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

NSW7,480,230

Ballina 41,790

North Coast502,958

Current Population1

BALLINALOCAL GOVERNMENT AREA (LGA)

Fact Sheet

Socio-Economic Disadvantage1

1

2

3

4

5

6

7

8

9

10

Most disadvantaged

Most advantaged

Ballina

5

55

6

8

84

2

2

2

2

3

Median Age

Ballina North Coast NSW

48 47 38

Children & Infants (0-14)

Ballina North Coast NSW

16.6% 17.1% 18.5%

Aboriginal Population

Ballina North Coast NSW

3.3% 5.0% 2.9%

Older People (65+)

Ballina North Coast NSW

25.0% 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

2

Ballina

89.6NSW53.1

stroke6

Ballina

167.2NSW140.1

alcohol attributable

5

Ballina

635.4NSW580.6

fall-relatedfor all ages

3

Ballina

1,072.7NSW748.7

2nd highest in

NSW

interpersonal violence-

related4

Ballina

129.4NSW73.8

Ballina LGA has not been identified as an area of socio-economic disadvantage overall. However, there are areas within the Ballina LGA that are in the most disadvantaged 10% in Australia.

potentially preventable

7

Ballina

2,261.1NSW2,213.0

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

Allied Health Services BallinaNorth Coast

NSW

Health Professionals - FTE per 1,000 population14

ATSI> Health Practitioners 0.07 0.02 0.01

Chiropractors 0.22 0.16 0.19

Chinese Medicine Practitioners 0.21 0.15 0.18

Dental Practitioners 1.02 0.7 0.77

Medical Radiation Practitioners 0.26 0.51 0.52

Nurses and Midwives 7.56 12.44 10.83

Occupational Therapists 0.73 0.51 0.54

Optometrists 0.18 0.16 0.2

Osteopaths 0.21 0.14 0.06

Pharmacists 0.75 0.79 0.92

Physiotherapists 0.84 0.82 0.89

Podiatrists 0.29 0.15 0.15

Psychologists 0.75 0.82 0.96

Ballina North Coast

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

1.1 1.1Practices

16 180GPs (total number)

89 845GP (FTE)

47.3 557.3

^ Richmond Valley-Coastal SA3 region includes the towns of Ballina, Brunswick Heads, Byron, Bangalow, Woodburn, Evans Head 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.

Health and Access to Health Services

Immunisation Rates in 2016-179

Arrows indicate trending below or above the 2015-16 rate.General Practitioners (GPs)8

Ballina (LGA)

Skin cancer

Cancer per 100,000 population, age standardised<, Richmond Valley-Coastal SA3^11

Incidence rate^: 110.2 Australia: 49.3Mortality rate^: 6.8 Australia: 5.9

1year olds

2year olds

5year olds

93.8%

90.1%

87.9%

90.9%

93.5%

90.6%

100%

100%

100%

Australia

North Coast

Australia

North Coast

Australia

North Coast

81.1%Richmond Valley-Coastal̂

Richmond Valley-Coastal̂

Richmond Valley-Coastal̂

81.0%

82.5%

Suicide^10

NSW 9.8

Richmond Valley- Coastal̂

Highest in NSW

Hospitalisations13 rate per 10,000 people<

Drug & alcohol episodes

Australia20

Richmond Valley-Coastal^ 32

Alcohol and other drugs12

Alcohol related criminal offences

80%

60%

40%

20%

0Domestic violence

Intimidation, stalking and harassment

Assault Police

Offensive language

100%

50.9

30.522.4

15.2

62.550.0

83.3

52.2

Ballina NSW

Lowest SA3 in

Australia

2nd lowest SA3 in Australia

2nd lowest SA3 in Australia

All cancers combined^

539.6 incidences Australia: 497.4

14.3

Highest in NSW

21.1 deaths by suicide

among 15-24 yr olds per 100,000 population

(age specific death rate for combined reference years

2008-16 )

NSW 15-24 (8.3)

9.0 deaths by suicide among females

per 100,000 population (crude rate for combined reference years 2008-16)

NSW females (4.8)

per 100,000 (crude rate for combined reference years 2008-16)

Rate of suicides

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 2018 Local Health Needs Community Survey15

Immunisation Rates in 2016-179

Arrows indicate trending below or above the 2015-16 rate.

