Adelaide North East Division of General Practice
|
Name Adelaide North East Division of General Practice
|
| Division Number |
503 |
| Classification |
Urban |
| Number of Member GPs |
182 |
|
| State |
South Australia |
| Year Established |
1993 |
| Number of Member Practices |
62 |
|
|
|
|
| Postcodes Covered |
5070, 5074, 5075, 5081, 5082, 5083, 5084, 5085, 5086, 5087, 5088, 5089, 5090, 5091, 5092, 5093, 5096, 5097, 5098, 5109, 5125, 5126, 5127, 5131, 5132, 5133, 5231
|
| Population |
207,757 (PHIDU 2005)
|
| Area Covered |
The Adelaide North East Division of General Practice (ANEDGP) catchment area covers all or part of the Statistical Local Areas of Campbelltown, Enfield (Part A), Gumeracha, Payneham, Prospect, St Peters, Salisbury, Tea Tree Gully and Walkerville. These areas are closely associated with their corresponding Local Government area. Its boundaries also encompass rural areas extending from Inglewood to Birdwood and Mt Pleasant.
|
| CEO |
Mr Chris Bollen |
| Chair |
Dr Cate Howell |
|
|
|
|
| Physical Address: |
| Level 1, Education Centre, Modbury Public Hospital |
| Smart Road |
| MODBURY SA 5092 |
| Australia |
| Postal Address: |
| Level 1, Education Centre, Modbury Public Hospital |
| Smart Road |
| MODBURY SA 5092 |
| Australia |
|
|
|
|
GP/PRACTICE PROFILE
There are an estimated 218 GPs within the North East Division of which 182 are members. (The largest numbers of GPs can be found at Prospect, Greenacres, Modbury North and Ingle Farm, however all practices in these areas report difficulties filling GP vacancies and/or have closed their books to new patients. There was an estimated total of 144.0 full time equivalent (FTE) GPs and 162.5 full workload equivalent (F.W.E.) GPs in the Division, 22.0% of which were female. 43.5% of GPs were over 55 years of age compared to 23.4% and 30.5% respectively, for South Australia, (PHIDU, 2005).
The Division has 62 practices within its catchment area and the majority of GPs work in Practices with 5 or more GPs (68%). 22% of GPs work in Practices with 2-4 GPs and 10% work in solo practices.
Demographic Profile
A brief profile of the population in the Division catchment area
The estimated resident population in 2005 was 206 757 (PHIDU, 2005). Postcode areas with the largest population groups in 2001 were Modbury North, Golden Grove, Greenacres and St Agnes. 12.6% of the population was 65 years of age and over, with Enfield, Greenacres and Klemzig having the highest population 65 years and over.
There are approximately 2302 Aboriginal and/or Torres Strait Islanders within the Division, with Enfield, Greenacres and Ingle Farm having the highest concentration (PHCRIS 2006). Australian born people comprised 75.5% of the Division’s population (just above the Australian figure of 72.6%); 11.2% are from the UK & Eire and 1.3% from other English speaking countries. The major birthplaces of the non-English speaking population include Italy (2.3%); Germany (1.1%); Vietnam (0.7%); Greece, the Netherlands and Poland (each 0.6%); and the Philippines (0.4%).
The Division has a slightly lower proportion of children than Australia as a whole, with 18.4% at ages 0 to 14 years. Conversely, 45 to 64 years (24.9%), has marginally higher proportions compared to Australia (23.8%). All other age groups were relatively consistent with the Australian proportions.
The Division has relatively lower proportions of single parent families within the Division. Secondary school education participation is marginally higher than the rate for Adelaide. A lower proportion of the Division’s households received rent assistance from Centrelink (11.4%) compared to Adelaide (12.6%) and South Australia (12.0%), and there were fewer dwellings rented from the State Housing Authority (7.0%, compared to 8.0%). The proportion of dwellings with no access to a motor vehicle (9.2%) was also lower than for Adelaide (10.9%). These socioeconomic indicators show the Division to comprise a population of relatively higher socioeconomic status. The Adelaide North East DGP area’s SEIFA Index of Relative Socio-Economic Disadvantage (IRSED) score is 1015, above (1.5%) the average for Australia and Adelaide (both 1000). However there are also notable variations in the IRSD within the Division at the Statistical Local Area (SLA) level. Areas such as Port Adelaide Enfield – East
Port Adelaide Enfield – Inner, Salisbury – North East and Salisbury – South East have high levels of socioeconomic disadvantage (PHIDU 2005).
