We acknowledge and pay respects to the traditional owners of the lands on which MPHN operates; the Wiradjuri, Nari Nari, Wemba Wemba, Perepa Perepa, Yorta Yorta, Ngunnawal, Ngarigo, Bangerang and Yitha Yitha Nations. We recognise our communities are made up of many Aboriginal and Torres Strait Islander peoples descended from additional mobs and clans who also call the Murrumbidgee region home. We pay respect to elders past, present and future and recognise these lands have always been places of traditional healing and medicine, and this plays a role in shaping future health services.
firsthealth Limited trading as Murrumbidgee Primary Health Network (ABN 15 111 520 168). Murrumbidgee Primary Health Network gratefully acknowledges the financial and other support from the Department of Health and Aged Care. The Primary Health Networks Program is an Australian Government Initiative. While the Department of Health and Aged Care has contributed to the funding of this material, the information contained in it does not necessarily reflect the views of the Australian Government and is not advice that is provided, or information that is endorsed by, the Australian Government. The Australian Government is not liable in negligence or otherwise for any injury, loss or damage however arising from the use of or reliance on the information provided in this material.
Contents Our region, our priorities 2 Chair report 4 CEO report 5 Our board 6 Our senior leadership team
7
Our five-year strategic plan to take us into the future
8
Caring for 20 years: Wagga GP After Hours Service celebrates milestone
10
Snapshot of 2022-23 12 Strengthening the voices of health advocates
14
Making a difference 16 Every conversation counts 18 Shaping a healthier future through research initiatives
20
Out and about in the community
22
Local voices shape new mental health campaign
24
Supporting community innovations 26 Community connection and involvement key
28
Practical and tailored suicide support is making all the difference
30
New after hours service for the Murrumbidgee
32
Supporting First Nations health and wellbeing
34
Supporting our seniors 36 Helping community live healthily
38
Supporting health professionals 40 Targeted support to general practice gets results
42
Empowering clinicians with HealthPathways
45
Getting back to normal 46 Digital health is the future
48
Celebrating excellence in primary healthcare
50
Integration and transformation: one health system
52
Joint agreement and commitment to one health system approach
54
Collaborative efforts in diabetes management
55
Living Well, Your Way 56 Empowering local communities in the Snowy Valleys
58
Boosting GP confidence in paediatric primary care
60
Our people 62 Our team is everything 64 Treasurer’s report 66 Grants recipients 68 Cover image: Stina Constantine, Kane Stewart and Flynn Tabasuarez.
Commissioned service providers 69
2
2022-23 Annual Report
Our region, our priorities population
125,500
252,358
males
(49.9%)
508
126,858
79.0 years
communities
females
life expectancy
126,124km
37.4%
0.1-16.6
21.9%
land area
2,387
(50.1%)
83.9 years
obese
life expectancy
smokers
51,269
over 65 years
34.9%
(21.6%)
14.1%
20.4%
obese
persons/km2 population density
total births
consume alcohol at risky levels
smokers
11.7%
psychological distress
Lachlan (part)
Carrathool
70.2% inactive
Bland
Griffith
Hay
Temora
Leeton Murrumbidgee Narrandera
Coolamon Junee
Edward River Murray River
Lockhart
Berrigan
Hilltops
Wagga Wagga
Federation
Cootamundra -Gundagai Regional
Snowy Valleys Greater Hume Shire
Western
Wagga Wagga
Border
Riverina
2022-23 Annual Report
3
43.0%
Aboriginal and
consume alcohol at risky levels
higher prevalence
(5.9%)
29.6%
of cardiovascular disease, diabetes, kidney disease and cancer
15,408
Torres Strait Islander
smoke
74.1 years
45.5%
life expectancy
obese
2,033
over 55 years
of mental health conditions
(13.2%)
WIRADJURI
YITHA YITHA
NARI NARI WEMBA WEMBA
higher prevalence
NGUNNAWAL PEREPA PEREPA
YORTA YORTA
NGARIGO BANGERANG
*Artistic impression only
4
2022-23 Annual Report
Chair report Earlier this year when I learned the organisation we know as firsthealth Limited would soon celebrate 30 years of being a primary health organisation, it made me reflect on our journey to this point and consider the next era of the business. While some things seem to continually change,
We know locally driven solutions demonstrate the greatest impact on health outcomes and workforce challenges.
some things don’t. What has remained constant is the role of primary care – to support health and wellbeing in the community. Many challenges and disparities in primary healthcare have also remained. Chronic disease prevalence, First Nations health gap, workforce challenges, and the geographic divide are just some of these. However, over the years, primary healthcare organisations, providers and clinicians have increased their role in advocacy and supporting communities. MPHN and the Board continue to listen and hear from the clinicians on the ground and members of our communities. We know locally driven solutions demonstrate the greatest impact on health outcomes and workforce challenges. We also know collaboration with all our local healthcare partners will help us to deliver more seamless experiences as people transition through different parts of the health system. For that reason we are pleased to have been able to finalise our joint Collaborative Agreement between MPHN and Murrumbidgee Local Health District as a sign of our ongoing commitment to work together. You can read more about this on page 54.
While we don’t know what the future holds, our Board remains committed to focusing on solutions guided by our stakeholders and community. Our five-year Strategic Plan helps us to remain future focused and allows for us to utilise research and innovation opportunities to further support our workforce and communities. In closing, it would be remiss of me to not acknowledge a mentor and colleague, Dr Roger Thatcher, who sadly passed away in August. Dr Thatcher was one of the first Board Directors for what was then known as Wagga Wagga and District Division of General Practice. His contribution to primary healthcare and what is now known as Murrumbidgee Primary Health Network has been invaluable. I would also like to formally thank MPHN’s employees for all their dedication, agility and enthusiasm in supporting primary healthcare and the community. Your achievements directly contribute to the positive health and wellbeing outcomes of our communities in which we serve, and the Board continues to be inspired every year.
Dr Jodi Culbert
2022-23 Annual Report
5
CEO report Each and every year I am inspired by our employees, our primary healthcare clinicians and workforce, and the people who comprise our 508 communities. This year is no exception. It is certainly an honour and a privilege to lead an organisation with such a strong history created over the past 30 years. I recently reflected on this 30-year history by looking back at some of our Annual Reports, and it is clear, some of the challenges faced by primary healthcare over the years still remain today. While the theme of this year’s annual report is focusing on the future, we must also consider the past, as we embark on system reform change through initiatives guided by the Strengthening Medicare Taskforce Report and subsequent budget announcements. Local context is incredibly important as we implement these initiatives to ensure they are aligned to need and move towards improving health outcomes for our communities. As reform initiatives continue to rollout, we will support primary healthcare providers and communities with implementation and change. This year firsthealth received a 38 percent increase in financial revenue, which, in turn, has increased the organisation’s activities significantly. We have delivered just over $3.2 million in grants to communities, general practice, residential aged care homes and provider organisations. There has been a 52 percent increase in mental health occasions of service, a 25 percent
We are well positioned to be agile and responsive to the needs of our stakeholders and communities.
increase in allied health services, and almost 15,000 occasions of service provided to the region’s Aboriginal and Torres Strait Islander people as part of the Integrated Team Care, Work it Out and other Alcohol and Other Drug programs. As we look ahead, I know we are well positioned to be agile and responsive to the needs of our stakeholders and communities. We will continue to listen to the voices of our communities, nurture our longstanding partnerships, and look for opportunities to establish new relationships to help us improve the health system and foster local innovation. In fact, we have commenced some of this work with our new partnerships with universities to develop new research opportunities. You can read more about this on page 20 of this report. I look forward to continuing to work with our key stakeholders and employees in the coming year as we progress future activities under our 2024-2027 Strategic Plan and focus on making a difference to the lives of both the primary health workforce and our communities.
Melissa Neal
6
2022-23 Annual Report
Our board Paul Gianniotis
Dr Alam Yoosuff
(Treasurer)
Peta Larsen
Dr Jodi Culbert (Chair)
Jodi was a physiotherapist before returning to study as a GP In 2011. As well as being a busy clinician in her own General Practice, Dr Culbert is also committed to serving the broader medical and general Wagga Wagga community. She has particular clinical interests in musculoskeletal medicine, mental health and multidisciplinary preventative health.
Paul is the director of a livestock equipment company, with a background in project management. Paul is passionate about addressing the challenges faced in delivering effective integrated healthcare to our significant region. He also has broad involvement in the local business and sporting communities.
Alam is a rural GP from Finley NSW with particular interests in public health, palliative care and emergency medicine. Alam has been working as the principal GP at Finley Regional Care and GP/VMO at Finley Hospital since 2008. He is passionate about providing better health outcomes to rural and remote communities in the region.
Rene Pennock
Dr Jacques Scholtz Christine Howard
Jacques is a GP obstetrician in Cootamundra who’s also interested in family health and a strong voice for palliative care provision. He participates on MLHD and MPHN committees and is the principal/owner of a large general practice. He stands for equitable healthcare across all segments of society and works towards an integrated primary healthcare model.
Christine is the Director of Charles Sturt University’s Three Rivers Department of Rural Health. With more than 30 years’ experience working in rural health, Christine has diverse executive health management and leadership experience. She is passionate about the Murrumbidgee region and improving rural health outcomes.
Rene is an experienced health sector consultant, who has worked extensively with allied health, nursing and medical professionals. Formerly the CEO of South Western Sydney Primary Health Network, Rene has qualifications in physiotherapy and gerontology, and is committed to improving the health of the communities he serves.
Peta, an Accredited Practising Dietitian, and has held senior health management positions across acute, primary health and community settings providing leadership to health professionals. With a passion to improve community health and wellbeing, Peta contributes to clinical quality and safety as a member of the LiveBetter Clinical Governance Committee and the LikeMind Wagga consortium.
Catherine Ryan
As Practice Manager of a rural, solo general practice in the Murrumbidgee, State President of Australian Association of Practice Management, and a Department of Health and Aged Care, Practice Management Advisory Group member, Catherine brings a wealth of knowledge and experience in practice management and preventative health.
2022-23 Annual Report
7
Our senior leadership team Melissa Neal
Chief Executive Officer Appointed as CEO in 2018, Melissa is committed to developing local partnerships and working with organisations to improve outcomes for people and communities across the Murrumbidgee. During her 20year career in the primary health and community services sector, Melissa has gained experience in governance, leadership, strategic management, human resources and industrial relations.
Julie Redway
Narelle Mills
Executive Commissioning and Operations
Executive Integration and Partnerships
Senior Manager, Primary Care Engagement
Julie has a passion for delivering outcomes for health service providers and consumers. Having started her career in medical science, Julie transitioned into the primary care environment in 1993. Julie holds a Bachelor’s in Medical Science, Masters in Health Service Management and is a graduate of the Australian Institute of Company Directors (AICD).
Narelle has more than 20 years’ experience in primary health program development and implementation with interests in quality improvement, chronic disease management, integrated care, aged care and palliative care. Narelle has an Honours Degree in Applied Science, a Graduate Certificate in Public Sector Management and is currently studying an MBA.
Andrew has spent the last 10 years in the field of primary care engagement and has a particular interest in current and emerging digital health solutions and continual quality improvement. Andrew has experience in acute and primary health sectors in metropolitan and rural settings and holds qualifications in medical science (Pathology) and music.
Anita McRae Dr Jason Bennie (PhD)
Senior Manager, System Integration Anita’s mental health career started in support work and community development, before moving into management roles. Anita’s ongoing passion is that everyone deserves access, in every meaning of the word, to the supports required to live a fulfilling and meaningful life.
Andrew Heap
Janelle Dufty Kristy Hawkins
Chief Data Officer
Senior Manager, Commissioning
Jason has an extensive background in public health research and expertise in epidemiology, biostatistics, and health promotion. Jason has a PhD in Behavioural Epidemiology and more than 15 years of experience in managing large-scale public health projects from conception to execution to evaluation.
Janelle has worked for MPHN for ten years and was appointed Senior Manager Commissioning in March 2022. Interested in how minds work, Janelle completed postgraduate studies in psychology in 2013. While mental health and suicide prevention are areas of interest, Janelle also has an affinity for data and how it relates to decision making.
Senior Manager, Corporate Services Kristy is an experienced human resources generalist with 15 years’ experience working in primary healthcare and holds a Bachelor of Business (Human Resource Management/ Accounting). She is passionately interested in people and developing a strong workplace culture with a focus on staff wellbeing.
8
2022-23 Annual Report
Our five-year strategic plan to take us into the future With the landscape for primary healthcare evolving, it was critical for MPHN’s next strategic plan to consider both the expectations of our stakeholders and the significant changes to the primary healthcare operating environment with several state and national health policies and reforms continuing. In November 2022, MPHN launched a forward thinking and
MPHN CEO Melissa Neal said each focus area is guided by a
fresh approach to its strategic direction for the next five
set of priorities .
years, with a focus on making a difference to the health and wellbeing of both health professionals and the community. MPHN’s Strategic Plan 2023-2027 was developed over several months and guided by feedback from employees and key stakeholders.
“Throughout the next five years we will diligently progress priorities detailed within this plan,” Ms Neal said. “We will collaborate with our existing and new partners to ensure people living in our rural and regional communities have improved outcomes and experiences when accessing
Narelle Mills, Executive Integration and Partnerships, who
primary healthcare. We want our communities to thrive and
led much of the consultation work, said she knew from the
be resilient in the face of challenge.
outset it was critical to hear what stakeholders wanted MPHN to be doing as an organisation.
“Our role will be to continue to support our primary healthcare providers and our communities to navigate
“Using surveys, in-depth interviews, and workshops, the
changes in the system, while also investing in communities
opinions, ideas and feedback from our valued employees
for improved health outcomes, enhancing stronger
and stakeholders captured through these engagements has
collaborations, and leading opportunities for innovation.
directly guided our new strategic plan,” Ms Mills said.
“We recognise our role in supporting and fostering
“During these consultations we spent time reflecting on
empowerment among our local workforce and communities
MPHN’s purpose – why we do what we do. Through these
to promote sustainable primary healthcare. Through strong
discussions and feedback, we articulated a formal purpose
and integrated partnerships, we can better connect people
as part of this plan, which is to ‘create connected, dynamic
to services, both health and social, in a fair and equitable
and equitable healthcare through empowered workforce and
way, particularly for those who are at risk of poorer health
communities’. It is through this purpose that we can bring
outcomes.
our vision of ‘well people, resilient communities’ to life.”
“Equally important will be our role within the broader health environment. As an organisation our role is to support
The new strategic plan sets out three key focus areas for the next five years. These include: •
Invest in communities for improved health outcomes
• •
our primary healthcare workforce through reforms and advocate, where necessary, to meet local needs.” To help MPHN achieve the strategic plan priorities, key enablers were identified and will be instrumental in the plan’s implementation. These include: •
Effective leadership and governance
for stronger primary healthcare
•
Authentic engagement and partnerships
Lead innovation and inspire positive impact
•
Our people
•
Operational agility and excellence
Support providers and enhance collaboration
2022-23 Annual Report
9
READ THE FULL STRATEGIC PLAN HERE
We recognise our role in supporting and fostering empowerment among
While the Strategic Plan 2023-2027 underpins the approach, activities and decisions for MPHN, it is critical the plan’s implementation is measured. “For most of 2023 we have been working on a reporting and evaluation approach to measure the impact of this plan against the set priorities,” Ms Neal said.
our local workforce and
“Importantly, we didn’t want our reporting and evaluation
communities to promote
where we are already collecting data and information to help
processes to be cumbersome and onerous. So, we looked at us report progress against the strategic plan.
sustainable primary
“I’m really excited and proud of this plan and how we will
healthcare.
and inspire future thinking, and ultimately move us towards
Melissa Neal, CEO
demonstrate our impact. For me, it helps guide our work our vision of well people, resilient communities across the Murrumbidgee.”
10
2022-23 Annual Report
Image: 20 year celebration event
Caring for 20 years:
Wagga GP After Hours Service celebrates milestone In March the Wagga GP After Hours Service celebrated 20
Over the last 20 years, the Wagga GP After Hours Service
years of providing urgent after-hours primary care to the
has provided almost 112,000 consultations by 209 serving
residents of Wagga Wagga.
GPs. On average, the service conducts 5,500 consultations
MPHN Chief Executive Officer Melissa Neal said she was thrilled to be able to acknowledge the dedication of the
and 240 home visits each year, many of those to the most vulnerable members of our community.
services’ doctors, receptionists and participating practices on
MPHN’s firsthealth Board Chair Dr Jodi Culbert said the after-
the night.
hours service provides the city with a critically important
“The Wagga GP After Hours Service success is a result of
function.
the tireless work and dedication of many people to both
“As one of the GPs on the after-hours roster, I know many
establish and maintain the service for all these years,” Ms
patients come to us needing GP care, not wanting to end up
Neal said.
in our emergency department,” Dr Culbert said.
“Many of our GPs have been working with the service for
“Our after-hours service gives the community options to
extended periods of time, some for the entire 20 years.
access urgent care if something happens in that after hours
“Their commitment to helping care for our community is inspiring; we’re so grateful to them.”
period and they can’t wait to see their usual GP the next day. “I’m very proud MPHN has been able to continually provide this much-needed service.”
