Achieving High Performing Health Systems : Putting the social into health care
AUSTRALIAN PRIMARY HEALTHCARE INNOVATION AND REFORM VODCAST SERIES. Highlights from Vodcast 2
A Joint Prestantia Health and AUDIENCED Production, with
– Dr Paresh Dawda, GP Lead and Adviser, Founder Prestantia Health
– Dr Wally Jammal, GP, Hills Family General Practice
– Dr Bogdan Chiva Giurca, Clinical Lead and Global Director, UK National Academy for Social Prescribing
FACILITATOR
Leanne Wells, Associate Consultant, Prestantia Health
Clinicians and consumers know only too well that life circumstances such as poor housing, income and food insecurity can have a negative impact on health outcomes. Conversely, participation in community activities, social connection and access to nature parks and leisure facilities can help maintain health and wellbeing.
More recent phenomena in public health have also focused us on the health and social care connection. Stress factors such as the sudden loss of employment and social interaction, moving to remote work or schooling, and the impacts of sudden, localised COVID-19 ‘lockdowns’ to prevent further outbreaks were triggers of increased psychological distress.
And loneliness is being described as our latest epidemic with chronic loneliness inked to a myriad of health problems and earlier death. A recent report found one in four Australians say they feel persistently lonely, and that loneliness costs $2.7 bn a year in health costs alone.
According to a 2024 Commonwealth Fund Mirror Mirror report, which compares the health performance of several countries, only 13% of Australian primary care providers (or other personnel in the practice) usually screen or assess patients for one or more social need – the third lowest in the OECD.
Primary care – predominantly general practices – is where most people get most of their health care and is a commonly visited health care setting. GPs and others in team have a continuous relationship with their patient and the opportunity to identify factors beyond immediate medical care that can impact on health and wellbeing.
Integrating health and social care is an exciting frontier in healthcare and was described as such by Australia’s Assistant Health Minister at a National Social Prescribing roundtable hosted by the Australian Social Prescribing Research Institute (ASPIRE).
Despite the recognition that primary care is a good place to start, the barriers are real. Practice systems, data systems with the capacity to capture information and make intelligent insights, the lack of flexible funding and the time pressures on practices are among them.
In this Australian Health Journal HIGHLIGHTS release, the panel discuss some of these barriers and the desire to put the social into health care.
The FULL LENGTH FEATURE of this VODCAST can be watched here https://youtu.be/KGjrLcjgFg0
Vodcast 2 was convened December 2024. Read the Prestantia Health Blog Post https://www.prestantiahealth.com/post/putting-the-social-into-health-care
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Stronger patient involvement in new medicines
New strategic agreement between Medicines Industry and Government means stronger patient involvement in new medicines.
Medicines Australia has secured a 5-year Strategic Agreement with the Federal Government, centered on earlier patient involvement and influence in the availability of new medicines in Australia.
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Success in WA pilot to observe babies showing delays in social interaction & communication development
Inklings – led by The Kids Research Institute Australia – is a program for babies aged 6-18 months whose communications skills are developing differently to expected milestones. In early 2025 it has completed the first year of a pilot program.
At the time of filming (Nov 2024), Inklings has received more then 300 enquiries across WA and started to deliver services to 160 children, with almost 60 who have completed the program.
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The Case for Embedded Pharmacy in Residential Aged Care
Embedded pharmacy in residential aged care has been successful in South Australia at the Tanunda Lutheran Home in the Barossa Valley. Julian Soriano talks about his pharmacy role in medication management and medication safety to deliver the best clinical care for residents.
In this segment, Julian talks about the traditional pharmacy model serving residential aged care and the limitations of the imprest process for dispensing medication. Soon into the project he saw the collaboration required with GPs and onsite nurses in dispensing medication for residents in end-of-life or palliative care. Julian sees the imprest process unable to support end-of-life residents, even being able to check the availability of medication.
But what most may not be aware of, is his rapid growth since starting the business in 2013 having just been in health care a few years earlier. Being part of a 2nd generation health care family, Shawn learnt from his father on site and at trade show visits overseas. Prior to HPA, he spent 2 years working in fit-outs of operating theatres, neo-natal and general population ICU, throughout being more fascinated with what he saw.
