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Brief Population Health Profile Gippsland Snapshot

May 2016

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Background

A Baseline Needs Assessment is a Department of Health (DH) requirement for each PHN and the Gippsland PHN Needs Assessment Report was submitted to the DH on 30 March 2016. The DH Needs assessment guide was published in December 2015 and the methodology used by Gippsland PHN was based on this document but adjusted to ensure completion by the due date. See the Gippsland PHN website for additional information about the Needs Assessment, including the methodology http://www.gphn.org.au/

Objectives of the Gippsland PHN Needs Assessment:

1. To describe the population health needs and services within the Gippsland region and identify the

key issues and priorities for Gippsland PHN, forming the basis for service planning.

2. To promote cooperation and coordination of needs assessment activities with key stakeholders

wherever possible.

Components of the Needs Assessment:

Population health profile to inform the organisation and key stakeholders of health issues in Gippsland based on reliable sources of information and comparisons to other regions.

Service needs analysis.

Desktop analysis of existing reports from health services, local governments and non-government organisations in Gippsland.

Stakeholder consultation.

Assessment and triangulation of information from each component with input from the GPHN Clinical Council and key stakeholders to determine priorities. This stage includes identifying and assessing strategies for addressing priorities.

Scope

This brief population health profile was a first step towards identifying Gippsland PHN priorities. Needs assessment will be an ongoing process for Gippsland PHN with more detailed work undertaken during 2016-18 as required. Readers are encouraged to provide suggestions and comments to help us improve any future editions of this document.

Disclaimer

Gippsland PHN provides this information and data as correct to the best of our knowledge, but no guarantee as to accuracy is given. The information included in this document comes from a variety of sources which are referenced throughout.

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List of Figures and Tables

Figure 1. Population profile of Gippsland compared to Victoria, 2012 ................................................ 5 Figure 2. Population projections by age group and sex, Gippsland, 2012 and 2022 ........................... 5 Figure 3. Top 10 Ambulatory Care Sensitive Conditions in Gippsland, number of admissions and bed days 2014-15. .................................................................................................................................. 7 Table 1. Top five causes of death in Gippsland, 2001, by LGA. ............................................................ 6 Table 2. Top five causes of disability (Disability Adjusted Life Years) in Gippsland, 2001, by LGA. .... 6 Table 3. Demographic information for the Gippsland region by Local Government Area (LGA) ........ 8 Table 4. Social information for the Gippsland region by Local Government Area (LGA) – see also next Table ............................................................................................................................................... 9 Table 5. Additional social information for the Gippsland region by Local Government Area (LGA) 10 Table 6. Health behaviours and risk factors for the Gippsland region by Local Government Area (LGA) ..................................................................................................................................................... 11 Table 7. Health condition and status for the Gippsland region by Local Government Area (LGA) ... 12 Table 8. Premature deaths, 0-74 years, for the Gippsland region by Local Government Area (LGA), age-standardised rate per 100,000, 2008-12* .................................................................................... 13 Table 9. Health service use / access for the Gippsland region by Local Government Area (LGA) – continued on next page ....................................................................................................................... 14 Table 10. Health service use / access for the Gippsland region by Local Government Area (LGA) – continued from previous page ............................................................................................................. 15 Table 11. PBS prescriptions dispensed / investigations and procedures performed in Gippsland, by SA3, age standardised rates per 100,000 people, 2013-14 – continued on next page ...................... 16 Table 12. PBS prescriptions dispensed, investigations and procedures in Gippsland, by SA3, age standardised rates per 100,000 people, 2013-14 – continued from previous page .......................... 17 Table 13. Potentially preventable hospitalisations in Gippsland, by SA3, age standardised rates per 100,000 people, 2013-14 ...................................................................................................................... 18

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Methods

In most cases, data is presented as percentages or rates to allow comparisons of Gippsland data with other PHNs, Victoria or Australia. Data sources where such comparisons were possible were given preference.

