Nov

06

2017

$9.1m in Commonwealth Funding for Aboriginal Health Services

The Federal Minister for Indigenous Health, Mr Ken Wyatt AM, has announced that the Commonwealth has invested more than $9.1 m in a range of health services specifically for Aboriginal communities across the North Coast.

North Coast NSW – comprising Northern NSW and the Mid North Coast – has an average Aboriginal population of 4.5%, nearly double that of other areas of Australia (2.5%).

Funding distributed through North Coast Primary Health Network (NCPHN) enables 14 different service providers to deliver a range of services and programs from Tweed Heads down to the Clarence Valley. These services help fill identified health service gaps and provide specialised training for both health professionals and community members.

In the Needs Assessment conducted by NCPHN last year, health service providers said that mental health and drug and alcohol counselling were the two health services that Aboriginal and Torres Strait Islander people found most difficult to access.

Mr Wyatt said he was delighted that a significant amount of the funding had been distributed to deliver such services and programs to meet the needs of the Aboriginal population.

He also praised the work being done by Aboriginal Medical Services.

“The nine Aboriginal Medical Services in the region, such as Bulgarr Ngaru, Jullums and Bullinah are doing some outstanding work to support their patients. This includes ensuring that community members with chronic disease get to see the health practitioners they need to, are provided with specialised medical aids where necessary and are assisted with transport to attend medical appointments.

“The tremendous work being done by the Aboriginal Community Controlled organisations such as Durri and Rekindling The Spirit, and the other organisations who have received funding, will go a long way to improving health and wellbeing,” he said.

North Coast Primary Health Network Chief Executive Dr Vahid Saberi said it is pleasing that NCPHN had been successful in commissioning such a range of health services specifically for Aboriginal people.

“Our commissioning process has resulted in selecting excellent providers to deliver these services. There is some exciting work happening and I look forward to seeing what is achieved, recognising that more work needs to be done.”

The funding is also providing much needed training in suicide prevention for both community members and health professionals, as well as specialist support for clinicians working with people with drug and/or alcohol issues.

Key North Coast PHN Indigenous investments:

  • Integrated Team Care: $5.029 million (2016-18) to improve access to coordinated care for chronic conditions and culturally appropriate care.
  • Drug and Alcohol Treatment Services for Aboriginal and Torres Strait Islanders: $2.095 million (2016-19) to increase capacity of the drug and alcohol treatment sector though improved regional coordination and by commissioning additional drug and alcohol treatment services for Aboriginal and Torres Strait Islander people.
  • Indigenous Mental Health Flexible Funding: $2.006 million (2016-18) to improve access to integrated, culturally appropriate and safe mental health services that holistically meet the needs of Aboriginal and Torres Strait Islander people.

Source: Ice dependence, chronic disease among targets of North Coast health blitz

 

Click here to download a summary of current NCPHN commissioned services.


 

EXAMPLES OF CURRENT ABORIGINAL HEALTH PROJECTS LISTED BELOW:

INTEGRATED TEAM CARE & OUTREACH PROGRAM

Providers: Jullums Aboriginal Medical Service (AMS) Lismore, Bullinah AMS, Ballina, Bulgarr Ngaru Aboriginal Medical Corporation; Durri Aboriginal Medical Corporation; Werin Aboriginal Corporation Medical Clinic; Bawrunga Coffs Harbour GP Super Clinic Ltd.

This program is run through Aboriginal Medical Services and supports Aboriginal patients with chronic disease in purchasing specialised medical aids and with transport and support to attend GP and specialist medical appointments. Delivered across the entire region.


 

DRUG AND ALCOHOL SERVICE REDESIGN PROJECT

Provider: Jullums AMS and Rekindling The Spirit

The project aim is to align the Alcohol and Other Drug (AOD) service delivered by Jullums to national guidelines for managing people with co-occurring alcohol and drug issues and mental health conditions in community settings. The guidelines will be amended to ensure that the service is culturally appropriate and is tailored to meet the needs of each patient.


 

ADDICTION SPECIALIST CLINICAL SUPPORT SERVICE

Provider: Bulgarr Ngaru Aboriginal Medical Corporation

Addiction specialist support to the clinicians working in Bulgarr Ngaru medical clinics, located in Grafton, Casino and Tweed Heads.


 

CLINICIAN SUPPORT FOR MANAGEMENT AND TREATMENT OF DRUG/ALCOHOL ISSUES

Provider: Bulgarr Ngaru Aboriginal Medical Corporation

Clinician support for management and treatment of drug/alcohol issues – Grafton and surrounds.


 

HEALTHY LIFESTYLE PROGRAM

Provider: Bulgarr Ngaru Aboriginal Medical Corporation

A holistic and culturally appropriate cardiac health prevention and management program – Clarence Valley


 

KIDNEY HEALTH PROJECT

Provider: Bulgarr Ngaru Aboriginal Medical Corporation

The Kidney Health Project aims to improve early identification and interventions to achieve better kidney health, thus preventing the onset of chronic kidney disease. Run in collaboration with Northern NSW Local Health District. To be run across Northern NSW.


