<html>
<head>
<meta charset="UTF-8"/>
<meta name="tikaGenerated" content="true"/>
<meta name="date" content="2011-02-16T02:53:27Z"/>
<meta name="xmp:CreatorTool" content="Acrobat PDFMaker 9.1 for Word"/>
<meta name="Company" content="South Australian Department of Health"/>
<meta name="Keywords" content="Country Health Strategy, country, Country Health SA, CHSA, country health reform, Health Advisory Councils, HAC, primary health acute care services, Aboriginal health, Closing the gap, peri-urban, ATSI, Port Lincoln Health Service Plan,"/>
<meta name="subject" content="10 Year Local Service Plan"/>
<meta name="dc:creator" content="CHSA"/>
<meta name="dcterms:created" content="2011-02-15T23:58:46Z"/>
<meta name="Last-Modified" content="2011-02-16T02:53:27Z"/>
<meta name="dcterms:modified" content="2011-02-16T02:53:27Z"/>
<meta name="title" content="HAC Plan - (Port Lincoln)"/>
<meta name="Last-Save-Date" content="2011-02-16T02:53:27Z"/>
<meta name="meta:save-date" content="2011-02-16T02:53:27Z"/>
<meta name="dc:title" content="HAC Plan - (Port Lincoln)"/>
<meta name="modified" content="2011-02-16T02:53:27Z"/>
<meta name="cp:subject" content="10 Year Local Service Plan"/>
<meta name="Content-Type" content="application/pdf"/>
<meta name="creator" content="CHSA"/>
<meta name="meta:author" content="CHSA"/>
<meta name="dc:subject" content="Country Health Strategy, country, Country Health SA, CHSA, country health reform, Health Advisory Councils, HAC, primary health acute care services, Aboriginal health, Closing the gap, peri-urban, ATSI, Port Lincoln Health Service Plan,"/>
<meta name="meta:creation-date" content="2011-02-15T23:58:46Z"/>
<meta name="created" content="Wed Feb 16 10:28:46 ACDT 2011"/>
<meta name="xmpTPg:NPages" content="35"/>
<meta name="Creation-Date" content="2011-02-15T23:58:46Z"/>
<meta name="meta:keyword" content="Country Health Strategy, country, Country Health SA, CHSA, country health reform, Health Advisory Councils, HAC, primary health acute care services, Aboriginal health, Closing the gap, peri-urban, ATSI, Port Lincoln Health Service Plan,"/>
<meta name="Author" content="CHSA"/>
<meta name="producer" content="Acrobat Distiller 9.4.0 (Windows)"/>
</head>
<body>
<pre>
1 

 
 
 Port Lincoln

10 Year Local Health Service Plan

 

2010   2019

Port Lincoln Health Advisory Council
Port Lincoln Health Service

Country Health SA Hospital Inc



2 

 
10 Year Local Health Service Plan  

 
Port Lincoln Health Service 

 
2010 - 2019 

 
 
 

Table of Contents 
 
 
1. Executive Summary......................................................................................................... 3 
2. Catchment Summary ....................................................................................................... 5 
3. Needs Analysis Summary ............................................................................................... 7 
4. Local Implications of Statewide plans ......................................................................... 11 
5. Planning Principles........................................................................................................ 12 
6. Service Delivery Plan..................................................................................................... 13 

6.1 Core Services to be Sustained................................................................................. 13 
6.2 Strategies for new / expanded services ................................................................... 18 

7. Key Requirements for Supporting Services................................................................ 25 
7.1 Safety &amp; Quality ....................................................................................................... 25 
7.2 Patient Journey ........................................................................................................ 26 
7.3 Cultural Respect....................................................................................................... 27 
7.4 Engaging with our community .................................................................................. 28 
7.5 Local Clinical Networks ............................................................................................ 29 

8. Resources Strategy ....................................................................................................... 30 
8.1 Workforce................................................................................................................. 30 
8.2 Infrastructure ............................................................................................................ 32 
8.3 Finance .................................................................................................................... 32 
8.4 Information Technology............................................................................................ 33 
8.5 Risk Analysis............................................................................................................ 33 

9. Appendix......................................................................................................................... 34 
9.1 Leadership Structure................................................................................................ 34 
9.2 Methodology............................................................................................................. 34 
9.3 Review Process ....................................................................................................... 34 
9.4 Glossary ................................................................................................................... 34 

 
Date: 15 July 2010 

 
 



3 

1. Executive Summary 
 

The Port Lincoln Health Service has taken the lead and determining role in the development of the 
10 Year Health Service Plans, with the support of the CHSA Planning Projects Team. The Port 
Lincoln Health Advisory Council (HAC) has worked closely with the Port Lincoln Health Service in 
the planning and implementation of the community consultation and the review and community 
consultation of the draft Plan. A Local Liaison Planning Officer was appointed to support both the 
community, staff and stakeholder consultations and the needs analysis. 
 
The catchment area for the Port Lincoln Country General Hospital extends throughout the Eyre 
Peninsula to the Western Australian border including the townships Tumby Bay, Coffin Bay, 
Elliston, Wudinna, Cummins, Lock, Streaky Bay, Ceduna and Yalata. The Port Lincoln Country 
General Hospital is located 646 kilometres from Adelaide. The Eyre Peninsula experiences a high 
degree of isolation in relation to local and intrastate transport options.  
 
The resident population for the Port Lincoln catchment is 29,043 (ABS 2006 Census). People from 
Aboriginal and Torres Strait Islander backgrounds comprise 6.5% of the total population.  The 
structure of the population is relatively consistent with country South Australia. The highest 
proportion of the population (27%) is in the 45-64 year 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 by 8% by the year 2021.  The Eyre Peninsula region attracts an average of 349,000 
overnight visitors and 304,000 domestic same day visitors per annum. Across the communities in 
the catchment area there is a range in the levels of socioeconomic disadvantage from very high to 
moderate. 
 
The Port Lincoln Health Service, in partnership with the Health Advisory Council and external 
stakeholders undertook the needs analysis by making inferences about the health needs.  The 
needs analysis has included the findings from a community and staff/stakeholder survey distributed, 
face to face workshops with key stakeholders and analysis of the Health Service Profile and other 
relevant data. 428 individual community survey responses were received, 49 individual 
staff/stakeholder survey responses were received.  The needs analysis process identified priority 
areas including: 
 

? Ageing population and people aged over 65 years of age were identified by the 
community as the population group in most need of health help with issues 
affecting their health.  

? Community recognition of Cancer as an important health issue affecting the 
community. 

? Mental wellbeing was identified by both the community and staff/stakeholders as 
the most important health issue facing the community and there is an increasing 
prevalence of diagnosed mental health conditions.  