Data for Gippsland’s six Local Government areas (LGAs) are presented in most cases, but for some indicators, the smallest local area reported was the Australian Bureau of Statistics (ABS), Statistical Area 3 (SA3). Gippsland has five SA3:

LGA SA3 Bass Coast Gippsland - South West Baw Baw Baw Baw East Gippsland Gippsland - East Latrobe Latrobe Valley South Gippsland Gippsland - South West Wellington Wellington

The data sources are listed under each Table / Figure.

For most data, tables were used to allow presentation of actual figures as well as comparisons in a compact format.

Cells within tables have been highlighted to help readers get a quick overview of indicators which are high or low compared to the reference value (usually Victoria) and LGAs, SA3 or other relevant geographical area. The top or bottom 25% of values were highlighted for indicators where possible:

o There are 79 LGAs in Victoria, so if an LGA in Gippsland was ranked 0-20 or 59-79 it was highlighted

o There are 64 SA3 in Victoria, so if a SA3 in Gippsland was ranked 1-16 or 48-64 it was highlighted

o There are 31 PHNs in Australia, so if Gippsland was ranked 1-8 or 23-31 it was highlighted

o There are 8 health regions in Victoria, so if Gippsland was ranked 1-2 or 7-8 it was highlighted

Colours used for highlighting differences to the reference value and what they mean:

Colour Definition Simplified key used in footer

High compared to reference value, top 25% of values High

Low compared to reference value, bottom 25% of values Low

Colour coding is in most cases not an indication of a statistically significant difference and readers are encouraged to access the original data source for additional information.

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Data summary

Figure 1. Population profile of Gippsland compared to Victoria, 2012

Figure 2. Population projections by age group and sex, Gippsland, 2012 and 2022

Source: Statistical profile of Gippsland Region, DHHS December 2014 https://www2.health.vic.gov.au/getfile/?sc_itemid=%7b779F35FC-55B9-47A4-84A3-930160AF898E%7d&title=Gippsland%20Region

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Table 1. Top five causes of death in Gippsland, 2001, by LGA.

Bass Coast Baw Baw East Gippsland Latrobe South

Gippsland Wellington

Malignant cancers

Malignant cancers

Malignant cancers

Malignant cancers

Malignant cancers

Malignant cancers

Cardiovascular diseases

Cardiovascular diseases

Cardiovascular diseases

Cardiovascular diseases

Cardiovascular diseases

Cardiovascular diseases

Chronic respiratory

diseases

Unintentional injuries

Chronic respiratory

diseases

Unintentional injuries

Unintentional injuries

Unintentional injuries

Unintentional injuries

Chronic respiratory

diseases

Unintentional injuries

Chronic respiratory

diseases

Chronic respiratory

diseases

Chronic respiratory

diseases

Neurological and sense disorders

Intentional injuries

Neurological and sense disorders

Intentional injuries

Neurological and sense disorders

Intentional injuries

Table 2. Top five causes of disability (Disability Adjusted Life Years) in Gippsland, 2001, by LGA.

Bass Coast Baw Baw East Gippsland Latrobe South

Gippsland Wellington

Neurological and sense disorders

Mental disorders

Neurological and sense disorders

Mental disorders

Mental disorders

Mental disorders

Mental disorders

Neurological and sense disorders

Mental disorders

Neurological and sense disorders

Neurological and sense disorders

Neurological and sense disorders

Malignant cancers

Chronic respiratory

diseases

Malignant cancers

Malignant cancers

Malignant cancers

Chronic respiratory

diseases

Chronic respiratory

diseases

Diabetes mellitus

Chronic respiratory

diseases

Chronic respiratory

diseases

Chronic respiratory

diseases

Diabetes mellitus

Cardiovascular diseases

Malignant cancers

Cardiovascular diseases

Cardiovascular diseases

Cardiovascular diseases

Malignant cancers

Source: Gippsland Health and Demographic Snapshot, Gippsland Health Online http://www.health.vic.gov.au/regions/gippsland/gippslandhealthonline/index.htm#sp

Malignant cancer Mental disorders

Cardiovascular diseases Neurological and sense disorders

Chronic respiratory diseases

Intentional injuries

Unintentional injuries Diabetes mellitus

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Figure 3. Top 10 Ambulatory Care Sensitive Conditions in Gippsland, number of admissions and bed days 2014-15.

