<html>
<head>
<meta charset="UTF-8"/>
<meta name="tikaGenerated" content="true"/>
<meta name="date" content="2012-04-20T00:56:20Z"/>
<meta name="xmp:CreatorTool" content="PDFCreator Version 1.0.2"/>
<meta name="Keywords" content="Country Health SA LHN, 10 year Local Health Service Plan, Far North, Coober Pedy, Oodnadatta, Marla, Mintabie, Anangu Pitjantjatjara Yankunytjatjara, APY, CHSALHN, CHSA LHN, 2011-2020, 2011, 2012, 10 year plans, Local Health Service Plan,SA Health,"/>
<meta name="subject" content="10 Year Local Health Service Plan - 2011 to 2020"/>
<meta name="dc:creator" content="SA Health"/>
<meta name="dcterms:created" content="2012-04-17T05:06:12Z"/>
<meta name="Last-Modified" content="2012-04-20T00:56:20Z"/>
<meta name="dcterms:modified" content="2012-04-20T00:56:20Z"/>
<meta name="title" content="Far North Health Service Plan 2011_2020 FINAL"/>
<meta name="Last-Save-Date" content="2012-04-20T00:56:20Z"/>
<meta name="meta:save-date" content="2012-04-20T00:56:20Z"/>
<meta name="dc:title" content="Far North Health Service Plan 2011_2020 FINAL"/>
<meta name="modified" content="2012-04-20T00:56:20Z"/>
<meta name="cp:subject" content="10 Year Local Health Service Plan - 2011 to 2020"/>
<meta name="Content-Type" content="application/pdf"/>
<meta name="creator" content="SA Health"/>
<meta name="meta:author" content="SA Health"/>
<meta name="dc:subject" content="Country Health SA LHN, 10 year Local Health Service Plan, Far North, Coober Pedy, Oodnadatta, Marla, Mintabie, Anangu Pitjantjatjara Yankunytjatjara, APY, CHSALHN, CHSA LHN, 2011-2020, 2011, 2012, 10 year plans, Local Health Service Plan,SA Health,"/>
<meta name="meta:creation-date" content="2012-04-17T05:06:12Z"/>
<meta name="created" content="Tue Apr 17 14:36:12 ACST 2012"/>
<meta name="xmpTPg:NPages" content="24"/>
<meta name="Creation-Date" content="2012-04-17T05:06:12Z"/>
<meta name="meta:keyword" content="Country Health SA LHN, 10 year Local Health Service Plan, Far North, Coober Pedy, Oodnadatta, Marla, Mintabie, Anangu Pitjantjatjara Yankunytjatjara, APY, CHSALHN, CHSA LHN, 2011-2020, 2011, 2012, 10 year plans, Local Health Service Plan,SA Health,"/>
<meta name="Author" content="SA Health"/>
<meta name="producer" content="GPL Ghostscript 8.70"/>
</head>
<body>
<pre>
 
1 

Far North Health Advisory Council
Far North Health &amp; Aged Care

Coober Pedy Hospital and Health Service
Oodnadatta Health Services

Country Health SA Local Health Network

Far North 
10 Year Local Health Service Plan 

 

 

2011   2020 



 
2 

10 Year Local Health Service Plan  
 

Far North Health &amp; Aged Care 
Coober Pedy Hospital and Health Service 

Oodnadatta Health Services 
 

2011 - 2020 
 

Table of Contents 
 

1. Executive Summary ......................................................................................................3 
2. Catchment Summary ....................................................................................................5 
3. Needs Analysis Summary ............................................................................................7 
4. Local Implications of Statewide plans.........................................................................8 
5. Planning Principles.......................................................................................................9 
6. Service Delivery Plan.................................................................................................. 10 

6.1 Core Services to be Sustained ............................................................................... 10 
6.2 Strategies for new / expanded services .................................................................. 13 

7. Key Requirements for Supporting Services.............................................................. 14 
7.1 Safety &amp; Quality...................................................................................................... 14 
7.2 Patient Journey ...................................................................................................... 15 
7.3 Cultural Respect..................................................................................................... 16 
7.4 Engaging with our community................................................................................. 17 
7.5 Local Clinical Networks .......................................................................................... 18 

