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Floyd Leedie
- 1. Partnering with UQto fill the gap
- 2.
- 3. Goondir Vision: Toimprove the health and wellbeing of Aboriginal and Torres Strait Islander people to a standard at least equal to that of the wider Australian community by providing holistic health care and medical services that meet best practice standards We are change makers - National directions – Close the Gap - linked to local, state and national evidence - a critical component of the health care system for the clients we serve What we do
- 4. >4,400 active clients 63%Aboriginal and / or Torres Strait Islander 56 individual employed staff – clinicians, clinical support and transport 17 engaged organisations/ individuals – allied health and specialist services Collective skills and experience What we deliver
- 5. Why/ How DentalPartnership Created Dental services were a consistent community request Current dental services insufficient for demand Dental rooms provided in new Dalby building plans Fact finding mission UQ’s capacity to invest in a training facility
- 6. Uni of Qld– Dental training
- 7. Dalby Clinic - Commencedin 2012 - 5 chair clinic co-located in Goondir’s purpose built facility - Jan-Sept 2017 569 Goondir patients have accessed the clinic - 87% of patients identify as Indigenous Uni of Qld – Dental training
- 8. Uni of Qld– Dental training
- 9. Uni of Qld– Dental training St George Clinic - Built in 2016, services commenced in 2017 - 4 chair clinic - an extension to Goondir’s clinic - June and August 2017 – 173 Goondir patients have accessed the clinic - 94% of patients identify as Indigenous
- 10. Uni of Qld– Dental training
- 11. Uni of Qld– Dental training
- 12.
- 13. Benefits of thePartnership • Reduced burden of oral disease, and increased quality of life • Improved access to health services across a wide geographical reach for Indigenous and non-Indigenous residents • Continuity of Care for Goondir’s patients • Exposure of students to Aboriginal health in rural and remote communities • Enhanced Cultural Education and Practices of Health Professionals • Increased Future Economic Status to the Organisation and Individuals • Applicability of Funding and Service Model to other rural and remote sites across Australia • Potential to Influence Partnership Opportunities
- 14. Further Information Floyd Leedie CEO,Goondir Health Services Phone: 07 4679 5900 Email: f.leedie@goondir.org.au Facebook/ Website: www.goondir.org.au
Editor's Notes
- #2 Acknowledge the traditional owners Thank NACCHO team for providing the opportunity to share our work – believe it will be of benefit to other organisations
- #3 Operating in South West Queensland for 23 years. Service region covers an area of 71,000km2 West of Toowoomba through to St George We cover 2 PHNs, 2 Hospital and Health Services, 3 local government areas 4 clinics – Dalby: operate from an award winning, purpose built facility in 2012. Includes UQ dental facility St George: includes extension at rear to accommodate UQ dental facility Oakey: premises we purchased and renovated in 2014 Mobile Medical Clinic: funding through QHealth – servicing smaller towns
- #4 Goondir Vision: To improve the health and wellbeing of Aboriginal and Torres Strait Islander people to a standard at least equal to that of the wider Australian community by providing holistic health care and medical services that meet best practice standards Close the Gap will require effort to change knowledge, attitudes and behaviours – we still have a long way to go. The work we are doing with UQ is key to making progress. This is in meeting health demands and also in attracting and retaining a skilled workforce in the bush. Goondir is a critical component to the health care system. If we did not exist, our clients would have to seek services elsewhere. We are the main providers of primary health care in the communities in which we operate. While we are making change, it is important that we continue to strive for change in the way we operate – this will influence change for our clients
- #5 Over 4,400 active clients across the region – 2/3 identify as Aboriginal To cover large region across 4 clinics we employ 56 staff. This is a multi-disciplinary team of GPs, nurses, health workers, and support staff (transport, reception, administration). In addition to this team, and not including the UQ dental agreement, we also have agreements in place with 17 visiting specialists and allied health professionals including but not limited to respiratory physicians, paediatricians, diabetes educator, dietitian, exercise physiologist and psychologist. We also have locally based and visiting professionals and agencies that do not provide services in our clinics but we refer to including cardiologist, pharmacists, and ophthalmologists. Our model ensures that holistic primary health care is provided to all of our patients. One of the most significant partnerships we’ve been able to establish is with the University of Queensland School of Dentistry
- #6 - Dental Services A Consistent Request From Community –feedback from community meetings, feedback forms from reception areas, word of mouth. Survey undertaken and confirmed demand - Current Services Insufficient - Goolburri’s resources were to strained to provide the level of oral health care needed to address the demand - Dental Room Provided In New Building Plans –we had the infrastructure, albeit 1 chair facility, but no operating $ollars - Fact Finding Mission – I’ll mention how we went from discussions with Griffith, James Cooke and eventually UQ to run our 1 chair facility and how it changed into a 9 chair operation over 2 state of the art facilities. At one stage nearly went back to Griffith when UQ had undertaken a review and were unsure of continuation. Goondir submitted an application to DoH to lead the continuation and DoH spoke with UQ getting the project back on track. Also engaged independent consultant to assist with business case development with stakeholders (Bob Corben) - UQ’s Capacity To Invest In A Training Facility –it was perfect timing (eg if we had met 2 weeks later, we would have missed the opportunity) with their DETERP Funds and how it was supposed to go to Melany (hope no one from Melany is in the audience eg Tom and North Coast LoL).
