Western NSW Local Health District Awards

Right time, right place- innovative collaboration to connect women from Western NSW to world class cancer treatment - RECIPIENT

This project places Aboriginal women and their cultural, emotional, and healthcare needs at the core of its framework, ensuring they receive value-based healthcare throughout their clinical pathways. The services are co-designed and work closely with Aboriginal Care Coordinators and Liaison Officers to ensure the patient experience is consistently evaluated from initial referral and consultation through to follow-up and aftercare.

The incidence of cervical cancer among Aboriginal women is double that of non-Aboriginal women, with a mortality rate four times higher, according to the Cancer Council 2024. To address this, comprehensive treatment schedules include 25 treatments of external beam radiotherapy available within the Local Health District, combined with brachytherapy from a metropolitan hospital. Clinical protocols suggest higher cure rates when all treatments are completed within 50 days.

Aboriginal Care Coordinators assist patients with socio-economic and health literacy needs. They meet patients at initial consults, simulation, and first-day appointments, and interact daily to alleviate complexities and minimise non-compliance.
 

Aboriginal breastfeeding resource

This initiative aims to increase breastfeeding rates and strengthen connections within these communities. The project focuses on collecting and creating culturally appropriate breastfeeding materials.
Western NSW covers a vast area, often requiring Aboriginal women and their families to travel long distances for birthing facilities, sometimes off-country. This separation from familiar support networks contributes to a rapid decline in breastfeeding rates postpartum. AMIHS data shows that while many women intend to breastfeed at birth, by six weeks, many switch to milk substitutes. Reasons include incorrect advice, myths, and a lack of accessible help. Additionally, Aboriginal babies often need higher-level medical services and access to breastmilk banks. There is a noticeable lack of culturally sensitive breastfeeding resources in the region.

This strategy, centred around AMIHS in the Local Health District (LHD), aims to fill this gap by highlighting available supports and providing a platform for local voices. It is built on the principles of respect and value for Aboriginal cultural practices.

Gook-int-ji-nhuungku

Gook-int-ji-nhuungku (pronounced Gookandgee noon-goo)

The Gathering has taken place over the last 10 months in Bourke. The name of the Gathering honours an Aboriginal Women's Gathering. The Barkindji language group, one of the traditional owners of the land on which Bourke stands, provided the word to emphasise the deep cultural ties and history connected to Bourke.

This project demonstrated the effectiveness of delivering health programs across our communities through collaboration, planning, and working with partners. Crucially, it involved our patients and consumers. Closing the Gap is everyone's responsibility and requires a coordinated approach and goodwill from all.

Using outcome measures to empower Aboriginal patients and connect with services

The WNSWLHD Patient Reported Measures (PRMs) Team saw an opportunity to lead in addressing the specific needs of Aboriginal and Torres Strait Islander patients by improving how PRMs are used in the district. Recognising that the collection and use of PRMs in Aboriginal Health was inadequate, the team aimed to create a new approach tailored to the unique needs of these patients, as existing state-wide programs often did not align well with rural, remote, and regional requirements.

To address this, the team, working with over 40 Aboriginal Health Workers and Practitioners, developed a culturally appropriate PROM tool based on PROMIS29. This new tool was designed to be more relevant and effective for Aboriginal and Torres Strait Islander patients. Since the introduction of this revised approach, there has been a significant increase in PRM collection, with an additional 34 practitioners involved and over 350 PROMIS29s completed, marking a 900% increase.

The use of the PROMIS29 has fostered a more holistic and patient-focused approach to care, ensuring that the health services provided are both valuable and meaningful from the patients' perspective.

 

Scan - reuse - reduce - RECIPIENT

This project implements a known innovation in radiation therapy, developed by Royal North Shore Hospital (RNSH), and adapts it to a regional and rural context to enhance both patient and health professional experiences in palliative care. It aims to lower the carbon footprint of radiation therapy and promote environmental sustainability.

