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Balmoral Bush Nursing Centre

CONTENTS

-1-

President’s Report

Organisational Governance Structure

Our Board

Our History

Centre Manager’s Report

Strategic Performance

Environmental Services

Clinical Nursing

Case Management

Community Services

BBNC Snapshots

Stories of our Service

Volunteers

Our People

Our Values

Our Staff

Staffing Structure

Services Provided

Doctors

Donations

Key Partners

2

3

4

5

6

7 - 9

10

11

12

13 - 16

17 - 18

19 - 25

26

27

28

29

30

31

32

33

34

Graphics & Layout by Little Fish Design, Hamilton


It is with great pleasure that as

president I can report on another

very successful year for the Balmoral

Bush Nursing Centre. The Centre is

in a very solid financial position and

has a strong culture and professional

ethic. The Balmoral Bush Nursing

Centre continues to be a health care

provider others aspire to.

Recently the Centre underwent an

accreditation process and passed

with flying colours. Congratulations

to Centre Manager Lisa Hutchins and

all the staff for their dedication and

commitment to continual

improvement and quality of service

provision. It is always a pleasure to

walk into the Centre which has a

friendly community feel but at the

same time has a sense of purpose

and professionalism. This culture

does not happen by chance but

through shared vision and a

compelling drive to provide the best

services for our community.

One of the roles of the board is to set

the strategic direction of the BBNC

and then to work with the Centre

Manager to ensure that these

directions are met. This year I would

like to comment on the Live Active

Program, a suite of exercise

initiatives. This program is an

example of the BBNC using the

strategic heading of ‘Knowing Our

Community Really Well’ – and

providing a service that connects

people, promotes knowledge and

invests in the health of our

community. As the old saying

reminds us “Prevention is better

than cure.” This example is not to

take away the importance of the

other services provide but to

highlight the diversity of the Centre –

which has a real sense of the

importance of ‘Health and

Wellbeing.’

This year we introduced to our

meeting structure ‘Growth Meetings’

whereby we undertook in house

professional development to

continually develop the skills that we

need as a board to compliment and

challenge the diversity of services

that the Centre can and should

provide into the future.

As this is my last president’s report I

would like to take the opportunity to

thank the board members: Anita

Watt, Suzanne Smith, Cathie Walsh,

Peter Mailes, Bruce Laidlaw and

Jamie Armitage for their continued

support, enthusiasm, ability to

question and for their ambition to

continually raise the bar in terms of

board performance. g

The board is ably assisted by the

members of the community who sit

on our sub – committees or

volunteer in many ways. We thank

them for contributing.

The one person who draws all the

governance bodies together is

Sabrina Watt who once again has

done a tremendous job for the

board.

One of the board’s most important

jobs is making sure that the

composition remains right for the

Centre’s evolving development of

services and consequently that

succession planning and renewal

happen seamlessly. I have no doubt

that the time is right for a new

president and that the addition of

new board members will refresh and

keep the board energised for

continued successful governance.

It has been an absolute pleasure to

be a part of the BBNC Board and I

wish it and the Centre continued

good health.

PRESIDENT’S REPORT

Wendy Hobbs - PRESIDENT

-2-


ORGANISATIONAL GOVERNANCE STRUCTURE 2011

-3-


Wendy Hobbs - President

Bachelor of Education

Assistant Principal

Elected: 2006

Board Meetings Attended: 10 of 11

Cathie Walsh - Vice President

Bachelor Social Science and Diploma of

Business Studies

Publican Hotelier

Elected: 2005


Anita Watt - Treasurer

Bachelor of Special Education, Adv Cert

of Disability Services, Institute of

Company Directors Course

Farm Partner, Marketing Manager

Glenelg River Rosemary

Elected: 2010 (Previously served 2003-

2008)


Peter Mailes

Leading Senior Constable Victorian

Police

Elected: 2007


Suzanne Smith

Bachelor of Applied Science and


Teacher

Elected: 2005


Jamie Armitage


Leading Teacher

Elected: 2007


Bruce Laidlaw

Primary Producer

Elected: 2010

Board Meetings Attended 8 of 9

The role of the Board of the Balmoral Bush Nursing Centre is to set the strategic path of the Centre.

The Board is also charged with monitoring and evaluating to ensure the Centre direction is on track.

The Balmoral Bush Nursing Board: Front: President Wendy Hobbs

L to R: Suzanne Smith, Treasurer Anita Watt, Jamie Armitage, Sabrina Watt (Executive Administration Officer), Bruce Laidlaw, Vice President

Cathie Walsh. Absent: Peter Mailes

OUR BOARD

-4-


Our local health service commenced July

4th

1925. Mrs. Ethel Wood and Lady

Smyth were the inaugural executive and

faced many challenges establishing the

service. Throughout the first year the

Centre provided 447 visits, 81 days in

residence, 10 all night sittings and 11

maternity cases.

Volunteers built the original centre in

1928 on land donated by Mr. A J Walter

and using building materials generously

donated by local benefactors.

The current site, 26 Bell Street was

purchased on 22nd

December 1970, and

opened in 1972 with the Bush Nurse

living onsite, often called upon after

hours.

As the service expanded the residence

was converted to make way for

increased services and the need for

administrative support. In August 1989

an adult day activity program

commenced.

In 1992 the Infant Welfare building was

purchased from the Shire of Wannon.

Refurbishment allowed for expanded

service provision.

In 1994 a Commonwealth funded

Respite program commenced. In 1997 a

capital redevelopment resulted in our

Function Room. This provided the

physical capacity for modern service

delivery.

In 2006 we embarked on a major facility

redevelopment project; in order to

address increased identified risks in the

areas of safety, service quality and

service range. This project was

completed in August 2007 with our

official opening held on in September

2007.

The Bush Nursing Centre of 2011 is a

broad service utilizing many strong

partnerships and continuously adapting

to community needs.

OUR HISTORY

Above: Years of Balmoral and Victorian Bush Nursing history were celebrated in August 2010 at a gala function in

Melbourne to mark 100 years of Bush Nursing in Victoria. Balmoral delegates attending were past Charge

Nurse/Current RAN Diane McLean, current Centre Manager Lisa Hutchins, Life Member Carol Seymour and past

Charge Nurse Patricia Watt.

