27 November 2024

The General Practice in Aged Care Incentive (GPACI), introduced by the Australian Government, is designed to foster stronger, more effective partnerships between general practices and residential aged care homes (RACHs). The goal of the General Practice in Aged Care Incentive is to ensure residents in aged care receive proactive, consistent, and high-quality healthcare that meets new standards for safety and clinical care.

At South Western Sydney PHN (SWSPHN), we are committed to helping aged care homes understand and implement processes and an agreement in collaboration with their local general practices. This guide provides an overview of the GP practice incentive and how SWSPHN supports aged care homes through this transition, along with a range of resources and links to further information on government websites.

 

How SWSPHN supports aged care homes with GPACI

Our team at SWSPHN is here to assist aged care homes in establishing and strengthening partnerships with general practices. By working closely with aged care homes and GP practices, we aim to foster a collaborative approach to healthcare for aged care residents, ensuring they benefit from more structured and continuous care. Our support includes:

 

Guidance on MyMedicare registration

For residents to benefit from the incentive, they, their GPs, and the GP practice must be registered with MyMedicare. We provide guidance on the MyMedicare registration process, explaining how aged care homes can help residents in signing up and clarifying the benefits of linking residents directly with their GPs.

Learn more about MyMedicare

 

Resources for GP engagement

We support aged care homes by facilitating connections with local GPs and providing guidance on setting up regular, effective communication channels. This enables ongoing care planning and promotes a more proactive approach to resident healthcare.

Aged Care Incentive resources

 

Education on quality standards and compliance

Throughout 2025 SWSPHN will conduct roadshows for aged care homes to better understand and implement  MyMedicare registrations and better understand the GP incentive to collaborate and enter into agreements with general practice.

To ensure you don’t miss out, email SWSPHN’s GPACI Project Officer at kirsty.young@swsphn.com.au to introduce yourself. Alternatively, subscribe to our Community Pulse monthly newsletter.

 

Information for families and carers

SWSPHN recognises the importance of family involvement in the care process. We can provide educational resources for families and carers to help them understand the benefits of GPACI and MyMedicare, empowering them to support the care planning process.

Aged Care Residents Information Booklet

GPACI FAQ for Aged Care Residents and Carers

Aged Care Homes Residents PowerPoint presentation

 


 

GPACI implementation steps for aged care homes

Implementing GPACI requires cooperation between aged care homes and general practices. Here are the steps we recommend to get started:

 

Familiarise your team with GPACI goals

Ensure staff across all levels, including managers, nurses, care staff, and activity coordinators, understand the goals of GPACI and how it will impact daily operations.

 

Register residents with MyMedicare

Coordinate with families and carers to register residents with MyMedicare. This is a vital step to ensure residents benefit from the GPACI-supported care model.

How to Register for MyMedicare

 

Establish contact with local GP general practices

Identifying and connecting with local general practices who provide services to your residents is essential for implementing GPACI effectively. Establishing a formalised relationship with general practices can streamline communication, clarify roles, and support a proactive approach to resident care.

SWSPHN is available to help facilitate these connections and support the implementation of GPACI, ensuring the care provided aligns with best practices and quality standards.

 

Incorporate GPACI into care planning

Work with GP practice to establish care plans which meet Aged Care Quality Standards, focusing on safe, continuous, and personalised care for each resident.

 

Review and reflect

Regularly assess the effectiveness of GPACI implementation within your facility, adapting as needed to ensure high-quality outcomes for residents.

 


 

Additional resources and information

For a more comprehensive understanding of GPACI, MyMedicare, and the standards that apply to aged care homes, please refer to the following resources:

General Practice in Aged Care Incentive

MyMedicare Overview

Royal Commission into Aged Care Quality and Safety

Strengthening Medicare Taskforce Report

Aged Care Quality Standards

 

SWSPHN is dedicated to supporting aged care homes every step of the way, helping ensure your residents receive high-quality, coordinated care. For more information, please contact our GPACI Project Officer at kirsty.young@swsphn.com.au.

27 November 2024

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We’ve compiled some tips on managing the heat this summer.