2022-23 Annual Report
11
On the night, longstanding service was recognised, including the following practices and general practitioners who have served at the clinic for 20 years: •
Wagga Wagga Medical Centre
•
Morgan Street Healthcare Clinic
•
Associate Professor Ayman Shenouda
•
Dr Hanaa Mishricky
•
Dr Samiha Azab
Image: 20 year celebration event
-2023 WAGGA GP AFTER HOURS SERVICE
GP MEMBERS OF THE WGPAHS BOARD AT THE 2005 AGM (left to right) Dr Ayman Shenouda, Dr Ramzy Barsoum, Dr Peter Keith, and Dr Patrick Renshaw.
CONSULTATION ROOM
CLINIC
CONSULTATIONS
PER YEAR (AVERAGE)
HOME VISITS
PARTICIPATING
GPs
PER YEAR (AVERAGE)
NEW LOCATION
TREATMENT ROOM
GRAND OPENING AT NEW LOCATION MORGAN STREET
OPENING
RECEPTION
Calvary Hospital Specialists Clinic
Wagga GP After Hours Service
15TH ANNIVERSARY
celebrating 15 years CLINIC HOURS Monday – Friday 7.00pm to 9.00pm
10TH ANNIVERSARY
Saturday 6.00pm to 9.00pm Sunday and public holidays 9.00am to 1.00pm and 5.00pm to 9.00pm ON CALL HOURS
The Wagga GP After Hours management committee and staff celebrate the 10th anniversary of the service. From left to right Dr Max Graffen, Dr Rod Burgess, Dr George Hanna, Dr Ayman Shenouda, Dr Peter Keith, Murrumbidgee Medicare Local CEO Nancye Piercy, Paul Locker, Jackie Walsh, Noreen Cubis and Dr John Padgett.
Monday – Friday 6.00pm to 8.00am Saturday 12.30pm to 8.00am Sunday Sunday and public holidays 8.00am to 8.00am the following day
PATIENT CONSULTATIONS (TO 5 MARCH 2023)
Wagga GP After Hours Service is a collaborative of your local and experienced GPs providing healthcare to you and your family in the after hours period
CURRENT PRACTICES Blamey Street Surgery Glenrock Country Practice Hammond Health Kooringal Medical Centre Morgan Street Healthcare Clinic
Call 6931 0900 to make an appointment
Riverina Family Medicine
Phones open for appointments 30 minutes prior to the above times
Wagga Wagga Medical Centre
Children under 16, concession card holders, tertiary students, and Aboriginal and Torres Strait Islander peoples are bulk billed upon presentation of valid Medicare card and concession/student ID card.
plus Non-practice affiliated general practitioners
Piercy Place – 1/185 Morgan Street, Wagga Wagga NSW 2650
PREVIOUS PRACTICES Central Wagga Medical Estella Medical & Dental Kincaid Medical & Dental Centre KRS Health Peter Street Medical Centre Riverina Medical & Dental Aboriginal Corporation St George Medical Centre Trail Street Medical Centre Trinity Medical Centre
ACTIVE PATIENTS
AGED BETWEEN 1 MONTH & 99 YEARS
6931 0900 Wagga GP After Hours Piercy Place Service 1/185 Morgan Street Wagga Wagga 2650
For urgent, non life-threatening treatment outside of business hours
For further information and opening hours:
www.mphn.org.au
2019 REBRAND
12
2022-23 Annual Report
Snapshot of 2022-23 across
259
Contracts
$25,832,676 contracts
Mental Health
54%
mental health clients*
52%
headspace occasions of service
591
45%
in-person practice engagements with primary healthcare providers compared with remote support interactions
Allied Health
25% increase in total services delivered by WARATAH
mental health occasions of service
8,256
Primary Healthcare Providers
other allied health services including COPD/asthma education, speech pathology and foot care nurse
podiatry
26%
8% 20%
clients identify as Aboriginal or Torres Strait Islander
11%
other, including physiotherapy
occasions of service supporting someone with suicidality
18% 39%
*The increase in primary mental healthcare clients and sessions can be explained by a return to pre-COVID activity; and the data includes NSW Health pandemic recovery activity.
representing an
18% increase
in total HealthPathways
dietetics
HealthPathways
NEW HealthPathways
diabetes education
209 49 1,113 90% 9,712 37,669 3.9
request pages resource pages users returning visitors sessions page views average pages per session
Convos on the Couch
2022-23 Annual Report
13
40
Connect, Your Way
Common themes in 22/23: Food insecurity
Housing affordability
Homelessness
Cost and accessibility of healthcare
$2.2 million
18
1
towns visited since 2018
advisory panel
in-depth interviews
4
60
people consulted
focus groups
for 84 GP grants
$86,000 pledged for 3 projects at Pitch Night $600,000 for 59 bushfire grants
$234,000 for 38 residential aged care homes in telehealth grants
people completed cultural awareness training
almost 15,000
occasions of service delivered by ITC, Work it Out and other AOD services delivered by GAMS
Wagga GP After Hours Service
21%
patient consultations
126
home visits
41
GPs from
8
practices
847
vaccinations administered
30
events attended
1,300
resource packs handed out
1,083
total patients
2,357
patients accessing Wagga Wagga Base Hospital Rapid Access Cinic
4
545
patients after hours
rural communities had access to heart failure diagnostics closer to home
Living Well, Your Way
71
In the community
First Nations
Grants
$105,000 for 42 immunisation grants
14
2022-23 Annual Report
Images: Joint CAC and CC Meeting.
Strengthening the voices of health advocates Work to further strengthen and empower MPHN’s stakeholder advisory groups progressed with a joint annual meeting, skills audit and new recruitment strategy implemented. Engaged, empowered and supported stakeholders are
right story in ambiguous and rapidly changing times, leaving
invaluable to any organisation, and MPHN’s four Clinical
members with practical strategies to keep attitude, energy
Councils, and Communication Advisory Committee (CAC) are
and resilience strong to maximise their input as advocates
no exception.
for communities.
MPHN’s Executive Integration and Partnerships Narelle Mills
Wagga Wagga Clinical Council Chair Dr Rachael Fikkers said
said the Clinical Councils and CAC provide the organisation
the joint meeting provided her an opportunity to meet and
advice and guidance on local health issues and priorities.
form relationships with other members.
“The advice and guidance provided by the Community
“During COVID-19 we moved to virtual meetings and in
Advisory Committee and Clinical Councils directly inform the
person interactions reduced considerably with fellow
work of MPHN and how we respond to the local health needs
members,” Dr Fikkers said.
they identify,” Ms Mills said.
“Aside from building connections with my fellow Wagga
In 2022 MPHN commenced activities to understand how the
Wagga Clinical Council members, I was also wanting to
organisation could further support the health advocates on
meet with other clinical council, community advisory
these advisory groups to feel more engaged and empowered
committee and board members. The joint meeting provided
to contribute.
this opportunity, and I really enjoyed hearing from other
“We commenced with a review into each group and heard
clinicians and community members from across the region”
members wanted to feel more connected with each other.
The review also identified the need to ensure memberships
So, in March 2023 we had our inaugural joint meeting in
to all groups included a broad range of skills and
Wagga Wagga with representatives from all five advisory
representation.
groups plus firsthealth Board Directors,” Ms Mills said.
“To help MPHN understand the skills and expertise our
The Saturday session was attended by 33 members and staff
members, we developed a skills matrix and conducted a
who were briefed on the new Strategic Plan and undertook
skills audit of the Clinical Councils and Community Advisory
sessions to brainstorm opportunities, ideas and activities to
Committee,” Ms Mills said.
address the priorities listed under each of the three focus areas in the Strategic Plan. Keynote speaker Bruce Sullivan provided attendees with an engaging, challenging, and interactive session on how to do the right thing with the
“The audit identified gaps and this guided our very first formalised recruitment process to attract new members to the groups.
2022-23 Annual Report
15
“For our CAC we were looking for community members
Garth Hungerford, Chair and member of the Community
who had experiences and skills around the health and
Advisory Committee said he got involved to help find
wellbeing for the population groups of LGBTQIA+, culturally
solutions for issues in the community that weren’t being
and linguistically diverse, veterans, First Nations, child and
addressed.
maternal, and young people. While for our Clinical Councils we were looking for clinicians with experience in general practice, mental health, allied health, aged care, pharmacy dental and nursing.” To facilitate the new recruitment campaign, a promotional video was created with the assistance of members talking about why they enjoy being a health advocate.
“I was seeing our health outcomes in regional, rural and remote areas were not as good as our city cousins and I wanted to escalate that at a local level so we could have some influence on access to primary healthcare for our communities,” Mr Hungerford said. As a result of the recruitment campaign, MPHN appointed seven new members to the CAC, and six new members to
Border Clinical Council Chair and member, Dr Marion
the four Clinical Councils. All were formally inducted as part
McGee said she felt her 35 years of experience as a general
of a new onboarding process to ensure all new members
practitioner provided her with a unique insight into health
understand MPHN and their role in being a voice for health
needs, systems and process, and is pleased she joined when
in their communities.
the opportunity presented itself.
MPHN’s Clinical Councils and CAC are an important part of
“I had the incredibly refreshing experience of being listened
MPHN’s governance infrastructure and play a significant role
to and that people were actively acting on the suggestions
in supporting the delivery of best practice healthcare. They
that we were making. I could say something, and MPHN
also provide advice about population health planning and
would listen and come back with a strategy and ask ‘what do
the commissioning of services.
you think about this’, and I would say ‘that’s fantastic!’,” Dr McGee said.
Membership throughout the 2022-2023 financial year period Border Clinical Council Dr Marion Magee (Chair), Lourene Liebenberg, Jeremy Carr, Laura Ross, Dr Rachel James, Dr Michael Love, Simon Lloyd, Catherine Ryan
Riverina Clinical Council Dr Nang Win (Chair), Brett Causer, Evan Feather, Lee Francis, Daniel Fry, Luke Peacock, Dr Jacques Scholtz
Wagga Wagga Clinical Council Dr Rachael Fikkers (Chair), Carin Lewis, Dr Ayman Shenouda, Dr Jonathan Ho, Kimberley Aylward, Michael O’Reilly, Nancy Kaur, Sandra Skaf, Tom Schumack, Tom Adamson, Luke van der Rijt, Paul Colenso, Dr Jodi Culbert
Western Clinical Council Dr Bhupinder Kumar (Chair), Leanne Baulch, Dr Muhammad Shahzad Arshed (past Chair), Emma Kelly, Karen Ingram, Dr Khaled K Bardawil, Leanne Kennedy, Dr Shahid Abbas, Sean Dodd, Dr Alam Yoosuff, Donna McLean, Elizabeth Dixon, Jessica Ammendolia, Sandra Royal, Belinda Guest
Community Advisory Committee Garth Hungerford (Chair), John Harper, John Moi, Julie Mecham, Lee Ncube, Margaret King, Stan Warren, Cheney Dewar, Fran Day, Peta Larsen, Kristen Mann, Ruth White (Silvester), Chris Blake
16
2022-23 Annual Report
The significant increase in funded activities and programs are making a real difference to the lives of many people living in our communities. Julie Redway, Executive Commissioning and Operations
2022-23 Annual Report
17
In this section Every conversation counts Shaping a healthier future through research initiatives Out and about in the community Local voices shape new mental health campaign Supporting community innovations Community connection and involvement key Practical and tailored suicide support is making all the difference New after hours service for the Murrumbidgee Supporting First Nations health and wellbeing Supporting our seniors Helping the community live healthily
Making a
difference
18
2022-23 Annual Report
Every conversation counts MPHN actively listens to individual community members, gaining deeper insights into people’s unique health needs, enabling staff to tailor healthcare initiatives for more equitable and effective primary healthcare. MPHN expanded the Health Needs Assessment to ensure
MPHN conducted 10 Conversations on the Couch events,
population subgroups underrepresented in the data were
visiting communities across the Murrumbidgee to gather
included, including men, veterans, families, the LGBTQIA+
insights on local healthcare.
community, and young people aged between 12 and 24.
Engagement and Design Lead Toni Preuss said these events
MPHN’s Chief Data Officer Dr Jason Bennie (PhD) said
allow MPHN to connect with people at a grassroots level and
the HNA communications campaign successfully
gather insights that current data doesn’t reflect.
generated a larger response from these community groups.
“Data is always a few years behind, so regularly meeting
“We wanted to ensure our feedback more accurately
with people in their own community allows us to anticipate
reflected our community’s diversity,” Dr Bennie said.
change and develop different programs or update existing
“The data we’re now gathering from these previously
services before the need becomes greater,” Ms Preuss said.
underrepresented subgroups will be crucial for planning
Common themes across communities included food
future health services and initiatives.”
insecurity, homelessness, housing affordability, and issues
MPHN’s focus on engaging with the Murrumbidgee
related to the cost and accessibility of healthcare.
LGBTQIA+ community also involved hosting two online
The Conversations on the Couch event in Barooga in May
health and wellbeing discussion groups and two service
marked the achievement of MPHN engaging in discussions
provider discussion workshops as part of Pride Month.
about health with every Murrumbidgee community with a
Mental Health, Alcohol and Other Drugs Manager Maja
population of over 1000 people since the events began.
Asmus said MPHN partnered with ACON as well as
MPHN continued the successful ‘Yarns on the Couch’
community consultation experts Urbis to deliver these
events, where staff meet with First Nations peoples in
workshops.
familiar surroundings to hear their health concerns and
“We wanted to hear from rainbow community members about their health and wellbeing experiences in a safe and professional space so, if those conversations raised issues for someone, they’d have support,” Ms Asmus said. MPHN’s service provider workshops enabled local healthcare providers to discuss how to better support the LGBTQIA+ community and identify challenges to accessing information and support. “We will use the feedback from all the workshops to shape training opportunities for service providers across the region
suggestions. Aboriginal Health and Wellbeing Manager Maxine Honeysett said major topics included the cost of specialist and medical appointments, challenges related to travelling long distances for appointments, and concerns regarding rental accommodation. “Access to mental health services is also an issue, especially when dealing with trauma,” Ms Honeysett said. “While telehealth services are valuable, they’re not always culturally appropriate or feasible, especially for people without access to phones or computers.”
and explore how we can support the LGBTQIA+ community
MPHN continues to collaborate with the region’s 33 Local
to have better access and equity to services,” Ms Asmus said.
Health Advisory Committees (LHACs) which provide valuable
“We’ll review health pathways and consider how we support
on-the-ground feedback that informs many initiatives.
our LGBTQIA+ communities within the way we commission
Senior Manager of Primary Care Engagement Andrew Heap
services. It could also include simple changes such as having
said the biennial LHAC forums and regular LHAC meetings
welcome signs or posters in GP reception waiting areas,
serve as excellent opportunities for members to share local
or offering pronoun options in forms to indicate it’s a safe
insights with MPHN and pinpoint areas of greatest need in
space.”
their communities.
2022-23 Annual Report
19
LGBTQIA+ Health Needs Assessment findings:
Common themes across communities at Conversations and Yarns on the Couch:
•
Mental health is the biggest concern for the LGBTQIA+ community overall
•
Food insecurity
•
Due to a lack of safe and inclusive services, some people conceal their LGBTQIA+ identity and avoid care
•
Homelessness
•
Housing affordability
•
Cost and accessibility of healthcare
•
Negative experiences and discrimination in healthcare are common
•
Cost of specialist and medical appointments
•
LGBTQIA+ consumers feel safe in their community, but not always respected
•
Travelling long distances for appointments
•
Rental accommodation
•
LGBTQIA+ acceptance is improving but knowledge is still lacking
Images: Toni Preuss at Conversations on the Couch, Maxine Honeysett at Yarns on the Couch, LHAC Forum in Gundagai.
“LHACs possess a unique perspective on their respective
Dr Jason Bennie said MPHN is also increasing its capacity
communities, offering insights into what works well and
to engage in research activities across the Murrumbidgee,
where challenges exist,” Mr Heap said.
establishing and strengthening links with the University of
The information gathered from all these events is
Sydney, UNSW Sydney, and Charles Sturt University.
incorporated into MPHN’s Health Needs Assessment
“This aligns with our strategic priority of building
and shared with the Department of Health and Aged
collaborative research partnerships that build evidence and
Care, as well as the public.
contribute to improving the health of local communities,” Dr
The publication of updated HNA data profiles and databooks provided a snapshot of the health profile for each of the 21 Local Government Areas (LGA) within the region, highlighting the most significant demographic and health conditions.
Bennie said.
20
2022-23 Annual Report
Shaping a healthier future through research initiatives Amid a changing healthcare landscape, MPHN is engaging in research initiatives that will shape future care models and help address the unique healthcare needs of the Murrumbidgee community. Chief Data Officer Dr Jason Bennie (PhD) is leading
Dr Bennie is supervising a UNSW Research Assistant to
the organisation’s research activities, forging essential
deliver the program by providing implementation oversight,
partnerships with universities to develop new projects,
assisting with GP recruitment, and providing support to the
and laying foundations to build MPHN’s capacity for future
Murrumbidgee Research Support Officer.
research opportunities.
Dr Bennie said while both research projects are in their
Over the past year, Dr Bennie has embarked on two
early stages, the partnerships MPHN has established are
major research endeavours, each with a distinct purpose.
important steps forward for the organisation.