Source: Victorian Admitted Episodes Dataset (VAED), using POLAR Explorer for the analysis, May 2016

5065

3481

2247

1929

1845

1559

1075

1068

841

810

33882

29832

22026

13209

18173

10288

5084

11110

4522

3197

0 5000 10000 15000 20000 25000 30000 35000

Diabetes Complications

Hypertension

Pyelonephritis

Chronic Obstruct Pulmonary

Congestive Heart Failure

Dehydration & Gastroent

Iron Deficiency Anaemia

Cellulitis

Dental Conditions

Angina

Admissions

Bed days

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Table 3. Demographic information for the Gippsland region by Local Government Area (LGA)

Indicator Bass Coast Baw Baw East

Gippsland Latrobe

South Gippsland

Wellington GIPPSLAND VICTORIA

1 ABS remoteness category* Inner

regional Inner

regional Outer

regional Inner

regional Inner

regional Outer

regional NA NA

2 ARIA+ (Remoteness Index of Australia),

maximum value in LGA* 2.01 3.90 8.33 2.26 5.11 5.39 NA NA

3 Population within 800m of public transport* 37% 22% 20% 65% 8.5% 27% 35% 74%

4 Population 2016 33,581 48,378 44,611 73,903 28,112 42,467 271,052 6,053,352

5 Population 2021 37,898 55,660 47,016 76,319 29,677 44,057 290,627 6,598,360

6 Population 2031 46,872 71,245 52,242 82,455 32,764 47,632 333,210 7,367,899

7 Annual Growth Rate 2016-2021 2.4% 2.8% 1.1% 0.6% 1.1% 0.7% 1.4% 1.7%

8 Average household size (persons) 2.19 2.40 2.19 2.28 2.28 2.28 2.28 2.50

9 Population density (persons/km2) 35.0 10.8 2.0 51.8 8.3 3.9 6.3 24.8

10 Population 24 years and under 2016 26.2% 31.6% 26.9% 31.8% 28.0% 30.2% 29.6% 31.1%

11 Population 25-59 years 2016 42.3% 44.2% 39.9% 44.2% 42.5% 43.7% 43.1% 48.3%

12 Population 60 years and over 2016 31.5% 24.2% 33.3% 23.9% 29.5% 26.0% 27.3% 20.6%

13 Aboriginal & Torres Strait Islander population (2011)*

0.8% 1.1% 3.8% 1.8% 0.9% 1.7% 1.8% 0.8%

14 Aboriginal & Torres Strait Islander population (2011)*

208 408 1,351 1,054 205 588 3,814 37,699

15 Fertility rate, average number of children per woman (2012)*

2.3 2.1 2.4 2.1 2.2 2.2 NA 1.8

16 Number of over night admissions; pregnancy and childbirth (2011-12)^

585 924 745 1,829 497 842 5,422 122,802

17 Number of live births by mothers aged less than 19 years per 1,000, 2012*

25.6 15.4 23.3 25.5 12.8 18.1 20.8 10.4

Source: Victoria In Future 2015; http://www.dtpli.vic.gov.au/data-and-research/population/census-2011/victoria-in-future-2015 * Source: 2013 LGA Profiles Datasheet, DHHS; http://www.health.vic.gov.au/modelling/planning/lga.htm ^ Source: Source: Social Health Atlas of Australia; Data by Primary Health Network, published by PHIDU November 2014

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Table 4. Social information for the Gippsland region by Local Government Area (LGA) – see also next Table