 

Understanding hot weather risks

What is a heatwave?

Heatwaves are times of extreme heat, when the minimum and maximum temperatures are hotter than usual for three or more consecutive days.

Overheating

When the weather is very hot, your body must work harder to produce more sweat to keep cool.

In some conditions, sweating is not enough and your body temperature can rise rapidly. This is more likely to happen when it is humid or when you are dehydrated and can’t produce enough sweat.

It is important your body temperature stays between 36.1 to 37.8˚C. If your body rises above this, you may develop signs of heat-related illness.

Heat-related illness occurs when the body absorbs too much heat. This may happen slowly over a day or two of extremely hot weather.

Act quickly to avoid serious—or even fatal—effects of fully developed heatstroke.

Signs of heatstroke

  • Rapid pulse or weak pulse
  • Fast, shallow breathing
  • Dry, swollen tongue
  • Trouble speaking
  • Slurred speech
  • Problems concentrating or coordinating movements
  • Aggressive or strange behaviour
  • Dizziness, confusion, seizures or loss of consciousness
  • Sudden rise in body temperature
  • Hot, dry and possibly red skin, possibly with no sweat
  • Headache, nausea or vomiting
  • Intense thirst

Signs of heat stress

  • Rising body temperature
  • Dry mouth and eyes
  • Headache
  • Shortness of breath
  • Nausea or vomiting
  • Absence of tears when crying (children)

Who is at risk?

While most people find extremely hot weather and heatwaves uncomfortable, some people have a higher risk than others of becoming ill. These include:

  • Adults aged over 75 years, babies and young children
  • People with long-term health conditions, such as heart or lung disease or diabetes
  • People living with overweight or obesity
  • People taking certain medicines
  • People who are socially isolated
  • People who work outdoors or in hot and poorly ventilated areas
  • People who are not accustomed to the heat, for example, overseas visitors

 

Staying safe in the heat

Be prepared

  • Find ways to make your home or building cooler like light-coloured window coverings, awnings and shade cloth
  • Have air conditioners serviced before the start of summer
  • Ensure you have enough food, medicine and other supplies to avoid going out or if electricity supply is interrupted
  • If you have a medical condition, ask your GP for advice on how to manage the heat
  • Make a list of family, friends and neighbours you might want to check in on and ensure you have their current contact details
  • Drink 2 to 3 litres of water a day at regular intervals, even if you do not feel thirsty. If you are on a limited fluid intake, check with your GP
  • Limit intake of alcohol, soft drinks, sports drinks, tea or coffee
  • Eat normally but try to eat cold foods, particularly salads and fruit. Avoid heavy protein foods which raise body heat and increase fluid loss

Keep out of the heat

  • If you can, avoid going out in the hottest part of the day (11am to 3pm). Avoid strenuous activities and gardening
  • Do not leave children, adults or animals in parked cars
  • If you do go out, wear lightweight, light-coloured, loose, porous clothes, a wide-brimmed hat and sunscreen
  • Regularly rest in the shade and drink plenty of water

Stay as cool as possible

  • Stay inside, in the coolest rooms in your home
  • Block out the sun during the day and keep windows closed while the room is cooler than it is outside
  • Use fans and air conditioners at home to keep cool, or spend time elsewhere in air-conditioning like a library, community centre, cinema or shopping centre
  • Take frequent cool showers or baths and splash yourself several times a day with cold water
  • Open windows after the sun/heat has gone down to allow for air circulation
  • Make sure to stay cool while you sleep. Just because the heat has gone down doesn’t mean it isn’t still hot

Keep food safe in hot weather

  • Put food back in the fridge after using it
  • Don’t eat food left out of the fridge for 2+ hours
  • Put leftovers in the fridge after the food has cooled
  • Eat leftovers within two to three days
  • Read more about food safety

Being sun smart

If you have to go outside into the heat, follow a few recommendations from the Cancer Council NSW:

  • Learn to understand the UV index (when the UV index is 3 or above we need to protect the skin from sun damage)
  • Wear protective clothing (clothing is one of the easiest and most effective ways to protect your skin)
  • Apply sunscreen (choose a water-resistant, broad spectrum sunscreen which is at least SPF 30)
  • Wear a hat (wear a broad-brimmed, bucket or legionnaire-style hat for the best protection)
  • Seek shade
  • Wear sunglasses (protect your eyes properly with close-fitting wrap-around sunglasses)

 

Checklist for older people

Before a heatwave

  • Assess which care recipients are at risk – who has limited capacity to keep cool; or which areas of the facility are prone to being hot
  • Ensure entry/exit points can be monitored
  • Ensure cooling systems in the home are adequate and working effectively
  • Ensure alternative forms of fluid, such as jelly, ice-cream or fruit juice blocks are available

During a heatwave

  • Ensure the temperature in care recipients’ rooms are comfortable, keeping curtains and blinds closed to reduce excess heat
  • Monitor entry/exit points to avoid the unsupervised departure of care recipients during extreme heat events
  • Be aware care recipients may be at particular risk following high overnight temperatures
  • Ensure small amounts of fluids are readily available, rather than large amounts of fluids less frequently
  • Avoid serving caffeinated or alcoholic beverages
  • Provide care recipients with frequent small meals
  • Help care recipients to keep skin covered when exposed to direct sunlight and to wear loose fitting clothing
  • Avoid taking care recipients outside between 11am and 3pm
  • Offer tepid showers or sponging
  • Look for signs of heat stress, such as nausea or changes in appearance including red, pale or severely dry skin
  • Ask for a clinical assessment if care recipient shows any signs of deterioration

 

Caring for pets

Our pets are part of the family, and they feel the heat as much as us. The most common summer risks for pets are: overheating; sunburn; dehydration; stroke. Follow some simple steps to ensure they are safe and comfortable during hot weather.

  • Provide plenty of water and shade
  • Know the signs of overheating:
  • Heavy panting
  • Dry or bright red gums
  • Thick drool
  • Vomiting
  • Diarrhea
  • Wobbly legs
  • Never leave your pet in the car (it can take less than 10 minutes to develop heat stroke in dogs and cats inside a hot vehicle)
  • Apply sunscreen (pets get sunburns too, especially those with short or light hair coats; apply pet sunscreen only)
  • Don’t shave your pet (a pet’s coat is naturally designed to keep it cool during the summer and warm in the winter; trim but never shave)
  • Mind your walking hours (don’t walk your pet in the heat of the day; consider early morning and late evening)
  • Keep your dog’s paws cool (try to keep your pet’s paws off concrete, bitumen and other hot surfaces)
  • Keep parasites off (In summer, fleas, ticks, mosquitoes, and other parasites are everywhere)

 

Resources to help you prepare for a heatwave

Find more information on preparing for a heatwave and learn how heatwaves can impact chronic conditions and medications.

Download Your health matters in a disaster flyer, five simple steps to help prepare you if a disaster occurs.

02 October 2024

Many general practices have been experiencing a new error message which is causing issues in PRODA when attempting to link the provider to a General Practice in Aged Care Incentive (GPACI) patient in HPOS (Health Professional Online Services).

Find out more about GPACI

 

screenshot of PRODA error 0831 when linking GPACI patient to service provider stating "The provider is not eligible"
Example of error

 

The Department of Health and Aged Care (DoHAC) has received confirmation from Services Australia this is a new error. It has come to their attention through the help desk as well as through PHNs and they are working with the systems team on a fix.

 

The fix is expected to go live in December. In the interim, the explanation is:

    • The 0831 warning displays when a provider is not eligible for the full period the incentive indicator is assigned to the patient. Please note, this is not an error and does not restrict the ability for a practice to add an incentive indicator or assign a responsible provider.
    • As this is only a warning message, the user can continue by selecting ‘confirm’ again after the message appears to proceed with linking/adding the responsible provider.
    • Operators may also have to select ‘save’ twice.
    • Services Australia will be releasing updated wording for the 0831 warning message this week to help alleviate confusion.

 

SWSPHN will circulate any further advice from Services Australia once received.