-5-


The saying “time flies when you are

having fun” must indicate an awfully

high level of merriment here at the

Balmoral Bush Nursing Centre. I

honestly do not know where the past

twelve months have gone. It is an

absolute pleasure and a privilege to

be actively involved in an

organisation with such a high level of

enthusiasm for excellence and a high

level of energy and motivation to

continuously improve what we do.

Our Board members have

represented the community well in

advocating for service development

in accordance with strategic

priorities. They have been diligent in

their compliance monitoring role and

have ensured a sound financial

performance in an increasingly

challenging environment of funding

accessibility. I have been particularly

impressed by their commitment to

governance education and their

acknowledgement of the importance

of a modern, forward thinking well

educated board in order to deliver a

sustainable quality service.

Our staff are relentless in pursuing

excellence and are actively

committed to our vision of

“Connecting people, promoting

knowledge and investing in the

health of our community for

the future”. Our planned

implementation of the “Active

Service Model” principles has

provided many opportunities for

staff as individuals and as a part of

our wonderful team, to not only

actively contribute to real change in

care delivery, but directly impact on

the health status of our community.

Our clients, the community at large

and our partner organisations have

again helped us to achieve much on

a budget of not much. As a small

organisation, we are dependent on

quality relationships with key

regional partners. I would

particularly like to acknowledge the

support of Jim Fletcher and the

wonderful staff of all service areas of

Western District Health Service,

David Keilar and his community

services team at Lyndoch Living in

Warrnambool,

Tony Walker and Tony Ginis of

Ambulance Victoria and Wendy

Middleton and the children’s services

team at Wimmera Uniting Care, for

the active partnerships that have

been developed between our

organisations this year.

I would also like to acknowledge our

visiting service providers for

partnering in quality service delivery.

We sincerely thank you for your

ongoing support.

To our community, philanthropic

contributors and donors small and

large, without you we could never

deliver the fabulous service we have

today. Thank you and I urge you to

stay with us; the road ahead is an

exciting one.

CENTRE MANAGER’S REPORT

Lisa Hutchins - CENTRE MANAGER

“Our staff are

relentless in

pursuing excellence

and are actively

committed to our

vision of “Connecting

people, promoting

knowledge and

investing in the

health of our

community for the

future”

-6-


Strategic Connectedness-

Further developed formalized partnership relationships with existing partners and providers via review and preparation of service agreements

FaHCSIA service agreement completion for the Access and Advocacy project and a new three year agreement under the Family Support Program negotiated

Wimmera Uniting Care Children’s Services team visits

Attendance at Western BNC Network Meetings in Ballarat

State-wide Governance program steering group representation on behalf of eight western bush nursing centres

Active contributor to coordination of the Harrow Balmoral Football Netball Club/ BBNC/ Harrow BNC / Balmoral Community College drug and alcohol community education event

RMIT Handbury Fellowship visit and presentation of potential future academic partnerships within the community

Recreation Reserve/ Swimming Pool /Community Infrastructure planning discussions with Shire of Southern Grampians

Community Services hosted a sub regional Planned Activity Groups coordinators meeting bringing community service coordinators from Portland, Coleraine, Harrow, Hamilton, Macarthur together

Easter Saturday community

open day held; Board members assisted staff in open day tours and promoted services to the broader community.

Attendance at Victorian Rural Health Forum in April

BNC/BNH State-wide Governance Project- reference group representation

Access to Services-

Continued encouragement of registrar presence with Coleraine / Casterton General Practitioner’s to increase Coleraine Casterton doctor G. P. access

Continuing to work with Ambulance Victoria re model for emergency response review

Hearing Van visit from

Wimmera Hearing Society

Delivery of first aid programs to the community

CFA building and SSG access for place of last resort assessment – negotiations ongoing.

RAN training successfully completed by six nursing staff.

STRATEGIC PERFORMANCE

-7-

Above: Board Member Anita Watt

takes community members and

visitors through the BBNC at Easter

Saturday Open Day

Above: BBNC Life Member Carol

Seymour with Health Minister Andrews

Above: RN Kim Dufty inspecting an

airway with a laryngoscope at the

2011 RAN training in Melbourne


Knowing our Community

Really Well

Provision of culturally diverse Community Services program in response to community demand

Review of payment systems and exploration of online and electronic options, in response to community demand

Live Active program implemented offering a range of exercise options for both younger and older adults

Broad band for Seniors project implemented and adopted as an ongoing service in response to community and consumer feedback

Governance structure subcommittee review and refinement to further support volunteer board members and community contributors

Attracting, Recruiting

and Training for Today

and Tomorrow’s Team

Accreditation process utilized to review current job description structure

Recognition to staff of high performance via the accreditation interview process

Education programs planned or attended externally for operational staff in the areas of incontinence, E.C.G.s, Community Care, Active Ageing and advanced wound care

Implementation of an online

education system for staff (SOLLE) with training of three staff to allow access to online courses and programs through Western District Health Service

Review of annual leave

liability and active planning of leave for staff to ensure they are well rested, supported and maintain high quality professional service delivery

Successfully recruited additional fitness staff and administration staff to further develop the service

Flexible family friendly workplace environment to support and engage all staff


-8-

Below: RAN Diane McLean and Respite Carer Lana Howman extinguish flames at a

whole staff fire training session conducted by Western District Health Service

Above: Live Active Coordinators Janette

Tinning and Tallie Talay.

Below: Flexible family friendly BBNC

environment supports staff

Above: BBNC staff Lauren Mason,

Heather Smith and Jenny Macfarlane,

train with WDHS SOLLE educator Deb

Smith


Technologically Savvy

Marketing and communications plan developed and implementation commenced for 2011/ 2012

Review of IT access for staff and TRAK care community capacity for our service in the future

Technology upgrades in the areas of video consultation and wireless connectivity

Transfer of all operational staff to new e-mail system

Sustainable Future for

the Centre

Quality documentation preparation for external accreditation review in June and annual reporting

Ensuring risk management and legislative compliance via revised committee structure and new operational compliance tracking processes

Review and tender of community care sub contractors provision

Negotiation of a three year Family Support funding agreement with FACHSIA

Victorian Hospital Incident Management System implementation


-9-

Above: Whole Staff meeting 2011.

