41% 44% 90% North Coast Primary Health Network Our Population. Size of region 35,570km

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1 North Coast Primary Health Network Our Population TWEED KYOGLE BYRON LISMORE BALLINA RICHMOND VALLEY CLARENCE COFFS HARBOUR BELLINGEN NAMBUCCA AUSTRALIA POPULATION 1 Current Population 6,917,658 21,507, ,693 % Male 49.3% 49.4% 48.7% % Female 50.7% 50.6% 51.3% Aboriginal Population 172, ,369 21,468 % Population who are Aboriginal 2.5% 2.5% 4.5% Median Age (Years) Projected population growth 27.8% NA 16.0% Children and Infants (0-14 years) 1,332,512 4,144,025 88,865 % children and infants (0-14 years) 19.3% 19.3% 18.6% Older Persons (65+) 1,018,180 3,012,289 97,482 % Older Persons (65+) 14.7% 14.0% 20.4% KEMPSEY PORT MACQUARIE - HASTINGS % population for in age groups Size of region 35,570km % OF RESIDENTS VOLUNTEER WITH A LOCAL GROUP (36% IN ) % OF RESIDENTS FEEL VALUED BY SOCIETY % OF RESIDENTS FEEL THEY COULD GET HELP FROM FAMILY OR FRIENDS IF NEEDED FEMALE MALE

2 SEIFA Index of Relative Socio-Economic Disadvantage Score 5 FACTORS AFFECTING HEALTH % SINGLE PARENT FAMILIES 3 AUSTRALIA 21.2% 21.3% 30.7% % PERSONS AGED OVER 65 YEARS RECEIVING THE AGE PENSION 3 AUSTRALIA 69.4% 72.5% 76.5% % PEOPLE AGED YEARS RECEIVING AN UNEMPLOYMENT BENEFIT 3 AUSTRALIA 5.0% 5.1% 9.4% % DWELLINGS WITH NO INTERNET CONNECTION 3 AUSTRALIA 20.1% 19.7% 25.6% SOCIO-ECONOMIC INDEX FOR AREAS (SEIFA) 4 AUSTRALIA NA 1000 Lowest - Kempsey LGA 880; Highest - Ballina LGA 989 Most Disadvantaged

3 Unemployment %5 Aboriginal & or Torres Strait Islanders %5 Household income below $600 %5 Lone parent families %5 NORTH COAST PRIMARY HEALTH NETWORK ncphn.org.au Last Updated 14 April 2016

4 53.8% OBESITY AND OVERWEIGHT ( 52.5%) % 54.2% N MNC PROPORTION OF ADULTS UNDERTAKING ADEQUATE PHYSICAL ACTIVITY ( 55.2%) % 53.1% N MNC PROPORTION OF ADULTS CONSUMING RECOMMENDED FRUIT INTAKE ( 53.9%) % 11.9% N MNC PROPORTION OF ADULTS CONSUMING RECOMMENDED VEGETABLE INTAKE ( 8.9%) % 26.3% 29.4% N MNC RATE OF ALCOHOL DRINKING AT LEV- ELS THAT POSE LIFETIME RISK, AGE 16 YEARS+, PER 100,000 PEOPLE ( 27.4%) RATE OF ALCOHOL ATTRIBUTABLE HOSPITALISATIONS PER 100,000 PEOPLE ( 687.9) % 20.0% N MNC CURRENT SMOKERS ( 15.6%) % 18% N MNC SMOKED DURING PREGNANCY ( 9.3%) 9 Domestic Violence 10 Apprehended Violence Orders 10 Self Assessed Health- Proportion of persons that rate their health as fair or poor per 100 persons 11 Ballina Bellingen Byron Clarence Valley Coffs Harbour Kempsey Kyogle Lismore Nambucca Port Macquarie-Hastings Richmond Valley Tweed Australia In 2014, the LGAs in with the highest incidence of domestic assaults were Kempsey (715/100,000), Coffs Harbour (696/100,000) and Nambucca (538/100,000) which are all much higher than the rate (392 per 100,000) of the population. The North Coast had 2,404 apprehended violence orders (AVOs) issued in 2013 which was 10% of all AVOs in. Given the North Coast has less than 7% of the state s population, the amount of AVOs is disproportionate