In the Western New South Wales Local Health District, where Radiation Oncology services are based in Orange and Dubbo, the project introduces a new workflow to improve access for geographically isolated patients without disrupting their local communities and support networks. The workflow incorporates tele-health consultations with a specialist Radiation Oncologist to ensure high-quality care for all patients, regardless of location.

The project is notable for its development of a professional education program, created in-house to train Radiation Therapists, Medical Physicists, Nurses, and Medical Imaging Technologists. This training has led to fewer CT scans per patient, enhanced professionals' understanding of resource use and sustainability, and improved the validity of medical imaging scans. Overall, the initiative reduces carbon emissions by decreasing the number of scans and the need for long-distance travel, effectively balancing environmental benefits with superior patient care in rural and regional areas.

Adult first seizure clinic Dubbo

The First Seizure Clinic (FSC) is a patient-focused initiative designed to alleviate the difficulties faced by adults experiencing their first seizure. It streamlines the process by offering quick access to tests and consultations with medical and nursing specialists, avoiding the long waits typically associated with Emergency Departments.

Traditionally, patients often face extended waits in Emergency Departments, which can lead to hospital admissions and multiple referrals, hindered by a shortage of General Practitioners and Neurologists, complicated system navigation, and financial costs. These barriers often result in incomplete investigations and treatments.

The FSC addresses these issues by allowing direct referrals from the Emergency Department, providing immediate access to necessary tests and consultations. This speeds up decision-making and reduces the hassle of navigating the healthcare system. The clinic also focuses on patient education and encourages the involvement of support persons, including teaching Seizure First Aid to relatives and carers, thereby promoting better management of chronic health conditions.
 

Occupational therapy in the emergency department

In Western NSW, a trial of Occupational Therapy (OT) was conducted in the Emergency Departments (ED) of Orange, Bathurst, and Mudgee Hospitals over three months from July 2023 as part of the District's Winter Strategy. The aim was to enhance early discharge planning and reduce hospital admissions for patients aged 65 and over by providing timely OT interventions during the winter period, which sees a spike in presentations from this age group.

The trial involved implementing a seven-day-a-week OT roster in the ED to facilitate early assessment, intervention, and planning for patients aged 65 and over. The effectiveness was measured by monitoring the Emergency Treatment Performance (ETP) for admitted patients over 65, with the target being to keep the ETP for this age group above 9.3% and to reduce monthly admissions for those over 65 to below 517.
Results indicated an increase in the number of patients discharged within four hours for both age groups since the OT's introduction. Feedback from staff and patients revealed that the OT role positively impacted the patient experience and improved staff understanding of OT's role in patient care. Overall, incorporating an Occupational Therapist in the ED successfully met the ETP targets across all three facilities.
 

Public health analytics dashboard

The Public health analytics dashboard is a joint initiative between the Strategic Reform Planning and Partnerships (SRPP) directorate and the Public Health Unit (PHU) in Western NSW. It aims to centralise and visualise public health data, facilitating timely and consistent monitoring of diseases and risks. This platform supports data-driven decision-making for public health responses and enhances health protection and population health efforts in the region.

The project was developed using an agile methodology, leveraging existing resources. A small project team established essential elements such as a steering committee, key stakeholders, data governance, and security measures. The team defined the project's purpose, objectives, benefits, and scope, addressing dependencies, risks, and issues along the way.

Rural nurse led heart failure clinic

The launch of a rural nurse led heart failure clinic has enhanced primary outcomes for patients with heart failure with reduced ejection fraction (HFrEF), boosting their quality of life and self-efficacy. Additionally, the clinic has led to secondary benefits for the WNSWLHD, including fewer readmissions for HFrEF and notable cost savings.

Mudgee Health Service, food service team - RECIPIENT

The Mudgee food service team is embracing sustainability with their innovative Paperless Kitchen initiative. By using a spare laptop and an existing Microsoft program, the team, led by a supportive manager and a group of inspiring staff, has transitioned to a digital system for managing reporting and auditing documentation. This approach allows food services staff to input food monitoring data in real time, providing consolidated insights for mandatory reporting requirements.

