NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 1 of 4

NSW7,480,230

Tweed 91,371

North Coast502,958

Current Population1

TWEEDLOCAL GOVERNMENT AREA (LGA)

Fact Sheet

Tweed LGA has not been identified as an area of socio-economic disadvantage overall. However, there are areas within the Tweed LGA that are in the most disadvantaged 10% in Australia.

Socio-Economic Disadvantage1

1

2

3

4

5

6

7

8

9

10

Most disadvantaged

Most advantaged

Tweed5

55

6

8

84

2

2

2

2

3

Median Age

Tweed North Coast NSW

47 47 38

Children & Infants (0-14)

Tweed North Coast NSW

16.8% 17.1% 18.5%

Aboriginal Population

Tweed North Coast NSW

4.0% 5.0% 2.9%

Older People (65+)

Tweed North Coast NSW

25.3% 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

3

Tweed

77.7NSW52.8

potentially preventable

7

stroke4

Tweed

162.3.NSW140.1

fall-relatedfor all ages

5

Tweed

941.6NSW748.7

interpersonal violence-related

2Tweed

157.2NSW73.8

self-harm6

Tweed

287.4NSW142.6

Tweed

2,503.7NSW2,213.0

NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 2 of 4

Allied Health Services TweedNorth Coast

NSW

Health Professionals - FTE per 1,000 population 13

ATSI> Health Practitioners 0.00 0.02 0.01

Chiropractors 0.16 0.16 0.19

Chinese Medicine Practitioners 0.13 0.15 0.18

Dental Practitioners 0.77 0.7 0.77

Medical Radiation Practitioners 0.33 0.51 0.52

Nurses and Midwives 12.98 12.44 10.83

Occupational Therapists 0.53 0.51 0.54

Optometrists 0.17 0.16 0.2

Osteopaths 0.11 0.14 0.06

Pharmacists 0.78 0.79 0.92

Physiotherapists 0.87 0.82 0.89

Podiatrists 0.19 0.15 0.15

Psychologists 0.73 0.82 0.96

Tweed North Coast

GP Full Time Equivalent (FTE) per 1,000 population

1.1 1.1Practices

29 180GPs (total number)

153 845GP (FTE)

102 557.3

^ Tweed Valley SA3 region includes the towns of Tweed Heads, Murwillumbah, Kingscliff and surrounds.< 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.General Practitioners (GPs)8

Tweed (LGA)

Cancer per 100,000 population, age standardised<, Tweed Valley SA3^10

1year olds

2year olds

5year olds

93.8%

90.1%

87.9%

90.9%

93.5%

90.6%

100%

100%

100%

Australia

North Coast

Australia

North Coast

Australia

North Coast

90.0%Tweed Valley^

Tweed Valley^

Tweed Valley^

87.4%

89.8%

Hospitalisations12 rate per 10,000

Drug & alcohol episodes

Australia20

Tweed Valley^28

Alcohol and other drugs11

Alcohol related criminal offences

60%

40%

20%

0Domestic violence

related assault

Intimidation, stalking and harassment

Assault Police

Offensive language

80% Tweed NSW

Mortality rate: 24.9 Australia: 20.6

Incidence rate: 96.1 Australia: 49.3Mortality rate: 10.3 Australia: 5.9

Incidence rate: 195.6 Australia: 172.8Mortality rate: 35.6 Australia: 27.3

Breast Skin Prostate

Incidence rate: 44.3 Australia: 43.6

Lung3rd

highest in NSW

30.5

40.9

59.5

15.219.8

50.0

64.7

52.2

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 2018 Local Health Needs Community Survey14

Immunisation Rates in 2016-179

Arrows indicate trending below or above the 2015-16 rate.

#1

Tweed 27.1%

Tweed 24.5%

Tweed 18.5%

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 Ageing issues 64.5%

2 Drug and alcohol misuse 41.2%

3 Mental health issues 40.6%

Participants were asked what they think are the three most serious health concerns in their community...

Tweed

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...

