22 July 2022

Western Sydney Diabetes is again collaborating with local PHNs (including SWSPHN) and Local Health Districts to present the Western Sydney Diabetes’ Masterclass Series for local GPs, practice nurses and other healthcare providers.

Last year’s series attracted more than 1,400 registrants.

This year’s Masterclasses will be a hybrid of seven weeks of online sessions and one full-day face-to-face session, with comprehensive and engaging topics.

The classes are for GPs, pharmacists, diabetes educators, practice and community nurses, endocrinologists, dietitians, exercise physiologists, psychologists and podiatrists, to better equip them with the skills to better manage type 2 diabetes.

Learn more about Western Sydney Diabetes’ Masterclass Series

12 July 2022

Help us understand challenges of living with a chronic disease such as diabetes, arthritis, back pain, asthma and cardiovascular disease.

 

Who should do the survey

  • Community member living with with a chronic disease
  • Carers
  • Health professional
  • Community service providers

 

Your feedback will provide valuable information on local needs

Help to identify service gaps, areas for improvement and workforce issues and will contribute to enhance and integrate chronic disease management in South Western Sydney.

 

 

Start survey

 


 

Find out more information about the local health forums on South Western Sydney PHN’s HealthChat.

11 July 2022

Diabetes is one of the most significant health problems in South Western Sydney.Diabetes

Overall, diabetes or high blood sugar affects 14.5 per cent of people in South Western Sydney, higher than the state average of 11.3 per cent – and that number is steadily growing.

People with type 2 diabetes make up the greatest proportion of these numbers. Type 2 diabetes is strongly associated with overweight and obesity and is therefore, largely preventable.

SWSPHN partners with South Western Sydney Local Health District, healthcare providers and community to reduce the risk of diabetes in our community, and support primary care providers in managing diabetes.

This National Diabetes Week, 10 to 16 July, learn more about our work below:

About diabetes

Diabetes is a chronic condition which affects the whole body.

Diabetes occurs when the body can’t maintain healthy levels of glucose in the blood. Glucose is a form of sugar; it is the main source of energy for our bodies. Unhealthy levels of glucose in the blood can lead to health complications.

There are three main types of diabetes, they are:

Type 1 diabetes, a genetic condition which often shows up early in life

Type 2 diabetes, mainly lifestyle-related and develops over time

Gestational diabetes, occurs during pregnancy

Diabetes is a leading cause of blindness, chronic kidney disease and dialysis, lower limb amputations, heart disease, stroke, complications in pregnancy and poor pregnancy outcomes. These complications have significant impacts on individuals, communities and the health system as a whole.

Who is at risk of Type 2 diabetes?

Diabetes runs in the family. If you have a family member with diabetes, you have a genetic disposition to the condition.

While people may have a strong genetic disposition towards type 2 diabetes, the risk is greatly increased if people display a number of modifiable lifestyle factors including high blood pressure, overweight or obesity, insufficient physical activity, poor diet and the classic ‘apple shape’ body where extra weight is carried around the waist.

People are at a higher risk of getting type 2 diabetes if they:

  • have a family history of diabetes
  • are older (over 55 years of age) – the risk increases as we age
  • are over 45 years of age and overweight

You can assess your risk by using the diabetes risk calculator on the Diabetes Australia website.

What can people do to prevent diabetes?

Type 2 diabetes can be prevented or delayed in up to 58 per cent of cases by maintaining a healthy weight, being physically active and following a healthy eating plan.

People at risk of type 2 diabetes can delay and even prevent the condition by:

  • Maintaining a healthy weight
  • Regular physical activity
  • Making healthy food choices
  • Managing blood pressure
  • Managing cholesterol levels
  • Not smoking

SWSPHN’s role

General Practice

We support primary carers through a range of programs to ensure patients at risk of diabetes are receiving the best possible care.

Two examples:

The Integrated Diabetes Program funds hospital specialists to provide case conferencing in general practices to manage complex patients. Case conferencing assists GPs to support patients with type 2 diabetes. An endocrinologist and diabetes educator come to the practice, and the GP works with the endocrinologist to identify the patient’s care needs, identify outcomes to be achieved by each team member; and identify tasks which need to be undertaken to achieve these outcomes. The diabetes educator works with the patient to provide education and support developing skills in self-management.