This new system is designed to serve the Mudgee Health Service and can be easily scaled to other facilities across the district. The Paperless Kitchen marks a significant step forward in sustainability and efficiency, moving the team into the digital age while enhancing their ability to meet reporting standards.
 

BreastScreen Greater Western team

BreastScreen Greater Western is a dedicated team of high performers committed to providing breast screening services across all locations. Our team includes both long-serving staff with over 30 years of experience and passionate new members, all united by a common goal.

Our clients are at the heart of everything we do. We pride ourselves on being flexible, accommodating, and understanding of the challenges women face throughout our vast catchment area. Our staff regularly travel long distances and spend weeks away from home, ensuring that women in Western NSW and the Far West LHD have access to vital breast cancer screening services
 

Pharmacy purchasing team

The Pharmacy purchasing team at Western NSW Local Health District has made remarkable strides in cost savings and workflow improvements. Under the leadership of the District Pharmacy Purchasing Officer, this team of pharmacy technicians and assistants across the district's seven pharmacies has excelled in medication procurement.

Their collaborative efforts have led to significant pharmaceutical savings this financial year. Additionally, their dedication has streamlined the medication ordering and delivery process, significantly enhancing the efficiency of the Pharmacy Service.
 

Radiation and Oncology PET team

The Radiation Oncology and PET Imaging service at Western NSW Local Health District is known for its innovative and collaborative approach to providing top-notch, patient-centred healthcare. The team prioritises cultural awareness, evidence-based practices, and positive outcomes. They are committed to continually improving patient care quality and safety while balancing cost-effectiveness and sustainability.

Western NSW Local Health District’s Radiation Oncology service is recognised as a leader in radiation therapy in Australia. They offer world-class treatments designed to minimise the impact of a cancer diagnosis on patients, families, and communities, using a patient-centred approach that involves and empowers patients.
 

Cervical screening during pregnancy Dubbo - RECIPIENT

The goal of this project was to ensure that 70% of eligible women receiving antenatal care at Dubbo Hospital's Maternity Unit had cervical screening, in line with the World Health Organisation's objectives.

​Breast cancer survivorship

To boost patients' confidence in exercise and living well after breast cancer treatment, an exercise-based education group was set up in Mudgee. This group was specifically designed for breast cancer patients moving into survivorship. The project successfully met its goal of enhancing patient confidence in managing their health after cancer treatment.

Helping hands at Orange Health Service

This project aimed to make sure that all stroke survivors with upper limb problems admitted to the Orange Health Service Rehabilitation Unit received care that aligns with Australian and New Zealand stroke management guidelines. This includes setting and reviewing goals together with the patients and providing them with constraint-induced movement therapy.

Narromine anti-vaping intervention

In response to community worries, the NAVI pilot project was co-designed with local young people and partners to raise awareness about the dangers of vaping and offer help to quit. The strategies focused on improving health knowledge about vaping, recognising signs of addiction, creating vape-free spaces, supporting smoke and vape-free laws, and providing more opportunities to access quitting support.

Tuning in to kids - RECIPIENT

Emotion coaching and emotional regulation are crucial skills for both parents and children, promoting emotional wellbeing and lowering the risk of future mental health issues. The "Tuning In To Kids" program, developed in Australia, is a six-week, evidence-based initiative designed to help parents master these skills.

The Rural Psychology Service identified a significant need for such a program, particularly in rural and remote areas where it was previously unavailable. The program has been delivered through telehealth on five occasions in 2023/24, with accredited psychologists facilitating the sessions. The feedback from parents has been highly positive, showing improvements in emotional intelligence, emotional and behavioural regulation, and family relationships.

The program has proven to be effective and is now a sustainable, district-wide initiative, and continuing to benefit families through telehealth.

Mawang

To build trust and improve relationships between Western NSW Health and community members, particularly Aboriginal people who are reluctant to use formal health services, a culturally safe and accessible outreach service is offered. This service aims to improve health outcomes through a community-driven mental health, drug, and alcohol program.

