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1 

Naracoorte 
10 Year Local Health Service Plan 

 

 

2011   2020 

Naracoorte Area Health Advisory Council
Naracoorte Health Service

Country Health SA Local Health Network



 
2 

10 Year Local Health Service Plan  
 

Naracoorte Health Service 
 

2011 - 2020 
 

Table of Contents 
 

1. Executive Summary .......................................................................................................3 
2. Catchment summary......................................................................................................5 
3. Needs Analysis summary..............................................................................................7 
4. Local implications of Statewide plans..........................................................................9 
5. Planning Principles...................................................................................................... 10 
6. Service Delivery Plan................................................................................................... 11 

6.1 Core Services to be Sustained ............................................................................... 11 
6.2 Strategies for new / expanded services .................................................................. 14 

7. Key Requirements for Supporting Services............................................................... 19 
7.1 Safety &amp; Quality...................................................................................................... 19 
7.2 Patient Journey ...................................................................................................... 20 
7.3 Cultural Respect..................................................................................................... 21 
7.4 Engaging with our community................................................................................. 23 
7.5 Local Clinical Networks .......................................................................................... 24 

8. Resources Strategy ..................................................................................................... 25 
8.1 Workforce............................................................................................................... 25 
8.2 Infrastructure .......................................................................................................... 26 
8.3 Finance .................................................................................................................. 26 
8.4 Information Technology .......................................................................................... 27 
8.5 Risk Analysis .......................................................................................................... 27 

9. Appendix ...................................................................................................................... 28 
9.1 Leadership Structure .............................................................................................. 28 
9.2 Methodology........................................................................................................... 28 
9.3 Review Process...................................................................................................... 28 
9.4 Glossary................................................................................................................. 28 

 

  Date: 3 June 2011 
 

 

 

 



 
3 

1. Executive Summary 
 

Background and context 
The Naracoorte and Area Health Advisory Council (NAHAC) together with the Naracoorte Health 
Service (NHS), with the support of the Country Health SA Planning Projects Team, have worked 
closely in the development of the 10 Year Health Service Plan including implementation of the 
community consultation and oversight of the planning process. 
As a major stakeholder, the Kincraig Medical Clinic medical officers in Naracoorte were involved with 
the consultation and engaged closely with the Planning Team in providing information and advice 
towards development of the 10 Year Health Service Local Plan. The Kincraig Medical Clinic is an 
important partner in the delivery of a broad health service for the residents of the Naracoorte 
catchment. 
Naracoorte Health Service provides care to the Naracoorte Lucindale Council catchment extending 
into western Victoria.  It is recognised that residents living in Avenue and other areas west of 
Lucindale in the Naracoorte and Lucindale Statistical Local Area (SLA) also access services from the 
Kingston Soldiers  Memorial Hospital.  For more complex services such as maternity services, the 
Naracoorte Health Service catchment extends to centres including Bordertown, Kingston and Robe. 
Between July to December 2009 the community consultation process sought feedback on the health 
service needs of the local population. In early 2010, the Naracoorte Executive Team, in partnership 
with Health Advisory Council (HAC) members, undertook a needs analysis process to capture the 
strengths, weaknesses, opportunities and threats (SWOT) of existing services and future directions. 
The needs analysis has drawn on information obtained through the consultation process and analysis 
of the Health Service Profile and other relevant data. A total of 56 consultation activities were held 
using 72 volunteer hours to obtain this data. 
Key components of the Plan 
Key evidence which supports the strengthening of existing services, as well as the development of 
new programs, includes the projected population statistics, the right for people to access services 
close to home within resources, as well as a high prevalence of chronic disease (asthma, 
cardiovascular disease and mental illness) in comparison to the overall South Australian rate.  It is 
noted that the Aboriginal and Torres Strait Islander population represents 1.1% of the catchment 
population compared with 3.1% across South Australia. Residents who speak a language other than 
English at home represent 4.2% of the catchment population. Population projection data indicates that 
there will be a slight increase in the catchment population to the year 2021.  
Sustaining, maintaining and developing current services to meet the growth and needs of the 
community is the primary focus of the plan including 24/7 emergency services, acute inpatient care, 
elective surgery, maternal and neonatal care, aged care, community and outpatient care, palliative 
care, clinical support services, medical specialties services, mental health services, and services to 
meet the cultural diversity of residents in the area including Aboriginal people who have poorer health 
outcomes. 
Recommendations 

  Upgrade of facilities is required across the health site, including GP practice moving to NHS 
grounds and upgrade of hospital, aged care and community areas. 

  Investigation of the ability to have a CT scanner on site. 
  Ongoing review and planning of acute care hospital, aged care and community health services 

to meet the projected growth of the area including rehabilitation, secure dementia unit on site, 
mental health services, preventative health programs, primary health care. 

  Continue to refine service provision in response to the range of available specialists, 
community need for maintaining services in place, and building the range of services in 
response to need. 

  Implement strategies to improve timely access to elective surgery in pressure areas (e.g. 
orthopaedics) and further improve timely access to other areas of identified surgical need. 

  Ongoing workforce development, recruitment and retention of community, hospital and 
medical health professionals. 



 
4 

  Strengthen links between health services and culturally and linguistically diverse and 
Aboriginal client groups.  

  Improve information and communications technology (ICT) support to meet clinical and non 
clinical requirements. 



 
5 

 

2. Catchment summary 
 

Introduction 
 

The township of Naracoorte is located approximately 335 kilometres south-east of Adelaide and 
approximately 100 kilometres north of Mount Gambier Country General Hospital.  
 

The Naracoorte Health Service is situated within the Naracoorte Lucindale Local Government area. 
The catchment area for the health service encompasses the Naracoorte and Lucindale Statistical 
Local Area which includes Kybybolite and Frances to the north-east, Struan and Wrattonbully to the 
south, and Lucindale and Avenue to the west although the latter also accesses services in Kingston 
(see map below). The catchment also extends into Victoria, with residents from Apsley, Minimay, 
Neuarpurr, Bringalbert, Langkoop and Poolaijelo, accessing regular health services from the 
Naracoorte Health Service. 
 