19 September 2024

South Western Sydney PHN’s (SWSPHN) Integration and Priority Populations Coordinator, Kate Noble, was invited to present at the International Dementia Conference at the Hilton Sydney on Thursday, 5 September. 

The International Dementia Conference is a biannual conference held over two days with global experts, industry leaders and those with lived and living experiences.   

The conference aims to provoke discussions and inspire action among those committed to improving the care of those living with dementia.   

This year’s theme, ‘In the Arena’, highlighted the difference between watching the action and being out on the field and, in doing so, giving a platform to those in the arena of complex dementia, palliative care and positive ageing.  

Over two days, almost 1,000 people attended the conference to hear from a diverse group of speakers about the latest complex dementia, palliative care and positive ageing research, as well as practice and insights from around the world.  

SWSPHNs Integration and Priority Populations Coordinator, Kate Noble, presenting at the International Dementia Conference
Kate Noble, presenting at the International Dementia Conference

Kate showcased the Peace of Mind Project (POMp), which aims to improve the end-of-life journey for people living with dementia, their carers, families and health professionals by implementing a capacity-building intervention.  

POMp was developed by SWSPHN in 2018 as part of the Greater Choice for At Home Palliative Care Measure, which aims to improve palliative care coordination through Primary Health Networks (PHNs).  

The Greater Choice for At Home Palliative Care Measure was a four-year pilot program, expected to end in June 2021, but has been extended to 2025 and now includes all 31 PHNs.  

During the presentation, Kate spoke about the Capacity Building Model, highlighting the four groups surrounding a person living with dementia: the community, carers, friends and family, general practice, aged care workers, and the South Western Sydney health system.  

Kate also highlighted the key barriers reducing access to palliative care for people living with dementia.  

“Some key barriers include low dementia literacy and stigma, late diagnosis and late recognition of deterioration and palliative care needs, lack of knowledge and participation in planning in advance for late care needs and wishes, myths and misunderstanding of palliative care and reduced recognition with dementia being a life-limiting disease,” she said.  

Other SWSPHN resources and programs were also highlighted during the presentation.  

Visit our website to find out more about the Peace of Mind Project and other palliative care and dementia resources

 

International Dementia Conference

30 July 2024

What is GPACI?

The General Practice in Aged Care Incentive (GPACI) began on 1 July 2024.

GPACI supports older people living in Residential Aged Care Homes (RACHs) to receive planned, quality primary care services from a regular general practice and GP at the patient’s aged care home rather than at the GP practice.

GPACI will replace the Practice Incentives Program (PIP) General Practitioner (GP) Aged Care Access Incentive (ACAI), which will cease 31 July 2024.

Benefits of GPACI

The key benefits of the GPACI include:

  • older people living in aged care will benefit from regular visits, care planning and health assessment services, leading to improved continuity of care and reduced hospitalisations 
  • eligible providers will receive payments for services provided to older people living in aged care 
  • eligible practices will receive funding to manage quality care in aged care settings 

About incentive payments

Eligible GPs and practices registered with both MyMedicare and General Practice in Aged Care Incentive will be able to receive incentive payments.

These incentive payments are for providing regular visits and care planning to older people living in aged care.

Payments are: 

  • $300 per patient, per year, paid to the responsible GP
  • $130 per patient, per year, paid to the practice

The payments will be quarterly, in addition to existing Medicare Benefits Scheme (MBS) and Department of Veterans’ Affairs (DVA) rebates for services delivered.

For the eligibility and servicing requirements, visit the Department of Health and Aged Care website.

Support transitioning to GP-ACI

If you need support transitioning to GP-ACI, talk to your Practice Support team member or email enquiries@swsphn.com.au

Find out more

About GP-ACI:

Resources needed to register for GP-ACI:

08 March 2024

People living with dementia now have access to Easy Read information about their condition.

SWSPHN has developed an Easy Read factsheet about dementia, which is available on our Health Resource Directory (HRD) website.

The factsheet, developed in consultation with a person living with dementia, has information about:

  • What dementia is
  • How dementia is detected
  • How dementia may affect you
  • How to live well with dementia
  • Questions you can ask your doctor
  • Where to find extra support

The aim of Easy Read is to give more people access to information. Easy Read is a way to present information for people who are not familiar with English, or who have low literacy or learning disability. Easy Read’s unique layout and style presents information so it’s easy to understand.

