pregnancy

HEALTHPATHWAYS IMPLEMENTATION IN NORTHERN NSW The HealthPathways Team have scheduled HealthPathways training and familiarisation sessions for GPs, specialists and other health professionals in Lismore on 22 October and Tweed Heads on 23 October 2014. These sessions will be conducted by international guest speakers who have been involved in HealthPathways since its inception in 2008. HealthPathways view at: http://manc.healthpathways.org.au Username: manchealth Password: conn3ct3d For further information or to suggest a future pathway topic please contact Tracy Baker, Program Coordinator on 02 6583 3600 or tbaker@ncml.org.au.

GPFocus ABORIGINAL HEALTH Aboriginal Outreach Workers available to support Aboriginal patients

Close the Gap services - Register your interest in attending a cultural awareness session

Do you have an Aboriginal and or Torres Strait Islander patient who may benefit from extra support? NCML employs Aboriginal Outreach Workers to support patients on their healthcare journey and get the health care they need.

The Closing the Gap (CTG) program is aimed at reducing the gap in life expectancy between Aboriginal and Torres Strait Islander people and non-Indigenous Australians. NCML employs Aboriginal Health Program Officers, Care Coordination and Supplementary Service workers (CCSS) and CTG Outreach workers from Tweed Heads to Port Macquarie.

Outreach workers can: • • • •

Attend appointment with patients Organise transport to and from health appointments Assist patients with form completion Negotiate and broker access to health and community services on behalf of patients

NCML’s Aboriginal Health team members are also available to support general practice teams to make services more accessible, culturally safe and appropriate for Aboriginal and Torres Strait Islander people. Contacts are listed below. NCML Aboriginal Outreach Workers Lismore Carmel Laurie (02) 6622 4453 claurie@ncml.org.au Port Macquarie Russell Cavanagh (02) 6583 3600 rcavanagh@ncml.org.au Coffs Harbour Terry Donovan (02) 6659 1800 tdonovan@ncml.org.au Rhiannon Mitchell (02) 6659 1800 rmitchell@ncml.org.au

Aboriginal Health Program Officers work with primary health care providers, community service providers and Aboriginal communities to improve access to mainstream primary health care for Aboriginal and Torres Strait Islander people. CCSS Care Coordinators are specifically available to assist Aboriginal and Torres Strait Islander people with diabetes, cardiovascular disease, chronic respiratory disease, chronic kidney disease and/or cancer, to help manage their health and gain access to services. Aboriginal Health Program Officers will be organising cultural awareness sessions for GPs, practice staff, pharmacists and allied health staff over the next few months. If you would like to register your interest in one of the upcoming cultural awareness sessions or have one of our friendly CTG or CCSS workers visit your practice and have an informal chat to you and your staff about the programs, please contact the Aboriginal Health Program Officer in your area. Tweed Heads Susan Parker-Pavlovic (07) 5523 5517 sparker-pavlovic@ncml.org.au Lismore - Harry Beckers (02) 6622 4453 hbeckers@ncml.org.au Coffs Harbour Helen Lambert (02) 6659 1800 hlambert@ncml.org.au Port Macquarie Annie Orenshaw (02) 6583 3600 aorenshaw@ncml.org.au

GPFocus

PREVENTATIVE HEALTH Young people, alcohol and other drugs

The earlier young people start drinking, the more likely they are to become high-risk drinkers and experience alcohol-related harm whilst they are young and in later life. Additionally, young people are less likely than adults to be concerned about the negative consequences of heavy drinking and are often unaware of the dangers of excessive consumption.

Fortunately in Northern NSW, a partnership between Local Health Districts, education bodies and local councils has seen the delivery of the RRISK Program that aims to reduce risk-taking behaviour associated with alcohol, drug use and driving among year 11 students.

Paul will give a free presentation for teachers, health professionals and community workers on the latest evidence and how to communicate effectively with young people about alcohol and other drugs. This free session will be offered in Tweed Heads, Lismore, Coffs Harbour and Port Macquarie as part of the RRISK seminar program:

Alcohol and adolescent brain development

•

Port Macquarie, Panthers Club, 6 November, 4.00-6.00pm

•

Coffs Harbour, Southern Cross University, 13 November, 4.00-6.00pm

Learning problems can result in poor exam results and life skills which will reduce future career options and employment. Lack of judgement often leads to greater risk taking and increased likelihood of violence or sexual assault. Regular heavy drinking can cause irrational and aggressive behaviour, inability to understand social cues, depression and anxiety.

First developed in 1999, the RRISK program has grown rapidly in response to demand, with over 4000 students from 60 schools across northern NSW participating in the program. Culminating in a day-long seminar held at the end of each year, RRISK is relevant to the social life, developmental stage and concerns of adolescents. It extends the school-based drug education and road safety curriculum by providing opportunities for senior high school students to develop knowledge, attitudes and skills to reduce risk-taking and develop safer celebrating strategies.

Paul Dillon, Director of Drug and Alcohol Research and Training Australia, is keynote speaker at the 2014 RRISK Seminars. Paul has been working in drug education for over 25 years and is an expert in communicating research findings to policy makers, the general public and the media.

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Kempsey, Melville High Community Hall, 19 November, 4.00-6.00pm

•

Lismore Southern Cross University 25 November 4.00-6.00pm

•

Tweed Heads Civic Centre 4 December 4.00-6.00pm

Look for information about the RRISK Program and risk taking at our website www.rrisk.com.au.

The brain is not fully developed until about 25 years of age. Drinking alcohol to intoxicating levels during adolescence can result in permanent brain damage. Areas of the brain that control memory, learning, decision-making and problem-solving can be permanently affected.

Drinking at a young age also increases the risk of mental health problems such as depression, anxiety, bipolar disorder, attention deficit disorder and increased risk of self-harm, including suicide, delinquent behaviour and alcohol dependency in later life. Young People and Risk Taking

Young people aged 16-24 are amongst the heaviest drinkers in Australian society. In NSW, 46% of males and 43% of females in this age group are drinking at levels that could pose a serious risk to their health if they continue to drink at this level during their lifetime. Over half of this group regularly drink to intoxication, which places them at risk of an alcohol-related injury on any single drinking occasion (NSW Health Statistics, 2011).

Risk-taking in adolescence is not only normal; it is an essential part of learning and personal development. Every healthy adolescent takes risks as he or she grows towards independence. Most researchers agree that if there is no risk there is no growth. A common problem for some young people is their inability to evaluate the potential risks and consequences of everyday behaviour. Thrill seeking, speeding, the desire to impress one’s friends; feelings of invincibility and the search for new experiences are all motivating forces that drive many teenagers.

