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equired to manage renal services. The renal training program is supported by an on siteeducator to assess competencies.Aboriginal Community Controlled Health OrganisationsAboriginal Community Controlled Health Organisations reported that they provide 1:1 orientationin chronic disease systems for new staff. Some ACCHO‟s access the NTDH&CS in-serviceprogram, however the majority of their training occurs onsite. For services participating in TheHealthy for Life program, phase 1 activities provided an opportunity for training related to theparadigm shift needed for chronic disease management and the systems approach to care.Non-Government OrganisationsThe non-government organisations, which are part of the Good Health Alliance NT, provideorientation for their new staff on a 1:1 basis when they are recruited. For staff employed in theseorganisations, it is a pre-employment requirement that they understand the particular chronicdisease that the organisation is working to address. The Good Health Alliance NT reported thatthey have participated in the delivery of training through the Pathways Program, but had notaccessed it for their staff. Through this evaluation consultation process these services wereadvised that they are able to access NTDH&CS programs.3.2.1.2 Professional DevelopmentChronic Disease ModuleA chronic disease module was first delivered in the Top End in 1999, and it was updated in 2005.Approximately 56 people completed the chronic disease module in the Top End and 9 in CentralAustralia from 2004 to 2006. Where the training module is offered, it is open to all serviceproviders in the NT. Participants have included staff from: NTDH&CS, ACCHOs in the Top Endand the Top End Division of General Practice. Each time the course is delivered it is evaluated toidentify areas for improvement. Feedback indicates that the module provides a lot of informationduring the weeks duration and more innovative delivery should be explored. ACCHOs in the TopEnd identified the chronic disease module as particularly relevant to their needs and wherepossible they have linked staff into this training. These comments were supported by theattendance data for Top End training programs.Divisions of General PracticeThe Top End Division of General Practice and the Central Australian Division of Primary HealthCare manage ongoing continuing professional development (CPD) programs. Many of theChapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 32
programs focus on chronic disease prevention and management, including care planning and theuse of Lifescripts for brief interventions. The CPD program is promoted to private and nongovernmentallied health service providers to promote a multidisciplinary approach. In recenttimes a priority for training has been to increase the capacity of general practitioners to manageclients with mental illness in the general practice setting.A significant number of GPs and ACCHO primary health care teams have been participating in theNational Primary Care Collaborative (NPCC). This provides an opportunity for up-skilling about theevidence base for chronic disease best practice and a systems based approach.Non-Government sectorIn June 2004, Healthy Living NT received funding from the NTDH&CS to provide education andtraining to selected non-government health clinics throughout the Northern Territory. Thisprogram ran until December 2004 (39) . Healthy Living NT arranged for cardiac and diabeteseducators to visit 11 non-government health services across the NT. A total of 40 healthprofessional staff and 48 clients received diabetes and cardiac education in education sessionsranging from 1-3 hours duration. Both clients and staff regarded these education sessionspositively. The Healthy Living NT team noted that even though their visits were planned inconsultation with the clinics weeks to months prior to the visit, only one clinic allocated time byclosing the clinic so that education could take place. The remaining clinics maintained normalclinic activities and attended education sessions opportunistically.Their report noted that half the clinics had visiting specialists including physicians,ophthalmologists, dieticians and dentists. Clinic staff reported that these visiting specialists didnot provide education to clinic staff nor complete care plans (38) . The then Community Physicianreports that visiting specialists do attempt education, but are generally refused the offer, on thegrounds that staff are too busy, or find that organisation of the clinic precludes the provision ofeducation (45) .ConferencesMany services encourage staff to attend chronic disease professional development opportunitiesprovided by CARPA, as well as the NT Chronic Disease Network meetings and their annualconference, to enhance staff capacity for chronic disease prevention and management. Theseforums have been used by NTDH&CS staff to provide education to service providers. Forexample: a renal specialist used the CARPA conference to provide information on themanagement of renal clients to facilitate early referral to specialist renal services.Chapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 33