? Risky levels of alcohol consumption, and drug / alcohol issues were rated as the 
second most important health issue by community. 

? The high proportion of Aboriginal people including those under 35 years of age, 
cultural and spiritual considerations around life and death, higher rates of chronic 
disease, and lower life expectancy of Aboriginal people. 

? Geographic isolation.  
? The community has identified children as a population group in need of help to deal 

with issues affecting their health including access to local paediatric services. 
? Community demand for care as close to home as possible. 
? Highest proportion of health care for residents of the catchment area undertaken in 

Adelaide or Whyalla is for medical specialist services. 



4 

? High rate of occupancy hospital inpatient admissions which require less complex 
care and services. 

? The changing nature of emergency presentations, including high proportion of 
emergency presentations which require less complex care and services. 

? Projections for slight increases in elective surgical activity over future years. 
? High fertility rate and increasing numbers of births. 
? Chronic disease is a significant component of the total burden of disease in the 

catchment, including asthma, arthritis, cancer and diabetes. Links between poor 
oral health and chronic disease. 

? Care needs for people with a disability. 
 

The Port Lincoln Health Advisory Council endorsed the release of the draft plan for broader 
community and Stakeholder engagement between the 7 May and 15 June 2010.  The responses 
were received and considered by the Port Lincoln Health Advisory Council in the endorsement of 
this Plan.  The Port Lincoln Health Advisory Council and Eyre Aboriginal Health Advisory 
Committee acknowledge the importance of reviewing the plans and progress annually. 
 
The Strategy for Planning Country Health Services in South Australia, endorsed in December 2008, 
and the SA Health Care Plan have a key focus for the development of Country General Hospitals, 
one of which is Port Lincoln.  A number of Statewide Clinical Service Plans have been developed or 
are currently under development providing specific clinical direction in the planning of services, 
particularly for expanded services in the Country General Hospitals.   
 
This 10 Year Health Service Plan sets out to sustain and strengthen its existing core services.  The 
aim is for the Port Lincoln Country General Hospital to be developed to manage the majority of 
health care needs so that only patients requiring highly specialised or complex care will need to 
access this in Adelaide, as supported by both the Strategy for Planning Country Health Services in 
South Australia, endorsed in December 2008, and the SA Health Care Plan. 
 
The Plan aims to expand into areas including: 
 

? Increased local access to specialist rehabilitation services. 
? Level 4 palliative care services and effective coordination of palliative care for 

cancer patients, including consideration of the cultural sensitivities of Aboriginal 
people and communities around death and dying. 

? Establish level 4 older people's health services including inpatient Geriatric 
Evaluation and Management (GEM) units and support across the Eyre cluster. 

? Increased local access to specialist paediatric services to reduce the need for 
children and families to travel to Adelaide or be transferred to Adelaide for care. 

? Establishment of Limited Treatment Centre and intermediate care to strengthen 
hospital and community based mental health care. 

? Increase access to primary prevention and health promotion. 
? Improve access to local chemotherapy care. 
? Enhancing local services and exploring initiatives such as telehealth, care 

coordination and other patient journey initiatives. 
? Continuously strengthening the cultural appropriateness of the health service. 
? Recruitment, development and retention of a suitably skilled workforce. 

 



5 

2. Catchment Summary 
 

Introduction 
 

The city of Port Lincoln is situated within the Port Lincoln Statistical Local Area (SLA). However, the 
catchment area for the Port Lincoln Country General Hospital extends throughout the Eyre 
Peninsula to the Western Australian border including the townships Tumby Bay, Coffin Bay, 
Elliston, Wudinna, Cummins, Lock, Streaky Bay, Ceduna and Yalata. The city of Port Lincoln and 
townships in the catchment are located within the Port Lincoln, Tumby Bay, Lower Eyre, Elliston, 
Wudinna, Streaky Bay and Ceduna Local Council areas. The Port Lincoln Country General Hospital 
is located 646 kilometres from Adelaide. Ceduna, Streaky Bay and Elliston are located 
approximately 400, 290 and 170 kilometres respectively from Port Lincoln. 

 

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

Population 
 

The resident population for the Port Lincoln catchment is 29,043 (ABS 2006 Census). People from 
Aboriginal and Torres Strait Islander backgrounds comprise 6.5% of the total population compared 
with 3.1% across country South Australia. Approximately 2.8% of the population speak a language 
other than English at home, compared with 3.9% across country South Australia. 

 
The structure of the population is relatively consistent with country South Australia. The highest 
proportion of the population (27%) is in the 45-64 year age group, followed by 26% in the 25-44 
year 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 by 8% by the year 2021. The fertility rate 
for the catchment ranges between 1.94 in the Ceduna area to 2.97 in the Unincorporated West 
Coast area (including Yalata) with an average across the catchment of 2.1. This is above 
replacement level and higher than the South Australian rate (1.82). The indirect standardised death 
rate for the catchment ranges between 4.7 in the Elliston area to a very high 17.4 in the 
Unincorporated West Coast area, compared with 6.1 for South Australia.  




6 

 
The Eyre Peninsula region attracts an average of 349,000 overnight visitors and 304,000 domestic 
same day visitors per annum. 

 
    Table 1: Port Lincoln catchment population 

 

 No. % 
Country 

SA 
% 

SA total 
% 

Total Population 29,043    
     
Males 14,821 51.0% 50.2% 49.2% 
Females 14,222 49.0% 49.8% 50.8% 
     
0-14 years of age 6,308 21.7% 20.4% 18.5% 
15-24 years 3,396 11.7% 11.4% 13.3% 
25-44 years 7,503 25.8% 25.1% 26.7% 
45-64 years 7,749 26.7% 27.3% 26.1% 
65-84 years  3,598 12.4% 13.9% 13.4% 
85 years and over 489 1.7% 1.8% 2.0% 
     
Aboriginal &amp; Torres Strait 
Islander 1,904 6.6% 3.1% 1.7% 

CALD (Speaks a language 
other than English at home) 825 2.8% 3.9% 12.2% 

Source: 2006 ABS Census 
 
Socioeconomic factors 
 
The catchment region has been identified as remote, with the region west of Wudinna to the 
Western Australian boundary considered very remote. The catchment reflects a very high to 
moderate level of socioeconomic disadvantage. This is also reflected in significantly lower median 
individual, family and household incomes in some areas. The prevalence of chronic disease for 
people aged 16 years and over in the Eyre region is considerably higher than country South 
Australia and total South Australia for arthritis, asthma and osteoporosis. The Eyre region 
demonstrates considerably higher risk factors than country South Australia for risky alcohol 
consumption (short and long term), overweight, high cholesterol and smoking (including ex-
smokers). 
 