Choosing not to drink or learning how to drink responsibly can be among the most difficult tasks facing young people today.

As a result they are over represented in every category of risk-taking resulting in injury and trauma.

Adolescent Drinking Prevalence

RRISK Program

RRISK not only educates young people about road risks, but helps them adopt safer behaviours by providing them with practical skills and strategies to manage risks across many aspects of their social lives by addressing binge drinking and drug use, safe partying and encouraging them to look after their friends. RRISK is successful because of its relevance to young people. It complements the school curriculum and is considered core business by partners. The largest study ever undertaken into young driver behaviour was conducted by the George Institute of International Health and published in 2009. RRISK was identified as the only program to have resulted in a 44% reduction in road crashes for participants. The researchers consider RRISK a best practice program because it builds resilience by equipping young people with strategies and practical skills to manage risks in their social life and on the roads as drivers and passengers.

AMSFocus

‘Background Artwork’ by Alison Williams

•

Amy Cutler Podiatry, 0405 439 471 Belreigh Podiatry, 02 6562 2254 Peter Wynd Podiatry, 02 6566 7522 Ryan James Podiatry, 02 6584 8899

AMSFocus

‘Background Artwork’ by Alison Williams

NATIONAL PRESCRIBING SERVICE Antimicrobial resistance — it’s happening right now A recent World Health Organization (WHO) report ‘Antimicrobial resistance: Global report on surveillance’ reveals that resistance levels of common pathogens to ‘last-resort’ treatments are alarmingly high in some parts of the world, including Australia. Australia is recognised as one of the highest users of antibiotics in the developed world. You can help tackle antimicrobial resistance WHO is calling on health professionals to help fight global antibiotic resistance by boosting antimicrobial stewardship. Applying stewardship strategies will minimise the negative impact of antibiotics, such as antibiotic resistance. This includes: •

Practising and promoting infection control and prevention

•

Prescribing and dispensing antibiotics only when they are needed

•

Prescribing and dispensing the right antibiotic regimen, dose, duration, and route of administration to treat the infection

Applying the ‘MIND ME’ acronym is recommended best practice when prescribing antimicrobials:

Only using antibiotics when they have been prescribed by an appropriately authorised health professional

•

Never using antibiotics that have been prescribed for someone else or use leftovers from old prescriptions

•

Suggesting your patients visit the NPS website http://bit.ly/1ryYmWg

Microbiology guides therapy wherever

Further details of the WHO Report and the Australian situation can be viewed at http://bit.ly/1xE4dMe.

Indications should be evidence-based Narrowest spectrum required Dosage appropriate to the site and type of

Exploring Inhaled Medicines Use and Asthma Control

possible

infection

Minimise duration of therapy Ensure monotherapy in most situations

Pledge your support

‘Background Artwork’ by Alison Williams

AMSFocus eHEALTH How healthy is eHealth?

Telehealth

Update on eHealth record facts and figures Another recent PULSE IT article reflects on Department of Health statistics. Data indicates that as of 1 September 2014: • • • • • •

ACRRM has resources, online learning modules and a telehealth user’s directory. This is free of charge, however some areas of ACRRM require you to register http://www. ehealth.acrrm.org.au/

•

RACGP has a range of resources available including the ‘Implementation Guidelines For Video Consultations In General Practice’. http://bit.ly/1rGPlrC

TIP: If you provide telehealth services at your practice, include this information in a footnote on your referrals so that specialists know that tele-consults are an option.

‘Background Artwork’ by Alison Williams

AMSFocus IMMUNE RESPONSE

PBAC Decisions Not To Recommend

The Pharmaceutical Benefits Advisory Committee (PBAC) has rejected the submission to include the Meningococcal B (4CMENB) ‘Bexsero’ vaccine in the National Immunisation Program. More information regarding the PBAC outcome can be viewed at http://bit.ly/1uD1Vf8.

Medical Director and issues with electronic notifications to ACIR Here are some troubleshooting suggestions for vaccine information electronically transmitted to ACIR via Medical Director (MD): •

Make sure there is a registered GP or AMS provider number (not a nurse or medical student) associated with the vaccines given

•

Batch numbers are capital/lower case sensitive and need to be entered without spaces or dashes. ACIR will block the vaccine if the batch number is not recognised

•

Vaccines placed in ‘other’ will not be transmitted to ACIR. These need to be notified manually

•

MENTAL HEALTH A Spotlight on Perinatal Depression

partner.

Research shows that depression and/or anxiety are experienced by at least one in ten women during pregnancy; the figure rises to one in six women in the year following birth. Less commonly, severe mental health disorders such as puerperal psychosis and bipolar disorder arise or recur.

The evidenced-based beyondblue Perinatal Clinical Practice Guidelines (http://bit.ly/ ZtRwFG) recommend an approach based on routine assessment of emotional health and well-being during both pregnancy and the following year. The assessment includes questions about psychosocial factors that may increase a woman’s likelihood of mental health problems. It also asks about any symptoms of depression or anxiety experienced in the previous week, using the Edinburgh Postnatal Depression Scale (EPDS). If a woman has psychosocial factors and/or symptoms, the health professional uses clinical judgement to decide whether she would benefit from follow-up care.

Treating perinatal depression is critical, not only for the patient, but also for the future health and well-being of her child(ren) and 15

In the early postnatal period, it is also important to begin to assess the relationship between mother and baby, and be aware if there are any signs of puerperal psychosis or bipolar disorder, particularly in women who have had these disorders before. Women with severe symptoms are likely to require a care plan that integrates these approaches, and they may need to consider also taking medication. If hospital admission is required, mother and

baby should be kept together wherever possible. In some situations, specific therapy may be appropriate, for example early parenting care where a woman has symptoms worsened by sleep deprivation, bereavement counselling for parents whose baby has died, or mother-infant psychotherapy to treat difficult mother and baby relationships. Patients with perinatal depression who hold a Health Care Card can be referred to Healthy Minds by completing a Healthy Minds referral form (download from http:// bit.ly/1BATXSw) and a Mental Health Treatment Plan. Healthy Minds is a mental health service for vulnerable people (people on a health care card or in severe financial stress). It provides free psychological services to eligible people. Maternal and child health nurses may provisionally refer women with perinatal depression to Heathy Minds. Please call our team on 1300 137 237 for more information about Healthy Minds.