Indicator Bass Coast Baw Baw

East Gippsland

Latrobe South

Gippsland Wellington GIPPSLAND VICTORIA

18 Born in a non-English speaking country 6.6% 4.6% 4.7% 8.5% 5.0% 5.4% 6.1% 20.9%

19 Low English proficiency 0.7% 0.4% 0.4% 1.0% 0.5% 0.4% 0.6% 4.0%

20 Community acceptance of diverse cultures 46% 45% 44% 41% 42% 38% NA 51%

21 SEIFA Index of Relative Socio-economic Disadvantage (IRSD)

978 998 958 940 1,000 974 NA 1010

22 Households with broadband internet connection (2011)

61.8% 67.78% 62.5% 65.6% 64.6% 65.1% 64.8% 72.6%

23 Gaming machine losses per head of adult (18+) population

$559 $346 $591 $732 $298 $640 $563 $550

24 Volunteers 25% 26% 28% 20% 32% 26% 25% 19%

25 Believes there are good facilities and services

67% 81% 76% 80% 70% 76% 76% 85%

26 Unemployment rate 5.9% 4.2% 5.5% 6.4% 3.3% 4.0% 5.1% 5.8%

27 Equivalised median income $855 $1,025 $798 $942 $920 $905 NA $1,216

28 Low income / welfare dependent families with children

10.0% 9.1% 10.9% 13.6% 7.8% 10.2% 10.8% 8.7%

29 Population with food insecurity 9.8% 5.5% 7.4% 7.2% 6.1% 6.1% 6.8% 4.6%

30 Rental stress 26% 28% 30% 29% 23% 26% 28% 25%

31 Persons who completed a higher education qualification

28% 29% 26% 25% 28% 26% 27% 46%

Source: 2013 LGA Profiles Datasheet, DHHS, http://www.health.vic.gov.au/modelling/planning/lga.htm

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Table 5. Additional social information for the Gippsland region by Local Government Area (LGA)

Indicator Bass Coast Baw Baw East

Gippsland Latrobe

South Gippsland

Wellington GIPPSLAND VICTORIA

32 All homeless persons (2011)* 128 98 135 179 128 126 666 22,789

33 Crime rate 2013-14; Total offences, rate per 100,000#

8,197 7,371 8,251 13,850 4,441 9,773 NA 7,490

34 Family incidents 2013-14, rate per 100,000#

1,080 1,976 2,304 2,768 1,026 1,512 NA 1,129

35 Family incidents where children present 2013-14, rate per 100,000#

476 795 868 990 429 610 NA 388

36 Full-time participation in secondary school education at age 16 (2011)^

76.5% 79.8% 77.2% 77.3% 82.1% 79.0% 78.5% 81.8%

37 Proportion of school leaver participation in higher education, 17 years (2013)^

19% 25% 17% 16% 22% 20% 19% 36%

38 Proportion of children aged less than 15 years in jobless families (2011)^

13.3% 12.9% 17.3% 21.8% 11.2% 16.2% 16.6% 12.7%

39 Households in dwellings receiving rent assistance from the Australian Government (2013)^

22% 16% 19% 20% 12% 15% 18% 16%

40 People receiving an unemployment benefit (proportion of 16-64 year olds), 2013^

7.8% 5.5% 8.3% 8.8% 5.3% 5.8% 7.2% 4.9%

41 Disability support pensioners (proportion of 16-64 year olds), 2013^

9.0% 6.4% 10.8% 10.1% 7.0% 7.7% 8.8% 5.3%

42 Persons with a profound or severe disability (2011)^

1,723 2,090 2,692 4,543 1,403 2,297 14,758 253,539

43 People providing unpaid assistance to persons with a disability (2011)^

3,084 4,258 4,499 7,010 2,748 4,177 25,784 490,096

* Source: 2049.0 - Census of Population and Housing: Estimating homelessness, 2011 Statistical Area Level 3; http://abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/2049.02011?OpenDocument # Source: Victoria Police LEAP, 2013-14; http://www.police.vic.gov.au/content.asp?Document_ID=782 ^ Source: Source: Social Health Atlas of Australia; Data by Primary Health Network, published by PHIDU November 2014

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Table 6. Health behaviours and risk factors for the Gippsland region by Local Government Area (LGA)