8. Resources Strategy .................................................................................................... 19 
8.1 Workforce............................................................................................................... 19 
8.2 Infrastructure .......................................................................................................... 19 
8.3 Finance .................................................................................................................. 20 
8.4 Information Technology .......................................................................................... 20 
8.5 Risk Analysis .......................................................................................................... 21 

9. Appendix...................................................................................................................... 22 
9.1 Leadership Structure .............................................................................................. 22 
9.2 Methodology........................................................................................................... 23 
9.3 Review Process...................................................................................................... 23 
9.4 Glossary................................................................................................................. 24 

 

Date: 17 October 2011 
 

 

 



 
3 

1. Executive Summary 
 

The Far North Health Service has taken the lead and determining role in the development of the 10 
Year Health Service Plan, with the support of the Country Health SA Local Health Network 
(CHSALHN) Planning Projects Team. The Far North Health Advisory Council (HAC) has worked 
closely with the Far North Health Service in the planning and implementation of the community 
consultation and oversight of the planning process. A Local Liaison Planning Officer was appointed to 
support the community, staff and stakeholder consultations and the needs analysis. 
 

The catchment area for the Far North Health Service, includes Coober Pedy Hospital and Health 
Service and Oodnadatta Health Services.  Support is also provided to the Marla Health Clinic operated 
by Frontier Services and partially funded by the SA Government.  This includes the District Council of 
Coober Pedy and encompasses the townships of Oodnadatta to the north east and Mintabie / Marla to 
the north. The Anangu Pitjantjatjara Yankunytjatjara (APY) Lands are located outside the western side 
of the catchment boundary. Given the transience of the population residing on the APY Lands, this 
population should also be acknowledged when considering the profile of the Far North Health 
Services. Coober Pedy is located 850 kilometres from Adelaide and 540 kilometres from Port Augusta. 
The catchment experiences a high degree of isolation in relation to local and intrastate transport 
options.  
 

The resident population for the Far North catchment is 2,427 (DPLG, Population Projections 2011). 
People from Aboriginal and Torres Strait Islander backgrounds comprise approximately 15% of the 
total population.  A higher proportion of men is observed, a slightly lower proportion of the population in 
the 0-14 and 15-24 year age groups, and a higher proportion in the middle and older age group 45-64 
years. The age structure of the Aboriginal population is younger than the total catchment population 
with approximately one-third of the population under the age of 19 years. Coober Pedy is one of the 
most multicultural communities in South Australia with an estimated 45 nationalities. Approximately 
20% of the population speak a language other than English at home. The projected population for the 
catchment area is estimated to increase by 9% by the year 2021.  Tourism is a significant industry for 
Coober Pedy and the broader outback region attracts an average of 226,000 overnight visitors per 
annum. The catchment reflects a high level of socioeconomic disadvantage. 
 

The Far North Health Service undertook the needs analysis by making inferences about the health 
needs.  The needs analysis has included the findings from a community/staff survey, existing forward 
planning / service delivery commitments previously developed to support Multipurpose Service (MPS) 
and Rural Primary Health Service (RPHS) funding submissions and analysis of the service profile and 
other relevant data. 54 individual community survey responses were received.  The needs analysis 
process identified priority areas including: 

  Attract and retain a strong health and medical workforce. 
  Clinical care to be provided as close to home as possible. 
  Reduce the significant impact of remoteness and isolation from other acute services. 
  Responding to an increasing rate of chronic disease and prevalence of lifestyle and behaviour 

risk factors. 
  Security of existing acute services, including 24/7 Accident and Emergency and acute 

inpatient care. 
  Meeting the ongoing aged care needs of an ageing population. 
  Drug and alcohol related issues in the communities. 
  Importance of access to mental health services. 
  Improved access to general practitioner (GP) services, specialists and dental service. 

 

This final 10 Year Plan sets out to sustain and strengthen its existing core services including 24 hour, 
7 day/week emergency and acute care, medical services, community and allied health, aged care and 
other core services.  This works closely with Far North s role as a MPS and its MPS Service Delivery 
Plan. The MPS model supports an improved access to a mix of health and aged care services that is 
flexible and responsive to meet community needs. The Plan aims to expand into areas including: 
 



 
4 

  Improve the patient journey through enhanced local services, increased utilisation of telehealth 
(particularly for specialist consultations) and exploring transport options. 