AMSFocus

‘Background Artwork’ by Alison Williams

AFTER HOURS (SLEEP TIME UPDATE)

General Practice Emergency Management education program The second workshop in the series of five workshops has now been delivered in the Northern region at three locations. Participating General Practitioners and Practice Nurses enjoyed the simulation experience offered in the airways and breathing emergencies session. We would like to thank those that provided comments about the program’s success meeting their professional needs. Many reported they have learned about the potential clinical aids that would enhance their practice’s ability to manage emergency situations. Comments included – “Very good, relaxed learning environment”; “Really enjoyed seeing some of the latest technologies available”; “Thank you to all the presenters, everyone was approachable and non-judgemental”; “I really enjoyed working with a team and practicing airway emergency scenarios”; and “Looking forward to the next one”. The strong demand for Lismore and Murwillumbah has resulted in many missing a place. So ‘backfilling’ places to future workshops can be offered, it would be appreciated if those registered but unable to attend any session immediately advise an apology by phoning 6622 4453.

Additional Lismore workshops update NCML and the University Centre for Rural Health are in the process of finalising the dates for a Lismore afternoon series commencing before the end of 2014 and continuing into 2015. The availability of the heavily committed Educators and simulation labs has made it difficult to secure more dates to meet the considerable unmet demand. We hope to be in a position to offer places to those on the waiting list in the coming weeks. Planning for an additional evening series in 2015 is also underway. Lismore Workshop 1 – Airways Thursday, 11 December 2014 at 1:30-5:00pm. Additional workshop dates will be advised.

Workshop 1 – Airways 3 November Workshop 2 – Breathing 17 November Workshop 3 – Circulation 24 November Workshop 4 – Cardiovascular 1 December Workshop 5 – Disabilities 8 December

‘Background Artwork’ by Alison Williams

AMSFocus NEW TO HEALTHPATHWAYS – SEPTEMBER 2014 • • • •

Absolute Cardiovascular Disease Risk Assessment Measles Rabies and Australian Bat Lyssavirus (ABLV) Immunisation - Adolescent

Antenatal Pathways that are being localised: • • • • • • • • • •

Routine Ante Natal Care The Referral Process Hypertension in Pregnancy Anaemia in Pregnancy Heart Conditions in Pregnancy Gestational Diabetes Renal Disease in Pregnancy UTIs in Pregnancy Asthma in Pregnancy Epilepsy in Pregnancy

Port Macquarie Wauchope Laurieton Kempsey Coffs Harbour

For more information, please visit http://bit.ly/1xjJ6fh.

AMSFocus

‘Background Artwork’ by Alison Williams

ABORIGINAL HEALTH Aboriginal Outreach Workers available to support Aboriginal patients Do you have an Aboriginal and or Torres Strait Islander patient who may benefit from extra support? NCML employs Aboriginal Outreach Workers to support patients on their healthcare journey and get the health care they need. Outreach workers can: • • • •

Close the Gap services - Register your interest in attending a cultural awareness session The Closing the Gap (CTG) program is aimed at reducing the gap in life expectancy between Aboriginal and Torres Strait Islander people and non-Indigenous Australians. NCML employs Aboriginal Health Program Officers, Care Coordination and Supplementary Service workers (CCSS) and CTG Outreach workers from Tweed Heads to Port Macquarie. Aboriginal Health Program Officers work with primary health care providers, community service providers and Aboriginal communities to improve access to mainstream primary health care for Aboriginal and Torres Strait Islander people. CCSS Care Coordinators are specifically available to assist Aboriginal and Torres Strait Islander people with diabetes, cardiovascular disease, chronic respiratory disease, chronic kidney disease and/or cancer, to help manage their health and gain access to services. Aboriginal Health Program Officers will be organising cultural awareness sessions for GPs, practice staff, pharmacists and allied health staff over the next few months. If you would like to register your interest in one of the upcoming cultural awareness sessions or have one of our friendly CTG or CCSS workers visit your practice and have an informal chat to you and your staff about the programs, please contact the Aboriginal Health Program Officer in your area. Tweed Heads Susan Parker-Pavlovic (07) 5523 5517 sparker-pavlovic@ncml.org.au Lismore - Harry Beckers (02) 6622 4453 hbeckers@ncml.org.au Coffs Harbour Helen Lambert (02) 6659 1800 hlambert@ncml.org.au Port Macquarie Annie Orenshaw (02) 6583 3600 aorenshaw@ncml.org.au

AMSFocus PREVENTATIVE HEALTH Young people, alcohol and other drugs Paul Dillon, Director of Drug and Alcohol Research and Training Australia, is keynote speaker at the 2014 RRISK Seminars. Paul has been working in drug education for over 25 years and is an expert in communicating research findings to policy makers, the general public and the media.

Alcohol and adolescent brain development

•

Port Macquarie, Panthers Club, 6 November, 4.00-6.00pm

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Coffs Harbour, Southern Cross University, 13 November, 4.00-6.00pm

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Kempsey, Melville High Community Hall, 19 November, 4.00-6.00pm

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Lismore Southern Cross University 25 November 4.00-6.00pm

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Tweed Heads Civic Centre 4 December 4.00-6.00pm

Look for information about the RRISK Program and risk taking at our website www.rrisk.com.au.

Choosing not to drink or learning how to drink responsibly can be among the most difficult tasks facing young people today.

As a result they are over represented in every category of risk-taking resulting in injury and trauma.

Adolescent Drinking Prevalence

‘Background Artwork’ by Alison Williams Fortunately in Northern NSW, a partnership between Local Health Districts, education bodies and local councils has seen the delivery of the RRISK Program that aims to reduce risk-taking behaviour associated with alcohol, drug use and driving among year 11 students. RRISK Program First developed in 1999, the RRISK program has grown rapidly in response to demand, with over 4000 students from 60 schools across northern NSW participating in the program. Culminating in a day-long seminar held at the end of each year, RRISK is relevant to the social life, developmental stage and concerns of adolescents. It extends the school-based drug education and road safety curriculum by providing opportunities for senior high school students to develop knowledge, attitudes and skills to reduce risk-taking and develop safer celebrating strategies. RRISK not only educates young people about road risks, but helps them adopt safer behaviours by providing them with practical skills and strategies to manage risks across many aspects of their social lives by addressing binge drinking and drug use, safe partying and encouraging them to look after their friends. RRISK is successful because of its relevance to young people. It complements the school curriculum and is considered core business by partners. The largest study ever undertaken into young driver behaviour was conducted by the George Institute of International Health and published in 2009. RRISK was identified as the only program to have resulted in a 44% reduction in road crashes for participants. The researchers consider RRISK a best practice program because it builds resilience by equipping young people with strategies and practical skills to manage risks in their social life and on the roads as drivers and passengers.