Page 1 and 2: Pty LtdABN 82 147 637 101AN EVALUAT
Page 3 and 4: TABLE OF CONTENTSList of figuresLis
Page 5 and 6: 6.6 Indigenous workforce 996.7 Prev
Page 7 and 8: List of AbbreviationsABCDACCHOsACIC
Page 9 and 10: ACKNOWLEDGEMENTSWe would like to ac
Page 11 and 12: However the extraordinary number of
Page 13 and 14: the establishment of the Sunrise He
Page 15 and 16: RECOMMENDATIONSGeneral recommendati
Page 17 and 18: Exploration of joint funding arrang
Page 19 and 20: CHAPTER 1. INTRODUCTION1.1 Backgrou
Page 21 and 22: Choosing the 5 chronic conditionsTh
Page 23 and 24: Table 1.1Key Result Areas + Best Bu
Page 25 and 26: prior to the launch of NTPCDS, such
Page 27 and 28: Year * Action Outcome1999 S NT Prev
Page 29 and 30: Year * Action Outcome2005 P Aborigi
Page 31 and 32: CHAPTER 2.EVALUATION METHODOLOGYThe
Page 33 and 34: 2.2 Evaluation StagesThe NTPCDS eva
Page 35 and 36: chronic disease activities funded t
Page 37 and 38: internal project team. It was very
Page 39 and 40: Situation at Baseline1. The Guideli
Page 41 and 42: 3.1.2 Patient information and recal
Page 43 and 44: Ferret Miwatj, Numbulwar, Marngarr,
Page 45 and 46: Medicare information is not for pub
Page 47 and 48: was in place in Central Australia i
Page 49: What orientation and ongoing traini
Page 53 and 54: The information collected as part o
Page 55 and 56: Assessment against objectiveMost se
Page 57 and 58: career development, and retention i
Page 59 and 60: are. Indigenous employment is NTDH&
Page 61 and 62: NTDH&CS Programs that encourage Hea
Page 63 and 64: 2002 Aboriginal and Torres Strait I
Page 65 and 66: delivering any prevention and healt
Page 67 and 68: The Community Services Division - A
Page 69 and 70: 1 x AHW Central Australia 2001 S100
Page 71 and 72: One clinic stated it had no care pl
Page 73 and 74: Identifies priority practices to in
Page 75 and 76: There has been a significant growth
Page 77 and 78: about 25 per cent of the hospital b
Page 79 and 80: The level of funding provided by th
Page 81 and 82: Central Australia and two zones cur
Page 83 and 84: The diabetes education teams at HLN
Page 85 and 86: maintenance group for people with l
Page 87 and 88: Rebates for participating or arrang
Page 89 and 90: Use of Medicine Programmes. Althoug
Page 91 and 92: CHAPTER 4. CLINICAL OUTCOMES OF THE
Page 93 and 94: improvements have been made to serv
Page 95 and 96: A recent ten-year follow-up of a co
Page 97 and 98: The NTDH&CS also collect birthweigh
Page 99 and 100: Figure 5.3 Vaccination coverage for
Page 101 and 102:
It is also important to note that k
Page 103 and 104:
eported that 50 per cent of the Ind
Page 105 and 106:
The current action plan identifies
Page 107 and 108:
The availability and cost of health
Page 109 and 110:
Hoy et al in 1995-2000 (100) , and
Page 111 and 112:
5.6 Best practice management5.6.1 P
Page 113 and 114:
disease care in urban areas regardi
Page 115 and 116:
PCIS was developed by NTDH&CS as th
Page 117 and 118:
emote staff can access training and
Page 119 and 120:
In the Top End there appeared to be
Page 121 and 122:
APPENDIX 1EVALUATION OF THE NT PREV
Page 123 and 124:
2.10 Generally speaking, on a scale
Page 125 and 126:
4.4 Briefly recount any anecdotes y
Page 127 and 128:
5.9 Generally speaking, on a scale
Page 129 and 130:
Section 8 • Summary questions8.1
Page 131 and 132:
Preventable Chronic Disease Program
Page 133 and 134:
Year Type Background What is it? /
Page 135 and 136:
Year Type Background What is it? /
Page 137 and 138:
An important background to this stu
Page 139 and 140:
New beliefs do not replace the old,
Page 141 and 142:
Other services are provided to the
Page 143 and 144:
ecame the main priority in many peo
Page 145 and 146:
to be healthy, how to get rid of di
Page 147 and 148:
(Draft Version - © August 2006 Jan
Page 149 and 150:
References1. Dunham, H., Ministeria
Page 151 and 152:
35. Smith, J.D., Progress report fo
Page 153 and 154:
Research Centre for Aboriginal Heal
Page 155:
114. Senior, K., 'A Gudbala Laif? h
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