Below: Jodie Russell assists in preparing documents for external accreditation

review completed in June 2011.

Below: Lauren Mason demonstrates transfer of all operational staff to new e-mail

system


A year that began as drought with

many water saving measures in place

around the Centre developed into a

substantially wetter year. Like many

in Victoria, the Balmoral Bush

Nursing Centre experienced flooding

in early December and then again

mid-January when the drainage

could not cope with the deluge.

Unfortunately the facility sustained

damage to the administration area

which led to the carpet needing full

replacement. Extra stormwater

drainage which has since been

added, is working very well and has

prompted further landscaping to

improve the appearance of the front

garden.

I would like to give a special thank

you to the SES volunteers who

attended in the early hours of the

morning in January to lend a hand

when it looked like the water was

going to just keep rising.

Despite the upheaval in the

administration area, the long-

awaited renovation in the

Community Services office was

completed. It looks fantastic and has

greatly improved the functionality of

the workspace for the respite staff.

The Family Centre outdoor play area

has also benefitted from the addition

of a very classy blue boat kindly

manufactured and donated

by the Balmoral Men’s Shed. The

children absolutely love it and

it looks wonderful docked

in the artificial creek bed.

Other work done in the yard includes

stabilising the creek bed after the

heavy summer rains, resealing the

timber decked areas, topping up the

mulch and replacing the sand pit

sand.

The children have showed a keen

interest in growing their own

colourful flowers and edible

plants in the garden and this has

been supported by the Centre giving

them responsibility for their own

designated patch of earth within the

yard.

We look forward to seeing what the

budding gardeners will grow next.

An enhancement to our existing fire

warning system has been the recent

installation of a fully integrated fire

monitoring system throughout the

facility. This better system assists in

the timely response and

management of fire within the

facility, helping to provide a safer

environment for all staff, clients and

visitors.

My first year in the diverse role as

Environmental Services Coordinator

has been a busy one and with the

support and assistance of

Environmental Services Officer

Louise Guthrie has been a pleasure. I

look forward to another year as part

of the dynamic team at Balmoral

Bush Nursing Centre.

ENVIRONMENTAL SERVICES

Anita Weaver Environmental Services Coordinator

-10-

Above: BBNC Family Centre children enjoy

blue boat provided by the Balmoral Men’s

Shed


Our clinical nursing staff are

committed to providing a welcoming,

inclusive and supportive

environment for all people who

access our service. We endeavour

to provide the best outcome for our

clients in their health care and

encourage them to take an active

part in working toward their goals

through health education and

support.

Often our clients comment on what a

wonderful service they receive at the

Balmoral Bush Nursing Centre; not

only do they receive thorough

assessment, treatment and health

advice, but we frequently act as an

advocate and provide respite when

accessing other health services. The

strong links we have developed with

other local health services such as

Western District Health Service,

Coleraine and Hamilton Medical

Centres, further enhance the client

care.

The nursing staff strive to further

their knowledge and skills in various

areas including wound care,

continence, suturing, ear syringing

and immunization. We are pleased to

be able to offer these services to

clients. Annually we complete

Remote Area Nurse (RAN) training

conducted by Ambulance Victoria.

This two-day competency based

training provides us with the

necessary skills to treat individuals in

an emergency setting utilizing the

RAN guidelines.

Health Promotion key strategies at

the Balmoral Bush Nursing Centre

strive to meet the state

government’s 2010 - 2014 initiative

for health and wellbeing. We align

with local, regional and state health

promotion priorities. In particular we

work to support the Southern

Grampians and Glenelg Primary Care

Partnership’s health and wellbeing

priorities.

The three people-focused outcomes

of the Victorian Health Priorities

Framework 2012-2022 are:

People are as healthy as

they can be

People are managing their

own health better

People have the best health

care service outcomes

possible

These outcomes are key issues and

part of our vision at the BBNC. We

aim to achieve these by the

programs offered which include:

Health clinics – pap smear,

spot checks, flu immunisation

School health talks

First aid courses

Hearing screening - Wimmera

Hearing Society Inc. Hearing

Van

Women’s Health Night

Health checks at the Balmoral

Show

CLINICAL NURSING

Above: Kim Dufty treating camper at

Balmoral

Left: Registered Nurses Lisa McClure,

Diane McLean and Ann Vaughan

undergoing Remote Area Nurse (RAN)

training

-11-


The Case Management objective is to

support people to live a more

rewarding and independent life in

their own home. We provide support

to clients with complex care needs to

ensure access to a variety of services.

The care packages need to be flexible

to support the ever changing needs

of the client. We encourage them to

set personal goals and assist them to

work towards meeting these goals.

Our team meets regularly to review

client care plans and discuss future

ways that we can assist them. There

is a multidisciplinary team approach

to each individual with referrals to

Allied Health and Medical services to

ensure all their care needs are met.

The services provided are

Home Care

Personal Care

Advocacy

Home Maintenance

Meals on Wheels

Respite Services

Personal Alert Alarms

Personal Health and Equipment Supplies

We are fortunate to have the

support of Lyndoch Community

Options and Community Connections

to assist with funding for packages to

aged and disabled clients. We also

are thankful to Barwon Health Carer

Respite and Carelink Services who

have assisted our clients with

funding for respite services and

equipment purchases this year. The

partnership between these providers

and the Balmoral Bush Nursing

Centre delivers a valuable service

which enhances the lives of

individuals in the Balmoral

Community.

JULIE LYONS

CASE MANAGEMENT

Ann Vaughan – Clinical Nurse Coordinator

Above: Kate Mutch assisted by carer Melissa Matthews

-12-


The goal of the BPAG is to assist people

to live in their homes and community as

independently as possible.