AgedCareFocus

PAL UPDATE

2014 Better Practice Awards Congratulations to the local Residential Aged Care Facilities who were recognised in the 2014 Better Practice Awards by the Australian Aged Care Quality Agency Awards, announced in Sydney on 27 August 2014. There was a local winner represented in each of the four categories: Health and Personal Care Category The Whiddon Group, NSW www.whiddon.com.au Client death screening to improve end of life outcomes. Comment from judging panel member: “A great example of the maturing of the industry.” Innovations Category Blue Care Qld (Blue Care facilities at Kingscliff are supported by their QLD administration) www.bluecare.org.au Play Up! ™ Comment from judging panel member: “Excellent example of an integrated strategy across multiple sites.” Resident Lifestyle Category

The Mid North Coast Local Health District (MNCLHD) is undertaking a new and innovative Telehealth Project, the first of its kind in NSW, linking Residential Aged Care Facilities (RACFs) with the MNCLHD using videoconferencing to provide clinical support. The project, which has been funded by the Council of Australian Governments (COAG) for a total of two years, includes four Local Health Districts and 40 RACFs. The MNCLHD pilot includes Port Macquarie and Coffs Harbour Health Campuses and 10 RACFs. The participating RACFs will be fitted out with a state of the art mobile videoconferencing system on a wireless network and will have internet upgrades while the MNCLHD will receive desktop videoconferencing systems. The primary aim of the project is to reduce unnecessary admissions to hospital for high care residents from the participating facilities by providing more timely access to specialist advice. The scope of the project is broad so MNCLHD has chosen to adopt a collaborative approach in the development of the models of care with the membership of the Coffs Harbour and Port Macquarie Implementation Working Group, including a range of key stakeholders from MNCLHD, RACFs, NCML and general practitioners.

UnitingCare Caroona Goonellabah Hostel and Caroona Kalina Nursing Home, Goonellabah NSW

Initially the technology will only allow clinical support to be obtained from health providers within NSW Health. However, in the life of the project with the completed integration of Microsoft Lync, the project will be expanded to enable clinicians to dial into the RACF videoconferencing system from mobile devices such as iPads and desktop videoconferencing solutions which are widely used by GPs and MNCLHD.

www.unitingcareageing.org.au

Contacts for the project

Inspired voices choir

• •

Comment from judging panel member: “The longevity of the program and its extension beyond those residents makes it special.” Staff development and retention Category Feros Care www.feroscare.com.au Creating aged care leaders in the 21st century Comment from judging panel member: “strategically-focused, holistic and comprehensive.” The full list of AACQA winners can be viewed at http://bit.ly/1xInR9R. 20

New and innovative Telehealth Project for Mid North Coast Local Health District

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Project Manager - Sandra Haynes, Telehealth Manager Executive Sponsor - Bronwyn Chalker, Director, Allied Health & Hosted Clinical Services Clinical Sponsor - Theresa Beswick, Network Co-ordinator, Coffs Clinical Network/GM Coffs Harbour Health Campus

AgedCareFocus PAL UPDATE Dementia Resources

Diabetes NSW Aged Care Seminars

Alzheimer’s Australia has launched a collection of resources that will help improve the understanding of dementia and develop dementia-friendly communities and organisations. These include:

These seminars are targeted at staff working in aged care or residential care facilities caring for people with diabetes. The aim of these seminars is to increase the skills and knowledge of staff to better manage people diagnosed with diabetes and increase awareness for the detection of undiagnosed diabetes in the residents. Programs can be tailored to meet your facility’s needs and the seminar is run at your own facility.

•

Standard topics covered are detailed below: •

“What is Diabetes?” and “Practical Diabetes Management”, presented by a credentialed diabetes educator

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“Diabetes and Nutrition”, presented by an accredited practising dietitian

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“Diabetes and Physical Activity”, presented by an accredited exercise physiologist

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“Your questions answered”

Resource Centre on 02 6581 5420 or email erinf@diabetesnsw.com.au for more information or to book a seminar for your staff.

Amy Cutler Podiatry, 0405 439 471 Belreigh Podiatry, 02 6562 2254 Peter Wynd Podiatry, 02 6566 7522 Ryan James Podiatry, 02 6584 8899

Provided free of cost. Contact Diabetes NSW Port Macquarie

NCML Aboriginal Outreach Workers Lismore Carmel Laurie (02) 6622 4453 claurie@ncml.org.au Port Macquarie Russell Cavanagh (02) 6583 3600 rcavanagh@ncml.org.au Coffs Harbour Terry Donovan (02) 6659 1800 tdonovan@ncml.org.au Rhiannon Mitchell (02) 6659 1800 rmitchell@ncml.org.au

PharmacyFocus PAL UPDATE New CPD year The first of October 2014 marked the start of the new pharmacy CPD year. Here are some online CPD options: • • • • • • • • • • • • • •

Pharmacy Guild http://bit.ly/1x51NDj Australian College of Pharmacy www.acp.edu.au Pharmaceutical Society of Australia http://bit.ly/1E73Uep National Prescribing Service http://bit.ly/1sQnclo Professional Pharmacists Australia http://bit.ly/1rPtiQB Pharmacy and Pharmacists Club http://bit.ly/YVmMMN Reckitt Benckiser Health Hub http://bit.ly/1vgEWTK PharmCPD http://bit.ly/1x52ts5 Australian Prescriber http://bit.ly/1tlO8E5 Blackmores Institute http://bit.ly/1nSUrCY Heart Foundation http://bit.ly/1oKE850 Osteoporosis Australia http://bit.ly/1BCOE54 Lung Foundation Australia http://bit.ly/YWU3Hw Diabetes NSW http://bit.ly/1rRsmLY

Medicare News for Health Professionals From October 2014, News for Health Professionals will be the Department of Health’s single source for the latest health news and information. It will replace Forum and Bulletin Board. If you are an existing subscriber, you will automatically be transferred to News for Health Professionals and will continue to receive email notifications when the latest articles are published. If you haven’t already, subscribe now at http://bit.ly/YWUzFv.

Medicare advice: Providing accurate PBS refund advice to customers When a customer purchases medication without proof of eligibility (Medicare or concession card), it is your role to provide the customer with: •

A PBS Refund Receipt ‘4025 – Patient Refund Receipt S87A’, which lists the medication purchased and the price paid. This form can then be taken by the customer to a Medicare office or be used online, along with proof of eligibility (Medicare or concession card) to receive a refund of the PBS amount

•

Advice that refunds are based only on the amount listed on the PBS (http://www.pbs.gov.au/browse/medicine-listing)

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Advice that there are instances where a customer will not receive a full refund for the amount they have paid for their medicine. These include pharmacy fees and non-refundable patient fees, which are not reimbursed under the PBS or by the Australian Government

Example: A full refund will not be given when a customer requires medication but chooses a branded version that costs more than another version. In this instance, customers receive the PBS refund amount allocated for that medicine, not the additional amount of the more expensive brand.