 

Reference: http://www.atlas.sa.gov.au/  
 

Population 
 

The resident population for the Naracoorte catchment is 8,799 (ERP, 2011), and 695 from the 
Victorian catchment area (ABS, 2006). People from Aboriginal and Torres Strait Islander backgrounds 
comprise 1.1% of the Naracoorte catchment compared with 3.1% of the total country South Australian 
population. Approximately 4.2% of the population in the Naracoorte catchment speak a language 
other than English at home, compared with 3.9% of the total country South Australian population. 
 

When compared with country South Australian averages, in the Naracoorte catchment there is a 
higher proportion of the population in the 0-14 age group, and a slightly lower proportion in the 15-24 
age group.  Approximately one-third of the population is under 24 years of age. The projected 
population for the catchment area is estimated to increase slightly by the year 2021. The fertility rate 
for the catchment is approximately 2.3. This is above replacement level and higher than the South 
Australian rate (1.82). The indirect standardised death rate for the catchment (6.4) is slightly higher 
than the South Australian average (6.1).  
 



 
6 

The broader Limestone Coast region (which includes Naracoorte, Bordertown, Kingston, Penola, 
Millicent and Mount Gambier) had an estimated 589,000 overnight visitors and 1,758,000 day visitors 
in 2007.  There were 13,000 visitors to Naracoorte in 2008.  
 

    Table 1: Naracoorte catchment population 
 

 

Nar/Luc 
SLA 

Vic 
CDs* 

Total 
Area No. Area % 

USE 
Cluster  

Cluster* 
% 

Country 
SA % SA total % 

Total Population 8,799 695 9,494 
 

19,806  490,635 1,667,444 
     

    

Males 4,545 354 4,899 51.6% 10,289 51.9% 50.5% 49.4% 
Females 4,254 341 4,595 48.4% 9,517 48.1% 49.5% 50.6% 
     

    

0-14 years  1,673 151 1,824 19.2% 3,764 19.0% 20.4% 18.5% 
15-24 years 1,075 55 1,130 11.9% 2,356 11.9% 11.4% 13.3% 
25-44 years 2,339 162 2,501 26.3% 5,133 25.9% 25.1% 26.7% 
45-64 years 2,409 209 2,618 27.6% 5,469 27.6% 27.3% 26.1% 
65-84 years  1,106 105 1,211 12.8% 2,670 13.5% 13.9% 13.4% 
85 years and over 197 13 210 2.2% 414 2.1% 1.8% 2.0% 
     

    

ATSI* 94 6 100 1.1% 208 1.1% 3.1% 1.7% 
CALD* (Speaks a 
language other than 
English at home) 

599 10 609 6.4% 823 4.2% 3.9% 12.2% 

Source: Projected population by age and sex   SLAs in South Australia, 30 June 2011,  
Department of Planning and Local Government 

*Source: 2006 ABS Census 
 

Socioeconomic factors 
 

The catchment region has been identified as outer regional indicating a moderate level of remoteness 
when compared with other South Australian locations. The catchment reflects a moderate degree of 
socioeconomic disadvantage.  
 

Based on data which monitors the trends of diseases, health related problems, risk factors and other 
issues across major regional areas, the South East region demonstrates higher levels of risk factors 
for overweight, obesity, physical inactivity, and smoking when compared with total South Australia. 
The prevalence of chronic disease for persons aged 16 years and over in the South East region 
demonstrates a higher prevalence of diabetes when compared with total South Australia. 
 

The Limestone Coast is one of South Australia's highly productive and diverse agricultural regions 
with a range of products including vegetables, wine grapes, cereal grain, softwood timber, pastures 
and livestock. Fishing is also a major contributor to the regional economy and aquaculture an 
emerging industry. Unique natural attractions such as the World Heritage listed Naracoorte Caves 
and the Blue Lake at Mount Gambier contribute to an active tourism industry. 
 

Agriculture, forestry and fishing make up 29% of total employment across the Naracoorte catchment, 
followed by manufacturing (12%) and retail trade (11%). The Upper South East region, along with 
other major areas of the State, has been identified for exceptional circumstances due to the prevailing 
drought. 
 

 

 

 



 
7 

3. Needs Analysis summary  
 

Introduction 
 

The Naracoorte and Area Health Advisory Council (NAHAC) has worked with Country Health SA to 
develop a 10 year Health Service Plan for the Naracoorte area. The role of the NAHAC was to consult 
with the local community to discuss health issues, priorities and needs and to provide advice on 
behalf of the local community to Country Health SA Local Health Network (CHSALHN). To achieve 
this, the NAHAC conducted discussion groups and face-to-face interviews between July and 
December 2009. Participants in the consultations identified health problems, suggestions to improve 
health services and information for future health service delivery locally and in the South East. 
Activities undertaken during the consultation process, including hours of NAHAC member time 
dedicated to the process, are outlined in the following table. 

Activity Number Activities 
Number 

Participants 
Volunteer 

Hours 

Discussion Groups/Forums/ 22 NA 66 

Face to face Interviews 3 3 6 
Written Submissions 3 3  
Staff and Health Service 
providers Survey  28   

Total  56 6 72 
 

As part of the Naracoorte area 10 year health service planning process, the Naracoorte Health 
Service and NAHAC undertook a needs analysis to capture the strengths, weaknesses, opportunities 
and threats of existing services and future directions. 
A small working group with key staff from the health site and the CHSALHN Planning Officer collated 
and considered all of the information from the HAC community and stakeholder consultations, the 
Health Service Profile and existing local, state and national strategic directions and plans.  
 

Overall priorities from the needs analysis by service delineation returned the following information: 
 

Emergency Services 
  GP practice relocation.  
  Maintain and strengthen 24 hour access to Accident and Emergency (A&amp;E). 
  Development of business case for CT scanner for Upper South East. 
  Improve communication with identified stakeholders. 
  Clarify access to A&amp;E especially out of hours. 

Acute Care 
  Maintain current services and increase services to meet the needs of the community. 
  Explore opportunities to increase academic research and training. 
  ICT critical to support clinical requirements and planning for the future. 

Aged Care 
  Upgrade facilities to current standards allowing for equity of accommodation standards. 
  Develop business case for establishment of dementia unit. 
  Further opportunities for developing alternative care models, especially community based. 
  Increase community awareness of participation in volunteer services. 

 



 
8 

Community Health and Outpatient Services 
  Further develop a service plan in partnership with South East Regional Community Health 

Service (SERCHS) for continuity and available services for allied / community based health 
services in consultation with cluster resources.  

