Apr

01

2021

Tresillian Macksville Residential Unit Accepting Referrals

The new Tresillian Macksville Residential Unit is accepting referrals. It is the first regional inpatient specialist child and family health unit to be established in Australia.

GPs and other health professionals can refer families to the residential unit by clicking here and choosing Macksville as the location option on the last page.

Tresillian has partnered with the Mid North Coast Local Health District to establish the new unit, which consists of four family suites. It is for the families of children aged from birth to 36 months who are experiencing significant parenting challenges that require intensive intervention and strategies to promote family health and wellbeing.

Families are admitted for four nights/five days. An interprofessional team provides care and, in partnership with families, aims to increase confidence, resolve concerns and provide guidance on issues such as:

  • Adjustment to parenting
  • Breast or formula feeding
  • Sleep and settling strategies
  • Diet and nutrition
  • Multiple babies
  • Toddler behaviour
  • Anxiety and postnatal depression
  • Parent-child relationship difficulties

Upon admission, nurses will conduct a psychosocial assessment. Individuals deemed to be at risk of moderate postnatal depression and/or anxiety will be further assessed by a psychologist or appropriately qualified social worker or mental health nurse. Further psychiatric assessment is also available following the psychosocial assessment and review if required.

Tresillian estimates, based on experience in other centres, that around 30 per cent of clients will require a psychological assessment.

For more information on the Tresillian Macksville Residential Unit and its services, contact Mel Tait on 0428 923 531 or email: [email protected]

Tresillian also offers services (including day services) at the Tresillian Coffs Harbour Family Care Centre and from the Tresillian 2U Mobile Van, which visits Bowraville, Macksville, Nambucca Heads, Kempsey and Wauchope on a rotating schedule, telephone (02) 6691 1912 or 0456 956 673.

Susie's Story

Susie was so excited to welcome her first baby, Noah, after a normal delivery, but in the second week after Noah’s birth, Susie felt unwell.

Susie was admitted to hospital, where she found it difficult to care for a new baby. She was placed on antibiotics.

Soon after, Susie noticed that Noah was becoming increasingly unsettled and had difficulty going to sleep. Although she thought it might be the effect of the antibiotics, his unsettled behaviour only became worse after she stopped taking them.

Susie was referred by her child and family health nurse to the Tresillian2U mobile service for comprehensive assessment and support with Noah’s sleep difficulties.

The Tresillian2U nurse identified that Susie was showing signs of depression and anxiety. She’d previously had an eating disorder.

Susie was referred to her GP and commenced taking antidepressants. Noah’s unsettled behaviour was most pronounced at night, so the Tresillian2U nurse provided a referral for Susie and Noah to the new Tresillian Macksville Residential Unit.

On arriving at the unit, Susie was incredibly relieved and thankful she could access this service on the Mid North Coast, saying, “There is no way I could have taken him to Sydney, he screams in the car the whole time.”

Susie received 24-hour support during the four night / five day admission, telling the nurses, “It’s a huge relief to see improvements in Noah’s sleeping, every day got a little bit better.”

Susie was also able to have a review with the psychiatric registrar and Tresillian clinical nurse consultant-perinatal mental health, who liaised with her GP about the ongoing plan to treat her symptoms of depression and anxiety.

Susie said the support of the staff and nurses ‘meant I felt really safe, supported and empowered, building my confidence up’.

*Names changed to maintain patient confidentiality.

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.

The booklet includes commonly asked questions for people to ask their GP and/or specialist.

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.

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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.

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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Digital Health in Residential Aged Care

Strategic Priority Area: Improving Lives Now

Timely access to primary health care professionals, whether through face-to-face consultation or telehealth, is recognised as an issue for many Residential Aged Care Homes (RACHs), that in some cases can lead to potentially preventable hospitalisations. RACHs require adequate telehealth facilities to support access to virtual consultations for their residents.

Project goals

  • Assist participating RACHs to have appropriate telehealth facilities and equipment to enable their residents to virtually consult when needed with their primary health care professionals, specialists and other clinicians. 
  • Provide training to participating RACH staff to support them to have the capabilities to assist their residents in accessing virtual consultation services.
  • Encourage increased use of My Health Record by RACHs, to improve the availability and secure transfer of resident’s health care information between RACHs, primary care and acute care settings.
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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