Coffs Harbour - LGA

Health Needs Assessment 2025 - 2028

Coffs Harbour Local Government Area (LGA)

An overview of the Coffs Harbour local government area (LGA) health needs is provided. The Health Needs Assessment (HNA) process utilised a comprehensive, mixed-methods approach to collect and analyse data on the health and service needs of the North Coast region.

Key Information

Health Needs Assessment Coffs Harbour LGA

The Coffs Harbour Local Government Area (LGA) is on the Traditional Lands of the Gumbaynggirr Nation. Coffs Harbour LGA is part of the Mid North Coast Local Health District and Coffs Harbour SA3. It includes the major regional city of Coffs Harbour, as well as a mix of coastal, mountain, and rural communities.

The region has a rich variety of habitats, from mountain ranges to the ocean, with mangrove forests, wetlands, seagrass meadows, and coastal lakes. As a key tourist destination, Coffs Harbour’s economy is supported by industries such as agriculture, education, health, and construction, making it a dynamic and diverse area.

Footnote: throughout this document ‘survey’ refers to the 2024 Better Health Community survey undertaken as part of the Health Needs Assessment 2025-28 consultation process

Key messages

DEMOGRAPHICS AND SOCIAL DETERMINANTS

  • Population 79,423, 15% of the North Coast population. Projected to increase by 2% by 2031 (compared to 5% increase North Coast).
  • Population density: 67 residents per km2 (17 per km2 North Coast).
  • 6% identify as Aboriginal and/or Torres Strait Islander (6% North Coast).
  • Median age 44 (47 North Coast, 39 NSW) lowest across the North Coast LGAs.
  • 7% of population born in non-English speaking countries (1% North Coast, 19% NSW, 16% Australia).
  • 23% aged 65 years or over, projected to increase by 16% by 2031 (18% increase North Coast and 29% NSW).
  • Nearly 1 in 4 children assessed as vulnerable in one or more areas of early childhood development
  • Full immunisation rates for children are similar to the NSW and Australian rates
    • 95% of 1-year-old children (94% in NSW and Australia)
    • 92% of 2-year-old children (92% NSW and Australia)
    • 95% of 5-year-old children (94% NSW and Australia).

• 60% of people aged 65 years and over had at least one long-term health condition.
• 2% of the population live with dementia (2% NSW and Australia). Expected to increase as the 65 years and over population increases.
• 53% of survey respondents reported the ageing population is one of the most serious health concerns in the community.
• 57% of survey respondents found accessing services for older people difficult. Challenges included a lack of services and difficulty in organising services.

Opportunity: Enhance healthy ageing strategies and targeted preventative health initiatives. Continue to work in partnership to support recruitment and retention of the healthcare workforce and enhance integration and coordination of care. 

Did you know: Care finders is a free service. It exists to support vulnerable people who have no one else who can support them to learn about, Care Finders. 

HNC works in partnership with Aboriginal Community Controlled Health Organisations to improve health outcomes for Aboriginal people. Galambila Aboriginal Health Service provides culturally appropriate primary healthcare services and support to Coffs Harbour’s Aboriginal population including chronic conditions management, child and maternal health, mental health, health checks, allied health, youth dental and outreach to Yarrawarra Aboriginal Cultural Centre and Pete’s Place.

  • 26% of people had an Aboriginal health check in Coffs Harbour  – Coastal SA3 

Connection to country and culture is key for Aboriginal & Torres Strait Islander peoples social and emotional wellbeing. Programs that Aboriginal peoples identified to help keep Aboriginal communities healthy and strong:

  • Exercise and fitness
  • Women’s health
  • Art and cultural programs
  • Yarning circles
  • Health screening services
  •  
  • 61 per 1,000 people need assistance due to age or severe disability (75 per 1,000 North Coast, 58 per 1,000 NSW). 
  • 2% of people report very low proficiency in English (5% NSW). Higher than the North Coast average.
  • 10 per 1,000 people experienced domestic and family violence. Increased 37% from 2021, the second highest in the North Coast and higher than NSW average (4 per 1,000).
  • The median total personal income was $688 per week ($652 North Coast) (NSW $813).
  • Index of Relative Socio-Economic Disadvantage (IRSD) score of 972.
  • 4 in 5 survey respondents indicated housing availability as a concern in the community. Other areas of concern are cost of living and problematic alcohol and other drug use.

Opportunity: Through partnerships, increase and strengthen access to health supports and care for people impacted by family and domestic violence.

