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LOCAL GOVERNMENT AREA (LGA) Fact Sheet€¦ · Richmond Valley (LGA) Health and Access to Health...

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NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 1 of 4 NSW 7,480,230 Richmond Valley 22,807 North Coast 502,958 Current Population 1 Median Age Richmond Valley North Coast NSW 44 47 38 Children & Infants (0-14) Richmond Valley North Coast NSW 19.2% 17.1% 18.5% Aboriginal Population Richmond Valley North Coast NSW 7.2% 5.0% 2.9% Older People (65+) Richmond Valley North Coast NSW 22.5% 23.7% 16.3% According to the 2016 Socio Ecomomic Index of Disadvantage, Richmond Valley LGA has been identified as an area of socio- economic disadvantage. self-harm 6 Richmond Valley 240.2 NSW 142.6 Higher Rates of Hospitalisation per 100,000 population Socio-Economic Disadvantage 1 fall-related for all ages 3 Richmond Valley 1,051.0 NSW 748.7 RICHMOND VALLEY LOCAL GOVERNMENT AREA (LGA) Fact Sheet A key role of North Coast Primary Health Network (NCPHN) is to identify health needs and service gaps and, based on this evidence, prioritise activity to address those needs. This fact sheet contains the most up-to-date health and service statistics and community perspectives. 1 2 3 4 5 6 7 8 9 10 Most disadvantaged Most advantaged 5 5 5 6 8 8 4 2 2 2 2 3 Richmond Valley All causes 7 34,862.1 NSW 40,773.1 Richmond Valley Potentially preventable 8 3,102.6 Richmond Valley high body mass 2 Richmond Valley 908.7 NSW 755.0 alcohol attributable 4 Richmond Valley 705.3 NSW 580.6 diabetes as a principal diagnosis 5 Richmond Valley 246.8 NSW 148.3 NSW 2,213.0
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Page 1: LOCAL GOVERNMENT AREA (LGA) Fact Sheet€¦ · Richmond Valley (LGA) Health and Access to Health Services Richmond Valley/ Kyogle# North Coast GP Full Time Equivalent (FTE) per 1,000

NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 1 of 4

NSW7,480,230

Richmond Valley22,807

North Coast502,958

Current Population1 Median AgeRichmond

ValleyNorth Coast NSW

44 47 38

Children & Infants (0-14)

RichmondValley

North Coast NSW

19.2% 17.1% 18.5%

Aboriginal PopulationRichmond

ValleyNorth Coast NSW

7.2% 5.0% 2.9%

Older People (65+)

RichmondValley

North Coast NSW

22.5% 23.7% 16.3%

According to the 2016 Socio Ecomomic Index of Disadvantage, Richmond Valley LGA has been identified as an area of socio-economic disadvantage.

self-harm6

Richmond Valley

240.2NSW142.6

Higher Rates of Hospitalisation per 100,000 populationSocio-Economic Disadvantage1

fall-relatedfor all ages

3

Richmond Valley

1,051.0NSW748.7

RICHMOND VALLEY LOCAL GOVERNMENT AREA (LGA)

Fact SheetA key role of North Coast Primary Health Network (NCPHN) is to identify health needs and service gaps and, based on this evidence, prioritise activity to address those needs. This fact sheet contains the most up-to-date health and service statistics and community perspectives.

1

2

3

4

5

6

7

8

9

10

Most disadvantaged

Most advantaged

5

5

5

6

8

84

2

2

2

2

3

Richmond Valley

All causes7

34,862.1

NSW

40,773.1

Richmond Valley

Potentially preventable8

3,102.6

RichmondValley

high body mass

2 Richmond Valley

908.7NSW755.0

alcohol attributable

4

Richmond Valley

705.3NSW580.6

diabetes as a principal diagnosis

5

Richmond Valley

246.8NSW148.3

NSW

2,213.0

Page 2: LOCAL GOVERNMENT AREA (LGA) Fact Sheet€¦ · Richmond Valley (LGA) Health and Access to Health Services Richmond Valley/ Kyogle# North Coast GP Full Time Equivalent (FTE) per 1,000

NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 2 of 4

218.1NSW

Richmond Valley

579.0

# The results for the Kyogle and Richmond Valley LGA practices have been combined due to their being only one general practice in the Kyogle LGA.^ Richmond Valley-Coastal SA3 region includes the towns of Brunswick Heads, Byron, Bangalow, Ballina, Woodburn, Evans Head and surrounds.* Richmond Valley-Hinterland SA3 region includes the towns of Lismore, Kyogle, Casino and surrounds.< weighted average/age adjustment used to allow populations to be compared when the age profiles of the populations are quite different.> ATSI: Aboriginal and Torres Strait Islander

Immunisation Rates in 2016-1710 Arrows indicate trending below or above the 2015-16 rate.

