NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 1 of 4

NSW7,480,230

Byron 31,556

North Coast502,958

Current Population1

BYRONLOCAL GOVERNMENT AREA (LGA)

Fact Sheet

Byron LGA has not been identified as an area of socio-economic disadvantage overall. However, there are areas within the Byron LGA that are in the most disadvantaged 20% in Australia.

Socio-Economic Disadvantage1

1

2

3

4

5

6

7

8

9

10

Most disadvantaged

Most advantaged

Byron5

55

6

8

84

2

2

2

2

3

Median Age

Byron North Coast NSW

44 47 38

Children & Infants (0-14)

Byron North Coast NSW

16.7% 17.1% 18.5%

Aboriginal Population

Byron North Coast NSW

1.8% 5.0% 2.9%

Older People (65+)

Byron North Coast NSW

16.9% 23.7% 16.3%

A key role of North Coast Primary Health Network (NCPHN) is to identify health needs and service gaps and, based on this evidence, prioritise activity to address those needs. This fact sheet contains the most up-to-date health and service statistics and community perspectives.

Higher Rates of Hospitalisation per 100,000 population

fall-relatedfor all ages

3

Byron

1,049.9NSW748.7

interpersonal violence-related

2Byron

119.0NSW73.8

self-harm5

Byron

212.1NSW142.6

alcohol attributable

4 Byron

683.2NSW580.6

Suicide per 100,000 population6^

NSW 9.8

Richmond Valley- Coastal̂ 14.3

Highest in NSW

21.1 deaths by suicide

among 15-24 yr olds per 100,000 population

(age specific death rate for combined reference years 2008-16)

NSW 15-24 (8.3)

9.0 deaths by suicide among females

per 100,000 population (crude rate for combined reference years 2008-16)

NSW females (4.8)

per 100,000 (crude rate for combined reference years 2008-16)

Rate of suicides

^ Richmond Valley-Coastal SA3 region includes the towns of Ballina, Brunswick Heads, Byron, Bangalow, Woodburn, Evans Head and surrounds.

NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 2 of 4

Allied Health Services ByronNorth Coast

NSW

Health Professionals - FTE per 1,000 population13

ATSI> Health Practitioners 0.00 0.02 0.01

Chiropractors 0.45 0.16 0.19

Chinese Medicine Practitioners 0.52 0.15 0.18

Dental Practitioners 0.74 0.7 0.77

Medical Radiation Practitioners 0.22 0.51 0.52

Nurses and Midwives 6.13 12.44 10.83

Occupational Therapists 0.27 0.51 0.54

Optometrists 0.14 0.16 0.2

Osteopaths 0.55 0.14 0.06

Pharmacists 0.78 0.79 0.92

Physiotherapists 1.00 0.82 0.89

Podiatrists 0.10 0.15 0.15

Psychologists 1.55 0.82 0.96

Byron North Coast

GP Full Time Equivalent (FTE) per 1,000 population

1.6 1.1Practices

15 180GPs (total number)

78 845GP (FTE)

50.8 557.3

^ Richmond Valley-Coastal SA3 region includes the towns of Ballina, Brunswick Heads, Byron, Bangalow, Woodburn, Evans Head and surrounds.< Weighted average/age adjustment used to allow populations to be compared when the age profiles of the populations are quite different.> ATSI: Aboriginal and Torres Strait Islander.

Health and Access to Health Services

General Practitioners (GPs)7

Byron (LGA)

Skin cancer

Cancer per 100,000 population, age standardised<, Richmond Valley-Coastal SA3^9

Incidence rate^: 110.2 Australia: 49.3Mortality rate^: 6.8 Australia: 5.9

Hospitalisations12 rate per 10,000

Drug & alcohol episodes

Australia20

Richmond Valley-Coastal^ 32

Alcohol and other drugs11

Alcohol related criminal offences

80%

60%

40%

20%

0

Dom

estic

vi

olen

ce re

late

d as

saul

t

Intim

idat

ion,

st

alki

ng a

nd

hara

ssm

ent

Ass

ault

Polic

e

Offe

nsiv

e la

ngua

ge

100%Byron NSW

All cancers combined^

539.6 incidences Australia: 497.4

Immunisation Rates in 2016-178

Arrows indicate trending below or above the 2015-16 rate.

