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Health News

Report reveals ongoing pressures on NSW healthcare system

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Report reveals ongoing pressures on NSW healthcare system

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 2022.

BHI Acting Chief Executive Hilary Rowell said patients typically waited longer for hospital and ambulance services during the quarter, as activity remained at historically high levels across most
parts of the system.

“NSW healthcare services continued to experience pressures in April to June, with sustained COVID19 case numbers and the arrival of the winter flu season,” said Ms Rowell.

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Ambulance

There were 375,215 triple zero (000) calls for an ambulance and 333,927 responses, up 21.1% and  7.8%, respectively, compared with the same quarter in 2019.

Ms Rowell said: “Demand for ambulance responses remained high, particularly for patients requiring an emergency (P1) response, and patients waited longer for an ambulance than in any quarter since BHI began reporting in 2010.”

Half of the 175,892 responses to emergency patients took more than 16.3 minutes – the longest since 2010. Additionally, the response time for half of the 12,134 highest priority (P1A) cases was more
than 9.1 minutes.

Emergency department

There were 793,987 emergency department (ED) attendances, up 5.2% compared with April to June 2019, but short of the record high in April to June 2021.

Around six in 10 patients (62.8%) were seen on time, the lowest of any quarter since BHI began reporting in 2010.

The number of patients who left without, or before completing treatment (76,117) was up 67.6% when compared with 2019 and the highest on record. This includes patients who were triaged but left the ED before treatment began, and patients who began treatment but left before it was completed.

Ms Rowell said: “Our additional analysis shows that one in five patients who leave without, or before completing treatment, tend to re-present to an ED within three days.”

Of those patients who arrived at an ED by ambulance, 72.5% had their care transferred to ED staff within 30 minutes.

Elective surgery

There were 53,712 elective surgeries performed in April to June 2022.

Ms Rowell said: “Fewer elective surgeries were performed than the historically high numbers a year earlier, but activity was up 41.1% (15,649) compared with January to March 2022, when non urgent surgery was suspended for a period of time.”

Waiting times for non-urgent surgery continued to increase – half of those patients waited longer than 339 days before receiving their surgery.

There were 98,625 patients on the waiting list at the end of June, down 2.3% (2,286) from the end of March. At the end of the quarter, 18,748 patients had waited longer for elective surgery than clinically recommended, the highest any quarter since BHI began reporting in 2010.

Detailed results are available at bhi.nsw.gov.au

Find and compare results, including for the 77 larger hospitals and 91 local ambulance areas, in the Bureau of Health Information Data Portal. Snapshots of hospital results can also be found in the
Activity and performance profiles.

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Health News

New research partnership to tackle hearing loss

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Hearing loss

New research partnership to tackle hearing loss

 

An exciting new collaboration has been established between the Ear Science Institute Australia and the National Acoustic Laboratories (NAL), uniting Australia’s leading hearing researchers in a concerted effort to enhance treatments for the millions affected by hearing impairments.

National Acoustics Laboratories Director, Brent Edwards, emphasised the significance of the collaboration, stating, “This partnership harnesses the collective expertise of some of Australia’s most dedicated and forward-thinking hearing researchers, all committed to profoundly improving hearing healthcare globally.”

Hearing loss is among the world’s most prevalent health issues, with projections suggesting that by 2050 nearly 2.5 billion individuals will experience some form of hearing impairment. This partnership aims to foster substantial advancements in the quality of life for those affected by hearing loss, both in Australia and worldwide.

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By pooling their vast resources and data, both institutions are poised to transform hearing health care. The Ear Science Institute Australia, recognised globally as a for-purpose center of excellence, combines scientific research, medical innovation, and clinical practice to pioneer new treatments for ear and hearing conditions, ultimately striving to discover a cure for hearing loss.

Ear Science Institute’s CEO, Sandra Bellekom, commented on the future implications of the partnership, “Looking forward, this alliance with National Acoustic Laboratories opens new pathways for sharing knowledge, which will enhance the delivery of cutting-edge, personalised hearing solutions and expand access to superior hearing care for people around the world.”

 

For more health news, click here.

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Health News

Introduction of New Clinical Care Standard by ACSQHC to Address Psychotropic Medicine Use in Cognitive Disability and Impairment

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New Clinical Care Standard

Introduction of New Clinical Care Standard by ACSQHC to Address Psychotropic Medicine Use in Cognitive Disability and Impairment

 

By Jeff Gibbs

The Australian Commission on Safety and Quality in Health Care (the Commission) has today announced the launch of a pivotal new national standard aimed at enhancing the care for individuals with cognitive disabilities or impairments. The introduction of the Psychotropic Medicines in Cognitive Disability or Impairment Clinical Care Standard is a critical advancement in promoting safer and more effective treatment protocols across the healthcare spectrum.

