Download - LOCAL GOVERNMENT AREA (LGA) Fact Sheet
NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 1 of 4
NSW7,480,230
Nambucca 19,212
North Coast502,958
Current Population1
NAMBUCCALOCAL GOVERNMENT AREA (LGA)
Fact Sheet
According to the 2016 Socio-Economic Index of Disadvantage, Nambucca LGA has been identified as an area of socio-economic disadvantage.
Socio-Economic Disadvantage1
1
2
3
4
5
6
7
8
9
10
Most disadvantaged
Most advantaged
Nambucca
5
5
5
6
8
84
2
2
2
2
3
Median Age
Nambucca North Coast NSW
51 47 38
Children & Infants (0-14)
Nambucca North Coast NSW
16.5% 17.1% 18.5%
Aboriginal Population
Nambucca North Coast NSW
7.6% 5.0% 2.9%
Older People (65+)
Nambucca North Coast NSW
27.6% 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
4
Nambucca
91.0NSW53.1
Nambucca
834.1NSW670.8
smoking attributable
5
Nambucca
2,438.2NSW1,663.4
dementia as principle diagnosis
2
Mental Health
25000 5000
20000 4000
15000 3000
10000 2000
5000 1000Attention deficit
hyperactivity disorder (ADHD)
Antipsychotic
30000
Kempsey/Nambucca* Australia
Prescribing medication6 to people 17 years and younger per 100,000
26,200
10,780
5,982
2,070
all mental health conditions. Australia 102
Bipoloar and mood disorders. Australia 11
Overnight hospitalisations7* per 10,000
16518
60002nd highest rates in NSW for all of these
conditions
Schizophrenia and delusional disorders Australia 1936
* Kempsey - Nambucca SA3 region includes the towns of Nambucca Heads, Macksville, South West Rocks, Kempsey and surrounds.
2.9 times greater than Australian
rate
2.4 times greater than Australian
rate
Nambucca
2,545.7NSW2,213.0
potentially preventable
3
NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 2 of 4
Allied Health Services NambuccaNorth Coast
NSW
Health Professionals - FTE per 1,000 population12
ATSI> Health Practitioners 0.00 0.02 0.01
Chiropractors 0.16 0.16 0.19
Chinese Medicine Practitioners 0.00 0.15 0.18
Dental Practitioners 0.48 0.7 0.77
Medical Radiation Practitioners 0.16 0.51 0.52
Nurses and Midwives 8.68 12.44 10.83
Occupational Therapists 0.23 0.51 0.54
Optometrists 0.17 0.16 0.2
Osteopaths 0.00 0.14 0.06
Pharmacists 0.80 0.79 0.92
Physiotherapists 0.47 0.82 0.89
Podiatrists 0.16 0.15 0.15
Psychologists 0.45 0.82 0.96
Nambucca North Coast
GP Full Time Equivalent (FTE) per 1,000 population
1.2 1.1Practices
13 180GPs (total number)
34 845GP (FTE)
23.9 557.3
< 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.
1year olds
2year olds
5year olds
93.8%
90.1%
91.6%
89.5%
87.9%
90.9%
93.5%
90.6%
92.8%
100%
100%
100%
Australia
North Coast
Kempsey - Nambucca*
Australia
North Coast
Australia
North Coast
General Practitioners (GPs)8
Nambucca (LGA)
Kempsey - Nambucca*
Kempsey - Nambucca*
Cancer per 100,000 population, age standardised<, Kempsey-Nambucca SA3*10
Skin cancer
Incidence rate: 73.1 Australia: 60.1
Bowel
Incidence rate: 72.0 Australia: 49.3Mortality rate: 8.1 Australia: 5.9
Lung
Incidence rate: 57.4 Australia: 43.6
Incidence rate: 194.2 Australia: 172.8
Prostate
40%
30%
20%
10%
0
Alcohol related criminal offences
Nambucca NSW
Domestic violence-related
assault
Non-domestic violence-
related assault
Intimidation, stalking and harrassment
Alcohol and Other Drugs11
30.5 30.3
15.216.9
34.9
37.7
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
17114.0% of respondents identified as ABORIGINAL or TORRES STRAIT ISLANDER
2.9% of respondents identified as LESBIAN, GAY, BISEXUAL or QUEER
29.8% of respondents said they wouldn’t be able to get $2,000 for something important within a WEEK
29.2% of respondents had PRIVATE HEALTH INSURANCE
8.8% of respondents were BORN OVERSEAS
4.7% of respondents were AGED between 15-24 YEARS
23.4% of respondents were AGED 65 YEARS or over
21.1% of respondents WORKED 35 or more HOURS a week
2018 Local Health Needs Community Survey13
Immunisation Rates in 2016-179 Arrows indicate trending below or above the 2015-16 rate.
