$1.5M and counting - Northern NSW Local Health District

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.5M and counting - Northern NSW Local Health District
Northern
    exposure                                                                                    Newsletter, Issue 10
                                                                                                   November 2017

Above, past and present members of the Lismore Base Hospital Auxiliary, special guests and Lismore Base Hospital staff
gathered at Summerland House Farm to celebrate 100 years of the Auxiliary’s volunteer service for the hospital.

$1.5M and counting
   A centenary of volunteer     show, to supporting nursing    Lynne Weir, Director Clinical    Base Hospital, purchasing
service was celebrated on       students during exams,         Operations for Northern NSW      items ranging from pianos to
19 October, at a luncheon       the Auxiliary has remained     Local Health District, said.     children’s toys, to vascular
honouring the 100th             a strong presence in the          “Through their tireless       ultrasound machines and
birthday of the Lismore Base    community over the last 100    efforts, we are able to          pacemakers.
Hospital Auxiliary.             years.                         continually improve the care        In 1982, the word
   From humble beginnings          “Words cannot express       we provide to patients in this   ‘Women’s’ was removed
as a group of women             how fortunate we are to have   region.”                         from the Auxiliary’s name, in
making and mending              such a vibrant and hard-           Since 1917, the Lismore      recognition of the many men
hospital linen, to annual       working Auxiliary serving      UHA has raised an estimated      who were joining with their
tea tents at the agricultural   the Lismore Base Hospital,”    $1.5 million for Lismore         wives.

                                                                                       The Northern NSW Local Health
                                                                   Page 9:             District Board and Executive are
                          Page 4:                                  Interview with      committed to fostering a safe
                          Workplace                                Chris Lowry,        and inclusive work environment.
                          injury team                              Lismore Base        Improving workplace culture
                          recognised at                            Hospital Staff      is a key priority for 2017-18,
                          TMF Awards                               Specialist          with an emphasis on enhancing
                                                                   Anaesthetist        staff wellbeing and increasing
                                                                                       communication throughout the
                                                                                       organisation.
.5M and counting - Northern NSW Local Health District
Executive Update
    Our safety and quality indicators          Tweed and Lismore Base Hospitals, and
continue to show great results which           soon to be rolled out at Grafton Base
reflect the care and expertise of our          Hospital.
clinicians and staff. This has been the case      The system automatically uploads
for some time now, with the Northern           data at the patient’s bedside, resulting in
NSW Local Health District (NNSWLHD)            considerable data entry time-savings for
tracking well against our reportable           staff.
measures at quarterly meetings with the           The system has been working smoothly
Ministry of Health. I thank all our staff      at The Tweed Hospital since it began
for their continued contribution towards       three weeks ago, and has been well
providing safe, effective and efficient        received by clinicians. Lessons learnt from
healthcare to our patients.                    the introduction of eRIC across our LHD
                q q q                          will be applied at other sites as the rollout
                                               continues across the state.
    We’re taking the next step in                 I’m pleased to note that as well as
developing a solid research platform for       our local Change Managers and Clinical
the LHD with the establishment of the          Nurse Educators, we now also have a
Research Strategic Advisory Group. Led         permanent eRIC Application Specialist,
by NNSWLHD's Director of Research, Dr          Jason Muller, who will provide support to       his skills in other areas of clinical practice
Alex Stephens, the group is tasked with        the three sites running the system.             and training for a while yet. Dr Lowry has
providing oversight and governance to                                                          been an integral part of our Anaesthetic
guide the LHD's Research Unit. It will hold                   q    q   q                       Department for over 20 years, and his
its first meeting on 20 November.                                                              expertise is an asset to our more senior
                                                  I have had the pleasure of working           staff members as well as our up and
                   q     q     q               with Lismore Base Hospital Anaesthetist,        coming anaesthetic trainees.
                                               Dr Chris Lowry for many years and I
   We continue our eHealth evolution,          want to congratulate him on his amazing                  		                  Wayne Jones
with the implementation of eRIC now in         career as he winds down from theatre
place in the Intensive Care Units at The       work. I'm delighted to see we will retain
                                                                                                                          Chief Executive

                                                                                                    From the Board Chair
                                               difference to the lives of patients, their      Community Representatives on
                                               families and staff.                             Committees and many others who all
                                                  I acknowledge the tremendous                 enhance the care of our patients.
                                               achievements of the fifteen UHA                    Each year at the Board's Annual
                                               branches within our district who                General Meeting we have the
                                               have raised vast amounts of funds               opportunity to acknowledge a few
                                               which have been utilised to provide             of the individuals involved and the
                                               equipment and resources with a direct           diversity of ways people contribute is
                                               impact on patient care.                         remarkable.
                                                  While this was the 84th Annual
                                               Conference of the NSW United Hospital                           q    q    q
                                               Auxiliaries, a number of Northern NSW
                                               branches have existed under different              This year’s Annual General Meeting
                                               names and have been contributing                will be held on 13 December 2017 at
                                               for over 100 years. Grafton, Coraki,            the Ballina Quality Inn from 3.00pm to
                                               Lismore and Casino are amongst these.           5.00pm.
                                                  Two Northern NSW UHA members                    I am pleased to advise that Dr
                                               were honored with Life Membership at            Richard Mahoney, Northern NSW Local
   I was privileged to open the 84th           the conference this year. These were            Health District Director of Retrieval
Annual Conference of the NSW United            Byron Bay Hospital Auxiliary President          Services will be our Guest Speaker.
Hospital Auxiliaries held recently in          Mollie Strong and Lismore Base                  Dr Mahoney will be showcasing the
Tweed Heads. The conference was                Hospital Auxiliary Vice President Joan          work undertaken by a Retrieval Service
a wonderful celebration with around            McKenzie.                                       to a regional Base Hospital and will
240 delegates attending from across               I also note that Nimbin UHA                  also speak on the development of
the state. I congratulate The Tweed            has recently celebrated its 70th                the service since the new Helibase,
Hospital and Murwillumbah District             Anniversary.                                    Helicopters and the Lismore Base
Hospital UHAs for bringing this event to          Volunteering has a proud history             Hospital Helipad have come online.
Northern NSW.                                  in Australia and in Northern NSW we
   As Board Chair I greatly value the          are blessed to have many individuals
relationships with the volunteers who          including UHA members, Pink Ladies,                		                      Brian Pezzutti
generously give their time to support          Cancer and Palliative Care Volunteers,             		                         Board Chair
our health services and make a real

