balmoral bush nursing centre · to this end i extend the thanks and appreciation of the board to...

ANNUAL REPORT 2013/14BALMORAL BUSH NURSING CENTRE

Connecting people, promoting knowledge, investing in the health

and wellbeing of our community, for the future

The Balmoral Bush Nursing Centre thanks the following for allowing their images to be reproduced: Greg Rogers (Cover image of the Glenelg River); Dickie Broadhurst (Photo this page); Office of the Official Secretary to the Governor-General (8 Order of Australia medal); Clare Ryan (Photos

pages 27 and pages 34 - 35, of the Fulham Riverside Reserve on the Glenelg).

CONTENTSOur HistOry _____________________________________________________ 2

President’s rePOrt ___________________________________ 3

BBnC struCture __________________________________________ 4

Our BOard ________________________________________________________ 5

Our VisiOn, Our Values __________________________ 6

Key aCHieVements ________________ 7

Centre manager’s rePOrt _______ 8

Quality & risK rePOrt ____________ 9

snaP sHOts ___________________ 10-11

serViCes PrOVided _______________12

dOCtOrs _________________________13

CliniCal nursing rePOrt ________14

Case management rePOrt ______15

COmmunity serViCes _______________________16-25

stOries Of serViCe ___________ 26-29

Our staff __________________________________________________30-31

letters Of tHanKs ___________ 32-33

dOnatiOns ________________________________________________34-35

nOtes ____________________________36

Key Partners ________________________________________________37

| BBNC • Annual Report 2013/20142

OURHISTORY

Our local health service commenced July 4 1925. Mrs Ethel Wood and Lady Smyth were the inaugural executive and faced many challenges establishing the service. Throughout the first year the Centre provided 447 visits, 81 days in residence, 10 all night sittings and 11 maternity cases.

Volunteers built the original centre in 1928 on land donated by Mr A J Walter and using building materials generously donated by local benefactors.

The current site, 26 Bell Street was purchased in December 1970, and opened in 1972 with the Bush Nurse living onsite, often called upon after hours.

As the service expanded the residence was converted to make way for increased services and the need for administrative support. In August 1989 an adult day activity program commenced.

In 1992 the Infant Welfare building was purchased from the Shire of Wannon. Refurbishment allowed for expanded service provision.

In 1994 a Commonwealth funded Respite Program commenced. In 1997 a capital redevelopment resulted in our Function Room. This provided the physical capacity for modern service delivery.

As the Centre physically grew, governance needs changed. The Committee of Management became a Board, with board members to be less concerned for operational matters and more on planning and compliance. In 2006 we embarked on a major facility redevelopment project to address increased identified risks in the areas of safety, service quality and service range. This project was completed in August 2007.

As part of the increasing focus on fitness and wellbeing within the BBNC’s Live Active program, 2013 saw the employment of Gilles Forget, the first male employee in the Centre’s 89 year history.

Centre Manager Lisa Hutchins explains, “The Bush Nursing Centre of 2014 is now much more about prevention, advocacy, community support and an infrastructure that makes the community feel safe .”

“The Bush Nursing Centre of 2014 is now much more about prevention, advocacy, community support and an infrastructure

that makes the community feel safe .”

2013

1970s

1928

2012

1990

1989

BBNC • Annual Report 2013/2014 | 3

It is my pleasure to provide the Board President’s Report for 2014.

Following last year’s review and strategic planning this has been a very different and busy year as all sections of the organisation adjust their activities to meet our strategic focus. These key areas are: Service Quality, Community Engagement and Effective Resourcing. Whilst these strategic areas may sound simple, I can assure you that they involve quite complex issues and are vital to ensuring the relevance and sustainability of the Balmoral Bush Nursing Centre.

When you combine these foci with the many targeted priority action areas and the routine duties of our staff and volunteers, this organisation is indeed fortunate to have so many capable and committed people contributing to its performance and development. They are maintaining our very high standard of service delivery in the clinical, case management and community service areas, whilst actively developing improved monitoring and measurement to ensure continued effective performance levels. To this end I extend the thanks and appreciation of the Board to all staff and volunteers who work to make the BBNC such a healthy and vibrant organisation.

I commend the Centre Manager’s Report and indeed the rest of this annual report to you as a necessary read. Necessary because it will give you some insight into the work and contribution that this organisation makes to the life and well being of people in the Balmoral community. We need more community members with such an understanding in order to ensure that those in need, do in fact access our services.

I personally wish to thank all Board members along with our Executive Administration Officer, Sabrina Watt, for their support and the manner in which they are working to continually improve the governance of this Centre. We thank Suzanne Smith (9 years service) and Mandy Meulman, who retired in 2013, for their respective contributions. Importantly in 2013 we welcomed three new Board members: Di Austin, Mardi Johns and Geoff Barcham. Our eight member board is fortunate to possess a diverse skill mix and broad experience.

Most importantly the Board acknowledges the outstanding contribution of Centre Manager Lisa Hutchins. It is not an easy time to be in a position such as Lisa’s. It seems to me that governments of all persuasions are on the forehand expecting greater productivity with the imposition of unfunded but increasing workloads in areas such as accountability and compliance, and at the same time on the backhand enforcing increased productivity with budget cuts. The manner in which Lisa leads and supports our organisation through difficulties such as these is both inspiring and commendable and we thank her for her dedication.

I am confident that the BBNC is not only functioning well but well positioned to negotiate a successful future.

PRESIDENT’S REPORT

Neville Trotman,

President, Balmoral Bush Nursing Centre

“...thanks and appreciation of the Board to all staff and volunteers who work to make the BBNC such a healthy and

vibrant organisation.”


