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Latest quarterly healthcare report provides new insights on longer stays for overnight admitted patients in NSW public hospitals

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Latest Quarterly Healthcare Report by BHI
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Latest quarterly healthcare report provides new insights on longer stays for overnight admitted patients in NSW public hospitals

 

The Bureau of Health Information (BHI) has today released its latest Healthcare Quarterly report, showing activity and performance for public health services in NSW during April to June 2023.

BHI Chief Executive Dr Diane Watson said the latest quarterly results show NSW public health services continued to experience high demand in the second quarter of this year.

“In April to June 2023, ambulance response times improved from the record long waits the same time one year ago,” said Dr Watson. “The number of elective surgery patients on the waiting list who had waited longer than recommended also halved.”

There were 357,491 ambulance responses – the highest of any quarter since BHI began reporting in 2010. For the highest priority (P1A) patients with life-threatening conditions, the median response time was 8.3 minutes, compared with 9.1 minutes in April to June 2022.

There were 770,564 emergency department (ED) attendances – fewer than the same quarter a year earlier but slightly more than pre-pandemic levels.

65.8% of all ED patients had their treatment start on time – up slightly on 62.8% in the same quarter last year. However, just 56.7% of patients left the ED within four hours – compared with 57.6% a year earlier.

There were 60,499 elective – or planned – surgeries performed – 12.6% more than during the same quarter last year and slightly above pre-pandemic levels.

Almost 80% (79.0%) of all elective surgeries were performed on time – up from 74.7% a year earlier.

The number of patients on the waiting list who had waited longer than clinically recommended dropped to 9,142 – less than half the record 18,748 a year earlier.

Overnight patients admitted to NSW public hospitals spent 6.3 days in hospital on average – 12.5% longer than 5.6 days in April to June 2019 prior to the pandemic, following a notable increase in mid-2021.

Latest quarterly healthcare report with a man being treated

The Bureau of Health Information (BHI) has today released its latest Healthcare Quarterly report, showing activity and performance for public health services in NSW during April to June 2023.

BHI conducted special analyses which identified two principal drivers of the longer stays since mid-2021, outlined in a Special Reporting section in the main report of this issue of Healthcare Quarterly.

“Our analyses found patients diagnosed with COVID-19 during their admission stayed twice as long in hospital on average as other patients, and those discharged to residential aged care stayed even longer,” said Dr Watson.

“For the small cohort of patients who received a COVID-19 diagnosis and were discharged to residential aged care, the average length of stay increased further.”

Results of the Adult Admitted Patient Survey 2022

BHI has also released the latest results of the Adult Admitted Patient Survey, which reflect what almost 20,000 people said about their experiences of care as admitted patients in NSW public hospitals in 2022.

“It is pleasing to see that most patients were positive about their experiences during their hospital stay,” said Dr Watson.

For example:

  • Around nine in 10 patients (92%) rated their hospital care, overall, as ‘very good’ or ‘good’.
  • Around seven in 10 patients (71%) said health professionals ‘definitely’ listened carefully to any views and concerns they had.
  • More than seven in 10 patients (74%) said their family and home situation was ‘definitely’ taken into account when they were discharged.
    Latest Quarterly Healthcare Report by BHI

    The Bureau of Health Information (BHI) has today released its latest Healthcare Quarterly report, showing activity and performance for public health services in NSW during April to June 2023.

    While ratings were down a little on the 2021 survey for the majority of questions, it is important to note that COVID-19 was still prevalent in NSW during the survey period and activity and length of stays were up, which may have impacted experiences.

    “These survey results give healthcare professionals and system managers specific information about where they are doing well, and also areas where care could improve,” said Dr Watson.

    BHI’s new report, Snapshot – Adults admitted to hospital, Results from the 2022 patient survey also compares patients’ experiences in rural and urban hospitals, and examines patients’ experiences of virtual care appointments (via telephone or video call) following their discharge from hospital.

    Detailed results for Healthcare Quarterly and results of the Adult Admitted Patient Survey 2022 are available at bhi.nsw.gov.au

 

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Vape Laws Spark Opposition

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Vape Laws Spark Opposition

 

Queuing at local pharmacies is expected to become longer and more complex due to new laws permitting pharmacies to sell e-cigarettes, commonly known as vapes.

As of 1 July, pharmacies are the sole legal dispensers of nicotine-containing vapes. Initially, customers will need a prescription to purchase these products, but starting 1 October, adults will be able to buy them after a consultation with the pharmacist.

However, the new legislation has sparked significant opposition from many pharmacy chains and independent chemists. The Pharmacy Guild of Australia has strongly criticised the move, describing the expectation for pharmacists to retail vapes as “insulting.”

“Pharmacists are healthcare professionals, and community pharmacies do not want to supply this potentially harmful, highly addictive product without a prescription,” stated Anthony Tassone, the guild’s national vice-president. Tassone also emphasised that vaping products have not been approved by the Therapeutic Goods Administration (TGA) and no nicotine-containing vape is listed on the Australian Register of Therapeutic Goods.

The controversial laws were passed by Parliament following a compromise between Labor and the Greens. Beginning 1 October, pharmacists who opt to sell vapes will be able to provide them to customers aged 18 or over with proper ID but without requiring a prescription, as nicotine vapes will be reclassified from schedule 4 to schedule 3 of the poison’s standard. However, individuals under 18 will still need a prescription to purchase nicotine vapes.