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.5M and counting - Northern NSW Local Health District
League women deliver a knock out blow
   Women’s rugby league            Health District (NNSWLHD)         campaign reinforcing positive      The campaign will also
and the Health Promotion           Health Promotion sponsored        messages from the community     focus on the importance
Talking Tobacco Team are           the event with help from a        as well as strategies to        of having community
playing a vital role in tackling   Cancer Institute NSW funding      improve community uptake        conversations with children,
smoking among Aboriginal           grant for tobacco treatment       of tobacco treatment support    teenagers, families, including
communities.                       support within local Aboriginal   and resources.                  pregnant women and older
   Eight local women’s rugby       communities.
league teams competed in              NNSWLHD Chief Executive,
the inaugural Deadly Dubais        Wayne Jones, presented
nine-a-side tournament held        trophies to the winning team,
in Lismore as part of the 2017     Kyogle Tiddas, and runners up
Koori Knockout.                    Casino Wahalbul Dubays. The
   Teams from Tweed,               best and fairest medal was
Lismore, Coraki, Ballina/          awarded to Levina Robinson
Cabbo, Kyogle, Tabulam,            from the Kyogle Tiddas.
Casino and Lower Clarence             The Cancer Institute grant
battled it out in uniforms         is also being used to roll out
displaying totems and smoke-       a social marketing project
free messages specially            ‘Putting out the fires in our
chosen by each team.               communities.’ The project will
   Northern NSW Local              involve a social marketing

                                                                                                     adults. Messages from
                                                                                                     smokers, ex-smokers and non-
                                                                                                     smokers about how tobacco
                                                                                                     affects their communities will
                                                                                                     also feature prominently.
                                                                                                         Tobacco smoking is the
                                                                                                     most preventable cause of
                                                                                                     ill health and early death for
                                                                                                     Aboriginal communities.

                                                                                                     Above and left, players
                                                                                                     and supporters show their
                                                                                                     colours at the inaugural
                                                                                                     women's Deadly Dubais
                                                                                                     Koori Knockout tournament
                                                                                                     in Lismore earlier this year.

Golf day a winner for Tweed patients
   The Tweed Renal Dialysis Unit will soon
have a new set of scales for their patient
hoist, thanks to the fundraising efforts of
a group of local golfing enthusiasts.
   The 3rd annual Brian Duffy Memorial
Golf Day was held at Palm Meadows Golf
Course on 8 October, raising $5300 for
the Dialysis Unit.
   “On behalf of our patients and staff,
I want to sincerely thank all involved in
the Golf Day,” Tweed Renal Unit NUM,
Andrew Gosling, said.
    “We are grateful to the sponsors, Palm
Meadows Golf Club, Helensvale Tavern,
Print Rescue Brunswick Heads, and NAB
Tweed South branch, as well as the
Thomson, Collis and Duffy families who
gave their time and talents to organise       Above, from left, Alistair Thomson, Annette Duffy and Nikki Collis present Tweed
the event, and the many individuals who       Renal Dialysis Unit NUM, Andrew Gosling, and The Tweed Hospital A/ Director of
contributed to making the day a success.”     Nursing, Peter Jeffree with a donation for The Tweed Hospital Renal Dialysis Unit.

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.5M and counting - Northern NSW Local Health District
Wanna buy a                                Recovery at work: a fresh approach
raffle ticket?                                An innovative injury management
                                           approach has received state-wide
                                                                                        2016-17, the organisation has seen
                                                                                        savings of over $1.6 million in workers
                                           recognition at a recent award ceremony.      compensation premiums.
   Are you feeling                            The Northern NSW Local Health                Since the introduction of the
rushed, and don't                          District’s Collaborative Injury              framework, injured workers have
have time to help                          Management project was named                 reported high levels of satisfaction, up
out your local                             “Highly Commendable” for Excellence          to 95%, and managers have shown a
sporting group or                          in Risk Management at the 2017 NSW           41% increase in rates of satisfation, up
kid’s school P&C?                          Goverment TMF Awards in Sydney.              to 85%.
It seems you're                               The team, led by Yvette Bowen,               These figures highlight the excellence
not the only one.                          Manager Work Health Safety and               of the NNSWLHD framework and also
   According                               Injury Management, developed a               showcase the continuous journey of
                       Fiona Baker
to the statistics,                         case management approach to injury           improvement and the potential for future
                       Editor
volunteering rates                         management. It was aimed at reducing         improvements thanks to the cultural mind
in Australia are on a downward trend.      the high costs of annual workers             shift around workers compensation in the
   The 2014 General Social Survey          compensation premiums and improving          workplace.
by the Australian Bureau of Statistics     staff return to work rates.                     NNSWLHD Chief Executive, Wayne
showed that in 2014, 31% of                    Together with QBE Insurance,             Jones, praised the team behind the
Australians volunteered, compared to       NNSWLHD successfully implemented an          project for their commitment to the long
a peak of 36% in 2010. For the first       injury management framework which            term success of the plan.
time in almost 20 years, the numbers       delivered improvements for individuals          “The turnaround in workers
went backwards.                            returning to work, as well as significant    compensation performance reflects the
   People seem to be busier than           financial savings for the health district.   commitment, leadership and hard work of
ever, and as a result, unpaid                 Over three years from 2014-15 to          the return to work team,” Mr Jones said.
involvement in sporting groups,
political organisations and community
organisations is waning.
   Volunteering might be declining at
the national level, but you wouldn't
know it around here. We have some
extremely robust volunteer groups in
the form of our Hospital Auxiliaries,
who show no sign of slowing down.
   The Lismore Base Hospital
Auxiliary this year reached 100 years
of continuous service, and with a
membership base of around 40,
there are plenty of people to share
the load.
   The Nimbin Auxiliary just
celebrated 70 years of service, and
last year the Murwillumbah Auxiliary
celebrated its 90th birthday.
   At the recent UHA State                 Above, NNSWLHD Collaborative Injury Management team of Clarence/ Ballina
Conference it was reported that in         Return to Work Coordinator Julie McFadden, Senior Claims Officer Robyn Sears,
2016-17, volunteers contributed the        Manager Work Health and Safety Yvette Bowen, Tweed/ Byron Return to Work
equivalent working hours of 540 full       Coordinator Paul Raphael and Lismore Return to Work Coordinator Solange
time staff to our hospitals.               Santander at the TMF Awards.
   That's a lot of time spent helping,
talking, listening, baking, fundraising,
                                           Check out NNSWLHD Facebook page
organising, crafting and advocating
                                               The Northern NSW Local Health
for hospitals and their patients.
   We mustn’t take for granted the          District Facebook page is used for
contribution that these and many            a range of promotional activities,
other volunteers make to our lives,         including the Health Promotion
simply by putting their hand up.            newsletter, pictured right, and by the
   I think a great way to show our          LHD Media Unit to promote local events
appreciation would be to pay it             and celebrate the achievements of staff
forwards, and contribute in our own         and volunteers.
way to whatever cause we hold dear.            It is regularly updated with the
   As well as finding time to say           happenings across the LHD. Check out
thank you, of course!                       our page today!