The Eyre Peninsula s largest industries are agriculture, aquaculture and fishing, followed by tourism 
and mining. The region produces more than 45% of the State s wheat crop, and 20% of its barley 
crop. Aquaculture has experienced the largest regional economic growth in the past 10 years. 
Agriculture, forestry and fishing comprise up to 23% of total employment, with retail trade making up 
11%. 
 
The Eyre Peninsula experiences a high degree of isolation in relation to local and intrastate 
transport options. The Australian Red Cross operates a community passenger transport network on 
the Eyre Peninsula for people who have no access to other means of transport for medical 
appointments. Regular flights and bus services are available between both Port Lincoln and 
Ceduna and Adelaide.  
 



7 

 
3. Needs Analysis Summary  
 
The Port Lincoln Health Service, in partnership with the Health Advisory Council and external 
stakeholders, undertook the needs analysis by making inferences about health needs.  The needs 
analysis has included the findings from a community and staff/stakeholder survey, face to face 
workshops with key stakeholders, and analysis of the Local Health Service Profile and other relevant 
data. 428 individual community survey responses, 49 individual staff/stakeholder survey responses, 
and staff and key stakeholders participated across 3 needs analysis sessions.  
 
The focus of the community consultation process was to understand the priority health needs and 
gaps in the existing service profile. Key emerging themes consistently identified through both the 
community and staff/stakeholder consultation process included: 

? The top 5 population groups in most need of help with issues affecting their health included 
people aged over 65, people with disabilities, children, young people, and Aboriginal people. 

? The top 5 areas the community needs more information about included mental wellbeing, 
drugs/alcohol, healthy weight/lifestyle, cancer and men's health. 

? The top 5 major health service issues or problems which affected individuals or their family 
included chronic disease, general access and resource availability, access to general 
practitioners (GPs), community health and mental health. 

? The top 3 most important strategies for improving health and staying healthy included healthy 
lifestyle promotion; enhanced coordination and access to medical specialists, general 
practitioners, clinical and community health services; and improving social determinants of 
health. 

? The top 5 additional health services people would like to see available from the Port Lincoln 
Health Service included community and allied health, clinical support services, medical 
specialists, mental health and acute care. 

? The majority of people who used health care outside of the catchment, did so to access 
medical specialist services. 

 
The needs analysis process identified a vast range of strengths, weaknesses, opportunities and 
threats across service category areas.  The Port Lincoln Health Service identified priorities for each 
major service category to clearly focus on the most important areas for the 10 Year Local Health 
Service Plan: 
 
Acute Care 

? The South Australian Health Care Plan, Strategy for Planning Country Health Services, 
specific Statewide Clinical Plans, and community feedback identify enhanced acute care 
provision for Country General Hospitals.  Staff and stakeholders recognise the opportunity to 
explore resident medical service models, which may be built around the highly skilled and 
experienced local GPs, which meet local inpatient needs and support local general 
practitioners.  Enhanced High Dependency Unit facilities to support increasing complexity care 
required for patients, is also recommended. 

? Based on future directions for developing Country General Hospitals, and comparisons with 
other similar hospitals, staff identified the importance of re-examining the nursing workforce 
model and formula. 

? The high rate of occupancy for hospital inpatient admissions which require less complex care 
and services, and feedback from staff, reinforce the opportunity for enhancing ambulatory care 
services. 

 
Emergency 

? The changing nature of emergency presentations, statewide planning directions to raise the 
capacity of Country General Hospitals, and staff feedback, reinforce the importance of a third 
anaesthetic machine to support retrievals. 

? The rise in aggression incidents in the staff incident report system, and staff/stakeholder 
feedback, suggests the need for improved management of drug/alcohol affected clients. 



8 

? The community have reiterated the need for better mental health services and staff and 
stakeholders have recognised an existing gap in after hours emergency mental health 
services. 

? Based on the high proportion of emergency presentations which require less complex care 
and services, the impact on local GPs for after hours on-call, and feedback concerning access 
to GPs, it is recommended that opportunities for nurse practitioner roles or specialist trained 
accident and emergency nurses in emergency departments, or access to resident medical 
services, which may be built around the highly skilled and experienced local GPs, be explored.  

? Existing statewide plans for cardiology and stroke have recommended directions for enhanced 
emergency care. 

 
Elective Surgery 

? The South Australian Health Care Plan, Strategy for Planning Country Health Services, and 
specific Statewide Clinical Plans identify enhanced acute care provision for Country General 
Hospitals. The Hardes model projects slight increases in elective surgical activity over future 
years. Staff and stakeholders recognise that to achieve expanded surgery activity, further 
analysis of the existing operating theatre/recovery and resident anaesthetic services is 
required. 

 
Medical Specialists 

? Statewide directions for developing Country General Hospitals, the geographic isolation and 
community demand for care as close to home as possible, and the need for patients to travel 
to Adelaide or Whyalla for medical specialist services, highlights the need for targeted 
expansion of visiting and resident services. 

 
Palliative Care 

? South Australia s Palliative Care Services Plan has set valuable directions for enhanced 
palliative care which local staff and stakeholders recognise as valuable for meeting local 
needs. 

? The high proportion of Aboriginal people in the catchment, higher rates of chronic disease and 
lower life expectancy of Aboriginal people, and the specific cultural and spiritual needs of 
Aboriginal people, reinforce the need for an improved palliative care model for Aboriginal 
people, including consideration of the sensitivities of Aboriginal people and communities 
around death and dying, particularly choice in place of death and dying. 

? Staff and stakeholders recognise the existing gap in services for supporting local palliative 
care patients including access to a medical officer with specialist palliative care skills. 

? The incidence of cancer, an ageing population, and recognition by staff and stakeholders 
about existing gaps in services reinforces the value of a cancer care coordinator. 

 
Mental Health 

? Statewide planning including recommendations outlined in the South Australian Social 
Inclusion Unit Stepping Up Report and the Strategy for Planning Country Health Services 
document; the projected increase in demand for appropriate mental health services; and 
mental health services identified as the 4th most important health issue by community; have 
led to the need for intermediate care and limited treatment centres. 

? Staff and stakeholders recognise an existing gap in the current staffing model which needs to 
include mental health liaison across all relevant services and after hours emergency mental 
health services. 

? Mental wellbeing was identified by both the community and staff/stakeholders as the most 
important health issue facing the community. There is an increasing prevalence of diagnosed 
mental health conditions which reinforces the need for mental health promotion, prevention of 
mental ill-health, and early intervention strategies to be prioritised. 

