HNA LGA – Lismore 2025

Lismore - LGA

Health Needs Assessment 2025 - 2028

Lismore Local Government Area (LGA)

An overview of the Lismore 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 Lismore LGA

Located in the Northern Rivers region of NSW, Lismore Local Government Area (LGA) is on the Traditional Lands of the Bundjalung Nation. Lismore LGA is part of the Northern NSW Local Health District and Richmond Valley – Hinterland SA3. Its diverse landscape includes mountains, world heritage-listed rainforests and fertile flood plains making for productive agricultural and tourist industries.

Lismore LGA shares boundaries with 5 other LGAs – Kyogle, Tweed, Byron, Ballina and Richmond Valley. It is the health, services and education hub for the LGA and surrounding LGAs. Lismore is one of the 4 regional cities in the North Coast region.

As of 2025, the Lismore area continues to rebuild physically and emotionally following the severe flooding events of 2022. The strength and resilience exemplified by the communities within the Lismore LGA are a remarkable asset, demonstrating the ability to prepare and recover from environmental disasters.

Note, in many instances data is not available for periods after the 2022 floods. The impact of these events must be considered when looking at health status, housing, economy/employment and life of the Lismore communities.

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 44,334, 8% of the North Coast population. Projected to increase by 3% by 2031 (5% increase North Coast).
  • Population density: 34 residents per km2 (17 per km2 North Coast).
  • 6% identify as Aboriginal and/or Torres Strait Islander (6% North Coast).
  • In the 2021 census, 2 in 10 people were aged 65 years or older. This is expected to increase by 22 (18% increase North Coast and 29% NSW).
  • Nearly 1 in 4 children in Lismore LGA were assessed as vulnerable in one or more areas of early childhood development.

Fully immunised children rates:

  • 90% of 1-year-old children (94% in NSW and Australia)
  • 85% of 2-year-old children (92% NSW and Australia)
  • 93% of 5-year-old children (94% NSW and Australia).

Opportunity: Work in partnership to understand reasons for low immunisation rates and work with community and healthcare providers on improvement strategies. Continue to partner to improve education, support, community and peer-based services for children and families. 

  • 57% of people aged 65 or over have at least one long-term health condition.
  • 2% live with dementia. Expected to increase as the 65 years and over population increases.
  • 59% of survey respondents found accessing services for older people difficult. Challenges included a lack of services and difficulty in organising them.

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, apply for and set up support services. Learn more about Care Finders 

Opportunity: Increase support and education regarding available services for people as they age and for ageing relatives or people in their care.

Healthy North Coast works in partnerships with Aboriginal Community Controlled Health Organisations to improve health outcomes for Aboriginal peoples, families and communities. Rekindling the Spirit provides a number of culturally safe and appropriate health and wellbeing programs for Aboriginal communities in the Lismore LGA. These include allied health services, general practice, maternal and child health, women’s and men’s groups, youth programs and social and emotional wellbeing support.

  • 28% of people had an Aboriginal health check in Richmond Valley Hinterland SA3. (Highest in the North Coast).

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
  • Support with daily living / personal care
  • Employment programs
  • Community health education events
  • 71 per 1,000 people need assistance due to age or severe disability (75 per 1,000 North Coast, 58 per 1,000 NSW). Highest in North Coast.
  • 1 per 200 residents experienced domestic and family violence. Decreased 12% from 2021.
  • Median total weekly personal income $685 ($652 North Coast, NSW $813).
  • Index of Relative Socio-Economic Disadvantage (IRSD) score of 966. Indicates greater disadvantage compared to the Australian average (1,000).
  • Adequate access to affordable housing is fundamental to the health and wellbeing of individuals and communities. There is limited availability of affordable housing in the Lismore LGA. Of the 67 rental properties available in the Lismore area:
    • none were affordable to singles or couples on Jobseeker or Youth Allowance
    • 8 were affordable by a couple with 2 children on minimum wage and receiving family tax benefits (FTB) A and B
    • 2 were affordable by a single person on minimum wage
    • 3 were affordable by a couple on Age Pension
    • 2 were affordable by a single person on Age Pension

  • 5 in 1000 people experience homelessness (4 in 1000 in North Coast and NSW, 9 in 1000 in Australia).
  • 5 in 1000 people at risk of homelessness (4 in 1000 in North Coast, NSW and 7 in 1000 in Australia). 
  • More than two years on from the 2022 floods, as of September 2024 approximately 830 people remained in emergency and temporary accommodation sites. Further numbers of those displaced, homeless or experiencing flood-related housing insecurity are not currently known. 24% of survey respondents expressed concern about climate change, highlighting its growing impact on community resilience and housing stability.