Weekly group sessions focus on social, emotional, physical, and mental wellbeing. These sessions, led by Mental Health and Drug and Alcohol (MHDA) professionals in collaboration with Aboriginal health workers, include cultural activities and clinical practices to support healing.

MHDA district wide digital induction

The Mental Health Drug and Alcohol (MHDA) district-wide digital induction initiative offers a modern solution for on boarding new staff in the Western NSW Local Health District. This project uses web-based technology via the intranet to provide a self-directed and flexible induction process, which includes introduction videos, online learning, and reflective tools. It aims to ensure all new employees, whether clinical or non-clinical, gain a consistent understanding of essential MHDA services and requirements.

The platform streamlines the on boarding experience, allowing for any start date and day of the week, and tracks progress through Learning Management Systems for efficient management and auditing. It also includes a comprehensive list of support links on the intranet, which provides resources such as uniform access and union membership details, helping new starters integrate smoothly into their roles.

New graduate clinical nurse educator framework MHDA

The New Graduate Clinical Nurse Educator framework aims to improve the on boarding and ongoing development of new graduate nurses in Mental Health and Drug and Alcohol (MHDA) services. Funded by state resources, it supports up to 30 new graduates at a time, focusing on skill development as part of the 20% component of the 70-20-10 learning model. The framework includes the MHDA Skills Development Tool, which provides a clear path for practical learning and enables Clinical Nurse Educators (CNE) to tailor their guidance to each nurse’s individual needs.

This framework ensures that both educators and new graduates are held accountable, aiming for measurable improvements in skills, nurse retention, and patient care. Performance can be assessed through the framework, which features 24 items in the Skills Development Tool. Each item is managed by a CNE, and the tool’s overlapping features allow new graduates to view components from different perspectives, while also helping educators identify and address learning gaps.

Oral health waiting list reform - RECIPIENT

The Oral Health team revamped their approach to general dental care for adults, all while sticking to the NSW Priority Oral Health Program's prioritisation. These changes have enhanced patient care, cut down on admin work, and made it easier for patients and staff to communicate about waiting times. Innovations like telehealth assessments and automation in our electronic patient records have helped us cut out unnecessary appointments, allowing us to treat more patients. Our waiting lists are now more straightforward, with shorter wait times and fewer barriers to care. This success is now setting a standard for state-wide changes.

​Embracing evidence and technology to empower rural and regional Radiation Oncology patients to overcome the known barriers to accessing care

Hypo-fractionated radiation therapy is a valuable treatment for some cancers, offering benefits for both patients and the healthcare system. This approach involves fewer treatment sessions, which can significantly reduce the burden on patients and their support networks.

Health professionals such as Radiation Therapists, Radiation Oncologists, and Nurses are crucial in providing information, support, and advocacy for patients undergoing this therapy. Their role ensures that patients are well-informed and can make choices that suit their needs.

In WNSWLHD, an example of hypo-fractionated treatment is the 5-fraction regime for breast cancer patients. This option is unique as many regional and rural services still offer the traditional 15-fraction treatment. The 5-fraction regime, well-established internationally, particularly in the UK, reduces the time patients spend away from home, work, and their support networks, and lowers accommodation and travel costs.

First experience, lasting impression -paediatric clothing pool Dubbo

The project aimed to enhance the hospital experience for young patients by focusing on their personal belongings and clothing. Many children arrived with few or no personal items, which added stress for their parents and discomfort for the kids. Hospital gowns were disliked by the children, who often refused to wear them, leaving them in soiled clothes and leading to them hiding under bed covers to avoid moving around or participating in activities.

To address this, the project created a clothing pool from donated second-hand children's clothes, with strict processes for selection, hygiene, and storage to meet infection control standards. The results were notable: children became more active, engaging in activities like playing in the garden and moving around the ward. This approach helped improve their hospital experience, making them feel valued and fostering a positive connection with the healthcare system.
 

