1. BROOKTON HEALTHY COMMUNITY FORUM WORKSHOP Brookton 25 th February 2013 1

2. PROGRAM 2 1.Welcome 2.Recap on health service planning 3.Overview of Health Needs Survey results 4.Key findings and directions 5.Discussion 6.Next steps

3. SURVEY THEMES 1. Respondents 2. Proximity 3. General Health 4. Medical conditions 5. Health checks 6. Injury 7. Mental wellbeing 8. Self harm or suicide 9. Relationship, parenting or family problems 10. Health & fitness 11. Eating habits 12. Health & wellbeing 13. Brookton Health Centre and other services 14. Important aspects of health services 15. Services that address health issues 16. Drugs and the community 17. Aged Care 3

4. THEME 1 RESPONDENTS 4

5. RESULTS OVERVIEW (RESPONDENTS) 5

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9. KEY POINTS  18% return is statistically valid  Majority of respondents over 60 years of age  Very low returns from young people and Aboriginal people  Results are based on “self-reporting” and provide very useful overall picture rather than rigorous science  Comparisons with WA population are “indicators” only  Information essential to health service planning 9

10. THEME 2 PROXIMITY 10

11. RESULTS OVERVIEW (PROXIMITY) PROXIMITY TO BROOKTON HEALTH SERVICE 11

12. RESULTS OVERVIEW (PROXIMITY) PROXIMITY TO NEAREST HOSPITAL 12

13. RESULTS OVERVIEW (PROXIMITY) ARE YOU A REGULAR USER OF BROOKTON HEALTH SERVICE? 13

14. THEME 3 GENERAL HEALTH 14

15. RESULTS OVERVIEW (GENERAL HEALTH) SELF RATING OF GENERAL HEALTH 15

16. THEME 4 MEDICAL CONDITIONS 16

17. RESULTS OVERVIEW (MEDICAL CONDITIONS) DIAGNOSED MEDICAL CONDITIONS – SELF REPORTED 17

18. THEME 5 HEALTH CHECKS 18

19. RESULTS OVERVIEW (HEALTH CHECKS) LAST HEALTH CHECK 19

20. THEME 6 INJURY 20

21. RESULTS OVERVIEW (SERIOUS INJURY) INJURY IN LAST 12 MONTHS REQUIRING MEDICAL ATTENTION (n=158) 21

22. RESULTS OVERVIEW (SERIOUS INJURY) CAUSE OF INJURY 22

23. RESULTS OVERVIEW (SERIOUS INJURY) WHERE DID INJURY HAPPEN? 23

24. THEME 7 MENTAL WELLBEING 24

25. RESULTS OVERVIEW (WELLBEING) FELT SAD OR DEPRESSED WITHIN LAST YEAR? (n=160) 25

26. RESULTS OVERVIEW (WELLBEING) HOW OFTEN? (n=62) 26

27. RESULTS OVERVIEW (WELLBEING) DID YOU HAVE SOMEONE YOU COULD TALK TO AND EXPRESS YOUR FEELINGS? (n=66) 27

28. RESULTS OVERVIEW (WELLBEING) FELT LONELY OR ISOLATED WITHIN LAST YEAR? (n=160) 28

29. RESULTS OVERVIEW (WELLBEING) HOW OFTEN? (n=41) 29

30. RESULTS OVERVIEW (WELLBEING) DID YOU HAVE SOMEONE YOU COULD TALK TO AND EXPRESS YOUR FEELINGS? (n=52) 30

31. THEME 8 SELF-HARM OR SUICIDE 31

32. RESULTS OVERVIEW (SELF-HARM OR SUICIDE) SERIOUS THOUGHTS OR SELF HARM OR SUICIDE WITHIN LAST YEAR? (n=151) 32

33. RESULTS OVERVIEW (SELF-HARM OR SUICIDE) DID YOU OR ARE YOU RECEIVING HELP? 33

34. THEME 8 RELATIONSHIP, PARENTING OR FAMILY PROBLEMS 34

35. RESULTS OVERVIEW (RELATIONSHIP/FAMILY PROBLEMS) SERIOUS RELATIONSHIP, PARENTING OR FAMILY PROBLEMS WITHIN LAST YEAR? (n=159) 35

36. THEME 10 HEALTH & FITNESS 36

37. RESULTS OVERVIEW (HEALTH & FITNESS) EXERCISED IN PREVIOUS 2 WEEKS? (n=157) 37

38. RESULTS OVERVIEW (HEALTH & FITNESS) WHAT MIGHT HELP YOU TO BE MORE ACTIVE? 38

39. THEME 11 EATING HABITS 39

40. RESULTS OVERVIEW (EATING HABITS) HOW OFTEN FOODS EATEN? 40

41. THEME 12 HEALTH & WELLBEING 41

42. RESULTS OVERVIEW (IMPROVE HEALTH & WELLBEING) ARE THERE THINGS YOU CAN DO TO IMPROVE YOUR HEALTH & REDUCE CHANCE OF GETTING SICK? (n=155) 42