Health and Access to Health Services Richmond Valley (LGA)

Richmond Valley/ Kyogle# North Coast

GP Full Time Equivalent (FTE) per 1,000 population

0.8 1.1Practices

9 180GPs (total number)

35 845GP (FTE)

26.2 557.3

1year olds

2year olds

5year olds

Allied Health Services Richmond Valley

North Coast

NSW

Health Professionals - FTE per 1,000 population13

ATSI> Health Practitioners 0.0 0.02 0.01

Chiropractors 0.13 0.16 0.19

Chinese Medicine Practitioners 0.00 0.15 0.18

Dental Practitioners 0.46 0.7 0.77

Medical Radiation Practitioners 0.00 0.51 0.52

Nurses and Midwives 5.77 12.44 10.83

Occupational Therapists 0.16 0.51 0.54

Optometrists 0.00 0.16 0.2

Osteopaths 0.13 0.14 0.06

Pharmacists 0.64 0.79 0.92

Physiotherapists 0.43 0.82 0.89

Podiatrists 0.00 0.15 0.15

Psychologists 0.23 0.82 0.96

Cancer11* per 100,000 population, age standardised<

Breast Skin Prostate

General Practitioners (GPs)9

100%

100%

100%

93.8%

90.1%

Richmond Valley-Hinterland*

81.1%Richmond Valley-Coastal̂

Australia

North Coast

89.9%

90.9%

87.9%

Richmond Valley-Hinterland*

81.0%Richmond Valley-Coastal̂

Australia

North Coast

86.7%

93.5%

90.6%

Richmond Valley-Hinterland*

82.5%Richmond Valley-Coastal̂

Australia

North Coast

90.6%

Lowest SA3 in Australia

2nd lowest SA3 in

Australia

2nd lowest SA3 in

Australia

1st and 2nd highest in Australia

Incidence rate: Richmond Valley-Hinterland*: 123.2 Australia: 119.8

Incidence rate: Richmond Valley-Coastal^: 110.2 Richmond Valley-Hinterland*: 98.3 Australia: 49.3

Mortality rate: Richmond Valley-Hinterland*: 36.8 Australia: 27.3

Alcohol and Other Drug-related Crime12

Possession/use of cannabis per 100,000 population

80%

60%

40%

20%

0

Richmond Valley

NSW

Domestic violence-related

assault

Non-domestic violence-related

assault

Intimidation, stalking and harrassment

Offensive conduct

Offensive language

46.8

30.5 37

.0

30.3

20.3

15.2

78.8

62.6

76.9

52.2

Proportion of alcohol related offences

North Coast PHN has the lowest rates for all ages in

Australia

Page 3: LOCAL GOVERNMENT AREA (LGA) Fact Sheet€¦ · Richmond Valley (LGA) Health and Access to Health Services Richmond Valley/ Kyogle# North Coast GP Full Time Equivalent (FTE) per 1,000

NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 3 of 4

#1

Richmond Valley 27.0%

Richmond Valley 24.7%

Richmond Valley 24.4%

North Coast 24.4% North

Coast 23.6%North Coast 25.7%

#1#2

#3Weight

Arthritis/ Osteoporosis

Mental health

Participants were asked which health challenges they face...

1 Drug and alcohol misuse 51.5%

2 Ageing issues 45.3%

3 Lack of access to healthcare 43.1%

Participants were asked what they think are the three most serious health concerns in their community...

Richmond Valley

1 Drug and alcohol misuse 47.7%

2 Mental health issues 47.6%

3 Ageing issues 47.0%

North Coast

Survey respondents told us which additional services are needed to meet health challenges in their community...

Health and Access to Health Services Richmond Valley (LGA)

1776.8% of respondents identified as ABORIGINAL or TORRES STRAIT ISLANDER

6.3% of respondents identified as LESBIAN, GAY, BISEXUAL, QUEER, TRANSGENDER, NON-BINARY OR WITH A DIFFERENT GENDER OR SEXUAL IDENTITY

37.4% of respondents said they wouldn’t be able to get $2,000 for something important within a WEEK

36.2% of respondents had PRIVATE HEALTH INSURANCE

11.4% of respondents were BORN OVERSEAS

9.1% of respondents were AGED between 15-24 YEARS

26.9% of respondents were AGED 65 YEARS or over

21.4% of respondents WORKED 35 or more HOURS a week

NORTH COAST3,372

and why...

2018 Local Health Needs Community Survey14

Richmond Valley Participants

Page 4: LOCAL GOVERNMENT AREA (LGA) Fact Sheet€¦ · Richmond Valley (LGA) Health and Access to Health Services Richmond Valley/ Kyogle# North Coast GP Full Time Equivalent (FTE) per 1,000

NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 4 of 4

References1 Australian Bureau of Statistics, 2019. 2016 Census. [Online] Available at: https://www.abs.gov.au/census [Accessed April 2019].2 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: High body mass attributable hospitalisations by Local Government Area, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/beh_bmiafhos/beh_bmiafhos_lga_trend [Accessed April 2019].3 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Fall-related injury hospitalisations by Local Government Area, persons of all ages, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/inj_falloldhos/inj_falloldhos_lga_trend [Accessed April 2019].4 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Alcohol attributable hospitalisations by Local Government Area, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/beh_alcafhos/beh_alcafhos_lga_trend [Accessed April 2019].5 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Diabetes as a principal diagnosis, hospitalisation by Local Government Area, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/dia_pcohos/dia_hos_lga [Accessed April 2019].6 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Intentional self-harm: hospitalisations by Local Government Area, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/men_suihos/men_suihos_lga_trend [Accessed April 2019].7 Centre for Epidemiology and Evidence, 2019. Health Statistics NSW: Hospitalisations for all causes by Local Government Area, NSW 2017-18.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/bod_projhos/bod_hos_lga_trend [Accessed April 2019].8 Centre for Epidemiology and Evidence, 2019. Health Statistics NSW: Potentially preventable hospitalisations by Local Government Area, NSW 2016-18.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/bod_acshos/bod_acshos_lga_trend [Accessed April 2019].9 NCPHN Data collection as of 15 October 2018. Unpublished.10 Australian Institute of Health and Welfare, 2018. Immunisation North Coast (NSW).

[Online] Available at: https://www.aihw.gov.au/reports-data/indicators/healthy-community-indicators/phn109/north-coast-nsw/immunisation/immunisation [Accessed April 2019].11 Australian Institute of Health and Welfare, 2018. Reports and data, Health conditions, disability and health, Data tables: Incidence of selected cancers in 2009–2013.

[Online] Available at: https://www.aihw.gov.au/getmedia/df6732ee-5246-4c9f-a458-df85c88fc512/aihw-can-108-cancer-SA3-incidence-mortality.xls.aspx [Accessed April 2019]. 12 NSW Bureau of Crime Statistics and Research, 2018. NSW Local Government Area excel tables, Jan-Dec 2017.

[Online] Available at: https://www.bocsar.nsw.gov.au/Pages/bocsar_crime_stats/bocsar_lgaexceltables.aspx [Accessed November 2018].13 Australian Government Department of Health, 2019. Health Workforce Data. Allied Health Number of Clinicians: Local Government Area by job role, Job setting, year and workforce status

[Restricted Access] Available at: https://hwd.health.gov.au/webapi/jsf/dataCatalogueExplorer.xhtml [Accessed October 2018].14 North Coast Primary Health Network (NCPHN), 2018. 2018 Speak Up Community Survey. [Online] Available at https://ncphn.org.au/speakup [Accessed February 2019].

2018 Local Health Needs Community Survey14

27.7% of respondents said it was difficult to access Allied Health Professionals^

Difficult to access RichmondValley North Coast

1 Dentist 37.4% 38.1%

2 Physiotherapist 24.6% 20.6%

3 Psychologist 23.2% 29.6%

4 Optometrist 19.8% 14.1%

5 Social Worker 13.6% 10.0%

Top 3 Challenges:1. Distance of Travel - 46.2%2. Cost - 45.0%3. Lack of Health Professionals - 42.2%

55.3%of respondents said it was difficult to access Mental Health Services^

Difficult to access RichmondValley North Coast

1 Counselling 37.5% 45.2%

2 Psychiatry 25.9% 28.6%

3 NSW Health community mental health 22.3% 33.1%

4 Doctor (GP) with knowledge in mental health 19.3% 38.0%

5 Youth-specific services 12.4% 16.2%

Top 3 Challenges:1. Cost - 45.5%2. Lack of services - 37.0%3. Not sure what is available - 29.4%

69.4% of respondents said it was difficult to access Alcohol and Other Drug services^

Difficult to access RichmondValley North Coast

1 Rehab 52.7% 44.6%

2 Detox 33.2% 39.4%

3 Community support groups 25.1% 22.4%

4 Youth-specific services 24.1% 22.1%

5 Counselling 20.4% 42.2%

Top 3 Challenges:1. Lack of services - 63.8%2. Cost - 36.0%3. Transport - 34.0%

59.4% of respondents said it was difficult to access Age-related Services^

Difficult to access RichmondValley North Coast

1 In-home domestic support (e.g. cleaning, meals) 43.6% 36.9%

2 Care packages/funding 42.3% 45.6%

3 In-home medical care 32.3% 25.1%

4 General wellness support/ social groups 24.3% 29.8%

5 Doctor (GP) with knowledge/ skills in aged care 21.1% 29.3%

Top 3 Challenges:1. Lack of services - 58.1%2. Difficult to organise - 52.8%3. Cost - 46.0%

43.1%of respondents said it was difficult to access Specialists^

Difficult to access RichmondValley North Coast

1 Cardiologist 15.6% 19.2%

2 Psychiatrist 15.2% 23.8%

3 General Surgeon 15.0% 15.1%

4 Paediatrician 12.7% 12.1%

5 Neurologist 11.6% 11.9%

Top 3 Challenges:1. Long wait - 55.4%2. Distance of travel - 53.3%3. Cost - 47.1%

1. Can’t get an appointment

2. Too long to wait for an appointment

3. It costs too much

38.5%of respondents said it was difficult to access a Doctor (GP)^

Richmond Valley (LGA)

^ Difficult to access = Respondents who had needed to access the health service/professional in the past 12 months reporting it was difficult or very difficult.


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