- #7 When thinking about the University of Queensland visions of large facilities like the new oral health centre which was opened by the then Federal Health Minister Sussan Ley in Brisbane in July 2015 spring to mind. This facility cost $134M and is the nation’s largest and most advanced tertiary dental facility. However, the University has a commitment to rural and remote placements. Goondir’s experience with them also identifies that they have a commitment to closing the gap in health between Indigenous and non-Indigenous Australia. These opportunities could be secured by other services in our sector.
- #8 Floyd to add history - - how/ why/ when Goondir and UQ have a shared vision to improve oral health and training placements in rural and remote Queensland. Under our agreements, services will be provided for a period of 10 years. 5 chair dental clinic was built in Goondir’s purpose built Dalby clinic in 2012. The Dalby clinic has a full-time supervising dentist, dental assistant and students. Jan-Sept 2017, 569 Goondir patients accessed the clinic. 87% of patients identify as Indigenous. It is fully booked until early 2018. Referral to the dental clinic is generated from our health checks. As the facility is based in our clinic, it is accessible to the community. Funded by the Commonwealth under the Dental Training Expanding Rural Placements Program (DTERP), there has been keen interest shown from Federal MPs David Gillespie, Assistant Minister for Health and David Littleproud Member for Maranoa, who are pictured here with a member of the UQ team
- #9 The pictures show the facilities available. Our data indicates that the service has been widely accessed by those living outside the region. One patient travelled a 1,800km round trip to access the facilities from their home in far South West Qld
- #10 Work on the St George clinic started with a turning of the sod in April 2016 . 4 chair clinic built as an extension to Goondir’s clinic Works were complete within a few months in 2016. Difficulty attracting a supervising dentist, therefore part-time clinic has operated in 2017. Official opening will be next week. 2 clinics held in June and August of this year 173 Goondir patients have accessed the clinic 94% of patients are Indigenous Referral to the clinic is generated from the health check Pic of the St George dental team with 2 clients. Following photos show progress of the build
- #13 The UQ team regularly engage in health promotion and education days including: - Goondir’s playgroup and - community events such as NAIDOC week and national CTG day
- #14 Benefits of the Partnership Reduced burden of oral disease, and increased quality of life. Oral disease is more prevalent in the Indigenous population, requiring increased opportunities for individuals to access services. Dental health provides social and general health benefits for individuals. Poor oral health can result in pain, limited function, psychological discomfort and disability, physical and social disability and an increased risk of other health conditions. If untreated, hospitalisation can occur, resulting in time away from work. Improved access to health services across a wide geographical reach for Aboriginal and non-Aboriginal residents in communities. Goondir is the main primary health care provider for Indigenous people in the region and provides the population with direct linkage to dental services. The longest distance travelled to access the Dalby service was 1800km (round trip); Continuity of Care for Goondir’s patients, resulting from provision of dental services within Goondir facilities; Exposure of students to Aboriginal health in rural and remote communities, particularly with lower socio-economic status, reduced services and increased difficulties of recruitment of health professionals. This aims to encourage the return of health professionals to work in rural and remote communities post-graduation; Enhanced Cultural Education and Practices of Health Professionals. Ensuring health professionals understand and connect with Indigenous clients to encourage their access to health services; Increased Future Economic Status to the Organisation and Individuals. As the demand for oral health care increases, opportunities usually arise for increases in Primary Health Care due to the correlation between Primary and Oral Health Care. As health revenue increases, the need for additional Indigenous staff increases, which in turn effects improved services and employment or economic status; Applicability of Funding and Service Model to other rural and remote sites across Australia. We are not aware of any Collaborative of this nature and the way in which it addresses health and the social determinants of health; Potential to Influence Partnership Opportunities. The level and extent of services/activities undertaken reflect professionalism and generates interest from other parties to collaborate with Goondir. An increase in partnerships results in an increase in services.
- #15 Benefits of the Partnership Reduced burden of oral disease, and increased quality of life. Oral disease is more prevalent in the Indigenous population, requiring increased opportunities for individuals to access services. Dental health provides social and general health benefits for individuals. Poor oral health can result in pain, limited function, psychological discomfort and disability, physical and social disability and an increased risk of other health conditions. If untreated, hospitalisation can occur, resulting in time away from work. Improved access to health services across a wide geographical reach for Aboriginal and non-Aboriginal residents in communities. Goondir is the main primary health care provider for Indigenous people in the region and provides the population with direct linkage to dental services. The longest distance travelled to access the Dalby service was 1900km (round trip); Continuity of Care for Goondir’s patients, resulting from provision of dental services within Goondir facilities; Exposure of students to Aboriginal health in rural and remote communities, particularly with lower socio-economic status, reduced services and increased difficulties of recruitment of health professionals. This aims to encourage the return of health professionals to work in rural and remote communities post-graduation; Enhanced Cultural Education and Practices of Health Professionals. Ensuring health professionals understand and connect with Indigenous clients to encourage their access to health services; Increased Future Economic Status to the Organisation and Individuals. As the demand for oral health care increases, opportunities usually arise for increases in Primary Health Care due to the correlation between Primary and Oral Health Care. As health revenue increases, the need for additional Indigenous staff increases, which in turn effects improved services and employment or economic status; Applicability of Funding and Service Model to other rural and remote sites across Australia. We are not aware of any Collaborative of this nature and the way in which it addresses health and the social determinants of health; Potential to Influence Partnership Opportunities. The level and extent of services/activities undertaken reflect professionalism and generates interest from other parties to collaborate with Goondir. An increase in partnerships results in an increase in services.