Opportunity: Partner with community organisations and government departments to successfully plan for, respond to and recover from environmental disasters.

Key messages

PRIMARY HEALTHCARE NEEDS IN THE LGA


When you were 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
  • Community health education events

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

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

  • More than 1 in 5 people have 2 or more chronic conditions.
  • The most common chronic conditions are anxiety and osteoarthritis.

Opportunity: Strengthen preventive health programs, including cancer screening initiatives. Enhance support for populations with additional vulnerabilities, including people experiencing homelessness and people with disabilities.

Cancer screening participation:

  • 38% National Bowel Cancer Screening Program (NSW 40%)
  • 56% BreastScreen Australia (NSW 50%)
  • 41% National Cervical Screening Program (NSW 46%).

The most diagnosed cancers:

  1. Skin cancer
  2. Urogenital cancer
  3. Respiratory cancer.

The cancer with the highest death rate is respiratory cancer (45 per 100,000).

Shared experiences with mental health:

  • 1  in 10 people needed to access a mental health service but couldn’t
  • 6 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
    • difficult to organise
    • lack of services.

  • In Richmond Valley-Hinterland SA3, rate of suicide deaths 1 in 5,000 people  (11 per 100,000 population NSW).
  • Over 1 in 5 people in the Northern NSW local health district (LHD) area, experience high or very high levels of psychological distress.
  • 1 in 10 residents in Richmond Valley-Hinterland SA3, accessed GP mental health services.
  • 1 in 50 people accessed primary mental health care commissioned services, with more than half of services delivered face-to-face. People who lost homes and businesses and those who have been displaced for longer than 6 months as a result of the 2022 floods have a higher risk of experiencing post-traumatic stress disorder (PTSD).

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.

  • 10 general practices
  • 59 general practitioners (GPs)
  • For every GP (full time) there are 833 people
  • 13 pharmacies
  • 27 dentists.

  • Lismore Community Health based at Lismore Base Hospital offers a range of nursing and allied health services.
  • Lismore Base Hospital provides a range of services including emergency care, surgery and specialised treatments.
  • After-hours GP attendances rate in Richmond Valley-Hinterland SA3 is 5% (Australia 17%). Access to after-hours GP services remains a challenge and may contribute to higher ED admissions.
  • More than 1 in 2 people found it difficult to see a GP when they needed.
  •  Nearly 1 in 5 people who needed to see a specialist could not see one.

Barriers to accessing primary care include: 

  • Long wait time for an appointment
  • Cost
  • Difficulty getting an appointment

Opportunity: Enhance digital health services and education to improve inclusive access to care, particularly in rural areas. 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. 

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 Lismore LGA.

Explore more: North Coast LGA Factsheets and information

Ballina - LGA

View LGA Factsheet and key messages for the region.

Bellingen - LGA

View LGA Factsheet and key messages for the region.

Byron - LGA

View LGA Factsheet and key messages for the region.

Clarence Valley - LGA

View LGA Factsheet and key messages for the region.

Coffs Harbour - LGA

View LGA Factsheet and key messages for the region.

Kempsey - LGA

View LGA Factsheet and key messages for the region.

Kyogle - LGA

View LGA Factsheet and key messages for the region.

Lismore - LGA

View LGA Factsheet and key messages for the region.

Nambucca Valley - LGA

View LGA Factsheet and key messages for the region.

Port Macquarie-Hastings - LGA

View LGA Factsheet and key messages for the region.

Richmond Valley - LGA

View LGA Factsheet and key messages for the region.

Tweed - LGA

View LGA Factsheet and key messages for the region.