  • 2 in 1000 people experience homelessness (4 in 1000 in North Coast and NSW, 9 in 1000 in Australia).
  • 3 in 1000 people at risk of homelessness (4 in 1000 in North Coast, NSW and 7 in 1000 in Australia).
  • 624 people experiencing homelessness or at risk of homelessness. This is the second highest number in the North Coast region.

There is limited availability of affordable housing in the Coffs Harbour LGA. Of the 120 rental properties available

  • 2 properties were affordable to a couple with 2 children on minimum wage receiving FTB A and B
  • no other properties were affordable for individuals or couples receiving benefits and pensions or on minimum wage.

Adequate access to affordable housing is fundamental to the health and wellbeing of individuals and communities.

  • 38% single or lone households (25% NSW) and 9% group homes (4% NSW)

Social isolation can increase health risks

Opportunity: Enhance support by integrating services for individuals experiencing homelessness or housing insecurity.

Key messages

PRIMARY HEALTHCARE NEEDS IN THE LGA

When you we’re asked…

What kind of programs would you like more of, to keep you and your community healthy and strong?

  • Exercise and fitness
  • Health screening services
  • Women’s health
  • Support with daily living / personal care

Which do you see as the most serious health concerns in your community?

  • Ageing population
  • Lack of access to health care
  • Mental health issues
  • Drug and alcohol use

  • 1 in 8 people have 2 or more chronic conditions.
  • The most common chronic conditions are anxiety and osteoarthritis.

Opportunity: Partner with LHDs and community organisations to strengthen preventive health programs and enhance support for vulnerable populations, including people experiencing homelessness, those with disabilities and from culturally and linguistically diverse communities.

Cancer screening participation:

  • 43% National Bowel Cancer Screening Program (NSW 40%)
  • 58% BreastScreen Australia (NSW 50%)
  • 47% National Cervical Screening Program (NSW 46%).

The most diagnosed cancers:

  1. Urogenital cancer
  2. Skin cancer
  3. Lymphohematopoietic cancer

The cancer with the highest mortality rate is respiratory cancer. 

Shared experiences with mental health:

  • 1 in 10 people needed to access a mental health service but couldn’t
  • 5 in 10 people reported mental health as one of the most serious health concerns in the community
  • 6 in 10 found it difficult to access a psychologist, counsellor or social worker.
  • The top challenges to access mental health services:
    • cost
    • lack of services
    • difficulty to organise appointments.

  • In Coffs Harbour SA3, which includes Coffs Harbour  LGA, rate of suicide deaths 16 per 100,000 population (11 per 100,000 population NSW).
  • Nearly 2 in 10 people in the Mid North Coast local health district (LHD) area, experience high or very high levels of psychological distress.

Opportunity: strengthen preventive and treatment health programs and partnerships. Enhance integration and coordination between primary care, hospitals, and community services.

Did you know: Medicare Mental Health Centres can help you access the local mental health services and supports that are right for you. No referral needed, access by phoning 1800 595 212 or visit the website.

Coffs Harbour Health Campus is a major regional hospital providing a range of services to patients from Coffs Harbour LGA and neighbouring LGAs. While Coffs Harbour has relatively good health infrastructure compared to more regional areas, low numbers of specialists and servicing demands of local area and nearby LGAs means availability and long wait times are challenges.

Community health centres in Coffs Harbour and Woolgoolga provide various primary and allied health services.

  • 16 general practices
  • 118 general practitioners (GPs)
  • For every full time GP there are 714 patients
  • 18 pharmacies
  • 68 pharmacists
  • 67 dentists
  • Nearly 3 in 5 survey respondents found it a bit hard or very hard to see a GP when they needed it.
  • After-hours GP attendances rate in Coffs Harbour -SA3 is 4% (Australia 17%). 

Opportunity: Enhance digital health services and education to improve inclusive access to care, particularly for vulnerable populations. Continue to work in partnership to support recruitment and retention of the healthcare workforce.

Did you know: If you need medical advice and care, call Healthdirect for free, 24/7 on 1800 022 222 and speak to a registered nurse. 

Did you know: Medicare Urgent Care Clinic in Coffs Harbour provides urgent, bulk-billed health care in a general practice setting. View details

HNC commissions a range of community-based services to address local health needs.

These include:

  • Aboriginal health
  • Alcohol & Other Drugs
  • Integrated Team Care
  • Mental Health
  • Youth specific

View more information about the services available in Coffs Harbour LGA

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HNA Homepage

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HNA Priority Areas List

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