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

NSW7,480,230

Nambucca 19,212

North Coast502,958

Current Population1

NAMBUCCALOCAL GOVERNMENT AREA (LGA)

Fact Sheet

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

Socio-Economic Disadvantage1

1

2

3

4

5

6

7

8

9

10

Most disadvantaged

Most advantaged

Nambucca

5

5

5

6

8

84

2

2

2

2

3

Median Age

Nambucca North Coast NSW

51 47 38

Children & Infants (0-14)

Nambucca North Coast NSW

16.5% 17.1% 18.5%

Aboriginal Population

Nambucca North Coast NSW

7.6% 5.0% 2.9%

Older People (65+)

Nambucca North Coast NSW

27.6% 23.7% 16.3%

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.

Higher Rates of Hospitalisation per 100,000 population

diabetes type 1

4

Nambucca

91.0NSW53.1

Nambucca

834.1NSW670.8

smoking attributable

5

Nambucca

2,438.2NSW1,663.4

dementia as principle diagnosis

2

Mental Health

25000 5000

20000 4000

15000 3000

10000 2000

5000 1000Attention deficit

hyperactivity disorder (ADHD)

Antipsychotic

30000

Kempsey/Nambucca* Australia

Prescribing medication6 to people 17 years and younger per 100,000

26,200

10,780

5,982

2,070

all mental health conditions. Australia 102

Bipoloar and mood disorders. Australia 11

Overnight hospitalisations7* per 10,000

16518

60002nd highest rates in NSW for all of these

conditions

Schizophrenia and delusional disorders Australia 1936

* Kempsey - Nambucca SA3 region includes the towns of Nambucca Heads, Macksville, South West Rocks, Kempsey and surrounds.

2.9 times greater than Australian

rate

2.4 times greater than Australian

rate

Nambucca

2,545.7NSW2,213.0

potentially preventable

3

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

Allied Health Services NambuccaNorth Coast

NSW

Health Professionals - FTE per 1,000 population12

ATSI> Health Practitioners 0.00 0.02 0.01

Chiropractors 0.16 0.16 0.19

Chinese Medicine Practitioners 0.00 0.15 0.18

Dental Practitioners 0.48 0.7 0.77

Medical Radiation Practitioners 0.16 0.51 0.52

Nurses and Midwives 8.68 12.44 10.83

Occupational Therapists 0.23 0.51 0.54

Optometrists 0.17 0.16 0.2

Osteopaths 0.00 0.14 0.06

Pharmacists 0.80 0.79 0.92

Physiotherapists 0.47 0.82 0.89

Podiatrists 0.16 0.15 0.15

Psychologists 0.45 0.82 0.96

Nambucca North Coast

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

1.2 1.1Practices

13 180GPs (total number)

34 845GP (FTE)

23.9 557.3

< 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.

Health and Access to Health Services

Immunisation Rates in 2016-179 Arrows indicate trending below or above the 2015-16 rate.

1year olds

2year olds

5year olds

93.8%

90.1%

91.6%

89.5%

87.9%

90.9%

93.5%

90.6%

92.8%

100%

100%

100%

Australia

North Coast

Kempsey - Nambucca*

Australia

North Coast

Australia

North Coast

General Practitioners (GPs)8

Nambucca (LGA)

Kempsey - Nambucca*

Kempsey - Nambucca*

Cancer per 100,000 population, age standardised<, Kempsey-Nambucca SA3*10

Skin cancer

Incidence rate: 73.1 Australia: 60.1

Bowel

Incidence rate: 72.0 Australia: 49.3Mortality rate: 8.1 Australia: 5.9

Lung

Incidence rate: 57.4 Australia: 43.6

Incidence rate: 194.2 Australia: 172.8

Prostate

40%

30%

20%

10%

0

Alcohol related criminal offences

Nambucca NSW

Domestic violence-related

assault

Non-domestic violence-

related assault

Intimidation, stalking and harrassment

Alcohol and Other Drugs11

30.5 30.3

15.216.9

34.9

37.7

North Coast PHN has the lowest rates for all ages in

Australia

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

Health and Access to Health Services

17114.0% of respondents identified as ABORIGINAL or TORRES STRAIT ISLANDER

2.9% of respondents identified as LESBIAN, GAY, BISEXUAL or QUEER

29.8% of respondents said they wouldn’t be able to get $2,000 for something important within a WEEK

29.2% of respondents had PRIVATE HEALTH INSURANCE

8.8% of respondents were BORN OVERSEAS

4.7% of respondents were AGED between 15-24 YEARS

23.4% of respondents were AGED 65 YEARS or over

21.1% of respondents WORKED 35 or more HOURS a week

2018 Local Health Needs Community Survey13

Immunisation Rates in 2016-179 Arrows indicate trending below or above the 2015-16 rate.