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.5M and counting - Northern NSW Local Health District
Emergency training an Australian first
   Experts from health and aviation           been accredited by the Australasian          Hospital and Dr Charlotte Hall from
combined their wisdom in Lismore last         College for Emergency Medicine and the       Lismore Base Hospital.
month to deliver an innovative approach       Australian College of Rural and Remote          The Emergency Protocols quick
to trauma care.                               Medicine.                                    reference guide has been endorsed by
   The first-ever Advanced Emergency            The workshop also showcased the            the Emergency Care Institute within
Performance Training (ADEPT) workshop         Emergency Protocols quick reference          the Agency for Clinical Innovation, and
was held at the University Centre             guide that was developed by Dr Dean          is now available to staff in all NSW
for Rural Health, with local nurses           Robertson from Maclean District              Emergency Departments.
and doctors seizing the opportunity
to advance their teamwork and
communication skills.
   International Pilots Michael Aspinall
and Anthony Lock teamed up with Dr
Charlotte Hall and Dr Dean Robertson
to create the ground breaking ‘Human
Factors’ training workshop.
   Dr Hall said the weekend workshop
was a success, with participants
learning valuable skills to improve their
performance in complex emergencies.
   “We were blown away by the positive
feedback from workshop participants at
the end of this weekend’s course,” Dr
Hall said.
   “They arrived with few expectations
but left with an armful of ideas and
skills that they said will change how
they practice from now on.”
   This course is the first of its kind for   Above, facilitators and participants attend the first ever Advanced Emergency
health workers in Australia, and has          Performance Training (ADEPT) workshop held in Lismore in October.

Valley’s sights set on home grown medicos
   Post-graduate medical training in the      professionals.                               Joanne Chad has been appointed
Clarence Valley will see a significant           “I am delighted to be involved in      as Program Coordinator for the
boost thanks to a new training hub.           increasing training opportunities for     Regional Training Hub. During her
   The Valley is one of the locations         young doctors in the Clarence Valley.     recent tenure at the University Centre
to receive a Regional Training Hub            This is the first step in encouraging morefor Rural Health in Lismore, Joanne
under a new collaboration between the         doctors to work and live in the Clarence,”worked closely with many university
Commonwealth government and the               A/Prof Collie said.                       medical schools across NSW and
University of Wollongong.                                                               QLD, coordinating medical teaching
   The hub will boost the opportunities                                                 programs across multiple disciplines in
available for junior medical officers to                                                hospitals and GP practices.
complete more of their training locally.                                                   Jean and Joanne live and work in the
   It will also play a vital coordination                                               region and their local knowledge and
role, connecting local clinicians,                                                      personal connections will be invaluable
education and training providers, health                                                in setting up the hub and maximising
service staff, General Practitioners and                                                the training opportunities available to
the broader community to set up and                                                     local junior doctors.
manage the arrangements needed for                                                         The program also aims to increase
local doctors to be able to do more of                                                  the number of medical practitioners
their training without leaving the region.                                              working rurally in future. Community
   Associate Professor Jean Collie has                                                  engagement and developing strategies
been appointed as the Clarence Valley                                                   for attracting and retaining medical
Regional Training Hub’s Medical Director.     Above, Joanne Chad and Associate          professionals in the region will also be
A/Prof Collie brings knowledge and            Professor Jean Collie will head up the    a key focus for the hub.
experience from her previous role as the      new Clarence Valley Regional Training        A/Prof Jean Collie and Joanne Chad
Director of Medical Services with Grafton     Hub, designed to increase training        are based at Grafton Base hospital.
Base Hospital, and a lifelong interest        opportunities for junior medical officers Please email Joanne at jchad@uow.
in the education of medical and health        in the region.                            edu.au for more information.

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.5M and counting - Northern NSW Local Health District
State conference a border affair
   Around 240 delegates converged on           campaign to secure the conference in           the NSW UHA donated over $5.5 million
Tweed Heads last month for the 84th            the Tweed region around 4 years ago.           worth of items to their local hospitals,
Annual State Conference of the United             “The Tweed UHA worked so hard               and the volunteer hours worked
Hospital Auxiliaries (UHA).                    for this conference, with the help             amounted to the equivalent of 540 full
   Auxiliary members came from all             of the Murwillumbah UHA and their              time staff.
over NSW to network and celebrate the          president Val Foster,” Tweed Heads                10 members were honoured with Life
great contribution their many hours of         Auxiliary Treasurer and Deputy North           Membership at the conference, including
volunteering and fundraising make to           Coast Regional Representative, Jennifer        Byron Bay Hospital Auxiliary President
hospitals throughout the state.                McKellar, said.                                Mollie Strong and Lismore Base Hospital
   Tweed Heads Auxiliary President,               In the 2016-17 financial year alone,        Auxiliary Vice President Joan McKenzie.
Annette Alexander, said hosting
the conference in this region was a
wonderful experience for her and her
branch.
   “It was hard work, however the
hard work has been worth it, and it’s
been great to welcome the wonderful
members of the UHA,” Annette said.
   The Tweed Heads and Murwillumbah
Hospital Auxiliaries started their

                                                         Above, Tweed Hospital Auxiliary members attend the NSW UHA State
                                                         Conference at Twin Towns, Tweed Heads.
                                                         Left, NSW Ministry of Health Executive Director Health and Social
                                                         Policy Branch, Tish Bruce, UHA Deputy State President, Marion Dickins,
                                                         NNSWLHD Board Chair, Brian Pezzutti and UHA State President, Linda
                                                         Swales attend the conference.

