Crisis and support numbers

Dec

20

2021

COVID-19 update

NSW Health has announced updates to the way low-risk COVID-positive patients will be managed in the community.

Healthy North Coast acknowledges that these announcements and the growing number of COVID-19 cases will impact general practitioners and practice staff, as well as other primary care clinicians.

We will continue to share information from NSW Health and the Australian Government with our primary care workforce. Local supports and pathways will also be revised in accordance with the changing guidelines to help our region to navigate the current pandemic response.

Last Friday, NSW Health announced statewide changes to how adults who test positive to COVID-19 and are identified as low risk will receive care.

Dr Kerry Chant, NSW Chief Health Officer and Deputy Secretary Population and Public Health, sent a letter dated 17 December (PDF, 157KB) to all NSW GPs outlining the changes. An excerpt is available below.

From Friday 17 December, confirmed COVID-19 cases who meet certain criteria will be provided information to safely manage their infection at home. The criteria for classifying a case as low-risk are:

  1. between 16 and 50 years of age
  2. have had two doses of COVID-19 vaccine
  3. do not suffer from any chronic medical conditions
  4. non-Indigenous.

Low-risk cases will be given a web link providing advice on how to self-manage at home — Factsheet: Confirmed cases of COVID-19 (nsw.gov.au)

Patients will be advised to call their GP or the NSW Health Support Line on 1800 960 933 if they have any mild symptoms or questions, and to call Triple Zero (000) if it is a medical emergency.

NSW Health has advised that as of 8:30 am Friday 17 December, adults who test positive to COVID-19 and are identified as low risk will be automatically advised via SMS with instructions on how to self-manage at home.

An automated SMS will advise the patient of the positive COVID result, provide information regarding social supports available during isolation, and outline self-care instructions.  A copy of the self-care SMS is below:

Dear NAME

This is an official message from NSW Health

You have recently tested POSITIVE for COVID-19.

If you are under 50 years of age, have had two doses of COVID-19 vaccine and do not suffer from any chronic medical illnesses (listed below). You are at low risk of serious illness and may be able to self-care at home. Most children under 16 years can be safely managed at home, even if not COVID-19 vaccinated.

If this is incorrect or, you are pregnant, please call 1800 960 933, so we can link you in with a health service.

If you have mild symptoms, concerns, or questions, you can call your GP.

If you have a health emergency or are feeling breathless, chest pain or are fainting please call Triple Zero (000) immediately.

For all COVID-19 related information Fact sheets – Confirmed cases of COVID‑19.

The above messaging will likely result in an increase in patients calling general practice to seek support and advice.

GPs are encouraged to access the resources and pathways below, as well as promote the NSW Health Support Line (1800 960 933) to patients. It is recommended that you update your after-hours voicemail messages to include this helpline.

This statewide 1800-number is open 8:30 am – 8:30 pm, 7 days a week, including public holidays. However, lengthy delays are currently being reported. Please ask people to be patient if they find themselves in a queue.

Newly published or updated HealthPathways

For the most up-to-date information on the provision of care for COVID-positive patients, please refer to the Mid and North Coast HealthPathways site, in particular:

Visit HealthPathways for all COVID-related information.

Username: manchealthPassword: conn3ct3d

RACGP COVID-19 positive patient guidelines

The Royal Australian College of General Practitioners (RACGP) has developed a number of resources for GPs and patients, including:

Primary Care Impact topics

A range of quality improvement topics is available through our Primary Care Impact webpages, including COVID-19 Practice Operations and Community Transmission.

Announced on 16 December, mandatory vaccination requirements have been extended to all primary care and other private sector health service providers across NSW. Workers are required to have two doses of a COVID-19 vaccine by 31 January 2022.

The revised Public Health Order will also extend vaccination requirements to health practitioners working in private and community settings, such as doctors, nurses and pharmacists, speech pathologists, dietitians and naturopaths. It will also cover support staff working in these practices.For more information, visit the NSW Health website.

Anyone aged 18 and over is eligible for their booster five months after their second dose. 

Practice staff are encouraged to continue to promote the importance of booster vaccinations. Book your patients in for early 2022 as vaccine stock supplies are replenished.

General practices participating in the next phase of the vaccination program to protect children aged 5–11 years are also due to receive their ordered paediatric Pfizer vaccine doses in early 2022.

Contacting Healthy North Coast during the closure period

Our offices are closed from 5 pm on Friday 17 December 2021, reopening at 9 am on Tuesday 4 January 2022.

During this period, you can continue to reach Healthy North Coast via email at [email protected] or phone on 02 6618 5404.

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Healthy North Coast acknowledges the Traditional Custodians of the lands across our region, and pay our respect to Elders past, present and on their journey. We recognise these lands were never ceded and acknowledge the continuation of culture and connection to the land, sky and sea. We acknowledge Aboriginal and Torres Strait Islander peoples as the Land’s First Peoples and honour the rich diversity of the oldest living cultures.

The PHN program is an Australian Government Initiative.
ACNC registered charity healthy north coast

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.

Read the media release: Aged Care Homes Prepare for Disasters

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.

Visit the Voluntary Assisted Dying webpage

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.

View the Living with Dementia booklet (PDF)

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.

View the deteriorating resident response tool

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.

Download the 'Older people with a focus on priority target populations and access to services' Needs Assessment
Visit the commissioned services listings to find out more, including service contact information.
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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.

Visit the commissioned services listings to find out more, including service contact information.​

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.

Visit the Healthy Me Healthy Community service page
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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.

For more information, visit the Telehealth in Residential Aged Care​ webpage
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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.
Read more about the Greater Choice at Home Palliative Care Program
Download the 2023 Palliative and End-of-life Care Needs Assessment (PDF)

Education & training funding elibility

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

References

  1. Healthy North Coast Health Needs Assessment, 2022-2025
  2. Northern Rivers Community Foundation (2023). Northern Rivers Vital Signs, 2023
  3. Northern Rivers Community Foundation Flood Impact Report, May 2023
  4. Ang, C., Abdo, M., Rose, V., Lim, R., and Taylor, J. (2023). Participatory Grantmaking: Building the Evidence. Centre for Evidence and Innovation. 
  5. Lee, G., Vine, K., Atkinson, A-R., Tong, M., Longman, J., Barratt, A., Bailie, R., Vardoulakis, S., Matthews, V., & Mizanur Rahman, K. (2023). Impacts of Climate Change on Health and Health Services in Northern New South Wales, Australia: A Rapid Review. International Journal of Environmental Research and Public Health, 20, 6285. 
  6. Sewell, T., Stephens, R., Dominey-Howes, D., Bruce, E., & Perkins-Kirkpatrick, S. (2016), Disaster declarations associated with bushfires, floods and storms in New South Wales, Australia between 2004 and 2014. Scientific Reports (6). 
  7. Dominey-Howes, D., Bruce, E., Stephens, R., Perkins-Kirkpatrick, S., & Sewell, T. (2016). Natural disasters are affecting some of Australia’s most disadvantaged communities. The Conversation. 

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