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Health News

GP Shortages Fuel Pressure on NSW Emergency Departments Amid Growing Healthcare Demand

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GP Shortages at the Emergency Department
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GP Shortages Fuel Pressure on NSW Emergency Departments Amid Growing Healthcare Demand

 

By Ian Roberts

The latest Bureau of Health Information (BHI) Health Quarterly report highlights the mounting strain on New South Wales’ health system, with emergency department (ED) attendances continuing to rise in response to diminishing access to general practitioners (GPs). Between April and June 2024, there were 795,817 attendances at NSW EDs, a 3.3% increase from the same period last year, demonstrating the growing demand for critical care services.

The report also underscores a significant drop in GP attendance across the state, with a decrease from 754,709 to 653,802 GP visits per 100,000 people between June 2022 and June 2023. This sharp decline represents the most substantial reduction in GP appointments in over a decade, a worrying trend exacerbated by the Federal Department of Health & Aged Care’s data showing a decrease in NSW’s GP workforce, down from 9,700 in 2019 to 9,485 in 2023.

NSW Health Minister Ryan Park expressed concern over the worsening situation, noting that many individuals are delaying necessary care, particularly for chronic conditions, which can result in health deterioration and the need for emergency treatment. The BHI report confirms that ED presentations from the sickest patients—categories 1, 2, and 3—have surged to record levels, far outpacing population growth.

“A growing number of patients are resorting to EDs simply because they cannot afford to see a GP or are unable to secure an appointment within a reasonable time frame,” said Park. He emphasised the link between inadequate access to primary care and increased ED visits, stating that many of those seeking emergency care could have been treated by GPs if access were more readily available.

Compounding the issue, many admitted patients awaiting aged care or National Disability Insurance Scheme (NDIS) placements are contributing to bottlenecks in hospitals. According to the report, nearly 800 patients exceeded their discharge dates, accumulating over 41,000 additional bed days across NSW hospitals.

To address these challenges, the NSW Government has introduced several initiatives aimed at alleviating the pressure on EDs by expanding access to alternative care pathways and improving patient flow.

These include:

  • $100 million for urgent care services and $171.4 million for three new virtual care services aimed at diverting thousands of patients away from EDs.
  • Expanding pharmacists’ roles to provide consultations for low-complexity conditions, easing the burden on GPs.
  • $70 million for short stay units, $31.4 million for hospital-in-home programs, and $53.9 million for deploying 86 patient flow officers across the state’s hospitals.

Minister Park also pointed to the NSW Government’s $189 million Bulk-Billing Support Initiative, which aims to improve access to GPs and increase bulk-billing rates, a critical step in addressing the ongoing primary care crisis.

The state has also established an Emergency Department Taskforce to review statewide ED performance and develop strategies for improving care delivery across NSW hospitals.

While acknowledging that primary care access remains a federal responsibility, Park emphasised that the NSW Government is doing its part by implementing these measures. He called on the federal government to continue working to reverse the impacts of the Medicare rebate freeze, which has further restricted access to GPs.

“We are incredibly grateful for the hard work of our hospital staff, who face unprecedented pressure. Our focus on creating alternative care pathways has already helped nearly a quarter of a million people avoid long waits in EDs, but we still need federal support to address the underlying issues in primary care,” Park said.

For non-emergency health concerns, residents are encouraged to call HealthDirect on 1800 022 222 to receive free advice from registered nurses, who can guide them to appropriate care services.

 

For more health news, click here.

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New volunteer opportunities at Grafton Base Hospital

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New volunteer opportunities at Grafton Base Hospital

Grafton Base Hospital has new opportunities for community members to join the volunteering program, where they can provide comfort and social support to patients during their hospital stay.

Following the success of the initial rollout of the new Healthcare Helper Volunteer Program across health facilities in Clarence Valley, Grafton Base Hospital has now opened up new roles in additional departments.

Clarence Health Service General Manager, Dan Madden said staff really welcome and value volunteers’ contribution to the hospital.

“We have been very pleased with the first cohort of volunteers and are encouraging more people from all walks of life to join us as Healthcare Helpers,” Mr Madden said.

“We are keen for the new volunteers at Grafton Base Hospital to reflect the diversity found within our broader community to ensure all patients feel comfortable and supported.

“We have several new patient companion roles now available in our oncology, renal, surgical, and medical wards.”

Volunteer at Maclean District Hospital, Ellie Walsh said she finds giving assistance to both patients and staff rewarding.

“Having the opportunity to help hard-working staff, while supporting patients during their stay and recuperation is a privilege,” Ms Walsh said.

“Seeing a patient smile in recognition, to laugh with them, to listen to their stories and help time pass more quickly, enriches my life.”

More information can be found online.

Volunteer enquiries about Grafton Base Hospital can be directed to the General Manager’s office via email: nnswlhd-volunteer@health.nsw.gov.au or Phone: 02 6643 0355.

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Surgery Wait Lists Improve Amid Sustained Emergency Activity in Northern NSW Hospitals

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Surgery Wait Times Improve Amid High Emergency Activity in Northern NSW
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Surgery Wait Lists Improve Amid Sustained Emergency Activity in Northern NSW Hospitals

 

The latest Bureau of Health Information (BHI) Healthcare Quarterly report highlights significant improvements in surgery wait lists across the Northern NSW Local Health District (NNSWLHD) for the April to June 2024 quarter, even as emergency department activity remained high.

According to NNSWLHD Chief Executive Tracey Maisey, local hospitals have seen increased demand across multiple markers, including ambulance arrivals and emergency presentations, while planned surgery performance has continued to improve.