ASPIRE (A Systems aPproach to enhancing communitybased medication REview) is a collaborative effort with the University of Sydney. The ASPIRE study aims to investigate whether a PHN-based model to improve access to medication reviews for people recently discharged from hospital reduces readmissions. MPHN will play a pivotal role as the hosting centre for this trial. Dr Bennie was appointed as Principal Investigator in the university-led clinical trial, and will supervise the newly appointed Medication Safety Pharmacist/Research Assistant, establish a Medication Safety Hub, and actively support the research team. In tandem with ASPIRE, the Strengthening Care for Rural Children Clinician Researcher Program (SC4RC) is a collaborative venture with the University
“We’re looking to take on a more prominent role in primary healthcare research in the Murrumbidgee, and these opportunities align us with our strategic focus of leading innovation and inspiring for positive impact,” Dr Bennie said. 25%
20%
15%
10%
5%
0% Murrumbidgee PHN
of New South Wales (UNSW), the University of Melbourne,
New South Wales
Australia
Developmentally vulnerable in ≥1 domains
Western Victoria Primary Health Network, and the Barwon Health and Ballarat Health Services paediatric team. This partnership, initiated in May 2023, aims to address the specific needs of two large rural regions incorporating Local Health Districts (LHDs) and Primary Health Networks (PHNs). The SC4RC program supports rural primary healthcare practitioners to deliver evidence-based child health management practices, increase the quality of paediatric care delivered, reduce unnecessary referrals to hospital services, and increase General Practitioner (GP) confidence in the management of paediatric conditions.
15%
10%
5%
0% Murrumbidgee PHN
New South Wales
Australia
Developmentally vulnerable in ≥2 domains
Figure 1. Findings from the 2021 Australian Early Development Census assessing developmental vulnerability among students aged 5-7 years – a comparison between Murrumbidgee Primary Health Network, New South Wales, and Australia
2022-23 Annual Report
21
We’re looking to take on
Image: Dr Jason Bennie.
a more prominent role in primary healthcare research
“We’re excited to help advance new models of care, while also creating avenues for local practitioners to become
in the Murrumbidgee, and
involved in research and contribute to system reform.
these opportunities align
“These relationships promise to advance critical work which
us with our strategic focus
the Murrumbidgee region, ultimately shaping a brighter and
of leading innovation and inspiring for positive impact. Dr Jason Bennie, Chief Data Officer
will help us address the unique primary healthcare needs of healthier future for our community. “I’m looking forward to the positive impact these initiatives will bring.”
22
2022-23 Annual Report
Image: Henty Machinery Field Days.
Out and about in the community
MPHN is deeply committed to community health and ensuring Murrumbidgee residents have access to essential health services and information. MPHN stays connected with the community by spending
community members, emphasising the importance of
quality time in local towns, engaging in meaningful
reaching people who may not typically seek healthcare in
conversations with residents, and providing vital information
town.
on a wide range of health services.
“When we’re at events like the Henty Machinery Field
Throughout the year, MPHN continued to hold pop-
Days or the Riverina Field Days, we’re able to vaccinate
up vaccination clinics across the Murrumbidgee,
farmers who don’t normally come into town when the
administering COVID-19, influenza, and Japanese
GP is open – we often have a lot of wives dragging husbands
encephalitis vaccinations. At each event staff also distributed
in!” Ms Anderson said.
health information, and engaged attendees in conversations about their health needs, which covered mental health, aged care, suicide prevention supports, and more. Clinical Programs and Emergency Response Manager Peta Anderson said the team received great feedback from
“We always keep in mind that, for some people, this could be their first discussion about their health concerns in months. It’s incredibly valuable that we’re present at these community events.”
2022-23 Annual Report
23
MPHN’s commitment extends beyond vaccinations to
what you want as you continue on your journey. We want to
active participation in community events, This year, staff
walk that journey with you.”
were involved in events like the Narrandera International Food Fair and the Oaklands Truck Show, providing health information, health checks, and vaccinations. At the Wagga Seniors Mini-Expo, the team actively promoted advanced care planning, dementia awareness, and MyAgedCare, the government portal for aged care assistance registration. Healthy Ageing and Palliative Care Manager Shelley Gledhill said it was a privilege to encourage proactive decision making regarding ageing and available support services. “We firmly believe in empowering people to make informed decisions about their health and wellbeing as they get older,” Ms Gledhill said.
Healthy Ageing Project Officer Jane Gerhard said providing guidance and support into critical topics was important. “We see people as people, recognising the contribution older people have made and continue to make, and encouraging open discussions about choices and options,” Ms Gerhard said. “We believe in empowering decision-making and helping people and their families navigate the complex healthcare landscape.” MPHN facilitated the Murrumbidgee Aged Care Forum held in November 2022. This groundbreaking event brought together aged care providers, home care professionals, and people working in the aged care field under the theme
“While it can be a hard step to take, after being independent
‘Sustainable Futures, Stronger Together.’ It served as a
all your life, it’s reassuring to be in control of your journey
platform for attendees to share ideas, collaborate on
and make it clear to your family and health professionals
addressing challenges, and marked a significant step toward enhancing aged care services. MPHN remains dedicated to further enhancing and
Shelley Gledhill, Healthy Ageing and Palliative Care Manager
We firmly believe in empowering people to make informed decisions.
supporting aged care services in the Murrumbidgee region and planning is underway for a community-focused forum for 2024. Through vaccinations, community engagement, proactive initiatives, and a commitment to fostering innovation in aged care services, MPHN continues to be a trusted partner in promoting wellbeing and improving healthcare accessibility.
Image: Aged Care Forum
24
2022-23 Annual Report
Local voices shape new mental health campaign After almost 12 months in the making, MPHN’s new mental health campaign, Connect, Your Way was launched in late April 2023. Its purpose; to encourage people living across the Murrumbidgee to connect to services and resources, and to reduce stigma around seeking support. Nearly 60 local voices contributed to the development of the
“This feedback directly guided the campaign creative, which
Connect, Your Way campaign, which was developed based on
also includes a new webpage with support and resource
the same philosophy as its predecessor, Reach Out.
information, and a series of stories from local people. There
MPHN’s Strategic Initiatives and Engagement Advisor Monica McInnes said after five years of use, the Reach Out campaign required a refresh. “While the Connect, Your Way campaign certainly looks different to the previous Reach Out campaign, the purpose remains – to help increase awareness of mental health supports and reduce stigma around help-seeking,” Ms McInnes said. “Key to achieving this was the robust consultation and campaign development. It was really important to ensure what was created would resonate with the people we wanted to reach, so consulting with people who have a lived mental health challenge, and their carers was critical.” Two rounds of consultation activities were conducted to guide campaign messaging and creative. An advisory panel was established with key mental health providers and people with lived mental health experiences who guided both consultation rounds and provided feedback. In the first round of consultation, four focus groups and six in-depth interviews were conducted. Feedback was used to create three campaign concepts which were presented in round two of consultations including 12 in-depth interviews. These population groups represented in the consultation included rurally isolated and farming communities,
are five people who are the face of this new campaign – Stina Constantine, Bruce Rollins, Aunty Isabel Reid, Owen Dufty and Holly Conroy. “We are very proud of these storytellers and this campaign, and know this will go a long way to helping people in our communities to seek help, and continue to reduce stigma about reaching for support.” In late April, the campaign premiere event was attended by the storytellers, and those who were involved in the campaign consultation. Also in attendance was Deputy Mental Health Commissioner Tim Heffernan who was extremely complimentary of the campaign. At the end of the evening, one consultation participant who contributed feedback in a focus group and in-depth interview could see the evolution of the campaign based on the feedback saying, “it was wonderful to be a part of it from the start and see a lot of the feedback was very obviously taken into consideration with the new ad campaign – it’s great to see that was taken on!” On the evening, MPHN’s firsthealth Board Chair, Dr Jodi Culbert said storytelling is powerful and an easy way to connect with people so they know they aren’t alone. “The diversity in the five stories as part of this campaign is what I’m really excited about,” Dr Culbert said.
medical and veterinary fraternities, veterans, tradespeople,
“Of course, all mental health journeys are unique, and the
First Nations, young people, LGBTQIA+, culturally and
ways each of these courageous storytellers connected to
linguistically diverse people including refugees, and first
help and resources are all very different and shows how
responders.
there are a range of ways to seek support.
“What we heard during the consultations was that people
“I would like to take this opportunity to acknowledge the
wanted to see themselves in the campaign, they wanted
bravery and vulnerability of Stina, Bruce, Aunty Isabel,
to hear from real local people and their stories, and they
Owen and Holly and thank them for fearlessly sharing just
wanted to know there is a range of ways to get help so people
a snippet of their mental health journey in an effort to help
could select what best suits their needs,” Ms McInnes said.
others. It really is admirable.”
2022-23 Annual Report
25
Image: Connect, Your Way campaign premiere event.
Absolutely fabulous job.
The campaign ran for eight weeks during May and June
Everyone involved
2023, with a formal survey conducted in July to measure its effectiveness in increasing awareness. The post campaign evaluation survey showed awareness of Murrumbidgee Accessline and MPHN’s new campaign webpage rose from 12 to 33 percent, and 0 to 25 percent respectively. Advertising analytics show the campaign had the potential to impact, or be seen or heard by people in excess of six million times.
should be so proud of the quality of these videos. Well done. Focus group participant, Wagga Wagga
Thursday June 08, 2023 THE RURAL
therural.com.au
9
ADVERTISING FEATURE
Tradie Owen encourages men to reach out CONNECT, YOUR WAY
# # #
MPHN
OWEN Dufty is in his third year of an electrical apprenticeship. As a young person working in a male dominated industry, he understands the challenges for men to look after their health - especially their mental health. With Men's Health Week running from June 12 to 18, Owen is encouraging fellow men, young men, and especially tradespeople to connect with mental health supports. "It's pretty common for men to not want to get help as they want to be strong and independent and get through stuff on their own," Owen said. "Sometimes you feel like you can't help yourself. In those cases I would normally talk to my close family; and I feel more confident and eager to keep going." Owen is part of Murrumbidgee Primary Health Network's (MPHN) new mental health campaign Connect, Your Way, which encourages people to seek support in a way that
I decided to be part of this campaign to help people like me - a young male tradie - to get support, and maybe that's not clinical help, maybe it's talking to your family, friends, loved ones, or maybe it's taking some time out to do something you love. Owen Dufty
This Mens Health Week, Electrical Apprentice Owen Dufty is encouraging men of all ages and tradies to connect with mental health supports. Picture supplied.
suits them. "I decided to be part of this campaign to help people like me - a young male tradie - to get support, and maybe that's not clinical help,
maybe it's talking to your family, friends, loved ones, or maybe it's taking some time out to do something you love. Whatever it is, it's okay to talk about it - many of us
have had some experience of mental health challenges." MPHN's CEO Melissa Neal said Men's Health Week was an opportunity to highlight the importance of physical,
mental and emotional health in men and boys around the Murrumbidgee region. "It's about building healthy environments for men and boys by focusing on creating and maintaining physically, mentally and emotionally healthy surroundings in our homes, workplaces and social settings," Ms Neal said. "We know males in the Murrumbidgee consume alcohol at harmful levels when compared with the NSW and national rate. We also have higher prevalence of deaths by suicide in males, and higher rates of overweight and obesity in males, espe-
cially in young males. "I would encourage everyone to take part in removing the stigma of men seeking professional help and make it a normal part of our everyday conversations. I would also like to sincerely thank Owen for bravely sharing his story as part of our Connect, Your Way campaign." For more information or to connect with support, visit mphn.org.au/connect. If you or someone you know is experiencing a mental health crisis, call Murrumbidgee Accessline on 1800 011 511; Lifeline on 13 11 14; or 000 in an emergency.
Evaluation – Awareness results March 2023 Pre campaign
65%
Mental health challenges affect everyone
National Alcohol and Other Drug Hotline (27%)
For resources and support go to
Open Arms (25%)
mphn.org.au/connect
75%
July 2023 Post campaign
46%
In a crisis, call Accessline in the Murrumbidgee 1800 800 944 In an emergency, call 000 For general support, call Lifeline on 13 11 14
33% 25%
22% 12%
Campaign marketing materials
mphn.org.au/ connect
Accessline
000
Lifeline
May June 2023
Pre campaign survey March 2023, n=78 Post campaign survey July 2023, n=79 Online survey conducted by independent panel provider iLink
26
2022-23 Annual Report
Supporting community innovations MPHN offered a range of grant opportunities enabling Murrumbidgee residents to create community-specific projects to improve community wellbeing as well as recover from challenging circumstances. MPHN’s Pitch Night, held in September 2022 in Finley, saw
help embed the sustainability and continued success of the
a total of $86,000 in funding pledged, the majority
program.
of which was shared among three projects: The Root Cause, headspace Wagga Wagga, and Telecare.
Telecare received $25,000 for a 12-week online program tailored to adults dealing with obesity, promoting healthier
Belinda Smith of The Root Cause said she was overwhelmed
nutrition choices. The EMPOWER program was created
by the audience support and the overall amount the program
to address the needs of people with obesity or at risk of it,
secured.
offering free interactive sessions, expert-led workshops,
“The funding from Pitch Night will give us the platform to make a real difference for children, parents and schools in the Murrumbidgee,” Ms Smith said. The Root Cause received $39,250 for a 12-month Children’s Health Program which was implemented in 11 primary schools across the Federation, Cootamundra-Gundagai, and Wagga Wagga areas, engaging 1,668 children, teachers, and parents. The program fosters lasting, positive relationships with food and sleep, significantly impacting health, behaviour, and academic performance. The Root Cause’s commitment to mentoring schools throughout 2023 will Image: Pitch Night participants.
and valuable resources on mindful eating, portion control, meal planning, and physical activity. More than 100 people benefited from the program, with one participant saying, “My inflammation is down and I know I am more in touch with my body.” headspace Wagga Wagga secured $10,500 for ‘Vibing for Vitality’, a project fostering meaningful conversations among young people. Nine participants underwent national communications training, gaining essential skills. headspace Wagga Wagga is dedicated to helping these young people explore opportunities within headspace and collaborate with other organisations to enhance the project.
2022-23 Annual Report
27 MPHN streamlined the Bushfire Recovery Grants application process to ensure accessibility, which was especially significant for communities affected by disasters and trauma. It was heartening to note a recurring theme in the feedback was the simplicity and ease of the application process. Mental Health, Alcohol and Other Drugs Manager Maja Asmus said the challenges posed during the bushfire grants period, which were marked by intermittent COVID lockdowns, required the team to be highly flexible. “While it was challenging, we recognised this period presented unique opportunities for social connection, particularly for people attempting to connect in a new environment,” Ms Asmus said. “We embraced this shift and adjusted our approach accordingly, acknowledging that some of the grant funded activities played a pivotal role in fostering meaningful
I don’t normally like
connections among people within our community.”
things that are green,
Across the four rounds of Bushfire Recovery Grants, MPHN
but this is so good.
was made possible under the Supporting the Mental Health
Student participating in the
Department of Health and Aged Care.
Children’s Health Program
provided close to $600,000 in funding to 59 activities. This of Australians Affected by Bushfires Measure funded by the
MPHN also made new funding available for MPHN’s Community Grants program supported 42
communities impacted by the 2022 floods.
projects fostering community development, including
Community groups and organisations within flood-
vibrant town activities, inclusive expos, and engaging
impacted areas of the Murrumbidgee region were able to
street parties. These initiatives also prioritised men’s and
apply for a Wellbeing and Resilience Grant of up to $10,000
women’s wellbeing, such as the ‘Mate Helping Mate Podcast’
for community-led activities that strengthened social
and revitalising yoga workshops. The integration of arts and
connectedness, emotional wellbeing, and resilience.
crafts played a key role in stress relief and resource-sharing, as seen in the Griffith Care and Support Guide. The Lockhart Local Health Advisory Committee’s Health and Wellbeing Events Expo united the community, health professionals, and local businesses over three days of activities and exhibits. With a total of $221,652 distributed, the Community Grants made a substantial impact on community wellbeing and unity, especially amidst the challenges of COVID and bushfires. Contracts Administrator Karly Pollard said the projects serve as vital connectors, allowing community members to share their experiences, reconnect with each other, and combat social isolation. “These projects have played a crucial role in supporting mental health, helping people cope with stress, and enhancing overall wellbeing during a period marked by crises,” Ms Pollard said. “The lasting impact of these projects is evident in the meaningful relationships they’ve fostered and the shared experiences they’ve created.”
Image: 220 women attended the Women’s Wellbeing Event organised by the Deniliquin Local Health Advisory Committee supported by MPHN’s community grants program.
28
2022-23 Annual Report
Community connection and involvement key Key to the success of MPHN’s funded programs in mental health and alcohol and other drugs (AOD) has been a deliberate effort to be more involved and visible in the community. Approximately 5,500 people accessed almost 60,000
attended the events, and anecdotally the inclusion of
individual mental health or AOD services funded by MPHN
MyStep in these events has been beneficial.”
– that equates to more than 160 services every single day for the year.
A similar community integration approach was employed by the Women’s Wellness and Recovery service delivered by
Senior Manager Commissioning Janelle Dufty said the
Calvary Riverina Drug and Alcohol Centre, through providing
number of occasions of service provided over the last
outreach into Wagga Wagga community hubs in Kooringal,
financial year period is worth celebrating.
Tolland and Ashmont.
“Across the region, mental health and AOD clinicians are
Program Manager Belinda Waugh said the initiative provided
under increasing workforce pressures, yet despite these
an opportunity to connect early.
challenges our funded services continue to meet targets and key performance indicators,” Ms Dufty said. “Peer workers are playing a critical role in many of our funded services. They help support both clients and clinicians through their unique lived experience insights.
Women’s Wellness and Recovery
137
total clients
146
total episodes of care
“For example, in our MyStep to Mental Wellbeing program, peer workers are conducting group sessions and helping to normalise people’s experiences and feelings.”