HNA Homepage

View Health Needs Assessment Homepage

HNA LGAs Map

View Health Needs Assessment LGAs Map

HNA Priority Areas List

View Health Needs Assessment Priority Areas List

Our regional partners

  • Local Health District partners in our footprint: Mid North Coast Local Health District (MNCLHD) & Northern New South Wales Local Health District (NNSWLHD)
  • Aboriginal Medical Services (AMS)
  • The Royal Australian College of General Practitioners (RACGP)
  • Australian College of Rural and Remote Medicine (ACRRM)
  • Rural Doctors Network (RDN)
  • Rural Clinical Schools & Regional Training Hubs
  • General Practitioners
  • Registrars and International Medical Graduates
  • North Coast Allied Health Association (NCAHA)
  • Local Councils
    Pharmaceutical Society of Australia (PSA)
  • Universities including: Charles Sturt University (CSU), University of New South Wales (UNSW), Southern Cross University (SCU)

Aged Care Disaster Management Planning

Strategic Priority Area: One team

North Coast is identified as the region most likely to be impacted by climate change in Australia and also forecasted greatest growth in those 65+.

Healthy North Coast takes a lead role in ensuring the older population and the sector that supports them are prepared for, can respond to and recover from disasters and other emergencies.

We have led eight regional disaster management capacity building workshops, bringing together SES, community organisations and the aged care sector.

We have also developed disaster preparedness tip sheets for both residential and community aged care providers.

Voluntary Assisted Dying

Strategic Priority Area: One team

In May 2022, the NSW Parliament passed the Voluntary Assisted Dying Act 2022. Effective from Tuesday, 28 November 2023, eligible people have the choice to access voluntary assisted dying. 

Healthy North Coast has developed a webpage for both health professionals and consumers, with links to available information and resources.

Living with Dementia resources

Strategic Priority Area: No one is left behind

Healthy North Coast has worked with people living with dementia, their families and local service providers to develop an information booklet that will help them connect with local and national supports along their journey.

Highly regarded by a range of professional supporting those on or starting the dementia journey, the booklet includes commonly asked questions for people to ask their GP and/or specialist.

“It’s a fantastic resource and I give it to everyone on their first diagnosis. Its easy to read, so well planned and thought through and has lots of really useful information, tailored to the region.
I also find it very helpful when educating clinical staff.”

−Geropsychiatric Nurse Practitioner, Mid North Coast.

The resource is available in digital and printed copies, with more than 5,000 distributed across the region. An e-version is available to clinicians via the Dementia and Cognitive Impairment HealthPathway.

Deteriorating Resident Triage Tool Pilot

Strategic Priority Area: One team

The Deteriorating Resident Response Tool (DRRT) has been developed to guide RN’s in Residential Aged Care homes (RACHs) to better understand, anticipate and make clinical decisions responding to the deteriorating health of residents.

The objective of the DRRT is to give RACH staff clear information to triage and provide appropriate care for a range of residents’ health conditions, and, in turn, prevent unnecessary presentations to ED.

The tool has been designed together with a specialist geriatrician, consulting with stakeholders such as Residential Aged Care Managers, NSW Ambulance, GPs, and experts from Mid and North Coast LHDs.

The pilot commences in March with four participating RACHs. Evaluation measures will include effectiveness in building RN confidence and reported reduction in unnecessary hospitalisations. Findings will inform a future planned, region-wide implementation.

North Coast Care Finders Program

Strategic Priority Area: No one is left behind

The Care Finders program is a free region-wide service to support vulnerable older people who have no-one else to help them, to learn about, apply for and set up support services.

Care finders can help people understand what aged care services are available, set up an assessment, and find and choose services. They also help people with access to other supports in the community, both accessing services for the first time and changing or finding new services and supports.

On the North Coast, Healthy North Coast has commissioned four organisations to provide this important service: EACH, Carexcell, Lifetime Connect and Footprints.

icon with person and hands

Psychological services in residential aged care homes

Strategic Priority Area: Improving Lives Now

Healthy North Coast commissions two service providers to deliver psychological therapies and supports for older people with, or at risk of developing, a mental illness and who are living in residential aged care homes (RACHs).

The aim of the program is to both provide direct support to residents and their families and carers, as well as upskill the RACH workforce to respond to the needs of residents presenting with mental health concerns.

Healthy Towns. Healthy Communities.

