Southern New South Wales Medicare Local. Health Planning Forum

Transcription

1 Southern New South Wales Medicare Local Health Planning Forum Queanbeyan & Palerang LGAs Queanbeyan NSW 2 April 2014

2

3

4 The Queanbeyan & Palerang LGAs at a glance Indicator Queanbeyan LGA Palerang (Pt A / B) Medicare Local NSW Population^ 37,991 15, ,415 6,917,656 Population growth forecast (2011 to 2025) # 44% 38% 28% 20% % Indigenous persons # 1,139 (3%) 225 (1.6%) 3.0% 2.5% Average annual household income^ $99,352 $94,000 $74,094 $80,813 % English as primary language^ 85% 91% 94% 73% Private Health Insurance coverage # 56% 51% / 48% 46% 48% Broadband internet penetration # 71% 80% / 66% 66% 70% Source: Australian Bureau of Statistics and Public Health Information Development Unit (PHIDU) (2012)

5 % of population Current population 9% 8% 7% 6% 5% 4% 3% 2% 1% 0% Palerang Queanbeyan Southern NSW NSW Source: Australian Bureau of Statistics (ERP 30 June 2012)

6 Population growth Births to LGA residents in 2012: 556 in Queanbeyan, 151 in Palerang

7 Source: Public Health Unit for Murrumbidgee & Southern NSW LHDs, 2014

8 % adults Self-assessed health Eurobodalla Goulburn M. Rural NSW Bombala Self-assessed fair or poor health vs Socio-economic disadvantage Bega Valley all NSW Cooma-Monaro Upper Lachlan Queanbeyan Yass Valley Palerang Snowy River IRSD score Source: Australian Bureau of Statistics and Public Health Information Development Unit (PHIDU) (2010 General Social Survey)

9 Population% Health risk levels Smoking Harmful Alcohol consumption Overweight persons Obese persons* Physically Inactive persons Psychological distress Queanbeyan Palerang Pt A Southern Palerang Pt NSW B ML Southern NSW ML NSW Source: Australian Bureau of Statistics and Public Health Information Development Unit (PHIDU) ( National Health Survey)

10 Age-standardised rate of current adult smokers Smoking Smoking rate ( ) Eurobodalla Bombala Bega Valley Upper Lachlan Goulburn Mulwaree NSW Cooma-Monaro Queanbeyan Yass Valley Snowy River Palerang SEIFA Score Source: Australian Bureau of Statistics and Public Health Information Development Unit (PHIDU) ( National Health Survey)

11 Smoking in pregnancy % smoking in pregnancy and Social disadvantage Queanbeyan Eurobodalla Goulburn M Cooma-Monaro Palerang Bombala Bega Valley Yass Valley NSW Upper Lachlan Snowy River IRSD score Source: NSW Perinatal Data Collection 2010 and ABS.

12 % of women screenedaged % screened Health screening rates Bega Valley Eurobodalla Queanbeyan Upper Yass Valley Palerang Monaro NSW Lachlan / Goulburn M Bowel Cancer Screening Rates 2010 Source: Department of Health and Ageing Biennial Breast Cancer Screen Rates Source: Cancer Institute NSW and HOIST database Bega Valley Eurobodalla Queanbeyan Upper Lachlan / Goulburn Yass Valley Palerang Monaro NSW

13 %of women screened Health screening rates Bega Valley Eurobodalla Queanbeyan Upper Lachlan /Goulburn M Yass Valley Palerang Monaro NSW Biennial Cervical Cancer Screen Rates Source: NSW Pap Test Register, Cancer Institute NSW, HOIST database

14 Crude rate / 1,000 persons Chlamydia infection rates Upper Lachlan / Goulburn M Yass Valley Palerang Queanbeyan Eurobodalla Bega Valley Monaro Source: Public Health Unit covering Murrumbidgee and Southern NSW Local Health Districts,

15 %OF TOTAL POPUALTION Select chronic disease rates Type 2 Diabetes High Cholesterol Circulatory diseases Respiratory diseases Musculoskeletal conditions Queanbeyan Palerang Pt A Palerang Pt B S NSWML NSW Source: Australian Bureau of Statistics and Public Health Information Development Unit (PHIDU) ( National Health Survey)