PharmacyFocus PAL UPDATE Dementia Resources

Feedback sought on Home Medicine Reviews

Alzheimer’s Australia has launched a collection of resources that will help improve the understanding of dementia and develop dementia-friendly communities and organisations. These include:

Healthcare Management Advisors (HMA) has been engaged to undertake research to assist with better targeting of Home Medicines Reviews (HMRs) and refinement of the HMR patient eligibility criteria. This survey seeks feedback from community pharmacy owners, community pharmacists, hospital pharmacists and accredited pharmacists about the eligibility criteria. It will take around 15-30 minutes to complete.

•

‘First Steps to a dementia-friendly Australia’ is a collection of examples from across Australia that highlight what being dementia friendly means in practice.

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‘Dementia-friendly guide’ provides a practical framework based on a change management approach of eight steps. The process and activities being undertaken in the Port Macquarie region of New South Wales are used as a case study throughout the Guide to demonstrate how the community is following a change management approach to make it dementia-friendly.

•

‘Is it Dementia?’ is a resource that has been developed to help recognise the signs of dementia. The resource comprises a suite of 12 short films as well as factsheets and facilitator guide questions.

eHEALTH How healthy is eHealth? Recent statistics indicate that eHealth is strong and the roll-out of eHealth across the country remains steady. A recent opinion piece in PULSE IT reflects on the recent Federal Government review and casts a bright light on the debated eHealth record system. The full article can be viewed at http://bit.ly/1sO82x7.

Update on eHealth record facts and figures Another recent PULSE IT article reflects on Department of Health statistics. Data indicates that as of 1 September 2014: • • • • • •

You can complete the survey at http://svy.mk/1yBqBqX.

AlliedHealthFocus PAL UPDATE First meeting of North Coast Allied Health Association The North Coast Allied Health Association held its Board Orientation and Initial meeting on 30 September 2014. Directors include Mr Robert Curry (physiotherapy background), Ms Luisa Eckhardt (occupational therapy background) and Professor Susan Nancarrow (podiatry background). Professor Nancarrow was elected the Association’s inaugural Chair. More information about the Association and its Directors, its purpose, and membership options will be released soon.

Lower Limb Anatomy Workshop Southern Cross University is proud to announce its first lower limb anatomy workshop for podiatrists and pedorthists. Under the guidance of podiatric surgeon Paul Butterworth, workshop participants will be able to update and improve their anatomical knowledge in the following areas: • • • • • •

Nail Forefoot Midfoot Rearfoot Ankle Lower leg

The day will incorporate activities in the wet and dry anatomy laboratories, and lectures and tutorials using the latest anatomical models. Attendees will apply their new knowledge in specific lab activities. Key presenter: Paul Butterworth BPod MPod FACPS PhD candidate Facilitator: Leah Cook BAppSc MPod FACPS Date: 24th October 2014 Time: 9am – 4:30pm Location: Southern Cross University, Gold Coast Campus (Southern Cross Drive, Bilinga QLD)

L-R: Prof Nancarrow, Mr Curry and Ms Eckhardt

Contact Carla Robinson via phone (07) 5589 3231 or email healthcpd@scu.edu. au for more information.

Access to Free Allied Health Courses through TAFE Online NCML conducted an Allied Health needs assessment in 2013/14 and found accessing continuing professional development to be the highest priority.

In addition to providing multi-disciplinary, face-to-face professional development sessions, NCML explored opportunities to ensure health professionals working in geographically isolated areas of our region and/or those unable to attend face-to-face events still have access to learning and development opportunities. NCML, in partnership with the North Coast Allied Health Association, is pleased to announce that local allied health professionals now have free access to online professional development through the TAFE NOW website. With NCML’s enrolment key, users will have free and unlimited access to: 1. Allied Health course topics for allied health professionals 2. Healnet course topics for nurses and other similar medical professionals 3. Generic short course topics for small businesses and self-interest Each course takes about an hour to complete and is worth one CPD point. All courses are peer reviewed by industry professionals and endorsed by industry associations. Local health professionals can find out how to access the TAFE Now website and start completing online CPD courses by registering with Healthy North Coast at http://bit.ly/1mPyza0 and then visiting the North Coast Learning and Development Network.

AlliedHealthFocus ABORIGINAL HEALTH

Aboriginal Outreach Workers available to support Aboriginal patients Do you have an Aboriginal and or Torres Strait Islander patient who may benefit from extra support? NCML employs Aboriginal Outreach Workers to support patients on their healthcare journey and get the health care they need. Outreach workers can: • • • •

NEW TO HEALTHPATHWAYS – SEPTEMBER 2014 • • • •

Absolute Cardiovascular Disease Risk Assessment Measles Rabies and Australian Bat Lyssavirus (ABLV) Immunisation - Adolescent

AlliedHealthFocus

PREVENTATIVE HEALTH Young people, alcohol and other drugs Paul Dillon, Director of Drug and Alcohol Research and Training Australia, is keynote speaker at the 2014 RRISK Seminars. Paul has been working in drug education for over 25 years and is an expert in communicating research findings to policy makers, the general public and the media. Paul will give a free presentation for teachers, health professionals and community workers on the latest evidence and how to communicate effectively with young people about alcohol and other drugs. This free session will be offered in Tweed Heads, Lismore, Coffs Harbour and Port Macquarie as part of the RRISK seminar program: •

Port Macquarie, Panthers Club, 6 November, 4.00-6.00pm

•

Coffs Harbour, Southern Cross University, 13 November, 4.00-6.00pm

•

Kempsey, Melville High Community Hall, 19 November, 4.00-6.00pm

•

Lismore Southern Cross University 25 November 4.00-6.00pm

•

Tweed Heads Civic Centre 4 December 4.00-6.00pm

Alcohol and adolescent brain development The brain is not fully developed until about 25 years of age. Drinking alcohol to intoxicating levels during adolescence can result in permanent brain damage. Areas of the brain that control memory, learning, decision-making and problemsolving can be permanently affected. Learning problems can result in poor exam results and life skills which will reduce future career options and employment. Lack of judgement often leads to greater risk taking and increased likelihood of violence or sexual assault. Regular heavy drinking can cause irrational and aggressive behaviour, inability to understand social cues, depression and anxiety.