 
Maternal and Birthing 

? Results of the 2009 Midwifery Services Satisfaction survey, the high fertility rate in the 
catchment area, and increasing numbers of births have highlighted the opportunity for 
midwifery models and shared care with GPs. 



9 

? The high proportion of Aboriginal people, the number of births to Aboriginal parents and 
relatively high Aboriginal population fertility rate, and the high proportion of the Aboriginal 
population under 35 years of age, indicates the value in strengthening the Aboriginal maternal 
and infant care services.  

? Staff and stakeholders recognised an opportunity to implement the Baby Friendly Hospital 
Initiative. 

 
Rehabilitation 

? The Statewide Rehabilitation Service Plan which includes expanding services in Country 
General Hospitals, has identified directions which meet local needs. 

? Staff and stakeholders recognise an opportunity to expand the allied health assistants to 
enhance local rehabilitation care. 

 
Community and Allied Health 

? Risky levels of alcohol consumption within the catchment population, and drug and alcohol 
issues rated as the second most important health issue by community, and national strategic 
directions to reduce substance misuse, particularly in the Closing the Gap report, have 
reiterated the need for meet drug and alcohol related health needs. 

? The incidence of cancer, an ageing population, and community recognition of cancer as the 
4th most important health issue affecting the community, has highlighted the need for an 
enhanced cancer service model. 

? Chronic disease, including asthma, arthritis, cancer and diabetes, was identified as the most 
pressing health issue affecting respondents to the survey. Chronic disease is a significant 
component of the total burden of disease of the catchment, reinforcing the need for chronic 
disease management strategies. 

? Staff and stakeholders recognise the opportunity to streamline community and acute service 
delivery. 

? The 2010 Lock Community Health and Welfare Centre planning session brought together 
community and clinicians to establish priorities in population health, primary health care and 
chronic disease management. 

 
Primary Prevention / Health Promotion / Community Development 

? Statewide plans, best practice literature and community feedback have encouraged clinicians 
to increase the focus on health promotion and primary prevention across all sectors. 

? Community identified healthy lifestyle promotion and supporting the social determinants of 
health in the top 3 areas for encouraging and maintaining healthy living. 

? Local clinicians have recommended the need for designated long term resources for primary 
health care and flexibility to deliver statewide programs within the local community.  

? The Eyre AHAC identified that where primary health care services are ongoing or expanded / 
new which impact on Aboriginal people or are in addition to existing primary health care 
services provided by Aboriginal Health Services, the Health Unit must consult and involve the 
Local Aboriginal Health Service in the planning and implementation of such services. 

 
Aged Care 

? People aged over 65 years of age were identified by the community as the population group in 
most need of assistance with issues affecting their health. People aged 65 years and over are 
projected to increase by 25% over the next 10 years.  Staff and stakeholders noted that these 
local needs have reinforced the opportunity to achieve directions set out in the Statewide 
Health Service Framework for Older People. 

? Staff and stakeholders recognise the opportunities for enhanced flexibility of community 
packages, and access to care for low level care clients. 

 
Respite 

? The community and staff/stakeholders identify people with a disability as the (second and third 
respectively) population group with the most needs affecting their health. Issues such as 
homelessness and a lack of hostel accommodation are particularly relevant for this population 



10 

group.  Staff and stakeholders identify a gap in services for young people with disability, 
community brokerage programs and supported housing and accommodation. 

 
Clinical Support Services 

? Enhanced radiology services is seen as the second most important new clinical support 
service. Staff/stakeholders recognise the opportunity for digital transfer of x-ray and other 
radiology images and enhanced CT scan capacity. 

? Staff/stakeholders recognise the opportunity to explore other radiology, pharmacy and 
pathology tests that could be delivered locally. 

 
Oral Health 

? The existing gap in public dentists and the links between poor oral health and chronic disease 
highlights the need for improved prevention, primary oral health care and collaboration 
between health care providers. 

 
Paediatrics / Early childhood 

? Community, staff and stakeholders have recognised the gap in local paediatric services and 
the community has identified children as a population group in need of help to deal with issues 
affecting their health. 

 
Key requirements for supporting services 

? Geographic isolation, community feedback concerning difficulties associated with travelling 
away for health care, and statewide directions for care as close to home as possible, 
reinforces the need for enhancing local services and exploring initiatives such as telehealth, 
care coordination and other patient journey initiatives. 

? The high number of Aboriginal people, low socioeconomic status, proportion of Aboriginal 
people aged under 25 years of age, lower life expectancy and higher rates of chronic disease 
reinforces the importance of continuously strengthening the cultural appropriateness of the 
health service. 

 
 



11 

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 key focus of both the Strategy and the SA Health Care Plan was the development of Country 
General Hospitals, one of which is Port Lincoln.  The aim for Country General Hospitals is to be 
developed to manage the majority of health care needs so that only patients requiring highly 
specialised or complex care will need to access this in Adelaide. Country General Hospitals will have 
an increased capacity, a high complexity of services and a range of enhanced and new health 
services. 
 
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. 
? 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 Health Service Plans. 
 
 



12 

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.  

 
The planning process also acknowledged important health promotion principles for action based on 
the Ottawa Charter for Health Promotion including: 
 

1. Build healthy public policy 
 
2. Create supportive environments 
 
3. Strengthen community action 
 
4. Develop personal skills 
 
5. Reorient health services. 

 
This is based around the key health promotion values of empowerment, social justice and equity , 
inclusion and respect   
 
The Ottawa Charter for Health Promotion (1986)1 defines health promotion as: 
 
" the process of enabling people to increase control over, and to improve, their health. To reach a 
state of complete physical, mental and social wellbeing, an individual or group must be able to identify 
and to realise aspirations, to satisfy needs, and to change or cope with the environment. Health is, 
therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept 
emphasising social and personal resources, as well as physical capacities. Therefore, health 
promotion is not just the responsibility of the health sector, but goes beyond healthy lifestyles to 
wellbeing."  
 