70th Anniversary no small feat
    Staff at the Nimbin Multi-Purpose             “I sincerely thank the Nimbin Auxiliary     state-of-the-art lifting machine, the lovely
Service honoured the women and men             for their tireless work,” Executive Officer/   new aged care furnishings and practical
of the Nimbin Hospital Auxiliary on 8          Director of Nursing MPS Network, Nancy         items like pressure-relieving mattresses
November with a morning tea recognising        Martin, said.                                  they have generously provided to the
70 years of service.                               "Their generosity is evident in the        facility.”
    The Auxiliary punches well above its
weight, raising a substantial amount
of money from its small membership
base. At present there are only around
15 active members, and 29 members in
total.
    In 2016-17 financial year, the Auxiliary
raised $26,851 and during that year
it gifted the Nimbin MPS with over
$33,000 worth of medical equipment and
furnishings.
    “It’s a pleasure to mix with people
wanting to give back to their community,
and so inspiring to see all the effort
our members put in,” Nimbin Hospital
Auxiliary President, Robyn Roos, said.
    During the last 10 years, the Auxiliary
has donated $90,650 in items to benefit        Above, members of the Nimbin Hospital Auxiliary at a morning tea celebrating
Nimbin patients.                               their 70 years of volunteer service to the Nimbin Multi-Purpose Service.

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.5M and counting - Northern NSW Local Health District
There are also a series of annual plans which offer short term goals for the LHD, covering Business

Can you pass me the map, please?
                    Units, Workforce, Clinical Services, Corporate Governance, Quality Improvement and Culture to name a
                    few.

   As a public health service with an                                                                                                  of the NNSWLHD. It is currently under
annual budget of approximately $780                                             Northern NSW LHD                                       development, and will replace the
million, the Northern NSW Local Health                                                                                                 previous five-year strategic plan which
District (NNSWLHD) is charged with                                   Strategic Priorities 2017-2022                                    guided the health service from 2012-
providing health care services to over                                                                                                 2017.
280,000 people across a geographic                                      Value, develop and empower                                       When drafting the Strategic
area of around 20,732 square                                             our people                                                    Plan, NNSWLHD is guided by three
kilometres.                                                                                                                            overarching NSW State Health Plans
   The decision-making process for                                      Our community value our                                       which set out the key targets for the
service delivery and funding allocations                                 excellent person-centred care                                 state’s healthcare system between
is guided by a series of plans which                                                                                                   now and 2021. These Health Plans
                                                                        Closing the gap in Aboriginal
inform each step in the planning                                                                                                       also inform the LHD’s Annual Service
                                                                         Health
process.                                                                                                                               Agreement, which is renegotiated each
   Combined together, these plans                                       Integration through                                           financial year and which guides our
and processes act as the LHD’s GPS                                       partnerships                                                  operational and business planning as
in guiding the organisation and its                                                                                                    well as performance agreements for
Business Units to develop strategies and                                Effective Clinical and Corporate                              Executive members.
actions to achieve the priorities set by                                 Accountability                                                   As well as the five-year Strategic
the Board and Executive.                                                Champion of innovation and                                    Plan, NNSWLHD has other, targeted
   The NNSWLHD Planning and                                              research
                                                                                                                                       long-term plans which guide service
Performance Unit is responsible for                                                                                                    delivery in particular areas, such as
health service planning, supporting                                                                                                    Mental Health, Drug and Alcohol,
facility planning and strategic business                              At the Board Strategic Workshop                                  Kids and Families, Clinical Services,
planning across the district.                                      in August, the Board and Executive                                  Reconciliation, Workforce and Corporate
   This Unit ensures that health service                           identified the six top strategic priorities                         Governance.
development is informed through                                    for the LHD’s 2017-2022 Strategic                                      There are also a series of annual
consultation and input from managers                               Plan. These priorities are shown in the                             plans which offer short term goals
and staff, clinicians, non-government                              breakout box above.                                                 for the LHD, covering Business Units,
organisations, other government                                       The Strategic Plan outlines the                                  Workforce, Clinical Services, Corporate
departments, community members and                                 organisation’s vision, purpose and                                  Governance, Quality Improvement and
groups, and professional organisations.                            objectives to guide the future actions                              Culture, to name a few.

                        Relationship of key NSW and Northern NSW Local Health District Plans
                ATTACHMENT 1: SCHEMATIC RELATIONSHIP OF KEY NSW AND NORTHERN NSW LOCAL HEALTH DISTRICT STRATEGIC CORPORATE AND CLINICAL PLANS
                                                                                                                                                                          Service
                                                                                                                                          NNSW LHD Service          Agreement informs
   NSW State Plan 2021 – A
                                     NSW State Health Plan –              NSW Rural Health Plan -             State Plans inform        Agreement 2017 – 2018      corporate and clinical
     Plan to Make NSW
                                         Towards 2021                        Towards 2021                  Annual Service Agreements        (Annual Service         service planning &
        Number One
                                                                                                                                             Agreements)               initiates LHD
                                                                                                                                                                       Performance
                                                                                                                                                                       Agreement &
                                                                                                                                                                      Reporting Cycle

                                     NNSW LHD Strategic Plan                                                                                                         NNSW LHD CE &
                                          2012 – 2017                                         Strategic Plan informs Annual Service Agreements                         Executive
                                      (underdevelopment)                                                                                                              Performance
                                                                                                                                                                      Agreements

                      Clinical/Health service planning informs Strategic Plan

                                                                     Strategic, Health/Clinical Service/
                                      NNSW LHD Health Care                                                                             NNSW LHD Business Plan
                                                                            Asset Strategic Plans
                                     Services Plan 2013 - 2018                                                                             (Annual Plan)
                                                                           inform Business Plans

                          Clinical/Health service planning informs HCSP

                                   - Clinical Service Plans
                                   - Health Service Plans                           Asset Strategic Plan 2017                          Operational Business Unit
                                   - Functional Briefs                                    (Annual Plan)                                         Plans
                                   - Investment Decision Reports

                          - Workforce & Aboriginal Workforce Plans
                                                                                                                                             Performance
                          - Culture Plan
                                                                                                                                             Agreements/
                          - Corporate Governance Plan
                                                                                                                                             Performance
                          - Quality Account & Quality Improvement
                                                                                                                                               Reports
                          Plan
                          - Reconciliation Action Plan.