Look for information about the RRISK Program and risk taking at our website www.rrisk.com.au.

Adolescent Drinking

Young People and Risk Taking

Prevalence

difficult tasks facing young people today. The earlier young people start drinking, the more likely they are to become high-risk drinkers and experience alcoholrelated harm whilst they are young and in later life. Additionally, young people are less likely than adults to be concerned about the negative consequences of heavy drinking and are often unaware of the dangers of excessive consumption.

As a result they are over represented in every category of risk-taking resulting in injury and trauma. Fortunately in Northern NSW, a partnership between Local Health Districts, education bodies and local councils has seen the delivery of the RRISK Program that aims to reduce risk-taking behaviour associated with alcohol, drug use and driving among year 11 students. RRISK Program First developed in 1999, the RRISK program has grown rapidly in response to demand, with over 4000 students from 60 schools across northern NSW participating in the program. Culminating in a day-long seminar held at the end of each year, RRISK is relevant to the social life, developmental stage and concerns of adolescents. It extends the school-based drug education and road safety curriculum by providing opportunities for senior high school students to develop knowledge, attitudes and skills to reduce risk-taking and develop safer celebrating strategies. RRISK not only educates young people about road risks, but helps them adopt safer behaviours by providing them with practical skills and strategies to manage risks across many aspects of their social lives by addressing binge drinking and drug use, safe partying and encouraging them to look after their friends. RRISK is successful because of its relevance to young people. It complements the school curriculum and is considered core business by partners. The largest study ever undertaken into young driver behaviour was conducted by the George Institute of International Health and published in 2009. RRISK was identified as the only program to have resulted in a 44% reduction in road crashes for participants. The researchers consider RRISK a best practice program because it builds resilience by equipping young people with strategies and practical skills to manage risks in their social life and on the roads as drivers and passengers.

AlliedHealthFocus ORAL HEALTH Child Dental Benefit Scheme (CDBS) The CDBS provides up to $1,000 over two consecutive calendar years for dental treatment for eligible children aged 2 to 17 years. Families who are Health Care Card holders or receive a Centrelink payment or Family Tax Benefit A may be eligible for the CDBS. Please inform parents/guardians of children who may benefit and be eligible about the CDBS. Families can confirm their eligibility by phoning Medicare on 132 011. More information regarding the CDBS can be viewed at http://bit.ly/1s6Uz1m.

Port Macquarie Wauchope Laurieton Kempsey Coffs Harbour

For more information, please visit http://bit.ly/1xjJ6fh.

HNCNews The Doctor will see you ALL now – Shared Medical Appointments Networking Platform for Health Professionals

Shared Medical Appointments (SMAs), where doctors see patients in groups of six to 12 over one hour, are set to become the next big thing in chronic disease management, with the first Australian trials being completed on the North Coast.

The Healthy North Coast Network is based on the functionality of other familiar social networking platforms like Facebook, LinkedIn and Twitter.

SMAs, also called group visits, have been defined as: “A series of individual medical visits carried out sequentially in a supportive group setting where all can listen, interact and learn.” They have been used in the US for over a decade, but haven’t taken off in Australia because of the belief that they don’t qualify for medical benefits.

ealthy North Coast’s new online network allows you to communicate, network and collaborate in a private and professional environment, with colleagues from across the North Coast without leaving your office.

With over 130 regional and professionbased networks available, the Healthy North Coast Network is ready for you to join right now. Health professionals can register for the Healthy North Coast Network by visiting http://bit.ly/VsrO2s. Full instructions for the platform are available at http://bit.ly/1sJgRI7.

However, discussions with Medicare and a submission for a special item number through the Australian Lifestyle Medicine Association (ALMA), has opened up the process for consideration. SMAs offer the advantages of more time with the doctor; peer support from fellow sufferers and input from other allied health professionals. Patients claim they learn more, don’t have to remember all the questions they usually

forget (because others ask them for them), and enjoy the process better than their usual care. SMAs have particular appeal as a better way of managing the 70% of consultations that are now due to chronic diseases. These require longer term management and more care than the infectious diseases of the past. Interestingly, doctors claim to also enjoy the SMA as a break from the routine of advising dietary, exercise, stress management changes that have to be repeated ad nauseam. SMAs require at minimum, a doctor, and a trained facilitator. However other experts can join if desired. It also is possible to have observers – possibly enhancing the student experience. Click the link to view the complete article: http://bit.ly/1rNzg52

HNCNews Declining condom use driving sexually-transmitted infections A fall in condom use across the population is driving strong growth in sexually-transmitted infections, according to one of the authors of an annual surveillance report released today. Syphilis diagnoses are at the highest level ever recorded in Australia, while gonorrhoea rates continue to climb and the number of people dying from liver disease related to hepatitis C infection has more than doubled in the last ten years. Associate professor David Wilson, head of the surveillance and evaluation program for public health at the Kirby Institute, which publishes the report, said one of the main causes for the growth in sexually-transmitted disease (STI) rates was declines in condom use. “Where we are monitoring data on con-

Australian women living with undiagnosed osteoporosis A new report suggests that many women may have osteoporosis without knowing it, serving as a reminder to all Australian women about the risks of this preventable disease. The Australian Institute of Health and Welfare (AIHW) report, Estimating the prevalence of osteoporosis in Australia, highlights the significant impact the disease has on thousands of Australians, particularly older women. Follow the link for the complete article: http://bit.ly/1v8OEHF

dom use, we are seeing it decline,” Wilson said. “We’re not seeing an increase in condom use in any population groups across the country.” Syphilis prevalence has been increasing over the last five to ten years, according to the report, but 2013 saw the highest number of cases ever reported with 765 new infections. About ten to 15 years ago, there was very little syphilis in Australia, said associate professor Wilson, adding it was considered an old and rare disease. But then we started to see a rise – particularly among gay men and especially those who were HIV positive. Professor John de Wit, Director of the Centre for Social Research in Health, which released a supplementary annual

“We’ve been seeing a reduction in consistent condom use ever since we started doing our gay community periodic surveys in 1996,” Professor de Wit said. “What we see year-on-year is a smaller proportion of gay men using condoms consistently and that’s related to ongoing HIV infections but also to other sexually-transmitted infections.” Click the link to view the complete article: http://bit.ly/1yzHtOE

headspace unveils youth-led Aboriginal and Torres Strait Islander mental health campaign A new national headspace campaign is telling Aboriginal and Torres Strait Islander young people there’s no shame in talking about problems affecting their mental health and wellbeing. The campaign is the first youth-led national Aboriginal and Torres Strait Islander youth mental health campaign of its kind. ‘Yarn safe’ was developed with a group of 12 Aboriginal and Torres Strait Islander young people from across Australia, including Elcho Island, Brisbane, Darwin, Broome, Melbourne and Perth. The campaign aims to improve mental health literacy among this group and encourage them to get help at headspace centres located around the country, eheadspace online and

report about behavioural trends behind the infections, said it was becoming clear that among men who have sex with men, condom use was being replaced by other strategies for reducing risk of HIV infection.