                                                      
1 World Health Organization (WHO) (1986). Ottawa Charter for Health Promotion. WHO, Geneva. 

 



13 

6. Service Delivery Plan 
 
6.1 Core Services to be Sustained 
 
Service Category Service Description Target Group Directions over next 10 years 
Community &amp; Allied Health ? Local primary health care initiatives, 

chronic disease services, Domiciliary 
Care services, community nursing, 
general counselling, and specific out of 
hospital strategies 

? Access to Aboriginal health, drug and 
alcohol, child and youth health and 
community mental health (adult and child) 
services 

? Access to inpatient, outpatient, outreach 
and home visit allied health services 

All people in  the 
catchment with 
focus on: 

? Frail/Aged 
? Aboriginal 

people  
? Disabled 
? Early childhood 

? Strengthening focus on supporting and preventing 
drug and alcohol needs 

? Model of care for cancer patients to link with 
community services 

? Improve chronic disease management in primary 
health care settings2 

? Streamline service delivery between community and 
acute health services 

? Establish a cancer support nurse to assist clients with 
chronic disease management 

? Support the Lock Community Health and Welfare 
Centre to implement its local plans for enhanced 
population health, primary health care and chronic 
disease self management initiatives3 

Primary Prevention / Health 
Promotion / Community 
Development 
 

? Local primary health care initiatives 
 

Residents of the 
catchment with 
focus on: 

? Aboriginal 
people 

? Children 
? Youth 
? Disabled 
? Frail Aged 

? Increased focus on health promotion and illness 
prevention across all sectors  

? Strengthen the  Do it for Life  programs to support 
healthy lifestyles 

? Contribute to the provision of statewide health 
promotion programs  

? Ensuring easier access to programs, services and 
environments for all people to eat a healthy diet and 
be active 

? Implement the  community foodies  program 
? Consult and involve Local Aboriginal Health Service 

in the planning and implementation of primary health 
care services 

Emergency Service ? 24 hour, 7 day/week emergency triage 
and assessment; emergency trauma and 
resuscitation, emergency surgical 
procedures, including those of higher 
complexity, emergency mental health 
service 

All people who live 
on, or visit, the 
catchment 

? 24 hour, 7 day/week emergency surgical, medical, 
anaesthetic, radiology, pathology, obstetrics 

? Explore the opportunity to establish a 3rd anaesthetic 
machine to support retrievals 

? Improve capacity to manage clients affected by 
drug/alcohol 

                                                      
2 Chronic Disease Action Plan for South Australia 2009-2018 
3 Lock Community Health &amp; Welfare Centre Planning Session 2010 



14 

? Treatment for/management of appropriate 
(non-life threatening) conditions  

? Inpatient diagnosis, monitoring and 
treatment of appropriate conditions 

? Telehealth facility in emergency rooms  

? Improve capacity to provide after hours mental health 
services, particularly for detained patients 

? Explore opportunities such as nurse practitioners, 
resident medical service models, which may be built 
around the highly skilled and experienced local GPs, 
or advanced allied health practitioners in the 
Emergency Department 

? Implement emergency cardiology services based on 
the best practice direction outlined by the Statewide 
Cardiology Clinical Network and in consultation with 
local clinicians 4 

? Establish comprehensive stroke assessment and 
care, with access to specialist advice and support5 

Acute Inpatient Care ? Admissions for acute medical, same day 
or overnight surgery, mental health, 
birthing, chemotherapy 

? Admissions for more complex and higher 
risk treatment and procedures  

? Access to renal dialysis chairs 
? High Dependency Unit (HDU) 

All people who live 
on, or visit, the 
catchment 

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

? Strengthen nursing workforce model and formula to 
meet the changing complexity of acute care needs. 

? Enhance ambulatory care, particularly blood iron 
chemotherapy infusions 

? Enhance HDU facilities to support increasing 
complexity of care requirements of patients 

? Strengthen acute care cardiology services based on 
the best practice direction outlined by the Statewide 
Cardiology Clinical Network and in consultation with 
local clinicians6 

? Establish comprehensive stroke admissions, with 
access to specialist advice and support, based on the 
best practice direction outlined by the Statewide 
Stroke Advisory Committee7 

? Continue to integrate with statewide models of care 
for Country General Hospitals into the future 

Elective Surgical ? Operating theatre staffed and equipped to 
support a range of appropriate surgeries  

? Access to telehealth for pre- and post-
operation consultations 

All people in  the 
catchment with 
focus on: 

? Frail/Aged 

? Explore the opportunity to expand elective surgery, 
particularly ENT, ophthalmology and upper/lower limb 
orthopaedics8, considering all resource requirements 

particularly that operating theatre and recovery are at 

                                                                                                                                                                                                                                                                              
4 Statewide Cardiology Clinical Services Plan   January 2010 
5 South Australia s Stroke Service Plan 2009-2016 
6 Statewide Cardiology Clinical Services Plan   January 2010 
7 South Australia s Stroke Service Plan 2009-2016 
8 Upper / Lower Limb Orthopaedics: includes appropriate hand, elbow, shoulder, foot and ankle surgery, but excludes more complex surgery on hips, knees and other areas. 



15 

? Endoscopic service ? Aboriginal 
people  

? Disabled 
 

capacity 
? Explore the opportunity for a resident anaesthetist 

model, which may be built around the highly skilled 
and experienced local GP Procedural Anaesthetists, 
in conjunction with resident GPs and medical 
specialists and visiting medical specialists 

Maternal &amp; Birthing Services ? Antenatal and postnatal care including 
access to community midwifery services 
and parenting programs  

? Admissions for maternal and neonatal 
care  

? Shared care programs 
? All birthing except for high risk 

pregnancies transferred to tertiary centres 

All people in  the 
catchment with 
focus on: 

? Aboriginal 
Families  

? Families from 
communities 
outside of Port 
Lincoln 

? Develop model for shared care between GPs and 
midwives 

? Continue to strengthen Aboriginal Maternal and Infant 
Care services  

? Implement the Baby Friendly Hospital Initiative 
? Consider options to better support the needs of 

mothers and families that relocate to Port Lincoln 
prior to deliveries 

Medical Specialist Services ? Access to range of visiting medical 
specialist services 

All people in  the 
catchment with 
focus on: 

? Frail/Aged 
? Aboriginal 

people  
? Disabled 
? Early childhood 

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

 

Mental Health ? Primary mental health care 
? Community mental health (child and 

adult)  
? Access to specialist clinical support  
? Shared care management with local GP 
? 24 hour 7 day/week emergency mental 

health service 
? Psychosocial rehabilitation support  
? Local admissions for mental health 

including respite options  
? Specialised assessment for low complex, 

voluntary patients including admission to 
general wards 

All people in  the 
catchment with 
focus on: 

? Aboriginal 
people  

? Youth 
? Frail/Aged 

 

? Implement provisions of the new Mental Health Act 
from 1st July 2010 

? Provide access at the local level to expanded and 
upgraded telehealth network across CHSA 

? Expand access to specialist mental health services 
through implementation of Local Mental Health 
Service Networks, that are fully integrated across the 
community 

? Implement comprehensive mental health workforce 
development plan to meet the future workforce needs 

? Implement robust training and educational 
requirements to meet needs of the new range of 
services  

? Continue to work closely with NGO sector in 
supporting clients in the community  

? Increase the focus on mental health wellbeing and 
population health initiatives such as early intervention 
and illness prevention services 

