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.

30 May 2023

GPs are invited to attend an education forum in mid-June focusing on women’s health.

Focus On: Women’s Health, will be held from 8.30am to 2.30pm on Saturday, 17 June, at Rydges Norwest.

The forum will investigate common women’s health conditions in gynaecology and obstetrics. Topics have been designed to provide practical diagnosis, management and treatment options which GPs can incorporate into their everyday practice.

Some of the learning outcomes include:

  • Cervical screening – understanding the basic test and some of the challenging situations when cases are outside standard recommendations.
  • Review the aetiology and recognise the risks of pelvic prolapse, be aware of common complications of some interventional treatments like vaginal mesh.
  • Investigate common women’s health issues requiring intervention, long-term management and new treatment options i.e. heavy menstrual bleeding, infections in pregnancy.

A panel of five experienced and respected gynaecologists and obstetricians will facilitate the forum, including Associate Professor Indika Alakahoon, a gynaecologist, maternal foetal medicine specialist and obstetrician.

GPs attending the forum will have two hours RP (reviewing performance) and 3.5 hours of EA (educational activities) accredited by RACGP.

Please RSVP by Thursday, 8 June. For more information contact Deb Brodie via email at deb.brodie@healthscope.com.au or call 0418 809 424.

Find out more
02 May 2023

Safer Families Centre of Research Excellence is offering a number of free educational opportunities for healthcare providers.

Motivational Interviewing Strategies to address domestic violence workshop

This online workshop, on Wednesday, 10 May, from 8.30am to 10am, aims to enhance your use of motivational interviewing strategies in consultations with people using or experiencing domestic violence.

Find out more / register

Pivoting to the perpetrator: How to engage with patients who use DFV

This online workshop, on Wednesday, 31 May, from 9am to 10.30am, aims to enhance your confidence to safely engage with people who use violence.

Find out more / register

Identifying and Responding to Child Abuse and Neglect e-learning module

This 90-minute e-learning module is free for GPs and primary care staff. It discusses the nature, prevalence and impact of child abuse and neglect, and outlines safe and appropriate response pathways for the children and their families, including when reporting is mandated. The module will assist you in identifying strategies to provide ongoing support to the child and family following initial first line response and illustrate key challenges in responding to child abuse and neglect within the practice environment.

Access the module
23 March 2023

Amid a worrying spike in syphilis cases, the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) has launched an online Syphilis Interactive Tool to guide clinicians through testing and treating syphilis.

The decision-making tool is free and available online, with primary practices encouraged to use the tool in their clinical care. The tool incorporates pathways for diagnosis and treatment in pregnant women, a priority population group of growing concern.

ASHM’s Syphilis Interactive Tool complements existing resources, including the on-demand training module, Syphilis Outbreak Training.

ASHM is encouraging primary care professionals to help combat Australia’s increase in syphilis cases by integrating the Syphilis Interactive Tool into their clinical practice. 

Find out more
22 March 2023

The Women’s Health Centre Southern Highlands at Mittagong has been selected as the site of one of 20 Federal Government-funded Endometriosis and Pelvic Pain Clinics to be established across Australia.

Assistant Minister for Health and Aged Care Ged Kearney announced the clinic sites, with at least one clinic in every state and territory and at a mix of regional and metropolitan locations, this morning (Wednesday, 22 March).

The selected sites will be funded to provide expert, multidisciplinary services and care for women with endometriosis and pelvic pain after demonstrating existing expertise in women’s health.

  • Endometriosis affects at least one in nine Australian women and can have an extensive, devastating impact on the daily lives of sufferers. With those suffering waiting on average of seven years before diagnosis.
  • Pelvic pain can be similarly complex and debilitating, with the impact being felt beyond individuals as it is estimated to cost the Australian economy $6 billion a year.

The clinics will each receive more than $700,000 over four years to support hiring specialised staff, including nurse practitioners and allied health professionals, investment in equipment or fit-outs such as pelvic physiotherapy areas, as well as resources, training and development.

Working in existing general practices, the clinics will 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. 

As well as directly helping patients, the clinics will raise awareness of endometriosis and pelvic pain, build professional knowledge and skills in this area, and improve access to information and care pathways.

Minister Kearney said the clinics were about providing women with an accessible front door to the care they need.

“Gathering expertise under one roof, fostering that knowledge to improve diagnosis and services, having referral pathways in place – these are all crucial elements to getting the support that women need right,” she said.

“Too many women suffer for years with what we know can be debilitating conditions. They deserve to have their concerns be taken seriously with better access to specialised care.”

Full list of clinic sites