telephone counselling service or other appropriate mental health services. headspace CEO Chris Tanti said depression, anxiety and suicide affect Aboriginal and Torres Strait Islander youth at a significantly higher rate than non-Indigenous young people. “Shame, judgement and feeling isolated for not being ‘normal’ is stopping many young people from getting the help they need. There’s also a lack of trust in services and knowledge of the mental health system.” Click the link to view the complete article: http://bit.ly/1qBFkhh

HNCEvents Hastings-Macleay Events 14/10/14 - MĂślnlycke Health Care Wound Care Evening, Port Macquarie 14/10/14 - Asthma Management Kempsey for GPs, Pharmacists and Practice Nurses - Kempsey 16/10/14 - Privacy Update: The New Privacy Principles, Port Macquarie 16-17/10/14 - Applied Suicide Intervention Skills Training, Forster 29/10/14 - Spirometry Update, Port Macquarie 11/11/14 - NCML Wound Care Workshop for Primary Health Care Nurses, Kempsey 12/11/14 - NCML Wound Care Workshop for Primary Health Care Nurses, Port Macquarie

Mid North Coast Events

October - December 2014 You can view the full North Coast Practitioner events calander at: www.healthynorthcoast.org.au/practitioner-events

Northern Rivers Events 11/10/14 - Asthma and Respiratory Management Seminar for Practice Nurses, Lismore 21/10/14 - Nicotine Addiction and Tobacco Cessation Training, Lismore 22/10/14 - Life Engagement, Ballina 22-23/10/14 - Preparing Successful Proposals, Ballina 23/10/14 - HealthPathways Familiarisation & Training, Lismore 28/10/14 - Vicarious Trauma Training, Goonellabah 30/10/14 - Case Management Strategies for Aboriginal Clients, Goonellabah 31/10/14 - The Shark Cage â&#x20AC;&#x201C; DV Training, Ballina 1/11/14 - Spirometry Training, Ballina

Tweed Events

9/10/14 - Cultural Awareness Training, Coffs Harbour

13/10/14 - Kaizen Meeting, Tweed Heads

11/10/14 - HealthPathways Ante Natal Shared Care Education Event, Coffs Harbour

16-18/10/14 - Pharmacy Assistant Conference, Gold Coast

13/10/14 - Shared Medical Appointments in Primary Health Care, Coffs Harbour 15/10/14 - Privacy Update: The New Privacy Principles, Coffs Harbour 18/10/14 - Spirometry Training Course, Coffs Harbour 18-19/10/14 - Anaesthesia 2014, Opal Cove Resort, Coffs Harbour 20/10/14 - Nicotine Addiction and Tobacco Cessation Training, Grafton 10/11/14 - Wound Care Workshop for Primary Health Care Nurses, Coffs Harbour

21/10/14 - Life Engagement, Tweed Events 22/10/14 - Nicotine Addiction and Tobacco Cessation Training, Tweed Heads 23/10/14 - HealthPathways Familiarisation & Training, Tweed Heads 24/10/14 - Lower Limb Anatomy Workshop, Gold Coast 8/11/14 - Spirometry Training Workshop, Tweed Heads

Other Events 10-12/10/14 - Pharmacy Australia Congress, National Convention Centre, Canberra 17-18/10/14 - Chronic Disease Management Workshop, Hotel Pullman, Melbourne

Online Events 14/10/14 - Twilight Online - Asking Awkward Questions

7-8/11/14 - Chronic Disease Management Workshop, Mercure Brisbane 5-6/12/14 - Chronic Disease Management Workshop, Swissotel Sydney

HNCclassifieds URGENTLY SEEKING GP - LISMORE Lismore Family Planning offers specialist reproductive and sexual health services. We offer bulk billed services and are looking for a Medical Practitioner to join our clinic. In addition to the Thursday and Saturday clinics at Lismore, there is an option to work at our Kyogle Outreach clinic every second Friday. You should be registered with the NSW Medical Board with current authority and provider number for NSW, and hold the SH &FPA certificate in Sexual and Reproductive Health.

DRIVERREHAB Kathryn Cooper DriverRehab OT Driving Assessments & Occupational Therapy Servicing Tweed to Grafton since 2006 Pensioner Discounts (for Driving Ax) Email: kattcooper1975@gmail.com Ph: 0417 913 35

The position offers casual hours in Lismore/Kyogle and above award conditions. Contact Julie on 6620 1870 or email applications@nrsdc.org.au

RN REQUIRED - PORT MACQUARIE RN needed for holiday relief work at Clifton Medical Centre in Port Macquarie from 20th October- 7th November 2014. Mon- Fri 9am till 5pm.

LOOKING FOR GP - GRAFTON (DWS) Ochre Health is now seeking a full-time GP to join its Grafton GP Super Clinic, which was Ochre Health’s first Super Clinic. The practice is home to highly skilled general practitioners and is accredited for clinical training, proving a popular choice with GP Registrars due to the experienced doctors at the practice. The centre expanded its services in 2013 with the opening of the on-site pharmacy. As a GP with this practice you will have the opportunity to practice integrated, multidisciplinary, patient-centred care. This includes regular clinic areas such as diabetes. In addition to your GP responsibilities, doctors at the Grafton GP Super Clinic have a strong relationship with the Grafton Base Hospital and provide an after-hours call service. If you have been looking to work in a DWS location which is located less than an hour away from the coast, close to shopping and entertainment, and right next to the Pacific Highway, the Grafton Super Clinic is perfect for you. In addition, GPs may be eligible for RA2, retention grants, and reduction to moratorium. Essential: • A minimum of general registration with AHPRA • Previous GP experience within Australia For more information please contact Steve Schimke on 0407 897 416 or email sschimke@ochrehealth.com.au

Contact the surgery on (02) 6584 5000.

