26 May 2026

Rainbow parents and carers manage early childhood health and development like other families, but may face stigma, exclusion or assumptions in healthcare.

Some report not being recognised as parents, intrusive questions, or needing to educate practitioners about sexuality and gender identity.

GP teams can make care welcoming through inclusive forms, competency with LGBTQIA+ terminology and visual inclusion cues. Build trust by letting families lead and asking open questions.

Don’t presume: ask, “Who is in your child’s family?”, and recognise non-birthing, non-biological, separated, kinship and foster carers. Avoid questions about family formation unless clinically relevant. Ask and listen to how parents describe gender identity and pronouns, roles/responsibilities and family composition.

Listen, affirm and validate parental concerns. Connect families with affirming supports or early-intervention pathways.

 

Resources to support inclusive care for rainbow families

Collation of LGBTQIA+ parents and carers: inclusive resources for clinicians

Wellbeing support for LGBTIQA+ parents

Inclusive communication

Practical guide for GP supervisors, registrars and practice teams

Rainbow Health Australia

TransHub clinician resources

What parents say about good GP care for transgender children

Medical Curriculum Guide

 

 


This article appeared in Practice Pulse on Wednesday, 27 May 2026. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.

12 May 2026

Refugee Week is an annual national celebration promoting greater awareness of refugees, the issues they face and the contributions they make to the Australian community. This year it takes place from 14 to 20 June.

Refugee Week events and activities aim to foster connection, understanding and celebration. It also highlights various important aspects of healthcare for patients from refugee backgrounds in South Western Sydney, which receives the highest number of refugees in NSW.

 

Issues include:

  • trauma-informed culturally safe care and the complex physical and mental health needs of this population, which often stem from trauma, interrupted care or resettlement challenges
  • common barriers to healthcare, including language difficulties, lack of cultural awareness, financial constraints and complex navigation of health systems
  • social determinants of health including housing, employment, education, visa status and concerns about family and friends in their home countries
  • holistic and social support using community services to provide ‘wraparound’ care to support patients’ broader wellbeing

 

Find out more:

Refugee Week key activities and events

Refugee Health Guide NSW

NSW Refugee Health Service

 

Organisations in South Western Sydney supporting refugees:

NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors

Settlement Services International

Fair Foundations

Core Community Services

Early Intervention: where and how to refer

21 April 2026

Impacts of domestic and family violence (DFV) on children can be profound and long lasting impacts, affecting psychological, emotional, social, physical, educational and developmental wellbeing.

It is also the leading cause of homelessness for children.

Children experiencing DFV often have intense feelings of fear, anxiety, shame and low self-esteem and can disrupt their relationships, education and overall holistic health outcomes.

Research shows children have an articulate and coherent understanding of the violence they, their siblings and mothers experience, and can provide valuable insight into their needs and how best to support them.

A significant portion of children who have experienced DFV feel a sense of guilt as though they are to blame or there was something they should have done.

Supportive conversations with a professional which create safety and reinforce the fact they are not to blame can assist them to access recovery and intervention services as early as possible to begin building resilience and recovering from the impacts of DFV.

Useful contacts and resources:

White Ribbon Australia aims to address and prevent DFV through education, awareness-raising, creative campaigns, and preventative programs

White Ribbon Australia helplines

1800 respect.org.au is a national helpline service providing support for people experiencing DFV as well as people and professionals supporting someone experiencing DFV through online chats, video calls, and phone calls

Safe + Equal professional support resources

 

Did you find this article helpful? Yes/No

 

More Stronger Seeds, Taller Trees articles

 


This article appeared in Practice Pulse on Wednesday, 22 April 2026. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.

 

07 April 2026

Finding the right support for neurodivergent children can feel overwhelming for many families. This page helps guide parents and carers through common challenges, the role of GPs, and where to access support and resources.