16 Incidence / people Select cancer rates Breast Colon Lung Melanoma Prostate Queanbeyan Palerang S NSWML NSW Source: Cancer Institute NSW (2010)

17 Avg annual rate per 100,000 persons Premature mortality rates Cancer Circulatory system diseases Respiratory disease Source: Australian Bureau of Statistics and Public Health Information Development Unit (PHIDU) (2012) External causes Queanbeyan Palerang A Palerang B Southern NSWML NSW

18 % of all persons in age group Disability rates 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 41.4% 36.9% 14.4% 13.2% 6.1% 7.1% 1.6% 1.9% 3.2% 4.3% Less than to to to Queanbeyan Southern NSW NSW Source: Australian Bureau of Statistics (2011) Note: * Core activities are defined by the ABS as needing help in one or more of three activity areas of self-care, mobility and communication

19 Preventable admissions Number of separations Eurobodalla LGA Bega Valley LGA Goulburn Mulwaree LGA Queanbeyan LGA Upper Lachlan Shire LGA Cooma-Monaro LGA Yass Valley LGA Palerang LGA Snowy River LGA Bombala LGA Source: NSW Health Centre for Epidemiology and Evidence (2011) Note: Rates reported are indirectly standardised by age and gender

20 Preventable admission rates Hospitalisation rate Upper Lachlan Shire LGA Goulburn Mulwaree LGA Bega Valley LGA Eurobodalla LGA Bombala LGA Cooma-Monaro LGA Southern NSW LHD Queanbeyan LGA Snowy River LGA Yass Valley LGA Palerang LGA Source: NSW Health Centre for Epidemiology and Evidence (2011) Note: Rates reported are indirectly standardised by age and gender

21 ED volume 2013 Triage 4 & 5 visits

22 ED visits after hours Triage 4 & 5 BH: 9am 6pm AH night: 6pm midnight AH morning: midnight 7am

23 ED visits by weekday

24 ED visits by age & Aboriginality Triage 4 & 5 visits Aboriginal people comprise 2.9% of Queanbeyan population 5.2% of Queanbeyan ED visits (triage 4 & 5)

25 ED visits by age & Aboriginality

26 Triage 4/5 attendances at Canberra and Calvary hospital ED, Queanbeyan residents Palerang residents Yass residents Age Group Age Group Age Group Source: ACT Health Directorate, March 2014

27 Cross border presentations at ACT clinics from Queanbeyan Queanbeyan residents attending ACT hospital outpatient clinics by specialty Respiratory Pre anaesthetic Oncology Obstetric Medical General practice Endocrinology Allied ,000 6,000 9,000 12,000 15,000 18,000 Source: ACT Health Directorate, March 2014

28 ACT Outpatient clinic presentations by Queanbeyan residents ACT Outpatient presentations by age ACT Outpatient presentations by specialty and age social work counselling psychology podiatry physiotherapy occupational therapy nutritian/dietetics speech pathology Age Group Age Group 65+ Age Group Age Group Age Group 5-11 Age Group 0-4 Source: ACT Health Directorate, March 2014

29 Cross border presentations at ACT clinics from Palerang Palerang residents attending ACT hospital outpatient clinics by specialty Pre anaesthetic Oncology Obstetric Medical General practice Endocrinology Allied Source: ACT Health Directorate, March 2014

30 ACT Outpatient clinic presentations by Palerang residents ACT Outpatient presentations by age 0 Age Group social work counselling psychology podiatry physiotherapy occupational therapy nutritian/dietetics speech pathology ACT outpatient presentations by specialty and age Age Group 65+ Age Group Age Group Age Group 5-11 Age Group 0-4 Source: ACT Health Directorate, March 2014

31 % bulk billed GP attendances Source: National Health Performance Authority: Healthy Communities: Australians experience with access to health care in

32 MBS expenditure on GP attendance Source: National Health Performance Authority: Healthy Communities: Australians experience with access to health care in

33 GP visits in residential aged care facilities Source: National Health Performance Authority: Healthy Communities: Australians experience with access to health care in

34 Visit to allied health professional or nurse Source: National Health Performance Authority: Healthy Communities: Australians experience with access to health care in