1year olds

2year olds

5year olds

93.8%

90.1%

87.9%

90.9%

93.5%

90.6%

100%

100%

100%

Australia

North Coast

Australia

North Coast

Australia

North Coast

81.1%Richmond Valley-Coastal̂

Richmond Valley-Coastal̂

Richmond Valley-Coastal̂

81.0%

82.5%

Lowest SA3 in

Australia

2nd lowest SA3 in Australia

2nd lowest SA3 in Australia

Non

-dom

estic

vi

olen

ce re

late

d as

saul

t

Sexu

al

offe

nces

50.0

30.5

15.2

52.2

50.0

90.3

20.5

22.3

13.4

75.0

56.8

30.3

Participation rate: 46.0% NSW: 53.1%

Breast screening10

Byron is one of 10 areas where women experience higher

rates of risk factors for breast cancer, such as: maternal age over 35, alcohol consumption, smoking and obesity.

Highest in NSW

North Coast PHN has the lowest rates for all ages in

Australia

NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 3 of 4

Health and Access to Health Services 2018 Local Health Needs Community Survey14

#1

Byron 30.2%

Byron 25.8%

Byron 16.1%

North Coast 24.4% North

Coast 23.6%North Coast 25.7%

#1#2

#3Weight

Arthritis/ Osteoporosis

Mental health

Participants were asked which health challenges they face...

1 Mental health issues 63.9%

2 Drug and alcohol misuse 58.5%

3 Ageing issues 44.2%

Participants were asked what they think are the three most serious health concerns in their community...

Byron

1 Drug and alcohol misuse 47.7%

2 Mental health issues 47.6%

3 Ageing issues 47.0%

North Coast

Survey respondents told us which additional services are needed to meet health challenges in their community...

and why...

Byron (LGA)

Byron Participants

1690.0% of respondents identified as ABORIGINAL or TORRES STRAIT ISLANDER

12.0% of respondents identified as LESBIAN, GAY, BISEXUAL, QUEER, TRANSGENDER, NON-BINARY OR WITH A DIFFERENT GENDER OR SEXUAL IDENTITY

20.8% of respondents said they wouldn’t be able to get $2,000 for something important within a WEEK

43.2% of respondents had PRIVATE HEALTH INSURANCE

22.2% of respondents were BORN OVERSEAS

4.1% of respondents were AGED between 15-24 YEARS

26.6% of respondents were AGED 65 YEARS or over

25.3% of respondents WORKED 35 or more HOURS a week

NORTH COAST3,372

Immunisation Rates in 2016-178

Arrows indicate trending below or above the 2015-16 rate.

NORTH COAST PRIMARY HEALTH NETWORK | ncphn.org.au/needs-assessment | Last updated June 2019 4 of 4

References1 Australian Bureau of Statistics, 2019. 2016 Census. [Online] Available at: https://www.abs.gov.au/census [Accessed April 2019].2 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Interpersonal-violence–related hospitalisations, Local Government Area, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/inj_violhos/inj_violhos_lga_trend [Accessed April 2019].3 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Fall-related injury hospitalisations by Local Government Area, persons of all ages, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/inj_falloldhos/inj_falloldhos_lga_trend [Accessed April 2019].4 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Alcohol attributable hospitalisations by Local Government Area, NSW 2015-17.

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/beh_alcafhos/beh_alcafhos_lga_trend [Accessed April 2019].5 Centre for Epidemiology and Evidence, 2018. Health Statistics New South Wales: Intentional self-harm: hospitalisations by Local Government Area, NSW 2015-17

[Online] Available at: http://www.healthstats.nsw.gov.au/Indicator/men_suihos/men_suihos_lga_trend [Accessed April 2019].6 Mental Health Commission of New South Wales, 2018. Suicide in NSW by age and gender - interactive.

[Online] Available at: https://nswmentalhealthcommission.com.au/resources/suicide-in-nsw-by-age [Accessed April 2019].7 NCPHN Data collection as of 15 October 2018.Unpublished.8 Australian Institute of Health and Welfare, 2018. Immunisation North Coast (NSW).

[Online] Available at: https://www.aihw.gov.au/reports-data/indicators/healthy-community-indicators/phn109/north-coast-nsw/immunisation/immunisation [Accessed April 2019].9 Australian Institute of Health and Welfare, 2018. Reports and data, Health conditions, disability and health, Data tables: Incidence of selected cancers in 2009–2013.

[Online] Available at: https://www.aihw.gov.au/getmedia/df6732ee-5246-4c9f-a458-df85c88fc512/aihw-can-108-cancer-SA3-incidence-mortality.xls.aspx [Accessed April 2019]. 10 Cancer Institute NSW, 2019. Higher risk areas for breast cancer in NSW.