Indicator Bass

Coast Baw Baw

East Gippsland

Latrobe South

Gippsland Wellington GIPPSLAND VICTORIA

44 Males 18+ who are current smokers (2011) 26% 17% 27% 18% 16% 24% 21% 18%

45 Females 18+ who are current smokers 15% 13% 12% 22% 13% 14% 16% 13%

46 Consumed alcohol at least weekly, at levels likely to cause short-term harm, 18+ (2011)

14% 10% 13% 8% 17% 13% 11% 9%

47 Persons who are obese (2011) 20% 18% 18% 24% 18% 16% 20% 17%

48 Persons who meet the dietary guidelines for fruit and vegetables (2011)

52% 51% 44% 47% 46% 51% 49% 49%

49 Persons who drink soft drink every day 20% 22% 20% 22% 16% 18% 20% 16%

50 Persons who meet the physical activity guidelines 73% 69% 70% 75% 68% 74% 72% 68%

51 Breast screening, females 50-69 years (2010-12) 55% 58% 59% 60% 61% 60% NA 55%

52 Cervical cancer screening, females 50-69 years (2010-11) 60% 62% 61% 58% 64% 62% 61% 60%

53 Bowel cancer screening participation, persons (2012) 41% 40% 45% 40% 43% 41% 42% 36%

54 Low birth weight babies (<2,500 grams at birth) 7.4% 8.1% 9.1% 8.5% 4.2% 6.5% 7.6% 6.6%

55 Infants fully breastfed at 3 months 51% 50% 51% 39% 56% 45% 47% 51%

56 Children with speech or language problems at school entry (2012)

14% 18% 19% 17% 16% 18% 17% 14%

57 Adolescents who report being bullied (2013) 18% 22% 30% 23% 20% 19% 22% 18%

58 Children who are developmentally vulnerable on two or more domains (2011)

12.3% 7.9% 13.6% 15.7% 8.7% 10.1% 11.7% 9.5%

59 Rate of substantiated child abuse per 1,000 population (2010-11)

10.0 7.1 15.5 21.3 8.6 11.7 13.8 6.7

60 Definite alcohol related family violence incidence rate per

10,000 population, 2012-131 42.5 26.2 64.2 74.1 26.6 34.8 26.7

61 Rate of children in out of home care per 1,000 population (2011) 8.9 7.1 8.3 13.4 7.7 10.3 9.9 4.6

62 Age pension recipients per 1,000 eligible population (2013) 747 754 759 777 681 743 750 694

63 1 year old children fully immunised (2014-15)* 91% 93% 90% 94% 91% 91% 92% Aust: 91%

64 5 year old children fully immunised (2014-15)* 91% 94% 93% 95% 91% 93% 94% Aust: 92% Source: 2013 LGA Profiles Datasheet, DHHS, http://www.health.vic.gov.au/modelling/planning/lga.htm 1 Source: Turning Point; http://aodstats.org.au/VicLGA/ ranking of LGAs not available so highlighting of cells based on double the Victorian rate * Source: National Health Performance Authority, http://www.nhpa.gov.au/internet/nhpa/publishing.nsf/Content/Our-reports Note: Bass Coast and South Gippsland LGAs are included in the same ABS Statistical Area 3 (SA3) so presented data is the same

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Table 7. Health condition and status for the Gippsland region by Local Government Area (LGA)

