presentation to charnwood community health group 30 th november 2004 tim budge, south kingsville...
TRANSCRIPT
Presentation to Charnwood Community Health Group
30th November 2004
Tim Budge, South Kingsville Health Services Co-op Ltd
Overview
How It Started
25 Years in 5 Minutes – A Potted History
A Profile of SKHS Now
A Profile of the Local Area
Our Challenges
What Would We Do Differently
How SKHS Started
Genesis in radical Christian Community
Focus on analysing & responding to local need
1980 – One Doctor prepared to “have a go”
Auspiced by Baptist Social Services Department –
but a difficult relationship
1986 – Became independent – South Kingsville
Health Services Co-op Ltd
A Potted History
Wages – originally very low – progressively became more competitive
Early Days Community Health/Outreach “Learning for Life” Casserole Bank Free Counselling/Support Volunteer Transport
Voluntary Management Committee (from the start)
More Potted History 1987 – Purchased property
1992 – Purchased premises next door, pharmacy as major tenant
1993 – Purchased medical clinic in Newport (next suburb)
1995 - Dental equipment donated (with a dentist prepared to provide low-cost service)
1990 – 2000: finances progressively tighten
Even More Potted History
1997 – Co-op membership made compulsory for bulk-billing (membership funds needed)
1999 – 2004: GP recruitment becomes much harder
Focus of last few years: Understand business Recover financial stability Membership growth Develop systems, structures and processes
SKHS in 200425 staff: 11 GPs (most p/t), 2 dentists, 3 practice nurses, p/t bookkeeper, p/t CEO & p/t Practice Manager7,600 membersApprox 25,000 consultations/year$1.9 million turnover
Our Patients/Members
Where they come from: Immediate suburbs – 50% 5 km radius – 30% 10 km radius – 10% 20 km (Werribee) – 5%
Demographics: 36% members concession
card holders 42% patients concession
card holders 20% patients > 65 years 40% attending co-op > 10
years
Local area is changing
A Profile of the Local Area
For the Westgate Division of General Practice (Cities of Hobsons Bay & Wyndham): 180,000 people across 610 square kms; 45 practices (13 solo); 155 General Practitioners (approx ½ part-time); Approx GP Ratio - 1:1,500 (national - 1:1,300); In Last Seven Years:
24% increase in population; 18% decrease in GP “providing attendances”; 52% increase in number of people per GP;
= Shortage of 40 doctors across both LGAs.
GPs & Bulk-Billing - Hobson’s Bay
Hobsons Bay:
Population approximately 80,000
24 GP practices, approximately 79
GPs;
Equates to approx 60 fulltime GPs;
Approximately 1,350 people/GP.
Clinics & Bulk-Billing in Hobson’s Bay
26%
22%
26%
17%
9%
EveryoneNo-oneAged PensionAny PensionPension/ U16
Advantages of SKHS Model/Philosophy
Let’s doctors “get on with their job”
Builds local capacity and local benefits
Improves health care: Patient focus
Community focus
Genuine “community health”
Capacity to develop Community Health
Advocates
Current Challenges
Consolidate – stick with 2 clinics
Develop excellent systems and processes
Computerise all records
Excellent medical care & an excellent model of care (comprehensive)
Adding value for co-op membership
Develop volunteering
Keeping “In the Black”
What Would We Do Differently?
More work on Governance and Management
Value and develop model of Community-Owned Health Service
Focus on Mission (not try to be just another medical clinic)
More focus on financial sustainability
Right people in the right job
Questions
and
Discussion