#1
Nambucca 27.6%
Nambucca 26.1%
Nambucca 23.8%
North Coast 23.6% North
Coast 25.7%North Coast 24.4%
#1#2
#3Mental health
Weight
Arthritis/ Osteoporosis
Participants were asked which health challenges they face...
1 Drug and alcohol misuse 47.2%
2 Mental health issues 46.6%
3 Ageing issues 43.1%
Participants were asked what they think are the three most serious health concerns in their community...
Nambucca
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...
Nambucca (LGA)
NORTH COAST3,372
Nambucca Participants
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: Dementia Hospitalisations, by Local Government Area, persons aged 65 and over, NSW 2015-17
[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/bod_dementhos/bod_dementhos_lga_trend [Accessed April 2019].3 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].4 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].5 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Smoking attributable hospitalisations by Local Government Area, NSW 2015-17.
[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/beh_smoafhos/beh_smoafhos_lga_trend [Accessed April 2019].6 National Health Performance Authority, 2017. The first Australian atlas of healthcare variation 2015.
[Online] Available at: http://atlas-acsqhc.opendata.arcgis.com/search?collection=Dataset&page=2 [Accessed April 2019].7 Australian Institute of Health and Welfare, 2017. 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
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 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]. 11 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].12 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].13 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 Survey13
35.0% of respondents said it was difficult to access Allied Health Professionals^
Difficult to access Nambucca North Coast
1 Dentist 36.6% 38.1%
2 Physiotherapist 30.8% 20.6%
3 Psychologist 30.5% 29.6%
4 Podiatrist 18.1% 10.2%
5 Social Worker 16.6% 10.0%
Top 3 Challenges:1. Cost - 59.7%2. Long wait - 56.4%3. Lack of professionals - 48.0%
56.0%of respondents said it was difficult to access Mental Health Services^
Difficult to access Nambucca North Coast
1 Counselling 48.7% 45.2%
2 NSW Health community mental health 44.2% 33.1%
3 Doctor (GP) with knowledge in mental health 38.5% 38.0%
4 Psychiatry 37.6% 28.6%
5 Hospital 22.8% 14.8%
Top 3 Challenges:1. Lack of services - 47.8%2. Poor experience in the past - 39.9%3. Cost - 38.9%
53.5% of respondents said it was difficult to access Alcohol and Other Drug services^
Difficult to access Nambucca North Coast
1 Detox 71.0% 39.4%
2 Counselling 59.2% 42.2%
3 Rehab 42.6% 44.6%
4 Community support groups 38.9% 22.4%
5 Doctor (GP) with knowledge in alcohol and other drugs 33.3% 31.8%
Top 3 Challenges:1. Lack of services - 59.6%2. Cost - 44.2%3. Poor experience in the past - 41.0%
61.9% of respondents said it was difficult to access Age-related Services^
Difficult to access Nambucca North Coast
1 Care packages/funding 42.5% 45.6%
2 In-home domestic support (e.g. cleaning, meals) 36.4% 36.9%
3 Doctor (GP) with knowledge/ skills in aged care 29.0% 29.3%
4 Respite support for carers 24.2% 24.2%
5 Myagedcare .gov.au 21.2% 20.0%
Top 3 Challenges:1. Cost - 41.6%2. Difficult to organise - 41.4%3. Lack of services - 33.8%
50.5%of respondents said it was difficult to access Specialists^
Difficult to access Nambucca North Coast
1 Psychiatrist 28.6% 23.8%
2 Gynaecologist/ Obstetrician 19.4% 12.0%
3 Cardiologist 18.4% 19.2%
4 General Surgeon 16.7% 15.1%
5 Endocrinologist 16.1% 9.4%
Top 3 Challenges:1. Cost - 67.1%2. Long wait - 62.5%3. Distance of travel - 58.7%
1. Can’t get an appointment
2. Too long to wait for an appointment
3. It costs too much
59.6%of respondents said it was difficult to access a Doctor (GP)^
Nambucca (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.