Effective Resourcing Service Quality Community Engagement

BBNC Board

BBNCSTRUCTURE

Centre Managerlisa Hutchins rn div 1 dip app sc (nsg), Vran, dip. Business (Human resources)

Clinical Nursingann Vaughan

rn div 1, Bn.Vran adv dip. management,

Cert iV Workplace training and assessment, nurse immuniser

Community Serviceslyn iredell

rn div 2, Cert iii Home & Community Care, level ii first aid

AdministrationJodie russell

associate dip app sci (farm management), associate dip app sci (Wool and fibre

marketing), level ii first aid

Quality & Riskanita Weaver

retail Pharmacy assistant (gr 2), level ii first aid

•Diane McLean: RN Div 1, VRAN

•Gillian Hair: RN Div 1, RM, VRAN

•Kim Dufty: RN Div 1, BN, RM, VRAN, Nurse immuniser

•Sarah Roberts: RN Div 1, BN, VRAN

•Lisa McClure: RN Div 1, BN, VRAN

•Heather Smith: Cert IV Home & Community Care, Cert III Fitness, Level II First Aid

•Lana Howman: B Sc (Teaching) PCA Certificate, Level II First Aid

•Joy Brody: Cert III Home & Community Care, Level II First Aid

•Lauris Logan: Cert III Home & Community Care, Level II First Aid

•Rebecca Kearns: Cert III Home & Community Care, Level II First Aid

•Janette Matthews: RN Div 2, Level II First Aid

•Karen Davis: Cert III in Home & Community Care, Cert III in Aged Care, Level II First Aid

•Tallie Talay: Cert III Fitness, Level II First Aid

•Jannette Tinning: Cert III Fitness, Level II First Aid

•Gilles Forget: Cert IV Fitness, Level II First Aid

•Lauren Mason: Level II First Aid

•Fiona Jagger: Level II First Aid

•Jenny Macfarlane: Level II First Aid

•Margaret (Louise) Guthrie: Level II First Aid

•Rebecca Kearns: Level II First Aid, Cert III Home & Community Care


President Neville Trotman Bachelor of Commerce, Diploma of Education Former Principal

Elected: 2011Board Meetings Attended: 10/10

Vice PresidentBruce Laidlaw

Primary Producer

Elected: 2010Board Meetings Attended: 6/10

Assistant TreasurerDi Austin

Sales & Marketing Manager

Elected: 2013Board Meetings Attended 8/8

Mardi Johns

Solicitor


Geoff Barcham

Leading Senior Constable, Victoria Police


Georgie Leeming

Primary Producer

Elected 2011Board Meetings Attended: 8 /10

Treasurer Karen Rees

Primary ProducerDiploma of Business (Accounting)

Elected 2011Board Meetings Attended: 9/10

Dan Pekin

Master of Business Administration, Bachelor of Business, CPA, Member Australian Institute of Company Directors, General Manager/Director HTL Australia Pty Ltd

Elected 2012Board Meetings Attended: 9/10

the Board of the Balmoral Bush nursing Centre sets the strategic path of the Centre, monitoring and evaluating to ensure the Centre continues to meet the needs of the

community.

OURBOARD


OUR VISION,OUR VALUES

Connecting people, promoting knowledge, investing in the health and wellbeing of

our community, for the future.

We believe in equitable access to health care of a standard equal to that of less isolated areas.

We are committed to service quality and actively encourage a culture of continuous improvement.

We maintain safety as a priority in all our workplace practices including the promotion of environmental safety.

We recognise our staff and our volunteers as being our most valuable asset and teamwork is essential to our success.

In all interactions with our community, staff and volunteers, we respect their rights, dignity and beliefs regardless of their age, sex, cultural, spiritual or socio-economic background.

Adaptability is essential to ensure we continue to meet the needs of our community.

We are committed to a proactive role in community development in order to positively influence the health of our district.

Strategic themesService Quality and Profiling: Prioritising quality and local access.

Community Engagement: Effective consumer and community engagement.

Effective Resourcing: Broad income base and effective business practice approach.

Core Purpose & Our Passion

Connectedness, knowing our community, accessibility, effective teamwork & innovation


KEYACHIEVEMENTS

Balmoral BBNC 2013/2014 Strategic PerformanceA review of the Centre’s Strategic Plan was undertaken by the Board and the following priority areas were identified for action. Achievements within these priority areas are listed below:

Priority Areas for Action:

Technology:• Delivery of Telehealth G.P sessions and specialist appointments • Use of social media to engage the community and promote services and programs• Website updates and promotion of services and programs• Continue to review options for electronic client management software that integrates our client data regionally

Workforce:• Well qualified and appropriately allocated work force• Restructure of environmental services staff and introduction of Quality and Risk Coordinator from existing resources• Shared workforce with Harrow Bush Nursing Centre via two registered nurses• Workforce review responsive to proposed HACC funding changes• Centre Manager commenced RIPERN course• Clinical Nursing Coordinator completed Cert IV in Workplace Training and Assesment as well as an Advanced Diploma of

Management• Two community services staff members completed Cert IV in Aged and Community Care and another commenced the course

Facility and Service Development:• Completion of new clinic room and designated telehealth space• Secured funding for a stage two capital project for co-location of Ambulance Victoria to the BBNC site• Lobbied for continuity of Medicare Local Allied Health Services• New external blinds to childcare area• New shelving to Family Centre storage shed• Diagnostic set for new clinic room• Photocopier upgraded

Collective Impact:• Support for development of the swimming pool capital redevelopment project• Administration and liaison support for Chameleon Arts Collective activities• Active participation and leadership within the Balmoral Community Plan project commissioned by the Shire of Southern Grampians• Balmoral Recreation Reserve Community Centre Redevelopment Feasibility Study participation and administration support• Visits from Dingee and Woomelang Bush Nursing Centres to review our governance and operational structures• Visit to Harrow Bush Nursing Centre to meet with their Board to discuss sustainability• Facilitated sector wide membership of Victorian Health Care Association as the peak body for BBNCs in Victoria to be more

strategically aligned with the needs of Bush Nursing Centres in Victoria• Presentation of benchmarking data categories of Clinical Governance Framework implementation to the western bush nursing

centres of Victoria• Proposal to develop the Men’s Shed facility in partnership with the Balmoral Angling Club submitted to DHS for funding• Implementation of Health Promotion Plan developed in response to regional health promotion priorities and identified

local need


CENTRE MANAGER’SREPORT

It is with pleasure that we present this Annual Report.