5 IMMUNISATION RATE HAS THE LOWEST IMMUNISATION RATES IN THE NATION 12 1 year 2 years 5 years Children aged 1 year who are fully immunised, AUS 91.3% 87.7% Children aged 2 years who are fully immunised, AUS 89.2% 86.7% Children aged 5 years who are fully immunised, AUS 92.2% 89.2% Girls aged 15 years who are fully immunised against the Human Papillomavirus (HPV), AUSTRALIA 71.0% 62.0% IN 2012 WAS IN THE BOTTOM 10% OF ALL MEDICARE LOCAL REGIONS IN THE COUN- TRY FOR RATES OF HPV IMMUNISATION. *This data was produced by averaging the proportion of children fully immunised within the postcodes contained in this Local Government Area (noting that postcodes do not map directly within Local Government Areas). Note that some postcodes have missing data due to small numbers. CANCER SCREENING 14 Breast Cervical Bowel (women years) (women years) 50.9% 56.7% 57.7% 62.6% 31.0% 35.1% RATE OF HOSPITALISATION 15 HOSPITALISATIONS TYPE 15 Rate of Hospitalisation (All Causes) per 100,000 population, age-standardised, 2013/14 36, ,043.1 Rate of Potentially preventable hospitalisations per 100,000 population 2, ,658.5 Rate of Asthma hospitalisations per 100,000 population, Rate of High body mass attributable hospitalisations per 100,000 population, Rate of Chronic obstructive pulmonary disease hospitalisations per 100,000 population, Rate of Diabetes hospitalisations Principal diagnosis, per 100,000 population, Rate of Musculoskeletal diseases hospitalisations per 100,000 population, , ,796.9 Rate of Respiratory diseases hospitalisations per 100,000 population, , ,728.7 Rate of Skin diseases hospitalisations per 100,000 population,

6 EMERGENCY PRESENTATIONS 3 AUSTRALIA Emergency department presentations - rate per 100,000 29, , ,495.6 CHRONIC DISEASE DISEASE High Blood Pressure - proportion % Northern 26.4%; Mid North Coast 35.5%. Diabetes All Types - rate per 100, per 100,000 Graph: Northern is per 100,000 population, while the Mid North Coast rate is Diabetes Type 1 - rate per 100, The type 1 rate for the Mid North Coast (73.3) is notably higher than both Northern (59.7) and Proportion of persons registered with the National Diabetes Service Scheme (NDSS), % North Coast 5.2%. Diabetes registrations were particularly high within the LGAs of Clarence Valley (6.8%), Kempsey (6.0%), Nambucca (6.1%), and Richmond Valley (6.1%) TOP 5 POTENTIALLY PREVENTABLE HOSPITALISATIONS, Cellulitis UTIs COPD Dental Conditions Convulsions and epilepsy 222.4

7 WHAT OUR SERVICE PROVIDERS THINK Mental Health is the issue most often rated by Service Providers to be one of the top 5 local health issues Mental Health 60.5% Coordination of Care Access to Specialists Alcohol & Other Drugs Access to Allied Health Aboriginal Health Older Person's Health Obesity / Nutrition/ 41.4% 39.0% 39.0% 38.1% 34.0% 32.3% 31.6% After Hours Care Access to General Dental Care Health Workforce Child Health / Maternity Immunisation 24.8% 21.8% 19.0% 17.7% 13.8% 10.2% ehealth Cancer Screening 5.4% 5.0% WHAT OUR COMMUNITY THINKS Drug and alcohol misuse 55.6% Mental Health issues 51.9% Ageing Issues 51.3% Family Violence Cancer 30.5% 32.9%! Diet and exercise Lack of dental care Child abuse/neglect Social isolation Diabetes Access to health care Heart Disease Suicide 19.5% 19.0% 18.9% 18.8% 15.3% 14.7% 24.9% 29.5% Drug and alcohol misuse is the health issue most often rated by community members to be one of the most serious health issues locally 21 STIs 3.2%

