02 April 2024

Your patients who have experienced family, domestic or sexual violence can now seek help from a new SWSPHN-funded program which aims to provide victim-survivors with access to services to support their long-term recovery.

Anglicare Sydney and CatholicCare Sydney are delivering the Supporting Recovery from Family, Domestic and Sexual Violence Program in South Western Sydney.

The program aims to fill a gap in access to longer term mental health recovery services for victim survivors of family, domestic and sexual violence, and to work alongside existing services already in place providing short-term and crisis support.

Services are initially being delivered from hubs based in the Campbelltown, Liverpool and Fairfield communities due to higher rates of family, domestic and sexual violence in those local government areas (LGAs).

However, services may be expanded across Bankstown, Camden, Wingecarribee and Wollondilly LGAs based on need and demand. 

The Supporting Recovery program includes access to:

  • a Local Care Team to help clients coordinate and manage their recovery journey, including connecting clients with a range of other services such as legal, financial and housing supports
  • trained psychologists, social workers and counsellors who specialise in providing trauma-informed and client-centred mental healthcare
  • holistic, culturally appropriate mental health services which are available at no cost for a period up to two years

Patients do not need a GP referral. They can access the service by calling 1300 316 554 or completing a self-referral online.

More information about the service can be found by visiting supportingrecoverysws.org.au

07 March 2024

International Women’s Day (IWD) is held each year on 8 March to:
• celebrate women’s achievements
• raise awareness about discrimination
• take action to drive gender parity

This year’s theme is #InspireInclusion.

When we inspire others to understand and value women’s inclusion, we forge a better world. And when women themselves are inspired to be included, there’s a sense of belonging, relevance and empowerment.

The aim of the IWD 2024 #InspireInclusion campaign is to collectively forge a more inclusive world for women.

We can all challenge gender stereotypes, call out discrimination, draw attention to bias, and seek out inclusion.

SWSPHN staff celebrate International Women's Day

SWSPHN staff celebrate International Women’s Day

 

To mark International Women’s Day we’ve asked SWSPHN’s Executive Team and other staff answer: Why is International Women’s Day important to you?

Here’s what they said:

Alyssa Horgan, Integration and Priority Populations Coordinator
To me International Women’s Day is an important opportunity for women to band together and to recognise our collective strengths. It is an important reminder for us to reflect on how far women’s rights have come, and to refocus on the work that is still to be done. It provides a platform for us to shine a light on the issues that are important to women, and to bring issues such as the gender pay gap into the forefront of the public sphere.

Ben Neville, Integration and Priority Populations Manager
In my career, I have worked in services providing domestic violence counselling for victims and run programs for perpetrators. I have seen firsthand the impacts the continued gender imbalance causes and how it maintains a culture where male privilege and machoism is expected. To me International Women’s Day helps to keep in our collective conscience that despite the platitudes, women are still not considered, paid or treated as equals.

Pritika Desai, Mental Health and AOD Team Lead
International Women’s Day is important to me because it recognises the challenges women (including non-binary identifying people) face for equity and equality throughout their lives, but also celebrates every woman and non-binary person who works hard to break through stereotypes and barriers, paving the way for those that follow. To me, that is every one of us however little or big our contribution, it all matters.

Keith McDonald, Chief Executive Officer
Frankly, without women it’s all over… it’s a day to acknowledge that every day since civilised cultures have existed, each of us has relied on the feminine life force to sustain us. Strength through an intricate weave of passion, resilience, insight, care and nurturing – all too often this is taken for granted. Viva le donne!”

05 March 2024

Healthcare providers are being called on to stay up-to-date on infectious syphilis, amid a significant rise in syphilis diagnoses in Australia.

In the past decade, rates of syphilis diagnoses in Australia have tripled, according to a recent report by the Kirby Institute.

The rate of syphilis has increased six-fold among women, while congenital syphilis cases rose 68 per cent.

Australia’s Chief Medical Officer, Professor Paul Kelly, said we’re seeing the re-emergence of congenital syphilis, when the infection is transmitted during pregnancy.

“This can have devastating health consequences for newborn babies, including death,” he said.

“Congenital syphilis is also entirely preventable. We must ensure everyone is tested for syphilis during pregnancy. All pregnant people should be tested at least once, and in many cases more.”

Read more

Healthcare providers are urged to:

30 November 2023

Bankstown Diabetes Centre will run an eight-week group for women under 40 who have struggled with weight, from 16 February next year.

The Metabolic Transformation Through Action (META) Group is for women who may have a history of yoyo dieting, and may have conditions such as polycystic ovary syndrome (PCOS), insulin resistance or an endocrine disorder.

The group aims to provide the skills for sustainable lifestyle change.

It will be run by a clinical psychologist and dietitian with expertise in metabolic health.

Participants will benefit from interacting with peers with similar experiences.

Find out more:

META Group referral form

Brochure for healthcare providers

Brochure for patients

 

27 November 2023

NSW Health has introduced a second universal antenatal syphilis screen at 26 to 28 weeks gestation and additional screening for women at high-risk of syphilis in pregnancy.