Barriers that hinder a parent in accessing support can include:

  • differing opinions within the immediate or extended family
  • stigma around mental health and behavioural issues
  • difficulty accessing specialist support due to cost, travel, or long waiting lists
  • Limited access to an interpreter or culturally appropriate support

GPs are often the first point of contact for families seeking support for neurodivergent children. They play a key role in listening to concerns, assessing early signs, and guiding families to appropriate services.

The child’s neurodiverse behaviours can sometimes be subtle, so it is vital that GPs be attentive to parent’s concerns about their child and explore details of all facets of the child and family life.

 

Where to refer

Accessing the right services early can improve outcomes for children and families. GPs and families can explore a range of referral pathways and supports.

Early Intervention – Where and How to Refer 2026

Navigating autism

Supporting children with neurodiversity

Early childhood approach

Guide for families

About PANDA

Take the next step

If you are concerned about your child’s development, speak with your GP. Early support can make a meaningful difference for your child and your family.

23 March 2026

Multilingualism has been linked with numerous benefits for children and families.

The amount of exposure to each language directly impacts language acquisition, and the trajectory of language development for multilingual children can differ from monolingual children.

When a child has strong skills in their first language, they are better able to learn additional languages.

Children may learn multiple languages simultaneously and show a preference for one language. Receptive language skills are key in determining if speech pathology intervention is required for multilingual children.

Early referral to speech pathology is critical if a child is having difficulty with understanding and following verbal information in their primary language.

 

Referral and early intervention

If you are considering referral or want to better understand early intervention pathways:

Early Intervention – Where and How to Refer 2026
EACH Early Childhood Approach

Building your knowledge

Learn more about multilingual development and how to support children and families:

Webinar – The benefits of multilingualism
Teaching multiple languages to under fives
Expert in multilingualism – Paola Escudero

Clinical guidance and development milestones

Use these resources to support assessment and conversations with families:

Speech Pathology Australia
Speech development milestones
Raising Children Network
Thriving Kids factsheet

 

Did you find this article helpful? Yes/No

 

More Stronger Seeds, Taller Trees articles

 


This article appeared in Practice Pulse on Wednesday, 25 March 2026. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.

 

10 March 2026

Emergency relief support can assist families in cost-of-living crisis and other adverse conditions such as income loss. It can include food, money, housing, healthcare, and other support services.

Here’s an example:

Mrs Nawabi, 34, comes to her GP feeling anxious because she lost her job last week. She’s a single mother with three young children.

In cases like this, the children’s health and wellbeing may be supported through emergency relief. This support will also help manage Mrs Nawabi’s anxiety by reducing her stressors.

 

Where to get support:

Providers of low-cost meals

Emergency relief providers – after selecting the state and local government area, choose Financial crisis and material aid – Emergency relief in the Program field

Centrelink social workers

Income support advance payment

NSW government rebates

NSW Government cost of living hub

Ask Izzy

No Interest Loans (NILS)

Low cost and free meals directory

Support for temporary visa holders

Settlement Services International Emergency Relief

 

Did you find this article helpful? Yes/No

 

More Stronger Seeds, Taller Trees articles

24 February 2026

Medical clinicians may or may not realise when they encounter individuals with autism who walk into their clinics.

Autism Advisory and Support Service CEO Grace Fava says some will have obvious autistic traits, while others have learned how to mask these traits until they become visible during times of great stress and anxiety.

Here are some links to support you in identifying and serving these patients:

 

What is autism?

Masking

Stimming

Executive functioning

Sensory processing disorders

Sensory experience video

Anxiety and autism can go hand in hand

Special interests

Easy to understand resources

Medical causes of aggression in autism

PGx screening can be a useful test as medication is never one size fits all.

Some additional information: Early intervention: when and how to refer

 

  • These articles are written by members of the ‘Stronger Seeds, Taller Trees’ project which includes professionals from a number of government and non-government organisations in South Western Sydney. The group aims to support GPs working with families to navigate and access timely services when they have a concern about a child’s development.
10 February 2026

Stronger Seeds, Taller Trees is an initiative which provides doctors and parents with information about early childhood developmental milestones and the importance of early intervention.   