43. RESULTS OVERVIEW (IMPROVE HEALTH & WELLBEING) WHAT COULD YOU DO TO IMPROVE YOUR HEALTH? 43

44. THEME 13 BROOKTON HEALTH CENTRE & OTHER SERVICES 44

45. RESULTS OVERVIEW (BHC & OTHER HEALTH SERVICES) DO YOU THINK BHC RESPONDS TO COMMUNITY CONCERNS AND IS A GOOD COMMUNITY ORGANISATION? (n=157) 45

46. RESULTS OVERVIEW (BHC & OTHER HEALTH SERVICES) IF YOU WERE SICK OR INJURED WHERE WOULD YOU FIRST SEEK HELP? (n=163) 46

47. RESULTS OVERVIEW (BHC & OTHER HEALTH SERVICES) HOW WOULD YOU GET THERE? (n=157) 47

48. RESULTS OVERVIEW (BHC & OTHER HEALTH SERVICES) WHICH HEALTH PROFESSIONALS DO YOU CURRENTLY SEE? 48

49. RESULTS OVERVIEW (BHC & OTHER HEALTH SERVICES) DO YOU ACCESS THESE SERVICES LOCALLY? 49

50. THEME 14 IMPORTANT ASPECTS OF HEALTH SERVICE 50

51. RESULTS OVERVIEW (IMPORTANT ASPECTS OF HS) IMPORTANCE OF ASPECTS OF HEALTH SERVICES 51

52. RESULTS OVERVIEW (IMPORTANT ASPECTS OF HS) ATTITUDES TOWARDS HEALTH SERVICES 52

53. THEME 15 SERVICES THAT ADDRESS HEALTH ISSUES 53

54. RESULTS OVERVIEW (SERVICES THAT ADDRESS HEALTH ISSUES) SERVICES TO INDIVIDUALS & FAMILIES – IMPORTANT OR VERY IMPORTANT 54

55. RESULTS OVERVIEW (SERVICES THAT ADDRESS HEALTH ISSUES) SHOULD THERE BE MORE SERVICES FOR YOUNG PEOPLE? (n=153) 55

56. RESULTS OVERVIEW (SERVICES THAT ADDRESS HEALTH ISSUES) SHOULD THERE BE MORE SERVICES FOR ABORIGINAL PEOPLE? (n=131) 56

57. RESULTS OVERVIEW (SERVICES THAT ADDRESS HEALTH ISSUES) WOMEN’S HEALTH ISSUES OF CONCERN 57

58. RESULTS OVERVIEW (SERVICES THAT ADDRESS HEALTH ISSUES) MEN’S HEALTH ISSUES OF CONCERN? 58

59. THEME 16 DRUGS & THE COMMUNITY 59

60. RESULTS OVERVIEW (DRUGS AND THE COMMUNITY) DO YOU SMOKE? (n=167) 60

61. RESULTS OVERVIEW (DRUGS AND THE COMMUNITY) DO YOU DRINK ALCOHOL? (165) 61

62. RESULTS OVERVIEW (DRUGS AND THE COMMUNITY) HOW MANY TIMES PER WEEK DO YOU DRINK ALCOHOL? (n=108) 62

63. THEME 17 AGED CARE 63

64. RESULTS OVERVIEW (AGED CARE – OVER 55 YEARS) HOW LIKELY IS IT THAT YOU WILL LIVE IN BROOKTON IN 5 YEARS? (n=103) 64

65. RESULTS OVERVIEW (AGED CARE) IF YOU BECOME FRAIL WOULD YOU LIKE TO STAY IN BROOKTON? (n=116) 65

66. RESULTS OVERVIEW (AGED CARE) IF YOU BECOME FRAIL WHERE WOULD YOU LIKE TO LIVE? (n=118) 66

67. RESULTS OVERVIEW (AGED CARE) AT THE END OF YOUR LIFE WHERE WOULD YOU LIKE TO DIE? (n=114) 67

68. RESULTS OVERVIEW (AGED CARE) DO YOU HAVE RELATIVES WHO COULD ASSIST YOU WITH YOUR DAY TO DAY NEEDS? (n=113) 68

69. RESULTS OVERVIEW (AGED CARE) IMPORTANCE OF ACCOMMODATION OPTIONS 69

70. RESULTS OVERVIEW (AGED CARE) SERVICES USED NOW, NEEDED NOW AND NEEDED IN FUTURE 70

71. KEY FINDINGS AND DIRECTIONS 71

72. KEY FINDINGS & DIRECTIONS 72 1.Issue – Primary Health Clinical ServicesProposed Response The availability of a first response service at the Brookton Health Centre is regarded by the community as the most important health service. The BHC should provide a first response and support SJA responding to more serious emergencies. The BHC should not be regarded as having an “Emergency Department” such as exists in a hospital as this is not achievable within current resourcing and licensing restrictions. Continue first response service from BHC during opening hours. Build links with SJA to improve capacity of all organisations to respond to genuine emergencies. Work with SJA to provide first aid training courses for Brookton community. Work with SJA to clarify roles/responsibilities and clinical governance issues related to care for emergency patients Open discussions with WACHS re access to the Emergency Telehealth Service.