#1

Ballina 27.6%

Ballina 23.9%

Ballina 20.3%

North Coast 25.7% North

Coast 24.4%North Coast 23.6%

#1#2

#3Arthritis/

Osteoporosis

Mental health

Weight

Participants were asked which health challenges they face...

1 Ageing issues 47.0%

2 Mental health issues 44.5%

3 Drug and alcohol misuse 38.4%

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

Ballina

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...

Ballina (LGA)

Ballina Participants

2954.7% of respondents identified as ABORIGINAL or TORRES STRAIT ISLANDER

10.2% of respondents identified as LESBIAN, GAY, BISEXUAL or QUEER

22.7% of respondents said they wouldn’t be able to get $2,000 for something important within a WEEK

51.9% of respondents had PRIVATE HEALTH INSURANCE

15.8% of respondents were BORN OVERSEAS

6.8% of respondents were AGED between 15-24 YEARS

17.6% of respondents were AGED 65 YEARS or over

35.2% of respondents WORKED 35 or more HOURS a week

NORTH COAST3,372

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: 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].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: Interpersonal-violence–related hospitalisations, Local Government Area, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/inj_violhos/inj_violhos_lga_trend [Accessed April 2019].5 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].6 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Stroke hospitalisations by Local Government, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/cvd_strhos/cvd_strhos_lga_trend [Accessed April 2019].7 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].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 Mental Health Commission of New South Wales, 2018. Suicide in NSW by age and gender - interactive.

[Online] Available at: https://nswmentalhealthcommission.com.au/resources/suicide-in-nsw-by-age [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 Institute of Health and Welfare, 2017. My Healthy Communities web update: 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

14 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].

15 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 Survey15

26.7% of respondents said it was difficult to access Allied Health Professionals^

Difficult to access Ballina North Coast

1 Dentist 37.3% 38.1%

2 Psychologist 34.3% 29.6%

3 Physiotherapist 19.8% 20.6%

4 Speech Pathologist 14.1% 9.2%

5 Chiropractor 13.6% 8.5%

Top 3 Challenges:1. Cost - 66.7%2. Not covered by Medicare - 46.3%3. Long wait - 33.0%

49.0%of respondents said it was difficult to access Mental Health Services^

Difficult to access Ballina North Coast

1 Counselling 46.9% 45.2%

2 NSW Health community mental health 43.0% 33.1%

3 Psychiatry 34.7% 28.6%

4 Doctor (GP) with knowledge in mental health 33.8% 38.0%

5 Residential support 18.4% 11.6%

Top 3 Challenges:1. Cost - 61.0%2. Lack of services - 32.0%3. Not sure what is available - 32.0%

67.7% of respondents said it was difficult to access Alcohol and Other Drug services^

Difficult to access Ballina North Coast

1 Counselling 55.8% 42.2%

2 Doctor (GP) with knowledge in alcohol and other drugs 41.9% 31.8%

3 Detox 36.7% 39.4%

4 Rehab 30.5% 44.6%

5 Youth-specific services 30.3% 22.1%

Top 3 Challenges:1. Poor experience in past - 50.1%2. Lack of services - 43.4%3. Cost - 37.6%

51.8% of respondents said it was difficult to access Age-related Services^

Difficult to access Ballina North Coast

1 In-home domestic support (e.g. cleaning, meals) 42.8% 36.9%

2 Care packages/funding 41.7% 45.6%

3 General wellness support/ social groups 27.9% 29.8%

4 Doctor (GP) with knowledge/ skills in aged care 24.6% 29.3%

5 In-home medical care 23.1% 25.1%

Top 3 Challenges:1. Cost - 44.2%2. Difficult to organise - 40.8%3. Not sure what is available - 40.6%

48.1%of respondents said it was difficult to access Specialists^

Difficult to access Ballina North Coast

1 Psychiatrist 28.8% 23.8%

2 Cardiologist 18.6% 19.2%

3 Gynaecologist/ Obstetrician 14.4% 12.0%

4 General Surgeon 14.3% 15.1%

5 Orthopaedic Surgeon 13.8% 14.2%

Top 3 Challenges:1. Cost - 58.0%2. Long wait - 54.8%3. Distance of travel - 47.5%

1. Can’t get an appointment

2. It costs too much

3. Too long to wait for an appointment

18.2%of respondents said it was difficult to access a Doctor (GP)^

Ballina (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.