Education including the Western Diabetes Education Program which is designed to increase awareness of the impact of diabetes, as well as build knowledge and develop skills in the management of diabetes for healthcare providers like GPs and general practice nurses.

Community

We also support our community through a range of initiatives and promotion of services to prevent or manage type 2 diabetes.

Diabetes Contraception and Pre-Pregnancy Planning

High rates of congenital malformations exist in South Western Sydney in women with type 1 and type 2 diabetes. The Diabetes Contraception and Pre-pregnancy Program has been designed to develop a more integrated approach to supporting women of childbearing age with type 1 and type 2 diabetes. This program has been implemented elsewhere and has reduced the rates of congenital malformations, miscarriage and stillbirths by up to 70 per cent.

We’re working with Western Sydney University and the South Western Sydney Local Health District (SWSLHD) to implement this program which:

  • raises awareness of risk of unplanned pregnancy and contraception methods in healthcare providers and women
  • provides easy access to best practice pre-pregnancy care for women who have decided to become pregnant

DiRECT-AUS Study

SWSPHN provides funding and support for the Australian arm of the Diabetes NSW DiRECT (Diabetes Remission Clinical Trial) Study. The program found that in the UK almost half of participants in the overweight or obese range who followed an intensive low-calorie diet of around 850 calories a day, for between eight and 20 weeks, were able to put their type 2 diabetes into remission.

Five general practices in South Western Sydney are participating in the trial, including Tharawal Aboriginal Medical Service. Download media release

The DiRECT study will be completed in July, with a full report to be released in January 2023. Additional research has also begun to look at how to effectively scale up the program.

Health Resource Directory

Health Resource Directory is a website developed by SWSPHN which provides reliable, local health information. It provides information on the main types of diabetes, as well as where to access supports and strategies to manage the condition.

Community representative invited to join diabetes sub-committee

SWSPHN is looking for one GP and one community representative to join our South Western Sydney Diabetes Framework to 2026 Primary and Community Diabetes Care Sub-Committee.

The sub-committee provides direction and clinical leadership on primary and community-based diabetes service provision in our region. It has representatives from SWSPHN and South Western Sydney Local Health District, in addition to endocrinologists and local GPs.

Meetings occur every two months, on the fourth Tuesday of the month, from 6pm to 7pm via Microsoft Teams. Participants will be required to attend meetings to provide input based on their experience and expertise, and to read meeting papers prior to meeting (including the previous meeting’s minutes).

If you have an interest in improving diabetes care in South Western Sydney, please apply by contacting Kathryn Dovey at [email protected]

11 July 2022

Diabetes is one of the most significant health problems in South Western Sydney.

Overall, diabetes or high blood sugar affects 14.5 per cent of people in South Western Sydney, higher than the state average of 11.3 per cent – and that number is steadily growing.

People with type 2 diabetes make up the greatest proportion of these numbers. Type 2 diabetes is strongly associated with overweight and obesity and is therefore, largely preventable.

SWSPHN partners with South Western Sydney Local Health District (SWSLHD), healthcare providers and community to reduce the risk of diabetes, and support primary care providers in managing diabetes.

This National Diabetes Week, 10-16 July, learn more about our work.

About diabetes

Diabetes is a chronic condition which affects the whole body.

Diabetes is a leading cause of blindness, chronic kidney disease and dialysis, lower limb amputations, heart disease, stroke, complications in pregnancy and poor pregnancy outcomes. These complications have significant impacts on individuals, communities and the health system as a whole.

There are three main types of diabetes, they are:

Type 1 diabetes, a genetic condition which often shows up early in life

Type 2 diabetes, mainly lifestyle-related and develops over time

Gestational diabetes, occurs during pregnancy

People are at a higher risk of getting type 2 diabetes if they:

  • have a family history of diabetes
  • are older (over 55 years of age) – the risk increases as we age
  • are over 45 years of age and overweight

Some population groups within South Western Sydney have a higher than expected prevalence rate of diabetes and/or experience greater complications as a result of their diabetes than those in other groups. These priority populations include: Aboriginal communities; people from the pacific islands; people from culturally and linguistically diverse communities; people from rural areas; people; experiencing socioeconomic disadvantage; people with mental health issues; the frail aged; and those living with disability.

