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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Continuity of Care under COVID-19
Series 3, Episode 1
Under the COVID-19 pandemic, the Australian Healthcare system has handled the public health crisis by monitoring and responding to challenges in supply chains, testing & tracing of new infections and stock piling of essential equipment.
The public has largely responded by practising social distancing, understanding how hand hygiene can spread contagion and recently installing the COVIDSafe mobile application. Public health messaging has been largely effective and literacy improve, to combat the dangers of misinformation.
To open up access to medical advice during the pandemic, in March the Australian government issued MBS item codes for telehealth consultations, for advanced practice nurses as well as GPs and other specialists.
According to AMA President Dr Tony Bartone, as of mid-May 2020, around 10 million Medicare-funded telehealth services have been provided, either over the phone or via video, a significant majority of which have been provided by GPs and other specialists since the Medicare telehealth items were introduced in March.
However in recent months, the health system has mounting concerns on:
- a reduction in general practice visits for testing, investigation or immunisation
- lower rates of elective procedures resuming since being halted
- reduction in laboratory testing
- reduction in treatments and diagnosis of chronic and acute conditions
- access to, and continuing to take medications
Those with pre-existing conditions have been urged to keep appointments and routine treatments to maintain their health.
Industry has taken action such as the newly formed Continuity of Care Collaboration (CCC). The 15 health organisations forming CCC are an Australian first national communication collaboration of Peak Bodies, Industry and Healthcare Organisations coming together to stress the importance for people to continue monitoring their health and maintaining their regular care.
This Australian Health Journal episode on the continuity of care was produced with commentary from the following health industry associations and organisations: APNA – Australian Primary Health Care Nurses Association, RACGP, Medical Technology Association of Australia (MTAA), West Cessnock Medical Practice, Consumers Health Forum of Australia, Medicines Australia
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Taiwanese health and research delegation visit Paratus clinical trial site in Canberra
In late August 2025, a Taiwanese delegation comprising government officials from the Taiwanese FDA, various governmental groups, and physicians and researchers from across Taiwan, visited Paratus Clinical’s trial site in Canberra. Their objective was to explore both the differences and similarities between the clinical research ecosystems of Taiwan and Australia.
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Calls for National Social Prescribing Scheme
The Royal Australian College of General Practitioners (RACGP), Consumers Health Forum of Australia (CHF) and Mental Health Australia are urging the government to implement a national social prescribing scheme to tackle Australia’s mental health and wellbeing crisis.
Mental ill health is a growing problem in Australia and has been made worse by the COVID-19 pandemic. Since 2017, GPs across Australia have rated mental health as the most common presentation they see as part of the RACGP’s annual Health of the Nation survey. Approximately 20% of patients consult their GP for what are primarily social problems.