This is in response to concerning increases in maternal and congenital syphilis diagnosed in NSW. 

Syphilis in pregnancy is associated with preterm birth, low birth weight, congenital anomalies, fetal loss or stillbirth, and neonatal death.

Congenital syphilis is a preventable disease.

Additionally, GPs who engage with pregnant women are encouraged to screen opportunistically regardless of gestation where a pregnant woman has had limited or no antenatal care.  

You can find advice and referral information at NSW Sexual Health Clinics and the NSW Sexual Health Infolink.

NSW Sexual Health Infolink is available during business hours on 1800 451 624.

GPs will be offered active assistance with case management from their local sexual health clinic after the notification is referred to them in specific cases. 
 
An online training has been developed NSW Introduction to Syphilis for Midwives and Clinicians Providing Antenatal Care to assist GPs identify priority populations for antenatal syphilis testing, learn about syphilis care and management including more complex clinical scenarios, and contact tracing after a syphilis diagnosis. 

More information can be found via the policy directive Syphilis in Pregnancy and Newborns.

The policy directive establishes the minimum requirements for NSW Health services and outlines the roles and responsibilities of clinicians and NSW Health staff when screening and managing syphilis in pregnancy and managing neonates at risk of congenital syphilis.  

16 November 2023

Eligible patients can now apply online for the Continence Aids Payment Scheme (CAPS).

CAPS is an Australian Government program which helps people over five years old who experience permanent and severe incontinence to cover some of the costs of buying continence products.

The new online application is available through the individual’s Medicare account on myGov or in the Express Plus Medicare mobile app.

Patients still have the option to use the existing CAPS application guidelines and application form, which can be downloaded or ordered from the Department of Health and Aged Care.

If someone else is applying on behalf of a patient, their representative must use the paper form.

Even if a patient applies online, they still need a registered health professional (such as a GP) to complete the health report section using the paper form.

The patient will then need to upload the report to their online application through their Medicare online account.

Please inform your eligible patients of the new online application process.

More information can be found at www.servicesaustralia.gov.au/caps and the department’s website.

20 September 2023

This week has been a timely reminder extreme heat can have a serious impact on people’s health.

Heatwaves and hot weather have killed more people in Australia than any other disaster.

Extreme heat can be dangerous for anyone, however it is particularly dangerous for those:

  • over the age of 75
  • babies and young children
  • overweight or obese
  • pregnant or breastfeeding
  • poor mobility
  • who are homeless
  • socially isolated, living alone
  • working in a hot environment
  • have a chronic illness (such as diabetes, heart disease, high blood pressure, cancer, mental illness)
  • have an acute illness (an infection with fever or gastroenteritis)
  • taking certain medications

Heat stroke is a life-threatening emergency.

It occurs when the body temperature rises about 40.5 degrees.

Immediate first aid is critical to lowering the body temperature as soon as possible.

The effect of heat on chronic conditions

Most heat-related morbidity and mortality is due to the exacerbation of chronic conditions.

Conditions which most commonly contribute to death during a heatwave include:

  • cardiac events
  • asthma or other respiratory illness
  • kidney disease
  • diabetes
  • nervous system diseases
  • cancer

Dehydration and subsequent medication toxicity may exacerbate:

  • altered mental state
  • kidney stones
  • cardiovascular impairment
  • falls

Heat and medication

Some medications can increase the risk of heat-related illness. Some can also be less effective when exposed to high temperatures.

The following medications can be impacted by heat. (This list should be used as a guide only)

Interference with sweating, caused by:

  • anticholinergics, for example tricyclic antidepressants and benztropine
  • beta blockers
  • antihistamines
  • phenothiazines
  • vasoconstrictors

Interference with thermoregulation, caused by:

  • antipsychotics or neuroleptics, for example risperidone, clozapine, olanzapine
  • serotoninergic agonists
  • stimulants, for example amphetamine, cocaine
  • thyroxin

Decreased thirst, caused by:

  • butyrophenone, for example haloperidol and droperidol
  • angiotensin-converting enzyme (ACE) inhibitors

Dehydration or electrolyte imbalance, caused by:

  • diuretics, especially loop diuretics
  • any drug causing diarrhoea or vomiting, for example colchicines, antibiotics, codeine
  • alcohol

Reduced renal function, caused by:

  • NSAIDS
  • sulphonamides
  • indinavir
  • cyclosporine

Aggravation of heat illness by worsening hypotension, caused by:

  • vasodilators, for example nitrates (GTN) and calcium channel blockers
  • anti-hypertensives

Levels of drug affected by dehydration (possible toxicity for drugs with a narrow therapeutic index), caused by:

  • digoxin
  • lithium
  • warfarin
  • antiepileptics
  • biguanides, for example metformin
  • statins
  • altered state of alertness, caused by any drugs which alter the state of alertness, for example alcohol, benzodiazepine and narcotics

Resources to help you prepare for heatwaves

At-risk community members can prepare for heatwaves and heatstroke using the resources below:

Heatstroke – Health Resource Directory

Preparing for a heatwave – Health Resource Directory

Healthcare providers can find more information at:

Beat the heat (nsw.gov.au)

14 September 2023

SWSPHN’s Disaster Management team will be sharing information about the importance of healthcare during a disaster or emergency, at the Wollondilly Emergency Services Expo on Saturday, 23 September.