  Development of a service plan for the provision of dental and hearing services. 
  Accessing services across a 7 day week   including contingencies. 
  Investigate further opportunities for joint projects between the main health providers   Kincraig 

Medical Clinic, SERCHS and NHS. 
  Investigate opportunities for simplifying access for consumers. 

Palliative Care 
  Contribute to cluster review and plan palliative care services including a review of palliative 

care programs with a view to streamlining services. 
  Develop plan for upgrade, replacement and storage of palliative care equipment. 
  Recruitment and training of existing and new staff for palliative care services 24/7. 

Respite Care 
  Need for coordinated case management approach to respite care. 
  Increased focus on family preparation for respite as a planned approach rather than in a crisis 

situation.  
  Dementia specific facility inclusive of respite for emergency access. 

Clinical Support Services 
  Recruitment of staff to support radiology and ultrasound service. 
  Progress the issue of digital imaging / results for radiology services. 
  Develop a business plan for the installation of CT scanner for Upper South East. 

Medical and GP Specialists 
  Move Kincraig Medical Clinic to hospital grounds to support clinical care, ease of access and a 

health focus on one site.  
  Attract additional visiting specialists in response to the needs of the community (e.g. 

endocrinologist, psychiatrist, gerontologist, paediatrician, neurologist). 
  Secure places for GP training for obstetrics and anaesthetics. 
  Attraction and retention of skilled health care staff. 
  Establishment of new and building on existing services in response to community need (e.g. 

pain clinic, chemotherapy). 
Mental Health 

  Increased focus on mental health, in all areas from prevention to acute crisis. 
  Improve supports for situational crisis including admission, timely transport and safe spaces 

consistent with Mental Health Act (2009) guidelines. 
  Continue to support staff / medical officers through Rural and Remote Mental Health Service, 

education, consultant support. 
Maternal and Neonatal Health 

  Continue to support staff / medical officers through on site training and education. 
  Ensure ongoing consultant support for obstetrics, gynaecology and paediatrics. 
  Recognise and address the needs of culturally and linguistically diverse client groups. 

Oral Health 
  Increase surgical oro-maxillo-facial sessions in response to demand. 
  Increase visiting dentist to residential aged care area. 

Key Supporting Services 
  NHS requires high level of maintenance support to allow for service provision. 
  Changes in corporate structure has impacted on access to local workforce. 
  Work environment is challenging due to age of facilities. 

 

Key evidence which supported the strengthening of core services as well as the development of new 
and expanded services is supported by data gathered by NHS and NAHAC including bed days, 
waiting times and demand for services.  
 

 



 
9 

4. Local implications of Statewide plans 
 

The Strategy for Planning Country Health Services in South Australia, endorsed in December 2008, 
builds on the vision in South Australia s Health Care Plan 2007-2016, South Australia s Strategic 
Plan, and the SA Health Aboriginal Cultural Respect Framework and sets out how to achieve an 
integrated country health care system so that a greater range of services are available in the country, 
meaning fewer country residents will need to travel to Adelaide for health care. 
 

The Strategy identifies the need for significant changes to achieve a sustainable health system that 
addresses the contemporary challenges facing the health system.  The main factors contributing to an 
increasingly unsustainable health system include the ageing population, increasing prevalence of 
chronic diseases, disability and injury, poorer health of Aboriginal people and people of lower 
socioeconomic status, and increasing risks to society from communicable diseases, biological threats, 
natural disasters and climate change. 
 

A number of Statewide Clinical Service Plans have been developed, or are currently under 
development, providing specific clinical direction in the planning of services.  Interpreting these plans 
for country South Australia and specific health units is an important element of the planning process 
for Country Health SA.   The enabling factors which are demonstrated across the statewide clinical 
plans include: 
 

  Multi-disciplinary teams across and external to the public health system. 
  Patient focused care. 
  Care as close to home as possible. 
  Teaching and research integrated in service models. 
  Integrated service model across the continuum of care. 
  Streamlining access to specialist consultations. 
  Increasing use of tele-medicine. 
  Improving Aboriginal health services. 
  Focus on safety and quality. 
  Recruiting and developing a workforce to meet future service models. 
  Engaging closely with consumers and community. 
  Developing the infrastructure to meet future service models. 
  Clinical networking and leadership. 
  Connecting local patients with pathways to higher level care needs. 
  Reducing progression to chronic disease for at risk populations. 

 

Strategies within the Statewide Clinical Service Plans which support the achievement of local needs 
have been integrated through the 10 Year Health Service Plans. 
 

 



 
10 

5. Planning Principles 
 

The Strategy for Planning Country Health Services in South Australia set out important principles 
which have been used to guide the local planning which include: 
 

1. Focusing on the needs of patients, carers and their families utilising a holistic care 
approach.  
 

2. Ensuring sustainability of country health service provision.  
 

3. Ensuring effective engagement with local communities and service providers.  
 

4. Improving Aboriginal health status.  
 

5. Contributing to equity in health outcomes.  
 

6. Strengthening the IT infrastructure.  
 

7. Providing a focus on safety and quality.  
 

8. Recognising that each health service is part of a total health care system.  
 

9. Maximising the best use of resources.  
 

10. Adapting to changing needs.  
 

 

 

 

 

 



 
11 

6. Service Delivery Plan 
 

6.1 Core Services to be Sustained 
 

Service Category Service Description Target Group Directions over next 10 years 
Emergency Service   24/7 access to A&amp;E with lower triage 

patients reporting directly to GP 
when the local practice is open Mon-
Fri, and at session times on 
weekends 

  On call emergency response is 
supported by local medical officers 
with nursing staff available to support 
emergency response through the 
theatre on call roster 

  Duty doctor works on site out of 
MacMillan Wing providing prompt 
response to emergency calls during 
clinic times 

Naracoorte / 
Lucindale and 
Western Victoria 
community and 
visitors 

  Redevelopment of A&amp;E area both at Hospital and for Kincraig 
Medical Clinic practice 

  Relocation of entire GP practice on site 
  Maintain and strengthen 24 hour access to A&amp;E 
  Develop a business case for CT scan for the Upper South East 
  Improve current communication and workplace strategies with key 

stakeholders to provide a more comprehensive A&amp;E service to the 
community 

  Clarify access to A&amp;E especially out of hours 
  Review and seek funding to increase emergency care training 

opportunities 
  Continue to review security for staff safety  
  See section 8.1 

