O U R C O M M U N I T YSouth Western <strong>Sydney</strong> Area <strong>Health</strong> Service <strong>Annual</strong> <strong>Report</strong> <strong>2001</strong>/20<strong>02</strong>South Western <strong>Sydney</strong> Area<strong>Health</strong> Service (SWSAHS) isnow the largest Area <strong>Health</strong>Service in <strong>NSW</strong> with anestimated <strong>2001</strong> population ofnearly 798,000 people.Preliminary 2000 Census dataindicates significant growth inthe Liverpool and Camden<strong>Local</strong> Government Areas(LGAs). Liverpool LGA alonehas grown by over 34,000people in the period 1996-2000. The proportion ofpeople aged over 65 yearshas increased in the period1996-2000, with this growthforecast to continue.The <strong>2001</strong> Census dataindicates that there has beenongoing growth in the numberof people from culturally andlinguistically diversebackgrounds which indicatesthat South Western <strong>Sydney</strong>will continue to be anincreasingly multiculturalregion. While Fairfield LGAcontinues to have over 50%of its population overseasborn,the proportion ofoverseas-born people inLiverpool and BankstownLGAs has increased. Onequarter of <strong>Sydney</strong>’s Aboriginaland Torres Strait Islanderpopulation live in SouthWestern <strong>Sydney</strong>.SWSAHS has the highestnumber of confinements in<strong>NSW</strong>, accounting for 14.5% ofall confinements. 59.7% ofbabies are born to Englishspeakingmothers, with 20%born to women from southeast and north east Asia.People living in South Western<strong>Sydney</strong> have more socialdisadvantage than otherareas in <strong>NSW</strong>. For example,unemployment, sole parenthouseholds, people living inpublic housing and thenumber receiving welfare arehigh in South Western <strong>Sydney</strong>.Circulatory disease and cancerare the major causes of deathfor people living in SouthWestern <strong>Sydney</strong>. However, forchildren aged 0-14 years,accidents are the main causeof death. Acute myocardialinfarction (heart attack) wasthe principal individual causeof death for both men andwomen. Injury and poisoningwere the most importantcontributors to prematuredeath.The main causes ofhospitalisation for males inSouth Western <strong>Sydney</strong> arediseases of the digestivesystem, injury/poisoning andcirculatory disorders. Forfemales, the main causes arepregnancy complications,diseases of the digestive andgenitourinary systems.<strong>Health</strong> priority areas for SouthWestern <strong>Sydney</strong> includecoronary heart disease,cancer, diabetes, stroke,injury, mental health, bloodborne viruses, asthma anddrug and alcohol. Populationpriorities are towards children,Aboriginal and Torres StraitIslander people, and peoplefrom a non-English speakingbackground.D i s a b i l i t y P l a nBankstown <strong>Health</strong> service hasimplemented its “SectorAccess Improvement Plan”and installed entry ramps withhand rails at dental servicesand identified modificationsfor the new Community <strong>Health</strong>Centre. Liverpool <strong>Health</strong>Service has improved signageand installed hand-rails in thelink corridor and “Tactiles” inhigh risk areas.The SWSAHS Directorycomplies with the world widestandard level of accessibility.All services and care providersare listed and searchable andavailable over the Internetand Intranet.Information about access tofacilities and service providersis included in the Area ServiceDirectory including basic mapsof the facilities.Five administrative traineeshipscommenced in March20<strong>02</strong> with funding from theDepartment of Education andTraining. These trainee-shipsare for one year and includetwo positions at Macarthurand one position each atWingecarribee, Liverpool andFairfield.1818
South Western <strong>Sydney</strong> Area <strong>Health</strong> Service <strong>Annual</strong> <strong>Report</strong> <strong>2001</strong>/20<strong>02</strong>O u r C h a l l e n g e sKey Challenge 1:Working with our community and staff to develop a shared sense of responsibilityand direction.Key Challenge 2:Working in partnership with other agencies to improve health.Key Challenge 3:Ensuring that people in South Western <strong>Sydney</strong> access health services accordingto need.Key Challenge 4:Making the best use of, and fairly allocating, existing and new resources.Key Challenge 5:Developing effective and efficient health services which focus on improved healthoutcomes.Key Challenge 6:Attracting, developing and retaining the best staff.Key y Challenge 7:Becoming a learning and teaching organisation.C o m p l a i n t sSouth Western <strong>Sydney</strong> Area <strong>Health</strong> Service resolved 1434 complaints during the year.The most common complaints are about accessibility of services, followed by treatmentprovided and communication.Complaint levels appear to have risen over the previous two years. This rise actuallyreflects a more efficient complaint reporting process adopted across South Western<strong>Sydney</strong> Area <strong>Health</strong> Service. In turn, this process has officially recorded and responded tomore complaints than were previously.The most common ways of resolving complaints were to provide an explanation, to provideanother service or to apologise to the person making the complaint.Follow-up action taken included staff training and education, changes to the environmentin which the service was provided, changes to processes and procedures and, in somecases, changes to policy or formal review.19