  Improve mental health services. 
  Enhanced use of information communication technologies (ICT). 
  Continue to strengthen primary health care models promoting early intervention and greater 

consumer / community awareness. 
  Recruit and retain a visiting ophthalmologist . 
  Improve integration, referral pathways and systems with expanded specialist services in the 

Country General Hospital at Whyalla. 
  Explore outreach community health services to remote communities in the catchment such as 

Oodnadatta, Marla and Mintabie. 
  Investigate funding opportunities to enhance and expand residential aged care. 
  Develop transport options for children and adults from Oodnadatta to access dentist in Coober 

Pedy. 
 

 



 
5 

2. Catchment Summary 
 

Introduction 
 

Coober Pedy is located within the District Council of Coober Pedy, approximately 850 kilometres from 
Adelaide and 540 kilometres from Port Augusta. The catchment area for the Far North Health 
Services which incorporates Coober Pedy Hospital and Health Service and Oodnadatta Health 
Services encompasses the townships of Oodnadatta to the north east and Mintabie / Marla to the 
north. The Anangu Pitjantjatjara Yankunytjatjara (APY) Lands are located outside the western side of 
the catchment boundary. Given the transiency of the population residing on the APY Lands, this 
population should also be acknowledged when considering the profile of the Far North Health 
Services.  
 

 

Reference: http://www.abs.gov.au/ 
 

Population 
 

When compared with other country South Australian populations, the Far North catchment population, 
including Coober Pedy, Oodnadatta and the pastoral stations, reveals some unique dimensions. Of 
the total population of 2,427 persons, a higher proportion of men is observed, a slightly lower 
proportion of the population in the 0-14 and 15-24 year age groups, and a higher proportion in the 
middle and older age group 45-64 years. People from Aboriginal and Torres Strait Islander 
backgrounds comprise a relatively large proportion of the total population (15%) compared with 3.1% 
across country South Australia. The age structure of the Aboriginal population is younger than the 
total catchment population with approximately one-third of the population under the age of 19 years. 
Coober Pedy is one of the most multicultural communities in South Australia with an estimated 45 
nationalities. Approximately 20% of the population speak a language other than English at home, 
compared with 3.9% across country South Australia.  



 
6 

 

The projected population for the catchment is estimated to increase by 9% by the year 2021. The 
fertility rate for the region (average 2.1) is slightly above replacement level and higher than the South 
Australian rate (1.82). The average indirect standardised death rate for the region (10.6) is 
considerably higher than the South Australian rate (6.1).  
 

The broader Outback catchment area attracts approximately 226,000 overnight visitors and 31,000 
domestic same day visitors. Tourism is a significant industry for Coober Pedy. 
 

Table 1: Far North catchment population 
 

 No. % Country SA  % 
South 

Australia % 

Total Population 2,427 
 

  

  

   

Males 1,370 56.5% 50.5% 49.4% 
Females 1,057 43.5% 49.5% 50.6% 
  

   

0-14 years of age 397 16.3% 20.4% 18.5% 
15-24 years 244 10.1% 11.4% 13.3% 
25-44 years 669 27.5% 25.1% 26.7% 
45-64 years 777 32.0% 27.3% 26.1% 
65-84 years  335 13.8% 13.9% 13.4% 
85 years and over 6 0.2% 1.8% 2.0% 
  

   

Aboriginal and Torres Strait Islander* 385 15.3% 3.1% 1.7% 
CALD (Speaks a language other 
than English at home)* 502 19.9% 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 Far North catchment is considered very remote. The region experiences a high to moderate level 
of socioeconomic disadvantage including lower than South Australian average median individual, 
family and household incomes. The prevalence of chronic disease for people aged 16 years and over 
in the North and Far Western region of South Australia (including Coober Pedy and Oodnadatta) is 
considerably higher for diabetes than country and total South Australia. In addition, the North and Far 
Western region demonstrates higher risk factors than country and total South Australia for high and 
risky alcohol consumption (in both the short and long term), blood pressure, obesity, ex-smokers and 
smoking.  
 

The Northern region of South Australia (also known as the Flinders Ranges and Outback) is one of 
Australia s most highly concentrated mining and exploration regions, including opal mining in Coober 
Pedy and Mintabie. Tourism is also a major growth industry for the region with more than 100,000 
Australian and international tourists visiting Coober Pedy each year. In the Far North catchment area, 
mining accounts for 20% of total employment, followed by agriculture (11%), accommodation and 
food services (10%), and public administration and safety (10%). The catchment area is part of a 
large proportion of the state which has designated drought affected status. 
 

