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Dinesh Ayra delivered the presentation at the 2014 Building the Territory Conference. The inaugural Building the Territory Conference 2014 is an opportunity to meet with the project owners and leaders, to hear about the new opportunities and developments for the built environment in the Territory. For more information about the event, please visit: http://bit.ly/BuildingtheNT2014
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Healthy Territorians Living in Healthy Communities
Infrastructure investment
Productive economy Jobs
& provision of services
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Healthy Territorians Living in Healthy Communities
Infrastructure investment
Productive economy Jobs
& provision of services
Keep investors interested
Public confidence Prosperity
(productivity, efficiency and quality of life)
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Healthy Territorians Living in Healthy Communities
NT Australia
Public administration and safety 14.3% 6.4%
Healthcare and social assistance 11.1% 11.8%
Construction 10.3% 8.9%
Education and training 9.3% 7.6%
Retail trade 9.1% 10.6%
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NTG Budget 2013-14
Healthy Territorians Living in Healthy Communities
Top End Royal Darwin Hospital Katherine Hospital Gove Hospital Central Australia Alice Springs Hospital Tennant Creek
Hospital
Remote Health Centres 49 - NT Health
30 - Non-Government
General Practices 40
Residential Aged Care Facilities 15
Private Hospital Darwin Private Hospital
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Healthy Territorians Living in Healthy Communities
Supporting the growing economy Stewardship (public monies) In the NT, relatively
High socio economic disadvantage
High health needs
Fluctuations in population numbers
Accessibility of services Meeting expectations Acquiring new technology Prioritisation
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Healthy Territorians Living in Healthy Communities
Healthy Territorians Living in Healthy Communities
Accessible
Appropriate
Best facilities, best technology, best people delivering best care
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Healthy Territorians Living in Healthy Communities
1. Care delivered closer to where people live
Remote Health Centres
2. The best possible infrastructure and technology
New hospital and other refurbishments
Tele-health & use of new technologies
3. Best possible care
Right health professionals
Models of care delivery
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Healthy Territorians Living in Healthy Communities
1. Care delivered closer to where people live
Remote Health Centres
2. The best possible infrastructure and technology
New hospital and other refurbishments
Tele-health
Use of new technologies
3. Best possible care
Right health professionals
Models of care delivery
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Healthy Territorians Living in Healthy Communities
Average distance
Remote Health Centre from nearest hospital – 275 Km (100-700Km)
Average population served - 523
8502 patient attendances
35 `doctor days’
Staff ▪ 3 Remote Area Nurses
▪ 1-2 Aboriginal Health Practitioners
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Healthy Territorians Living in Healthy Communities
Emergency calls
50% result in emergency retrievals
One air transport trip
$4-16,000
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Healthy Territorians Living in Healthy Communities
NEW HEALTH CENTRES
Ntaria (Hermannsburg), CA Canteen Creek, Barkly, CA Elliott, Barkly, CA Ngukurr, Katherine, TE Galiwinku, East Arnhem, TE Numbulwar, East Arnhem, TE Robinson River, Katherine, TE
UPGRADES
Kaltukatjara (Docker River), CA Papunya, CA Titjikala, CA Maningrida, TE Mandatory Alcohol Rehab
Centres at Darwin, Alice Springs and Katherine
Alcohol Rehab beds and facilities at Berrimah, Katherine and Tennant Creek
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Healthy Territorians Living in Healthy Communities
1. Care delivered closer to where people live
Remote Health Centres
2. The best possible infrastructure and technology
New hospital and other refurbishments
Tele-health & use of new technologies
3. Best possible care
Right health professionals
Models of care delivery
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Healthy Territorians Living in Healthy Communities
$150 million dollar project 50,000 catchment population.
Projected to increase by 30% by 2021
45 hectare `green field’ site
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Healthy Territorians Living in Healthy Communities 14
Healthy Territorians Living in Healthy Communities
1. Care delivered closer to where people live
Remote Health Centres
2. The best possible infrastructure and technology
New hospital and other refurbishments
Tele-health
Use of new technologies
3. Best possible care
Right health professionals
Models of care delivery
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Healthy Territorians Living in Healthy Communities
Key to good health Transport, industry, investment, basic
infrastructure, jobs ----- But also, services and communication
Housing
Essential services
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Healthy Territorians Living in Healthy Communities
Locate staff or Fly-in Generalist or specialist Tele-health in, or see face to face
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Healthy Territorians Living in Healthy Communities
Housing for staff on:
Hospital campuses;
Through private head leasing arrangements managed by the Department of Housing; and
In Government owned housing stock in regional and remote areas.
DoH staff in Tennant Creek, Nhulunbuy and other remote areas receive a 100% rental concession.
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Healthy Territorians Living in Healthy Communities
1184 dwellings in total;
361 NT Government owned dwellings occupied by DoH staff in regional and remote areas;
362 head lease properties across Alice Springs, Tennant Creek, Katherine, Nhulunbuy and Darwin;
461 dwellings on hospital campuses -
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Healthy Territorians Living in Healthy Communities
519 people accessing haemodialysis and peritoneal dialysis , in either a satellite centre or in the community. 263 in the Top End
256 in Central Australia)
Inpatient haemodialysis units located at The Royal Darwin Hospital and Alice Springs Hospital, which are at capacity.
20 community based haemodialysis centres in the Northern Territory, with an average occupancy of 58 percent.
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Healthy Territorians Living in Healthy Communities
Renal ready rooms are located Wadeye, Nguiu, Barunga, Ramingining, Gove District Hospital, Kalkaringi, Yirrkala, Oenpelli, Santa Theresa and Mt Leibig.
Demountable facilities are located at Galiwin’ku, Maningrida, Milingimbi, Ngukurr, Angurugu, Borroloola, Ti-Tree, Amoonguna, Ali Curung and Lake Nash.
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Healthy Territorians Living in Healthy Communities
Respite dialysis is provided in partnership with Western Desert Nganampa Walyytja Palyantjaku Tjutaku at Lajamanu, Kintore, Ntaria and Yuendumu.
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Healthy Territorians Living in Healthy Communities
Renal accommodation is scarce in the Northern Territory with 45 percent of the patients in the Top End deemed as homeless.
17 percent of renal patients utilise a home based therapy, either home haemodialysis or peritoneal dialysis.
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Healthy Territorians Living in Healthy Communities
Opportunities
Remote Health Centres
New hospital in Palmerston
Tele-Health and Information Systems
Provision of best possible health care
Support the sector
Supporting families
Exploring new models of health care delivery
Potential Private sector
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