Listening to kids - paediatric patient experience survey

After reviewing WNSWLHD processes through a structured gap analysis, the Patient Experience Team started a co-design process to develop a flexible Paediatric Patient Experience Survey (PPES) tool. This tool gives children and young people the chance to provide feedback on their experience throughout their care journey in the inpatient setting.

Changing the slippery slope of deteriorating patients - RECIPIENT

Parkes Health Service's nursing leadership team, driven by a commitment to improvement and working closely with the Quality, Clinical Safety & Nursing directorate, identified a common goal that resulted in effective changes. The Director of Rural Medicine, General Manager, and Health Service Manager all supported these changes. Many indirect partnerships also played a role in the project's success. To ensure these innovations continue, the new ideas have been integrated into the daily processes at Parkes Health Service. The approach used at Parkes can be easily adapted by other health services, allowing them to address their own emerging issues through similar processes, including site-specific education, process changes, and regular evaluations.

Bathurst Health Service medical imaging TOC

The Transfer of Care (TOC) project aimed to boost safety during patient transfers to Medical Imaging (MI) by enhancing communication between wards and MI staff. Initially trialled between the Emergency Department and Medical Imaging, the form was reviewed and improved based on feedback. Following positive results from the pilot, the form was recognised as a valuable tool by the Standard 6 Committee. It has since been implemented across all wards transferring patients to Medical Imaging.

Critical care drug administration guidelines

Across the 36 facilities in the Western New South Wales Local Health District, critical care units include Emergency Departments (both Base and Rural), Cardiology, Cardiac Catheter Labs, and Intensive Care Units (ICU). These units manage critically ill patients in urgent situations, requiring high levels of focus and juggling multiple priorities. Safe and timely administration of high-risk medications is crucial in these environments.

In 2022, the Critical Care Drug Administration Guides (CCDAGs) were introduced to standardise medication delivery across these specialties. Before the CCDAGs, clinicians had to gather information from various, sometimes conflicting, sources like Local Health District protocols and the Australian Injectable Drug Handbook (AIDH).

The CCDAGs consist of 58 easy-to-access documents on the WNSWLHD Intranet. They offer clear, concise guidance on preparing and administering high-risk intravenous medications, including standardised infusion concentrations and monitoring requirements. This standardisation facilitates smooth transitions between specialties and reduces clinical variations.

REACH - improving patients, families and carers escalating care

REACH is a process that lets patients, families, and carers raise concerns early if they’re worried about a condition or the care being provided. The aim of the project was to boost the use and awareness of the REACH escalation process across WNSWLHD.

To achieve this, the project introduced several strategies across all 39 facilities in WNSWLHD, including:

• Standardised consumer resources.
• A WNSWLHD-specific REACH video.
• A REACH QR code for easy access to the video.
• REACH resources included in patient information on admission and within the facilities.
• Integrating REACH into the WNSWLHD Clinical Escalation Response System (CERS) for a uniform governance structure.
• Adding REACH to all CERS charts within WNSWLHD.
• Providing staff education on the REACH process.

Allied health rural graduate program - RECIPIENT

The allied health rural graduate program (AHRGP) began in 2023 as a pilot project aimed at improving the recruitment and retention of allied health professionals in Western NSW Local Health District. This structured two-year program assists recent graduates in transitioning to the workplace and building rural generalist clinical skills, with a focus on strengthening the future allied health workforce.

In its inaugural year, 15 graduates from five disciplines—dietetics, occupational therapy, physiotherapy, social work, and speech pathology—joined the program in Bathurst, Orange, and Dubbo. The program was refined to include an annual intake, with a second group of four graduates starting at Dubbo Health Service in 2024. The program achieved an 80% retention rate in its first year, matching the retention seen in the District’s GradStart nursing program.

The AHRGP has since expanded to support 50 allied health graduates across eight disciplines (including pharmacy, psychology, and radiation therapy) at seven District sites. It remains a distinctive initiative within NSW Health, providing valuable support, networking, and education to early-career allied health professionals.

