Dinesh Ayra - Department of Health - Building health services in the NT

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Dinesh Ayra delivered the presentation at the 2014 Building the Territory Conference.

The inaugural Building the Territory Conference 2014 is an opportunity to meet with the project owners and leaders, to hear about the new opportunities and developments for the built environment in the Territory.

For more information about the event, please visit: http://bit.ly/BuildingtheNT2014

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Dinesh Ayra - Department of Health - Building health services in the NT

  1. 1. Healthy Territorians Living in Healthy Communities  Infrastructure investment  Productive economy  Jobs & provision of services 1
  2. 2. Healthy Territorians Living in Healthy Communities  Infrastructure investment  Productive economy  Jobs & provision of services  Keep investors interested  Public confidence  Prosperity (productivity, efficiency and quality of life) 2
  3. 3. Healthy Territorians Living in Healthy Communities NT Australia Public administration and safety 14.3% 6.4% Healthcare and social assistance 11.1% 11.8% Construction 10.3% 8.9% Education and training 9.3% 7.6% Retail trade 9.1% 10.6% 3 NTG Budget 2013-14
  4. 4. Healthy Territorians Living in Healthy Communities Top End  Royal Darwin Hospital  Katherine Hospital  Gove Hospital Central Australia  Alice Springs Hospital  Tennant Creek Hospital  Remote Health Centres  49 - NT Health  30 - Non-Government  General Practices  40  Residential Aged Care Facilities  15  Private Hospital  Darwin Private Hospital 4
  5. 5. Healthy Territorians Living in Healthy Communities  Supporting the growing economy  Stewardship (public monies)  In the NT, relatively  High socio economic disadvantage  High health needs  Fluctuations in population numbers  Accessibility of services  Meeting expectations  Acquiring new technology  Prioritisation 5
  6. 6. Healthy Territorians Living in Healthy Communities Healthy Territorians Living in Healthy Communities  Accessible  Appropriate  Best facilities, best technology, best people delivering best care 6
  7. 7. Healthy Territorians Living in Healthy Communities 1. Care delivered closer to where people live  Remote Health Centres 2. The best possible infrastructure and technology  New hospital and other refurbishments  Tele-health & use of new technologies 3. Best possible care  Right health professionals  Models of care delivery 7
  8. 8. Healthy Territorians Living in Healthy Communities 1. Care delivered closer to where people live  Remote Health Centres 2. The best possible infrastructure and technology  New hospital and other refurbishments  Tele-health  Use of new technologies 3. Best possible care  Right health professionals  Models of care delivery 8
  9. 9. Healthy Territorians Living in Healthy Communities  Average distance  Remote Health Centre from nearest hospital – 275 Km (100-700Km)  Average population served - 523  8502 patient attendances  35 `doctor days’  Staff ▪ 3 Remote Area Nurses ▪ 1-2 Aboriginal Health Practitioners 9
  10. 10. Healthy Territorians Living in Healthy Communities  Emergency calls  50% result in emergency retrievals  One air transport trip  $4-16,000 10
  11. 11. Healthy Territorians Living in Healthy Communities NEW HEALTH CENTRES  Ntaria (Hermannsburg), CA  Canteen Creek, Barkly, CA  Elliott, Barkly, CA  Ngukurr, Katherine,TE  Galiwinku, EastArnhem,TE  Numbulwar, EastArnhem,TE  Robinson River, Katherine,TE UPGRADES  Kaltukatjara (Docker River), CA  Papunya,CA  Titjikala,CA  Maningrida,TE  MandatoryAlcohol Rehab Centres at Darwin,Alice Springs and Katherine  Alcohol Rehab beds and facilities at Berrimah, Katherine and TennantCreek 11
  12. 12. Healthy Territorians Living in Healthy Communities 1. Care delivered closer to where people live  Remote Health Centres 2. The best possible infrastructure and technology  New hospital and other refurbishments  Tele-health & use of new technologies 3. Best possible care  Right health professionals  Models of care delivery 12
  13. 13. Healthy Territorians Living in Healthy Communities  $150 million dollar project  50,000 catchment population.  Projected to increase by 30% by 2021  45 hectare `green field’ site 13
  14. 14. Healthy Territorians Living in Healthy Communities 14
  15. 15. Healthy Territorians Living in Healthy Communities 1. Care delivered closer to where people live  Remote Health Centres 2. The best possible infrastructure and technology  New hospital and other refurbishments  Tele-health  Use of new technologies 3. Best possible care  Right health professionals  Models of care delivery 15
  16. 16. Healthy Territorians Living in Healthy Communities Key to good health  Transport, industry, investment, basic infrastructure, jobs -----  But also, services and communication  Housing  Essential services 16
  17. 17. Healthy Territorians Living in Healthy Communities  Locate staff or Fly-in  Generalist or specialist  Tele-health in, or see face to face 17
  18. 18. Healthy Territorians Living in Healthy Communities  Housing for staff on:  Hospital campuses;  Through private head leasing arrangements managed by the Department of Housing; and  In Government owned housing stock in regional and remote areas.  DoH staff inTennant Creek, Nhulunbuy and other remote areas receive a 100% rental concession. 18
  19. 19. Healthy Territorians Living in Healthy Communities  1184 dwellings in total;  361 NT Government owned dwellings occupied by DoH staff in regional and remote areas;  362 head lease properties across Alice Springs, Tennant Creek, Katherine, Nhulunbuy and Darwin;  461 dwellings on hospital campuses - 19
  20. 20. Healthy Territorians Living in Healthy Communities  519 people accessing haemodialysis and peritoneal dialysis , in either a satellite centre or in the community.  263 in theTop End  256 in Central Australia)  Inpatient haemodialysis units located atThe Royal Darwin Hospital and Alice Springs Hospital, which are at capacity.  20 community based haemodialysis centres in the Northern Territory, with an average occupancy of 58 percent. 20
  21. 21. Healthy Territorians Living in Healthy Communities  Renal ready rooms are locatedWadeye, Nguiu, Barunga, Ramingining,Gove District Hospital, Kalkaringi,Yirrkala, Oenpelli, Santa Theresa and Mt Leibig.  Demountable facilities are located at Galiwin’ku, Maningrida, Milingimbi, Ngukurr, Angurugu, Borroloola,Ti-Tree,Amoonguna, Ali Curung and Lake Nash. 21
  22. 22. Healthy Territorians Living in Healthy Communities  Respite dialysis is provided in partnership withWestern Desert NganampaWalyytja PalyantjakuTjutaku at Lajamanu, Kintore, Ntaria andYuendumu. 22
  23. 23. Healthy Territorians Living in Healthy Communities  Renal accommodation is scarce in the NorthernTerritory with 45 percent of the patients in theTop End deemed as homeless.  17 percent of renal patients utilise a home based therapy, either home haemodialysis or peritoneal dialysis. 23
  24. 24. Healthy Territorians Living in Healthy Communities  Opportunities  Remote Health Centres  New hospital in Palmerston  Tele-Health and Information Systems  Provision of best possible health care  Support the sector  Supporting families  Exploring new models of health care delivery  Potential  Private sector 24

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