“The reason we started doing community hub outreach
This year the MyStep program also focussed on increasing
connections with them before things gets to crisis point. This
local community integration through increasing awareness of both the service and the associated workforce. Portfolio Manager Julie Milsom said these activities are forging strong community relationships and connections.
MyStep to Mental Wellbeing
1,521
total clients
15,180 total occasions of service
“Both providers of MyStep are working hard to ensure the community has opportunities to learn more about the service, but also meet the staff in non-clinical settings. It’s helping to reduce any intimidation about accessing services, and making people feel comfortable attending,” Ms Milsom said. “For example, MyStep Western has worked closely with the Deniliquin Mental Health Awareness group, and supported several events hosted by the group to improve mental health literacy, break down stigma, encourage help-seeking, and to introduce the service and team. More than 500 people
was to reach those women and form relationships and way we can intervene early,” Ms Waugh said. “By going to locations where women already go allows us to meet them in a familiar setting and they can find it easier to connect with our program. Plus, it’s a great opportunity to network with other services who can also refer to us.” headspace Griffith were also involved in their local community with their fundraising Blue and Green Tie Ball in May 2023 to raise funds for mental health resources as part of its capital works project. The service provides mental health and AOD support to young people aged 12 – 25 regardless of the circumstance. For example, when Sam* first accessed headspace Griffith they were underweight with an anorexia diagnosis. Sam wasn’t experiencing hunger signals and avoiding foods, which required their mother to organise meals and snacks and remind Sam to eat. A family-based therapy for eating disorders commenced over 12 sessions, and Sam was able to return to their goal weight, hunger signals returned, and Sam was preparing their own snacks. headspace Wagga Wagga also supports clients experiencing different challenges. Like Annie*, who presented with
2022-23 Annual Report
29
heightened anxiety, but by accessing the in-house psychiatry
discharge scores five points lower than scores recorded on
service she received an ADHD diagnosis. Over the course of
admission.
20 sessions Annie’s anxiety significantly reduced, and her self- esteem improved by knowing she wasn’t ‘lazy’ or ‘dumb’, but instead has ADHD. Annie reported she felt confident to set up her life to be ADHD friendly and was grateful for headspace Wagga’s help and support. Mothers and parents accessing services from Gidget House report positive clinical outcomes and gratefully acknowledge the support they have received from the service. Program Manager Peni Bailey said after completing the program, the majority of parents report a clinically significant reduction in symptoms of distress as measured by the Edinburgh
“On average, clients commence the program with an EPDS score of 16 and exit with a score of 5.5. For context, a score greater than 13 indicates a depressive illness or high risk of developing a depressive disorder,” Ms Bailey said. It’s certainly a result worth celebrating, as are all the achievements of all MPHN’s funded service providers delivering mental health and AOD services to people living across the Murrumbidgee region. *Not their real names
Postnatal Depressions Scale (EPDS), with average EPDS
headspace, Griffith and Wagga Wagga
1,468
685
total clients
new clients
8,256
5.6
occasions of service
31
120
total clients
126
total episodes
average occasions of service per client
Mental health nurses in general practice, including Aboriginal Medical services
Gidget House
total clients
Other AOD programs including AOD headspace (Griffith and Wagga Wagga), and pre and post treatment
191
occasions of service
Image: Susannah Forrest at Gidget House Wagga Wagga.
562
total clients
3,293 occasions of service
30
2022-23 Annual Report
Practical and tailored suicide support is making all the difference For the past five years, MPHN has forged strong relationships with key organisations to strengthen and coordinate supports for communities impacted by suicide or other critical incidents. The structures and systems in place continue to be well respected and welcomed at times of need. With the rate of suicide in the Murrumbidgee region higher
As the After Suicide Support Program (ASSP) provider,
than the state and national average, MPHN welcomed
Wellways delivers the practical supports needed when a
dedicated funding support from the Australian Government
response is enacted.
announced in their November 2022 Budget to support targeted regional initiatives for suicide prevention. MPHN’s Senior Manager Priority Populations Anita McRae
MPHN’s Suicide Prevention Lead Emma Bromham said the ASSP program supports impacted families and communities during a time of immense sadness and loss.
said the announcement meant the critical work already underway would continue and grow.
After Suicide Support Service
“We know the complexities of suicidality and causes of
700
suicide, as well as resources and services required to prevent it, are unique for each region and community, which is why critical incidents is vital” Ms McRae explains.
530
“It means we are able to facilitate timely support for approached by several organisations, but rather one who is
total occasions of service
total interventions
our collaborative approach to supporting suicide events or
impacted people in a coordinated way. Families aren’t being
1,080 25
clients in group sessions
group sessions
supported in the background by other local agencies.
The Way Back Support Service
“However, the facilitation of this coordination has long been undertaken without dedicated funding to undertake
197
the work. This funding has enabled the employment of a dedicated team member to support the implementation of local suicide prevention activities and community-based
5,151
total occasions of service
total clients
projects.”
Peer Enhancement
Underpinning and guiding MPHN’s activities is the Murrumbidgee Suicide Prevention and Aftercare
1,330
Collaborative (Collaborative). Comprising local, state and national organisations who meet to progress activities in the
total occasions of service
Murrumbidgee Suicide Prevention and Aftercare Priority Action Plan, their aim is to reduce suicide rates and improve responses to suicide events and critical incidents across the Murrumbidgee region.
Conference and event participation
Within the Collaborative is the Local Response Group (LRG).
•
World Safety Conference
Represented by five organisations, including NSW Police,
•
Frontline Mental Health Conference
NSW Ambulance, MPHN, MLHD and Wellways, the LRG
•
The Mental Health Services (The MHS)
provides a coordinated and timely response to suicide events
•
Conference
•
NSW Parliamentary Showcase
and critical incidents in the region.
2022-23 Annual Report
31
Image: Zoe Evans from Wellways, and Anita McRae and Seryn Adams from MPHN meet Catherine Lourey, NSW Mental Health Commissioner at the NSW Parliamentary Showcase in October 2022.
“Key to the program is responsiveness and practical supports
“Often while in the mental health unit people feel safe, but
for the family and community. This could be supporting
on discharge find it daunting to go back to ‘real’ life. Having
one individual family member, or a whole community.
these warm introductions can help them feel supported,
The holistic and flexible approach to providing supports
reduce anxiety and the need for re-telling their story,”
to families and communities bereaved is essential to the
MPHN’s Portfolio Manager Julie Milsom said.
success of the program” Ms Bromham said.
The Peer Workforce program is all about providing clients
You don’t need to have only recently been impacted by
with support worker options and enhancing suicide support
an event, or only engage at the time of the event. One
services offered. Available to clients who are part of The
long term participant, Angela*, was impacted by the loss
Way Back or After Suicide Support programs, peer support
of her daughter two years prior. Her high anxiety made it
is provided as an option from the beginning of program
challenging to leave home. The program provided Angela
engagement.
with transport and emotional support to attend medical appointments, and errands like grocery shopping and organising her tax affairs for the past three years. Angela is thankful for the service and recently said she is feeling “like a normal person, not spending every minute of the day in despair, and like she has a real shot at being successful again”. Supports for people who have attempted suicide are also provided by Wellways. The Way Back Support Service team has focussed on streamlining support processes to connect people to support after a suicide crisis, including team members meeting possible ‘clients’ prior to hospital discharge.
“A peer support worker can be invaluable to people impacted by suicide. They are there to walk alongside people in their journey, not to provide clinical support, but to be a listening ear,” Ms Milsom said. “One peer worker was supporting a young non-binary person and was able to share some of their own experiences as a queer person which helped to validate the client’s own feelings. Slowly they began to feel less isolated, find employment and connect with clinical mental health supports. In fact, the client said if it wasn’t for the Friday coffee catch up with the peer support worker, they wouldn’t have had the confidence to speak openly with family, apply for jobs or reach out for support.” *Not her real name
32
2022-23 Annual Report
New after hours service for the Murrumbidgee While services provided by the Wagga GP After Hours Service and Wagga Women’s Health Centre continued, a new program piloting a GP telehealth program became available for people living in the border and western regions. Following a review into after hours primary care services across the region, and subsequent co-design activities to develop flexible and locally appropriate options for accessing care outside of regular working hours, MPHN commissioned a GP telehealth after hours service pilot delivered by HealthAccess. Commencing in June 2023, the HealthAccess services the communities of Griffith and surrounding Murrumbidgee and Carrathool shires, Leeton Shire, Finley, Berrigan, Deniliquin and surrounding Berrigan and Edward River shires. These locations were identified as experiencing difficulties accessing after hours GP services. MPHN’s Executive Integration and Partnerships Narelle Mills said MPHN will closely monitor the pilot project to identify outcomes for both the community and general practices. “The service is available to community members and residential aged care homes within the pilot locations, with patients accessing the service able to request their care information be provided to their regular GP to ensure continuity of their care,” Ms Mills said.
Uptake of the service has been increasing, with positive feedback from patients and local general practitioners. Narelle Mills, Executive Integration and Partnerships
“Data shows that uptake of the service has been increasing, with positive feedback from both patients and local general
including potential expansion to additional locations,” Ms Mills said. Telehealth counselling services were also made available for women impacted by family violence, through the Wagga Women’s Health centre (WWHC). MPHN’s Senior Manager Commissioning, Janelle Dufty, said the service has provided 714 individual occasions of service while also working hard to collaborate with first responders to develop care pathways when attending a crisis. “Working with Riverina Police and NSW Ambulance Service, the Wagga Women’s Health Centre developed an online referral pathway for first responders to use when attending a crisis and the person does not want to engage with the police or hospital,” Ms Dufty said. “The centre is reporting that after a few counselling sessions,
practitioners.”
clients will often then engage with the hospital and police.”
One patient of HealthAccess had a positive experience with
There are options for people to self-refer, and one such
the service saying ‘I can’t speak highly enough of it. Call with the nurse first to triage and get details and the doctor called
client was triaged and referred to an available counsellor within two hours. Due to the nature of the client’s trauma,
back within the hour and scripts sent via text to your phone!’
she was not safe to access services within Wagga Wagga
The pilot program will run until 31 December 2023.
extended service network available to the WWHC, the client
“During this time, we will closely monitor the uptake of the program and consider options to extend the service,
and instead wanted to be referred out of town. Given the was referred to appropriate services and after engaging with these the client reported she now is ‘feeling confident and
2022-23 Annual Report
33
receiving the support I needs. I’m now in a position to start removing myself from the traumatic environment and this would not have been possible without the centre.’ Another team supporting people in the after hours period is the Wagga GP After Hours Service (WGPAHS), which has seen a significant increase in demand for the service with an
I would like to take this opportunity to thank the very experienced
additional 1,000 occasions of service for the year.
receptionists, who not
Chair of WGPAHS Dr Hanaa Mishricky said the winter period
only support the general
demand contributed to the increase. “Over the 2022 winter period we were able to secure additional workforce to allow for the service to meet the increased demand,” Dr Mishricky said. “I would like to take this opportunity to thank the very experienced receptionists, who not only support the general
practitioners on duty, but also make the patients feel welcome and supported. Dr Hanaa Mishricky, Chair WGPAHS
practitioners on duty, but also make the patients feel welcome and supported. “On one evening a young girl presented with her mother and was feeling hesitant and anxious to attend the service for the first time. The receptionist went to her outside and chatted with her to build rapport. Once inside the clinic, she set up a separate spot for the pair to wait, allowing the child to feel safe and calm while she waited for her appointment. I think this really demonstrates the kindness and compassion all our receptionists show to those presenting.” In the 2022-23 financial year, the WGPAHS conducted 5,901 patient consultations and 126 home visits, thanks to the 41 general practitioners, five receptionists, and eight practices who participate in the roster to staff the service.
Wagga GP After Hours Service
5,901
patient consultations
home visits
41
general practitioners
receptionists
•
Dr Rachel Glasson
•
Dr Mark Smith
Who achieved 10 years of service in 2022/23.
126
5
Special thanks to:
8
practices
And the following eight practices: •
Blamey Street Surgery
•
Central Wagga Medical (until January 2022)
•
Glenrock Country Practice
•
Hammond Health
•
Kooringal Medical Centre
•
Morgan Street Healthcare
•
Riverina Family Medicine
•
Wagga Wagga Medical Centre
34
2022-23 Annual Report
Supporting First Nations health and wellbeing To help reduce the health gap for the region’s First Nations peoples, MPHN funds and supports a range of initiatives. Some specifically to improve health outcomes for Aboriginal people, others to support cultural awareness, safety and understanding among non- First Nations people. According to MPHN’s First Nations Health Needs
disease, and kidney disease. Prevention is so much better
Assessment, there are many health disparities
than waiting until you’re unwell or in pain and then going to
between First Nations peoples and non-First Nations
see your doctor.”
peoples. For example, in the Murrumbidgee region, life expectancy remains lower than non-Aboriginal and Torres Strait Islander people and prevalence for mental health conditions like depression and anxiety is more than two times higher for our First Nations community.
But for First Nations people who are already experiencing complex chronic disease, the Integrated Team Care program (ITC) is delivering results. The focus this year has been mainstream GP visits to support the 715 assessments, creating culturally safe and welcoming
MPHN’s Aboriginal Health and Wellbeing Manager and
environments in their practices and introducing Marathon
proud Ngiyampaa and Wiradjuri woman Maxine Honeysett
Health as the provider for the ITC program.
said part of better health outcomes is culturally appropriate primary healthcare services.
One example of the support the ITC program has provided is Grace’s* story. Grace had been diagnosed with Crohn’s
“When I first joined MPHN, I was pleased to learn about
Disease, lymphatic cancer and unstable diabetes, and was
the interest in the Coolamon Advisors cultural awareness
referred into the ITC program by her local GP. She had low
training, which focuses on building understanding for the
health literacy, needed help at home, felt isolated, and
impacts on Aboriginal people – like intergeneration trauma,
was under financial strain. As part of the ITC assistance,
social determinants of health, and examines past policies
Grace’s care coordinator attended medical appointments
and their effects. It’s about cultural understanding and being
and provided health education and support, and supported
able to deliver services that are cultural safe,” Ms Honeysett
applications for Aboriginal housing, NDIS and the
said.
Disability Support Pension. Grace is now in long term
“Equally important is for First Nations people to reach out to their local Aboriginal Medical Service or GP, have their health checked, and learn what signs and symptoms to watch for regarding chronic diseases. We know First Nations people living in the Murrumbidgee region have a higher prevalence of developing chronic diseases like diabetes, cardiovascular
Integrated Team Care has been delivered by •
•
•
•
Riverina Medical and Dental Aboriginal Corporation (RivMed) Griffith Aboriginal Medical Service GAMS) Cummeragunja Housing and Development Aboriginal Corporation (Viney Morgan) Marathon Health
277
new referrals
12,940
sustainable housing, has an NDIS package, receives funded accommodation, transport and appointment costs, and reports an increase in knowledge of her chronic conditions. “I don’t know where I would be without the support of my care coordinator, she has helped me so much when no one else would. I owe her so much,” Grace said.
Work it Out delivered by Directions Health
83
total clients
86
episodes of care
total consultations
3,184
in person consultations
9,756
telephone consultations
Alcohol and other drug service delivered by GAMS
823
total clients
1,620 occasions of service
2022-23 Annual Report
35
In addition to the higher prevalence of certain chronic
“From intake, assessment, care planning, referral and review,
conditions for Murrumbidgee’s First Nations peoples, data
our approach is client focused with an emphasis on building
also shows they are almost twice as likely to be admitted
people’s capacity and resilience, and empowering clients to
to hospital with an alcohol attributable cause. In fact, 43
make better choices regarding all domains of their lives,” Ms
percent of Aboriginal and Torres Strait Islander peoples
Simpson said.
aged 15 years or more have an alcohol consumption rate classified as long-term risk. This is compared with a rate of 33.2 percent for non-Aboriginal and Torres Strait Islander peoples.
“For example, recently a caseworker successfully engaged a client with complex needs who presented with a lengthy history of substance misuse, suicidal ideation and attempts, poor health outcomes and legal issues. Through
Griffith Aboriginal Medical Service (GAMS) facilitates a
a collaborative approach and working in a holistic manner
dedicated alcohol and other drug (AOD) program and
the client has been able to engage with a number of services.
provides outreach to nearby communities of Griffith, Hay,
He continues to remain abstinent from alcohol, is working
Hillston, Lake Cargelligo, Murrin Bridge, Darlington Point,
through his legal issues and has agreed to enter detox and
Leeton, Narrandera, Deniliquin, Moama, Jerilderie, Finley,
rehabilitation to further his chances of achieving his goals.”
Moulamein and Tocumwal.
There is still much more to do to close the health
The program’s Regional AOD Coordinator Vickie Simpson
gap, but MPHN’s funded programs are supporting
said the holistic service includes support and advocacy for
improved health outcomes for the region’s First
people experiencing other social issues such as mental
Nations people.
health, financial, homelessness, unemployment and legal.
*Not her real name
Images: Aunty Isabel Reid from the Connect, Your Way campaign and the MPHN team’s cultural knowledge river walk with Uncle James Ingram.