8 REFERENCES 1 Australian Bureau of Statistics, Census of Population and Housing: QuickStats, [Online] Available at: nsf/home/quickstats?opendocument&navpos=220 [Accessed March 2016]. 2 Northern Rivers Social Development Council (NRSDC) and Regional Development Australia Northern Rivers (RDA-NR), Community Wellbeing Survey. [Online] Available at: pdf [Accessed January 2016]. 3 Public Health Information Development Unit (PHIDU), Social Health Atlases of Australia: Local Government Areas. [Online] Available at: torrens.edu.au/social-health-atlases/data#social-health-atlases-of-australia-local-government-areas [Accessed April 2016]. 4 Australian Bureau of Statistics, Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA), Australia, 2011 [Online] Available at: [Accessed March 2016]. 5 University Centre for Rural Health North Coast, Population Health Maps using data from the Australian Bureau of Statistics, Census of Population and Housing, Not available online. [Accessed March 2016]. 6 Centre for Epidemiology and Evidence, Health Statistics New South Wales: Health-related Behaviours. [Online] Available at: nsw.gov.au/indicatorgroup/indicatorviewlist?code=beh&topic=topic_beh&name=health-related%20behaviourstopic [Accessed November 2015]. 7 Centre for Epidemiology and Evidence, Health Statistics New South Wales: Alcohol attributable hospitalisations. [Online] Available at: healthstats.nsw.gov.au/indicator/beh_alcafhos/beh_alcafhos_lgamap [Accessed March 2016]. 8 Centre for Epidemiology and Evidence, Health Statistics New South Wales: Current Smoking in Adults [Online] Available at: nsw.gov.au/indicator/beh_smo_age/beh_smo_lhn [Accessed March 2016]. 9 Centre for Epidemiology and Evidence, Health Statistics New South Wales: Smoking in Pregnancy [Online] Available at: gov.au/indicator/mab_smo_cat/mab_smo_cat_lhn_snap [Accessed March 2016]. 10 Bureau of Crime Statistics Crime Statistics for Oct 2013 to Sep 2015: Incidents of Assault (Domestic assault) [Online] Available at: crimetool.bocsar.nsw.gov.au/bocsar [Accessed January 2016]. 11 Public Health Information Development Unit (PHIDU), Social Health Atlases of Australia: Local Government Areas: Estimated population, aged 15 years and over, with fair or poor self-assessed health [Online] Available at: [Accessed April 2016]. 12 National Health Performance Authority, North Coast Primary Health Network, Primary: Immunisation Rates for 1,2 and 5 year olds. [Online[ Available at: Accessed: 25 February National Health Performance Authority, North Coast Primary Health Network, Primary: Immunisation Rates for 15 year old girls. [Online[ Available at: [Accessed February 2016]. 14 Cancer Institute, Reporting for Better Cancer Outcomes Performance Report 2015: North Coast Primary Health Network, Internal access. [Accessed January 2016]. 15 Centre for Epidemiology and Evidence, Health Statistics New South Wales: Hospitalisations for all causes. [Online] Available at: [Accessed November 2015]. 16 Australian Bureau of Statistics, Australian Health Survey [Not available online] [Accessed March 2016]. 17 Centre for Epidemiology and Evidence, Health Statistics New South Wales: Diabetes hospitalisations by type of diabetes and age. [Online] Available at: [Accessed March 2016]. 18 National Diabetes Services Scheme (NDSS), Map of National Diabetes Services Scheme (NDSS) Registrants [Online] Available at: [Accessed January 2016]. 19 Centre for Epidemiology and Evidence, Health Statistics New South Wales: Potentially preventable hospitalisations by condition by Primary Health Network and Year. [Online] Available at: [Accessed February 2016]. 20 North Coast Primary Health Network, Results from the 2016 Primary Health Needs Service Provider Survey, document in preparation. 21 North Coast Primary Health Network, Results from the 2016 Primary Health Needs Community Member Survey, document in preparation.