Acute Inpatient Care   Broad range of acute care services 
including high level acute 

  Broad range of both day and 
overnight stay surgical services 
(including orthopaedic, gynaecology, 
ENT, urology, plastics and general 
surgery specialties) 

  Rehabilitation services post 
orthopaedic surgery available on site 
(hydrotherapy pool)  

 

Naracoorte / 
Lucindale and 
Western Victoria 
community and 
visitors 

  Maintain current services and increase services to meet the needs of 
the community 

  Explore opportunities to increase academic research and training 
  ICT critical to support clinical requirements and planning in the future 
  Review and seek funding to increase acute care training 

opportunities 
  Review of funding levels to provide timely access to elective surgery 
  Increase opportunities for local pre-habilitation and rehabilitation 

services for orthopaedic surgery in conjunction with rehabilitation 
services provided at Mt Gambier Hospital 

  Continue to progress plans to upgrade NHS facilities 
  See section 8.1 

Aged Care   A number of a aged care providers 
available to the community 

  Range of home based, low and high 
level care services to those 
assessed as needing residential care 

 

Naracoorte / 
Lucindale and 
Western Victoria 
community  
Surgical services also 
provided to Upper 
South East Cluster 
for a wide range of 

  Upgrade facilities at NHS to current standards  
  Explore opportunities for developing alternate care models, 

especially community based1  
  Increase community awareness of participation in volunteer services 
  See sections 6.2 and 8.1 

                                                      
1

 Health Services Framework for Older People 2009-2016 



 
12 

services  
Community Health &amp; 
Outpatient services 

  Community health services provided 
by SERCHS 

  Private providers support community 
needs for allied health consultations 
and care 

  Wide range of services available 
  Hydrotherapy pool available for 

community use 

Naracoorte / 
Lucindale and 
Western Victoria 
community 

  Further develop a service plan in partnership with SERCHS for 
continuity of services for allied / community based health services in 
consultation with cluster resources2 

  Develop a service plan for the provision of dental and hearing 
services 

  Investigate further opportunities for joint projects between main 
health providers   Kincraig Medical Clinic, SERCHS and NHS 

  Investigate opportunities for simplifying access for consumers to care 
and services  

  See sections 6.2 and 8.1 
Palliative Care   Flexible and responsive service 

available across the continuum of 
care 

  Professional service offered by 
SERCHS across the Upper South 
East cluster 

  Dedicated palliative care room  

Naracoorte / 
Lucindale and 
Western Victoria 
community  
 

  Contribute to cluster review and plan palliative care services 
including a review of palliative care programs with an aim to 

streamline services3 
  Develop and plan for upgrade and replacement of palliative care 

equipment 
  Review and seek funding to increase  training opportunities 
  See sections 6.2 and 8.1 

Respite Care   A variety of providers of respite care 
in the area providing different options 
for care in response to individual 
need / best fit 

  ACAT team provides a coordinated 
multi-disciplinary approach to respite 

Naracoorte / 
Lucindale and 
Western Victoria 
community  
 

  Move to a case management approach to respite care 
  Increase focus on family preparation for respite in a planned manner, 

as opposed to crisis management 
  Investigate and extend ability to manage dementia specific respite for 

crisis situations4 
  Review and seek funding to increase  training opportunities 
  See section 8.1 

Clinical Support 
Services 

  Radiology services provided on site 
  24/7 on call  

  Limited access to ultrasound 
  Small workforce available locally 
  Gribbles patient collection services 

available Mon-Fri 
  Access to pharmacy services 

(including starter packs of medication 
available after hours) 

Naracoorte / 
Lucindale and 
Western Victoria 
community and 
visitors as well as 
across entire Upper 
South East area 

  Recruitment of staff to support radiology and ultrasound services 
  Progress the issue of digital imaging and reading of results for 

radiology services 
  Planning and expanding radiology services to the Naracoorte / 

Lucindale and Western Victoria cluster (including exploring options 
for electronic records) 

  See sections 6.2 and 8.1 

Medical Specialist 
Services 

  GP services currently provided 
locally at Kincraig Medical Clinic 
(including choice of GP) 

  Duty doctor and some medical 

Naracoorte / 
Lucindale and 
Western Victoria 
community and 

  Progress Kincraig Medical Clinic plans to move practice to hospital 
grounds thereby providing support to clinical care, providing ease of 
access and an increased focus on health at one site 

  Attract additional visiting specialists in response to the needs of the 

                                                      
2

 Chronic Disease Action Plan for South Australia 2009-2018 
3

 Palliative Care Services Plan 2009-2016 
4

 South Australia s Dementia Action Plan 2009-2010 



 
13 

officers consult on site at NHS 
  Wide range of visiting specialists 

provide both a consulting and 
surgical service supported, when 
needed, by local medical practice 

 

visitors 
Specialty services 
support Upper South 
East cluster 

community including endocrinologist, psychiatrist, gerontologist, 
paediatrician, neurologist 

  Secure places for GP training for obstetrics and anaesthetics 
  Establish a additional building for existing services in response to 

community need   pain clinic, chemotherapy 
  See section 8.1 

Mental Health   In-patient care available 
  Visiting community mental health 

workforce  
  Range of mental health programs 

and services available through 
SERCHS 

  Access to Rural and Remote Mental 
Health Services through 
telemedicine 

Naracoorte / 
Lucindale and 
Western Victoria 
community and 
visitors 

  Increase focus on mental health in all areas from prevention to acute 
crisis5 

  Improve supports for situational crisis 
  Support limited treatment beds for the South East  
  Continue to support staff and medical officers through educational 

opportunities, consultant support and through provision of links to 
supports such as Rural and Remote Mental Health Services 

Maternal &amp; Birthing 
Services 

  Low risk single birth  
  Theatre and staffing available for 

caesarean sections 24 hours a day, 
7 days a week 

  Antenatal care provided through 
private practice 

  Antenatal booking in clinics offered 
to all women  

  Community midwife visits postnatally 

Naracoorte / 
Lucindale and 
Western Victoria 
community plus 
residents of entire 
Upper South East 
area as Naracoorte is 
the only obstetric 
provider in the cluster 