The Far North catchment area experiences a very high degree of isolation with minimal intrastate 
transport options. The Greyhound Australia Bus Service operates a service from Adelaide to Alice 



 
7 

Springs return, 7 days a week, stopping in Coober Pedy. Rex Airlines operates one flight per day, six 
days a week from Coober Pedy to Adelaide return. 
 

 

3. Needs Analysis Summary  
 

Coober Pedy Hospital &amp; Health Service Executive members completed a needs analysis using the 
SWOT (strengths, weaknesses, opportunities, threats) methodology to identify possible service 
delivery directions that should be considered over the next 10 years. 
 

This analysis was applied to the prescribed minimum services for local area health units as detailed in 
Appendix A of the Country Health Care Plan Taskforce Service Delineation Framework for Country 
Health Services (December 2008).  
 

In developing agreed priorities, the community identified priorities (as presented to Executive through 
the local Health Advisory Council) were taken into account; along with existing forward planning / 
service delivery commitments previously developed to support MPS and RPHS funding submissions. 
 

In broad terms the agreed priorities for Coober Pedy Hospital and Health Services are to: 
  Maintain existing 24/7 emergency services. 
  Maintain existing 24/7 acute inpatient medical services. 
  Continue to provide aged care services. 
  Improve the patient journey. 
  Improve mental health services. 
  Enhanced use of ICT. 
  Continue to strengthen primary health care models promoting early intervention and greater 

consumer / community awareness. 
 

Source documents providing supportive evidence for the above priorities include the following: 
  2007   2011 District Council Of Coober Pedy.  
  2008   2010 Rural Primary Health Services Plan. 
  2009   2010 Multipurpose Service - Service Delivery Plan. 
  2009 CHSALHN Hospital and Health Service Profile   Coober Pedy. 
  2009 / 2010 Far North Health Advisory Council community survey summary. 

  

  

 



 
8 

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 telehealth. 
  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. 
  Connect local patients with pathways to higher level care needs. 
  Reduce 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 Local Health Service Plans. 
 

 



 
9 

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.  
 

 



 
10 

6. Service Delivery Plan 
 

6.1 Core Services to be Sustained 
 

 

Service Category Service Description Target Group Directions over next 10 years 
Community and Allied 
Health 

  Local primary health care and health 
promotion initiatives, chronic disease 
self-management programs, 
Domiciliary Care services, community 
nursing services, general counselling 
and day care activities 

  Specific GP Plus strategies  
  Access to Aboriginal, drug and alcohol 

and child and youth health services 
  Access to visiting allied health 

services 

All people in catchment with 
focus on: 
  Aboriginal people  
  Early childhood 
  Youth 
  Frail / Aged 

  Improve clinician knowledge and usage of annual adult 
health check and chronic disease management plans1 

  Maintaining excellent and supportive working 
relationships with external providers  

  Facilitate community development strategies, in 
partnership with local stakeholders 

  Build community capacity  through increased information 
  Explore outreach services to remote communities in the 

catchment such as Oodnadatta, Marla and Mintabie 
  Work with community and Frontier Health Services to plan 

for local health services in Marla and Mintabie into the 
future 

Emergency Service   24 hour, 7 day/week emergency triage 
and assessment; emergency trauma 
and resuscitation, including mental 
health triage and assessment 

  Appropriately staffed and supported by 
medical and nursing staff 

  Treatment for/management of 
appropriate (non-life threatening) 
conditions, and minor surgical 
procedures  

  Telehealth facilities in emergency 
rooms  

All people in, or visit, the 
catchment 

  Maintain access to 24 hour, 7 day/week emergency 
services 

  Recruit and retain appropriately trained staff 
  Increase utilisation of telehealth facilities, including iCCnet 

and Rural and Remote Mental Health Service to access 
remote advice in emergency diagnosis and treatment 

  Improve transition of clients from A&amp;E to short stay 
admissions 

Acute Inpatient Care   Admissions for management of minor 
(lower risk) assessments and 
treatments; Intermediate care 
including recuperative care 

  Access to General Practitioner 
Practice service to provide both acute 
illness management and general 
practitioner consulting for less severe 

All people in, or visit, the 
catchment 

  Maintain acute inpatient services  
  Develop referral pathways with cluster tertiary hospital 

and Adelaide hospitals to facilitate the early return of 
appropriate post operative and medical patients 