Murrumbidgee Aboriginal Health Consortium core membership •
Riverina Medical and Dental Aboriginal Corporation
•
Griffith Aboriginal Medical Service
•
Cummeragunja Housing and Development Aboriginal Corporation (Viney Morgan)
•
Riverina Murray Regional Alliance
•
Marathon Health
•
Local Land Councils
•
MPHN
•
Murrumbidgee Local Health District (MLHD)
Cultural Awareness Training with Coolamon Advisors completed by
9
LHAC members
25 general practice staff 25 commissioned service providers 12
MPHN staff
36
2022-23 Annual Report
Supporting our seniors MPHN is dedicated to ensuring the wellbeing and support of older Australians as the population ages, recognising the importance of honouring their wisdom, preserving their quality of life, and reducing the burden on healthcare systems. This year MPHN launched the new care finder
He was particularly frail, at high risk of falling, in pain, and
initiative, helping the region’s most vulnerable older
displaying challenging behaviours. After participating in
people access aged care and community services and
the program, he improved his diet, stayed better hydrated,
support. The care finder program was created in response to
engaged in exercise, and received counselling services.
the Royal Commission into Aged Care Quality and Safety.
Consequently, he became more stable on his feet, was able
Portfolio Manager Julie Milsom said care finder is a free service, connecting older Australians living without a support
to visit his wife at home, and reignite his lifelong passion for photography.
network, and who may be experiencing significant language,
The best thing I have
literacy, or other barriers, with the care that best suits their personal needs.
ever done.
“It’s specially designed to find people that generally don’t
Vitality Passport program participant
engage or are hesitant to engage with services, or have difficulties communicating, understanding information or making decisions,” Ms Milsom said.
Vitality Passport in the community
275 participants
Marathon Health General Manager, Operations Southern Danielle Scoullar said she was proud to be part of the initiative. “Our care finders meet with older community members
51%
29%
of participants reversed frailty scores
of participants halted frailty scores
in person, take the time to understand their situation, and make a plan to get them the help they need – they’re by their side throughout the whole process,” Ms Scoullar said.
Locations: • • • • •
Moama Griffith West Wyalong Tumut Hillston
• • • •
Adelong Corowa Cootamundra Young
Vitality Passport in residential aged care facilities
128 participants
Image: (from left) Matthew, Ash, Kylie, Kavita and Anna are part of the friendly team ready to help our older community members access aged care services and support for MPHN’s new care finder initiative.
MPHN’s Vitality Passport program is also dedicated to
36%
53%
of participants reversed frailty scores
of participants halted frailty scores
providing continuous support to older community members. The program is designed to combat frailty in older people and has been delivered in a series of regional locations, both in the community and in residential aged care homes. One heartwarming example of the program’s success involved an elderly gentleman residing in a residential aged care home.
Locations: • •
Griffith Tocumwal
• •
Boorowa Young
2022-23 Annual Report
37
MPHN continues its commitment to aiding aged care home
hometowns with their families and local support networks.
residents and staff. A total of $234,495 in Residential Aged
By supporting the staff, we’re helping these homes to remain
Care Home grants was distributed, offering telehealth
open so residents can stay close to their loved ones.”
equipment and individual grants of up to $10,000. Among the 47 residential aged care homes in our region, 38 chose to receive either the equipment, the grant, or both. Telehealth not only allows residents to access diverse services without leaving their homes but also benefits families, healthcare providers, and contributes to reducing unnecessary hospital admissions. MPHN continues to promote awareness and use of the Murrumbidgee acute decision-making guidelines for aged care homes, a collaboration with Murrumbidgee Local Health District. The guidelines ensure consistent information flow, particularly during triage, to help staff make informed decisions about hospitalisation.
The ability to stay close to loved ones is an important part of palliative care. MPHN is actively involved in several palliative care initiatives to enhance end-of-life care, for example currently coordinating person-centred palliative care projects through the Australian Government’s Greater Choice for At Home Palliative Care program, aimed at supporting local people and their families. Hay Medical Centre’s team continued to use the Palliative Care Outcomes Collaborative in their practice, making them the only GP practice in Australia participating in this program. MPHN plans to expand the program’s reach into more Murrumbidgee communities. The Medication Management toolkit for Palliating In Place
Murrumbidgee Acute Care Decision Guidelines VERSION 2.0
(MM-PIP) is another palliative care initiative, developed to ensure safe and timely access to quality palliative care medicines for residents in residential aged care homes. MPHN partnered with Evohealth to implement this program, providing education to staff, GPs, and pharmacists, and facilitating access to palliative care medications for residents in aged care. MPHN is also aiming to achieve greater awareness of referral pathways, knowledge of advanced care planning, and available services. Another area MPHN is hoping to achieve greater awareness in is dementia care. Hammond Care was commissioned
Healthy Ageing and Palliative Care Manager Shelley Gledhill emphasised the critical need to support aged care staff.
to conduct dementia care workshops to improve local knowledge and provide people with the opportunity to speak to medical specialists about their personal circumstances.
“Residential aged care managers and staff are doing a
MPHN also created the Murrumbidgee dementia directory,
fantastic job caring for their residents in what can be a
providing a comprehensive listing of local services organised
challenging environment, and they appreciate our support,”
by Local Government Areas, and continues to work with
Ms Gledhill said.
residential aged care homes to facilitate educational
“Some of these homes are major employers in their communities, enabling residents to remain in their Image: Shivaram Prasad Ravulwar installing video equipment to aged care facilities.
opportunities and regular policy updates, ensuring all providers have access to accurate and current information.
38
2022-23 Annual Report
Helping the community live healthily MPHN is focused on promoting healthy living in the community to prevent health issues, enhance quality of life, and reduce healthcare costs, recognising that personal circumstances and an understanding of the healthcare system will often impact a person’s ability to maintain good health. MPHN continues to commission services promoting
One success story was a four-year-old girl who was facing
wellbeing and resilience, provide support for those requiring
developmental and behavioural concerns. After being
additional care, and help bridge gaps in care, ensuring
referred to the WARATAH for Kids clinic, she quickly
comprehensive support for the community.
received speech and occupational therapy screenings.
A great example of this approach is the Murrumbidgee WARATAH program which aims to ensure allied health services are accessible across the region, for people living with long term chronic health conditions, especially those who are unable to access appropriate care.
This streamlined process led to clinical reports and recommendations within a week, leading to a referral to the local NDIS Early Childhood team. This efficient and cost-free assessment near their community supported the child and family, while aiding the GP in clinical recommendations. MPHN’s Integrated Care Coordination and Health Navigator Support Service programs are designed to help the
100%
WARATAH for Kids client satisfaction rating
community navigate the sometimes-complex health system. Both programs are delivered by Marathon Health. Image: Marathon Health delivering the Integrated Care Coordination service.
Through the WARATAH for Kids initiative, an extension of this program, Marathon Health is making significant strides in supporting children and families to access occupational and speech therapy screening clinics across Wagga, Gundagai, Hay, and Deniliquin. Eight clinics have already been conducted with 20 children screened and more appointments planned in 2023-24. A resounding 100 percent of clients expressed satisfaction with the program, praising Marathon Health for helping them understand the next steps for their children, actively listening to their concerns, and empathetically communicating with both children and parents. Efforts to improve access to services are evident in the revamped NDIS referral process, now streamlined to eliminate a 10-page form, thanks to collaboration with Murrumbidgee NDIS Early Childhood Program management. Screening times have been reduced to no more than a month, aligning with upcoming clinic dates, and the program’s adaptability ensures referred children receive
Integrated Care Coordination
5,243
total services delivered
3,367
1,876 in person services
telephone services
timely care. Marathon Health’s successful networking with allied health professionals, paediatricians, and GPs cements its role as a vital resource in nurturing child development within these communities, promising a brighter future for the young ones it serves.
129
total clients
2022-23 Annual Report
39
Jess*, a 47-year-old with complex health issues including
continued to educate the community on staying well during
unmanaged diabetes and post-traumatic stress disorder,
the changing seasons.
received vital support through both programs. Facing financial challenges, Jess needed assistance to manage her diabetes. The Health Navigator Support Service secured a grant for her diabetic sensors, enabling better glucose monitoring and community engagement. This support improved Jess’s health, eased financial strain, and empowered her to plan for the future. Jess expressed deep gratitude for the positive impact on her life and her family’s wellbeing, saying, “this will help me so much. You really have no idea how important this is for me and my family. Thank you.” Portfolio Manager Julie Milsom said feedback for the service continued to be outstanding, with the two programs complementing each other very well. “A lot of people are isolated, so being able to explain the health system to them and get them to their appointments is critical in taking the first step they need,” Ms Milsom said.
As part of the Thunderstorm Asthma Collaborative, MPHN launched a campaign in September raising awareness about the heightened risk of asthma flare-ups during the spring thunderstorm season. As the colder weather approached, MPHN launched the Winter Strategy campaign, urging community members to schedule their flu vaccinations promptly, ensuring their children’s vaccinations were up-to-date, and encouraging people living with a serious health condition to make a health plan in case of illness. *Not real name
Protect your kids from the flu Children under five years of age are at increased risk of severe influenza infections and death. Getting your children vaccinated will protect them, their friends, and help reduce transmission to other vulnerable groups.
Contact your GP or pharmacist today.
“When someone is in crisis or dealing with complex health needs, the last thing they’re thinking about is the correct person to speak to, or which form they need to fill out. These services help them understand and navigate the process,
mphn.org.au/flu
provide them with someone to ask questions, and ensure they’re getting the support they need.” Contracts Administrator Melissa Billingham said the services provide holistic support addressing not just health but other essential needs.
Health Navigator Support Service
95
“When your health is deteriorating, looking after daily needs like nutrition, rent or electricity can be overwhelming,” Ms
total clients
Billingham said. “This is a wrap-around service that puts it all together and links you with any supports you might need. We can’t look at health in isolation, it’s about understanding the person as a whole.” In an ongoing commitment to community health, MPHN Image: Health Navigator Support Service team.
266 in person services
64
new referrals
1,428 telephone services
40
2022-23 Annual Report
Despite the workforce challenges, the team has been able to deliver excellent support for our primary health professionals, which I know is welcomed and valued. Andrew Heap, Senior Manager Primary Care Engagement
2022-23 Annual Report
41
In this section Targeted support to general practice gets results Empowering clinicians with HealthPathways Getting back to normal Digital health is the future Celebrating excellence in primary healthcare
Supporting
healthcare
professionals
42
2022-23 Annual Report
Targeted support to general practice gets results Despite the workforce challenges being experienced by all primary healthcare providers across the region, the team has worked hard to continue building relationships and supporting primary care in any way they can. MPHN’s Primary Care Engagement team has supported
Jammal and Dr Kirsten Meissinger. The duo discussed the
general practice through a variety of initiatives, including
future of primary care, including upcoming reform, system
in practice support with quality improvement activities, GP
innovation and team-based care. Thirty-seven general
Grants, Continuing Professional Development (CPD), and
practitioners from across the region attended the evening
workforce requirements.
event which was also available on demand and received very
MPHN’s Senior Manager Primary Care Engagement, Andrew Heap said the strong relationships forged between the team and general practices helps to provide targeted and practical support. “The team is focussed on a one-on-one support to practices depending on capacity of the practice - both the workforce capacity, and what services, systems and processes the practice has in place. By understanding and knowing how
positive feedback. The event was one of the 37 events hosted by MPHN’s CPD program. These online and in person events were attended by 730 people. MPHN also plays a role in supporting Quality Improvement (QI) in general practice with strategies to embed QI systems, improve data quality, analyse the practice’s data and identify areas for improvement, assist with goal setting, and providing progress or benchmark reports and feedback.
each practice does business and what their pressure points
“Ultimately, quality improvement activities should lead to
and challenges are, the team is able to target their support
improved clinical care and outcomes in general practice.
to what is needed now, but also getting them to think about
Part of our role includes providing quarterly benchmark
what will be needed in the future,” Mr Heap said.
reports to 70 participating practices, which acts as a useful
One of the Strengthening Medicare initiatives of the Department of Health and Aged Care, which MPHN
tool to measure, monitor and identify quality improvements opportunities,” Mr Heap said.
implemented was the General Practice (GP) Grants Program.
“Several opportunities identified through the benchmark
It was an opportunity for GPs to secure one-off grant funding
reports was increasing cancer screening participation rates,
to invest in their practice for the benefit of patients.
recording for ethnicity, alcohol consumption, and BMI,
“The program supported GPs to invest in innovation, training, equipment, and minor capital works to enhance their digital health capability, upgrade infection prevention and control arrangements, and maintain or achieve their accreditation,” Mr Heap said. “Of the 85 general practices eligible to apply for these grants, 84 took up the opportunity and shared in a total of $2.2 million in grant funding. While most of this was funded in this financial year period, much of the activities being undertaken with this funding will take place until 30 June 2024.” Strengthening Medicare and primary healthcare reform was the key focus of this year’s EPIC event – with Dr Walid
and coding for diabetes and COPD. The team continues to support practices in these areas, and are looking for other opportunities to support both cervical and bowel cancer screening participation rates more broadly across the region.” Once again, MPHN supported the implementation of the University of Wollongong student placement in Griffith and Leeton. The program farewelled Dr Marion Reeves after many years as the Regional Academic Lead, but welcomed new medical educator Dr Katrina De Marco to support the students. Dr De Marco has many years of experience as a regional GP and said a number of events were held throughout the year to engage the students and highlight the Murrumbidgee as a potential future base for students. (continued page 44.)
2022-23 Annual Report
In his words... I’m a GP who moved to Wagga Wagga at the beginning of 2023 with my wife Juliet. In 2022 Juliet and I were in picturesque town of Armidale. Juliet was completing her final year of medical school and I was working as a GP. Although we are both originally from Sydney, having experienced the beautiful Australian country-side and seeing the need over the years, we wanted to stay and work in regional Australia in the long term. After months of deliberating, we decided to move to Wagga Wagga for Juliet’s internship and residency via the rural preferential pathway. We found Wagga Wagga was large enough to have most facilities, good training opportunities, a supportive hospital network and administration, while having the benefits of being a regional centre. The team at MPHN couldn’t have made the 10-hour move easier; helping to find a practice with a similar vision and ethic to what I wanted to work in, and encouraging me to access various grants through the NSW Rural Doctors Network. We have found the community in Wagga Wagga very friendly. We were welcomed into a wonderful church community, and I also occasionally play tennis and badminton when my shoulder lets me. Juliet has rediscovered her love for ballroom dancing, though my two left feet prevent me from joining her. During the weekdays I work at Trail Street Medical Centre and it is an absolute pleasure to work with my amazing colleagues there. We even have a social club, which I think is a great way to get to know your colleagues better. As I have a special interest in aged care, I visit a few nursing homes regularly. Once a week I help out at the Wagga GP After Hours Service, which is an invaluable service for the community, and I believe lightens the burden on the emergency department and other GPs as well. There is also no shortage of natural beauty and towns around Wagga Wagga and we have just started to explore the region in our spare time. The local community has been quick to show us some wonderful nearby places and we look forward to discovering more.” Dr Enoch Chan tells his story of being a Wagga Wagga GP
43
44
2022-23 Annual Report
(from page 42.) “This year we have supported four students with placements in four different GP clinics in Leeton and Griffith and rotations through the different departments of the Griffith Base Hospital,” Dr De Marco said. “We held tutorials with many specialists while they visited the Murrumbidgee allowing students to make connections and networks, and socially we also hosted farm tours, gnocchi and pasta making workshops, gala balls and visits to local attractions.”
Primary care engagement
70
1,775
31.5%
68.5%
support appointments delivered
practices participate in benchmark reports
remote
in person
The team also commenced implementation of the new Workforce Planning and Prioritisation program in April 2023. The national program aims to support Australian general practice training reform with the transition of GP training and placement to RACGP and ACRRM. It involves providing
CPD
37
730
events hosted
attendees
69%
54%
advice and analysis on community and workforce need, and training capacity to guide registrar distribution and placement and supports registrars to complete their training in a single region.
Congratulations to Lakeside Medical Centre in Finley for their CAT Super User PEN CS Award!
attendance rate for in person events
274
attendance rate for virtual events external events promoted
The practice decreased not-recorded lipids from 48.6% to 2.8%, eGFR from 36.1% to 1.4%, and HbA1c recordings from 41.7% to 2.8%, which improved clinical outcomes, by using quality data to better manage diabetic patient treatment. The practice has an ongoing commitment to data quality to maintain good health outcomes for their patients, with the motto ‘if you can’t measure it, you can’t improve it.
Workforce
36
GP Registrars trained in the region
4
University of Wollongong students completed placements in Leeton and Griffith
Congratulations
2022-23 Annual Report
45
Empowering clinicians with HealthPathways Local clinicians had even greater access to locally relevant online information during consultations with the growth of the Murrumbidgee HealthPathways program. Murrumbidgee HealthPathways is a free online clinical tool designed to support GPs, practice nurses, and primary care clinicians at the point of care. It provides clinical decision support frameworks on how to efficiently assess and manage medical conditions, and how to appropriately refer patients to local services and specialists. It includes information on: •
assessment and management options for clinical conditions
•
key links to national bodies and NSW Health information
•
educational resources for patients and healthcare professionals
•
referral information for local services and specialists which may be public and private.
Highlights New pages of interest •
Care Finder Service
•
Rapid Access Clinic / Hospital in the Home
•
Acute Demand Management
•
Guide to MBS Items
•
General Practice Colleague Referral
•
Voluntary Assisted Dying
The Murrumbidgee HealthPathways program is a collaborative initiative between MPHN and Murrumbidgee Local Health District, and remains an essential tool for managing and referring patients and providing locally relevant clinical support information.
