BYRON - NCPHN · 2019-06-23 · NORTH COAST PRIMAR HEALTH NETWOR ncphn.org.auneeds-assessment Last...
Transcript of BYRON - NCPHN · 2019-06-23 · NORTH COAST PRIMAR HEALTH NETWOR ncphn.org.auneeds-assessment Last...
NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 1 of 4
NSW7,480,230
Byron 31,556
North Coast502,958
Current Population1
BYRONLOCAL GOVERNMENT AREA (LGA)
Fact Sheet
Byron LGA has not been identified as an area of socio-economic disadvantage overall. However, there are areas within the Byron LGA that are in the most disadvantaged 20% in Australia.
Socio-Economic Disadvantage1
1
2
3
4
5
6
7
8
9
10
Most disadvantaged
Most advantaged
Byron5
55
6
8
84
2
2
2
2
3
Median Age
Byron North Coast NSW
44 47 38
Children & Infants (0-14)
Byron North Coast NSW
16.7% 17.1% 18.5%
Aboriginal Population
Byron North Coast NSW
1.8% 5.0% 2.9%
Older People (65+)
Byron North Coast NSW
16.9% 23.7% 16.3%
A key role of North Coast Primary Health Network (NCPHN) is to identify health needs and service gaps and, based on this evidence, prioritise activity to address those needs. This fact sheet contains the most up-to-date health and service statistics and community perspectives.
Higher Rates of Hospitalisation per 100,000 population
fall-relatedfor all ages
3
Byron
1,049.9NSW748.7
interpersonal violence-related
2Byron
119.0NSW73.8
self-harm5
Byron
212.1NSW142.6
alcohol attributable
4 Byron
683.2NSW580.6
Suicide per 100,000 population6^
NSW 9.8
Richmond Valley- Coastal̂ 14.3
Highest in NSW
21.1 deaths by suicide
among 15-24 yr olds per 100,000 population
(age specific death rate for combined reference years 2008-16)
NSW 15-24 (8.3)
9.0 deaths by suicide among females
per 100,000 population (crude rate for combined reference years 2008-16)
NSW females (4.8)
per 100,000 (crude rate for combined reference years 2008-16)
Rate of suicides
^ Richmond Valley-Coastal SA3 region includes the towns of Ballina, Brunswick Heads, Byron, Bangalow, Woodburn, Evans Head and surrounds.
NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 2 of 4
Allied Health Services ByronNorth Coast
NSW
Health Professionals - FTE per 1,000 population13
ATSI> Health Practitioners 0.00 0.02 0.01
Chiropractors 0.45 0.16 0.19
Chinese Medicine Practitioners 0.52 0.15 0.18
Dental Practitioners 0.74 0.7 0.77
Medical Radiation Practitioners 0.22 0.51 0.52
Nurses and Midwives 6.13 12.44 10.83
Occupational Therapists 0.27 0.51 0.54
Optometrists 0.14 0.16 0.2
Osteopaths 0.55 0.14 0.06
Pharmacists 0.78 0.79 0.92
Physiotherapists 1.00 0.82 0.89
Podiatrists 0.10 0.15 0.15
Psychologists 1.55 0.82 0.96
Byron North Coast
GP Full Time Equivalent (FTE) per 1,000 population
1.6 1.1Practices
15 180GPs (total number)
78 845GP (FTE)
50.8 557.3
^ Richmond Valley-Coastal SA3 region includes the towns of Ballina, Brunswick Heads, Byron, Bangalow, Woodburn, Evans Head and surrounds.< Weighted average/age adjustment used to allow populations to be compared when the age profiles of the populations are quite different.> ATSI: Aboriginal and Torres Strait Islander.
Health and Access to Health Services
General Practitioners (GPs)7
Byron (LGA)
Skin cancer
Cancer per 100,000 population, age standardised<, Richmond Valley-Coastal SA3^9
Incidence rate^: 110.2 Australia: 49.3Mortality rate^: 6.8 Australia: 5.9
Hospitalisations12 rate per 10,000
Drug & alcohol episodes
Australia20
Richmond Valley-Coastal^ 32
Alcohol and other drugs11
Alcohol related criminal offences
80%
60%
40%
20%
0
Dom
estic
vi
olen
ce re
late
d as
saul
t
Intim
idat
ion,
st
alki
ng a
nd
hara
ssm
ent
Ass
ault
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e
Offe
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e la
ngua
ge
100%Byron NSW
All cancers combined^
539.6 incidences Australia: 497.4
Immunisation Rates in 2016-178
Arrows indicate trending below or above the 2015-16 rate.