Enrolled nurse cadetship

The WNSWLHD Enrolled Nursing (EN) Cadetship is a pioneering initiative in NSW Health, developed in collaboration with TAFE NSW. This program aims to cultivate a skilled, local workforce by engaging school students, rural and remote learners, and educational institutions to build career pathways in health.

The cadetship offers a weekly study allowance of $300 for 40 weeks, along with 55 days of paid work placement, helping cadets apply their theoretical knowledge in a clinical setting. Over its 18-month duration, the program supports the development and retention of skilled nurses.

In 2023, the program recruited seven cadets, with 75% on track to graduate in November 2024 and all offered ongoing positions within WNSWLHD. For 2024, 10 new cadets have been recruited, including three who identify as Aboriginal. Cadets have highlighted the practical learning opportunities provided by the program.

Everyone gets a slice - production of cricothyroidotomy trainers

The Emergency Department Training Unit has introduced realistic cricothyroidotomy trainers to boost hands-on training for nurses and doctors. These trainers are anatomically accurate and designed to improve skills and confidence in performing cricothyroidotomy, a crucial emergency procedure. Made from cost-effective, 3D printed biodegradable materials and silicone casting, they are portable and space-saving.

Previously, large-scale training sessions often had limited access to training devices due to high costs. The new trainers address this by being available to all participants, allowing more practice opportunities. Feedback from the training has shown notable improvements in participants' understanding of the procedure and increased confidence.

This initiative is part of the broader implementation of the Meditech CICO Kit, a comprehensive ‘Grab and Go’ solution for handling ‘Can’t Intubate/Can’t Oxygenate’ (CICO) scenarios. The project highlights the effective use of innovative tools to enhance emergency care outcomes.

International registered nurse (RN) orientation program

The establishment of CREST-Sim stemmed from innovative thinking to improve education, simulation, training, and support for WNSWLHD nurses, addressing the limited capacity at local facilities. The International RN Orientation Program at CREST-Sim is particularly innovative in providing a comprehensive and immersive learning experience tailored to international nurses' needs. It employs various manikins, standardised patients, and part-task trainers in environments mimicking local healthcare settings, enhancing learner engagement and knowledge retention, facilitating a smoother transition from training to practical application.

Intrapleural fibrinolytic therapy in a regional NSW hospital - RECIPIENT

Intrapleural fibrinolytic therapy (IPFT) for pleural infections has been shown to improve pleural fluid drainage, reduce the need for surgical intervention and shorten hospital stay. DBH performs IPFT exclusively as first-line treatment of pleural infections as compared to many other centres. There is also a cultural aspect to this as many indigenous patients would like to remain on country for treatment of their medical issues and IPFT allows for patients to have that option. Also, if IPFT fails to treat their pleural infection, it does not preclude them from having surgery as the next line of treatment.
 

Arogya - RECIPIENT

Focused on addressing these disparities through a culturally sensitive approach, AROGYA aims to provide an avenue to access health information and support; and raise awareness about the unique healthcare needs of Dubbo’s migrant population.

AROGYA is delivered through monthly afternoon health information sessions. The program is co-designed with the community and promoted through multicultural community networks. Each session consists of a health education topic, healthy afternoon tea, basic health checks and an optional craft activity to encourage gentle movement and decrease social isolation.

Too much of a good thing – managing excess PPE - RECIPIENT

This project addressed excess PPE (personal protective equipment) in our district. We gathered data on surplus stock from Covid-19 National Stockpile deliveries and set up an inventory system to monitor movement, cost savings, landfill diversion, and carbon footprint reduction.

By working with fleet management, we used existing staff travel for small deliveries and employed fleet UTE vehicles and trailers for larger quantities. This approach led to significant benefits:

• Financial Savings
• Environmental Impact: Diverted over 1000 kg of waste from landfills and cut CO2 emissions by 1.7 tons (using Australian National Greenhouse Accounts Factors August 2023).
• Partnership Building: Strengthened ties between healthcare facilities and the Sustainability Development Unit, setting the stage for future sustainability efforts.