New EPiPC pages •
Behavioural Concerns in Children
•
Weight Management in Children
•
Autism Spectrum Disorder (ASD)
•
ADHD in Children and Youth
•
ADHD Medications for Children and Youth
“We’re continually updating and adding new pages that reflect our
•
Healthy Nutrition Support
changing environment and the needs of our local communities,” Ms
•
Child Developmental and Behavioural Services
HealthPathways Coordinator Olivia D’Souza said the program continues to deliver regionally significant pathway content to healthcare providers in the Murrumbidgee.
D’Souza said. “For example, we created a new housing assistance and homelessness page to help GPs provide resources to patients in need during the housing crisis that’s happening both here in the Murrumbidgee and right across the country. “We’ve also created Department of Veterans’ Affairs and veteran health assessment pages which aim to help medical practitioners identify and diagnose the early signs of physical or mental health
Dementia pages and events in partnership with Dementia Australia •
Screening and Prevention of Dementia
•
Driver Assessment in Cognitive Impairment and Dementia
•
2 CPD events held in Wagga Wagga and Griffith
challenges among former serving Australian Defence Force members.” Dr Elizabeth Campbell, MPHN’s GP Clinical Editor, worked with subject matter experts from the Australian Digital Health Agency to create the NSW lead region page, My Health Record. This page can be used across NSW HealthPathways, by all primary care clinicians, to gain information on My Health Record such as training and support, information to provide to patients, how to help patients register and plenty of other resources.
New pages created for vulnerable populations •
Housing Assistance and Homelessness
•
Refugee Support
•
Department of Veterans’ Affairs
•
Veteran Health Assessment
46
2022-23 Annual Report
Getting back to normal It’s been three years since the COVID-19 pandemic, and people are finally experiencing accessing healthcare at pre-pandemic levels. Before COVID-19, immunisations were a regular part of yearly health routines, especially for influenza, but with COVID-19 now just part and parcel of life in 2023, people are starting to experience life as normal. For the COVID-19 team the focus has been about ensuring those community members who are considered vulnerable population groups, which include First Nations, people aged over 65 years, culturally and linguistically diverse (CALD), people who are homeless and those living rough, rural and isolated communities, are able to receive their COVID-19 vaccinations. MPHN’s Clinical Programs and Emergency Response Manager Peta Anderson said this is being achieved through pop-up clinics and education stalls across the region. “We chose to establish pop-up clinics to coincide with events in rural communities to have the opportunity to reach a greater number of people. We attended larger agricultural or community events such as Henty Machinery Field Days, Riverina Field Days and the Junee Family Fun Day. All provided vital information about vaccinations and keeping well, or the opportunity for people to be vaccinated for
Image: The Hon Sussan Ley MP getting her vaccine at the Riverina Field Days pop up clinic.
COVID-19 or influenza,” Ms Anderson said. “We also targeted events in rural and remote communities like the Taste of Coleambally, Oaklands Truck Show, and sporting clubs. In fact, we attended a footy game as part of the Northern Riverina Football League in Hillston. Eighty COVID-19 and 47 flu vaccines were administered.
“Hillston is home to a significant population of migrant workers who are ineligible for Medicare, so this clinic enabled them to receive vaccinations at no cost to them. Plus, on the day, the pharmacist from Griffith Drive Thru Pharmacy who was administering the vaccines was able to also visit two local residential aged care homes and provide a further 40 COVID-19 vaccinations.” General practices continued to offer COVID-19 vaccinations as part of their business-as-usual practices, while all five GP Respiratory Clinics (GPRCs) were closed by March 2023. “Our team has been supporting general practice to deliver all COVID-19 and influenza vaccinations in ways that suit them. Some practices will provide them as requested while others would have a set day they would run vaccination clinics,” said Ms Anderson. The team also provided one-off grant funding of $2,500 to 42 practices to undertake a review of their patient immunisation status. The focus was on those who were in the vulnerable population groups. After completing the recalls to 16,640 patients, the practices delivered 12,180 vaccinations as part of this process.
2022-23 Annual Report
47
Immunisation Update 2022 CPD events
Immunisation community events
22
38
24
attendees at the Whitton event
43
events including
pop-up vaccination clinics
457
400
COVID-19 vaccinations administered
in person and
online attendees at the Wagga Wagga hybrid event
15
700
Influenza vaccinations administered
resources bags were provided to stall attendees at these events
Practice Nurse at Connection Medical in Tumut Joanne
chronic conditions and support them with more regular
McCormick said the funding provided her dedicated time to
appointments, sick day action plans, medication reviews and
undertake record reviews.
education, and ensuring their care management plans are up
“For most practice nurses, time away from vaccinations
to date.
can be challenging. You’re not billing, so conducting
MPHN also supported immunisations in early childhood by
administrative tasks like reviewing immunisation records
delivering the 2022 Immunisation Update in September. It
can be time restrictive,” Ms McCormick said.
was held in two locations, Whitton and Wagga Wagga, with a
“The grant funding provided me the capacity to spend time reviewing our practice records against the Australian Immunisation Register to ensure all eligible patients were targeted for recalls appropriately. “We issued 150 recall notices, and 130 patients made appointments to be vaccinated. It’s a great result, as many would not have proactively made the appointment otherwise.” Vaccination recalls were also key for the implementation of the well-known Winter Strategy campaign. This year a record 36 general practices took up the opportunity to be involved, and included partnering with the Living Well, Your Way team to also enrol patients who have Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF) Images: GP Respiratory Clinic farewell and COVID-19 pop up vaccination clinic at Tumut Expo.
virtual option available for the Wagga Wagga session. A total of 105 practice nurses completed the update and it was well received. In late 2022 MPHN commenced working with Murrumbidgee Local Health District’s (MLHD) Public Health Unit to support the implementation of Japanese Encephalitis vaccinations (JEV). The role involved working closely with the MLHD to distribute the vaccines around the region to the Local Government Areas in need. MPHN also supported the distribution of information about vaccine eligibility to both healthcare professionals and community. While it’s definitely been a busy year for immunisation activities, most people are welcoming the normal preCOVID-19 routines.
48
2022-23 Annual Report
Digital health is the future Emerging technologies and solutions are upon us, and change is inevitable. Many of the region’s primary healthcare providers are already taking advantage of digital health solutions to support their practice processes and the needs of their consumers. My Health Record, Electronic Transfer of Prescription
“Our relationships with general practices and pharmacies
(ETP), Electronic Requesting, SafeScript, Secure Messaging
allowed us to facilitate 36 registrations so far and we’re
Delivery (SMD), Provider Connect Australia (PCA), Lumos,
tracking well against PHNs nationally,” Dr Pasupathy said.
Health Outcomes and Patient Experience (HOPE), and telehealth are some digital health solutions being used across the Murrumbidgee.
The team was involved in establishing the NSW Ministry’s Lumos program to link data from general practices, hospitals, and other healthcare providers for an end-to-end
MPHN’s Digital Health Lead Dr Vimal Pasupathy (PhD) is
overview of a patient’s journey. MPHN practice registrations
passionate about digital health, and he completed his PhD
represent the second highest percentage of registered
on the subject.
practices in the state compared with other NSW PHNs.
“Digital health means paperless, making it an efficient and
MPHN also supported the NSW Ministry’s HOPE initiative.
effective way for healthcare providers to do their day-to-day
In real time, Chronic Obstructive Pulmonary Disease
business. In the long run, it will reduce future costs and can
(COPD) and asthma patients could upload information
make the provider’s life easier,” Dr Pasupathy said.
about themselves and their healthcare team could support
“Part of my role is to ensure providers can use available emerging technologies safely, and demonstrate how it can be easily integrated into daily workflow. For me, it’s satisfying
any required care changes. Reports indicate providers and patients value the platform, and patients appreciate learning how lifestyle choices impact their condition.
to troubleshoot issues and find solutions for healthcare
The team has also been involved in the successful
providers.”
implementation of SafeScript which provides prescribers
Strong provider relationships help facilitate implementing various state and federal digital health strategies with ease. This year the Australian Digital Health Agency
and practising pharmacists with real time information about a patient’s prescribing and dispensing history for high-risk medicines.
continued its PCA rollout, which aims to reduce the practice
While digital health grows rapidly, MPHN is well positioned
administration burden. It’s a single place for healthcare
to continue supporting the region’s primary health providers
providers to update business information reducing
to implement and leverage the efficiencies of these
duplication and streamlining notifications.
platforms into the future.
4
participating practices in HOPE: • Rao Medical Centre in Tocumwal • Young District Medical Centre in Young • Red Gum Medical in Corowa • Finley Medical Centre in Finley.
22
general practices are registered with Telehealth Video Call (Healthdirect) video call
70%
of the region’s eligible general practices are enabled to use pathology requests electronically (eRequest)
100%
of the region’s eligible general practices and pharmacies have been transitioned to the SHA-2 NASH Certificate
100%
of the region’s eligible general practices and pharmacies have been set up to use ePrescription
2022-23 Annual Report
49
Why do you use My Health Record?
I think the availability of quality data during the patient’s consultation as a GP, is vital for the clinical decision-making process. This availability can easily happen using My Health Record. This is one of the main reasons that makes me use the system more and more. For every new patient, I try to view the existing health information summaries using My Health Record during the consultation to make my clinical judgment right. And the decisions I made can be shared with other healthcare providers by uploading shared health summaries via My Health Record. When I see patients after hours in the Emergency Department as a general practitioner and visiting medical officer, it is so much easier to understand the background and baseline state of the patient, especially for new patients, using My Health Record. The support I receive from MPHN in using digital health initiatives is fabulous and that also ensures accessibility to the systems and provides improved continuity of care for my patients. Dr Sutharsamohan Sankaralingam from Finley Medical Centre
36
general practices are registered or in the process of registering for LUMOS
36
healthcare organisations in the region have been registered with Provider Connect Australia
50
2022-23 Annual Report
Celebrating excellence in primary healthcare MPHN proudly celebrated the exceptional winners and finalists of the Murrumbidgee Primary Healthcare Awards during a spectacular event held on 3 November 2022. The awards recognised remarkable accomplishments in
providers’ continued focus on excellence in primary
community wellbeing advocacy, health initiatives benefiting
healthcare and community initiatives.
Aboriginal and Torres Strait Islander people, and exemplary leadership in general practice.
“Although our awards recognise excellence in primary healthcare and community activity, our finalists also remind
The ceremony brought together healthcare professionals,
us of the incredible diversity, ingenuity and determination
community leaders, and stakeholders to join MPHN
of our region and of the people who work hard to make a
in honouring individuals and organisations that have
difference,” Dr Culbert said.
made significant contributions to their communities and demonstrated unwavering commitment to excellence in healthcare. The awards were presented in four categories: Promoting Healthy Living, Award for Innovation, Grant of the Year award, and Outstanding Contribution to Leadership. MPHN’s firsthealth Board Chair Dr Jodi Culbert extended her appreciation to all eleven finalists and emphasised the outstanding quality of their work. She noted that, despite the challenges faced over the past year, the quality of submissions received were testament to local healthcare
“The activities and initiatives we have recognised come from all across the Murrumbidgee and demonstrate that dedication to improving the health and wellbeing of community can be found in every community. “It is with great pleasure I extend my heartfelt congratulations for all of our winners and finalists and thank them for everything they do in improving the health of your communities.”
2022-23 Annual Report
51
Dr Khaled Bardawil, winner of the Outstanding Contribution
The Murrumbidgee Primary Healthcare Awards serve as
to Leadership in Primary Healthcare award, paid tribute
an inspiring tribute to those who continue to shape and
to his family, practice team and the community of Lake
uplift our region’s healthcare landscape. The dedication and
Cargelligo.
innovation demonstrated by award winners and finalists
“I am deeply honoured to be recognised for this work and would like to thank MPHN as well as my team at Lake Cargelligo Family Practice,” Dr Bardawil said.
exemplify the collective commitment of MPHN and local healthcare professionals to building healthier and more resilient communities across the Murrumbidgee.
Award winners and finalists Outstanding Contribution to Leadership in Primary Healthcare Winner: Dr Khaled Bardawil Finalist: Highly commended: Amy Salmon Finalist: Centacare School Wellbeing Program
Innovation Winner: Hay Aboriginal Medical Service – Marrabinya 0-4 head to toe health checks Finalist: headspace Griffith CreateSpace Finalist: Wagga Wagga Local Health Advisory Committee
Promoting Healthy Living Winner: Marathon Health ITC program Finalist: Active Ageing Finalist: Positive Living Skills
Murrumbidgee Grant of the Year Winner: Festival of Seniors Week – Greater Hume Shire Finalist: Lockhart Local Health Advisory Committee
52
2022-23 Annual Report
We are already starting to see the positive impacts health outcomes from our continued work collaborating to transform and integrate the health system. Narelle Mills, Executive Integration and Partnerships
2022-23 Annual Report
53
Integration and transformation:
one health system In this section Joint commitment to one health system approach Collaborative efforts in diabetes management Living Well, Your Way Empowering local communities in the Snowy Valleys Boosting GP confidence in paediatric primary care
54
2022-23 Annual Report
Joint commitment to one health system approach MPHN and Murrumbidgee Local Health District (MLHD) formally made a commitment to improve the health and wellbeing of our communities through enhancing their partnership and collaborative work. In late 2022, the boards of MLHD and firsthealth Limited met to discuss current challenges and future opportunities, resulting in a formal Collaborative Agreement. MPHN’s firsthealth Board Chair Dr Jodi Culbert said communities in rural and regional areas experience poorer health outcomes and face many challenges when accessing healthcare. “Despite the challenges of regional and rural healthcare, MLHD and MPHN are committed to working together to implement various NSW and federal government healthcare reforms and activities, and to advocate for local change when required,” Dr Culbert said.
The unique partnership
“In fact, for several years, both organisations have worked
between MLHD and MPHN is
together at the highest of levels to ensure people in the
critical to meet the needs of
Murrumbidgee have access to quality and coordinated healthcare regardless of where they live. The relationship
our communities.
has grown and cascaded down through both organisations into an advanced and mature model.
Glynis Ingram, MLHD Board Chair
“As MLHD and MPHN continue to collaborate, we believe the joint activities, initiatives, and projects we undertake will support a more sustainable health system, reduce fragmentation, and provide people with a more coordinated journey through the health system that meets their needs.”
MLHD Board Chair Glynis Ingram said collaboration and partnership between both organisations was key to implementing government reforms and activities. “The unique partnership between MLHD and MPHN is
Three key focus areas were identified as part of the joint board meeting
critical to meet the needs of our communities – both those
•
have the opportunity to create efficiencies, innovations
Enhance collaboration to optimise use of the health workforce and support wellbeing of providers.
•
Identify, review, and develop models of care that enhance coordination, efficiency, and patient experience.
•
Facilitate joint information, data sharing and planning to understand and improve the health and wellbeing of our communities.
accessing and providing care,” Ms Ingram said. “We know when we work collaboratively together, we and streamline healthcare journeys for patients, which ultimately leads to improvements in health outcomes for people. “This Collaborative Agreement formalises the existing partnership and strong commitment between both organisations to work towards a shared vision of one health system for the Murrumbidgee.”
2022-23 Annual Report
55
Collaborative efforts in diabetes management As diabetes rates increase across the state, MPHN is developing shared strategies to improve people’s wellbeing and reduce hospitalisations in the Murrumbidgee. In recent years, New South Wales has witnessed an increase in the prevalence of diabetes. While the healthcare community has been dedicated to combating this issue, there’s a marked variation in how diabetes is managed across the state. A more comprehensive approach is needed.
Diabetes in the Murrumbidgee
10%
It’s an issue that’s particularly critical in this region. Compared with all NSW PHNs, MPHN has the highest
of adults in the Murrumbidgee region are living with diabetes
prevalence of diabetes, affecting 10 percent of the total adult population. Even more concerning, the prevalence of diabetes in the Murrumbidgee doubled from 2015 to 2019. NSW Health’s Statewide Initiative for Diabetes Management is a crucial response to these challenges. This initiative offers an integrated and well-coordinated strategy for diabetes management throughout NSW.
Diabetes prevalence is over
50% higher among First Nations adults
Its primary goal is to ensure the health and wellbeing of people living with diabetes while reducing the incidence of hospitalisation. Key to this initiative is the emphasis on understanding and accommodating the unique perspectives and needs of each person. As part of the initiative, Executive Integration and Partnerships Narelle Mills said MPHN and Murrumbidgee Local Health District (MLHD) will be adopting a unified
Compared with all NSW PHNs, MPHN has the
highest
diabetes prevalence and a
higher
rate of diabetes related hospitalisations
one health system approach to address this public health concern. Diabetes prevalence in the Murrumbidgee region
“We need an integrated, coordinated care approach to keep
doubled
people well and out of hospital,” Ms Mills said.
from 2015 to 2019
“We know locally developed solutions are best placed to address local priorities. That’s why, in conjunction with our partners, MPHN and MLHD will be responsible for conceiving, executing, and overseeing responses tailored to the specific needs of diabetes management. “By coordinating and aligning diabetes care in our region, we’re aiming to make a lasting and positive impact on diabetes management and care in the Murrumbidgee region.”