Independence refers to the capacity of

people to manage the day to day

activities of their daily life and make

decisions about their life. BPAG provides

programs to ensure that clients are able

to gain the greatest level of

independence they can achieve. Equally

they must be as actively involved in

making decisions about their life as

possible. Such decisions include: the

type of events they wish to attend, guest

speakers on a wide range of different

subjects and visiting many different

locations in the area. This assists client

independence which is supported by the

Active Service Model.

COMMUNITY SERVICES Balmoral Planned Activity Group (BPAG)

Above: Peg Foley and other members of the Balmoral Planned Activity group celebrating

Chinese New Year.

Below: Balmoral Planned Activity Group at Wandovale sheepdog trials in March 2011

-13-


Monthly programs are sent to all clients

and volunteers.

Each month a report of the month’s

activities and the following month’s

program is printed in the Balmoral

Bulletin.

The wide range of events planned are to

support and enrich the lives of those

who attend. This year has seen a very

busy program involving many different

subjects and places to visit.

A very special thank you to all the

volunteers who help out each month.

Without their continuous support,

expertise and dedication we would not

be able to offer the wide range of

activities that all clients come to enjoy

each week.

COMMUNITY SERVICES

Balmoral Planned Activity Group (BPAG)..continued

July Visit Local Horse Stud

Christmas In July Coleraine

August Hamilton Sheepvention

Wannon Falls

September

Final of the Footy Tipping

Nareen & Native Flowers

Howie Bros in Horsham

October

Seniors Concert in Hamilton

Visit to Balmoral Community College

November

Glenthompson Brickworks

Melb Cup Eve Luncheon

ERA Nursery Tour

December

Shopping Trip Horsham

End of year & Christmas Luncheon

January

Celebrated Australia Day

February Chinese New Year of Rabbit

Tour of New Police Station

Guest Speaker from Consumer Affairs

March

Wandovale Sheep Dog Trials

Julie Anthony Show at Wesley PAC

April Exercises for all abilities

Guest Speaker from CFA

May

Visit to Natimuk

Hosted Biggest Morning tea for

Cancer Research

June

Celebrated Shortest Day

Hamilton Film Day

“Water for Elephants”

Some of the Highlights from each month

Above: Aira Kemister, Anne Paterson & Live Active Coordinator Tallie Talay

-14-

Above: Aileen Cantwell relishing Natimuk

street art in May 2011

Below: Local school children celebrate

with BPAG in December 2010


The goal of the community transport

program is to provide transport for the

residents in the Balmoral area within the

constraints of available funding

1- 12 seater bus

1- 10 seater bus with ramp & 2

wheelchair access

1- Respite car

Demand for service continues:

Community transport

Fortnightly trips to Hamilton or

Horsham. 26 trips, 100 people using the

service.

The bus has been hired to the wider

community on 20 different occasions,

including the local community, school,

local businesses, football, netball and

angling clubs.

The Planned Activity Group used the

buses for a total of 32 trips.

Respite trips

158 in the buses

150 In the car

Total Kilometres Travelled

Buses 41,000 kms

Respite Car 37,889 Kms

VET “Getting Them

There” Project A demand for youth transport in our

area was identified, working with the

Balmoral Community College to

transport students to regular classes in

Horsham for their VET Courses. This year

we have had ten students regularly

travelling to Horsham each Wednesday

to attend classes. Funding from South

West Transport Connections has made it

possible to continue this much needed

service.

Achievements:

Regular BPAG trips Fortnightly trips to Hamilton

& Horsham Bus hire to wider community Roster for Volunteer drivers Community transport for

people with disabilities Weekly youth transport to

VET classes in Horsham

Future Targets

Increase funding to provide transport for youth

Increase the number of volunteer drivers

Review regular day and destination trips

-15-

COMMUNITY SERVICES BBNC Transport

Balmoral BNC Transport service KM per month

June 2010 - July 2011

0

1000

2000

3000

4000

5000

6000

7000

Jul-

10

Aug-

10

Sep-

10

Oct-

10

Nov-

10

Dec-

10

Jan-

11

Feb-

11

Mar-

11

Apr-

11

May-

11

Jun-

11

Month

Km

tra

vell

ed p

er m

on

th

Respite Car

Bus B1 B2

Balmoral BNC VET/ VCAL Student transport project June 2010-

July 2011 Average student number per trip

0

2

4

6

8

10

12

Jul-1

0

Aug-1

0

Sep-1

0

Oct

-10

Nov-10

Dec-10

Jan-

11

Feb-1

1

Mar

-11

Apr-1

1

May

-11

Jun-

11

Month (no service Nov- Jan)

Ave

rag

e S

tud

ent

No

per

mo

nth Average student number per

trip

Getting Them There: Balmoral Consolidated

students travel weekly to vocational

training in Horsham as part of a transport

project with the BNC


The Respite program offers support to

carers, provides transport to medical

appointments, and assists frail older

clients and people of any age with a

disability, to remain living independently

in their own home or with family for as

long as possible. The Active Service

Model assists people to live in the

community as independently and

autonomously as possible. An increased

focus on individual goal setting has

developed over the year to improve

client independence and positive health

outcomes.

The challenge To continue to provide a diverse service

focused on community needs within

funding constraints.

Responsibilities

Provide a local contact for carers and clients to access support

Assess activity needs and preferences of carers and clients

Network with service providers

Assist with referral to other services

Assist with transport

Respect the independence, privacy and confidentiality of clients

Ensure Occupational Health & Safety requirements are met

Funding to support the Respite Program

National Respite Carers Program- Lyndoch

Home and Community Care (HACC)

Linkages

Community Aged Care Packages

Individual support packages

Respite Staff Respite staff constantly demonstrate

their willingness to work as a team and

to meet the needs of clients. Staff

demonstrate professionalism while

providing the highest standard of care

for our clients.

We have two changes to our respite

team as we farewelled Isla Mutch in

December and welcomed Melissa

Mathews to the respite staff.

Education is in place to ensure that staff

are able to maintain their level of

expertise in their areas of work.

Monthly meetings, first aid, fire safety,

and OH & S training are mandatory for

staff. Participation in education and

training is encouraged. We continually

strive to maintain and improve the

services offered.