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                                                                                                                                                                                     7
.5M and counting - Northern NSW Local Health District
Got it! - Getting it done
                                                  Children in Northern NSW can                 For children, Got It! provides
                                               now be part of an early intervention         opportunities to learn about and
                                               program helping them take charge             manage their feelings and behaviours
                                               of their feelings and become better          both at home and school. Kids involved
                                               problem solvers.                             in the program develop problem solving
                                                  Got It!, (Getting on Track in Time),      skills and become more confident and
                                               is an exciting initiative for early          resilient within themselves.
 Health Literacy                               intervention mental health in young
                                               primary school children.
                                                                                               The targeted clinical component of
                                                                                            Got It! also involves the parents and

 on holidays                                      The program is a collaboration
                                               between the NSW Ministry of Health
                                                                                            carers of children and offers support
                                                                                            in their parenting roles to promote a
       As many people prepare to hit           and the NSW Department of Education          positive family environment.
    the road over the Christmas break,         involving mental health clinicians,             The second component of Got It!
    there are some simple things people        Department of Education staff,               provides training to teachers under
    can do to manage their health while        primary school teachers and families in      the ‘Fun Friends’ resilience program
    away from home.                            delivering a multi-faceted program to        which enables schools to implement
                                               school children in years K-2.                social and emotional learning structures
      This is a good chance to remind
                                                   Northern NSW Local Health District       within their classrooms to benefit every
    patients to:
                                               has its own Got It! team, split between      K-2 child.
       1. Make sure they have an               Byron Central Hospital and Yamba                This year has seen the new Northern
    up-to-date medication list. Check          Community Health to meet the needs           NSW Got It! team working extremely
    this with your doctor or pharmacist        of primary schools across the large          hard setting up the program, while
    and remove any medications you             geographical area that is our LHD.           commencing roll-out across six primary
    are no longer taking. Remember to             Got It! identifies children with social   schools from Tweed Heads to Grafton.
    include over-the-counter medications       and emotional difficulties and supports         So far the response from schools
    and supplements. You can carry this        them to respond to challenging               has been overwhelmingly positive.
    with you when you go on holidays,          behaviours. It teaches them skills for       Teachers, parents and children are
    use a smartphone app (e.g.                 continued use throughout their lives.        reporting many encouraging changes as
    Medicinewise) or save the list in your        This early intervention aims to           a result of completing the program.
    online My Health Record.                   reduce conduct-related behaviours               As 2017 comes to a close the team
       2. Update their My Health               within school and home environments,         is already busily preparing for the new
    Record. This is an online record of        with the goal of increasing the child's      schools coming on board next year
    your important health information.         learning opportunities and improving         and looking forward to continuing to
    Once you set up your record, you           the family dynamics as well as reducing      positively influence the mental health of
    can access it from anywhere in             mental health concerns later in life.        many of the families in the region.
    Australia or overseas. It’s a great
    way to be able to access vital
    information about yourself if you
    become unwell or have to visit an
    emergency department.
       This may include information
    about your allergies, medications, or
    your health history. When you get
    home, your regular doctor will be
    able to see a shared summary of the
    care that you had while you were
    away.
       3. Ask their regular doctor
    for a Sick Day Action Plan. This
    can help someone with a chronic
    condition recognise early if their
    symptoms are getting worse and
    take action. Often this can mean
    changing a medication, or visiting a
    GP. This means you may be able to
    avoid having to go to the Emergency
    Department while on your holiday.
        Visit http://healthliteracy.nnswlhd.
    health.nsw.gov.au/ for more tips and       Above from left, Community Mental Health Nurse Unit Manager Ciarán Carolan
    tricks.                                    with the Northern NSW Got It! team of Camille Smith, Kirsty McMillan, Tara
                                               Bales, Alice Hinde, Lisa Mitchell and Emma Cronin.

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                                                                                                                                  8
.5M and counting - Northern NSW Local Health District
Interview with Chris Lowry
Northern Exposure recently sat down with Lismore Base Hospital Staff Specialist Anaesthetist, Chris Lowry, to find
out about his pathway into Anaesthesia, his love of the ocean, and his upcoming plans for retirement.
    Halfway through his medical degree,
Chris Lowry was conscripted into the Army.
It was the 1960s and Australians were
being sent to fight in the Vietnam War.
    Chris was able to postpone his Army
service thanks to his study, and at the
same time, he discovered an alternative
avenue for mandatory service. Chris
obtained a Naval Cadetship which
provided him with a living allowance and
money for textbooks for the final few years
of his course.
    On completion he’d be bound to serve
four years in the Royal Australian Navy,
rather than two years in the Army, and
since Chris was a keen swimmer and
surfer, the Navy seemed a much better fit.
    Chris graduated in 1970 and began
his sea service, before being stationed at
HMAS Penguin in Balmoral, with the Royal
Australian Navy School of Underwater
Medicine.
    “When I was still a student I did courses
in diving medicine with the navy during
the holidays. When I came into the navy            Living in Lennox Head, Chris spent            as well as scuba diving here and overseas.
they earmarked me to do specific training       almost 10 years as a VMO on the North            His favourite dive location is Palau in
in diving medicine,” said Chris.                Coast before obtaining a Staff Specialist        Micronesia.
    When his four years ended, Chris went       position at Lismore Base Hospital. At the           Aid work has also been a large part of
looking for something that would align          end of this year, Chris will retire from         Chris’ career. Since 1985, Chris has been
with his skills in diving medicine.             theatre work, but will continue working in       donating his time and expertise on annual
    “Anaesthetics was all to do with gases,     other areas of the hospital.                     trips with Interplast, a non-government
volumes, and partial pressures,” Chris             Chris says part of the appeal of              organisation set up by Australian
said. He took up an Anaesthetics trainee        Anaesthetics is that it gives him a good         plastic surgeons to provide plastic and
position at Royal North Shore Hospital,         overview of the workings of the entire           reconstructive surgery in countries where
where he stayed for four years before           hospital.                                        this treatment isn’t accessible.
moving overseas to continue his training.          “We’re involved in many parts of                 In the early years, the program sent
    In 1980, Chris returned to Australia as     the hospital, not just in the operating          Chris to Pacific countries, which also
a qualified Anaesthetist, and went back         theatres. We’re consulting on the wards,         happened to be ideal destinations for a
to Royal North Shore Hospital as a Visiting     doing preoperative assessment, pain              keen scuba diver.
Medical Officer (VMO).                          management, radiology department,                   “We’d work during the day and have a
    In his youth, Chris had had the idea of     obstetric department, cardiology, intensive      dive at night, or on the weekends.”
one day becoming a General Practitioner         care.” There is a downside, though. The             Since 2000, Interplast work has taken
on the North Coast of NSW.                      long hours and on-call work isn't easy.          Chris to Laos, as part of a larger team
    So, after more than 20 years working           “That’s fun and exciting when you’re          performing bigger surgeries and training
and raising their two children in Sydney,       younger, but it becomes very tiring as you       staff on the ground. In February, Chris
Chris and his wife, Robin realised they         get older,” Chris said.                          will take his last trip with the group to
could still go north if they wanted. It            During his time in Lismore, Chris has         Vientiane.
meant that Robin would have to give up          been Director of Anaesthesia, Director of           In retirement, Chris will pursue his love
her job as a high school teacher.               Clinical Training for Junior Medical Officers,   of the ocean, as well as his interests in
    “I researched where the best hospitals      and Anaesthetics Training Supervisor.            photography and travel. He caught the
were with the widest experience, and               “I’ve enjoyed teaching registrars and         photography bug about 10 years ago,
I thought Lismore was the best one              residents. It’s rewarding when you see           meeting and photographing people in
between Newcastle and the Gold Coast,”          trainees come back to work as consultants        their own environment as part of his aid
Chris said. He organised a few locum            here, and we’ve had quite a few.”                work. Today whenever he travels he packs
appointments to get a feel for the place,          When he isn’t working, Chris can be           his favourite digital SLR, along with ‘quite
and eventually settled here in 1992.            found swimming and surfing in the ocean,         a few lenses’.