? Improve mental health literacy and reduce stigma 



16 

associated with mental illness9 
? Encourage consumer and / or carer participation in 

the development of mental health programs 
? Implementation of key recommendations from the 

Stepping Up Report 
? Educating key stakeholders around the new Mental 

Health Act (2009) 
? Improve capacity to provide after hours mental health 

services, particularly for detained patients 
? See 6.2 for further details 

Rehabilitation ? Access to community/home based 
rehabilitation support 

? Single discipline outpatient rehabilitation 

All people in  the 
catchment with 
focus on: 

? Frail/Aged 
? Aboriginal 

people  
? Disabled 

? Increased utilisation of allied health assistants 
? See 6.2 for further details 

Respite Services ? Inpatient admissions for respite  All people in  the 
catchment with 
focus on: 

? Frail/Aged 
? Aboriginal 

people  
? Disabled 

? Advocate for enhanced service for young people with 
disability such as the community brokerage for in-
home carers or supported housing and 
accommodation 

 

Aged Care ? Home and community Domiciliary Care 
services 

? Inpatient admissions for elderly, including 
respite care 

? Access to Transitional Care and Extended 
Aged Care at Home packages 

In the community: 
? Low care residential aged care 
? High care residential aged care 

All people in  the 
catchment with 
focus on: 

? Frail/Aged 
? Aboriginal 

people  
? Disabled 

? Increase flexibility of community packages 
? Advocating for increased access to care for low level 

care clients in the community 
? Explore the opportunity for community based services 

to be available 24 hour 7 days / week 
? Coordinate a regular Healthy Ageing Forum in the 

Lock catchment 
? See 6.2 for further details 

Palliative Care o Access to palliative care beds  
 

All people in  the 
catchment with 
focus on: 

? Frail/Aged 
? Aboriginal 

people  

? Enhanced Aboriginal health coordination and liaison 
support and cultural awareness consideration around 
end of life 

? Encourage and support local medical officers with 
specialised palliative care skills 

? See 6.2 for further details 
Clinical Support Services ? Point of care testing  All people who live ? Establish radiology capacity for digital transfer of x-
                                                      
9 South Australia s Mental Health and Wellbeing Policy 



17 

? 24 hour/7 day/week pathology laboratory  
? Access to extensive clinical pharmacy 

service  
? Access to a range of diagnostic services 

to support medical, surgical and 
emergency service profile 

? Access to emergency blood service  
 

on, or visit, the 
catchment 

ray and other radiology images to improve access to 
remote reporting 

? Enhance the existing CT Scan capacity 
? Explore other radiology, pharmacy and pathology 

tests that could be delivered locally, reducing the 
need for patients to travel to Whyalla or Adelaide 

? Establish a pathology laboratory on site, with 24 hour 
access to pathology staff10 

Oral Health ? Access to specialist outpatient 
consultation, oral surgery and low 
technology specialist services 

All people in  the 
catchment with 
focus on: 

? Early childhood  
? Aboriginal 

people  
? Frail/Aged 

? Advocate for increased access to local public dentist 
services 

? Work closely with SA Dental Services to expand 
prevention programs, recognising the correlation 
between poor dental health and chronic disease, 
substance misuse and ageing 

 

 

                                                                                                                                                                                                                                                                              
10 Strategy for Planning Country Health Services in South Australia 



18 

6.2 Strategies for new / expanded services 
 
Service objective: Increase local access to specialist rehabilitation services11 

Target group: Patients requiring stroke, amputee, orthopaedic and neurological rehabilitation services: Older persons and Aboriginal community 
Critical milestones: Specialist rehabilitation intervention services implemented as part of Whyalla model. Specialist inpatient rehabilitation established 

 
Outcomes Strategies Time Frames  
Access to specialist rehabilitation intervention services  

 

? Initially work in partnership with the Whyalla Country General Hospital and 
metropolitan rehabilitation hospitals to enhance specialist rehabilitation skills 
across the cluster. 

? Over the 10 years establish: 
o Specialist in-patient services 
o Access to a consultant specialist in rehabilitation medicine  
o Outpatient and day services 
o Home based services  
o Hub and spoke and satellite services and teams to reach rural locations 

o A senior lead clinician (allied health or nursing)  
o Where gaps exist in local service provision, defined systems for referral and 

funding in place to ensure patients gain timely access to services not 
available in their locality  

o Adequately resourced tele-medicine units 

2010 
 
 
2013 - 2019 
 
 
 
 
 
 
 
 

 

 
 
 
 
 
 

                                                      
11 Statewide Rehabilitation Service Plan 2009-2017 



19 

 
Service objective: Improve local capacity to support the growing demand for end of life care 

Target group: People with end of life care needs 
Critical milestones: Level 4 palliative care services in place 
 
Outcomes Strategies Time Frames  
Level 4 palliative care services established12 

 
 
 
 
 

 

? Establish a formal partnership with Central Adelaide Palliative Services to meet 
the palliative care needs of patients, caregivers and families with complex 
problems.  This will be achieved by enhancing: 

o Inpatient care within a small cluster of (non-dedicated) palliative care beds 
and specialist inpatient medical and nurse-led care options 

o Links to primary care providers  
o Relationships with level 2 services (across the cluster) 

? Increase access to palliative care packages 
? Ensure service consider the sensitivities of Aboriginal people and communities 

around death and dying, particularly choice in place of death and dying 

2016 
 
 

 

Effective coordination of palliative care for cancer patients ? Establish a cancer support nurse position 2011 
 
 

                                                      
12 SA Health   Palliative Care Services Plan 2009 - 2016 



20 

 
Service objective: Make significant change in the way health services are delivered to older people13 

Target group: People aged over 65 years 
Critical milestones: NA 

 
Outcomes Strategies Time Frames  
Establish Level 4 Older People's Health Services  
 

? Establish dedicated inpatient Geriatric Evaluation and Management (GEM) units. 
Units to promote a strong focus on minimising loss of function, independence 
and confidence through multi-disciplinary input, timely access to 
neuropsychological assessment, diagnostic and imaging services and co-
ordinated care 

? Build strong links with mental health services, palliative care services, 
rehabilitation services, cancer care and stroke care 

? Provide support across the Eyre cluster 
? Explore advanced practice nurses and aged care nurse practitioner roles, 

working in collaboration with gerontologists 
? Facilitate the progress of older people through the right care pathways in a timely 

manner and enable better clinical outcomes, reduced functional decline and 
improved efficiency of inpatient care 

? Implement specialist programs to help staff understand the special needs of 
older people who become ill 

? Strengthen community based, specialist advice and support, ambulatory and 
home based care; transition care; and care awaiting placement 

2010 
 

 
 