  Investigate external accommodation options for a Step 
Down Unit for Coober Pedy 

  Expand GP Plus service strategies 

                                                      
1

 Chronic Disease Action Plan for South Australia 2009-2018 



 
11 

illnesses 
  Inpatient diagnosis, monitoring and 

treatment of appropriate conditions 
Elective Surgical   Not available All people in the catchment   Develop referral pathways designed to allow clients to 

access services in as shorter time frame as possible 
  Develop patient pathways to assist with transport 
  Explore referral pathways with consumers and local 

doctors 
Maternal &amp; Birthing 
Services 

  Antenatal and postnatal care  
  Community midwifery and parenting 

programs  

All women having babies, and 
their families with focus on: 
  Aboriginal women 

  Continue to build and strengthen existing antenatal, 
postnatal and community midwifery services 

  Build workforce capacity to support emergency antenatal, 
birthing and postnatal care  

Medical Specialist 
Services 

  Access to visiting medical specialist 
consultations  

All people in catchment with 
focus on: 
  Aboriginal people 
  Frail/Aged 

  Recruit and retain a visiting ophthalmologist 
  Increase utilisation of video conferencing to enable clients 

to access more services locally  
  Continue to seek opportunities to increase visiting 

services to address community needs and requirements 
Mental Health   Community mental health (adult and 

child) 
  24 hour 7 day/week emergency 

mental health service, facilitated by 
Rural and Remote Mental Health 
Service 

  Access to visiting specialist clinical 
support 

  Local admissions for mental health 
including voluntary admissions to 
general ward, respite and short stay 
options 

  Specialised assessment for low 
complex, voluntary patients 

All people in catchment with 
focus on: 
  Aboriginal people 
  Youth 
  Aged 

  Establish Local Mental Health Network 
  Implement the provisions of the new Mental Health Act 

from 1st July 2010 
  Strengthened primary mental health care services through 

improved partnerships with general practice and other 
primary care providers 

  Continue local voluntary admissions for mental health 
care  

  Improved access to specialist mental health services 
through increased visiting services and utilisation of 
telehealth network for video conferencing consultations 
and assessments, particularly community treatment 
orders and psychiatrist consultations 

  Development of a low stimulus room at the hospital for 
acute presentations and voluntary admissions 

  Development of clinical support network to support mental 
health practitioners working in isolation 

Rehabilitation   Provide respite services and accept 
referral when appropriate. 

All people in catchment with 
focus on: 
  Aboriginal people 
  Frail/Aged 

  Improve integration, referral pathways and systems with 
expanded specialist rehabilitation services in the Country 
General Hospital at Whyalla2 

                                                      
2

 Statewide Rehabilitation Service Plan 2009-2017 



 
12 

 

Respite Services   Access to residential and hospital 
respite   

All people in catchment with 
focus on: 
  Aboriginal people  
  Frail / Aged 
  People with a disability 

  Develop a diversional therapy program which meets the 
needs of residents 

  Further develop options to resource respite in hospital 
 

Aged Care   Domiciliary Care in home and the 
community 

  Inpatient admissions for elderly, 
including respite care 

  High care residential aged care  
  Access to community aged care 

packages  

  Frail / Aged   Investigate funding opportunities to enhance and expand 
residential aged care 

  Implement diversional therapy program for aged care 
residents3 

  Develop a Memorandum of Understanding (MOU) with 
Dunjiba Aged Care to formalise range of support services 
provided 

Palliative Care   Palliative care support and admission 
available 

  In-home support  

All people in catchment with 
focus on: 
  Aboriginal people 
  Frail/Aged 

  Maintain palliative care in both the hospital and 
community 

  Further develop a formal relationship with Palliative Care 
Team to ensure best practice 

  Promote GP Plus strategies to the community4 
Clinical Support Services   Point of care testing 

  Access to pathology testing facilities 
  Access to visiting pharmacy services  
  Access to basic X-ray capabilities 

All people in, or visit, the 
catchment 

  Maintain existing clinical support services 
  Train and develop staff to achieve x-ray license 
  Consolidate Coober Pedy and Oodnadatta Pharmacy 

contracts 
  Enhance point of care testing 
  Explore advances in technology to increase local access 

to clinical support services 
Oral Health   SA Dental Service clinic All people in catchment with 

focus on: 
  Aboriginal people  
  Early childhood 

  Develop transport options for children and adults from 
Oodnadatta to access dentist in Coober Pedy 

 

                                                      
3

 Health Services Framework for Older People 2009-2016 
4

 Palliative Care Services Plan 2009-2016 



 
13 

6.2 Strategies for new / expanded services 
 

 

See section 6.1 for the sustainment and enhancement of existing services. 
 