  Continue to support staff and medical officers through on site training 
and education 

  Ensure ongoing support through a visiting consultant service for 
obstetric and gynaecology patients 

  Recognise and address the needs of culturally and linguistically 
diverse clients 

  Review and seek funding to increase midwifery training opportunities 
  See section 8.1 

Oral Health   Visiting specialist provides surgical 
care 

  Dental service available through 
private providers and school dental 
services 

  Visiting service to residential care 

Naracoorte / 
Lucindale and 
Western Victoria 
community and 
visitors 

  Increase surgical oro-maxillo-facial sessions in response to demand 
  Increase visiting dentist to residential aged care area 

Aboriginal Health   Support provided by local Aboriginal 
Health Care worker 

  Services also provided out of 
Pangula Nunamara located in Mount 
Gambier 

  Visiting clinic accessible to clients 
throughout the South East area 

Naracoorte / 
Lucindale and 
Western Victoria 
Aboriginal community 
and visitors 

  Implementation of the Aboriginal Patient Pathways Officer position 
  Link into initiatives planned and identified by local South East 

Aboriginal Health Advisory Committee (AHAC) 
  Link to Aboriginal Nursing and Midwifery Plan managed through 

South East Directors of Nursing group 
  See section 8.1 

                                                      
5

 South Australia s Mental Health and Wellbeing Policy 



 
14 

 

6.2 Strategies for new / expanded services 
 

Service objective: Relocate the entire GP practice to Naracoorte Health Service thereby providing health services on one site for the community  
Target group: Upper South East area inclusive of Naracoorte / Lucindale and Western Victoria community and some procedures for the Kingston and 

Bordertown communities 
Critical milestones: NA 
 

Outcomes Strategies Time Frames  
  Kincraig Medical Clinic to move entire practice to NHS site, 

allowing for ready access to services and prompt response 
to emergency care 

  More appropriate consultation rooms available to the 
community 

  NHS to support the move and progress their support though SA Health 
  Maintain effective communication of plans with both Kincraig Medical Clinic 

and NHS. CHSALHN to be informed of progress and contacted as required 
 

TBD 
 

 

 

 

 

 

Service objective:  Investigate the opportunity to establish an Upper South East based CT scanner at Naracoorte 
Target group:  Upper South East area inclusive of Naracoorte / Lucindale and Western Victoria community, Kingston and Bordertown communities 

Critical milestones: NA 
 

Outcomes Strategies Time Frames  
  Determine support for a CT scanner for use by Upper 

South East health services 
 

 

  Monitor and review demand for services locally 
  Explore potential for having service provided at Naracoorte 
  Establish a core group to investigate options available 
  Develop a business case should the need be justified 

TBD 
 

 

 

 



 
15 

 

Service objective: Enhance surgical services in response to community need 
Target group: Upper South East area inclusive of Naracoorte / Lucindale, Western Victoria, Kingston and some procedures for the Bordertown 

community 
Critical milestones: NA 
 

Outcomes Strategies Time Frames  
  Specialist services will be responsive to the needs of the 

community 
  Identified gaps in service provision will be investigated and 

where possible addressed 

  NHS to review service needs in response to Booking List Information System 
(BLIS) data, leakage to other sites as well as community feedback 

  Maintain effective communication of surgical service provision between 
Kincraig Medical Clinic and NHS and individual specialists as required 

TBD 
 

 

 

 

 

Service objective: To provide effective pre-hablitation and rehabilitation to the community6 
Target group: Upper South East area inclusive of Naracoorte / Lucindale, Western Victoria, Kingston and some procedures for the Bordertown 

community 
Critical milestones: NA 
 

Outcomes Strategies Time Frames  
  Rehabilitation services are provided as close to home as 

possible 
 

  NHS and local physiotherapy area to work together to identify areas of need 
and use this data to lobby for facilities and funding  

  Strengthen linkages to rehabilitation services in the Country General Hospital 
at Mount Gambier 

TBD 
 

                                                      
6

 Statewide Rehabilitation Service Plan 2009-2017 



 
16 

 

Service objective: To provide safe, appropriate dementia care to the Upper South East client group7 
Target group: Upper South East area inclusive of Naracoorte / Lucindale, Western Victoria, Kingston and some procedures for the Bordertown 

community 
Critical milestones: NA 
 

Outcomes Strategies Time Frames  
  Address the needs of people with dementia and provide 

care as close as possible to home 
  Upper South East cluster to work with other aged care providers to determine 

the extent of need for dementia specific accommodation 
  Develop a business case to support the establishment of a dementia specific 

unit should the need be justified 

TBD 
 

 

 

 

 

Service objective: Strengthen primary and preventative health care provided to the community8 
Target group: Naracoorte / Lucindale and Western Victoria community  

Critical milestones: NA 
 

Outcomes Strategies Time Frames  
  Address the needs of the community for primary health 

care, preventative health care and early intervention 
 

 

  Use demographic data to identify areas of need 
  Specific focus on smoking cessation 
  Continue to identify opportunities to work collaboratively across NHS, Kincraig 

Medical Clinic and SERCHS 
  Explore opportunities for developing alternate models of care   with particular 

emphasis on those that are community based 
  Explore opportunities to establish a 7 day per week service for community 

based services including contingencies 

TBD 
 

 

 

 

 

 

                                                      
7

 South Australia s Dementia Action Plan 2009-2010 
8

 Strategy for Planning Country Health Services in South Australia 



 
17 

 

Service objective: Strengthen chemotherapy services offered to the Upper South East community9 
Target group: Naracoorte / Lucindale and Western Victoria community  

Critical milestones: NA 
 

Outcomes Strategies Time Frames  
  Increase the options for available care to the community in 

relation to chemotherapy care 
  Strengthen understanding and knowledge of health care 

professionals in relation to chemotherapy management 

  Explore opportunities for a GP special interest in chemotherapy management 
care 

  Explore opportunities for extending understanding of  chemotherapy including 
access to resources, education, equipment and training for nursing staff 

  Strengthen cultural respect aspects of chemotherapy management provided 
  Examine and strengthen partnership potential with other chemotherapy 

providers 

TBD 
 

 

 

 

 

 

 

Service objective: Strengthen palliative care services offered to the Upper South East 
Target group: Naracoorte / Lucindale and Western Victoria community  

