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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 & 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 & 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 & 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 & 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 & 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 & 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 & 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&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
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