Key highlights from the report include:

  • 81% of the 3,809 planned surgeries performed during the quarter were completed on time, an increase of 4.6 percentage points compared to the same period in 2023.
  • The number of patients waiting longer than clinically recommended for surgery dropped by 81.7%, with 145 patients still on the list, the lowest since December 2019.

Ms. Maisey encourages patients concerned about their condition to contact their doctor, who can review and adjust their surgery priority if necessary.

Emergency Department Activity

The report also shows a steady rise in emergency department activity:

  • There were 56,496 emergency attendances in the quarter, up 3.4% from the previous year.
  • Ambulance arrivals increased by 6.4%, totalling 9,576 arrivals.
  • 70.1% of patients started their treatment on time, surpassing the NSW average of 63.7%.
  • 75% of patients were transferred from paramedics to ED staff within 30 minutes, slightly above the NSW average of 73.7%.
  • 70.4% of patients left the ED within four hours, significantly better than the NSW average of 54.7%.

Local Hospital Performance

Here’s a summary of individual hospital results for the quarter:

  • Ballina District Hospital: ED attendances increased by 8.3% with 63.2% of patients starting treatment on time, and 71.4% leaving within four hours.
  • Byron Central Hospital: ED attendances were up 3.1%, with 85.1% of patients starting treatment on time. 82.7% left the ED within four hours.
  • Casino & District Memorial Hospital: ED attendance reached 3,532, with 66.3% starting treatment on time and 83.1% leaving within four hours.
  • Grafton Base Hospital: ED attendances were 7,197, with 56.6% starting treatment on time and 67.8% leaving within four hours.
  • Lismore Base Hospital: ED attendances totalled 10,103, with 52% starting treatment on time and 46.4% leaving the ED within four hours.
  • Maclean District Hospital: ED attendances increased by 9.1% with 81.2% starting treatment on time and 85.3% leaving within four hours.
  • Murwillumbah District Hospital: ED attendance was 5,042, with 85% starting treatment on time and 86.6% leaving within four hours.
  • Tweed Hospital/Tweed Valley Hospital: ED attendances increased by 11.4%, with 74.7% of patients starting treatment on time and 68.1% leaving the ED within four hours.

Community Reminder

NNSWLHD reminds the public to reserve emergency services for life-threatening situations and consider alternative care options, such as medical centres or HealthDirect (1800 022 222) for minor health concerns.

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Urgent Action Needed: Community is Both the Challenge and Solution for People with Dementia

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Urgent Action Needed: Community is Both the Challenge and Solution for People with Dementia

 

Dementia Australia has issued a call for urgent action as new research released during Dementia Action Week reveals that the ongoing lack of understanding of dementia among Australians continues to fuel stigma and discrimination. The report, titled “‘People in the Community’ are the Challenge and the Solution: Towards a Dementia-Friendly Future,” highlights that while community support can be transformative, it is also the primary source of challenges faced by those living with dementia.

Key findings from the 2024 research show:

  • 71% of people with a loved one living with dementia reported their loved one was patronised by others.
  • 76% felt their family member or friend with dementia was treated as though they were not intelligent.
  • Two in three identified people in the community as the most frequent source of discrimination.
  • One in three reported that people avoided or excluded their loved one with dementia.

Additionally, other surveys by Dementia Australia show persistent misconceptions, with one in three Australians still believing that dementia is a normal part of aging—a belief that has grown slightly over the past decade. Alarmingly, 68% of respondents in both 2012 and 2024 indicated they know very little about dementia.

Bobby Redman, Chair of the Dementia Australia Advisory Committee and an individual living with dementia, expressed her frustration over the lack of progress in understanding and awareness. “It’s almost unbelievable that we still have to talk about this. Why do people treat us differently? What have we done to deserve this? All we are asking for is to be understood, respected, and supported—basic human rights,” Ms. Redman said.

She emphasised the need for communities to recognise dementia as a disability, despite its invisibility, and to provide the necessary support to reduce social isolation. “If councils, businesses, and organizations acknowledged this, we could feel less isolated and more included,” she added.

While some communities are making efforts to combat discrimination and foster inclusion, Ms. Redman stressed that much more must be done to create dementia-friendly environments across the country.

Professor Tanya Buchanan, CEO of Dementia Australia, noted that the research confirms “people in the community” are the primary source of discrimination toward those living with dementia. “The stigma surrounding a dementia diagnosis can discourage people from seeking healthcare, including early diagnosis, and it often leads to reduced social engagement, which in turn negatively affects the physical, cognitive, and emotional well-being of the individual.”

Professor Buchanan called for collective action, urging local, state, territory, and federal governments, as well as community groups, to raise awareness and understanding of dementia and take steps to make communities more inclusive.

The report serves as a stark reminder that greater education, understanding, and community-driven initiatives are essential to reducing the stigma and discrimination faced by those living with dementia.

“It is incredibly disappointing that Australians’ understanding of dementia has not shifted in a decade and profoundly concerning that more people now think dementia is a normal part of ageing than they did a decade ago. Dementia is not a normal part of ageing.

“We know that we can do better as there are great examples of dementia-friendly communities from around the country.

“And that’s why this Dementia Action Week (16-22 September) Dementia Australia is calling for urgent and sustained action by communities and governments at all levels to increase their awareness and understanding of dementia – and to become the solution.”

Head here to find out how you can join us to create a future where all people impacted by dementia are supported and welcomed in their communities, no matter where they live.

 

For more seniors news, click here.

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