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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 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

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  1. Aboriginal Health Workshop Engaging with local Aboriginal Communities Peter Shine. Project Officer Integrated Health Services and HealthOneHawkesbury-Hills Division of General practice

  2. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice2

  3. 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) _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice3

  4. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice4

  5. 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. _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice5

  6. 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) _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice6

  7. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice7

  8. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice8

  9. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice9

  10. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice10

  11. 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. _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice11

  12. Launch of the Hawkesbury District Health Service Aboriginal Health banner _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice12

  13. Launch of Aboriginal Health Banner Hawkesbury District Health Service with Vicki Thom (Aboriginal Liaison Officer HDHS) who designed the banner _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice13

  14. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice14

  15. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice15

  16. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice16

  17. 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. _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice17

  18. 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. _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice18

  19. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice19

  20. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice20

  21. 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 _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice21

  22. QuestionsThe EndThank you _______________________________________________________________________________ Hawkesbury-Hills Division of General Practice22

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