The Balmoral Bush Nursing Centre has continued its sound tradition of delivering local accessible health and community services.

In line with our vision we have connected people, promoted knowledge and invested in the health and wellbeing of our community for the future via a broad range of programs and services. Our membership base continues to increase and our programs are experiencing high demand which is reflective of an appropriate service profile and an engaged community.

Our service has not been spared the impacts of a challenging social policy budget delivered by the current Federal Government. Resourcing of the service will change over the next twelve months, moving away from the traditional Home and Community Care funding model. We look forward to the opportunity that change presents and will be advocating for our share of the health dollar in order to ensure service continuity and quality care.

Aside from the challenges, strategically our focus continues to be service quality, effective resourcing and community engagement. The Centre successfully completed the triennial HACC accreditation process in March this year under the National Community Care Common Standards. In line with the Victorian Health Priorities Framework 2012-2022, we have reviewed our workforce capacity and implemented measures to increase accountability and transparency. The work we have undertaken in clinical governance including the development of clinical indicators for bush nursing services is innovative and of interest to the broader sector.

This year we have completed yet another capital project, adding a new clinic room complete with virtual service delivery capability. The room has increased our capacity to treat clients efficiently and effectively and it has improved confidentiality and workplace safety. We are thankful for funding received from the Victorian Department of Health for the project.

We are fortunate to have a very well qualified, experienced and stable workforce that continue to provide our community with access to quality services. I thank our staff for the tremendous contribution they make on a daily basis. We have a number of staff members who have undertaken additional professional development this year. This is no mean feat when balancing the pressure of work, life and family. Congratulations to those who have extended their professional qualifications. We look forward to new knowledge being shared to strengthen our organisational professional capacity.

Finally, I would like to thank our President Neville Trotman and our innovative and enthusiastic Board who have supported me in my role and represented the community effectively and accountably. We look forward to the year ahead and the challenges it will present us.

Lisa Hutchins

Centre Manager

Balmoral Bush Nursing Centre

The work we have undertaken in clinical governance including the development

of clinical indicators for bush nursing services is innovative and of interest to

the broader sector.


QUALITY &RISK REPORT

Newly established at Balmoral Bush Nursing Centre is the position of Quality and Risk Coordinator. While over the years we have actively monitored risk within the organisation we will now be making this area an even stronger focus. The close management of Quality and Risk is essential for the longevity of any organisation and will help ensure that the Balmoral Bush Nursing Centre can continue to invest in the health of our community now and into the future.

Quality and Risk encompasses the role of Environmental Services including maintaining and improving the facility and surrounds to meet the evolving needs of the organisation and ever changing industry best practice. Evidence of this is clear at the BBNC with the very capable Environmental Services’ staff continuing to provide a clean and comfortable work environment.

Completed during 2013, the new treatment room and internal alterations to the administration area are functioning very well and providing some much needed extra workspaces. We are looking forward to getting stuck into some more Capital Projects at the Centre soon with an emphasis on storage capacity and redesign of the emergency area egress.

We were proud this year to achieve accreditation in the Community Care Common Standards and welcomed the opportunity to have an external review of our policies and procedures. This process assists us to monitor and manage the quality of our organisation and identify risks to its advancement.

Following on with the Balmoral Bush Nursing Centre’s focus on Quality and Risk, we were able to hold staff training in Work, Health and Safety. This year our specific topics were manual handling, biological hazards and slips, trips or falls. It was highlighted that the Healthcare industry has a high potential for this type of incident. Our key message to all staff was to be “Proactive not Reactive” and to equip them with the tools they need to identify and assess risks in their environment on the go. We all learned it is far easier to deal with a potential safety issue rather than an injury in the workplace.

Anita Weaver

Quality and Risk Coordinator


Achievements for 2013-2014:

1. Completion of new BBNC treatment room

2. HACC Community Care standards for accreditation met

3. Staff training in Work, Health and Safety

Challenges for 2013-2014:

1. Uncertainties around funding

2. Timely access to tradespeople and specialised skills

3. Increasing need for workspace and storage

As the Centre grows, the requirement for Environmental Service hours and Quality

and Risk management also grows and we hope that future funding will reflect the staff hours needed to sustain this work.