Staff Thanks Congratulations to all the staff on the

2010- 2011 year. It has been a fantastic

year and we are all looking forward to

the year head. A special thank you to

Heather Smith for all the work she has

contributed to the Centre and also for

being my assistant. Heather makes my

job so much more enjoyable knowing I

have her as a backup.

Her attention to detail and drive to get

the job done is a credit to her work ethic.

Team environment at the Centre is only

enhanced with the ever reliable and

supportive Centre Manager Lisa

Hutchins.

Special thanks to Lisa for making the

Centre a very special place to work and

supporting the community’s needs.

Balmoral BNC Respite NRCP July 2010- June 2011

0

5

10

15

20

25

30

35

40

45

50

Jul-

10

Aug-

10

Sep-

10

Oct-

10

Nov-

10

Dec-

10

Jan-

11

Feb-

11

Mar-

11

Apr-

11

May-

11

Jun-

11

Month

Ho

urs

per

mo

nth

Nrcp Target

Nrcp Delivered

Balmoral BNC Respite HACC and Community Aged Care

Packages July 2010- June 2011

0

50

100

150

200

250

300

350

1 2 3 4 5 6 7 8 9 10 11 12

Month

Hou

rs p

er m

onth

Hacc/ Linkages Target

Hacc/ Linkages Delivered

Lyn Iredell - Community Services Coordinator

COMMUNITY SERVICES

Respite & Disability

-16-


-17-

962

occasions of client advocacy

41%

of BNC clientele aged 20-54 years of age

67

RAN Emergency Care Cases

1242

vital signs monitored

422

pathology specimens collected

1

only BNC in Victoria to offer onsite childcare

Connecting people, promoting knowledge, investing in the

health of our mmunity


-18-

1056

G.P Appointments

37,889

kms travelled in the respite car

424

wound care assessments

81%

of clientele born in Australia

19%

Of clients from New Zealand, England, Scotland, Netherlands, Finland, Czech Republic, Japan, Canada, U.S, & Nigeria

7

voluntary board members

Connecting peopl knowledge, investing in the

of our community for the future


Julie Lyons is a teacher as well as a busy

mother of two. For her, the BBNC’s

Family Centre plays an important role in

bridging her family and professional

commitments.

Her two days- a -week teaching roster is

linked to the Monday - Friday childcare

placements. This enables Julie to teach

year 10 Mathematics, Year 11 chemistry,

and a weekly science session for preps.

Balmoral is the only Bush Nursing centre

in Victoria to have a purpose-built

childcare facility on site. Partnership

with Wimmera Uniting Care, the Family

Centre has been in operation since 2007,

filling a long identified void in the

district.

Logistically the facility works well for

Julie as she is able to travel to Balmoral

from her home in Gatum, settle her son

Harry, 3, in at childcare and arrive at

school just in time for morning briefing.

“It works beautifully. “It’s wonderful that

it is a small facility. The facility is

beautiful and they are always adding

special touches; a little sandpit, a veggie

garden.

They use space very well,” she said.

“It’s really important that the children

have a chance to socialize with other

children. It’s invaluable to know he’s

okay with someone else caring for him.”

But in addition to fulfilling her son’s

needs, Julie is quick to point out it

benefits her as well, “It’s wonderful to

be able to work in some capacity outside

the home once you’ve had children. It’s

given me a better sense of self-worth

which is really important.”

Balmoral Community College Acting

Principal Wendy Hobbs said the

childcare facility has boosted the

school’s capacity to recruit and retain

teachers, “It assists me as an employer

to know that my staff have excellent

childcare options right here in town. I

know other district businesses reap the

benefits of the service as well.”

“It’s wonderful to

be able to work in

some capacity

outside the home

once you’ve had

children. It’s

given me a better

sense of self-worth

which is really

important.”

Childcare

-19-

STORIES OF OUR SERVICE


For the Balmoral Bush Nursing Centre,

forging partnerships is a traditional way

to tackle community need. The need

presented was around local young

people taking up vocational training

programs. Students were keen to take

part in vocational training in Horsham as

part of their studies at the Balmoral

Community College but the travel

component of hundreds and hundreds of

kilometres was tough for the parents.

The solution was to combine forces:

Balmoral Bush Nursing Centre provided a

bus and driver each Wednesday, the

Balmoral Community College

coordinated students and South West

Transport Connections at the Western

District Health Service contributed

$5,000.

The “Getting Them There” youth

transportation program was born. It

began with five students in 2010. A year

later, ten students now take the bus to

Horsham each Wednesday and the

program has been a success for all

partners--especially parents.

Simone Stevenson’s Year 10 son, Dylan,

is working toward a Certificate III in

Engineering at Longerenong College.

She says Dylan probably wouldn’t have

been able to enrol if the transport

partnership wasn’t in place, “The Service

gives kids an opportunity they wouldn’t

have and saves the parents a lot of

weekly travel. All the parents really

appreciate what has been put in place.

It’s a really great service.“

Daniel Brody, 16, is doing a building and

construction course through Ballarat

University. His parents Trish and Derek

Brody depend on the service to get Dan

to his weekly course, “It’s an

unbelievable service for us. With one

son travelling to Hamilton for school and

one going to Horsham for VET it is

essential for our family,” said Derek

Brody.

“The Service gives

kids an opportunity

they wouldn’t have

and saves the

parents a lot of

weekly travel. All

the parents really

appreciate what has

been put in place.

It’s a great service

for the kids. “

Youth Transport

The Getting Them There program transports Balmoral Community College Students to vocational training and rural placements in Horsham

each week.


-20-


It sounds like hammering, but the

Balmoral Men’s shed feels like mateship.

The Men’s Shed program is a weekly

program where men and women in the

district gather and build, upholster,

paint, repair and socialize.

“Men’s Shed has a definite feeling of

mateship. It’s also about ownership as

clients work on what they want,” said

Coordinator Lyn Iredell who oversees the

program assisted by Heather Smith.