 

 



 
14 

7. Key Requirements for Supporting Services 
 

7.1 Safety &amp; Quality 
 

Objective:  Deliver sustainable best practice based services in a continuous improvement environment that fosters confidence in the quality and safety of 
those services by patients, staff, visitors and the community at large  

Critical milestones:       Achievement of Australian Council on Health Care Standards, EQuIP 4                     
 

Outcomes  Existing Strategies Sustained  Strategies for the Future 
Continual improvement and patient-centred 
approach underpinning service delivery 

  Ongoing accreditation of health service  
  Provide access to appropriate high quality safe care 

across the continuum 
  Actively engage with consumers 
  Promote population health 
  Effectively manage clinical and corporate risk  
  Appropriately manage human resources   
  Enhance information management and 

communication technologies 
  Monitor the organisation s strategic direction 
  Maintain a safe environment for employees, 

consumers / patients and visitors 

  Re-align accreditation process with CHSALHN / 
ACHS  hub and spoke  model 

  Re-align OHS&amp;W requirements with CHSALHN 
Injury Prevention and Management structure 

  Implement Department Health 2008 Risk 
Management Framework 

  Participate in WEEFN cluster-wide internal audit 
program and expand benchmarking opportunities 

  Develop the consumer role in safety  
 

Sustainable skilled employment models in place to 
deliver the local service profile 
 

 

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

  Recruit and retain qualified staff (medical, nursing 
and allied health) 

  Enhance clinician involvement in clinical 
governance leadership 

  Development and implementation of Clinical 
Orientation Handbook for GPs  

  Implementation of medical director system 
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  

  Maintain inter-agency agreement for Keeping Them 
Safe protocols 

  Improve systems to implement Keeping Them Safe 
strategy 

  Further expansion of statewide and Country Health 
SA clinical networks  

  Improve the use of knowledge, information 
management and technology to increase quality and 
safety 

 

 



 
15 

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 
 

  Maintain pastoral station visits provided by the 
Oodnadatta Health Clinic 

  Implement the MPS Delivery Plan to provide flexible 
and responsive care 

 

  Develop referral pathways with the Country General 
Hospital in Whyalla, the Port Augusta Hospital and 
Adelaide hospitals to facilitate the early return of 

appropriate post operative and medical patients 
  Promote GP Plus strategies to the community as 

options 
  Support visiting medical specialists to provide 

consultations in Coober Pedy 
  Explore outreach community health services to 

remote communities in the catchment such as 
Oodnadatta, Marla and Mintabie 

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

 

  Define clear referral pathways in consultation with 
statewide services 

  Strengthen transport options to both Adelaide and 
the hospitals in Whyalla and Port Augusta for 
patient pathways 

  Support paid drivers to transport clients from 
Oodnadatta to Coober Pedy 

 



 
16 

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 

 

 

 

 

  Maintain staff training in cultural awareness, 
particularly to contribute to their roles within the 

health service 
  Maintain close ties with Umoona Tjutagku Health 

Service 
  Maintain and strengthen relationship with Umoona 

Aged Care 
  Continue to strengthen awareness of Aboriginal 

culture, especially around prevention 
  Support utilisation of alternative therapies such as 

traditional healers 
  Strengthen relationship with the Northern Aboriginal 

Health Advisory Committee 

  Develop effective utilisation of Aboriginal Liaison 
Officer and Discharge Planning Services 

  Increase the uptake of Aboriginal Health Impact 
Statements 

  Engage closely with 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 

  Expand both formal/informal links with Aboriginal 
health services 

  Support and promote the Aboriginal Pathways 
Project Officer position within the Far North 

 



 
17 

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 Far North Health Advisory Council to 
implement their ongoing role of engaging with their 

community and local stakeholders 

 

 

 

  Explore opportunities for ongoing and meaningful 
discussion and feedback with the community 

  Actively engage community participation in primary 
health promotions 

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

  Facilitate, in partnership with other key stakeholders 
community development strategies 