Integration

SWSPHN and SWSLHD partnered in 2019 to develop an Integrated Diabetes Plan for the region. The plan is guided by the South Western Sydney Diabetes Framework to 2026 and the partnership has so far delivered: 

General Practice

The Integrated Diabetes Program funds hospital specialists to provide case conferencing in general practices to manage complex patients. Case conferencing assists GPs to support patients with type 2 diabetes. An Endocrinologist and Diabetes Educator will come to the practice, the GP works with the endocrinologist to identify the patient’s care needs, identify outcomes to be achieved by each team member; and identify tasks which need to be undertaken to achieve these outcomes. The Diabetes Educator will work with the patient to provide education and support developing skills in self-management.

Education including the Western Diabetes Education Program which is delivered by Western Sydney University’s School of Medicine and is designed to increase awareness of the impact of diabetes, as well as build knowledge and develop skills in the management of diabetes for healthcare providers like GPs and general practice nurses. Through this program, healthcare providers gain a better understanding of complex and evolving diabetes care including: different types of diabetes; risk factors of diabetes; effect of diabetes on the normal regulation of blood glucose; common diabetes tests and screening procedures; complications associated with diabetes; management of diabetes, including lifestyle modifications and medical therapy; appropriate referral systems; impact of diabetes both in Australia and globally.

Community

Diabetes Contraception and Pre-Pregnancy Planning

High rates of congenital malformations exist in South Western Sydney in women with type 1 and type 2 diabetes. The Diabetes Contraception and Pre-pregnancy Program has been designed to develop a more integrated approach to supporting women of childbearing age with type 1 and type 2 diabetes. This program has been implemented elsewhere and has reduced the rates of congenital malformations, miscarriage and stillbirths by up to 70 per cent.

We’re working with Western Sydney University and South Western Sydney Local Health District (SWSLHD) to implement this program which:

  • raises awareness of risk of unplanned pregnancy and contraception methods in healthcare providers and women
  • provides easy access to best practice pre-pregnancy care for women who have decided to become pregnant

DiRECT-AUS Study

SWSPHN provides funding and support for the Australian arm of the Diabetes NSW DiRECT (Diabetes Remission Clinical Trial) Study. The program found that in the UK almost half of participants in the overweight or obese range who followed an intensive low-calorie diet of around 850 calories a day, for between eight and 20 weeks, were able to put their type 2 diabetes into remission.

Five general practices in South Western Sydney are participating in the trial, including Tharawal Aboriginal Medical Service. Download media release

The DiRECT study will be completed in July, with a full report to be released in January 2023. Additional research has also begun to look at how to effectively scale up the program.

Other sources of information/support

Health Pathways South Western Sydney

Access to clinical guidance and resources through HealthPathways South Western Sydney which provides evidence-based and localised clinical guidance to support the prevention, assessment and management of type 1 and 2 diabetes as well as gestational diabetes. The site also provides information on local health services, including referral processes.

Health Resource Directory

Health Resource Directory is a website developed by SWSPHN which provides reliable, local health information for your patients. It provides information on the main types of diabetes, as well as where to access supports and strategies to manage the condition.

GP representative invited to join diabetes sub-committee

SWSPHN is looking for one GP and one community representative to join our South Western Sydney Diabetes Framework to 2026 Primary and Community Diabetes Care Sub-Committee.

The sub-committee provides direction and clinical leadership on primary and community-based diabetes service provision in our region. It has representatives from SWSPHN and South Western Sydney Local Health District, in addition to endocrinologists, and local GPs.

Meetings occur every two months, on the fourth Tuesday of the month, from 6pm to 7pm via Microsoft Teams. Participants will be required to attend meetings to provide input based on their experience and expertise, and to read meeting papers prior to meeting (including the previous meeting’s minutes).

If you have an interest in improving diabetes care in South Western Sydney, please apply by contacting Kathryn Dovey at [email protected]

28 June 2022

SWSPHN and South Western Sydney Local Health District (SWSLHD) are working together to enhance diabetes care in the area. 

Diabetes Case Conference Clinic Days are now available for GPs in our region.