While Men’s Sheds are now common,

the Balmoral program was one of the

first in Western Victoria. It started in

2006 as an avenue to enhance the

Planned Activity Group (PAG). The

Centre targeted the creation of a Men’s

Shed as a program that would be more

male- focused, have a more “blokey”

feel. The demographic of males over 50

had been one the BNC had strategically

identified.

“Our Men’s Shed is certainly a program

that naturally links with everything. The

Shed teams up with the Red Cross at

Balmoral’s annual Easter Market to

display what they’ve made, and they

have worked with the Balmoral Show

teaching children to make wooden toys.”

says Lyn Iredell.

This partnership of young and old

making wooden pencil cases and toy

helicopters together was a good

example of how the program connects

with the community. Often community

people bring items to repair to the

Men’s shed. Wonky chairs, damaged

market umbrellas and cupboards which

need a facelift are revitalized for

community members who don’t have

the time or expertise for such repairs.

After the 2009 Black Saturday fires a call

went out from Wildlife Victoria for

citizens to build possum habitat boxes.

The Balmoral Men’s Shed responded.

They’ve also made six very substantial

picnic tables from donated red gum and

for the local recreation reserve and have

crafted benches available for sale.

Lyn Iredell notes the perfect fit the

Men’s Shed has with the Health

Department’s Active Service Model,

which encourages clients to continue to

do for themselves rather than an over

reliance on care givers, “The idea is that

people maintain activity and stay

healthier longer by doing for

themselves—that’s exactly what Men’s

Shed is all about really.”

With the exception of coordinator

wages, the Men’s Shed program is self-

funded by the sale of products and

donations from the community

members.

The Men’s Shed

Top: Men’s shed at the Show - Bob Paterson demonstrates to

younger generations Tom and George Austin how to make a

wooden helicopter at the Balmoral Show

Bottom: Men’s Shed mateship - Neville Merryfull, Ivan Harris,

John Norris and Bob Paterson building a chook house

Shown from left: Men’s shed participants Bob


-21-

Below: Neville Merryfull at the Balmoral Men’s Shed


Five years ago the Balmoral Bush Nursing

Centre invited well known local,

Christina Hindhaugh to serve as Centre

patron. Christina has written four best-

selling books as well as co-establishing

the largest rosemary farm in Australia.

A patron is often a high profile advocate

with a long-standing affiliation who

champions an organization or cause.

The Balmoral Bush Nursing Centre is

unique as it is the only Bush Nursing

Centre in Victoria to have this special

position.

Christina Hindhaugh was a natural

choice as patron as she had an

established bond of more than four

decades with the Balmoral Bush Nursing

Centre. As a young mother she sought

Bush Nursing care for her family as well

as serving on the Committee of

Management at the Centre for many

years.

"The Balmoral Bush Nursing Centre has

played a treasured role in my life for

over 42 years. Four generations of

Hindhaughs have rushed straight into

the Centre whenever illness or injury

struck, and were invariably treated with

great efficiency and kindness while we

were bandaged, splinted or injected;

massaged, medicated or monitored; or

just sewn up, cleaned up and cheered

up! Such outstanding care over many

years has been of immense comfort and

practical service for everyone in the

district, ’’ said Mrs Hindhaugh.

In her capacity of patron, Mrs.

Hindhaugh assisted the Centre with a

successful fundraising campaign for a

Centre extension in 2007. She turned

the first sod for the development as well

utilizing her skills as a professional

speaker to address the public as the

construction was launched. Upon

completion of the new facility in 2008

she again publicly spoke and celebrated

with the community.

“The Balmoral Bush Nursing Centre

facilities are now some of the finest in

the land, but they are, after all, only

buildings. It is Lisa Hutchins and her

team which gives our Centre its beating

heart and has made the Balmoral Bush

Nursing Centre a leading light and role

model for remote area health delivery

throughout Victoria. I am immensely

honoured to serve as its Patron," said

Mrs. Hindhaugh.

“The Balmoral Bush

Nursing Centre

facilities are now

some of the finest in

the land. But they

are, after all, only

buildings. It is Lisa

Hutchins and her

nursing team which

gives our Centre its

beating heart and

has made the

Balmoral Bush

Nursing Centre a

leading light and

role model for remote

area health delivery

throughout Victoria”

Patron STORIES OF OUR SERVICE

-22-


What is Live Active? It’s an arm of the Balmoral Bush Nursing Centre which has fitness as its focus. Live Active promotes a healthy lifestyle, encourages people to increase activity at all life stages and maintain activity in old age. In addition to getting people moving, Live Active spreads a positive approach to exercise within the community.

Tallie Talay and Jannette Tinning coordinate Live Active. Both trainers have certificate III in Fitness as well as having completed EMAA, Easy Moves Active Aging, a specialized training course for conducting exercise programs for older adults.

“People think exercise is hard work or that exercise is hard to work in to daily life. But we’re trying to spread the message that exercise can be motivating. Enjoyable. Full of laughter,” said Coordinator Tallie Talay.

While Live Active was officially launched in March 2011, the ground work began in 2009 when the BBNC began supporting employees to train for the Certificate III in Fitness. When two employees were qualified the Centre could increase its emphasis on offering fitness programs and increasing community knowledge on the benefits of exercise.

Recent BBNC fitness programs include Swimming with the Stars, Aqua Aerobics, Strength Classes and Strength Training for Older Adults. Live Active also has introduced the Discover Balmoral Walking Group, which promotes fitness and connection to other people through regular walking. Partnering with the Balmoral Bush Nursing Centre in this health initiative is the Heart Foundation.

Since inception the program has conducted 70 group fitness sessions as well as regular one on one client sessions.

What’s ahead for Live Active? The coordinators predict ever increasing numbers of clients involved in fitness, and diverse programs such as Fat Burner, Walking, Chair Exercises, Fitball, Circuit, and Zumba. Program development is responsive to community need and driven by participants.

“Live Active is a wonderful example of how community organizations can actively invest in the health of their community,” said Centre Manager Lisa Hutchins.

Live Active

“People think

exercise is hard

work or that

exercise is hard to

work in to daily

life. But we’re

trying to spread

the message that

exercise can be

motivating.

Enjoyable. Full of

laughter.”