LGAs with the highest diabetes prevalence
include Junee, Cootamundra Gundagai Regional, Hay, and Lachlan (part)
preventable diabetes related hospitalisations
population with diabetes related risk factors
include Hilltops, Junee, Leeton, Narrandera, and Hay
include Leeton, Lachlan (part), Bland, and Junee
56
2022-23 Annual Report
Living Well, Your Way The Living Well, Your Way initiative has made significant strides in improving healthcare for people with common chronic conditions, with a key focus on prevention, early diagnosis, community care, and coordinated treatment. These achievements reflect a dedicated effort to enhance the quality of life for people living with chronic conditions. The Murrumbidgee region has one of the highest rates
Living Well, Your Way year one key successes include:
of potentially preventable hospitalisations for chronic
•
conditions in Australia (ranked 30 out of 31 Primary Health
with support from Roy Cardiology; St Vincent’s Private
Networks). This is largely due to three chronic conditions:
Community Hospital, Griffith; local general practices
Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF), and diabetes complications.
and Aboriginal Medical Services; and COAG19(2) funding •
to identify patients with chronic disease who have been
receive the best care for chronic disease. It’s not always
hospitalised, and support their transition back home
easy to get timely and affordable access to specialists and •
where healthcare services can be quite a distance away. The Living Well, Your Way initiative is helping people living with chronic conditions overcome these obstacles by providing access to the services and resources they need, exactly when they need them, and in a way that suits them best. Program Director Caroline Holtby said significant progress had been made in caring for people living with CHF and COPD during the initiative’s first year. “We’ve transitioned from our joint development phase and have now entered year one of implementation, where our primary focus has been on delivering key activities across the care pathway,” Ms Holtby said. “We’re continuing to re-evaluate how healthcare is delivered, exploring innovative ways to collaborate with providers while always prioritising patient-focused care options.”
expanding the use of the new Patient Flow Portal across Murrumbidgee Local Health District Community Care
There are obstacles to ensuring people in the community
diagnostic tests, especially for people living in regional areas
establishing the outreach heart failure diagnostic clinic
extending after hours access to the Wagga Wagga Base Hospital Rapid Access Clinic and promoting referral pathways from general practice
•
trialling the use of CareMonitor, a mobile phone app and dashboard to aid chronic disease self-management
•
expanding the MPHN Winter Strategy into the MPHN Living Well, Your Way Winter Strategy and partnering with 36 general practices in the region.
Ms Holtby said the program’s focus is now on enhancing the early diagnosis of chronic disease and improving sustainable access to rehabilitation for people across the region. “We’re doing this by partnering with local pharmacies, expanding public outpatient clinics in Wagga and Griffith, and upskilling our clinical workforce to ensure people can access diagnostic tests when needed.” The Living Well, Your Way initiative is a joint MPHN and MLHD initiative, proudly funded by the NSW Government. Image: Outreach Heart Failure Diagnostic Clinic hosted by Murrin Bridge Aboriginal Medical Centre.
2022-23 Annual Report
57
We’re continuing to re-evaluate how healthcare is delivered, exploring innovative ways to collaborate with providers while always prioritising patient-focused care options. Caroline Holtby, Program Director
Image: Outreach Heart Failure Diagnostic Clinic in Hay.
At the end of year one
1,083
total patients
2
new monthly public clinics established
545
2,357
patients after hours (funded through Collaborative Commissioning)
patients accessing Wagga Wagga Base Hospital Rapid Access Clinic as an alternative to the emergency department
278
patients identified on the new Patient Flow Portal and targeted by the MLHD Respiratory and Heart Failure team to support their transition from home
4
rural communities had access to heart failure diagnostics closer to home
28
practices registered to LUMOS in the Murrumbidgee (32% of practices; with an additional 8 practices expressing interest)
general practices 36 partnering with Living Well, Your Way and MPHN to improve care for patients with chronic disease (40% of practices)
58
2022-23 Annual Report
Empowering local communities in the Snowy Valleys The Snowy Valleys Collaborative Care project is wrapping up after achieving numerous improvements, marking a significant step forward in enhancing access to primary healthcare within the Snowy Valleys region. The Collaborative Care project was designed to engage
discussing living with type 2 diabetes, alongside insights
with the local community, including residents, community
from community GP Dr Ryan Bulger on managing the
leaders, and healthcare professionals in the Snowy Valleys
condition.
Local Government Area (LGA), aiming to address their unique primary healthcare needs.
To further enhance local diabetes care and support, the project initiated a pilot program of Group Allied Health
Distinguished as one of five pilot sites across New South
Appointments for People with Diabetes, led by local
Wales and the sole site in the Murrumbidgee region, the
pharmacist and accredited diabetes educator Susie Peacock.
Snowy Valleys Collaborative Care project focused on exploring opportunities to strengthen connections between local primary healthcare services. These efforts aimed to not only unite these services but also provide more accessible and integrated healthcare to community members in need. The project was funded through the Australian Government with NSW Rural Doctors Network in partnership with Murrumbidgee Local Health District (MLHD), MPHN, and a host of local representatives.
Educational posters were also designed to enhance community understanding and appreciation for medical and health professionals. These posters explained the roles of various medical doctors, local allied health professionals, and nurses, acting as handy guides to demystify the roles within the healthcare system. Through the Collaborative Care project, Healthdirect fridge magnets were distributed to every household and
Reflecting on the project’s achievements, Snowy Valleys Collaborative Care Project Officer Catherine Cusack said the project has yielded a host of transformative outcomes, each contributing to a healthier and more connected community. “We’ve achieved quite a lot in a relatively short timeframe,” Ms Cusack said. “I’m particularly pleased with our Healthdirect awareness campaign, as the more access people have to after-hours
Your Guide to Your Local
+ ALLIED HEALTH + NURSES
community members. “I believe a big part of the reason the Collaborative Care project has been so successful is we’ve had community involvement from day one.” One of the project’s significant achievements was the creation of the Wiradjuri/Wolgalu – Living with diabetes video, aimed at raising awareness about diabetes management among local First Nations communities. The video featured local First Nations community members
GPs treat a whole range of illnesses, provide health screening and give health advice for all ages
Your Gu
ABORIGINAL HEALTH WORKER
Provides medical support, health promotion and disease management services in a culturally safe manner to Aboriginal and Torres Strait Islander people
+ MEDICAL ide to Yo
AUDIOLOGIST
CHIROPRACTOR
Identifies, assesses and manages problems with hearing and balance
Complementary therapist for people with muscle, bone and If yoconditions joint u
DIETITIAN (OR NUTRITIONIST)
EXERCISE PHYSIOLOGIST
Helps people understand the relationship between food and health. They also help people change their diet so that they can become healthier and stay healthy
Develops exercise programs to increase a person’s physical ability and quality of life with a focus on chronic disease management
access healthcare services, the better for everybody, right through from staff at the emergency department to
GENERAL PRACTITIONER
If you have a health issue, the first person you usually go to is your local General Practitioner (GP). GPs have the knowledge and skills to decide whether you need to see another health professional. They can refer you to another medical specialist or an allied health professional if you need additional care. Some examples are below.
ur LoDIABETES cal peopleEDUCATOR Helps with diabetes, their
DOCTO RS
families, and carers to be able to
understand and confidently manage have a he their diabetes alt General Practitio h issue, the firs whether t person ner (GP to anoth you need to see ). GPs have the you usually go kn er addition medical speciaanother health owledge and to is your local skills to al care. professio Some exa list or an allied de health pronal. They can ref cide mples are er fessiona below. l if you ne you ed OCCUPATIONAL THERAPIST
GENERA L PRACTIT ION
t a who
OPTOMETRIST
Helps people who have difficulty Treats problems with eyesight, with day to day activities to increase and helps you find the correct or maintain their independence by glasses if you need them providing aides, exercises, home modifications CARDIO LOGIST Treats pro and bloo blems with the DER d vessels heart MATOL Treats pro OGIST blems of the skin ENDOC RIN Treats peo OLOGIST caused by ple with conditi diabetes hormones suc ons h as or thyroid issues
PHARMACIST
PHYSIOTHERAPIST
Provides medicines that people’s doctor has asked them to take, as well as over the counter medicines
Helps people recover from (or cope Helps people in the care of their Treats and prevents mental with) injuries and conditions that feet and ankles. They may also be health conditions limit their movement or ability to do involved in supporting older people day-to-day activities to reduce their chance of falling GYNAEC OLOGIS T Treats con diti ons reproducti of NEUROL ve system female OG Treat con IST nerves andditions of the NEPHRO includin spinal cord brain, LOGIST g strokes Treats con the kidn ditions that affe eys ct
PODIATRIST
RADIOGRAPHER
SPEECH PATHOLOGIST
ENT SUR GEO
N Treats con and thro ditions of the at ear,
PSYCHOLOGIST
COMMUNITY NURSE
Takes x-rays and other medical images to help doctors in diagnosing conditions and injuries
OBSTETRI
CIA
N Treats pre after they gnant women unt have give n birth il
PRACTISE NURSE
Helps people with communication Provides nursing care to patients Provides nursing care to patients problems and people who have outside of traditional settings in General Practcise (GP) or difficulties swallowing food and specialist clinics drinking fluids safely OPH THALMO LOG Provide s treatme IST for eye con nt and surg ORT HOPAE problem ditions and eye ery s such as Treats dise DIC SURGEON sight cata ase racts Every individual’s health is different. For more information contact your General Practitioner PAE (GP) bones and join s and injuries to DIATRI ts Specialises CIAN in trea and you ng people ting children
PATHO LOGIST T
ests bod to identifyy tissues and infections any problemfluids s or
PSYCHI ATR
Diagnoses IST health con and treats men ditions tal
Every ind ivi
RADIOL OGIST
dual’s he
Interpre medical ts x-rays and oth doctors images to help er other diagnos conditions e and and inju manage ries
alth is dif
ferent.
For mo
RHEUM
ATO
Treats peo LOGIST other con ple with arth bones andditions which ritis and autoimm joints, as wel affect l une con ditions as
re inform
ation co
ntact yo
UROLOG
IST
Treats pro bladder, blems of the kidn eys, adrenal urinary tract and glands
ur Gene
ER
GPs trea
le range of illnesses , provide hea screenin lth g and give health adv ice for all ages
ral Practi
tioner (G
P)
nose
Photo by Destination NSW
2022-23 Annual Report
59
2022 SNOWY VALLEYS PRIMARY HEALTH SERVICE SURVEY The Snowy Valleys Community Primary Health Service Survey asked local people about their experiences with primary health care services.
GENERAL PRACTICE
ALLIED HEALTH
71%
29%
38%
36%
saw their GP within the Snowy Valleys region
travelled outside of the Snowy Valleys to see their GP
had used community allied health services
had used private allied health services
30%
89%
67%
66%
85%
needed to see a GP after-hours but couldn’t access one
reported having a routine GP appointment in past year
had their needs met by their GP
said it met their needs
said it met their needs
TELEHEALTH
46% had used telehealth
9%
Of those using telehealth,
75%
indicated that it met their needs Met my needs
MENTAL HEALTH
Could be improved
accessed mental health services
12% needed a mental health service but couldn’t access one
Services that can be difficult to access Physiotherapy Occupational therapy Mental health/ psychology Speech therapy Optometry
COMMUNITY PRIORITIES
Most important health needs reported Doctors/GPs Specialists Accessibility and availability of services Quality of care Mental health Allied health After-hours/weekend access to a doctor
Most serious health concerns reported Mental health Ageing population COVID-19 Drug and alcohol addiction Cancer Obesity
commercial accommodation service in the Snowy Valleys, as well as local libraries and public buildings, making essential
I’m particularly pleased
health information easily accessible.
with our Healthdirect
The project fostered connections by organising a series
awareness campaign, as
of meetings for local healthcare professionals. These gatherings provided a platform for networking, knowledge
the more access people
exchange, and generated a deeper understanding of each individual’s contribution to the community’s health.
have to after-hours access
Additionally, new health professionals and students on
healthcare services, the
placement in Tumut and Batlow were welcomed with comprehensive welcome kits, providing a warm introduction
better for everybody.
to the area and its healthcare resources. The Tumut Local Health Advisory Committee will continue distributing
Catherine Cusack, Snowy
these kits thanks to funding from MLHD. A video campaign
Valleys Collaborative Care Project Officer
was also created to attract healthcare professionals to the Snowy Valleys, emphasising the region’s opportunities and potential. Showcasing the project’s ability to address specific community needs, a parkinson’s support group was formed in response to a community member’s request for assistance after hearing about the Collaborative Care project on local radio. In another example, after taking part in two productive meetings with community members and organising visits by community nurses from MLHD, Talbingo received a substantial boost with the provision of a community worker one day per week, to help meet residents’ healthcare needs. In a move to further innovate local healthcare delivery, the Collaborative Care Project was successful in securing
ongoing support for general practices to trial group medical appointments in the Snowy Valleys and surrounding districts. Catherine Cusack said the Collaborative Care project is testament to what can be achieved when a community unites. “These outcomes, from educational resources to community support initiatives, mark a significant step forward in improving access to healthcare in the Snowy Valleys region,” Ms Cusack said. “The project’s impact will be felt for years to come.”
60
2022-23 Annual Report
Boosting GP confidence in paediatric primary care The Enhancing Paediatrics in Primary Care (EPiPC) program is boosting the confidence of the region’s general practitioners to enhance the wellbeing and health outcomes of their youngest patients and their families. Children in rural areas, especially in the Murrumbidgee
MPHN and MLHD, is to focus on upskilling GPs, including
region, face significant vulnerabilities and have poorer health
facilitating the co-design GP working group, which gives
outcomes compared to children in metropolitan areas. This
input into Murrumbidgee HealthPathways, providing an
situation is exacerbated by their limited access to screening,
email support service and case conferencing, and promoting
assessment, and treatment services.
screening and assessment tools within the local primary care
In 2019, MPHN, in partnership with the Murrumbidgee
workforce.
Local Health District (MLHD), introduced the
The email support system aims to initiate appropriate
Murrumbidgee Maternal and Child Health Strategy.
developmental screening and management at an earlier
This strategy aims to enhance maternal and child health
stage, by triaging preschool and early primary school-
outcomes in the region by strengthening the primary
aged children who require referrals for multidisciplinary
healthcare workforce in paediatrics through improved
assessment, paediatrician assessment, or primarily GP-led
capacity and capabilities and increasing screening
care at an earlier stage.
and management of children with developmental and behavioural issues, to ensure better use of specialist resources and early access to appropriate interventions.
In addition to email support, MPHN held a series of workshops in 2022, including a full-day workshop facilitated by Dr Lahiru Amarasena, who was supported by the EPiPC
The pilot program has seen four GPs from Deniliquin,
GPs, including Dr Maya Eamus, Dr Muhammad Shahzad
Gundagai, Hay, and Wagga Wagga working collaboratively
Arshed, Dr Marietjie Van der Merwe, Dr Tatiana Pavlovskaya,
with a community paediatrician to design and deliver email
and Dr Rachel James. These workshops covered various
and case conferencing support since 2020, with an additional
topics related to child health.
GP from Leeton joining in early 2023.
Feedback from the workshops was very positive, with
Contract Administrator Karly Pollard said the EPiPC program
attendee Dr Heba Azer commenting “It was such an
is helping the region’s general practitioners enhance the
informative and interactive workshop. I found it very useful
wellbeing and health outcomes of their youngest patients
and it provided us with excellent resources to refer to when
and their families.
we deal with those challenging paediatric presentations,
“It’s also enhancing the confidence of parents and carers in the process of early childhood development and behaviour screening, diagnosis, and management,” Ms Pollard said. “We’re now moving from the co-design stage into implementation which is really exciting.” The project is being carried out through three distinct streams: clinical support; strengthening GP skills, confidence, and capabilities; and integrated paediatric clinics. GPs taking part in the program have access to enhanced training opportunities and supported multidisciplinary clinics, including allied health and community paediatrics support for initial assessments. The role of the Community Paediatrician, jointly funded by
particularly with such extensive wait lists to see a paediatrician. As a GP, I am glad we have such local expert paediatric support in the region.” MPHN’s Executive Integration and Partnerships Narelle Mills, who oversees implementation of the program, said EPiPC is proving beneficial to the GPs taking part and the wider community. “We’re witnessing a significant boost in GPs’ confidence due to the program,” Ms Mills said. “We’re providing GPs with expert support and instilling in them the confidence that they’re delivering the most current information and screening tools to ensure optimal care for their younger patients.
2022-23 Annual Report
61
56
10
email support episodes provided
case conferences held between
by the Community Paediatrician to
Community Paediatrician and
GPs in the Murrumbidgee
EPiPC GPs
“We recognise any interventions initiated during a child’s
I found it very useful and it
early years profoundly affect their home and school life, as well as their development into adulthood. This is precisely
provided us with excellent
why we’ve extended our email support service to all GPs in
resources to refer to
concerning children with behavioural or developmental
when we deal with those challenging paediatric presentations.
the Murrumbidgee region for addressing specific enquiries issues.” WARATAH for Kids, an integrated initiative within the EPiPC model delivered by Marathon Health, focuses on enhancing access to allied health practitioners. The program establishes multidisciplinary clinics in rural communities
Dr Heba Azer,
where GPs, trained in paediatric assessments and supported
workshop attendee
by the Community Paediatrician, screen children for developmental and behavioural concerns. They also provide referrals for assessment by speech pathologists and occupational therapists, where required, to develop a plan for ongoing management and therapy. Launched in March 2023, this program represents a significant advancement in child health screening in primary care.
Image: Dr Marietjie Van Der Merwe with a young patient.