#1

Nambucca 27.6%

Nambucca 26.1%

Nambucca 23.8%

North Coast 23.6% North

Coast 25.7%North Coast 24.4%

#1#2

#3Mental health

Weight

Arthritis/ Osteoporosis

Participants were asked which health challenges they face...

1 Drug and alcohol misuse 47.2%

2 Mental health issues 46.6%

3 Ageing issues 43.1%

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

Nambucca

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...

and why...

Nambucca (LGA)

NORTH COAST3,372

Nambucca Participants

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: Dementia Hospitalisations, by Local Government Area, persons aged 65 and over, NSW 2015-17

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/bod_dementhos/bod_dementhos_lga_trend [Accessed April 2019].3 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].4 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Diabetes hospitalisations by type of diabetes and age by Local Government Area, NSW 2016-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/dia_typehos/dia_typehos_lga [Accessed April 2019].5 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Smoking attributable hospitalisations by Local Government Area, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/beh_smoafhos/beh_smoafhos_lga_trend [Accessed April 2019].6 National Health Performance Authority, 2017. The first Australian atlas of healthcare variation 2015.

[Online] Available at: http://atlas-acsqhc.opendata.arcgis.com/search?collection=Dataset&page=2 [Accessed April 2019].7 Australian Institute of Health and Welfare, 2017. Hospitalisations for mental health conditions and intentional self-harm in 2015-16.

[Online] Available in April 19: https://www.myhealthycommunities.gov.au/our-reports/mental-health-and-intentional-self-harm/november-2017 Available post July 2019: http://webarchive.nla.gov.au/gov/20181010001820/https://www.myhealthycommunities.gov.au/our-reports/mental-health-and-intentional-self-harm/november-2017

8 NCPHN Data collection as of 15 October 2018. Unpublished.9 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].10 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]. 11 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].12 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].13 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 Survey13

35.0% of respondents said it was difficult to access Allied Health Professionals^

Difficult to access Nambucca North Coast

1 Dentist 36.6% 38.1%

2 Physiotherapist 30.8% 20.6%

3 Psychologist 30.5% 29.6%

4 Podiatrist 18.1% 10.2%

5 Social Worker 16.6% 10.0%

Top 3 Challenges:1. Cost - 59.7%2. Long wait - 56.4%3. Lack of professionals - 48.0%

56.0%of respondents said it was difficult to access Mental Health Services^

Difficult to access Nambucca North Coast

1 Counselling 48.7% 45.2%

2 NSW Health community mental health 44.2% 33.1%

3 Doctor (GP) with knowledge in mental health 38.5% 38.0%

4 Psychiatry 37.6% 28.6%

5 Hospital 22.8% 14.8%

Top 3 Challenges:1. Lack of services - 47.8%2. Poor experience in the past - 39.9%3. Cost - 38.9%

53.5% of respondents said it was difficult to access Alcohol and Other Drug services^

Difficult to access Nambucca North Coast

1 Detox 71.0% 39.4%

2 Counselling 59.2% 42.2%

3 Rehab 42.6% 44.6%

4 Community support groups 38.9% 22.4%

5 Doctor (GP) with knowledge in alcohol and other drugs 33.3% 31.8%

Top 3 Challenges:1. Lack of services - 59.6%2. Cost - 44.2%3. Poor experience in the past - 41.0%

61.9% of respondents said it was difficult to access Age-related Services^

Difficult to access Nambucca North Coast

1 Care packages/funding 42.5% 45.6%

2 In-home domestic support (e.g. cleaning, meals) 36.4% 36.9%

3 Doctor (GP) with knowledge/ skills in aged care 29.0% 29.3%

4 Respite support for carers 24.2% 24.2%

5 Myagedcare .gov.au 21.2% 20.0%

Top 3 Challenges:1. Cost - 41.6%2. Difficult to organise - 41.4%3. Lack of services - 33.8%

50.5%of respondents said it was difficult to access Specialists^

Difficult to access Nambucca North Coast

1 Psychiatrist 28.6% 23.8%

2 Gynaecologist/ Obstetrician 19.4% 12.0%

3 Cardiologist 18.4% 19.2%

4 General Surgeon 16.7% 15.1%

5 Endocrinologist 16.1% 9.4%

Top 3 Challenges:1. Cost - 67.1%2. Long wait - 62.5%3. Distance of travel - 58.7%

1. Can’t get an appointment

2. Too long to wait for an appointment

3. It costs too much

59.6%of respondents said it was difficult to access a Doctor (GP)^

Nambucca (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.