                                                      
13 Health Services Framework for Older People 2009-2016: Improving Health &amp; Wellbeing Together 



21 

 
Service objective: Increased local access to specialist paediatric services and reduce the need for children and families to travel to Adelaide or be 

transferred to Adelaide for care14 
Target group: Children at risk of a health problem or disability; Children with a health problem or disability 

Critical milestones: NA 
 
Outcomes Strategies Time Frames  
Access to enhanced local paediatric services 

 

 

 

? Expand upon the existing services provided by visiting paediatricians, resident 
physician and resident GPs in a collaborative approach, so they can provide a 
more comprehensive range of local services 

? Coordinated paediatric care close to home where it is safe and practical to do so 
for other communities throughout the cluster 

? Enhance working relationships between country GPs, paediatricians and Child 
and Family Health staff to build on the valuable role GPs play in Port Lincoln and 
the broader cluster which often avoids or reduces extensive travel for families to 

metropolitan services 
? Enhance early childhood development in the Aboriginal community, in 

partnership with the Port Lincoln Aboriginal Health Service 

2011 
 
 
 
 
 
 

 

 
 
 

                                                      
14 Strategy for Planning Country Health Services in South Australia 



22 

 
Service objective: Increase access to mental health services through a stepped model of mental health care15 

Target group: People at risk of a mental illness, People with a mental illness, Carers 
Critical milestones: Implementation of new Mental Health Act from 1st July 2010. Implementation of new Model of Care for Country Mental Health. 

Implementation of comprehensive Telehealth network across CHSA by December 2010. Establishment of new mental health facilities (LTC) and 
workforce 

 
Outcomes Strategies Time Frames  

Establish Limited Treatment Centre (LTC) and Intermediate 
Care  

 

? Implement robust Local Mental Health Service Network as per Country Mental 
health Model of Care 

? Establish intermediate level of care services as part of stepped system of care  
? Recruit additional mental health clinicians to staff and provide intermediate care 

service. 
? Establish new service partnerships with NGOs to support intermediate care 

services 
? Under the new Mental Health Act (2009), establish a Limited treatment Centre 

(LTC) provide the capacity to admit involuntary patients to a secure purpose built 
environment for a period of up to 7 days, without impacting on the existing 
inpatient services 

? Recruit and employ additional mental health clinicians to operate the LTC beds 
on a 24/7 basis 

? Continue to provide voluntary local admissions, in addition to the existing general 
inpatient services 

? Develop skilled multidisciplinary care management team with psychiatrist, GP, 
nursing and allied health staff with access to telemedicine consulting room 

? Provide additional clinical support for Emergency Department mental health 
presentations  

? Explore options for local psychiatric specialist services 

2012 

 
 

                                                      
15 Stepping Up Report, Social Inclusion Report 



23 

 
Service objective: Increase access to primary prevention and health promotion 

Target group: Residents of the catchment with focus on Aboriginal people, Children, Youth, Disabled and Frail Aged 
Critical milestones: Health promotion team established 

 
Outcomes Strategies Time Frames  

Establish health promotion team 
 

 

? Establish a health promotion team to support the business of the Port Lincoln 
Health Service and key partners  

? Work with key sectors and settings including local government, community 
service, child care and education 

? Contribute to workforce learning and organisational policies and processes 
? Advocate for designated long term resources for health promotion / illness 

prevention  
? Contribute to the State Strategic Plan outcomes including: 

? Reduce the percentage of young cigarette smokers by 10 percentage points 
between 2004 and 2014 

? Increase the proportion of South Australians 18 and over with healthy 
weight by 10 percentage points by 2014 

? Increase the healthy life expectancy of South Australians by 5% for males 
and 3% for females by 2014 

2010-2019 

 



24 

 
Service objective: Improve access to local chemotherapy care 
Target Group: All residents in the catchment area 
Critical milestones: Chemotherapy hub established in Port Lincoln 
   
Outcomes Strategies Time Frames  
Chemotherapy hub, interconnected with metropolitan oncology 
services 

? Develop the chemotherapy hub gradually to ensure proper quality controls 
are maintained and evaluated for the highest patient safety 

? Establish access to a country chemotherapy clinical team including an 
oncologist, clinical cancer pharmacist and specially trained nurse 
practitioners 

? Introduce the electronic oncology prescribing system to enable patients to 
maintain their treatment program between the cancer specialist in Adelaide 

and care locally 
? Strengthen partnership with specialist oncology services in the tertiary 

hospitals in Adelaide  
? Support accreditation, training and education to up-skill rural general 

practitioners and other clinicians to safely provide cancer care locally 
? Chemotherapy hub to be developed to support health services in the cluster 

to increase access to low risk chemotherapy, interconnected with 
metropolitan oncologists 

2012 

    

 

 



25 

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 

? Ensure in home care packages are secure and safe 
? Maintain ACHS accreditation   
? Meet Australian Standards, including the ACORN 

standards 
? Credentialing via CHSA 

 

? Improve capacity to effectively care for bariatric 
clients 

? Monitor readmission and frequent users of the 
hospital to analyse opportunities for improved care 
models  

? Contribute to a country-wide accreditation framework 
? Developing the consumer role in safety  
? Re-develop the CME system and medical record to 

reflect guardianship orders 
? Establish the utilisation of patient hand-held records 

for obstetrics to support better care for transfers to 
Adelaide for delivery 

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 

 

? Strengthen community based support following 
discharge 

? Improve systems to implement Keeping Them Safe 
strategy 

? Further expansion of statewide and Country Health 
SA clinical networks  

? Expand relationships and combine resources with 
the Country General Hospital in Whyalla. 

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

 



26 

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 
 

 
 

? Enhance implementation of GP Plus strategies to 
provide care closer to home 

? 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 

? 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  
 

? Work closely with the Red Cross transport   Dial-a-
Bus 

 

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

? Explore initiatives to support local community/health 
transport solutions 

? Map the patient journey and develop clinical 
pathways and psychosocial supports around 
emergency care of person effected by mental illness 

? Improve discharge planning and coordination  
? Contribute feedback / solutions to improve the 

Patient Assistance Transport Scheme for residents 
of the catchment 

Residents located outside of Port Lincoln and 
within the catchment area have effective pathways 
to local services 

? Work closely with the Red Cross transport   Dial-a-
Bus across the Eyre Peninsula 

? Strengthen access to visiting health services across 
the catchment 

 

? Consider options to better support the needs of 
mothers and families that relocate to Port Lincoln 
prior to deliveries 

? Explore initiatives to support intra-region community  
transport solutions 

 



27 

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 maternity 
care and outcomes 

? Strengthen Aboriginal health liaison officer to provide 
enhanced support and advocacy for patients 