SNAPSHOTS

Connecting people,

197immunisations

1209 Vital sign

assessments

1218 Occasions of

client advocacy and support

890 gP Visits

316Wound care assessments

1084 Occasions of

individual healthpromotion

investing in the health and wellbeing



SNAPSHOTS

promoting knowledge,

54 telehealth gP

appointments

41 emergency response

Calls

301 Pathology

Clients

1 Only Bush nursing Centre in Victoria

to offer onsite childcare

2557 Clinical

Presentations

478 Hours of

HaCC respite

of our community for the future



SERVICESPROVIDED

Anne Paterson with Podiatrist Phuong Huynh

Clinical services: • District Nursing• Accident & Emergency Nursing• Palliative Care• Post Acute Care• Hospital in the Home• Collection of Pathology Specimens• Continence Care & Advice• Access to Medications & Pharmacy Services• Wound Care• Domiciliary Midwifery• Community Nursing – DVA• Immunisation

allied Health services:• Maternal & Child Health Nurse

• Podiatry Service

• Optometrist

• Diabetes Educator

• Community Health Days

• Fitness Programs

• Virtual Services

• Masseur

• Hearing Services

• WDHS Psychologist

Community services:• Respite Program

• Planned Activity Group Program

• Case Management

• Community and Youth Transport Services

• Volunteer Program

• Health Promotion

• Disability Services

• The Men’s Shed

• Live Active

referral services:• A wide range of referral services

Mary and Trevor Bloomfield with WDHS Diabetes Educator Megan McLeish

Men’s Shed workers Neville Merryfulll, Len Thompson, Bob Paterson, Ivan Harris and John Rees


DOCTORS

Dr Slabbert consults via video link as RAN Ann Vaughan facilitates.

dr Brian s Coulson MBBS Dip RACOG, FACRRM, practises with Coleraine/Casterton Medical Clinic and visits Balmoral every second Tuesday. Dr Coulson has been with the practice since 1982. He graduated from Adelaide in 1978. His special interests are dermatology, psychiatry and infectious disease.

dr greta ProzeskyMBChB, FRACGP, practises with Coleraine/Casterton Medical Clinic and visits Balmoral every alternate Tuesday afternoon. Dr Greta graduated in South Africa, working in Britain and Bahrain before joining the practice at the end of 2000. Her interests are paediatrics, female health, psychiatry and alternative medicine.

dr Jan slabbertMB ChB FRACGP, practises with Hamilton Medical Group and in the past has consulted at the Balmoral Bush Nursing Centre. While obstetric commitments in Hamilton have required him to discontinue his visits to Balmoral, the BBNC offers video consultations between Dr. Slabbert and his Balmoral patients to ensure continuity of care.

Dr Coulson as part of the BBNC’s 2013 Men’s Health Night

Dr Greta Prozesky with Hanieh Langroodi and Intern Dr James Connell.

Dr Connell is a participant in RoyalAdelaide University’s Prevocation GP Placement Program.


CLINICAL NURSINGREPORT

Clinical Presentations

Emergency Presentations

Health Promotion

Post Hospital Care

Pathology

Pharmacy Supply

Pharmacy Collection

Practice Nurse Support

Immunisation

Advocacy & Support

The Nursing staff at Balmoral Bush Nursing Centre aim to provide quality care for individual needs. We provide a service that has strong links to the community and are very aware of the impact this has on individual wellbeing. Through this we are able to assist the individual develop health goals, liaise with speciality services and access services required.

The nursing staff is highly skilled in many areas including wound care, continence care, domiciliary care, suturing, ear syringing and immunisation. All seven nurses attend annual competency based training through Ambulance Victoria to maintain their skills as Remote Area Nurses. Through staff flexibility and experience our nursing staff can cater to the needs of the community.

The Nursing staff work in partnership with the client, the client’s family and doctor and other service providers to achieve the best possible health outcome. An example of this is the provision of telehealth services to GP clinics or other specialist services. This provides a unique form of consultation that allows collaboration between the client, family members, nurse and specialist without the extra demands of travel.

The Bush Nursing Centre aims to achieve best possible outcomes with clients via engagement in visiting services such as the Diabetes Educator, Psychologist, Podiatrist, Maternal and Child Health and Continence Nurse. The addition of these services has complemented the total care package at the Centre. We continue to have the support of Western District Health Service, Wimmera Health Service, Medicare Local, Coleraine/Casterton and Hamilton Medical Centres in providing valued visiting services.

We continue to deliver health promotion activities such as school health talks, screening clinics, first aid courses and other health promotional activities. These activities are directly linked to the Victorian Public Health and Wellbeing Plan for 2011 -2015 as well as subregional goals based on our population needs and assessed risk areas.

Key achievements for 2013-2014

1. Completion and equipping of a new clinical consultation space

2. Strong links with Allied Health Medicare Local services ensuring positive outcomes for our community

3. Further development of Telehealth services ensuring access and equity to all individuals

Challenges for 2013-2014

1. Limitations and competition when applying for grants to provide ongoing health promotion programs

2. Continuation and expansion of our Medicare Local funded services

3. Ensuring we are meeting the needs of our community and continuing to have strong partnerships within the community

“Bush Nursing is about providing quality health care to this community through coordination, education and

advocacy .”

Heidi Robinson with RN Kim Dufty

Balmoral Bush Nursing Centre Inc 2013/2014 Clinical Presentations


CASE MANAGEMENTREPORT


1. Continued strong partnerships with Lyndoch Living and the Southern Grampians Shire Council to ensure clients are able to access quality care

2. Advocating for clients as they journey through the health care system

3. Ensuring clients are informed and provided with quality care to enhance their ability to remain independently living at home


1. Securing funding through Home and Community Care program to ensure service continuity

2. Providing information and acting as an advocate for clients as they face the challenge of accessing new systems in health and community care

3. Ensuring essential services remain in Balmoral to allow our clients to have quality care

Case Management involves being a central point for all parties involved in a client’s care to allow easier communication and coordination of services. This process ensures that the client has identified needs met by the most appropriate carer or service. Local access, local coordination ensures the best outcome for our local community.

Our staff has a strong local knowledge and are well equipped to assist the client with their choice of care support. We work as a multi discipline team relying on the expertise of speciality services such as physiotherapy, occupational therapy and speech therapy to ensure that the best care is provided.

We act as a point of coordination between services and provide advocacy for the client to ensure they receive an optimal care package.