  Coordinate and promote volunteer program across 
all services 

 



 
18 

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 

catchment 
  Maintain and stengthen ties with local services such 

as Umoona Tjutagku Health Service, Umoona Aged 
Care Aboriginal Corporation, Flinders and Far North 

Division of GPs, locally based Mental Health Team, 
local SA Ambulance team, Child &amp; Youth Health 
team and local Drug &amp; Alcohol Services team 

  Maintaining excellent and supportive working 
relationships with visiting providers such as Child 

and Adolescent Mental Health Service and mental 
health professionals 

  Maintain extensive support to Dunjiba Aged Care 
from the Oodnadatta Clinic staff 

  Facilitate multi-disciplinary Discharge Planning 
Focus 

  Support GP locums who work across hospital and 
community providing 24/7 coverage 

  Implement the MPS Delivery Plan to provide flexible 
and responsive care across the acute, aged and 
community health settings 

  Review and define Deed of Agreement between 
Coober Pedy Hospital and Health Services and 
Umoona Aged Care Aboriginal Corporation 

  Establish MOU to formalise support provided to 
Dunjiba Aged Care 

  Develop effective utilisation of Aboriginal Liaison 
Officer, Aboriginal Pathways Project Officer and 
Discharge Planning Services 

  Strengthen multi-disciplinary relationships with 
external agencies 

  Develop a clinical support network to support mental 
health practitioners working in isolation  

  Build a close working relationship with the 
Education Department to implement school 
screening in Oodnadatta 

  Further develop relationship with Frontier Services 
which provide health clinic services to Marla and 
Mintabie 

Formal ties with state-wide and Country Health SA 
clinical networks 

  Strengthen networks with metropolitan and 
Statewide services to sustain access to iCCnet, 
MedStar, Rural and Remote Mental Health Service 
and other clinical services  

  Develop and strengthen processes with the Country 
General Hospital in Whyalla for a seamless referral 
system and enhanced access to expanding services 

 



 
19 

8. Resources Strategy 
 

8.1 Workforce 
 

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

 

Outcomes  Existing Strategies Sustained Strategies for the Future  
Highly skilled and qualified workforce 
 

  Integration of specialised clinical positions located in 
Community Health to enhance the knowledge and 
skill level in A&amp;E 

 

  Conduct in house education for GP Plus strategy 
Programs 

  Improve clinician knowledge and usage of annual 
adult health check and chronic disease 
management plans 

Recruitment and retention of the workforce to 
support the service profile 
 

  Recruitment and retention of suitably skilled staff   Recruitment and retention of permanent GP 
 

Expanded proportion of Aboriginal people 
employed in the health service 

  Aboriginal health workers employed at both sites 
 

  Support and actively recruit Aboriginal staff where 
appropriate 

 

8.2 Infrastructure 
 

Objective: Increase the capability of the infrastructure to support the planned service levels are provided and maintained within local communities 
Critical milestones: NA 

 

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

 

 

 

 

 

 

  Develop an equipment replacement/upgrade plan 
  Explore staff accommodation options for short and 

long term recruitment options 
  Plan for the development of a low stimulus room at 

the hospital for acute presentations and voluntary 
admissions 

  Investigate funding opportunities to enhance and 
expand residential aged care wing including 
additional lounge, kitchen and activities areas 

  Explore residential aged care to be dementia safe 
 

 



 
20 

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  
Sustainable funding to achieve the planned service 
profile 

 

 

 

  Maintain funding to support the existing services to 
be sustained. 

  Evaluate grant funded programs such as RPHS to 
ensure that financial sustainability is achieved to 

maintain existing successful initiatives 
  Implement the MPS Delivery Plan to provide flexible 

and responsive care across the acute, aged and 
community health settings 

  Develop business cases to seek funding to 
implement new services or ease demand pressures 
on existing services 

  Actively seek new packages of care funding 

 

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 
and video conferencing 

 

 

 

  Maintain and strengthen telehealth facility in 
emergency rooms 

  Maintain access to video-conferencing for review 
and development of treatment orders 

 

  Increased utilisation of telehealth facilities 
  Develop closer relationship with Medstar and utilise 

videoconferencing facilities fully 
  Provide staff education on use of telehealth and 

video conferencing facilities 
  Increased utilisation of telehealth facilities will result 

in faster evaluation of clients under the Mental 
Health Act, community treatment orders, psychiatry 
consultations and trauma support for GPs and 
locums 