 

 

 

? 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 

? 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 

? Explore utilisation of alternative therapies such as 
traditional healers 

? Awareness of Aboriginal culture, especially around 
prevention 

? 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 

Reciprocal relationships built with Aboriginal 
Community Controlled Health Services in the 
catchment area 

? Continue to build partnership with Port Lincoln 
Aboriginal Health Service 

 

? Expand both formal/informal links with Aboriginal 
Health services 

? Strengthen Aboriginal liaison between Port Lincoln 
Health Service and Port Lincoln Aboriginal Health 
Service 

 



28 

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 Port Lincoln Health Advisory Council to 
implement their ongoing role of engaging with their 
community and local stakeholders 

 

 

 

? 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 
? Actively engage communities participation in primary 

health promotions 
? Ensure that community in smaller towns across the 

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

? Raise community awareness about access to 
community programs that have been established and 
how they are accessible 

 
 
 
 



29 

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 

? Increase the frequency of interagency meetings 
? Continue networking between government and non-

government organisations 
? Strengthen relationships with service providers 

associated with responding to emergencies  
? Continue to build partnership with Port Lincoln 

Aboriginal Health Service 
? Build integration across and between clinicians both 

employed and external to the Health Service 
? 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 

? Seek to establish formalised partnerships with local 
external agencies to foster collaboration which leads 
towards better outcomes and more flexiblity in health 
care for the catchment 

? Investigate the opportunity for support workers which 
can provide pathways to both community and other 
relevant services 

? Increased use of technology for staff education and 
resourcing and case conferencing 

 

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 

? Build on existing relationship with the Country 
General Hospital in Whyalla to share resources and 
consolidate service models 

? 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 

 



30 

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 
 

? Capitalise on opportunity with Charles Sturt 
University to train midwives 

? Maintain innovative internal program for operating 
theatre nurse training 

 

? Up skill existing staff and health care professional 
across the regional health units to achieve future 
service profile 

? Focus training on areas including emergency care, 
CMR protocols, child safe, supporting patients with 
increasingly complex needs, drug and alcohol 
management 

? Be recognised as a key teaching hospital and 
provide a combination of undergraduate, 
postgraduate, internship and specialist rotations 
linked to metropolitan health services16 

Recruitment and retention of the workforce to 
support the service profile 
 

? Maintain close ties with the co-located Spencer Gulf 
Rural Health School to encourage undergraduate 
training scheme 

 

? Build the capacity to support staff debriefing 
following traumatic events 

? Closely align workforce values with core business 
principles such as multi-disciplinary approaches 

? Explore flexible working hours and opportunities for 
career advancement 

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

? Strengthen nursing workforce model and formula to 
meet the changing complexity of acute 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 mental health staff 
in acute sector, staff to implement packages, 
midwives, clinicians, substance abuse management 
and specialised nursing and medical care 

                                                      
16 Strategy for Planning Country Health Services in South Australia 



31 

? Workforce not available to implement packages 
? Train and offer scholarships for professional 

development to people within the workforce 
New workforce models explored 

 
? Explore various models for resident medical 

services, which may be built around the highly skilled 
and experienced local GPs and which support 
resident GPs and medical specialists and visiting 
medical specialists 

? Explore additional workforce models to support 
accident and emergency services such as dedicated 
specialised nursing staff and advanced practice 
physiotherapists 

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

 



32 

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 

 

 

 

? Strengthen existing facilities and infrastructure for 
current level of activity 

 

? Undertake a business case to examine improved 
infrastructure and equipment needs to support 
increased services associated with the development 
of a Country General Hospital and existing pressures 
on space such as counselling rooms, day surgery 
space, trauma, needs of patients requiring mental 
health/drug and alcohol related services 

? Purchase 3rd anaesthetic machine for retrievals 
? Advocate for increased access to supported 

accommodation options 
 
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  
Financial budgets established 
 

? Increase access to care package funding 
 

? Undertake a business case to examine the recurrent 
and short term costs associated with planned 
expansion of services associated with a Country 
General Hospital 

? Strengthen nursing workforce model and formula to 
meet the changing complexity of acute care needs 

 



33 

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 ? Strengthen existing telehealth facilities ? Explore options for digital x-ray capacity 

? Advocate for flexible funding to enable clinicians in 
other areas to effectively utilise telehealth services 

? Increased local access of training and development 
through video conferencing 

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

 ? Enable the transfer of patient information to assist in 
the coordination of care 

? Facilitation of clinical decision making supports 
 
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 
 
 
 

? Maintain the risk register 
? Maintain the hospital and health service accreditation

 
 

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

? Ongoing contribution and participation in the CHSA 
Risk Management policy framework 

? Ongoing participation and contribution to other 
CHSA nominated Risk Management activities 

 



34 

9. Appendix 
 
9.1 Leadership Structure 

 
Port Lincoln Health Service with the support of the CHSA Planning Projects Team have coordinated 
the development of the 10 Year Local Health Service Plan. The Port Lincoln Health Advisory Council 
has undertaken an important role in leading and analysing the community and stakeholder feedback 
and providing an overarching oversight of the local planning process.   

 
9.2 Methodology 
 

June-July 2009 Community, staff and stakeholder engagement strategy planned in partnership 
with HAC. 

Aug-Oct 2009 Community, staff and stakeholder engagement strategy implemented; local 
plans and past consultations reviewed by Planning Projects Team. 

November 2009 Community engagement report developed by the Planning Projects Team. 

January 2010 Final DRAFT Preliminary Service Profile completed. 

Feb-March 2010 Findings consolidated in needs analysis   workshops with staff and 
stakeholders, (nursing, senior staff, executive group, GPs). 

April 2010 Draft Health Service Plan ready for HAC and community consultation. 

May 2010 Community consultation on Draft Health Service Plan.  

June 2010  Re-draft Plan to include community feedback; Plan to HAC for endorsement. 

30 June 2010  Final Draft Plan submitted through CHSA. 
 

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 

ACHS Australian Council on Health Care Standards 

ACORN Australian College of Operating Room Nurses 

CALD Culturally and linguistically diverse 

CHSA Country Health South Australia 

CME Client Management Engine 
CMR Cardiac Magnetic Resonance Imaging 
CT Computerised Tomography 
ENT Ear, Nose, Throat 

GP General Practitioner 

HAC Health Advisory Council 



35 

Hardes Model The Hardes model is principally used to forecast the likely level 
of health services required across a broad range of Human 
Services 

HDU High Dependency Unit 

iCCNet Integrated Cardiac Assessment Regional Network 

LTC Limited Treatment Centre 

NGO Non-government organisation 

SLA Statistical Local Area 

 

 
 
 


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