Our partner services for case management include:

• Lyndoch Living

• Southern Grampians Shire Council

• Barwon Health Carer Respite

• Carelink Services

The services provided to clients include:

• Home Care

• Personal Care

• Advocacy

• Home Maintenance

• Meals on Wheels

• Respite Services

• Personal Alert Alarms

• Personal Health and Equipment Supplies

By thorough assessment, identification of specific needs and coordinated service provision based on Active Service Model principles, we assist clients to maintain independent and rewarding lives.

Ann Vaughan

Clinical Nurse Coordinator


“Providing care to individuals to allow them to continue living in their own homes is essentially the focus of our

service .”

Roy McPhee with Lisa McClure RN


COMMUNITY SERVICES

Respite & DisabilityThe Respite program offers support to carers, provides transport to medical appointments, and assists frail older clients and people of any age with a disability to remain living independently in their own home or with family for as long as possible.

The Active Service Model (ASM) assists people to live in the community as independently and autonomously as possible. Person centred care planning is a key feature to our services and programs.

Balmoral Bush Nursing Centre Inc NRCP Respite

2013/ 2014 (Hours per Month)

0

10

20

30

40

50

60

1 2 3 4 5 6 7 8 9 10 11 12

NRCP Target

NRCP delivered



0

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NRCP delivered



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NRCP delivered



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NRCP delivered



0

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NRCP Target

NRCP delivered

Respite worker Joy Brody with Kate Mutch

Respite workers Janette Matthews and Joy Brody

Balmoral Bush Nursing Centre HACC Respite

2013 / 2014 ( Hours per Month)

0

10

20

30

40

50

60

70

1 2 3 4 5 6 7 8 9 10 11 12

Hacc Target

Total HACC Delivered



0

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1 2 3 4 5 6 7 8 9 10 11 12

Hacc Target




0

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20

30

40

50

60

70

1 2 3 4 5 6 7 8 9 10 11 12

Hacc Target



COMMUNITY SERVICES

Responsibilities:• Provide a local contact for carers and clients to

access support

• Assess activity needs and preferences of clients and carers

• Network with service providers

• Assist with referral to other services as required

• Assist with transport

• Respect the independence, privacy and confidentiality of clients

• Ensure health and safety requirements are met for clients and staff

Funding Partners:• National Respite Carers Program - Lyndoch Living

brokered

• Home and Community Care (HAAC) respite (direct funded)

• Linkages - Lyndoch Living brokered

• Community Aged Care Packages - Lyndoch Living brokered

• Individual Support Packages - DHS direct funded


1. A holistic person-centred approach to care, promoting wellness and individual goal setting

2. Delivering flexible services that respond to a person and their needs

3. Maintaining Respite staffing levels, competence and qualifications

Challenges or Impacts on Capacity:

1. Continuing to provide a diverse service focused on community needs within funding constraints.

2. Transport costs and distance of travel to specialist appointments

3. Meeting the increasing demand for service in the community

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14Balmoral BNC Number of Respite

Trips 2013/ 2014


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3

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14

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Respite worker Tallie Talay


• National tree day planting at the Balmoral Golf Club

• Guest speaker Heather Napier

• Annual trip away to Camperdown

• Sheepvention Hamilton

• Footy tipping

• Road safety for seniors

• Anne Frank display in Casterton

• Trip to Bool Lagoon

• Seniors week Jade Hurley in Edenhope

• School visit

• Fishing in Coleraine

• Christmas lunch & break up

• Hamilton PAC – Spirit of Christmas

Jul

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BALMORAL PLANNED ACTIVITy GROUP (BPAG)The Balmoral Planned Activity Group (BPAG) assists people to live in their homes and community as independently and as long as possible. Independence refers to the capacity of people to manage their day-to-day activities and make decisions. This year BPAG had 45 individual clients who experienced 20 external trips, six guest speakers and involvement in six community projects.

In the past year, BPAG provided 452 individual meals at the Bush Nursing Centre. Specific men’s trips accounted for eight trips during the year. Another four sessions provided interaction with students at the Balmoral Community College.

BPAG provides programs and activities that ensure clients are able to gain the greatest level of independence possible. Equally, they must be as actively involved in decision making. Such decisions include the type of events they wish to attend, guest speakers on a wide range of subjects and visiting varied locations in the area. The wide range of events support and enrich the lives of those who attend.

“When clients share their interests, it is remarkable how they can positively influence the life of others.”

COMMUNITY SERVICES


• “Let’s Stop Here” art exhibition in Balmoral

• Men’s trip to Casterton

• Old time dance in Hamilton

Jan

• Commenced water exercise program at the Balmoral and district swimming pool

• 2014 BPAG welcome back

feB• Chinese New year

• Music group from Edenhope

ma

r

• Wimmera Machinery Field Days trip

• Knitting red poppies for anzac day

• Garden tour to Pashendale

aP

r• Tour of district churches stained glass windows

• Movie afternoon

may

• PAC Hamilton “yes I Remember It Well”

• Craft afternoon knitting penguin jumpers

Jun

COMMUNITY SERVICES


1. Connecting clients with new interests and social opportunities

2. Support clients to achieve goals and be involved with activities that are important to them

3. Helping clients to stay active and involved in the local community


1. Working within the funding constraints of current allocations

2. Continuing to strengthen social support opportunities

3. Providing a timely and flexible service


BBnC transport The goal of the Community Transport Program is to provide transport for residents in the Balmoral area within constraints of available funding.

Fortnightly trips to Hamilton and Horsham have continued in 2013-2014 with 24 trips in total.

104 clients used the service in the past year.

BBNC buses have been hired to the wider community, providing transport for larger groups, to travel together and to share the cost of transport .


