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Western NSW, Living Well Together
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Health Services

Western NSW Local Health District aims to provide good experiences for people using public health services by making sure these services are of high quality, appropriate, safe, available when and where needed, and coordinated to meet each individual’s needs. 

Our health services include facilities in more than 40 geographical locations.  These facilities offer an extensive range of services including mental health, dental, allied health, public health, Aboriginal health and multicultural health services.

Further information on the range of services offered by NSW Health can be found using the following link:  NSW Health Services

 

The Western NSW LHD Strategic Health Services Plan

Introduction

Western NSW Local Health District (LHD) is a relatively new organisation with its first Board assuming responsibility in 2011.  The LHD has devolved accountability and is responsibile for planning, funding and providing public health services that are safe, high quality and patient centred for the people of Western NSW in a financially responsible manner.

The advent of the LHD coincides with the establishment of Medicare Locals and their respective planning phases, and provides an opportunity for the LHD to take a partnership and 'whole-of-system' approach to planning and services delivery with the Western NSW and Far West NSW Medicare Locals.

At the same time, the organisation faces challenges including changing demographics; an increasing Aboriginal population and the need to improve Aboriginal health outcomes; public expectations; the rural and remote nature of the District; an ageing workforce with difficulties recruiting and retaining staff, and the need to improve effective transfer of clinical information across services.

Clinicians and local management have been very strongly supportive of the need for a strategic approach to service planning which will guide future models of care and investment decisions across the District.

It is in the context that the LHD, with the assistance from Health Partners Consulting Group is developing the District's first Strategic Health Services Plan (the Plan).

A Health Needs Assessment

The Health Needs Assessment (HNA) is a living document that is a detailed analysis of our population health data, patient flow, service delivery models and projected health needs. Its the first stage of the development of the strategic health service plan. Please click on this link and take the time to read over the Health Needs Assessment.

You may be interested in some of the key facts from the HNA:

  • Western NSW is the second most sparsely populated LHD in NSW - just over 1 person per sq km (271,000 people: 250,000 sq km)
  • Population growth in the district has been minimal - 2.0% over the past 5 years, with areas closer to Sydney growing, those beyond Dubbo declining
  • The largest growth in population is for the 65+ ages - 6,500 persons or 17% growth from 2006 to 2011
  • There is low forecast population growth - < 1% from 2011 to 2016
  • The proportion of the population that is Aboriginal rises from 4% in Bathurst to 11% in Dubbo and to 27% in 'Remote' (this compares with 2.5% for NSW). Overall 9.4% of the LHD's population identify as ATSI, and 16% of the children (0-14 years)

Some of the priority areas identified by the HNA where health care interventions are likely to give the greatest benefits to the District's population include:

  • Smoking prevention and cessation
  • Nutrition and physical activity interventions, including obesity prevention
  • Diabetes prevention and management
  • Well child care, particularly for Aboriginal children - the first 1000 days
  • Mental health - continuing and strengthening the current community services

Feedback can be forwarded to ce@gwahs.health.nsw.gov.au

The Strategic Health Services Plan

The Plan will incorporate the findings of the Health Needs Assessment and a detailed analysis of current and best practice models of care, service configurations and enablers to provide the direction and framework for its operations for the next three years.

The Plan will set the foundation for future service planning and development to provide a strategic view of service configuration, models of care and key enablers that:

  • Is practical, and clinically and financially sustainable
  • Reflects NSW Ministry of Health policies and contemporary best practice
  • Reflects the priorities set by the LHD Board
  • Has active engagement by the clinical community
  • Responds to community health needs and priorities
  • Is focused on improving patient access and population health outcomes

Discussions with community and clinicians

A key part of the development process has been a number of discussions and forums held in recent months, including

  • 29 March - 15 June 2012: Community Input Forums and surveys
  • 6 March 2013: District Board planning workshops
  • 7 March 2013: Clinician group consultations.  These groups included medical services; surgical services; critical care services; District, Multi Purpose Services and GP services; cancer and palliative care services; maternity and paediatric services; and mental health services.
  • 12 March 2013: Senior Leaders Forum
  • 12 - 13 March 2013: Leaders Workshop
  • 8 April 2013: discussions with representatives from Bila Muuji Aboriginal Health Services Inc
  • 16 April 2013: Leadership Forum
  • 17 April 2013: Health Council Summit 
  • Ongoing consultations with Western NSW and Far West NSW Medicare Locals

It is anticipated that the first draft of the Strategic Health Services Plan will be presented to the Board in July 2013.