Health Service Plan for Geriatric Care in South Western Sydney Local Health District

Running head: HEALTH SERVICE PLAN
HEALTH SERVICE PLAN
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Author’s note

1HEALTH SERVICE PLAN
Executive Summary
This health service plan has focused on the geriatric health care sector in the South Western
Sydney local health District (SWSLHD). It has emphasized on the growing health care needs of
the increasing elderly population of this sector. The environmental scan of the different
catchment areas has given a picture of the current older population of the district, the number of
inpatients and their needs. This increasing demand of health care for this aged population
indicated that there is a requirement for an overall improvement of the aged care services both in
hospitals and in the community. This study has indicated towards the determinants of health
contributing to mortality in the aged patients. However, this paper had also given a clear picture
of the current services available and projected demands by the year 2021. Additionally, the
service profiles has indicated towards the shortage of the beds in relation to the growing number
of the aged health care consumers. The paper had also found that there is a need for some robust
aged care teams in the different catchment areas, equal health care and palliative care to the
aboriginal elderly people. Hence this paper had also pointed out that there is a need to close the
gap of unequal health care for the aboriginal elderly individuals. Furthermore, the situational
analysis of the issues has helped to develop a set of goals and objectives that has finally helped to
consider the recommendations.

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Table of Contents
Introduction......................................................................................................................................3
Environmental Scan.........................................................................................................................3
Demographic analysis..................................................................................................................3
Population projections.................................................................................................................4
Determinants of health.....................................................................................................................5
Burden of disease.........................................................................................................................5
Morbidity and the mortality data.................................................................................................5
Needs assessment.............................................................................................................................6
Service profile within the LHD.......................................................................................................7
Service facilities...........................................................................................................................7
Partners........................................................................................................................................8
Role delineation...........................................................................................................................8
Catchment and reverse catchment profiles......................................................................................9
Situational analysis........................................................................................................................10
Future Service Profile....................................................................................................................11
Role delineation level................................................................................................................11
Future models of care................................................................................................................11
Projected future in-patient activities..........................................................................................12
Goals and Strategies......................................................................................................................12
Recommendations..........................................................................................................................14
Conclusion.....................................................................................................................................14
References......................................................................................................................................16

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Aged care and rehabilitation
Introduction
Older people are vulnerable to diseases and poor quality of life and hence require holistic
care of approach (Feigin et al., 2015). The projected change in the age structure of the South
Western Sydney Local Health district (SWSLHD) population will have an immense influence in
the health care. The older age group would place proportionately more demand on the health
services, both in the community and in the hospitals. These increased number of old age
population demands for improved geriatric care units all around the district, including the
capacity building of the staffs, improvement in the infrastructure, efficient use of the funding and
effective community engagement. This report will discuss a health service plan related to aged
care and rehabilitation.
Environmental Scan
Demographic analysis
The population of the South western Sydney is ageing rapidly with the regional areas
showing a biggest growth of the older people. It can be predicted that, by 2021, there would be
more people above the age of 65 (SWSLHD, 2014). There will be a rapid growth of the age old
cohort this increasing the demands of the health care services and the aged care and the
rehabilitation centers. The number of the aged and re residential care center is not sufficient as
per the Australian government target. The distribution of the aged care facilities in the western
Sydney local health district is lower than that of the National target. The number of residential
care in SWSLHD is found to be 87.1 per 1000 population aged above 70 years and above
(SWSLHD, 2014)..

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Population projections
In 2016, approximately 84,195 people above the age of 70 years live in this district and as
per the report , the number of people above the age 70 years would increase by 53 % from the
year 2016- 2026 (SWSLHD, 2014). This increase in the population of the age old people thus
demands for an increase in the number of the aged care and rehabilitation centers. It has to be
remembered that age old people have more health care needs, especially those living in the
residential aged care sectors. Some of the services that have to be considered while looking after
the aged care and the rehabilitation care centers are availability of the inpatient services, geriatric
consultations, shared care models, brain injury rehabilitation, transitional aged car program and
many more (Allen et al., 2014). It has been found that the number of beds and the number of
staffs in the aged care facilities are still a matter of concern for the increasing age old population.
The geriatric consultation services and the rehabilitation consultations do not meet the increasing
health care demands of these people.
Projected Population structure in 2021; source: (SWSLHD, 2014).