1. 68,648 kms of safe and comfortable transport provided to BBNC clients in 2013-2014

2. Regular trips to Horsham and Hamilton

3. Continuing to partner with the Balmoral Community College to provide transport for VET students


1. Increasing youth transport needs

2. Lack of recurrent funding for the expanding needs for Transport for our ageing population

3. Recruiting volunteers

4. No access to public transport for Balmoral and District residents


Community Bus Trips 2013 / 2014

0

2

4

6

8

10

12

14

16

18

Community Bus trips

Clients



0

2

4

6

8

10

12

14

16

18

Community Bus trips

Clients



0

2

4

6

8

10

12

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16

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Community Bus trips

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0

2

4

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8

10

12

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Community Bus trips

Clients



0

2

4

6

8

10

12

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Community Bus trips

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4

6

8

10

12

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Community Bus trips

Clients

COMMUNITY SERVICES

Aileen Cantwell

BPAG outing utilising bus transport


Vet “getting them there” Project

A demand for youth transport was identified by the Balmoral Bush Nursing Centre and the Balmoral Community College to transport students to regular classes in Horsham for their VET Courses.

This year, 12 students have travelled to Horsham each Wednesday to attend classes.

The project is jointly funded by The Balmoral Community College, The Balmoral Bush Nursing Centre and an individual student fee. The program is grateful for the support from the BBNC Respite Staff who make themselves available each Wednesday morning to meet students at the Centre ready to travel to Horsham. These students are collected at the end of the day to return to Balmoral.

Geoff Barcham is the parent of year 10 VET student Nicholas. Nicholas is transported from Balmoral to Horsham once a week, overall a distance of more than 150kms. “Without the co-operation of the Balmoral Bush Nursing Centre in providing a driver and transport, Nicholas would be unable to attend at Horsham for his VET training, as my wife and I are both shift workers and cannot always be available to transport Nicholas. We all appreciate the service that the Balmoral Bush Nursing Centre provides.”

Centre Manager Lisa Hutchins reiterates the importance of the program,

“With no accessible public transport the services provided by the BBNC are critical to the District. We continue to advocate for improved transport options for rural remote communities such as ours .”

“With no accessible public transport the services provided by the BBNC are critical to the district. We

continue to advocate for improved transport options for rural remote communities such as ours .”

Pat Sullivan at Longerenong

COMMUNITY SERVICES

Pat Atchison


COMMUNITY SERVICES

the men’s shedWhile Community Sheds are now common, the Balmoral program was one of the first in Western Victoria, starting in 2006 as an avenue to enhance the Planned Activity Group. The program numbers have increased each year. Since that time membership has doubled and included women.

Men’s Shed is a weekly program where men and women in the district, gather, socialise, build, upholster, paint and repair.

Balmoral P & A Society Show

One of the highlights of the Shed year is making small wooden stools and mixing with the wider community at the local P & A Society show in March where shed members teach children the craft of working with wood and producing an item to take home.

ANZAC Day Service in Balmoral

Men’s Shed members worked with the Grade 6 students, RSL and Historical Society to make and paint white crosses to represent the men and women who served in World War 1 from the Balmoral and District area.

With the exception of coordinator wages, the Men’s Shed program is self- funded by donations from community members.

Bench enhances Serenity Garden

A bench handcrafted by Balmoral’s Men’s Shed group was donated to the Community College to enhance its new Serenity Garden.

“Most of us will never do great things, but we can do small things in a great way ”

Maren Mouriten

Balmoral Men’s Shed group present their handcrafted bench to Principal Wendy Hobbs of the Balmoral Community College


COMMUNITY SERVICES


• Creating opportunities and activities that enable socialisation and an active life.

• Making projects for the community and display of goods for sale at the Balmoral Community Store.

• Regular social interaction, learning new skills, promoting mateship

Challenges or Impacts on Capacity

• Limitations of existing physical space.

• Access to a quiet room and meals area to support individual goals.

• Funding for equipment and storage space.

Balmoral Community College Students and Leading Senior Constable Geoff Barcham display white crosses made for

ANZAC Day as part of the Men’s Shed programme.

Community Services Assistant Heather Smith, Len Thompson, John Rees and Neville Merryfull

Men’s Shed teach participant Neville Merryfull teaching children to make wooden stools at Balmoral Show


COMMUNITY SERVICES

VOLUNTEERSA Thank You at Christmas

The support of all volunteers who contribute and help out at the Centre is greatly appreciated.

Volunteer hours for 2013-2014 totalled 3430 across the organisation.

One way the Bush Nursing Centre thanks those who help throughout the year is the annual Christmas party. This event is held to thank all staff, volunteers and people involved with the Centre over the year. This important occasion gets the community together and to say thank you for the myriad of contributions that go into making the BBNC the place it is.

Balmoral Planned Activity Group (BPAG)

Without the many volunteers who help out each week with the Balmoral Planned Activity Group, we would not be able to offer the large range of activities which clients have come to enjoy on a regular basis. Volunteers provide ideas, afternoon tea, companionship, laughs and always a helping hand.

Drivers

Volunteers continue to drive the Community Bus on regular trips to Hamilton and Horsham. This helps to make the Community Bus a far more cost effective program.

“Volunteers don’t just do work

- they make it work”

Carol Pettit

Greg Rogers assisting the Men’s Shed

Community Services Assistant Heather Smith

with volunteers Beth Smith and Edna Duggan

Volunteer Betty Weaver and Louise Cameron


“The Program’s trips away are invaluable. They encourage strong camaraderie and team building--each client returns home with wonderful memories

of their time away.”

Community Services Coordinator Lyn Iredell

COMMUNITY SERVICES

After enjoying a great night’s sleep we were ready to attack the day at Camperdown. Places visited included: the Heritage Centre, the Clock Tower, the Robert Burns Statue, the Benedictine Abbey, Camperdown’s Botanic Gardens and the Mt Leura- Mt Sugarloaf Reserves. Back to the Motel for a much needed rest before heading out for dinner at the Hampden Hotel.