 

CLINICIAN SUPPORT FOR MANAGEMENT AND TREATMENT OF DRUG/ALCOHOL ISSUES

Provider: Jullums Aboriginal Medical Service

Clinician support for management and treatment of drug/alcohol issues. Delivered in Lismore and surrounds.


 

HEALTHY LIFESTYLE PROGRAM

Provider: Werin Aboriginal Corporation Medical Clinic

A holistic and culturally appropriate cardiac health prevention and management program. Delivered in the Port Macquarie LGA.


 

BOWRAVILLE FAMILY THERAPY

Provider: Durri Aboriginal Medical Corporation

Assisting families with a range of health related matters, identifying ways to improve health outcomes. Delivered in the Nambucca region.


 

MENTAL HEALTH IMPROVEMENT PROJECT

Provider: Galambila Aboriginal Health Service Corporation

Working with Mid North Coast LHD staff to improve mental health and wellbeing. Mid North Coast region.


 

MAAYU MALI (GROW STRONG PROGRAM)

Provider: Galambila Aboriginal Health Service Corporation

Maayu Mali means to “make better”. It offers a 3-month residential rehabilitation program followed by after-care services, delivered in a culturally sensitive context to people experiencing drug and alcohol addiction. Hastings-Macleay region.


 

EXTENSION OF NAMATJIRA HAVEN “GULGIHWEN” RESIDENTIAL POGRAM & WITHDRAWAL MANAGEMENT SERVICE

Provider: Namatjira Haven

This is a program for Aboriginal men with both alcohol and/or other drug issues and mental health problems. It works to re-connect Indigenous men to their history, culture and community. Delivered for residents in Ballina, Lismore, Byron Bay, Casino and Kyogle.


 

MENTAL HEALTH FIRST AID TRAINING

Provider: Namatjira Haven

Mental Health First Aid courses teach mental health first aid strategies to community members. The first aid is given until appropriate professional help is received or the crisis resolves. Delivered in Alstonville.


 

ALCOHOL AND DRUG TREATMENT INTEGRATION PROJECT

Provider: The Buttery

Aboriginal workforce development, capacity building, information and education for health professionals to improve the coordination and integration of drug and alcohol treatment services. Delivered across Northern NSW.


 

GARIMALEH WERLA NA (TAKING CARE OF YOURSELF PROGRAM)

Provider: University Centre for Rural Health, Lismore

Enhances social and emotional wellbeing, particularly with complex health needs in relation to disconnection, trauma and substance misuse. Delivered in Lismore, Alstonville and Ballina.


 

THE LIFE TREE MENTAL HEALTH & SUICIDE PREVENTION TRAINING FOR ABORIGINAL COMMUNITY MEMBERS

Provider: CRANES

The Life Tree Mental Health & Suicide Prevention Training Program for Aboriginal community members. Delivered across North Coast.


 

THE LIFE TREE MENTAL HEALTH & SUICIDE PREVENTION TRAINING FOR CLINICIANS WORKING IN ABORIGINAL HEALTH

Provider: CRANES

The Life Tree Mental Health & Suicide Prevention Training Program for clinicians working in Aboriginal Health. Delivered across North Coast.


 

ART ON BUNDJALUNG COUNTRY

Provider: North Coast Primary Health Network

A creative arts project to nurture local Indigenous artists and to prepare work for a special exhibition at the new Lismore Regional Gallery late in the year. It’s well known that engagement in the arts can enhance health and wellbeing. Delivered in the Northern Rivers region.


 

HEALTHY MINDS

Provider: North Coast Primary Health Network

A free, referral-based psychological service for those needing access to mental health services who are financially disadvantaged, including members of the Aboriginal community. Delivered across North Coast.


 

MENTAL HEALTH NURSING SERVICES

Provider: North Coast Primary Health Network

For people with a mental illness impacting severely on their lives, including members of the Aboriginal community. Delivered across North Coast.


 

“WE YARN” ABORIGINAL SUICIDE AWARENESS & PREVENTION WORKSHOPS

Provider: Centre for Rural and Remote Mental Health, University of Newcastle

For Aboriginal community members interested in suicide prevention. Delivered across the region.

flags We acknowledge the traditional custodians of the land we live and work, the Bundjalung, Arakwal, Yaegl, Gumbaynggirr, Githabul, Dunghutti and Birpai Nations, and their continuing connection to land, sea and community. We pay our respects to elders past, present and future.

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.

Social prescribing (Healthy Me Healthy Community)

Strategic Priority Area: Securing a Healthier Future

Delivered by Feros Care, the Healthy Me, Healthy Community program aims to build individual and community connections to reduce loneliness and improve wellbeing in Port Macquarie.

The program helps people to connect with community, activities, supports and services that address their broader social determinants of health, as an alternative or supplement to a clinical approach.

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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.

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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