The Easy Read dementia factsheet adds to the resources about dementia already available on HRD. The factsheets have been formulated under strict clinical guidelines, include information about local support and health services, and are available in English, Vietnamese, Simplified Chinese and Arabic.

Please download the Easy Read factsheet for patients with a dementia diagnosis where appropriate.

08 March 2024

People living with dementia now have access to Easy Read information about their condition.

SWSPHN has developed an Easy Read factsheet about dementia which is available on our Health Resource Directory (HRD) website.

The factsheet, developed in consultation with a person living with dementia, has information about:

  • What dementia is
  • How dementia is detected
  • How dementia may affect you
  • How to live well with dementia
  • Questions you can ask your doctor
  • Where to find extra support

The aim of Easy Read is to give more people access to information. Easy Read is a way to present information for people who are not familiar with English, or who have low literacy or learning disability. Easy Read’s unique layout and style presents information so it’s easy to understand.

The Easy Read dementia factsheet adds to the resources about dementia already available on HRD. The factsheets have been formulated under strict clinical guidelines, include information about local support and health services, and are available in English, Vietnamese, Simplified Chinese and Arabic.

Download the Easy Read factsheet

18 December 2023

The aged care system is not always simple or straightforward.

For older Australians, navigating and accessing aged care services through My Aged Care and other relevant community supports can be daunting.

Assistance is available through care finders who provide face-to-face assistance to vulnerable older people needing different help to that provided by the My Aged Care call service or website.

There are care finder services available in each different region across in South Western Sydney and covering a range of cultural needs.

The care finder tasks can include:

  • Assist eligible older people with their My Aged Care applications, provide guidance on services to apply for and attend the My Aged Care assessment where appropriate
  • Work through income/means testing and costs (with support from Services Australia as required)
  • Help people connect with health services, mental health services, housing services, drug and alcohol services, community groups and transport as needed
  • Complete high-level check-in on a periodic basis and follow up support once services have commenced
  • Build a rapport with clients and providers

Referrals are centralised through the Triple I Hub.

GPs can use the referral form or install templates for MedicalDirector and Best Practice via the link on this webpage.

21 November 2023

GPs across the South Western Sydney can refer to the care finder program using this one-page referral form available as a PDF or templates for Medical Director and Best Practice.  

The aged care system and My Aged Care can be difficult to understand and navigate especially if a person has: 

  • communication and language barriers
  • difficulty processing information due to cognitive decline
  • reluctance to engage with a need for support
  • reluctance to engage with government services

Some older Australians need extra support to navigate the aged care system and use My Aged Care but do not have family, friends, a carer or a representative they are comfortable receiving help from and who is willing and able to help them access aged care services and supports.  

Care finder provides eligible people with tailored, intensive face-to-face support.  

SWSPHN has commissioned six organisations to employ care finders and the Triple III Hub to provide a centralised intake service.

Triple III allocates referrals to the most appropriate care finder organisation which will then contact your patient.  

Find out more

16 November 2023

SWSPHN staff attended the Gandangara Local Aboriginal Land Council Caring for Elders Expo 2023 at the Liverpool Catholic Club this week. The expo was a special gathering focused on celebrating and supporting our Elders, who hold immense wisdom and cultural significance in our community.

SWSPHN Integration and Priority Populations Coordinator Ivan Broome and Workforce Engagement Officer Marina Hagarty attended the event to highlight the aged care services available in our region. They also represented SWSPHN as proud sponsors of this meaningful event.

The Elders Expo centred around the theme ‘Strong Mind – Strong Body – Strong Spirit’ and offered various resources for health wellness and cultural healing opportunities.

The event featured:

  • Health, wellness and aged care service providers
  • Information on ageing well and aged care support
  • Pampering, massage and barber stations
  • Elder Message Stick Exhibition
  • Craft Corner
  • Live music performances
  • Informative health talks

Find out more about Aboriginal and Torres Strait Islander health.