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                                                                                                                                          9
.5M and counting - Northern NSW Local Health District
Biobank to    Healthy dose of talent on show
 revolutionise                                    The marriage of community health and
                                               community art proved very successful
                                                                                            photographers and sculptors, young and
                                                                                            old, amateur and professional, from all

 research                                      when the new Coraki Campbell HealthOne
                                               facility recently hosted the Coraki Art
                                                                                            over the Northern Rivers and beyond.
                                                                                               Coraki Art Prize President, Melva
     Australia’s first storage bank for        Prize.                                       Thompson, said the feedback about the
 human biospecimens opened in                     A record number of entries were           venue was overwhelmingly positive.
 Sydney this month.                            received for this year’s show, and over         “Many visitors commented on the
     As the largest facility of its kind in    500 visitors came to see the artworks and    crisp, clean venue and in particular the
 the southern hemisphere, the NSW              have a look through the new HealthOne        excellent lighting. We are very grateful to
 Health Statewide Biobank is set to            over the weekend of 28 and 29 October.       the Northern NSW Local Health District for
 revolutionise medical research in                The 17th Annual Coraki Art                making the HealthOne available for this
 Australia.                                    Prize attracted entries from artists,        community event,” Melva said.
     Minister for Health and Medical
 Research Brad Hazzard said the $12
 million Biobank will help researchers
 change the way life-threatening
 illnesses are treated.
     “The Biobank will house more than
 three million human samples including
 DNA, tissue, blood and tumour cells
 which researchers can use to unlock
 the puzzle of disease.
     “The NSW Government is proud
 to have fully funded this world-class
 facility which may one day support a
 cure for cancer, diabetes, dementia
 and more,” Mr Hazzard said.
     Members of the public wishing to
 contribute to research projects should        Above, visitors admire the artworks displayed in the coridors of the Coraki
 speak to their doctor about donating          Campbell HealthOne at the 17th Annual Coraki Art Prize.
 tissue samples.

 Drinks set                        Valley goes fancy for festival
 to change                            Visitors to the Grafton Base   Adolescents’ Ward taking out      with an afternoon tea, ladies
                                   Hospital (GBH) on Thursday,       the prize this year.              in hats and men in ties. And it
    You may have begun             9 November, may not have             Following the success of the   doesn’t end there.
 to notice some changes            recognised any of the usual       Jacaranda Festival, GBH staff        “You should see what we
 to the drinks being               staff.                            celebrated the Melbourne Cup      have in store for Christmas!”
 sold through cafeterias              The annual Jacaranda
 and vending machines              Festival provided a great
 throughout the Northern           opportunity for staff to get
 NSW Local Health District         dressed up and support the
 (NNSWLHD).                        community.
    Retailers have started            Each year, the GBH Staff
 making adjustments to             Health and Welfare Committee
 their beverage offerings,         encourage wards and
 helping to make healthier         departments to decorate their
 choices easier for staff          work areas and dress up in
 and visitors.                     theme.
    By December 1,                    “This year’s themes ranged
 NNSWLHD facilities will           from ‘Down on the farm’ to
 be offering drinks which          ‘Afrian Safari’, ‘the 80s’ and
 meet the ‘Healthy Food            ‘Getting your Purple On’,”
 and Drinks in NSW Health          Health Information Manager,
 Facilities’ initiative, and       Alison Lollback, said.
 drinks that contain only             An independent (and often
 sugar (with no nutritional        secret) judge makes their         Above, the Aruma Community Nursing ‘African Safari’
 value) will no longer be          deliberations over the winning    team, L-R, Michelle Thornton, Gail Turnbull, Jo Andrews, Ros
 available for purchase.           unit, with the Children and       Hatfield, Annette Cornish, Julie Charles and Alison McIntyre.