Tweed (LGA)

Tweed Participants

4314.4% of respondents identified as ABORIGINAL or TORRES STRAIT ISLANDER

5.2% of respondents identified as LESBIAN, GAY, BISEXUAL, QUEER, TRANSGENDER, NON-BINARY OR WITH A DIFFERENT GENDER OR SEXUAL IDENTITY

26.4% of respondents said they wouldn’t be able to get $2,000 for something important within a WEEK

42.9% of respondents had PRIVATE HEALTH INSURANCE

18.6% of respondents were BORN OVERSEAS

4.9% of respondents were AGED between 15-24 YEARS

25.3% of respondents were AGED 65 YEARS or over

22.2% of respondents WORKED 35 or more HOURS a week

NORTH COAST3,372

Lung

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: Interpersonal-violence–related hospitalisations, Local Government Area, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/inj_violhos/inj_violhos_lga_trend [Accessed April 2019].3 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].4 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Stroke hospitalisations by Local Government, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/cvd_strhos/cvd_strhos_lga_trend [Accessed April 2019].5 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Fall-related injury hospitalisations by Local Government Area, persons of all ages, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/inj_falloldhos/inj_falloldhos_lga_trend [Accessed April 2019].6 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Intentional self-harm: hospitalisations by Local Government Area, NSW 2015-17

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/men_suihos/men_suihos_lga_trend [Accessed April 2019].7 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].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 Institute of Health and Welfare, 2017. My Healthy Communities web update: 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

13 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].

14 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 Survey14

23.5% of respondents said it was difficult to access Allied Health Professionals^

Difficult to access Tweed North Coast

1 Dentist 32.3% 38.1%

2 Psychologist 26.2% 29.6%

3 Physiotherapist 23.0% 20.6%

4 Podiatrist 17.6% 10.2%

5 Optometrist 13.6% 14.1%

Top 3 Challenges:1. Cost - 70.2%2. Not covered by Medicare - 55.3%3. Long wait - 35.2%

52.0%of respondents said it was difficult to access Mental Health Services^

Difficult to access Tweed North Coast

1 Counselling 42.1% 45.2%

2 Doctor (GP) with knowledge in mental health 32.6% 38.0%

3 NSW Health community mental health 30.2% 33.1%

4 Psychiatry 22.6% 28.6%

5 Youth-specific services 13.6% 16.2%

Top 3 Challenges:1. Cost - 46.2%2. Lack of services - 33.9%3. Quality of services - 24.7%

37.1% of respondents said it was difficult to access Alcohol and Other Drug services^

Difficult to access Tweed North Coast

1 Rehab 46.4% 44.6%

2 Detox 38.7% 39.4%

3 Counselling 35.5% 42.2%

4 Youth-specific services 28.5% 22.1%

5 Doctor (GP) with knowledge in alcohol and other drugs 28.0% 31.8%

Top 3 Challenges:1. Lack of services - 34.3%2. Cost - 31.8%3. Quality of services - 29.9%

50.0% of respondents said it was difficult to access Age-related Services^

Difficult to access Tweed North Coast

1 Care packages/funding 45.1% 45.6%

2 In-home domestic support (e.g. cleaning, meals) 36.8% 36.9%

3 General wellness support/ social groups 32.8% 29.8%

4 Doctor (GP) with knowledge/ skills in aged care 29.8% 29.3%

5 Myagedcare.gov.au 26.0% 20.0%

Top 3 Challenges:1. Cost - 57.6%2. Difficult to organise - 43.5%3. Not sure what is available - 30.8%

36.6%of respondents said it was difficult to access Specialists^

Difficult to access Tweed North Coast

1 Orthopaedic Surgeon 19.1% 14.2%

2 Cardiologist 16.6% 19.2%

3 Psychiatrist 16.2% 23.8%

4 Geriatrician 13.5% 7.3%

5 Oncologist 9.8% 7.4%

Top 3 Challenges:1. Cost - 58.8%2. Long wait - 50.2%3. Distance to travel - 41.7%

1. Can’t get an appointment

2. It costs too much

3. Too long to wait for an appointment

20.4%of respondents said it was difficult to access a Doctor (GP)^

Tweed (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.