The intent behind the new laws is to regulate the sale of nicotine vapes more strictly while making them accessible for adults who choose to use them. Despite this, the Pharmacy Guild remains critical, highlighting the health risks associated with vaping and the added responsibility placed on pharmacists to manage these products safely.

As the implementation date approaches, the debate within the healthcare community and among the public is likely to intensify, raising questions about the balance between accessibility and safety in the regulation of nicotine vapes.

 

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Onsite Pharmacists – Just What the Doctor Ordered

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Onsite Pharmacists – Just What the Doctor Ordered

 

The Aged Care Onsite Pharmacist (ACOP) program aims to revolutionise medication delivery in residential facilities by placing trained professionals directly on-site.

Addressing Medication Mismanagement

The mismanagement of medications, inconsistent safety procedures, and low vaccination rates in aged care homes have long been controversial. Health authorities are urging providers to increase vaccine rates, as the lives of residents and communities are at risk. Despite these pleas, the Royal Australian College of General Practitioners reported that 97 aged care facilities had COVID-19 vaccination rates below 10%. Additionally, 706 facilities reported less than 50% of their residents vaccinated against COVID, with the lowest coverage in various states including New South Wales, Queensland, South Australia, Tasmania, Victoria, and Western Australia.

The Role of Onsite Pharmacists

The Aged Care Royal Commission identified medication delivery as a crucial area for improvement in aged care homes, recommending the employment of allied health practitioners, including pharmacists. Responding to this, the Federal Government has allocated $333.7 million to fund the ACOP program. This initiative enables residential aged care providers to engage pharmacists through local pharmacies or direct employment. These pharmacists will deliver personalised medications, manage frequent medication reviews, and administer antipsychotic drugs and vaccinations.

Goals of the ACOP Program

The ACOP aims to:

  • Improve medication use and safety in aged care homes, particularly the use of high-risk medications.
  • Ensure continuity in medication management through regular reviews and prompt issue resolution.
  • Provide easy access to pharmaceutical advice for residents and staff.
  • Integrate on-site pharmacists with the healthcare team, including local GPs, nurses, and community pharmacies.
  • Enhance understanding and response to individual resident needs.

Support from the Pharmacy Guild of Australia

The initiative has garnered support from the Pharmacy Guild of Australia, recognising the potential to elevate the role of pharmacies. This program enables pharmacists not only to deliver medications and dose administration aids but also to provide quality use of medicines within the facility. A Pharmacy Guild spokesperson highlighted the additional services pharmacists can offer, such as vaccinations, as they begin to practice to their full scope. This will create further opportunities for community pharmacies to become significant providers of healthcare services to aged care facilities.

Funding Model

The ACOP funding model is divided into two tiers:

  • Tier 1: Community pharmacies receive payments to engage with specific residential aged care facilities.
  • Tier 2: Residential aged care facilities can claim up to $138,282 per year for the full-time equivalent employment of an on-site pharmacist.

This government-funded initiative promises to improve medication management and overall healthcare in aged care facilities, ensuring better health outcomes for residents.

 

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Foods That Can Help Reduce or Prevent Joint Pain

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Minimally processed, whole foods That Can Help Reduce or Prevent Joint Pain
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Foods That Can Help Reduce or Prevent Joint Pain

 

Minimally processed, whole foods — including brightly coloured fruits and vegetables, healthy fats, and lean proteins — may help relieve inflammation and other symptoms that lead to joint pain. Inflammation is a common cause of joint pain, often associated with arthritis and other joint conditions. Eating foods that help reduce inflammation may improve joint pain and offer additional health benefits, such as improved heart health.

Can Diet Help Reduce Joint Pain?

Research indicates that diet can significantly impact joint health. A survey of 217 people with rheumatoid arthritis (RA) found that 24% reported their diet affected their symptoms. A 2023 study on osteoarthritis supports the idea that certain diet patterns can improve joint symptoms. Diets high in nuts, legumes, fruits, vegetables, and seafood, which contain anti-inflammatory properties like antioxidants and phytochemicals, may help reduce joint pain.

Beneficial Foods for Joint Pain

Incorporating anti-inflammatory foods into your diet can help reduce joint pain and slow disease activity. Beneficial foods include:

  • Nuts: Rich in healthy fats and antioxidants.
  • Legumes: High in fibre and protein, reducing inflammation.
  • Fruits and Vegetables: Packed with vitamins, minerals, and antioxidants.
  • Seafood: Especially fatty fish like salmon and mackerel, high in omega-3 fatty acids.

Foods to Avoid

To manage joint pain, limit or avoid processed foods, trans fats, and added sugars. A nutrient-rich diet can also help maintain a moderate weight, reducing strain on the joints.

Popular Diets for Joint Pain

The Mediterranean Diet

Emphasises fruits, vegetables, whole grains, legumes, and healthy fats, with moderate seafood and poultry, and limited dairy and red meat. Associated with reduced inflammation and improved joint health.

The DASH Diet

Includes fruits, vegetables, fish, poultry, nuts, whole grains, and low-fat dairy while restricting salt, sugar, fats, and red meat. May help improve and reduce the risk of gout, a type of arthritis that causes joint pain.

Conclusion

Incorporating a variety of nutrient-rich, anti-inflammatory foods into your diet can help manage and prevent joint pain. Following dietary patterns like the Mediterranean or DASH diets may offer comprehensive benefits for joint health and overall well-being.

 

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