Diabetes in South Western Sydney
Type 2 Diabetes is a significant health burden within South Western Sydney (SWS). Diabetes has increased in SWS by more than 158 per cent since 2000. 10.8 per cent of the SWS population has diabetes. Fairfield LGA has the highest rates followed by Campbelltown and Liverpool. Six of the top 10 postcodes ranked by Gestational Diabetes Mellitus (GDM) occurrence in NSW are in SWS, with Liverpool and Campbelltown LGAs in the top three 1.
Supporting Diabetes Care in South Western Sydney
HealthPathways is an online portal that documents local referral pathways and recommended management guidelines for health conditions. This tool aims to support a consistent standard of care across the region. There are currently 27 diabetes-specific health pathways available, with a further four diabetes in pregnancy-specific pathways. For more information go to the HealthPathways website.
Quality improvement initiatives within General Practice can support improvement in patient care, from prevention and screening through to chronic disease management. South Western Sydney PHN is expanding its successful 5As preventative health clinical audits to allow greater focus on Chronic Disease management. PENCS software is utilised to support General practice to monitor and optimise the aspects of quality care, ie Diabetes Cycles of Care. If you would like to find out more about quality improvement of clinical audits see http://www.swsphn.com.au/qipc.
DCAPP is new to South Western Sydney. The initiative has been designed to offer an integrated approach to managing the high rates of congenital malformations that exist in the area. For more inforamation see the Diabetes Obesity and Metabolism Translational Research Unit (DOMTRU) website.
Integrated Diabetes Project
South Western Sydney Primary Health Network and South Western Sydney Local Health District are working together to enhance diabetes care in the area. A range of measures are planned, which commenced with Health Pathways.
Local diabetes specialists are available for in-practice case conferencing to support GPs managing more complex patients and allow the patient to receive care in the primary health setting. The benefits:
- Access to billing for MBS chronic disease items for case conferencing, GP management plans, Team Care Arrangements and items of Diabetes Cycles of Care, as eligible
- Diabetes Specialist service without extra cost to the patient
- Reduce waiting time for patients to access specialist care
- Increased patient satisfaction with a comprehensive, integrated and interdisciplinary management approach in the one location.
Who can I refer? Any of the following patients will be prioritised first:
- HbA1c ≥9% (8-8.9% included once those ≥9% have been discussed)
- Significant and frequent hypoglycaemia
- Recent hospitalisation/CVD/Foot event in past 12 months
- Blood pressure over 160/100 mmHg
- Triglycerides 10+mmol/l
- Women planning/at risk of pregnancy Diabetes in South Western Sydney
- Other (Any other patient with diabetes you would like to discuss).
How to refer for a case conference session:
Point of contact: DOMTRU administration
Contact Number: (02) 4634 3192
Fax number for referral: (02) 4634 3215
Western Diabetes Education Program
The Western Diabetes Education Program (WDEP) has replaced AUSCDEP. It is available for FREE to all clinicians who practise in South Western Sydney. WDEP has been developed to improve the knowledge of clinicians working with people with diabetes.
- Promoting self-care (1 CPD hour)
- What is diabetes? (2 CPD hours)
- Hypoglycaemia (3 CPD hours)
- Oral therapies (3 CPD hours)
- Injectable therapies (3 CPD hours)
- Nutrition (2 CPD hours)
- Pregnancy: pre-conception care (1 CPD hour)
- Hospital Hypos (1 CPD hour)
- Safe use of insulin in hospital (1 CPD hour)