The population of the Division aged 18 years and over is estimated to have slightly more people with very high psychological distress levels as measured by the K-10 compared to Australia as a whole. The proportion of the population aged 15 years and over estimated to have reported their health as “fair” or “poor” is notably higher than the national average (PHIDU 2005).
The health issues for the population in the Northern Eastern region that set them apart from other regions in the metropolitan area include Respiratory, Circulatory and Musculoskeletal System Diseases. Obesity, physical inactivity and smoking are the major contributing factors (PHIDU, 2005).
DIVISION OVERVIEW/INTRODUCTION
Mission Statement
Our Division's Vision is that general practice should be the cornerstone of Primary Health Care.
Our Mission is to work in collaboration with key stakeholders in providing leadership and support to advance general practice and improve health outcomes for our local community.
Our Role
To undertake activities to enhance the quality of service delivery of GPs, that will improve the health outcomes of our community.
To assist GPs in managing a constantly changing environment including implementing best practice, increasing efficiencies, improving the quality of patient care and introducing new payment systems.
- Broad activities:
- Improve quality in general practice;
- Improve communication between GPs and other service providers;
- Encourage GP involvement in hospitals;
- Involve GPs in education and research;
- Undertake health promotion and prevention activities;
- Develop information management/technology;
- Improve access to services e.g. out of hours; and
- Share allied health resources.
Our Commitment
The Adelaide North East Division of General Practice is committed to always keeping in focus the needs of general practice, the community and other major stakeholders in order that our services contribute to improved health outcomes for our local community.
MAJOR ACHIEVEMENTS
- Certificate of Merit for the Domestic Violence Project, The Australian Violence Prevention Awards.
- Fax Notification of Admission to Hospital Project (first in Australia).
- Diabetes Mini Clinics, first of this model in Australia.
- Interpractice Nurse and Educator project.
- The Divisions and Hospitals Integration Program (DHIP) - A Continuum of Care.
- Pathways for Dementia and Palliative Care Information - Resource / Guidelines.
- Establishment of a Regional Medication Advisory Committee.
- Mental Health Assessment Procedures (MHAP) Kit.
- Access to Allied Health Project - utilisation of computer based programs for patients with anxiety and / or depression.
- National Suicide Prevention Strategy - Pathways to Care project.
- National Demonstration Divisions project - Nursing in General Practice.
- In collaboration with Central Northern Adelaide Health Service – development of a data aggregation tool focused on clinical indicators of diabetes management.
CHALLENGES FOR THE FUTURE
Key issues for this Division in relation to integration with hospital based services
The Division has played a lead role in engaging the State Health System as part of the SA Generational Health Review and the formation of the Central and Northern Area Health Service as well as involvement in the Northern Collaborative Project. There is considerable potential for future integration of General Practice and State funded services through a Primary Health Care Network with the evolution of general practice multidisciplinary teams. In late 2005 this potential became a reality with funding of ANEDGP from CNAHS for three capacity building strategies. The objective of the capacity building projects is to address chronic condition management in a systematic manner in order to improve long term outcomes and reduce hospitalisation caused by disease complications. The three pilot programs involve increased education and training for practice nurses in eight practices, increased access to allied health services in five practices in improving use of chronic disease data in two practices.
To effectively support general practice we need to focus on the whole of practice approach, including: GPs, Practice staff, business systems, information management and technology and the extended community role. Our future role will be to support general practice in dealing with issues such as the ageing population and the increasing chronic and complex needs of the population. Mental health will also need to be a key focus for the future given the level of need identified in the community. Areas for future development include:
- Supporting multidisciplinary teams,
- Strengthening our primary health care focus (e.g. prevention and early intervention, community participation and understanding and taking into account the social determinants of health)
- Establishing linkages with community based services,
- Interfacing with secondary and tertiary services,
- Expanding the primary care workforce, especially addressing GP and Nurse workforce issues; and
- Responding to changing consumer expectations and technologies; also
- Using practice data to increase awareness of current evidence for treating chronic conditions.