1year olds
2year olds
5year olds
93.8%
90.1%
87.9%
90.9%
93.5%
90.6%
100%
100%
100%
Australia
North Coast
Australia
North Coast
Australia
North Coast
81.1%Richmond Valley-Coastal̂
Richmond Valley-Coastal̂
Richmond Valley-Coastal̂
81.0%
82.5%
Lowest SA3 in
Australia
2nd lowest SA3 in Australia
2nd lowest SA3 in Australia
Non
-dom
estic
vi
olen
ce re
late
d as
saul
t
Sexu
al
offe
nces
50.0
30.5
15.2
52.2
50.0
90.3
20.5
22.3
13.4
75.0
56.8
30.3
Participation rate: 46.0% NSW: 53.1%
Breast screening10
Byron is one of 10 areas where women experience higher
rates of risk factors for breast cancer, such as: maternal age over 35, alcohol consumption, smoking and obesity.
Highest in NSW
North Coast PHN has the lowest rates for all ages in
Australia
NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 3 of 4
Health and Access to Health Services 2018 Local Health Needs Community Survey14
#1
Byron 30.2%
Byron 25.8%
Byron 16.1%
North Coast 24.4% North
Coast 23.6%North Coast 25.7%
#1#2
#3Weight
Arthritis/ Osteoporosis
Mental health
Participants were asked which health challenges they face...
1 Mental health issues 63.9%
2 Drug and alcohol misuse 58.5%
3 Ageing issues 44.2%
Participants were asked what they think are the three most serious health concerns in their community...
Byron
1 Drug and alcohol misuse 47.7%
2 Mental health issues 47.6%
3 Ageing issues 47.0%
North Coast
Survey respondents told us which additional services are needed to meet health challenges in their community...
and why...
Byron (LGA)
Byron Participants
1690.0% of respondents identified as ABORIGINAL or TORRES STRAIT ISLANDER
12.0% of respondents identified as LESBIAN, GAY, BISEXUAL, QUEER, TRANSGENDER, NON-BINARY OR WITH A DIFFERENT GENDER OR SEXUAL IDENTITY
20.8% of respondents said they wouldn’t be able to get $2,000 for something important within a WEEK
43.2% of respondents had PRIVATE HEALTH INSURANCE
22.2% of respondents were BORN OVERSEAS
4.1% of respondents were AGED between 15-24 YEARS
26.6% of respondents were AGED 65 YEARS or over
25.3% of respondents WORKED 35 or more HOURS a week
NORTH COAST3,372
Immunisation Rates in 2016-178
Arrows indicate trending below or above the 2015-16 rate.
NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 4 of 4
References1 Australian Bureau of Statistics, 2019. 2016 Census. [Online] Available at: https://www.abs.gov.au/census [Accessed April 2019].2 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Interpersonal-violence–related hospitalisations, Local Government Area, NSW 2015-17.
[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/inj_violhos/inj_violhos_lga_trend [Accessed April 2019].3 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Fall-related injury hospitalisations by Local Government Area, persons of all ages, NSW 2015-17.
[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/inj_falloldhos/inj_falloldhos_lga_trend [Accessed April 2019].4 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Alcohol attributable hospitalisations by Local Government Area, NSW 2015-17.
[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/beh_alcafhos/beh_alcafhos_lga_trend [Accessed April 2019].5 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Intentional self-harm: hospitalisations by Local Government Area, NSW 2015-17
[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/men_suihos/men_suihos_lga_trend [Accessed April 2019].6 Mental Health Commission of New South Wales, 2018. Suicide in NSW by age and gender - interactive.
[Online] Available at: https://nswmentalhealthcommission.com.au/resources/suicide-in-nsw-by-age [Accessed April 2019].7 NCPHN Data collection as of 15 October 2018.Unpublished.8 Australian Institute of Health and Welfare, 2018. Immunisation North Coast (NSW).
[Online] Available at: https://www.aihw.gov.au/reports-data/indicators/healthy-community-indicators/phn109/north-coast-nsw/immunisation/immunisation [Accessed April 2019].9 Australian Institute of Health and Welfare, 2018. Reports and data, Health conditions, disability and health, Data tables: Incidence of selected cancers in 2009–2013.