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

  Strengthen partnerships with Statewide Services to 
increase the effectiveness of the digital upgrade of 
processor for x-ray unit 

  Further develop use of IT to support mental health 
  Introduce access to pathology results on line 

 



 
21 

8.5 Risk Analysis 
 

Objective Identify and manage the risks associated with implementation of the 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  
 

  Risk Register 
  Hospital and 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 
 

 



 
22 

9. Appendix 
 

9.1 Leadership Structure 
 

The following provides the structure of the Leadership Team which supported the development of 
the 10 Year Local Health Service Plan. 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHSALHN  
Planning Projects Team 

 

Director - Whyalla Eastern Eyre 
Far North Health Service 

Operations Manager 
Far North Health Services 

Director of Nursing 
Far North Health 

Far North  
Health Advisory Council 

 

Liaison Officer   Whyalla Eastern 
Eyre Far North Health Service 

Manager Community Health 
Coober Pedy Hospital 

 &amp; Health Services 
 



 
23 

9.2 Methodology 
 

April 09 Health Advisory Council members and Health Service Executive 
participated in Emily Jenke community engagement training 

May 09  Preliminary planning began with a presentation of proposed milestones 
and timeframes to members of the Far North Health Advisory Council 

July 09  Liaison Officer appointed  
Aug - Sept 09 Health Advisory Council consider strategies for promotion of the Health 

Advisory Council and its role in engaging the community 
October 09 Health Advisory Council considers community survey options  
November 09  Media campaign conducted aimed at raising awareness within the 

community of the role HACs have to play in planning health services and 
the impending community consultation and subsequent development of 
10 Year Health Service Plans 

December 09 Health Advisory Council conducted community consultation including 
information sheet and survey placed at strategic locations: eg. Umoona 
Council, Coober Pedy Council, Miners Store and Post Office 

January 2010 Survey responses collated, summarised and results presented to HAC 
members for their consideration  

 All local and visiting health professionals invited to input into the planning 
process 

February 2010 Health Advisory Council endorses set of community priorities  
March 2010 Coober Pedy Hospital and Health Services Executive group undertake 

needs analysis against service categories as per the Country Health Care 
Plan Taskforce Service Delineation Framework for Country Health 
Services and develop priorities taking into consideration: 

  Current service delivery funding obligations 
  Previous planning outcomes/commitments 
  Identified strengths, weaknesses, opportunities and threats 
  Health Advisory Council identified community priorities 

April 2010  CHSALHN Project Planning Team and Far North Executive develops draft 
10 Year Local Health Service Plan based on identified priorities outlined in 
the needs analysis 
Health Advisory Council review and endorse for release for wider 
community and stakeholder consultation 

May   June 2010  Health Advisory Council leads community and stakeholder consultation 
and approval process 

June 2010  Health Advisory Council considers feedback from community and makes 
representation to Far North Executive on any recommended 
improvements   

 Far North Executive and Health Advisory Council endorse final draft 
 Final Plan submitted by 30 June 2010  

 

9.3 Review Process 
 

The monitoring and evaluation strategy for this Plan will be developed for the Final version.  
Feedback is sought through the consultation phase for this Plan. 

 



 
24 

9.4 Glossary 
 

 

24/7 24 hour   7 days/ week 
A&amp;E Accident and Emergency 
ABS Australian Bureau of Statistics 
ACHS Australian Council on Healthcare Standards 
APY Anangu Pitjantjatjara Yankunytjatjara 
CALD Culturally and Linguistically Diverse 
CHSALHN Country Health SA Local Health Network 
GP General Practitioner 
HAC Health Advisory Council 
iCCnet Integrated Cardiovascular Clinical Network of South Australia 
ICT Information and Communication Technology 
IT Information Technology 
MPS Multipurpose Service 
OHS&amp;W Occupational Health Safety &amp; Welfare 
RPHS Regional Primary Health Service   Commonwealth funded primary health 

care services  
SA South Australia 
SLA Statistical Local Area 
SWOT analysis Strategy development tool which identifies strengths, weaknesses, 

opportunities, threats 
Telehealth Access to clinicians by video-conference or phone 
WEEFN Whyalla Easter Eyre and Far North (cluster) 

 

 

 

 


</pre>
</body>
</html>