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Donations bring warmth, relaxation to new unit
   Patients in Lismore’s newly-renovated           therapy chairs for use by Mental Health          Older Persons’ Mental Health Unit (Lilli Pili)
Mental Health Unit will be able to relax           patients in Lismore.                             and Riverlands Drug and Alcohol Centre.
with purpose-built therapy chairs and                 Over the past 12 months, the Lions                As well as donating funds towards
hand-made quilts, thanks to generous               have helped donate 10 massage chairs             the massage chairs, the Mental Health
donations by two local fundraising                 worth over $11,000 throughout the                Support Group donated 46 patchwork
groups.                                            district.                                        quilts to adorn the beds of the new Lilli
   The Lions Club of Lennox Head,                     The chairs will be allocated across four      Pili Older Persons’ Mental Health Unit, and
together with the Northern NSW Local               areas: the Child and Adolescent Mental           57 quilts to the Tallowwood Adult Mental
Health District Mental Health Support              Health Unit (Kamala), the acute Adult            Health Unit. These were made by local
Group have raised funds for six massage            Mental Health Unit (Tallowwood), the             quilting groups.
                                                   Below left, members of the Lennox Head Lions Club with a new massage chair.
                                                   Below, quilters Ruth Harris, Lorna Simpson, Diane Brown, Barbara Stoker, Lee
                                                   Winderbon and Liz Denman with Mental Health Support Group founder, Barbara
                                                   Swain, present handmade quilts to the Mental Health Unit.

   Does your patient have a Thrombotic             link to a printable pdf which offers education          New Cancer HealthPathways
                Disorder?                          for your patients on recognising symptoms
                                                   of deep vein thrombosis and lists other             Click on the links below to view:
    HealthPathways has recently localised          precautions and preventative measures that          • Breast Cancer Established
the Thrombotic Disorders HealthPathway             could be undertaken to reduce thrombotic            • Breast Cancer Follow-up
which adds another live pathway under the          risk during long-haul air travel.                   • Head and Neck Cancer – Established
Haematology Category.                                 The referral sections provide criteria           • Endometrial Cancer
    Thrombotic disorders (also called              for referral to a non-acute haematology             • Familial Cancer Syndromes
thrombophilia) refer to patients who               assessment which provides information               • Familial Breast or Ovarian Cancer
are at significantly increased risk of             on public haematology providers and              Syndromes
thromboembolism. This can also be due to           also provides a link to the Deep Vein               • Familial Colorectal or Endometrial
inherited causes or acquired causes.               Thrombosis HealthPathway for specific            Cancer Syndromes
    The pathway provides a comprehensive           information on this condition.                      • Head and Neck Cancer – Established
list of risk factors for the condition, guidance      We currently have over 370 live pathways         • Cervical Screening - This new pathway
on when testing is recommended and                 on our website! To view all localised Mid        describes renewed changes to the National
information about negative test results.           and North Coast Health pathways, follow          Cervical Screening Program (NCSP) being
    The assessment section, in summary,            this link:                                       implemented on 1 December 2017.
provides a list of factors to assist you in           https://manc.healthpathways.org.au/index.
assessing if your patient is at thrombotic         htm                                                 For further information email kkeyte@
risk and indicators for possible condition            Username: manchealth                          ncphn.org.au.
re-occurrence.                                        Password: conn3ct3d
    In the management section you will find a

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Integrated Care Walking to work just got easier
 - what does it    Have you heard about the Make
                 Healthy Normal campaign? It’s a NSW
                                                           10,000 daily steps.
                                                              Evidence suggests that more walking

 mean for me?    Health campaign to increase healthy
                 eating and active living, with the aim of
                                                           means less time spent in hospital as
                                                           a patient. Walking and cycling have
                                            reducing overweight and obesity rates.       also been associated with a lower risk
     The annual Community                       Now staff at Lismore Base Hospital       of adverse cardiovascular outcomes,
  Engagement Advisory Council (CEAC)        (LBH) have a chance to take part, with       particularly for women. Parking down
  conference is on again in December.       the recent installation of pavement          town and walking to work each day
     The one-day event will focus           stickers leading from the hospital to        would help achieve this.
  on Integrated Care, and feature           the Lismore Cental Business District            Next time you’re at LBH, please cross
  presentations and a panel of              (CBD). These novel stickers are spaced       the road and look for the Make Healthy
  clinicians, health consumers,             at 200m intervals and act as markers         Normal pavement sticker to set you on
  subject experts and health service        for measuring walking distance from the      your healthy walking journey.
  management.                               hospital to downtown.                           The Health Promotion team has
     Come along and find out what              Did you know it’s exactly a one           installed these as a trial to see how
  Integrated Care means for you and         kilometre walk from the hospital to          they stand up to the rigours of feet,
  your community.                           the edge of the CBD? This equates to         rain and sun. They would love to hear
     This year’s keynote speaker is Jay     burning 220kJ of energy, about as much       your nominations of walking routes near
  Allen, Community Coordinator for          energy as in an apple, so you’ll need to     other facilities across the health district.
  Melanoma Institute Australia (MIA).       do it a few times!                           Contact Adam Guise at adam.guise@
     Jay Allen is a former truck driver        It’s also about 1300 steps, so a return   ncahs.health.nsw.gov.au
  and patient of MIA.                       trip downtown and back can provide              You never know who you might
     As MIA’s Community Coordinator,        nearly a third of your recommended           inspire to Make Healthy Normal.
  Jay has devoted the last six years
  to spreading the sun-safe message
  to schools, organisations and
  communities around Australia.
     He recently trekked 1200kms from
  Brisbane to Sydney to raise vital
  money for a clinical trial for advanced
  melanoma patients.
     Jay’s story about surviving
  melanoma is raw, honest, and
  inspiring.
     “Melanoma Institute Australia
  saved my life and I want to give
  back by raising awareness about
  melanoma and how to reduce the
  risks,” Jay said.
     The conference will be held on
  Thursday, 14 December at Ballina
  Surf Club.
     Click here to see the program and
  to register to attend the conference.