Initially developed by The Facilitation Project, Stronger Seeds, Taller Trees brings together workers from a range of government and non-government organisations who collaborate with paediatric specialists to write articles for Practice Pulse 

In recent times, other topics which have been the subject of their articles include supporting children to make a good start to school and services which can support families and individuals with the cost of living. 

 

For more information contact Debbie Winardi at winardid@missionaustralia.com.au or phone 0436 111 179.

 

Did you find this article helpful? Yes/No

 

27 January 2026

We all want our children to grow up happy and healthy. For some families, accessing the right health services can be difficult, especially during early childhood and primary school years.

Some children need extra support for their health, development, or behaviour. When services are difficult to access or poorly coordinated, families can experience delays, stress, and missed opportunities for early support.

SWSPHN is hosting a series of local health forums: Supporting your child’s access to health to better understand the barriers parents and carers face when trying to access healthcare and support services for children aged 0 to 12 years.

The forum will bring together a range of professionals and community members, including school counsellors, preschool teachers, day care educators, community services and non government organisations, parents, carers, and health professionals. Participants will share experiences, identify gaps, and contribute insights which can inform future planning and coordination of childhood health services across South Western Sydney.

The Local Health Forums are free to attend, and a two-course dinner is provided.

 

Some topics included in the discussion

  • child development, behaviour, and developmental milestones
  • physical health and prevention, including immunisation
  • ongoing health needs such as asthma
  • healthy growth, nutrition, and childhood obesity

The forums are designed to explore access to health and primary care services for children aged up to 12 years. While families may raise experiences across different systems (eg the NDIS), discussion will focus on areas where local health services can make practical improvements.

 

Who is this forum for

This forum is open to anyone who works with children, supports children and families, or has lived experience related to children’s health and wellbeing. This includes, but is not limited to:

  • parents and carers of children aged 0 to 12 years
  • school counsellors
  • preschool teachers or day care educators
  • health professionals
  • community service providers
  • non-government organisations
  • Anyone with experience supporting children and families, even if their role is not listed above

For health professionals, this activity is eligible for 1.5 hours of self-reported CPD hours.

 

The forum aims to:

  • better understand the experiences of parents and carers when accessing healthcare and support services for children aged 0 to 12 years in South Western Sydney
  • identify barriers and enablers to accessing timely, appropriate, and coordinated care for children
  • explore strengths and gaps in how primary care, community services, and public health systems respond to childhood health and developmental needs

 

Find a local health forum near you:

 

Bass Hill

Date: Thursday, 26 March
Time: 6.30pm arrival for 7pm start, to 9pm
Venue: Rydges Bankstown, Hume Highway, Bass Hill (see on map)

Register now for Bass Hill

 

Campbelltown

Date: Thursday, 16 April
Time: 6.30pm arrival for 7pm start, to 9pm
Venue: Rydges Campbelltown, 15 Old Menangle Road, Campbelltown (see on map)

Register now for Campbelltown

 

Bowral

Date: Thursday, 23 April
Time: 6.30pm arrival for 7pm start, to 9pm
Venue: Park Proxi Gibraltar, 7 Boronia Street, Bowral (see on map)

Register now for Bowral

 

Registrations now open

 

Online survey

An online survey is also available for people who would like to contribute but cannot attend.

Take our survey

 

Why your input matters

Planning for children’s health services in South Western Sydney relies on accurate data and local insight. Some existing population health data for children is limited or outdated, and recent planning activities have identified gaps in services for children and families.

Feedback from 2023 consultations highlighted challenges with access to mental health support for children under 12 years, services for eyesight and hearing concerns, and the cost of specialist care such as psychologists and psychiatrists. Limited access to group programs and coordinated support for families was also raised.

Insights shared at this forum will help highlight barriers to care, identify service gaps, and support improvements in how childhood health services are planned and delivered locally. Feedback will be used to inform future priorities across South Western Sydney. 

To read previous forum reports, visit the Local Health Forum page.

10 December 2025

Jump to:

 

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)

 

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