Indicator Bass

Coast Baw Baw

East Gippsland

Latrobe South

Gippsland Wellington GIPPSLAND VICTORIA

65 Male life expectancy (2007) 79.4 78.5 78.4 76.9 78.3 78.0 78.1 80.3

66 Female life expectancy (2007) 84.4 83.8 83.3 82.2 83.4 83.1 84.0 84.4

67 Persons with fair or poor self-assessed health 18% 13% 18% 15% 12% 13% 15% 16%

68 Persons reporting asthma (2011) 14% 8% 13% 10% 9% 14% 11% 11%

69 Persons reporting type 2 diabetes (2011) 5.1% 4.1% 3.8% 7.0% 4.2% 6.6% 5.4% 5.0%

70 Persons reporting high blood pressure (2011) 25% 27% 28% 32% 23% 28% 28% 24%

71 Persons reporting heart disease (2011) 7.0% 6.6% 9.0% 5.6% 8.2% 7.0% 7.0% 6.9%

72 Persons reporting osteoporosis (2011) 3.8% 4.2% 6.4% 6.9% 4.4% 5.0% 5.3% 5.3%

73 Persons with high or very high psychological distress 13% 7% 14% 14% 8% 16% 12% 11%

74 Pertussis notifications per 1,000 population, 2013 1.1 0.9 1.9 1.8 1.4 2.4 1.6 0.8

75 Chlamydia notifications per 1,000 population, 2013 2.5 3.0 2.2 4.3 3.4 3.7 3.3 3.5

76 Influenza notifications per 1,000 population, 2013 0.7 1.6 1.6 0.8 2.0 2.5 1.5 1.1

77 Children with emotional or behavioural problems at school entry (2012)

4.4% 6.4% 5.9% 7.4% 3.7% 7.3% 6.2% 4.3%

78 People with severe and profound disability living in the community (all ages)

5.0% 4.2% 5.4% 5.4% 4.3% 4.9% 5.0% 4.0%

79 Disability pension recipients per 1,000 eligible population (2012)

92 70 108 100 69 80 89 55

80 Poor dental health (2011) 6.9% 6.1% 8.3% 4.4% 7.6% 6.1% NA 5.6%

81 Dementia as projected proportion of population (2020)1

2.3% 1.8% 2.4% 1.8% 2.1% 2.0% 2.0% 1.6%

82 Dementia, projected prevalence 20201 860 933 1,232 1,391 622 906 5,947 98,332

83 Dementia, projected incidence 20201 267 294 380 409 185 269 1,804 30,021

84 Malignant cancers diagnosed per 100,000 pop (2012)

853 552 774 522 629 596 631 522

85 Alcohol related death rate per 10,000 population, 20123

1.7 2.5 2.5 2.4 4.2 2.5 1.5

Source: 2013 LGA Profiles Datasheet, DHHS, http://www.health.vic.gov.au/modelling/planning/lga.htm 1 Access Economics: Projections of dementia prevalence and incidence in Victoria 2010 – 2050: Department of Health Regions and Statistical Local Areas. 3 Source: Turning Point; http://aodstats.org.au/VicLGA/

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Table 8. Premature deaths, 0-74 years, for the Gippsland region by Local Government Area (LGA), age-standardised rate per 100,000, 2008-12*

Indicator Bass

Coast Baw Baw

East Gippsland

Latrobe South

Gippsland Wellington GIPPSLAND Australia

86 Male 273 293 351 378 268 361 331 299

87 Female 184 183 186 214 167 197 192 183

88 Cancer 98 100 113 120 90 124 110 102

89 Colorectal cancer 10 10 11 9 11 13 11 10

90 Lung cancer 19 21 27 28 15 24 23 21

91 Breast cancer (females) 20 22 14 20 18 18 19 17

92 Diabetes 5 6 6 11 6 8 7 6

93 Circulatory system diseases 43 40 55 64 43 54 52 48

94 Ischaemic heart disease 22 22 30 36 27 28 28 26

95 Respiratory system diseases 10 14 18 16 13 16 15 14

96 Chronic obstructive pulmonary disease 6 10 12 9 7 9 9 8

97 External causes 38 36 35 42 29 37 37 30

98 Road traffic injuries 10 10 9 10 9 13 10 6

99 Suicide and self-inflicted injuries 18 17 13 17 14 15 16 12

Source: Social Health Atlas of Australia; Data by Primary Health Network, published by PHIDU November 2014 * Orange highlight here indicates a significantly higher rate compared to Australia

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Table 9. Health service use / access for the Gippsland region by Local Government Area (LGA) – continued on next page

Indicator Bass Coast Baw Baw

East Gippsland

Latrobe South

Gippsland Wellington GIPPSLAND VICTORIA

100 Average number of GP attendances per person, age-standardised, 2013-141

5.5 6.2 4.3 6.4 5.5 5.0 5.6 Aust: 5.5

101 Average number of after-hours GP attendances per person, 2013-141

0.15 0.18 0.13 0.18 0.15 0.08 0.15 Aust: 0.31

102 Bulk-billed GP attendances, 2013–141 87% 87% 81% 90% 87% 81% 86% 84%

103 Hospital inpatient separations per 1,000 population (2012-13)

447 362 556 465 437 450 455 420

104 Hospital inpatient separations in private hospital (2012-13)

28% 28% 12% 20% 20% 14% 20% 39%

105 Projected per annum change in separations, 2012-13 to 2021-22

0.7% 2.7% 0.8% 1.9% -0.6% 0.4% 1.2% 2.8%

106 Unintentional injuries treated in hospital per 1,000 population

108 103 99 94 46 106 94 59

107 Intentional injuries treated in hospital per 1,000 population

3.3 3.2 4.7 4.7 2.0 6.1 4.2 3.1

108 Asthma and related respiratory admissions to hospital (age-standardised rate per 100,000) 3 to 19 years, 2010-11 to 2012-131