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                                                                                                                                 12
eHealth Northern NSW –                                                               Health and Drug and Alcohol Services,
   Connecting with Clinicians                                                            during the eMR-CHOC Project.
                                                                                           You can contact James via email at
   The new eHealth Clinical Advisory
                                                                                         james.nunn@ncahs.health.nsw.gov.au.
Group will hold its inaugural meeting          A workshop was recently held to
                                                                                           For more information, please check
on 28 November. The group’s primary         review the new workflows and confirm
                                                                                         out the web page here.
purpose is to provide advice on matters     how clinicians will use eMeds.
relating to Clinical eHealth services in       Northern NSW Local Health District                     eRIC Update
the Northern NSW Local Health District      (NNSWLHD) sent three clinical                   Congratulations! Lismore Base
(NNSWLHD), including applications and       representatives: Dr Alasdair Arthur          Hospital (LBH) ICU – eRIC went live
devices.                                    (Dep. Dir. ED TTH), Andrea Thawley           on 13 November.
   Nominations have been received           (CNC Emergency Tweed-Byron) and                 eRIC landed at The Tweed Hospital
from a diverse group of Clinicians and      Ahmad Sayar (A/Dep. Dir. Pharmacy            (TTH) on 30 October, and Grafton
successful members will be notified         LBH). They were joined in North Sydney       Base Hospital is following closely with
soon. Wendy Roulston, Clinical eHealth      by the District’s eMeds Project team.        eRIC scheduled to deploy in early
Service Manager is the Secretariat,            The Project team are very excited         December.
contactable via email: wendy.roulston@      to have received 70% of the eMeds               As a state-wide system, eRIC puts
ncahs.health.nsw.gov.au                     build for testing. The testing phases        into effect standard practice across all
              q q q                         are extensive and will take-up a large       ICUs. This is the first time a state-
                                            component of the team’s time during          wide electronic ICU system has been
   eHealth Northern NSW is continuing
                                            the next several months.                     deployed across Australia and will be
to investigate WiFi connection problems
                                               The eMeds project team are pleased        one of the largest in the world.
with computer carts.
                                            to announce that a new Change                   Jason Muller has been appointed as
   An eHealth Incident team meets
                                            Manager will start on 20 November.           the LHD’s eRIC Application Specialist.
weekly to review proposed fixes
                                               James Nunn has been appointed to          Jason is responsible for the ongoing
and identify whether they can be
                                            replace Wendy Roulston in the District       maintenance of eRIC, which includes
applied across the District. Changes
                                            Program Change Manager role. James           granting access to use eRIC, training
to equipment and settings are
                                            is a Registered Nurse with extensive         and coordinating enhancement
underway with reported improvements
                                            experience in the Drug and Alcohol           requests, and system upgrades.
implemented at Ballina District Hospital.
                                            Withdrawal Unit, most recently working       Jason is a Registered Nurse and has
   All sites note: please continue to
                                            in the Mental Health after hours’ patient    a background in ICU. You can contact
log these problems with the State Wide
                                            flow role. James worked as the Network       Jason via email at Jason.muller@
Service Desk (IT help desk) and request
                                            Change Manager, Richmond Mental              ncahs.health.nsw.gov.au.
“Attention the WiFi queue.”

Bombe Alaska in revival for Radiation Therapists
   Retro food and fashion was brought          Staff in the Radiation Oncology unit      results for patients today.
back to life at the North Coast Cancer      donned retro revival outfits and dined on       NCCI employs 18 radiation therapists,
Institute – Cancer Care and Haematology     Scotch eggs, cocktail onions and bombe       who range from graduate placements to
Unit (NCCI) in celebration of World         Alaska to honour to the birth of technical   highly experienced therapists with world-
Radiography Day on 8 November.              innovations which are still delivering       wide expertise.
                                                                                            Senior radiation therapist, Richard
                                                                                         Ford, says developing good relationships
                                                                                         with patients during their treatment, and
                                                                                         the flexibility to travel the world working
                                                                                         in different places are some of the perks
                                                                                         of his job.
                                                                                            “I’ve always worked in big cities, so it
                                                                                         was nice to come to a regional centre.
                                                                                         I’m enjoying a more rural lifestyle, and
                                                                                         we’re so close to the ocean and to
                                                                                         brilliant cities, it’s an absolutely fantastic
                                                                                         place to live,” Richard said.
                                                                                            Radiation therapists complete a four-
                                                                                         year university degree, with training
                                                                                         placements during the final year.
                                                                                         Left, Radiation Therapists at NCCI
                                                                                         go retro in celebration of World
                                                                                         Radiography Day.

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                                                                                                                                  13
The last word…
 Off and racing for Our Kids Luncheon
    The annual Our Kids            $20,000, with punters also    identities.                   Children’s Ward at Lismore
 Melbourne Cup Luncheon            taking home around $58,000       “The ladies all looked     Base Hospital.
 was a sell out this year,         worth of prizes.              splendid, and some of the         Now in its 15th year, the
 attended by 200 people               Lismore Base Hospital      fascinators worn on the day   Our Kids Melbourne Cup
 dressed to impress and raise      Special Care Nursery NUM,     were amazing,“ Jo said.       Luncheon is renowned for
 a few dollars for the charity.    Jo Ezzy, attended the lunch      The money raised on        its stylish decor and superb
    The luncheon at Southern       with several colleagues and   the day will go towards a     food.
 Cross University raised over      many well-known Lismore       piece of equipment for the        ”On behalf of the staff in
                                                                                               the Special Care Nursery,
                                                                                               I want to thank Dr Chris
                                                                                               Ingall and Rebekka Battista
                                                                                               for their tireless work in
                                                                                               promoting Our Kids in the
                                                                                               community. The equipment
                                                                                               purchased assists the staff of
                                                                                               Special Care Nursery and the
                                                                                               Children's Ward to give the
                                                                                               best care possible,” Jo said.

                                                                                               Pictured at left, back row,
                                                                                               L-R, Sally Butchers, Carmel
                                                                                               Kinkead, Sue Sheaffe,
                                                                                               Clare Warren, Marion
                                                                                               Pipper, Katrina Beohm,
                                                                                               Julie Roberts, Carolyn
                                                                                               Lindwell and Jo Ezzy
                                                                                               (front) attend the Our Kids
                                                                                               Melbourne Cup Luncheon.

 Casino staff commemorate armistice
    For the first time, Casino District
 Hospital held a Remembrance Day
 ceremony in the Harmony Garden on 8
 November.
    Members of the Casino RSL sub-
 branch conducted the service, and
 wreaths were laid by staff, RSL
 members and a community member.
    Around 25 people attended to pay
 their respects to those men and women
 who have died or suffered in armed
 conflicts around the world.

                                                       Above, back row, Casino RSL sub-branch members with, at
                                                       front, Casino District Hospital Nurse Manager 1 Christine
                                                       Bulmer, Casino Hospital Auxiliary President Robyn Spruce, ex-
                                                       staff member Robyn Cooper, Enrolled Nurse Shirley Roach and
                                                       A/EO DON Melissa Ingram.
                                                       Left, Casino District Hospital domestic services staff Leanne
                                                       Mason, Rosemarie Newman, community member Maree
                                                       Flanagan and staff member Marcia Armstrong.

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