Apr

29

2022

Let’s talk skin cancer and dermatology

Two webinars will be held in May to cover the important topics of skin cancer and dermatology.

With Northern NSW and the Mid North Coast considered ‘NSW melanoma hotspots’, our community members are at a high risk of developing skin cancer.

These topics are essential for healthcare professionals in the region, with 62 cases of melanoma per 100,000 people.1

The skin is a person’s largest organ and accessing timely, affordable, relevant and ongoing care for skin conditions is essential. This is why it’s time to talk skin cancer and dermatology with the experts.

Two webinars will be held, featuring Dr Tristan Hicks and Dr Hsien Herbert Chan respectively:

 

Let’s Talk Skin Cancer – with Dr Tristan Hicks 

Tuesday 3 May 2022 

6:30pm – 8:10pm | Delivered online via LiveWebinar

3 CPD points apply

Register here

 

Let’s Talk Dermatology – with Dr Hsien Herbert Chan

Thursday 5 May 2022

6:30pm – 8:10pm | Delivered online via LiveWebinar

3 CPD points apply

Register now 

*Clinical images invited

 

Who is Dr Hicks?

Dr Tristan Hicks is a specialist GP who has worked as a surgical assistant in theatre as well as in mainstream general practice for a number of years before moving exclusively into the skin cancer field in 2015. He holds a Fellowship of the Skin Cancer College Australasia and is only a few weeks away from completing his Master of Medicine Degree in skin cancer through The University of Queensland.

 

In the ‘Let’s Talk Skin Cancer’ webinar, Dr Hicks will explore:

  • Skin cancer statistics
  • Risk factors, signs and symptoms
  • Aetiology, types and stages of skin cancer
  • Diagnosis and management of skin cancer as well as common skin cancer mimics
  • Techniques that can be used to sample lesions
  • Key considerations involved in deciding surgical margins
  • Methods available to treat and prevent skin cancers including common non-surgical treatments such as systemic and field therapy.

“This webinar will provide insights into the diagnosis, treatment and ongoing management of skin cancers, including melanoma, SCCs and BCCs,” said Dr Hicks.

“It will explore the surgical and non-surgical treatment of common skin cancers, as well recent advances in systemic therapy for metastatic melanoma.”

 

Who is Dr Chan?

Dr Hsien Herbert Chan has been a dermatologist in the Northern Rivers region since 2017. He has a particular interest in the early diagnosis and management of skin cancers and the management of inflammatory skin conditions.

He has recently completed a Confocal Microscopy Fellowship at the Melanoma Institute of Australia and is a Dermatology Staff Specialist at the Princess Alexandra Hospital, Brisbane, where he runs the Confocal Microscopy Clinic for the non-invasive diagnosis and mapping of Lentigo Maligna and atypical melanocytic lesions.

Dr Herbert Chan is co-author of the recently updated Cancer Council Clinical Practice Guidelines for Keratinocyte Cancer and has published research articles on a wide variety of dermatological conditions.

 

In the ‘Let’s Talk Dermatology’ webinar, Dr Chan will cover:

  • Introduction to the skin
  • Eczema, dermatitis and related conditions
  • Psoriasis and other papulosquamous conditions
  • Acne vulgaris, acne rosacea and related disorders
  • Skin infections: bacterial, fungal, and viral
  • Systemic immune reactions affecting the skin
  • Barriers to access, wait times, financial burden and stigma.

“This webinar will expand your skills in diagnosing and treating dermatological conditions in your practice,” said Dr Chan.

“The skin is the largest and most accessible organ, and long-term skin conditions are one of the most common complaints in the primary care setting.”

Learning objectives

 

Let’s Talk Skin Cancer:

  • Describe the burden of melanoma skin cancer in Australia and in our local area
  • Develop a systematic approach to performing skin checks
  • Identify high-risk lesions and when referral may be appropriate
  • Improve the assessment skills needed to support accurate diagnosis of common skin cancers and mimics
  • Explain treatment choices and the role of the multidisciplinary team in the management of high-risk lesions or metastatic disease
  • Outline common surgical margins and how to interpret reports
  • Apply available treatment options, including common field therapies
  • Understand and implement skin cancer prevention strategies and appropriate follow-up.

Register at: https://app.livewebinar.com/779-096-852

 

Let’s Talk Dermatology:

  • Distinguish the characteristics of commonly seen skin disorders
  • Improve confidence in making appropriate diagnosis
  • Recognise the conditions that need urgent referral
  • Appraise the various aetiologies for basic cutaneous lesions
  • Apply a treatment plan and follow up procedure to effectively treat skin disorders.

Register at: https://app.livewebinar.com/692-908-053


*Please note that as part of the webinar, Dr Hsien Herbert Chan invites those attending to send de-identified images for training and education purposes. Patients should be informed as to how these clinical images may be used and the consent process should be documented in the medical records, including the scope and details of the consent. Clinical images can be sent to education@hnc.org.au.

Clinical images used for teaching, training, and research should be de-identified, where possible, and must comply with relevant research or ethical guidelines. When de-identifying photographs, remember that seemingly insignificant features, such as tattoos, can still make a person identifiable to others. Even when all identifying features are removed, sometimes the clinical condition itself may provide recognition – the rarer the clinical presentation, the more likely it may be identifiable.

Clinical images taken by doctors on their personal mobile device in the course of providing clinical care are part of, and should be stored securely in, patient’s health record. This means that clinical images are treated in exactly the same way as other clinical records in terms of security and decisions about disclosure. For young children, their parents or guardians must provide consent.

Privacy Amendment Act 2012 – https://www.legislation.gov.au/Details/C2012A00197 

 

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

Strategic Priority Area: One team

Empowering aged care teams to deliver safer, more consistent care.

The Deteriorating Resident Triage Tool (DRRT) supports aged care staff to confidently recognise and respond to signs of resident deterioration. It enables timely, evidence-based decisions, strengthens communication with health services, and promotes early intervention and effective care planning, helping residents receive the right care, at the right time, in the right place. By doing so, it reduces unnecessary Emergency Department presentations and improves resident outcomes.

Developed in collaboration with a specialist geriatrician and informed by input from Residential Aged Care Managers, NSW Ambulance, GPs, and clinical experts across the Mid and North Coast Local Health Districts, the DRRT is practical, relevant, and aligned with contemporary best practice.

Aligned with the Strengthened Quality Standards:

  • Standard 1 – The Person: Respects resident preferences and Advance Care Directives.
  • Standard 2 – The Organisation: Strengthens governance and clinical oversight.
  • Standard 5 – Clinical Care: Supports early recognition and escalation of clinical deterioration.

North Coast care finders program

Strategic Priority Area: No one is left behind

Care finders is a free service to assist older adults connect to aged care services and supports. Care finders support older people who experience significant barriers to accessing services, and walk alongside their clients at their own pace, to understand their individual situation and support them to work through the steps to address their needs. Care finders assist people with access to other supports in the community. They can provide connections both with accessing services for the first time, and with changing or finding new services and supports if their needs change.

Care finders can:

  • Provide information about local aged care services
  • Help to set up an assessment with My Aged Care to access support, and
  • Find services that are targeted and available to help.

The care finder program has been extended to June 2029 and is provided by the following organisations. Each (Lismore, Coffs Harbour, Clarence Valley, Richmond Valley, Port Macquarie-Hastings, Kempsey, Nambucca and Bellingen) and Footprints (Kyogle, Tweed, Byron and Ballina).

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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.

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.

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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

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