Critical milestones: NA 
 

Outcomes Strategies Time Frames  
  Increase the options for available care to the community in 

relation to palliative care 
  Strengthen understanding and knowledge of health care 

professionals in relation to palliative care 
 

  Explore opportunities for GP special interest in palliative care 
  Explore opportunities for extending understanding of palliative care including 

access to resources, education, equipment and training for nursing staff 
  Strengthen cultural respect aspects of palliative care provided 
  Examine and strengthen partnership potential with other palliative care 

providers10 

TBD 
 

 

 

 

 

 

                                                      

 

8
 Strategy for Planning Country Health Services in South Australia 

9
 Statewide Cancer Control Plan 2011 - 2015 

10
 Palliative Care Services Plan 2009-2016 



 
18 

 

Service objective: Enhanced maternal and neonatal care services 
Target group: All women having babies, and their families; Considering Aboriginal women, CALD women 

Critical milestones: NA 
 

Outcomes Strategies Time Frames  
  Establish broader choice of maternal care service models  
 

  Through the redevelopment, enhance services to accommodate birthing 
needs (including redevelopment and refurbishment of maternity area) 

  Ensure the needs of Aboriginal women and those from culturally and 
linguistically diverse backgrounds are met 

  Establish links with the South East Migrant Resource group and local support 
networks for CALD populations 

  Develop processes and ensure training and education for nursing staff to 
manage the complexity of activity and acuity 

TBD 
 

 

 

Service objective: Enhanced Aboriginal health care services 
Target group: All Aboriginal and Torres Strait Islander patients accessing services 

Critical milestones: NA 
 

Outcomes Strategies Time Frames  
Improve health outcomes for Aboriginal and 
Torres Straight Islanders  
 

  Work to achieve the workforce target for the proportion of Aboriginal staff employed by the 
health service 

  Continue to consult with South East Aboriginal Health Advisory Committee in relation to 
service delivery, access and opportunities for service growth 

TBD 
 

 



 
19 

7. Key Requirements for Supporting Services 
 

7.1 Safety &amp; Quality 
 

Objective: Continue to improve the quality and safety of care in a sustainable manner 
Critical milestones: NA      

 

Outcomes  Existing Strategies Sustained  Strategies for the Future 
Sustainable skilled employment 
models in place to deliver the local 
service profile 

  Continue to build the skills of clinicians to deliver 
the service profile  

 

  Enhance clinician involvement in clinical governance leadership 
 

Continual improvement and 
patient-centred approach 
underpinning service delivery 

  Maintain Australian Council on Healthcare 
Standards (ACHS) accreditation   

  Meet Australian College of Operating Room 
Nurses (ACORN) Standards 

  Credentialing via CHSALHN 

  Investigate options to install a CT scanner at Naracoorte 
  Improve capacity to effectively care for bariatric clients 
  Improve capacity for rehabilitation clients 
  Improve capacity to care for the needs of those requiring a secure 

dementia unit 
  Improve capacity for limited treatment beds in the South East, with  

low stimulus rooms installed at Naracoorte 
  Monitor readmission and frequent users of the Hospital to analyse 

opportunities for improved care models  
  Contribute to a cluster-wide accreditation framework 
  Developing the consumer role in safety  
  Re-develop medical records to reflect guardianship orders 

Integrated access across the 
health system 

 

  24 hr access to remote specialist support 
particularly in the areas of obstetrics, paediatrics, 

stroke services and cardiology (iCCnet) 
  Access to perinatal practice guidelines and 

maternal and neonatal standards which ensure 
the provision of evidence based care  

  Use web based links to ensure updated 
references are available to support staff clinical 
practice 

  Strengthen community based support following discharge 
  Further expansion of statewide and Country Health SA clinical 

networks  
  Expand relationships and combine resources within Upper South 

East cluster 
  Improve the use of knowledge, information management and 

technology to increase quality and safety 

 



 
20 

 

7.2 Patient Journey 
 

Objective: Increase the accessibility of the health system to reduce the impact on the patient journey 
Critical milestones: NA 

 

Outcomes  Existing Strategies Sustained  Strategies for the Future 
Access to safe and quality care 
near home 
 

  Discharge / Patient Liaison Officer in place 
  RIBS funding able to be accessed in response to 

need 
 

  Explore opportunities for access to Transitional Care Package (TCP) 
funding model (not available in Upper South East cluster) 

  Explore nurse practitioner and other workforce models that enable 
increased local access to services 

  Increase use of telemedicine to access services locally 
  Support staff and medical specialists to provide local care 
  In collaboration with Mount Gambier and District Hospital and Health 

Service  (Country General Hospital in the South East), South East 
Regional Community Health Services and Pangula Mannamurna, 

manage the majority of health care needs so that only patients 
requiring highly specialised or complex care will need to access this in 

Adelaide 
Provide a smooth and supported 
journey when people do need to 
travel to access services  
 

  Red Cross car used as suitable 
  Access to SA Ambulance Services for transport 

when clinically indicated 
  Review of transport delays for people with mental 

illness 
 

  Enhance coordination across the statewide health system to ensure a 
client orientated approach when having to travel for more specialised 

services 
  Explore initiatives and develop options to support local community 

accessing transport for heath related appointments including:  
o Transfers for people with mental illness to a site of appropriate 

care (pending Limited Treatment Centre at Mount Gambier) 
o Establishment of a CT scanner at Naracoorte if supported by the 

business case 
  Continue to focus on improvement of discharge planning and 

coordination  
  Contribute feedback / solutions to improve the Patient Assistance 

Transport Scheme for residents of the catchment 
 



 
21 

 

7.3 Cultural Respect 
 

Objective: Increase capacity to contribute to the priority of Closing the Gap in Aboriginal health life expectancy 
Critical milestones: NA  

 

Outcomes  Existing Strategies Sustained  Strategies for the Future 
Provide a culturally safe and 
accessible health service 
 

  Build on the strength of existing Aboriginal health 
initiatives available to the community 

  Established annual calendar of Aboriginal and 
Torres Islander community events 

  Established NAIDOC calendar of events 
 

 

  Increase the uptake of Aboriginal Health Impact Statements 
  Staff trained in cultural awareness, particularly to contribute to their 

roles within the health service such as cultural and spiritual 
consideration around end of life for palliative care staff.  A 
comprehensive cultural training program linked to development 
reviews and accreditation 