Strategic Priority Area: Securing a Healthier Future

Connection and a sense of belonging are protective factors for both individual and community health and wellbeing. Evidence highlights that the social determinants of health play a critical role in addressing many of our regions health challenges.

That’s why Healthy North Coast has long been committed to supporting communities to strengthen and to build social health. Our initiatives, including contemporary ‘Social Prescribing’, help people to connect to activities, supports and each other, and assist communities to integrate services and bridge gaps.

icon with person and hands

Telehealth in Residential Aged Care

Strategic Priority Area: Improving Lives Now

The Royal Commission into Aged Care Quality and Safety identified several critical areas affecting aged care residents and our health system. Key challenges include:

  • Limited access to general practitioners (GPs) and allied health professionals in aged care facilities.
  • Difficulties accessing out-of-hours services

Telehealth offers valuable opportunities to enhance support for residents living in aged care homes. Funded by the Commonwealth Department of Health and Aged Care, this initiative provides telehealth equipment and staff training as part of the response to the Royal Commission’s findings.

By improving access to primary care clinicians, specialist services, and other service providers through telehealth, we can significantly enhance health outcomes for residents, reducing unnecessary hospital transfers and emergency department visits.

The selection of telehealth equipment was guided by our Healthy Ageing Strategy (HAS), a comprehensive digital discovery questionnaire, and consultation workshops with various stakeholders. These efforts included interviews with residents to understand their attitudes toward telehealth, ensuring the initiative meets their needs and preferences.

icon with person and hands

Greater Choice at Home Palliative Care Program

Strategic Priority Area: Improving Lives Now

Aims to provide people who have life limiting conditions the opportunity to exercise choice and receive high quality care at home, harnessing improved and better coordinated supports and services that meet their individual needs.

Program objectives:

  • Improve access to palliative care at home and support end-of-life care systems and services (in primary health care and community care)
  • To enable the right care at the right time and in the right place (to reduce unnecessary hospitalisation)
  • Generate and use data to support continuous improvement of services across sectors
  • Use available technologies to support flexible and responsive palliative care at home, including in the after-hours.

These objectives will contribute to achieving the following intended overarching outcomes of:

  • Improved capacity and responsiveness of services to meet local needs and priorities
  • Improved patient access to quality palliative care services in the home
  • Improved coordination of care for patients across health care providers and integration of palliative care services in their region.

Education & training funding elibility

Funding is open to all primary care providers within disaster affected communities across the Healthy North Coast footprint.

Workforce Locum support and R&R funding criteria

  • Available to primary care services in disaster impacted communities within the Healthy North Coast footprint.
  • Available to support short-term workforce coverage, allowing clinicians to rest and recover.
  • Workforce-support funding in total is capped for each site, over a 12-month period:
    • $10k for GPs and/or
    • $5K for nursing and/or
    • $5k administration support and/or
    • $5K allied/pharmacy and other.
  • Funding is not to be used to fill gaps in staffing that have not been able to recruit to and not to replace existing staff.
  • Healthy North Coast will assess requirements and approve available funding directly with the service requesting support.
  • Priority will be given to sites that have immediate, short-term workforce support needs.
  • Requests will be reviewed and supported on a case-by-case basis.
  • Program funding administered via RCTI Agreement (Recipient Created Tax Invoice) to be paid monthly, or on completion of the placement (whichever comes first).
  • Practices will be required to complete a request for payment form monthly, or on completion of the placement (whichever occurs first).

Wellbeing Flexible Funding Criteria & Eligibility

  • Open to all primary care providers within disaster affected communities across the Healthy North Coast footprint.
  • Activity must be purposeful, with the aim of increasing the wellbeing of your team.
  • Requests will be assessed on a case-by-case basis, with funding allocated based on team size.*
  • Following approval by Healthy North Coast, funding will be administered via RCTI Agreement (Recipient Created Tax Invoice) upon providing proof of expenses.
  • Funding cannot be used for the purchase of alcohol, or any other goods or services where the vendor cannot quote their Australian Business Number.
  • Planned activities must occur prior to 30th June 2024.
  • Funding will not be available for retrospective activities.
*Team Size
(Total staff and contractors)
Funding Available
Small (1-5)$500-$1500
Medium (6-20)$1500-$4000
Large (>20)$4000-$5000

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