[Online] Available at: https://www.cancer.nsw.gov.au/how-we-help/screening-and-early-detection/breast-cancer-screening/higher-risk-areas-for-breast-cancer-in-nsw [Accessed April 2019].11 NSW Bureau of Crime Statistics and Research, 2018. NSW Local Government Area excel tables, Jan-Dec 2017.

[Online] Available at: https://www.bocsar.nsw.gov.au/Pages/bocsar_crime_stats/bocsar_lgaexceltables.aspx [Accessed November 2018].12 Australian Institute of Health and Welfare, 2017. My Healthy Communities web update: Hospitalisations for mental health conditions and intentional self-harm in 2015–16.

[Online] Available in April 19: https://www.myhealthycommunities.gov.au/our-reports/mental-health-and-intentional-self-harm/november-2017 Available post July 2019: http://webarchive.nla.gov.au/gov/20181010001820/https://www.myhealthycommunities.gov.au/our-reports/mental-health-and-intentional-self-harm/november-2017

13 Australian Government Department of Health, 2019. Health Workforce Data. Allied Health Number of Clinicians: Local Government Area by job role, Job setting, year and workforce status [Restricted Access] Available at: https://hwd.health.gov.au/webapi/jsf/dataCatalogueExplorer.xhtml [Accessed October 2018].

14 North Coast Primary Health Network (NCPHN), 2018. 2018 Speak Up Community Survey. [Online] Available at https://ncphn.org.au/speakup [Accessed February 2019].

2018 Local Health Needs Community Survey14

17.5% of respondents said it was difficult to access Allied Health Professionals^

Difficult to access Byron North Coast

1 Psychologist 30.9% 29.6%

2 Dentist 29.5% 38.1%

3 Physiotherapist 18.8% 20.6%

4 Exercise Physiologist 14.9% 8.6%

5 Social Worker 10.4% 10.0%

Top 3 Challenges:1. Cost - 63.1%2. Not covered by Medicare - 53.0%3. Distance of travel - 27.1%

53.6%of respondents said it was difficult to access Mental Health Services^

Difficult to access Byron North Coast

1 Counselling 51.7% 45.2%

2 Doctor (GP) with knowledge in mental health 32.0% 38.0%

3 NSW Health community mental health 28.3% 33.1%

4 Youth-specific services 25.3% 16.2%

5 Psychiatry 20.8% 28.6%

Top 3 Challenges:1. Cost - 60.9%2. Lack of services - 42.4%3. Stigma/shame - 34.9%

76.3% of respondents said it was difficult to access Alcohol and Other Drug services^

Difficult to access Byron North Coast

1 Rehab 40.8% 44.6%

2 Counselling 37.3% 42.2%

3 Detox 32.1% 39.4%

4 Community support groups 15.3% 22.4%

5 Doctor (GP) with knowledge in alcohol and other drugs 15.1% 31.8%

Top 3 Challenges:1. Not sure what is available - 52.8%2. Stigma/shame - 47.9%3. Lack of services - 37.9%

53.4% of respondents said it was difficult to access Age-related Services^

Difficult to access Byron North Coast

1 In-home domestic support (e.g. cleaning, meals) 57.0% 36.9%

2 Care packages/funding 50.3% 45.6%

3 Respite support for carers 42.5% 24.2%

4 Doctor (GP) with knowledge/ skills in aged care 29.6% 29.3%

5 In-home medical care 28.9% 25.1%

Top 3 Challenges:1. Difficult to organise - 51.8%2. Lack of services - 41.7%3. Cost - 41.1%

41.6%of respondents said it was difficult to access Specialists^

Difficult to access Byron North Coast

1 Psychiatrist 20.4% 23.8%

2 Cardiologist 18.7% 19.2%

3 Orthopaedic Surgeon 18.1% 14.2%

4 Ophthalmologist 12.1% 10.4%

5 Endocrinologist 10.6% 9.4%

Top 3 Challenges:1. Distance of travel - 59.9%2. Cost - 53.3%3. Long wait - 47.9%

1. Can’t get an appointment

2. It costs too much

3. Too long to wait for an appointment

16.5%of respondents said it was difficult to access a Doctor (GP)^

Byron (LGA)

^ Difficult to access = Respondents who had needed to access the health service/professional in the past 12 months reporting it was difficult or very difficult.