313 458 286 378 313 354 310

109 Asthma admissions to hospital, (age-standardised rate per 100,000), 20 to 44 years, 2010-11 to 2012-131

99 86 170 130 99 95 87

110 Asthma and COPD hospital admissions (age-standardised rate per 100,000), aged 45 years and over, 2012-131

817 460 734 828 817 850 674

111 Heart failure admissions, aged 40 years and over (age-standardised rate per 100,000), 2012-131

337 284 418 547 337 428 440

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Table 10. Health service use / access for the Gippsland region by Local Government Area (LGA) – continued from previous page

Indicator Bass Coast Baw Baw East

Gippsland Latrobe

South Gippsland

Wellington GIPPSLAND VICTORIA

112 Emergency Department presentations per 1,000 population (2012-13)

427 397 416 398 125 429 380 259

113 Primary care type presentations at EDs, per 1,000 population (2012-13)

196 196 207 196 49 231 188 108

114 Emergency department presentations category 4-5 (non-urgent and semi-urgent), per 1,000 population, 2014-153

233 227 240 251 69 246 223 149

115 Alcohol related emergency department

presentations; rate per 10,000, 2012-132 12.8 8.6 18.5 13.3 5.8 21.8 13.8

116 HACC clients aged 0-69 per 1,000 target population (2012-13)

199 147 419 166 261 200 221 142

117 HACC clients aged 70+ per 1,000 target population (2012-13)

660 485 554 423 608 412 513 408

118 Clients who received Alcohol and Drug treatment services in 2011-12, per 1,000 population

11.2 5.9 10.8 12.2 6.3 6.9 9.3 5.8

119 Registered mental health clients, per 1,000 population (2012-13)

14.3 11.2 14.0 16.3 12.2 14.0 14.0 11.1

120 Children attending 3 year old maternal and child health check (2011-12)

60% 58% 78% 64% 72% 71% 66% 64%

121 Ambulance call outs 2013-14, rate per 1,000 population, Code 3 (low acuity)4

23 13 20 21 17 14 18 8

122 Alcohol related ambulance attendances, rate per

10,000 population (2013-14) 2 37 22 45 44 18 41 34

123 Aged care High-Care beds per 1,000 eligible population

27 30 44 41 31 36 36 41

Source: 2013 LGA Profiles Datasheet, DHHS, http://www.health.vic.gov.au/modelling/planning/lga.htm 1 Source: National Health Performance Authority, http://www.nhpa.gov.au/internet/nhpa/publishing.nsf/Content/Our-reports Note: Bass Coast and South Gippsland LGAs are included in the same ABS Statistical Area 3 (SA3) so presented data is the same 2 Source: Turning Point; http://aodstats.org.au/VicLGA/ 3 Source: Victorian Emergency Minimum Dataset (VEMD), using POLAR Explorer for the analysis (January 2016) and rate calculation using population estimates for 2015 (Victoria In Future 2015) 4 Source: Ambulance Victoria data, using POLAR Explorer for the analysis (January 2016) and rate calculation using population estimates for 2014 (Victoria In Future 2015) – comparisons to other

regions not done; colour coding based on more than double the Victorian rate

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Table 11. PBS prescriptions dispensed / investigations and procedures performed in Gippsland, by SA3, age standardised rates per 100,000 people, 2013-14 – continued on next page