73. KEY FINDINGS & DIRECTIONS 73 2.Issue – Chronic DiseaseProposed Response The population of Brookton has higher rates of chronic disease than the rest of WA.  Respiratory disease  Arthritis  Cardiovascular disease  Diabetes  Hypertension  High cholesterol The presence of many chronic diseases is related to lifestyle. The management of chronic disease management has shifted firmly to a focus on “self-management”. Silver Chain is exploring potential to provide Diabetes Educator service to Brookton on a visiting basis. Strengthen chronic disease self- management education programs. Strengthen “healthy lifestyle” education programs including nutrition programs, alcohol and drugs education and group exercise programs.

74. KEY FINDINGS & DIRECTIONS 74 3.Issue – Aged CareProposed Response 31.4% of Brookton’s population is aged over 60 years compared with 19.6% for the rest of WA. 73.3% of people in Brookton over 55 years would like to stay in Brookton if/when they get frail population and 60% of these people say they would like to live in their homes as they get older. 50% of people over 55 years say they would like to die in their own home. Less than half of respondents over 55 years said they have a relative who can assist them with day to day needs. The Federal Government’s policy document “Living Longer, Living Better” heralds an increasing focus on more care for the elderly at home and less reliance on institutional care. Further, as the population ages, there will be increased need for higher level care which can only be delivered at a nursing home or via Extended Aged Care at Home (EACH) Packages. Given the above, there is a strong and growing requirement for community and home based aged care services in order to meet the needs of the community. Continue to strengthen full range of HACC services. Engage with Brookton Shire re the potential to establish Brookton as an “aged friendly” community. Engage with Brookton Shire re current availability of Independent Living Units (ILU) and plans for growth in number of units. ILUs should be designed to enable residents to age in place. Continue to explore requirement for CACP and EACH packages. Continue to build close relationship with Kalkarni. Strengthen falls prevention programs for the elderly e.g. “Stay on Your Feet”.

75. KEY FINDINGS & DIRECTIONS 75 4.Issue – Mental WellbeingProposed Response The prevalence of mental illness in Brookton is comparable to the rest of WA. However, self-reported rates of feeling sad, depressed, isolated & lonely are high. Strengthen community mental wellbeing programs e.g. “Act, Belong, Commit”. Continue/strengthen counselling services. Consider other strategies to reduce isolation and loneliness. Silver Chain have introduced a weekly visiting Nurse Practitioner service to focus on clients with mental health in conjunction with WACHS mental health team.

76. KEY FINDINGS & DIRECTIONS 76 5.Issue – Allied Health ServicesProposed Response Allied health services currently provided in Brookton are well utilised. The majority of people receiving allied health services elect to do so locally rather than travel to other locations. Continue to provide and strengthen as required, the range of allied health services currently in place. Explore requirement for gender- specific health programs e.g. Men’s and Women’s wellness Clinics. Develop alternative models of service delivery e.g. Therapy Assistant’s program. Explore access to allied health services via telehealth.

77. KEY FINDINGS & DIRECTIONS 77 6.Issue – General PracticeProposed Response Approximately half of the people who see a GP in the Shire of Brookton elect to access the visiting service at BHC. There are several reasons for this relatively low level of utilisation including the part-time nature of the service and the fact that there is no community pharmacist in Brookton and patients who need a script may elect to have the script filled after visiting the doctor in Pingelly or Beverley. Open discussions with the Shire of Brookton re the potential to extend the hours of the visiting GP service or introduce alternative GP services. The existing visiting fortnightly female GP service should continue.

78. KEY FINDINGS & DIRECTIONS 78 7.Issue - Access to specialist medical servicesProposed Response 31.4% of Brookton’s population are currently over 60 years of age and 63% of residents over 55 years believe they will require assistance with transport in the future. Visiting medical specialist services to Brookton are limited and to see a specialist a road trip to the metro area or Narrogin is required. Stakeholders have advised that reliable transport for people unable to provide their own transport is a major issue affecting access to medical specialists and other services. Establish high level of telehealth capability at BHC enabling patients to see medical specialists via videoconference where logistical possible and clinically appropriate. Explore potential for community based road transport service for people who need to access medical specialists services in other locations.

79. KEY FINDINGS & DIRECTIONS 79 8.Issues Requiring Further ExaminationProposed Response Barriers to access for Aboriginal people. Requirement for specific health services for Aboriginal people including Aboriginal Health Workers and Aboriginal health clinics. How do we engage the community re all this? Over the next 2-3 years services delivered by Pingelly Hospital will gradually transition to a primary health care focussed model of care. SIHI will provide funds to support this service reform as well as capital required for a new primary health care centre. There may be opportunities for new services in Pingelly to also support Brookton residents and visa versa. Through engagement with the Aboriginal community in Brookton, assess barriers to using health services and strategies to address those barriers. Better publicising of range of services currently available. Better publicise improvements in services achieved. Seek approval of Shire to publicise Health Service Plan on its website. Brookton Healthy Community Forum to undertake periodic review of Health Service Plan. Continue dialogue with WACHS/SIHI re potential to share services.

80. The end…thank you 80