Packed and ready to go on Day Three, we travelled to a local farm that produced Scottish Highland cattle. These cattle have very long hairy coats and the calves looked like teddy bears. Back on the road again we visited Glenormiston Estate. During the tour of the Glenormiston Estate homestead we were able to admire the magnificent wood carvings by Robert Prenzel. Robert Prenzel also did wood carving work in the Anglican Church at Balmoral. Tour over, it was time for lunch before returning to Balmoral after a very successful time away.

annual BPag trip 2013This year Balmoral’s Planned Activity Group discovered many new places of interest in the Colac and Camperdown area as part of its annual trip. The program included two nights away and was a great success.

After leaving Balmoral. the group of 16 headed to Warrnambool to travel to Colac by train, an experience that many have not enjoyed for years. After arriving in Colac, everyone enjoyed lunch and a tour of Colac and Red Rock Volcanic Reserve.

The group then headed to Camperdown to unpack at the Cascade Motel before going to the Commercial Hotel for dinner. We were welcomed at the hotel by ten local Rotary members. The Balmoral group found it interesting interacting with the locals and learning about the area. We met up with many of these Rotarians again during our stay in Camperdown at different places we visited where they were either working or acting as tour guides.

Lyn IredellCommunity Service CoordinatorBalmoral Bush Nursing Centre

Louise Cameron, Anne Paterson and Bob Paterson enjoying the train trip to Colac

BPAG Group in Camperdown as part of the 2013 annual trip away


STORIES OF OUR SERVICE

It’s not always about medical treatment. With Bush Nursing some issues start at the grass roots - such as keeping a town’s only grocery store open or fighting red tape to ensure fuel can be accessed locally.

In 2010 the Bush Nursing Centre became shareholder Number One in Balmoral’s community-owned store. An unusual relationship for a Bush Nursing Centre and a Community Store to partner?

Centre Manager Lisa Hutchins doesn’t think so. She points to the very real issue of food security in rural areas, which was prioritised in the Bush Nursing Centre’s most recent service planning.

Food security is a issue for all the community but especially for low income earners, the unemployed, the elderly, disabled, frail, or anyone who has limited or no access to private or public transport. Not eating well is directly linked to poor health.

Balmoral is nestled between the main centres of Horsham and Hamilton. Both towns are approximately one hour away. The risk of having no grocery store in the town was a very real situation in 2010. The store remained open because the community purchased the store. The Bush Nursing Centre is one of these shareholders.

The economic benefits of access to local employment are also supported by the community store. The store has created local employment opportunities which provide for increased community participation.

A second access issue developed in 2013. Balmoral’s only fuel retailer closed. This was a major issue for the district and the Bush Nursing Centre. The community was forced to purchase fuel 60 kms away. Ambulances and Bush Nursing Centre vehicles had to be refuelled. Tourists who came to camp in the Balmoral area were finding themselves stranded.

Balmoral Bush nursing Centre advocating for our district

Balmoral residents Ben McPhee and Neville and Nancye Merryfulll enjoy resumption of fuel service to Balmoral.

“We now have a financial share in the Balmoral Community Store—the health of our clients depends on accessing fresh food locally. Travelling to Hamilton or Horsham is not an option for those in Balmoral who don’t have transport, are frail or incapacitated,” Centre Manager Lisa Hutchins said.


Again the BBNC decided to be part of the solution. The BBNC used well- honed skills in advocacy and battling red tape to support community members re-establish a petrol station in Balmoral. A site was identified, however the fuel company approached had a no new capital investment policy. Representation letters were presented to the Scott Petroleum Board outlining the crisis situation and asking for an exemption for this project. The company conceded and invested in the construction of a 24 hour unmanned fuel facility in partnership with local fuel proprietors Ben and Heather McPhee. This facility opened in April 2014.

The Balmoral and District Development Association President Gerard Watt said, “Balmoral highly values the role of the Bush Nursing Centre in advocating for the town- including Balmoral’s Community Planning project, strategic input into maintaining and developing essential services, and towards the town’s growth and sustainability.”

Mr Watt said, “Lisa Hutchins’ skill in ‘big picture’ thinking and her co-ordinated and consolidated approach to Balmoral’s sustainability provides invaluable support and a strong voice for the town and its community groups.’’

By working with locals, communicating the health and social impact of no fuel, liaising with local government, the Bush Nursing Centre actively assisted in an outcome benefitting the entire community .



Two long standing contributors to the Balmoral Bush Nursing Centre were presented with Order of Australia medals at a ceremony at Government House in March.

The Order of Australia was established in 1975 as an Australian society of honour to recognise Australian citizens and other persons for achievement or for meritorious service.

Christina (Petee) Hindhaugh and William (Bill) Falkenberg were both named in the Australia Day awards lists. Both have a long association with the Balmoral Bush Nursing Centre.

Mrs Hindhaugh was nominated for service to the community of Balmoral, and to women in agriculture. Her connection with the Bush Nursing Centre extends over four decades.

As a young mother she sought Bush Nursing care for her family as well as serving on the Board of Management at the Centre for nine years. Eight years ago the Balmoral Bush Nursing Centre invited her to serve as Centre patron, a position she continues to hold.

Bill Falkenberg also received the Medal of the Order of Australia. He was recognised for service to primary industry through executive roles with apiculture (beekeeping).

Bill served on the Balmoral Bush Nursing Centre’s Committee of Management for over twenty years.