  Enhance access and appropriateness of services, Aboriginal specific 
resources and facilities for Aboriginal families 

  Engage closely with Aboriginal communities within the catchment to 
improve uptake of available services  

  Ensure all health service programs have an understanding of the 
specific needs of the Aboriginal community 

  Employ and train more Aboriginal people across all levels of the 
workforce 

 



 
22 

 

Objective: Improve relationships with cultural groups who reside in the catchment area 
Critical milestones: NA  

 

Outcomes  Existing Strategies Sustained  Strategies for the Future 
Provide a culturally safe and 
accessible health service 
 

  Build on the strength of existing CALD initiatives 
available to the community 

  Individualised plans established for known 
attendances for care (antenatal and birthing) 

 

 

  Identify a clear communication strategy for Kincraig Medical Clinic 
and NHS to allow for early identification of clients who fit into this 
group so informed choices can be developed in conjunction with the 

client 
  Staff trained in cultural awareness with a comprehensive cultural 

training program linked to development reviews and accreditation 
  Enhance access and appropriateness of services, Aboriginal specific 

resources and facilities for Aboriginal families 
  Engage closely with the Aboriginal communities within the catchment 

to improve uptake of services that are available 
  Ensure all health service programs have an understanding of the 

specific needs of the Aboriginal community 
  Employ and train more Aboriginal people across all levels of the 

workforce 



 
23 

 

7.4 Engaging with our community 
 

Objective: Increase the capacity for the community to contribute to the planning, implementation and evaluation of services 
Critical milestones: NA  

 

Outcomes  Existing Strategies Sustained  Strategies for the Future 
Health service needs of the 
community are understood 
 

 

 

 

  Support the NAHAC to implement their ongoing 
role of engaging with their community and local 
stakeholders 

  Support NAHAC members to continue in their 
roles as strong advocates for their community on 
health related issues  

  Ongoing follow up of patient questionnaire 
information and feedback  

  Use of communication methods including site 
newsletters, displays and notices 

 

  Explore opportunities for ongoing and meaningful discussion with the 
community through local forums and existing specialty groups 

  Raise community awareness about support groups 
  Promote opportunities for volunteering in the Health Service and to 

increase human resources and budget for volunteer program 
  Actively engage community participation in primary health promotion 

programs 
  Ensure that community in smaller towns across the catchment are 

able to contribute their needs to the planning, implementation and 
monitoring of health services 

  Build awareness in community of programs that have been 
established and how they are accessible 

  Work in partnership with other agencies to review available transport 
options for community to allow better access to services (within 

community and to metropolitan areas) and make information available 
to the community 

  Work in partnership with other agencies to review available respite 
services for community to allow better access to services within the 
area and make information available to the community 

 



 
24 

 

7.5 Local Clinical Networks 
 

Objective: Enhance relationships with other services locally, regionally and Statewide 
Critical milestones: NA   

 

Outcomes  Existing Strategies Sustained  Strategies for the Future 
Formal ties with health service 
organisations in the region 

  Staff are active in committees  
  Continue networking between government and 

non-government organisations 
  Strengthen relationships with service providers 

associated with responding to emergencies  
  Continue to build partnership with Kincraig 

Medical Clinic and SERCHS 
  Strengthen continuity between hospital and home 

based services 
  Strengthen relationships with other health 

services in the catchment to share resources and 
improve access to services, such as respite 

  Establish formalised partnerships with local external agencies to 
foster collaboration which leads to better outcomes and more 

flexibility in health care for the catchment 
  Investigate opportunities for support workers to provide pathways to 

both community and other relevant services 
  Increased use of technology for staff education and resourcing and 

case conferencing (e.g. online self directed cultural training) 
 

Formal ties with statewide and 
Country Health SA clinical 
networks 

  Strengthen networks with metropolitan and 
statewide services (such as iCCnet SA 
cardiologist, MedStar and Rural and Remote 
Mental Health Service) to sustain visiting and 
remote access service 

  Expand collaborative relationships with visiting specialists throughout 
the region to build service models that meet local needs 

  Further expansion of clinical networks with tertiary specialist centres 
for coordination of follow up care 

  Further expansion of statewide and Country Health SA clinical 
networks  

  Establish partnerships with other centres of excellence to share ideas 
and resources 



 
25 

8. Resources Strategy 
 

8.1 Workforce 
 

Objective: Improve ability to recruit, develop and retain a skilled health workforce 
Critical milestones: NA 

 

Outcomes  Existing Strategies Sustained Strategies for the Future  
Recruitment and retention of the 
workforce to support the service 
profile 
 

  Maintain close ties with local educational 
providers   TAFE, Uni SA, Deakin University as 
well as other South East Health Service providers 

  Continue to explore opportunities for joint 
projects  

  Strong focus on local based training opportunities 
including midwifery. Peri-operative, enrolled 
nurse cadetships, graduate programs etc 

  Employee Assistance Program (EAP) in place for 
all staff 

  Flexible working arrangement opportunities for all 
staff 

  Employment information sessions conducted to 
provide information on the range of employment 
opportunities for working within the country 

 

  Broader recruitment and retention strategies across cluster to address 
both ageing workforce and workforce development plus Aboriginal 

employment strategy 
  Build the capacity to support debriefing of staff by providing staff with 

an EAP program that is culturally appropriate 
  Employ and train more Aboriginal people across all levels of the 

workforce 
  Strengthen nursing workforce model and formula to meet the 

changing complexity of care needs 
  Develop a workforce development strategy which responds to the 

future challenges of an ageing workforce, staff turnover, contractual 
nature of new positions and reducing barriers to gaining employment 

  Meet future shortage of qualified health staff in the health sector 
  Train and offer scholarships for professional development to people 

within the workforce 
  Investigate traineeship opportunities for non clinical area in order to 

build skill mix and workforce 
Highly skilled and qualified 
workforce 
 

  Have established staff development opportunities 
across health site 

  Mandatory training program 
  Induction package is monitored and reviewed 

  Up skill and maintain existing staff and health care professionals 
across the health units to achieve future service profile 

  Focus training on areas as per identified need 
  Identification, review and development of nurse practitioner positions 
  Ongoing review and development of consistent mandatory training 

program 
New workforce models explored   Midwifery training commenced on site at NHS in 