-23-


The Balmoral Bush Nursing Centre has

long been a district hub, but it’s recently

become a link for seniors who want to

know more about computers.

The BBNC has partnered with the NEC

Broadband for Seniors program to host a

computer kiosk at the Balmoral Bush

Nursing Centre. Two computer stations

are available to the public free of charge

and the project aims to provide seniors

with free access to broadband, help

them gain confidence using

computer technology, and to build

community participation and social

inclusion.

While the program prioritizes seniors,

the computers are available to the

general public as well.

NEC Broadband for Seniors Trainer Anita

Weaver says, “This program stops

seniors being left behind with

technology. It helps them stay in touch

with family and friends.”

In November 2010 two computers were

installed at the Centre and the program

began offering basic word processing

and sessions on how to use the internet.

Five people are currently training; some

having lessons for the first time, others

expanding existing skills to better use

the computers they have at home.

Marie Rees, 71, is the first BBNC

participant to complete the program, “I

started off not knowing much about it at

all. The program has been excellent.

Something I’ve really enjoyed.”

She’s used her newly developed

computer skills to email her sister in

Adelaide, look for craft ideas and keep in

touch with her niece who was being

married in Germany. Mrs. Rees’

eventual goal is to record her family

history on computer.

“It really stretches your mind. It’s great

to find you can manage it and modern

technology doesn’t have to defeat you.

It was pretty exciting seeing all the

things I could tap into.”

Funding for the program has extended

into 2012.

NEC Broadband for Seniors “It really

stretches your

mind. It’s great

to find you can

manage it and

modern

technology

doesn’t have to

defeat you. It

was pretty

exciting seeing

all the things I

could tap into.”

Left: Pauline Koenders, Beth Smith, Trainer

Anita Weaver, Marie Rees and Robyn Blake

enjoy the NEC Broadband for Seniors program

at the BBNC.


-24-


Intern Madeleine Trott’s eleven weeks

working with Coleraine G.P. Brian

Coulson allowed her to learn more of

country practice, gain additional hands

on medical training and sample Bush

Nursing in Balmoral.

Madeline or “Doctor Maddie” as she was

known to clients at the Balmoral Bush

Nursing Centre, is part of a University of

Adelaide Program, which places training

medicos in country areas. The

Coleraine- Casterton Medical Group

educated her as part of her internship at

the Royal Adelaide Hospital. The

Balmoral Bush Nursing Centre benefits

from this program through their 28 year

partnership with the Coleraine-Casterton

Medical Group.

“Our aim is to expose these students to

as much rural practice as we can in the

hope they appreciate rural life and may

even consider a career in rural medicine.

But it’s also about exposing the

community to highly motivated and

intelligent young doctors,” Dr. Coulson

explained.

In addition to her work in western

Victoria and South Australia, Dr. Maddie

completed a general internship in Kenya

and an obstetrics rotation in the UK.

Time in Mt. Gambier and the York

Peninsula hadn’t prepared her for the

physical landscape here, “The region is

so beautiful, I couldn’t believe it.”

During her time with Dr. Coulson she

was impressed with the high level of

independence and the opportunities

country practice gives interns to try a bit

of everything. She knew nothing of Bush

Nursing. “I’m very impressed with Bush

Nurses. They are very skilled and it’s

impressive if you’ve only worked with

nurses within the hospital system.”

“I’m really glad I came. Everyone is so

friendly and go out of their way to make

things happen. It’s been fun to be in a

place where people recognize you. As

an intern at a hospital, you are pretty

much at the bottom of the pile,” said Dr.

Maddie.

In addition to Dr. Maddie, Dr.

Christopher (Chi Yuen) Wong, Dr. Bianca

Djurdjevic, Dr. Sonia Cherian, and Dr.

Matthew Hauser are all University of

Adelaide interns who will engage with

patients at the Balmoral Bush Nursing

Centre during the year.

“I’m really glad I

came. Everyone is so

friendly and go out of

their way to make

things happen. It’s

been fun to be in a

place where people

recognize you. As an

intern at a hospital,

you are pretty much

at the bottom of the

pile,” said Dr. Maddie.

Intern Training STORIES OF OUR SERVICE

-25-

Below: Dr. Greta Prozesky assists in the

training of intern Dr. Bianca Djurdjevic


A Thank You at Christmas

The support of all volunteers who

contribute and help out at the Centre

is very much appreciated. One way

we thank those who help throughout

the year is at the annual Christmas

party. This event is held to thank all

staff, volunteers and people involved

with the Centre over the year. This is

a very important and special

occasion to get everyone together

and to say thank you for supporting

the Balmoral Bush Nursing Centre.

.

BPAG

Without the many volunteers who

help out each week with the

Balmoral Planned Activity Group

would not be able to offer the large

range of activities that clients have

come to enjoy on a regular basis.

Volunteers provide ideas, afternoon

tea, companionship, laughs and

always a helping hand.

Drivers

Volunteers continue to drive the

Community Bus on regular trips to

Hamilton and Horsham. This helps to

make the Community Bus a far more

cost effective program.

Grounds and Building Greg and Jack Rogers continue a long

history of assisting the Centre. Their

work and “can do” attitude continue

to be appreciated. When a trailer

full of garden rubbish needs to be

emptied, David Mutch often empties

it and returns the trailer clean to

start again.

We thank everyone who gives of

their time to make the BBNC a strong

organisation.

VOLUNTEERS

“Volunteers are not paid because they are

worthless but because they are priceless.”

Left: Balmoral Planned Activity Group Volunteer

Nancye Merryfull with Anne Paterson on group outing

Below: SES Volunteers attending to flooding at the

BBNC in January 2011

-26-


Manager 1

Area Coordinators 4

Nursing Staff 5

Community Services 10

Administration 3

Environmental Services 1

Project 1

OUR PEOPLE

-27-

Above: Area Coordinators Anita Weaver, Jenny Macfarlane, Lyn Iredell, Ann

Vaughan and Centre Manger Lisa Hutchins. The Bush Nursing Centre employs

25 staff part time and casual and has invested 8,161 direct client service hours.

Below: Collingwood Theme at staff Christmas party December 2010.


