C.23 ACT Strategic Plan for Positive Ageing 2010–2014

Focus area Progress
Information and communication ACT Health promotion communication campaigns aim to reach a wide population, including seniors, to influence behaviour. Many messages are focused on preventing chronic disease. There has been local promotion of the national Measure Up and Swap It, Don’t Stop It social marketing campaigns, including websites providing people with information on how they can change their lifestyles to become more active and have a healthy diet: www.measureup.gov.au and www.swapit.gov.au. The ‘Beyond Today ... it’s up to you’ campaign was developed to encourage healthy lifestyles and smoking cessation among the ACT Aboriginal and Torres Strait Islander community. Messages were designed to reach the elders in this community to facilitate behaviour change. The Get Healthy Information and Coaching Service® (GHICS) is a free ACT Health telephone coaching service staffed by qualified health coaches and aimed at helping adults to make lifestyle changes regarding healthy eating, physical activity and how to reach and maintain a healthy weight. Between 1 July 2010 and ongoing. 18.4 per cent or nearly one in five people using the service were aged over 60 years and approximately two in five (40.1 per cent) were aged 50 or over. The ‘Find an ACT health service’ page includes up-to-date information about aged care health services in Canberra and surrounding regions. Heart Foundation Heartmoves is a gentle physical activity program which receives funding through ACT Health. It is designed to be safe for people with stable long-term health conditions such as heart disease, diabetes or obesity and is suitable for anyone who has not exercised in a while. Two Heartmoves groups are based at Canberra Senior Centre in Turner. Heart Foundation Walking receives funding through ACT Health. The Heart Foundation supports Australians to lead active, healthy lives by encouraging them to join or start Heart Foundation Walking groups, which are fun and a great way to meet new people. Some walking groups target, among others, people aged over 50.



Focus area Progress
Health and wellbeing Funded by the ACT Government, Carers ACT released over 20 Mental Health E-bulletins for Carers in 2012‑13. Carers ACT also held numerous forums for carers on such topics as: the second exposure draft of the Mental Health (Treatment and Care) Act ending homelessness based on the common ground model the prevalence and disease burden of tobacco addiction on people living with mental health issues and research findings on implementing smoke-free policies in mental health services medicines and mental health carers navigating the mental health system. In addition, throughout the reporting period, Carers ACT hosted a moderated Mental Health Carers Voice Online Discussion Forum, which covered many topics relevant to carers. In the reporting period, 100 per cent of Mental Health Service committees had representation from consumers and carers. ACT Health is continuing to prepare for the introduction of an electronic medication management (EMM) solution, which will: support transparent communication of medication history across care settings; enable electronic prescribing, management and administration of medications; and support high-quality patient care through improved medication safety. Following a request for quotation, a preferred vendor was selected. Contract negotiations are underway. An implementation planning study and a review of high-level requirements will be undertaken prior to implementation of the EMM solution. ACT Health is continuing to work with the Department of Health and Ageing and the National E-Health Transition Authority in relation to the national PCEHR system. ACT Health began submitting discharge summaries to the national e-health record system on 22 March 2013. Healthcare consumers who are admitted to the Canberra Hospital are now asked to indicate whether they would like their discharge summary sent to their national e-health record. Consumers can change their preference at any time prior to discharge. ACT Health is working collaboratively with the Department of Health and Ageing to enable provision of an assisted registration service for ACT Health consumers. This would enable healthcare consumers to quickly and easily register for an e-health record. A discharge support Allied Health Assistant (AHA) was employed in the acute care of the elderly ward (11A) to facilitate the implementation of care plans and follow-on referrals for elderly clients discharged home from the hospital. The role of the 11A discharge support AHA is to: make contact with the client and carer/family while they are still in hospital and explore their needs
after discharge ensure that the arranged services are implemented and appropriate liaise with the client and carer/family and provide further information post-discharge work with the occupational therapy team in assessing the need and provision of equipment after discharge. The 11A discharge support AHA has supported many clients to return home. In 2012‑13, the 11A discharge support AHA received 179 referrals and conducted 731 occasions of service. The Respecting Patient Choices (RPC) program works with community agencies and groups, peak bodies and other government agencies to promote and improve the uptake of Advance Care Planning (ACP) in the ACT. A total of 298 advance care plans were processed through the program. A total of 215 consumer consultations/referrals and information queries/packs were undertaken or processed through the program. Over 26 RPC/ACP presentations were given to ACT Health, community and professional groups. The RPC program participated in the COTA Seniors Expo at EPIC on Thursday, 21 March 2013. The RPC program staff were invited to participate in a Local Hospital Network sponsored End of Life Issues and Decision-Making Community Engagement Forum, held on the 4 May 2013. The RPC program hosted two facilitator training workshops and 14 participants completed their training.
A facilitator peer education group was also hosted, with five attending.
Health and wellbeing
The RPC submitted a successful budget proposal for increased RPC program resources to enhance and improve the uptake of ACP in the ACT. The RPC program negotiated a successful partnership arrangement with Medicare Local ACT to support and promote advance care planning to the wider ACT community and health professionals. Rehabilitation, Aged and Community Care provide a Falls and Falls Injury Prevention Assessment Clinic.
This is a free ACT Health service targeting people over the age of 65, or 55 years for Aboriginal and Torres Strait Islanders, who are at high risk of falling. Falls Prevention Clinics are designed to provide a multi-disciplinary assessment and intervention service. Clinic staff work with older adults to assess individual fall risks and provide a comprehensive falls reduction plan. The clinic health professional team comprises a registered nurse, occupational therapist and physiotherapist. Rehabilitation, Aged and Community Care also provides Stepping On, a seven-week program run three to four times per year for people over the age of 70 who are active and well but fear falling or have previously had a fall. The program focuses on exercise, education and preventative strategies. It is also staffed by a multi-disciplinary team, including an occupational therapist, a physiotherapist and other educators. In 2012‑13, the Falls and Falls Injury Prevention Service continued to promote falls awareness through involvement in community expos, including the Seniors Week expo, as well as running a month-long initiative at the Canberra Hospital and community health centres to link in with the New South Wales April Falls Day initiative. These activities promoted the service through access to falls prevention staff and the provision of fact sheets for community, clients and staff. The Falls and Falls Injury Prevention Service has commenced a joint initiative with the community Renal Service to provide targeted falls prevention advice to people receiving dialysis in community settings. In 2012‑13, 488 people were assessed in falls clinics. Eight grants from the ACT Health Promotion Grants Program were provided through the 2012‑13 Stay On Your Feet Falls Prevention Funding Round, to a total value of $199,387. Grants were awarded to projects to prevent falls, manage medicines to minimise falls and reduce falls risk in aged care facilities. These activities involved partnerships with a range of providers such as the Heart Foundation and the YMCA. The ACT Chronic Conditions Strategy:Improving Care and Support 2013–2018 has the key priorities of integrated service provision and improved access and support for those living with chronic conditions. Older Canberrans have the highest incident of chronic disease in our community and will benefit from the introduction of the strategy. This strategy builds on the previous ACT Chronic Disease Strategy 2008–2011, which saw the development of a range of specialist services for people with complex chronic conditions, including the establishment of advance care planning clinics within the Chronic Care Program.
Support services Hearing augmentation has been incorporated into several health facilities. There are plans to include hearing loops in facilities yet to be designed.
Transport and mobility Rehabilitation, Aged and Community Care provides a driver assessment service for older people. Team members include a geriatrician, neuropsychologist, occupational therapist, and a full-time driving instructor for older drivers. In 2012‑13, 189 driving assessments were conducted for clients aged 75 years and over.