  • Case conferencing can assist GPs to support patients who present with diabetes (Type 2)
  • Case conferencing with an Endocrinologist in collaboration with the patients GP will provide robust clinical care and decrease admissions to the hospital
  • Prior verbal or written consent from patient is required

An Endocrinologist and Diabetes Educator will attend your practice for the day, where 10 eligible patients will each receive a 40-minute case conference. A follow up half-day will occur six months later, where each patient will have a 20-minute case conference. Education will be provided and you will be supported to run quality improvement initiatives for diabetes.

What are the benefits to my practice? 

  • Access to billing for MBS chronic disease items for case conferencing, GP management plans, Team Care arrangements and items of Diabetes Cycles of Care, as eligible
  • Diabetes specialist service without extra cost to the patient
  • Reduce waiting time for patients to access specialist care
  • Increased patient satisfaction with a comprehensive, integrated and interdisciplinary management approach in the one location  

For more information, or to discuss booking a Case Conference Clinic day, please contact [email protected] or visit HealthChat.

24 May 2022

Diabetes NSW & ACT is holding a number of educational webinars in-language for South Western Sydney residents.

These include:

 

26 April 2022

SWSPHN and South Western Sydney Local Health District are working together to enhance diabetes care in the region. Diabetes Case Conference Clinic Days are now available for GPs in South Western Sydney.

 

What are the benefits of case conferencing?

  • Case conferencing can assist GPs to support patients who present with diabetes (Type 2).
  • Case conferencing with an endocrinologist in collaboration with the patients GP will provide robust clinical care and decrease admissions to the hospital 
  • Prior verbal or written consent from patient is required 

An endocrinologist and diabetes educator will attend your practice for the day, where 10 eligible patients will each receive a 40-minute case conference. A follow up half-day will occur six months later, where each patient will have a 20-minute case conference. Education will be provided and you will be supported to run quality improvement initiatives for diabetes.

 

What are the benefits to my practice?

  • Access to billing for MBS chronic disease items for case conferencing, GP management plans, Team Care Arrangements and items of Diabetes Cycles of Care, as eligible
  • Diabetes Specialist service without extra cost to the patient 
  • Reduce waiting time for patients to access specialist care 
  • Increased patient satisfaction with a comprehensive, integrated and interdisciplinary management approach in the one location   

 

For more information, or to discuss booking a Case Conference clinic day, please contact [email protected] at SWSPHN.

22 April 2022

SWSPHN is looking for one GP and one community representative to join our South Western Sydney Diabetes Framework to 2026 Primary and Community Diabetes Care Sub-Committee.

The sub-committee provides direction and clinical leadership on primary and community-based diabetes service provision in our region.

It has representatives from SWSPHN and South Western Sydney Local Health District, in addition to endocrinologists, a nurse practitioner, clinical manager of complex care and internal medicine, and local GPs.

Meetings occur every two months, on the fourth Tuesday of the month, from 6pm to 7pm via Microsoft Teams.

Participants will be expected to attend meetings to provide input based on their experience and expertise, and to read meeting papers prior to meeting (including the previous meeting’s minutes).

If you have an interest in improving diabetes care in South Western Sydney, please apply by contacting Kathryn Dovey at [email protected]

12 December 2021

With about 1.8 million people with diabetes in Australia, all health practitioners regardless of professional discipline, provide healthcare to people with diabetes.

Diabetes predisposes people to poorer health outcomes. The condition is complex, and the care is complex.

There is strong evidence quality diabetes care and self-management support prevents and /or delays the onset of associated short and long-term complications such as post-operative complications, blindness, lower limb amputations and kidney disease.

Hence all health professionals who provide healthcare to people with diabetes need to attain a level of diabetes competency. 

The Western Diabetes Education Program has replaced AUSCDEP and is now available to all South Western Sydney clinicians at no cost.

This diabetes competency-based online short course will enhance our clinicians’ ‘knowledge’ and ‘know how’ in the essentials of diabetes care. 

To register for the program

To access the program for free, please email

Simone Bennetts at [email protected]

Elizabeth Romero at [email protected] or

George Karliychuk at [email protected]

28 October 2021

Nurses are invited to enrol in Diabetes Qualified’s Diabetes in Practice for Nurses eLearning.

The CPD-accredited online course is for practice and enrolled nurses looking to increase their diabetes knowledge.
Learn more

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