We believe in EQUITABLE

ACCESS to health care of a

standard equal to that of less

isolated areas.

We are committed to service

QUALITY and actively

encourage a culture of

continuous improvement.

We maintain SAFETY as a

priority in all our workplace

practices including the

promotion of environmental

safety.

We recognise our staff and our

volunteers as being our most

valuable asset and

TEAMWORK is essential to our

success.

In all interactions with our

community, staff and volunteers,

we RESPECT their rights,

dignity and beliefs regardless of

their age, sex, cultural, spiritual

or socio economic background.

ADAPTABILITY is essential to

ensure we continue to meet the

needs of our community.

We are committed to a pro-

active role in COMMUNITY

DEVELOPMENT in order to

positively influence the health of

our district.

OUR VALUES

-28-


Centre Manager

Lisa Hutchins

RN Division 1 Dip App Sc (Nsg), VRAN

Dip. Business (Human Resources)

Clinical Nursing Coordinator

Ann Vaughan

RN Division 1, BN.VRAN

Nursing Staff

Diane McLean: RN Div1, VRAN

Health Promotion

Gillian Hair: RN Div1, RM, VRAN

Kim Dufty: RN Div1, BN, RM, VRAN,

Sarah Roberts: RN Div1, BN, VRAN

Lisa McClure: RN Div1, BN, VRAN

Community Services Coordinator

Lyn Iredell

RN Div 2, Cert 111 Home & Community Care

Community Services Assistant

Heather Smith: Cert 111 Home & Community Care Cert 111 Fitness

Administration Coordinator

Jenny Macfarlane Cert. Rural Office Practice, Level II First Aid

Administration Staff

Lauren Schultz: Level 11 First Aid

Jodie Russell: Associate Dip App

Sci (Farm

Management), Associate Dip App

Sci (Wool and Fibre Marketing),

Level 11 First Aid

Fiona Jagger: Level II First Aid

Executive Administration

Officer

Sabrina Watt: BA (Journalism and

History), Level 11 First Aid

Live Active

Tallie Talay: Cert III Fitness, Level 11 First Aid

Jannette Tinning, Cert III Fitness, Level 11 First Aid

Respite Carers

Lana Howman: B Sc (Teaching)

PCA Certificate, Level 11 First Aid

Joy Brody: Cert 111 Home &

Community Care, Level 11 First

Aid

Lauris Logan: Cert 111 Home & Community Care, Level 11 First Aid

Rebecca Kearns: Level 11 First Aid

Janette Matthews: RN Div 2, Level 11 First Aid

Karen Davis: Level 11 First Aid

Melissa Matthews, Level 11 First Aid, Cert III Hairdressing

Environmental Services Coordinator

Anita Weaver: Retail Pharmacy Assistant (Gr 2), Level 11 First Aid

Environmental Services

Staff

Margaret (Louise) Guthrie

STAFF

-29-

Balmoral Bush Nursing staff training session


STAFFING STRUCTURE

-30-


Clinical Services:

District Nursing Accident & Emergency Nursing Palliative Care Post Acute Care Hospital in the Home Access to Psychiatric Services Collection of Pathology

Specimens Continence Care & Advice Access to Medications &

Pharmacy Services Wound Care Domiciliary Midwifery Community Nursing – DVA

Allied Health Services:

Maternal & Child Nurse Podiatry Service Dietetic Service Optometrist Diabetes Educator Asthma Educator Community Health Days Fitness Programs Virtual Services

Community Services:

Respite Program Planned Activity Program Case Management Community and Youth Transport

Services Volunteer Program Health Promotion Disability Services The Shed

Referral Services:

A wide range of referral Services

SERVICES PROVIDED

-31-

Above: Kevin Bloomfield with Western District Health Service Podiatrist

Phuong Huynh

Below: John Norris works at the Balmoral Men’s Shed

Above: Centre Manager Lisa Hutchins


Dr Brian S Coulson MBBS Dip RACOG, FACRRM, practices with Coleraine / Casterton Medical Clinic and visits Balmoral every second Tuesday. Dr Coulson has been with the practice since 1982. He graduated from Adelaide in 1978 special interests are dermatology, psychiatry & infectious diseases.

Dr Jan Slabbert MB ChB FRACGP, practices with

Hamilton Medical Group and

visits Balmoral every second

Wednesday afternoon.

Dr Slabbert welcomes patients

with any health issues, including

ante natal appointments.

Dr Greta Prozesky MBChB, FRACGP practices with

Coleraine / Casterton Medical

Clinic and visits Balmoral every

alternate Tuesday afternoon.

Dr Greta graduated in South

Africa, working in Britain and

Bahrain before joining the

practice at the end of 2000. Her

interests are Paediatrics, female

health, psychiatry and alternative

medicine.

Dr Ramin Taheri MASHHAD University currently

working toward his FRACGP,

practices with Coleraine /

Casterton Medical Clinic and visits

Balmoral in a relief capacity.

DOCTORS

Above: Dr. Brian Coulson with Jack Rogers

Above: Dr. Slabbert with Lauren Mason and baby Luca

Below: Dr. Greta Prozesky

-32-


Arundale Pastoral Company

and Donald Cant P/L.

Balmoral Men’s Shed

Iluka Resources

Hugh Delahunty, MLA

In Memory of Cath Howman

Dot Hunter

Harry Klein

Peter and Fay Mutch

Neville & Marg Hobbs

Derek & Tricia Brody

Pigeon Ponds Sports Social

Club

Glenn Hayes

Betty Mutch

Angela Burne

John and Marie Rees

Anonymous

DONATIONS

The Balmoral Bush Nursing Centre recognizes the financial donations

provided by our community. We are grateful to each person or business

who has thoughtfully donated.

From these donations we are able to provide more to people who require

our support.

-33-


Coleraine Casterton Medical

Hamilton Medical Group

Darcy Penrose - Mooree

Remedial Massage

KEY PARTNERS

-34-

The Balmoral Bush Nursing Centre continues to formalize and

integrate planning with key partners


www.balmoralbnc.com.au

http://www.balmoralbnc.com.au/

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