Background and Rationale for the New Standard

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Recent decades have witnessed a 60% surge in the prescription of psychotropic medications across Australia. Despite a modest reduction in antipsychotic use among the elderly—prompted by heightened awareness of associated risks—the prescribing rates remain alarmingly high, particularly among vulnerable populations. Notably, older individuals and those residing in aged care facilities are disproportionately affected by the adverse effects of these medications, including cognitive decline, heightened risk of falls, strokes, and mortality. Additionally, approximately one-third of individuals with intellectual disabilities are prescribed psychotropic drugs, exposing them to potentially severe short and long-term side effects.

Scope and Impact of the Standard

The new Standard seeks to mitigate the inappropriate utilisation of psychotropic medications and emphasises patient safety. It priorities non-pharmacological interventions as the foremost approach for managing challenging behaviours such as aggression and agitation. Psychotropic medications are advised as a last-resort measure, following the ineffectiveness of alternative strategies or in situations posing significant risk to the individual or others.

The Standard advocates for tailored non-medication strategies that respect the individual’s needs and preferences, developed in consultation with their family and other authorised caregivers. This approach underscores the commitment to upholding the dignity and autonomy of individuals with cognitive impairments.

Expert Insights and Support

Key health experts have endorsed the significance of this new Standard. Conjoint Associate Professor Carolyn Hullick, Chief Medical Officer at the Commission, stresses the necessity for mindful prescribing practices given the limited benefits and substantial risks associated with psychotropic medications in this demographic. Professor Julian Trollor from the University of New South Wales and Juanita Breen from the University of Tasmania also highlight the importance of objective-driven prescribing, continuous monitoring, and the potential to reduce medication dosages in favour of non-pharmacological alternatives.

Implementation Across Settings

The Standard is applicable universally across various healthcare settings, including hospitals, aged care facilities, and community services, ensuring that individuals with cognitive disabilities receive consistent and coordinated care irrespective of the setting.

Professor Eddy Strivens emphasises the need for coordinated efforts and effective communication, particularly during care transitions, to maintain continuity and efficacy of treatment plans and to support decision-making processes that honour patient autonomy.

Collaborative Efforts for Enhanced Care

In a collective endeavour to address these issues, the Commission has collaborated with the Aged Care Quality and Safety Commission and the NDIS Quality and Safeguards Commission to issue a Joint Statement against the misuse of psychotropics in managing behaviours in disabled and elderly populations.

Conclusion

The introduction of the Psychotropic Medicines in Cognitive Disability or Impairment Clinical Care Standard marks a significant step forward in improving the quality of care and safety for Australians with cognitive disabilities or impairments. It aligns with ongoing efforts to reform health care, aged care, and disability support systems across the nation.

The complete Standard and accompanying resources are available on the Commission’s website here.

 

For more seniors news, click here.

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Education

National Walk Safely to School Day Turns 25

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National Walk Safely to School Day Turns 25

 

As National Walk Safely to School Day approaches on Friday, 10 May 2024, primary school-aged children across Australia are encouraged to lace up their shoes for a walk towards a healthier future. Celebrating its 25th anniversary, this initiative, championed by the Pedestrian Council of Australia, highlights the myriad benefits of walking and other forms of active transportation, particularly to and from school.

This annual event not only emphasises physical health but also aims to improve road safety, reduce environmental impact, and promote the use of public transport to lessen car dependency near schools. Harold Scruby, Chairman and CEO of the Pedestrian Council of Australia, emphasises the importance of adult supervision for children under 10 when crossing the street, reinforcing the safety aspect of the campaign.

“Walk Safely to School Day is a great opportunity to teach our kids about the benefits of physical activity,” said Scruby. He also pointed to the worrying statistics of childhood obesity, which affects one in four children at critical levels across the nation, according to the latest ABS National Health Survey results from 2017-18. “The best form of physical activity for all Australians is walking regularly. Children need at least 60 minutes of physical activity a day,” he added.

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The day is not just about walking; it also encourages schools and parent groups to host healthy breakfast events to start the day nutritiously. This initiative supports the dual goals of fostering healthful eating habits and providing social interaction within the school community.

As the event marks a significant milestone, schools across Australia are gearing up to participate more actively than ever. Parents, teachers, and caregivers are encouraged to get involved, not only to support their children but also to take part in making walking a regular part of their daily routine.

This initiative plays a crucial role in mitigating traffic congestion around school areas, promoting environmental stewardship, and fostering a sense of community. Everyone in the community is invited to support the initiative, helping to instil healthy habits in children that can lead to lifelong benefits.

For more information on how to participate in National Walk Safely to School Day, visit the Pedestrian Council of Australia’s website or contact your local school to see what activities are planned for the day. Join the movement on 10 May and help make a difference in the lives of young Australians.

 

For more Education news, click here.

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