[Online] Available at: https://www.aihw.gov.au/getmedia/df6732ee-5246-4c9f-a458-df85c88fc512/aihw-can-108-cancer-SA3-incidence-mortality.xls.aspx [Accessed April 2019]. 10 Cancer Institute NSW, 2019. Higher risk areas for breast cancer in NSW.
[Online] Available at: https://www.cancer.nsw.gov.au/how-we-help/screening-and-early-detection/breast-cancer-screening/higher-risk-areas-for-breast-cancer-in-nsw [Accessed April 2019].11 NSW Bureau of Crime Statistics and Research, 2018. NSW Local Government Area excel tables, Jan-Dec 2017.
[Online] Available at: https://www.bocsar.nsw.gov.au/Pages/bocsar_crime_stats/bocsar_lgaexceltables.aspx [Accessed November 2018].12 Australian Institute of Health and Welfare, 2017. My Healthy Communities web update: Hospitalisations for mental health conditions and intentional self-harm in 2015–16.
[Online] Available in April 19: https://www.myhealthycommunities.gov.au/our-reports/mental-health-and-intentional-self-harm/november-2017 Available post July 2019: http://webarchive.nla.gov.au/gov/20181010001820/https://www.myhealthycommunities.gov.au/our-reports/mental-health-and-intentional-self-harm/november-2017
13 Australian Government Department of Health, 2019. Health Workforce Data. Allied Health Number of Clinicians: Local Government Area by job role, Job setting, year and workforce status [Restricted Access] Available at: https://hwd.health.gov.au/webapi/jsf/dataCatalogueExplorer.xhtml [Accessed October 2018].
14 North Coast Primary Health Network (NCPHN), 2018. 2018 Speak Up Community Survey. [Online] Available at https://ncphn.org.au/speakup [Accessed February 2019].
2018 Local Health Needs Community Survey14
17.5% of respondents said it was difficult to access Allied Health Professionals^
Difficult to access Byron North Coast
1 Psychologist 30.9% 29.6%
2 Dentist 29.5% 38.1%
3 Physiotherapist 18.8% 20.6%
4 Exercise Physiologist 14.9% 8.6%
5 Social Worker 10.4% 10.0%
Top 3 Challenges:1. Cost - 63.1%2. Not covered by Medicare - 53.0%3. Distance of travel - 27.1%
53.6%of respondents said it was difficult to access Mental Health Services^
Difficult to access Byron North Coast
1 Counselling 51.7% 45.2%
2 Doctor (GP) with knowledge in mental health 32.0% 38.0%
3 NSW Health community mental health 28.3% 33.1%
4 Youth-specific services 25.3% 16.2%
5 Psychiatry 20.8% 28.6%
Top 3 Challenges:1. Cost - 60.9%2. Lack of services - 42.4%3. Stigma/shame - 34.9%
76.3% of respondents said it was difficult to access Alcohol and Other Drug services^
Difficult to access Byron North Coast
1 Rehab 40.8% 44.6%
2 Counselling 37.3% 42.2%
3 Detox 32.1% 39.4%
4 Community support groups 15.3% 22.4%
5 Doctor (GP) with knowledge in alcohol and other drugs 15.1% 31.8%
Top 3 Challenges:1. Not sure what is available - 52.8%2. Stigma/shame - 47.9%3. Lack of services - 37.9%
53.4% of respondents said it was difficult to access Age-related Services^
Difficult to access Byron North Coast
1 In-home domestic support (e.g. cleaning, meals) 57.0% 36.9%
2 Care packages/funding 50.3% 45.6%
3 Respite support for carers 42.5% 24.2%
4 Doctor (GP) with knowledge/ skills in aged care 29.6% 29.3%
5 In-home medical care 28.9% 25.1%
Top 3 Challenges:1. Difficult to organise - 51.8%2. Lack of services - 41.7%3. Cost - 41.1%
41.6%of respondents said it was difficult to access Specialists^
Difficult to access Byron North Coast
1 Psychiatrist 20.4% 23.8%
2 Cardiologist 18.7% 19.2%
3 Orthopaedic Surgeon 18.1% 14.2%
4 Ophthalmologist 12.1% 10.4%
5 Endocrinologist 10.6% 9.4%
Top 3 Challenges:1. Distance of travel - 59.9%2. Cost - 53.3%3. Long wait - 47.9%
1. Can’t get an appointment
2. It costs too much
3. Too long to wait for an appointment
16.5%of respondents said it was difficult to access a Doctor (GP)^
Byron (LGA)
^ Difficult to access = Respondents who had needed to access the health service/professional in the past 12 months reporting it was difficult or very difficult.