PRACTICE MANAGER FOR COFFS HARBOUR GP SUPER CLINIC This exciting clinic is a non-profit initiative dedicated to providing comprehensive, multi-practitioner primary health services for the Mid North Coast community. This fantastic opportunity will attract a dynamic practice management professional with a successful record in program assimilation, plus the gravitas and charisma to inspire a team committed to shared objectives. Salary and conditions to be negotiated. Generous salary packaging is available. Please send a CV (Word format, up to 5 pages) before 5pm Friday 10th October 2014 to leavina@bawrunga.com.au or ring Tracey on (02) 6568 6100, in confidence.

HNCclassifieds MATERNITY LEAVE POSITION - REGISTERED NURSE Focus Medical Centre is seeking a motivated RN for maternity leave relief. The position entails: • • • • • • • •

Setting up the treatment room and assisting with GP procedures according to clinical standards Wound management Baby health and immunisations, including 4-5yo Healthy Kids Check Administering other injections, including travel vaccinations and Fluvax, B12 and Prolia ECGs and Spirometry Venepuncture Health Assessments Maintaining supplies, managing medications

INVITATION TO PARTICIPATE IN STUDY This invitation is for psychologists, social workers, clinicians and case managers working in the trauma field to participate in a trauma and growth study. Participation in this study is voluntary and the completed surveys are entirely anonymous and confidential (with exception of Sharon Black and her supervisor at CSU who is conducting the study, your name remains completely confidential). If you are willing to become involved in this research, please follow the link below. It will take you to a detailed information sheet and a questionnaire set. http://www.surveymonkey.com/s/QHXQP5H If you have any questions please contact Sharon Black via email at scblack@bigpond.com or her CSU supervisor Dr Gene Hodgins on 02 6933 2746 or ghodgins@csu.edu.au.

Essential criteria: • Current AHPRA Registration • Previous Practice Nurse experience is desirable Nurses Award 2010 (Award code MA000034), 14 hours per week – flexible hours/days. For more information, please contact Lisa Dempster on 6584 6715 or forward your letter of application and resume to info@focusmedical.com.au.

INFORMATION SESSION ON DEMENTIA RESPITE CENTRES Hastings Respite invites Practice Nurses and Practice Managers to attend an information session to introduce our organisation, provide an opportunity to visit the Greenmeadows Respite Care Centre and to outline the day programmes for people living with dementia in the community. Visit http://bit.ly/1vzirKd for more information.

GP REQUIRED - KEMPSEY Exciting opportunity to join a friendly and modern rural medical practice. Work full-time, part-time or flexible hours. Situated in a rural country-town setting, yet enjoy close access to some of the most beautiful North Coast Beaches. Existing patient database with occupation health opportunities, supported by a group of experienced and dedicated doctors. A fully computerised practice with full nursing and administrative support plus Allied Health on-site or within the same complex. Applicants must have basic medical training and competency in all areas of general practice. Contact Kempsey GP Clinic (02) 6583 83 83 Level 1, 35 Belgrave Street, Kempsey, NSW

HNCclassifieds CLINIC SPACE AVAILABLE - GRAFTON New medical clinic space at Grafton Shopping Mall available - very high traffic location next to high trading pharmacy, with easy on-level parking and a very convenient location. Generous help and support offered with fit out by excellent landlords. Please phone 0438 173 657 for a confidential chat.

SEEKING PRACTICE NURSE - COFFS HARBOUR Park Beach Family Practice is seeking a Casual Practice Nurse as part of our casual pool with flexibility to work all shifts. Essential Criteria: • Registered Nurse or Endorsed Enrolled Nurse with current AHPRA registration • Excellent communication skills

OPPORTUNITY TO JOIN AN EXCITING, INNOVATIVE TEAM - PORT MACQUARIE An opportunity exists for a General Practitioner or Registrar interested in skin cancer and musculoskeletal medicine to join the team at Greenmeadows Medical, an innovative and patient focused medical practice. Our doctors are supported by a wide range of allied health practitioners including Physiotherapy, Exercise Physiotherapist, Podiatry, Dietitian, Psychology, Social Work and Pathology. This unique integration of health care under one roof provides patients with easier access to services and better outcomes for their overall health. This practice has broad consulting hours to allow flexible working times. It offers a position that allows the GP to have an excellent work / life balance. The practice is committed to ongoing education and will pay for appropriate skin cancer & musculoskeletal medicine courses for the successful applicant. Visit www.greenmeadowsmedical.com.au to experience a virtual tour of our centre and to meet the team. For enquiries, please contact Robert Clarke on 02 55251111 or Robert@greenmeadowsmedical.com.au.

Calling all GPs & Allied Health Professionals who have an interest in the health of young people: headspace Port Macquarie would love to hear from you. Contact Jenny Sinclair on 02 6588 7300 or jsinclair@each.com.au for an informal discussion. 33

To apply, please contact the Practice Manager, Karen Gerke, on 6656 3100.

GENERAL PRACTITIONER – PORT MACQUARIE Focus Medical Centre is a modern and sunny GP-owned practice in Port Macquarie. We are seeking a friendly motivated VR GP to join our harmonious team in either a full-time or parttime capacity. Focus Medical Centre is a near-new fully equipped-practice with excellent nursing and administration support. We are an accredited practice and are fully computerised and noncorporate. We are located near the town centre and our consultation rooms have wonderful natural light and views to the ocean. Sorry, no DWS positions available. For enquiries contact Dr Anne Murray on 6584 6715 or email: info@focusmedicalcom.au

Would you like to post a local classified ad in this newsletter? Email the details to healthynorthcoast@gmail.com before the 25th of each month. There is no cost associated with these ads.

Contact NCML Head Office Suite 6, 85 Tamar Street, BALLINA NSW AUSTRALIA 2478 Postal: PO BOX 957, BALLINA NSW AUSTRALIA 2478 Phone: 02 6618 5400 Fax: 02 6618 5499 Email: enquiries@ncml.org.au

Northern Rivers Tarmons House, St Vincentâ&#x20AC;&#x2122;s Campus 20 Dalley Street, East Lismore NSW 2480 Phone: 02 6622 4453 Fax: 02 6622 3185 Email: nr@ncml.org.au

Hastings Macleay Office Location: Postal Address 53 Lord Street, PORT MACQUARIE NSW 2444 Phone: 02 6583 3600 Fax: 02 6583 8600 Email: hm@ncml.org.au

Tweed Heads 8 Corporation Circuit, Tweed Heads South NSW 2486 Phone: 07 5523 5501 Email: tv@ncml.org.au

Mid North Coast Suite 6, 1 Duke Street, Coffs Harbour, NSW 2450 Postal: PO Box 920, COFFS HARBOUR NSW 2450 Phone: 02 6659 1800 Fax: 02 6659 1899 Email: mnc@ncml.org.au