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Aboriginal Health Workshop Engaging with local Aboriginal Communities. Peter Shine. Project Officer Integrated Health Services and HealthOne Hawkesbury-Hills Division of General practice. Overview of Hawkesbury-Hills DGP Aboriginal Population

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aboriginal health workshop engaging with local aboriginal communities

Aboriginal Health Workshop Engaging with local Aboriginal Communities

Peter Shine. Project Officer Integrated Health Services and HealthOneHawkesbury-Hills Division of General practice

slide2
Overview of Hawkesbury-Hills DGP

Aboriginal Population

Connection with the Aboriginal Population in the HHDGP catchment area

GP Attendance Survey

Community Consultation

Rouse Hill HealthOne

Current undertakings

Future undertakings

Questions

Presentation overviewDuring this presentationAboriginal means Aboriginal and Torres Strait Islander

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Hawkesbury-Hills Division of General Practice2

hawkesbury hills division
Hawkesbury-Hills Division

HHDGP

Bilpin-Baulkham Hills

Winston Hills-Wisemans Ferry

Established 1994

Local Government Areas (LGA): Hawkesbury, Baulkham

Hills & Blacktown North

Approx. 88 Practices

264 GPs

GP:pop ratio – 1: 1500

Blend of small, medium and large

practices (different set-up)

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Hawkesbury-Hills Division of General Practice3

aboriginal population
Aboriginal Population
  • Aboriginal population In HHDGP catchment area:
  • There are approximately2654 Aboriginal people

Who

  • Predominately reside in the Hawkesbury and Riverstone area
  • This may be representative of a transient population

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Hawkesbury-Hills Division of General Practice4

2008 atsi gp attendance survey
2008 ATSI GP Attendance Survey

2008 Aboriginal and Torres Strait Islander (ATSI)GP Attendance Survey

Dear Community Member

The Hawkesbury-Hills Division of General Practice represents GPs in this area and we would like to ask Aboriginal and Torres Strait Islander people from the community some questions about doctor services. These questions will used for better planning of health services and to let us know what areas in the Hawkesbury might like to have access to Aboriginal Health Services

One survey per person please.

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Hawkesbury-Hills Division of General Practice5

2008 atsi survey
2008 ATSI Survey
  • Age
  • Sex: Male/Female (please circle)
  • Usual GP or clinic name
  • Do family members also see this GP or clinic? Yes/No
  • Does your GP know of your ATSI background? Yes/No/Unsure (please circle)

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Hawkesbury-Hills Division of General Practice6

2008 atsi survey1
2008 ATSI Survey
  • Have you ever told your GP of your ATSI background? Yes/No/Unsure (please circle)
  • Have you been to your GP in the last 12 months?

Any queries regarding this survey should be directed to the Hawkesbury-Hills

Division of General Practice;

Suites 2-5 Panmure St. Rouse Hill NSW 2155

Po Box 3690, Rouse Hill, NSW c2155

Phone. 02 8884 9444

Fax 02 8824 7488

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Hawkesbury-Hills Division of General Practice7

survey results
Survey Results
  • Administered through Vicki Thom – Aboriginal Community Liaison Officer for Hawkesbury District Health Service.
  • 71 completed surveys
  • Only 4 respondents sought healthcare outside of HHDGP boundaries
  • Able to identify the practice, GP or postcode where the Aboriginal person sought healthcare from

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Hawkesbury-Hills Division of General Practice8

hhdgp and aboriginal community agency consultation
Met with Aboriginal Community Liaison HDHS

Attended NAIDOC celebration committee planning

Attended Sorry Day in Windsor

Met with Aboriginal Health Unit Mount Druitt SWAHS

Met with Director Aboriginal Health Sydney West Area Health Service.

Presentation/consultation with the Riverstone Aboriginal community

Met with Aboriginal Community in Riverstone Neighborhood Centre.

Met with Aboriginal Community in Richmond

Koori Interagency

Meet with AMS Mount Druitt

Aboriginal health banner opening

Met with SWAHS, NDGP and Renal specialist consultant

Met with Justice Health

Met with Aboriginal community Riverstone neighborhood centre

Met with Aboriginal community Riverstone

HHDGP and Aboriginal Community/Agency Consultation

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Hawkesbury-Hills Division of General Practice9

hhdgp and aboriginal community agency consultation1
HHDGP and Aboriginal Community/Agency Consultation

HHDGP successfully lobbied Cancer Council to

  • Operate it’s breast screening bus on Sunday July 13 at Richmond during NAIDOC celebrations
  • For Aboriginal women
  • A major coup

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Hawkesbury-Hills Division of General Practice10

hhdgp and aboriginal community agency consultation2
HHDGP and Aboriginal Community/Agency Consultation

HHDGP is currently

  • Identifying Division GPs wishing to undergo Cultural Awareness (HHDGP will facilitate training) to
  • Develop their practice relationships with Aboriginal people
  • Become more aware of Aboriginal health issues, condition and needs
  • Facilitate division staff Aboriginal Awareness training.