2009 
  Increased focus on patient liaison / discharge 

planning in 2008 
 

  Explore various models for resident medical services which support 
resident GPs and medical specialists and visiting medical specialists 

  Explore additional workforce models to support new and innovative 
models of training and care 

  Targeted expansion of visiting and resident services based on 
community need and clinical priority 

 



 
26 

 

8.2 Infrastructure 
 

Objective: Ensure the infrastructure is able to meet the ongoing demands of the community and is able to respond to changing need 
Critical milestones: NA 

 

Outcomes  Existing Strategies Sustained Strategies for the Future  
Infrastructure and equipment that 
meets standards and supports 
existing and future service delivery 

  Extensive planning has been undertaken for 
redevelopment of NHS site including SERCHS 

  Planning phase in conjunction with Kincraig 
Medical Clinic to move the clinic on site 

  CT scanner work group established 
  Ongoing review of existing equipment for 

replacement to maintain services 

  Continue to lobby for the upgrade of the service including Naracoorte 
SERCHS 

  Support and lobby for the Kincraig Medical Clinic move to progress to 
fruition 

  Undertake a business case to examine improved infrastructure and 
equipment needs (including radiology equipment / CT scanner and 
car parking) 

  Major upgrade of facilities needed to support all aspects of care. 
Continue to lobby for upgrades in response to needs of community to 
ensure ongoing service provision 

 

Improved infrastructure to manage 
increasing workforce 

  Ongoing assessment of suitable workspaces with 
increase of specialists / staffing / services 

  Develop a plan for the expected growth of specialists and community 
services 

 

 

8.3 Finance  
 

Objective: Increase the efficiency and effectiveness in the allocation of resources, balanced with the provision of services as close to home as possible 
Critical milestones: NA 

 

Outcomes  Existing Strategies Sustained Strategies for the Future  
Recognise the impact and need of 
ICT on clinical and non clinical 
areas 

  iCCnet trial site for web based medical records 
  Extensive re-cabling to address capacity issues 

  Identify opportunities for use of ICT to support clinical and non clinical 
areas in order to enhance service provision 

  Lobby for funding to address areas of need 
Support the patient journey 
process 

  Review and monitor patient journey through 
admission and discharge coordinator 

  Review and evaluate the use of RIBS 
  Identify opportunities for access to additional funding 

 

 



 
27 

8.4 Information Technology 
 

Objective Increase access to communication and information technology systems to strengthen health care 
Critical milestones: NA 

 

Outcomes  Existing Strategies Sustained Strategies for the Future  
Access to specialised services 
through telehealth 

  Digital medical imaging equipment and reporting 
system 

  Strengthen existing telehealth facilities 

  Further develop digital medical imaging capacity through:  
o Investigation of CT scanner implementation for Upper South 

East 
o Picture Archiving Communication System 
o Updates to fluoroscopy and orthopantomogram (OPG) 
o Commissioning of direct radiography general x-ray system 

  Advocate for flexible funding to enable clinicians in other areas to 
effectively utilise telehealth services to improve patient outcomes 

  Increased local access of staff training and development through 
video conferencing 

Information system which is 
integrated within operational 
monitoring, planning and 
implementation 

  AIMS incident monitoring system in place 
 

  Review clinical management systems to support coordination of 
patient care and facilitate effective transfer of patient information 

 

 

8.5 Risk Analysis  
 

Objective: Identify and manage the risks associated with implementation of planned strategies 
Critical milestones: NA 

 

Outcomes  Existing Strategies Sustained Strategies for the Future  
Successful implementation of the 
service directions identified in the 
10 Year Health Service Plan 
 

 

 

  Maintain the risk register 
  Maintain health service accreditation 

 

 

  Develop an implementation, monitoring and review strategy for the 10 
Year Health Service Plan   early identification of risks  

  Ongoing contribution and participation in the CHSALHN Risk 
Management Policy Framework 

  Ongoing participation and contribution to other CHSALHN nominated 
risk management activities 

 



 
28 

9. Appendix 
 

9.1 Leadership Structure 
 

Staff from the Naracoorte Hospital and the Planning Projects Team have coordinated the 
development of the 10 Year Local Health Service Plan. The Naracoorte and Area Health Advisory 
Council Inc. has undertaken an important role in leading and analysing the community and 
stakeholder feedback and providing oversight of the local planning process.   
 

9.2 Methodology 
June-Dec 2009 Community, staff and stakeholder engagement strategy planned in partnership 

with NAHAC. 
December 2009 Community engagement report developed. 
January 2010 Final draft Preliminary Service Profile completed. 
Feb-March 2010 Needs Analysis workshop.  
April-May 2010 Draft Health Service Plan ready for CHSALHN Steering Committee, HACs and 

community consultation. 
June 2010 Community consultation on draft 10 Year Health Service Plan.  
June 2010  Re-draft Plan to include community feedback. Plan to NAHAC for endorsement. 
30 June 2010  Final Plan submitted to CHSALHN for sign off by the Minister. 
#### 

 

9.3 Review Process 
 

A process to determine how this Plan will be monitored and reviewed will be developed 
throughout the consultation stage.  Feedback on this process is encouraged. 

 

9.4 Glossary 
 

24/7 24 hours / 7 days a week 
A&amp;E Accident and Emergency 
ABS Australian Bureau of Statistics 
ACAT Aged Care Assessment Team 
AHAC Aboriginal Health Advisory Council 
AIMS Advanced Incident Management System 
ATSI Aboriginal &amp; Torres Strait Islander 
CALD Culturally and Linguistically Diverse 
CHSALHN Country Health SA Local Health Network 
CT Computerised Tomography 
EAP Employee Assistance Program 
ENT Ear, Nose, Throat 
GP General Practitioner 
HAC Health Advisory Council 



 
29 

iCCnet Integrated Cardiac Assessment Regional Network 
ICT Information and Communications Technology 
KMC Kincraig Medical Centre 
NAHAC Naracoorte and Area Health Advisory Council 
NAIDOC National Aboriginal Islander Day Observance Committee 
NHS Naracoorte Health Service 
RIBS Rapid Intensive Brokerage Support 
SA South Australia 
SERCHS South East Regional Community Health Service 
SLA Statistical Local Area 
SWOT Analysis of strengths, weaknesses, opportunities and threats 

 

 

 


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