62
2022-23 Annual Report
The resilience our people show in an ever-changing environment is a testament to their commitment to improving the health and wellbeing of our communities. Melissa Neal, Chief Executive Officer
2022-23 Annual Report
63
Our
people
In this section Our team is everything Treasurer’s report Grant recipients Commissioned service providers
64
2022-23 Annual Report
Image: Cultural knowledge river walk April 2023.
Our team is everything MPHN is committed to improving the wellbeing of Murrumbidgee residents, and this dedication is made possible with a remarkable team of dedicated, innovative, compassionate, and determined professionals. One of the key focuses this year was growing and nurturing
A particular favourite was Bring Your Dog to Work month
the MPHN team to create a sense of community, all while
in June, which saw team members introduce their beloved
performing in an increasingly demanding and fast-moving
furry friends to their colleagues, bringing a light-hearted and
health sector.
relaxed vibe to the MPHN offices.
Senior Manager Corporate Services Kristy Hawkins said
In the lead up to Reconciliation Week, our Reconciliation
having satisfied, engaged staff is essential for a thriving
Action Plan working group organised a cultural knowledge
organisation like MPHN.
river walk with Wiradjuri Elder Uncle James Ingram, helping
“Our team is our greatest asset,” Ms Hawkins said. “That’s why we believe in the importance of engaging our team and working with them to achieve our vision of well
staff gain a better understanding of Wiradjuri and First Nations culture and practices. Uncle James shared his knowledge of the local ecology and the cultural significance of the Murrumbidgee River and its inhabitants. It was a
people and resilient communities across the Murrumbidgee.
special experience that highlighted the deep connection
“Having an energetic, happy and focused team leads to
also enjoyed a visit from Wiradjuri Elders for NAIDOC
increased productivity, improved collaboration, reduced turnover, and a positive work atmosphere, which ultimately drives our success.” This year the team was encouraged to get involved in a variety of wellbeing activities, with staff coming together for the Australian Red Cross Lifeblood Health Services Blood Drive, sharing stories for National Volunteer Week, and taking part in Harmony Day and Australia’s Biggest Morning Tea.
between nature and healing in the Wiradjuri culture. Staff week and tried their hand at weaving, with varying levels of success! One of the biggest achievements of this year has been MPHN’s recruitment drive, with a 27 percent increase in staff numbers (19 new starters of a total workforce of 70). Half of these were for new roles from an increase in new program funding, expanding MPHN’s ability to commission important services across the Murrumbidgee. After a period
2022-23 Annual Report
65
Images: Wagga Mardi Gras March 2023, Blood Drive May 2023, Crazy Socks 4 Docs Day June 2023.
of recruitment challenges due to a tight recruitment market,
place to work. Additionally, 82 percent of respondents felt
the team are excited to welcome so many new faces.
our systems and processes actively supported effective
MPHN also attained a perfect 100 percent compliance rate for ISO9001 certification of its quality management system, meeting all audit criteria. This achievement underscores MPHN’s dedication to upholding and enhancing quality standards and showcases the team’s effective quality control measures. Having long-term employees indicates MPHN’s stability, positive work culture, and employee satisfaction. The
job performance, and 60 percent indicated they found their workload both equitable and manageable. The survey also showcased a marked improvement in internal communication compared to previous surveys, underscoring widespread recognition of MPHN’s flexible work arrangements and hybrid work approach. Kristy Hawkins said staff suggested meeting-free days and a general reduction on internal meeting commitments.
organisation was pleased to celebrate the 10-year
“In response, we’ve instigated monthly meeting-free days
anniversaries of Senior Manager Priority Populations Anita
and we’re working on a general reduction of internal meeting
McRae, Medical Receptionist Lesley Lemon, Workforce
commitments and ways to streamline productivity and
Planning and Prioritisation Manager Jeanette Lautier,
efficiency,” Ms Hawkins said.
and Immunisation Support Officer Kate Warren. MPHN shared some of their reflections and stories internally and on social media, recognising the dedication and long-term commitment of the team to health in our region. In April, the organisation conducted a pulse survey to gain a better understanding of how staff perceived their work experience, to actively listen to suggestions for improvement, and track engagement. Valuable feedback emerged, with over 91 percent of surveyed staff expressing their willingness to recommend MPHN to others as a great
“We’re also looking at further improvements to our flexible work policy and, as always, continually seeking ways to make MPHN a great place to work. “While it’s been an incredibly busy year, it’s been a productive and happy one . We’re growing with our responsibilities and are working with staff to continually improve our flexible working arrangements and work life balance. We’re confident in our team and are looking forward to a new year with fresh opportunities to help make the Murrumbidgee a healthier place to live.”
Pulse Staff Survey Highlights – June 2023
At work I’m proud of 88.6%
85.3%
91.4%
agree or strongly agree their manager supports them to work flexibly
agree or strongly agree most systems and processes support them to do their job effectively
would recommend MPHN to others as a great place to work
what we achieve as an organisation. Anita McRae, Senior Manager System Integration, celebrated ten years with MPHN in 2023
66
2022-23 Annual Report
Treasurer’s report I am pleased to present the highlights of the 2022-23 financial report for firsthealth Limited. The company’s major activity remains the conduct of Murrumbidgee Primary Health Network (MPHN) under contract with the Australian Government Department of Health and Aged Care. The company also received funding from other sources under separate contracts, aimed at improving access and quality of primary healthcare across the Murrumbidgee. Revenue from funders increased by 38 percent overall from the previous year to $35 million. These funds have been applied directly toward the provision of health services throughout the Murrumbidgee in accordance with relevant funding agreements. As at 30 June 2023, the company held an additional $7 million in unspent funding which will be utilised for health service provision in 2023-24. It is important to note that a significant proportion of this amount has already been committed in contracts with service providers to fund the delivery of health services. Firsthealth Limited continues to implement plans to utilise these funds in an agile and community-led manner. Please refer to the graphics on the next page which show the sources and applications of the funding received and effectively managed by the company in deliverables to funders. The company operates on a not-for-profit basis and is precluded from making any profit on government funded services. In 2022-23 the company made a profit of $68,720 from the management of its own members’ funds. Full financial statements are available on the company’s website. I particularly draw your attention to Note 1 Basis of Preparation, Note 2 Summary of Significant Accounting Policies, and Note 3 Critical Accounting Estimates and Judgements.
READ THE FULL FINANCIAL REPORT Paul Gianniotis
Revenue from funders increased by 38 percent overall from the previous year to $35 million.
2022-23 Annual Report
1% CLIENT FEES & SERVICES
67
7% OTHER SOURCES
1% BOARD & COMMITTEE COSTS
0% INTEREST EARNED
2% SERVICE FEES
5% OTHER EXPENSES
6% GRANTS
0% OTHER INCOME
2% GP PAYMENTS 1% COMMUNICATIONS
15% EMPLOYMENT COSTS 69% CONTRACTORS 90% AUSTRALIAN GOVERNMENT DEPARTMENT OF HEALTH AND AGED CARE
REVENUE
EXPENSES
Revenue SOURCE
2022-2023
2021-2022
% CHANGE
AUSTRALIAN GOVERNMENT DEPARTMENT OF HEALTH AND AGED CARE
$31,824,873
$22,789,418
40%
FUNDING (OTHER SOURCES)
$2,504,412
$2,421,468
3%
CLIENT FEES AND SERVICES
$422,227
$337,519
25%
INTEREST EARNED
$717,973
$83,504
760%
OTHER INCOME
$26,160
$16,171
62%
$35,505,646
$25,648,080
38%
2022-2023
2021-2022
% CHANGE
CONTRACTORS
$24,330,308
$17,028,319
43%
EMPLOYMENT COSTS
$5,484,744
$4,766,925
15%
BOARD & COMMITTEE COSTS
$288,612
$118,091
144%
GP PAYMENTS
$567,989
$530,091
7%
GRANTS
$2,210,618
$474,513
366%
COMMUNICATIONS
$300,623
$371,020
-19%
SERVICE FEES
$574,419
$822,292
-30%
OTHER EXPENSES
$1,678,613
$1,511,096
11%
$35,436,926
$25,622,347
38%
$68,720
$25,733
TOTAL
Expenses SOURCE
TOTAL
PROFIT (OR LOSS)
68
2022-23 Annual Report
Grants recipients The following organisations received grant funding throughout the 2022-23 financial year. This may have been from a Bushfire Recovery Grant, Residential Aged Care Home Telehealth Grant, or a GP Grant. Please note, some organisations may not have commenced grant activities in this financial year.
Bushfire Recovery Grants – Round 4
GP Grants •
Adelong Medical Centre
•
Nova Health Co
•
Adelong Alive Museum
•
Batlow Medical Practice
•
Peter Street Medical Centre
•
Tatjana Crealy
•
Berrigan Medical Centre
•
Rao Medical Centre
•
Khancoban Op Shop Committee
•
Blamey Street Surgery
•
Riverina Family Medicine
•
Navigator Consulting
•
Bland Medical Centre
•
Roth’s Corner Medical Centre Shiloh Medical Practice
•
Rotary Club of Tumbarumba
•
Boorowa Hospital Medical Centre
•
•
Studio Drew
•
Boorowa Medical Centre
•
St George Family Medical Centre
•
Talbingo Community Association
•
Connection Medical Centre
•
Temora Medical Complex
•
Tumbarumba Local Health Advisory Committee
•
Coolamon Regional Medical Centre
•
•
Cootamundra Medical Centre
The Barham and District Medical Centre
•
Redgum Medical Group Corowa
•
Trail Street Medical Centre
•
Corowa Mediclinic
•
Trinity Medical Centre
•
Country Med Group
•
Tumbarumba Medical Practice
•
Deniliquin Medical Centre
•
Tumut Family Medical Centre
•
Dr Duncans Rooms
•
Vecare Health
•
Echuca Moama Family Medical Practice
•
Wagga Wagga Medical Centre
•
West Wyalong Medical Centre
•
Estella Medical and Dental Centre
•
Young District Medical Centre
•
Finley Medical Centre
•
Your Health Griffith Pty Ltd
•
Fitzroy Medical Centre
•
Cootamundra Family Medical Centre
•
Forest Hill Medical Centre
•
Glenrock Country Practice
•
Griffith Medical Centre
Residential Aged Care Home Telehealth Grants •
Adina Care Cootamundra
•
Assumption Villa Residential Care Southern Cross Care NSW and ACT
•
Baptistcare Caloola Centre
•
Blakeney Lodge Tumut
•
Boorowa Hostel Incorporated
•
Cooinda Court Aged Care Ltd
•
Cootamundra Residential Care Home Southern Cross Care NSW and ACT
•
Cypress View Lodge
•
Emily Gardens, The Rock
•
Hammond Health Pty Ltd
•
Harden Grange
•
Hanwood Surgery
•
Jindera Aged Care United Protestant Association
•
Hay Medical Centre
•
Henty Medical Centre
•
Karinya Residential Care - Southern Cross Care NSW and ACT
•
Hillston Medical Centre
Lachlan Lodge Residential Aged Care Home
•
Redgum Medical Group Howlong
•
Jerilderie Medical Centre
•
Kincaid Medical and Dental Centre
•
Kookora Surgery
•
Kooringal Medical Centre KRS Health Family Medical Practice
• •
Moama Residential Care Home Southern Cross Care NSW and ACT
•
Murray Haven Homes
•
Myoora Homestead
•
•
Narrandera Homestead Care Community
•
Kruger Medical Centre
•
Kure Medical Group
•
Navorina Nursing Home
•
Lake Cargelligo Family Practice
•
Orana Residential Care Home Southern Cross Care NSW and ACT
•
Lakeside Medical Centre
•
Respect Woodhaven, Lockhart
•
Leeton Family Clinic
•
The Haven Wagga Wagga
•
Leeton Medical Centre
•
Uniting Griffith
•
Leeton Medical Practice
•
United Protestant Association Holbrook Village
•
Medcirc Eclinics - Young
•
Meninya Medical Clinic
•
Moama Health Clinic
•
Morgan Street Healthcare Clinic
•
Murrumbidgee Medical & Primary Care Centre
•
Narrandera GP Management
•
United Protestant Association Oolong Hostel
•
Uralba Hostel
•
Wagga Wagga Community Aged Care
•
Young Residential Care Home Southern Cross Care NSW and ACT
2022-23 Annual Report
69
Commissioned service providers •
ACON Health Limited
•
Jerilderie Medical Centre
•
Actevate Pty Ltd
•
Juntos Marketing Pty Ltd
•
Altura Learning Australia Pty Ltd
•
Katherine Elizabeth Ludford
•
Amaranth Foundation Limited
•
KMG West Wyalong Pty Ltd
•
Amponn Enterprises Pty Ltd
•
Kooringal Medical Centre
•
Anglicare NSW South NSW West and ACT
•
Larter Consulting Pty Ltd
Ardlethan Ariah Park Mirrool Football Club
•
Lung Foundation Australia
•
Marathon Health Ltd
•
Medcirc Property Pty Ltd
•
Meltwater Australia Pty Limited
•
Mentoring Men Ltd
•
Mission Australia
•
Moama Health Group Pty Ltd
• •
Australian General Practitioners Pty Ltd
•
The Trustee for Bond Medical Group Trust
•
The Trustee for Coolamon Advisors Unit Trust
•
The Trustee for Cootamundra Medical Centre Unit Trust
•
The Trustee for Corowa Medical Centre Trust
•
The Trustee for Cromarty Family Trust and The Trustee for Gallagher Family Trust
•
The Trustee for Dan Pettersson Medical Trust
•
The Trustee for Dodd Pharmacies Unit Trust
•
The Trustee for Gundagai Medical Centre Unit Trust
•
Bardawil KPBL Pty Ltd
•
Batlow Medical Practice
•
Berrigan and District Aged Care Association Limited
•
Murrumbidgee Local Health District
•
C7even Communications Pty Ltd
•
National Audits Group Pty Ltd
•
Calvary Healthcare Riverina Limited
•
NGPM Pty Limited
•
The Trustee for H&W Medical Trust
•
Caremonitor Pty Ltd
•
•
•
Centacare South West NSW Ltd
NHS North of England Commissioning Support Unit
The Trustee for Hope Medical Services Unit Trust
•
Chiderek Medical Services Pty Ltd
•
NSS WIN Pty Ltd
•
The Trustee for Kirilous Trust
•
Colymedical Pty Ltd
•
On The Line Australia Limited
•
The Trustee for Leeton Medical Trust
•
Community Foundation for Tumut Region
•
Osborne Football Club Incorporated
•
The Trustee for Poyner Business Trust
•
Painchek Ltd
•
•
Connection Medical Centre
•
PricewaterhouseCoopers
The Trustee for Prime Care Doctors Unit Trust
•
Coordinare Limited
•
Prime Doctors Pty Ltd
•
•
Cummeragunja Housing and Development Aboriginal Corp
•
R.J. Campbell Pty Ltd
The Trustee for Riverina Family Medicine Trust
•
Relationships Australia Canberra and Region Incorporated
•
The Trustee for Sana Medical Services Trust
•
Riverina Medical and Dental Aboriginal Corp
•
The Trustee for Sharon Hambly Family Trust
•
Roth’s Corner Medical Centre
•
The Trustee for T M C Unit Trust No 2
•
Royal Far West
•
•
Sarkon Healthcare Pty Ltd
The Trustee for The Nish Street Unit Trust
•
Snowy Valleys Council
•
The Trustee for The Vieira Family Trust
•
South City Pharmacy
•
The Trustee for The Young Medical Service Trust
•
Streamliners NZ Limited
•
Trinity Medical Centre
•
Sunflower House Incorporated
•
Tumut Family Medical Practice Pty Ltd
•
Swan Hill District Health
•
Urana Medical Centre
•
Sydney North Health Network Ltd
•
Urbis
•
Taste Coleambally Food and Farm Festival Incorporated
•
Uzair Medical Services Pty Ltd
•
VeCare Health
•
Wagga NAIDOC Committee
•
Wagga Wagga Medical Centre Pty Ltd
•
Wagga Women’s Health Centre Inc
•
Wellways Australia Limited
•
Western Victoria Primary Health Network Limited
•
Willimbong Pty Ltd
•
Your Health Griffith Pty Ltd
•
Deniliquin Clinic
•
Directions Health Services Ltd
•
Dr. Roderick Bond
•
Dr. A.R. Solomon Pty Ltd
•
Dr. Mary Ross Pty Ltd
•
Drive Thru Pharmacy
•
Evohealth Pty Ltd
•
Finley Regional Care Ltd
•
Fitzroy Medical Centre
•
Furat Medical Services Pty Ltd
•
Geraldine Frances Duncan
•
Gidget Foundation Australia
•
Gp2u Telehealth Pty Ltd
•
Grand Pacific Health Limited
•
Griffith Aboriginal Medical Service Aboriginal Corporation
•
Hammond Health Pty Ltd
•
HammondCare
•
Hanwood Surgery
•
HealthAccess
•
Henty Australian Football Club Inc
•
Hillston Medical Centre
•
Hillston Swans Football Club
•
J and C Carr Pty Ltd
•
J Alster and M Alster
•
Telecare Australia Pty Ltd
•
The Benchmarque Group Pty Ltd
•
The Funding Network Australia Limited
•
The Men’s Table Limited
•
The Resilience Project
•
The Rock Yerong Creek Australian Football Club
•
The Root Cause Pty Ltd
•
The Trustee for Anga Family Trust
•
The Trustee for Blamey Family Practice Unit Trust
mphn.org.au Tel 02 6923 3100 Fax 02 6931 7822 1/185 Morgan Street Wagga Wagga NSW 2650