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Hawkesbury-Hills Division of General Practice11

slide12
Launch of the Hawkesbury District Health Service Aboriginal Health banner

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Hawkesbury-Hills Division of General Practice12

slide13
Launch of Aboriginal Health Banner Hawkesbury District Health Service with Vicki Thom (Aboriginal Liaison Officer HDHS) who designed the banner

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Hawkesbury-Hills Division of General Practice13

what is rouse hill healthone rhho
WHAT IS Rouse Hill HealthOne (RHHO) ?

A system of Integrated, Collaborative and Multi-Disciplinary Primary and Community Health Care

Bringing together GPs, Community Health and other Health Professionals in a

Multi-disciplinary team structure including

Special interest GPs, GP liaison nurses, Allied Health and Community Health staff

Joint venture between HHDGP and SWAHS

Funded by NSW HealthOne Program

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Hawkesbury-Hills Division of General Practice14

rhho target groups
RHHO Target Groups
  • Frequent Hospital and Emergency dept admissions
  • Aboriginal and non-Aboriginal People/Older people with Chronic and Identifiable Complex Care Needs
  • Children and Families with Complex Healthcare Issues
  • Aboriginal People

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Hawkesbury-Hills Division of General Practice15

rhho services
RHHO Services

(Phase 1)

  • Chronic and Complex Case Coordination including but not limited to
  • Diabetes Education and Management/ Overweight and Obesity/Kidney/Asthma & Respiratory diseases
  • Community Nursing Clinic
  • Podiatry Clinic
  • Mental Health
  • Aboriginal Health

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Hawkesbury-Hills Division of General Practice16

slide17
RHHO
  • Aboriginal Health-The Riverstone area has a significant Aboriginal population and Rouse Hill HealthOne will investigate the opportunity to develop services for this community.
  • Close The Gap becomes a major component of RHHO and immediate steps will be taken to address this in the RHHO service area for the Aboriginal population
  • Partnership opportunities -Aboriginal Medical Service Western Sydney and non- government organization working successfully in Riverstone with the Aboriginal community.

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Hawkesbury-Hills Division of General Practice17

slide18
RHHO
  • Aboriginal people in Australia live at least 17 years less than their non-Aboriginal counterparts in Australia.
  • Certainly in some parts of Australia access and equity of health services to Aboriginal people is of third world standard.
  • To comply with and to work strenuously within the Federal Governments Close the Gap initiative RHHO recognises the healthcare needs of the Aboriginal people of North-Western Sydney.
  • RHHO will work in partnership with local Aboriginal people and services to identify and treat Aboriginal healthcare needs with the culturally appropriate protocol as advised by the resident Aboriginal people.

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Hawkesbury-Hills Division of General Practice18

slide19
RHHO
  • The burden of heart disease, diabetes and kidney disease among Aboriginal people is of chronic proportions in the RHHO catchment area. As has been noted by Professor Alan Cass (The George Institute University of Sydney), presentation.
  • Aboriginal Diabetes14 times higher mortality
  • Aboriginal Chronic Kidney Disease8 times higher mortality
  • Aboriginal Heart Disease 5 times higher mortality than non-Aboriginal

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Hawkesbury-Hills Division of General Practice19

slide20
Chronic diseases, in particular cardiovascular disease, are the biggest single killers of Indigenous people. A comparison of rates of death from the five main groups of chronic diseases over 2000 - 2002 is set out in table 5.

Indigenous peoples' rates of death from chronic diseases expressed as a multiple of the rates in the non-Indigenous population (2000 - 2002)

Cardiovascular diseases (heart diseases strokes 2.2 times the rate of non-Indigenous women 3.0 times the rate of non-Indigenous men

Neoplasms (inc. cancers) 1.6 times the rate of non-Indigenous women 1.3 times the rate of non-Indigenous men

Diseases of respiratory system 3.6 times the rate of non-Indigenous women 3.9 times the rate of non-Indigenous men

Endocrine, nutritional and metabolic diseases (inc. diabetes) 10.1 times the rate of non-Indigenous women 7.3 times the rate of non-Indigenous men

Diseases of the digestive system 3.4 times the rate of non-Indigenous women 4.6 times the rate of non-Indigenous men

RHHO

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Hawkesbury-Hills Division of General Practice20

hhdgp and future aboriginal collaboration
HHDGP and Future Aboriginal Collaboration
  • Continue to foster partnerships with Aboriginal communities and agencies
  • Aboriginal Cultural Awareness Packages for Division and General Practice staff
  • Funding from 2009 Federal budget to employ an Aboriginal Health/Health Promotion Worker
  • Continue to deliver equitable health services to the Aboriginal community
  • Dispel common myths surrounding Aboriginal people and Aboriginal health

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Hawkesbury-Hills Division of General Practice21

questions the end thank you
QuestionsThe EndThank you

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Hawkesbury-Hills Division of General Practice22