Indicator

Gippsland – South-West#

Baw Baw East

Gippsland Latrobe Wellington GIPPSLAND VICTORIA

124 Opioid prescriptions 70,871 71,295 76,870 101,728 71,878 55,414

125 Hysterectomy and endometrial ablation, 2012-13 373 422 433 687 474 276

126 Mental health treatment plans by general practitioners

5,739 6,479 3,986 5,113 5,170 4,769

127 Antidepressant medicines, 17 years and under 6,229 10,605 14,159 8,813 14,525 7,789

128 Antidepressant medicines, 18-64 years 121,623 132,796 137,244 148,171 128,348 99,774

129 Antidepressant medicines, 65 years and over 190,656 207,660 195,907 214,050 201,773 194,225

130 Anxiolytic medicines, 18-64 years 20,162 22,655 20,615 30,187 20,992 20,689

131 Anxiolytic medicines, 65 years and over 32,489 37,553 27,500 38,928 36,006 42,664

132 Antipsychotic medicines, aged 17 years and under 1,518 2,813 2,751 2,131 2,692 1,774

133 Antipsychotic medicines, aged 18-64 years 20,887 23,886 30,255 28,265 25,986 19,663

134 Antipsychotic medicines, aged 65 years and over 22,511 25,158 22,625 27,013 25,607 31,763

135 ADHD medicines, aged 17 years and under 11,064 14,786 15,654 20,588 16,633 7,367

136 Fibre optic colonoscopy, 2012-13 1,958 2,936 2,164 1,612 1,153 2,469

137 Prostate biopsies, men aged 40 years and over, 2012-13

NA NA NA NA NA 168 376

138 CT imaging of the lumbar spine 963 1,251 1,330 1,509 1,054 1,225

139 Antimicrobial dispensing 120,376 119,264 104,988 136,298 120,817 129,607

High Low

17

Table 12. PBS prescriptions dispensed, investigations and procedures in Gippsland, by SA3, age standardised rates per 100,000 people, 2013-14 – continued from previous page

Indicator

Gippsland – South-West#

Baw Baw East

Gippsland Latrobe Wellington GIPPSLAND VICTORIA

140 Antimicrobial dispensing, quinolone 1,087 1,176 1,276 1,150 1,283 1,141

141 Antimicrobial dispensing, amoxycillin 23,524 24,241 17,735 29,073 24,394 28,347

142 Antimicrobial dispensing, amoxycillin clavulanate 13,365 15,277 11,434 19,244 18,009 17,267

143 Asthma medicines, aged 3 to 19 years 24,962 26,952 23,613 37,331 30,678 23,810

144 Asthma medicines, aged 20-44 years 25,701 28,720 32,164 33,845 29,592 19,496

145 Asthma and chronic obstructive pulmonary disease medicines, aged 45 years and over 77,127 76,526 82,723 91,151 83,133 75,164

146 Anticholinesterase medicines, aged 65 years and over 7,323 9,077 9,079 5,933 12,154 14,027

Source: National Health Performance Authority, http://www.nhpa.gov.au/internet/nhpa/publishing.nsf/Content/Our-reports # Gippsland South-West (SA3) includes Bass Coast and South Gippsland LGAs

High Low

18

Table 13. Potentially preventable hospitalisations in Gippsland, by SA3, age standardised rates per 100,000 people, 2013-14

Indicator Gippsland –

South-West# Baw Baw

East Gippsland

Latrobe Wellington GIPPSLAND VICTORIA

147 Potentially preventable hospitalisations 2,174 2,086 2,377 2,644 2,594 2,385 Aust: 2,436

148 Potentially preventable hospitalisations, Chronic 1,086 909 1,042 1,298 1,087 1,104 1,122

149 Potentially preventable hospitalisations, Acute and Vaccine-preventable

1,097 1,185 1,341 1,352 1,512 1,288 1,325

150 Potentially preventable hospitalisations, Cellulitis 211 232 293 263 262 249 237

151 Potentially preventable hospitalisations, Heart failure

149 173 174 276 162 190 195

152 Potentially preventable hospitalisations, COPD 275 140 213 260 318 241 239

153 Potentially preventable hospitalisations, Diabetes complications

160 138 183 205 199 180 166

154 Potentially preventable hospitalisations, Kidney and UTI

251 183 224 235 230 227 279

Source: National Health Performance Authority, http://www.nhpa.gov.au/internet/nhpa/publishing.nsf/Content/Our-reports # Bass Coast and South Gippsland LGAs are included in the same ABS Statistical Area 3 (SA3) so presented data is the same