Balmoral Bush nursing supporters

receive Order of australia medals

Balmoral Bush Nursing Centre Board President Neville Trotman said, “To have one Order of Australia recipient

among our Bush Nursing family is something we are extremely proud of but to have two in the same year is extraordinary. It demonstrates the outstanding nature of those who have volunteered to this Centre and the

community as a whole.”


Christina (Petee) Hindhaugh AO

William (Bill) Falkenberg AO


Two years ago the Bush Nursing Centre created a formal partnership with the local Chameleon Arts Collective. The relationship recognises that the wellbeing and liveability of a community improves where art, music, and creative outlets exist.

Strategically the BBNC has targeted social connection, and shared priorities for the community’s needs. The arts partnership advances this BBNC strategy, enhances efforts of Chameleon Arts and improves community wellbeing.

Since then the Bush Nursing Centre fulfilled the partnership by supporting funding applications, donating administration time and participating in the Chameleon Arts Roving Music Night. This Community event saw approximately 300 people enjoy a night of music within the Balmoral Township. Other events included print making workshops, and a pop up photo exhibition called “Let’s Stop Here” as part of Horsham’s Art Is Festival.

Chameleon Arts President Clare Ryan praised the local health/arts partnership, “The wellbeing of a community can be measured by the level of integration between its economic, social, health and environmental aspects. Balmoral is fortunate to have a first-class Bush Nursing Centre with inspired leadership and teams who demonstrate a high level of integration, commitment and advocacy for a holistic approach to community wellness.”

Partnering with the arts

The collective impact of community groups working together can be powerful.


Balmoral Community College students and teachers perform Let's

Get Ridiculous

Human statue scene at the Chameleon Arts’ 2013 Night of Roving Music

Community gather in Balmoral’s Mural Square for the Chameleon Arts’

2013 Night of Roving Music


manager 1

area Coordinators 4

nursing 7

Community services 11

administration 3

environmental services 3

Project 2

OURSTAFF

Administration staff Jodie Russell and Jenny Macfarlane

Respite staff: Karen Davis, Rebecca Kearns, Lana Howman, Tallie Talay, Janette

Matthews, Heather Smith, Lyn Iredell

Nursing Staff: Kim Dufty and Gill Hair


OURSTAFF

Centre Manager Lisa HutchinsRN Div 1 Dip App Sc (Nsg), VRANDip. Business (Human Resources)

Clinical Nursing CoordinatorAnn VaughanRN Div 1, BN.VRAN Adv Dip. Management, Cert IV Workplace Training and Assessment,Nurse Immuniser

Nursing StaffDiane McLean: RN Div1, VRANGillian Hair: RN Div 1, RM, VRAN Kim Dufty: RN Div 1, BN, RM, VRAN, Nurse ImmuniserSarah Roberts: RN Div 1, BN, VRANLisa McClure: RN Div 1, BN, VRAN

Community Services Coordinator Lyn IredellRN Div 2, Cert III Home & Community CareLevel II First Aid

Community Services Assistant Heather Smith: Cert IV Home & Community CareCert III FitnessLevel II First Aid

Administration CoordinatorJodie Russell: Associate Dip App Sci (Farm Management), Associate Dip App Sci (Wool and Fibre Marketing), Level II First Aid

Administration StaffLauren Mason: Level II First AidJenny Macfarlane: Cert Rural Office Practice, Level II First AidFiona Jagger: Level II First Aid

Executive Administration OfficerSabrina Watt: BA (Journalism and History), Level II First Aid

Respite CarersLana Howman: B Sc (Teaching) PCA Certificate, Level II First AidJoy Brody: Cert III Home & Community Care, Level II First AidLauris Logan: Cert III Home & Community Care, Level II First AidRebecca Kearns: Cert III Home & Community Care, Level II First AidJanette Matthews: RN Div 2, Level II First AidKaren Davis: Cert III in Home & Community Care, Cert III in Aged Care, Level II First AidTallie Talay: Cert III Fitness, Level II First Aid

Live ActiveTallie Talay: Cert III Fitness, Level II First AidJannette Tinning: Cert III Fitness, Level II First AidGilles Forget: Cert IV Fitness, Level II First Aid

Quality and Risk Coordinator Anita Weaver: Cert III in Retail Pharmacy, Worksafe approved Health and Safety Representative OHS training course, Level II First Aid

Environmental Services StaffMargaret (Louise) GuthrieRebecca Kearns: Cert III Home & Community Care, Level II First Aid

Connecting people, promoting knowledge, investing in the health and wellbeing of our community, for the future


LETTERS OF THANKS


DONATIONS

the Balmoral Bush nursing Centre recognises the financial donations provided by our community. the Centre is grateful to each person or business who has donated.


Harry KleinL & A McPheeD Black & L LeNayBob TurrellG & R ShriveT & A ShriveThe Wardlaw FamilyG & B WeaverB & B BathMrs Carol EllisP & F MutchH & J NorrisD & J CantG ScholfieldMrs A RogersA BurnePigeon Ponds Sports & Social ClubIV & AE GreyDP & AJ WattThe Grey FamilyCathy WalshL McClureJeff PieraHugh Delahunty MLAKaren ClarkeM & M WaddingtonJ & J MasonC & B Grant C & J GrantG & A KemisterMrs Derek Officer


NOTES


the Balmoral Bush nursing Centre continues to formalise and integrate planning with key partners.

darcy Penrose - mooree remedial massage

Department of

Human ServicesDepartment of

Health

Balmoral and DistrictRecreation Reserve

Coleraine Casterton medical

Balmoral and district development association

KEYPARTNERS

connecting peopleBalmoral Bush Nursing Centre

Connecting people, promoting knowledge, investing in the health and wellbeing of our community, for the future

Ph: (03) 5570 1304F: (03) 5570 1482E: [email protected]

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