The event will be held from 10am to 2pm at Victoria Park, Picton.

Representatives from the NSW Rural Fire Service, Fire & Rescue NSW, NSW SES, NSW Ambulance and the NSW Police Force will also attend the expo.

Our Disaster Management team will be holding a stall to provide community members with information about how to best prepare their health for a disaster.

They will also be distributing a flyer highlighting the five simple steps to follow to ensure your health and wellbeing can be prioritised during disaster.

The flyer, which provides practical advice about preparing your health for disaster as well as information about access to services, will also be available at:

  • Emergency Ready Day, Sunday, 24 September, 11am to 3pm, Koshigaya Park, Campbelltown
  • Community Links Wellbeing Festival of Fun, Sunday, 26 November, 10am to 2pm, Bargo Sports Ground

During an emergency, PHNs are the first points of contact on primary healthcare coordination and service availability, as part of the overall coordinated health response.

Health outcomes for our community can be greatly improved and enhanced when we prepare and respond to emergencies together.

23 August 2023

Women in South Western Sydney now have access to a specialised Endometriosis and Pelvic Pain Clinic.

The Women’s Health Centre Southern Highlands, at Mittagong, is one of 20 endometriosis and pelvic pain clinics being established across Australia.

The health centre’s Dr Hanady Nasreddine said staff were humbled and honoured the centre had been selected as one of 20 centres nationally to receive federal funding.

“It is also a significant responsibility as the set-up of such a clinic in primary care has not been done previously … we are dedicated to seeing it succeed,” she said.

The clinics provide multi-disciplinary care with a focus on:

  • Improving the timeliness of diagnosis
  • Promoting early access to intervention, care, treatment options, and referral services for endometriosis and pelvic pain

The clinics operate within existing general practices and strengthen what is often the first point of contact in the health system, to reduce diagnostic delays and promote early access to multi-disciplinary intervention, care and treatment.

The practice will receive funding distributed by the South Western Sydney Primary Health Network (SWSPHN) over the next four years, to support hiring specialised staff, including nurse practitioners and allied health professionals, investment in equipment or fitouts such as pelvic physiotherapy areas, as well as resources, training and development.

The clinics will also raise awareness of endometriosis and pelvic pain, build professional knowledge and skills in this area, and improve access to information and care pathways.

SWSPHN Chief Executive Officer, Dr Keith McDonald PhD, said endometriosis affected at least one in nine Australian women and could have a huge impact on the lives of sufferers.

“The pain and fatigue which some women with endometriosis experience can be debilitating, preventing them from participating in education, work or sport,” he said.

“Yet endometriosis is often missed and can take years to diagnose – compounding both the physical and emotional suffering.

“At SWSPHN, we’re very pleased our community will benefit from more timely, specialised care at a clinic which is already known for putting a special focus on the healthcare needs of women.”

Dr Nasreddine said The Women’s Health Centre Southern Highlands already focused on the specific healthcare needs of women and had been seeing patients presenting with pelvic pain since opening its doors in 2021.

“Endometriosis can often present with quite undifferentiated symptoms and pelvic pain can also be much more complex than it seems,” she said.

“With a growing understanding of these complexities as well as increased research into areas such as non-surgical diagnosis and management, it is exciting to be involved in this dynamic and evolving landscape.”

Dr Nasreddine said endometriosis and pelvic pain was a challenging area for patients and GPs alike.

“Patients have often disclosed the frustration of feeling ignored or ‘brushed off’ regarding their symptoms,” she said.

“GPs are often dealing with symptoms often affecting multiple organ systems and chronic pain,  with management involving  not only the biological/physical aspects but also mental health, social wellbeing, etc.”

Dr Nasreddine said the clinic was definitely a first step to improving primary care.

“Providing a regional hub of expertise in women’s health, we hope to continue focusing on excellence in patient care and service provision, and to continue to enhance and expand our services over time,” she said. 

Patients can make an appointment for the clinic by calling The Women’s Health Centre on 4880 1686.

Pictured above: The team at The Women’s Health Centre Southern Highlands in Mittagong, including Dr Hanady Nasreddine (second from right).

07 August 2023

State-wide Referral Criteria (SRC) are clinical decision-support tools which give health professionals the referral criteria they need to refer their patients to public specialist outpatient services across NSW.

SRC helps people who need to see a health professional in a NSW public specialist outpatient service be referred and prioritised in a safe and timely way.

They support patients and the health professionals looking after them to make a referral and assist NSW public specialist outpatient services with screening and triaging these referrals.

Please visit the NSW Health website for more information.