Expired stock was repurposed for educational purposes or donated to local schools, RFS, and veterinary clinics. This project showcases positive outcomes across social, environmental, and financial dimensions.

Circular recycling program Orange

The project aimed to recycle hard polypropylene surgical products instead of sending them to landfill, turning these plastic items into new products. To achieve this, we partnered with AMP Circular, who manage recycling projects within NSW Health. We followed a change management process to roll out the project, educate staff, and engage key stakeholders.

Results from a recent trial showed that 1600kg of hard polypropylene plastic—equivalent to 160 wheelie bins—was diverted from landfill.

In conclusion, the recycled polypropylene is now used to create durable seating for the community health and ICU courtyard at Orange Health Service. This new seating benefits patients, staff, and visitors, and is both aesthetically pleasing and long-lasting.

Key healthcare worker accommodation

The project aimed to design and deliver high-quality, purpose-built accommodation for Key Health Workers, ensuring it met key expectations for safety and suitability. The team evaluated various delivery models from other health entities and opted for a fresh design approach. They aimed to achieve a blend of 4-5 star motel standards with a high-end residential look, resulting in modern, sophisticated interiors akin to upscale motels and premium Air BnB properties.

To achieve this, a specialist company known for its work on 5-7 star motels and high-quality Air BnB fitouts was engaged. The design brief focused on creating a sophisticated yet homely environment, integrating modern conveniences with a refined aesthetic.

Additionally, the project incorporated social and cultural design elements, including thoughtful colour choices and a façade that complements existing buildings and environmental infrastructure.

Jasmin Jones - RECIPIENT

Jasmin is an outstanding registered nurse who collaborates with the multidisciplinary team at Grenfell Multipurpose Service and across the Local Health District. She leads the pressure injury prevention initiative, "Save Our Skin," in Grenfell, coordinating its implementation locally.

Developed to reduce pressure injuries in the Western NSW Local Health District, the "Save Our Skin" bundles were created by the Wound Prevention and Management Clinical Nurse Consultant. Jasmin provides local leadership and direction for these bundles, supported by the Skin Integrity Projects and Initiatives Clinical Nurse Specialist.

Jasmin has developed innovative methods to engage staff with these resources, promoting patient safety and best practices. She has created resources for the bundles, flip charts for staff, and engaging activities for residents, such as word finds related to the bundles. Jasmin uses patient stories to involve and engage consumers in their care.

She also mentors and supports nursing staff, demonstrating kindness, compassion, and responsiveness. Jasmin fosters a culture of psychological safety and patient safety while embodying the CORE values of the Western NSW Local Health District.

Tammy Jones - RECIPIENT

Tammy, Support Services Manager, has significantly improved patient care through her dedication and leadership. She fosters a collaborative and inclusive environment, making sure every team member feels valued and empowered. Tammy’s excellent communication and problem-solving skills have streamlined our workflows, ensuring timely delivery of services. Her proactive approach and willingness to exceed expectations have helped overcome daily challenges. Tammy also promotes cross-departmental teamwork, enhancing patient outcomes and satisfaction. Her commitment to continuous improvement and excellence inspires everyone who works with her.

Bryan Billington

For many years, Bryan has set the benchmark for fostering a positive and engaging culture for our staff and consumers. His community collaboration, empathetic approach, and innovative programs play a vital role in advocating for the wellbeing and engagement of our consumers and their families. Navigating the mental health system can be daunting, but Bryan guides people through it with kindness and care. He not only performs this core role but also creates opportunities for consumers and families to connect with others, enhancing their recovery journey.

Bryan tackles challenges head-on and advocates for consumers and their families in forums like the Consumer and Carer Consultancy Committee and the Wambuul Suicide Prevention Network. In essence, Bryan embodies our core values and is a significant asset to our team, our directorate, and the Local Health District. 

Prue Kevans

Prue exemplifies exceptional leadership, dedication, and innovation as the LHD Medication Safety Pharmacist and Co-Director of Pharmacy at Orange Health Service, making her a standout candidate for Staff Member of the Year. Her commitment to patient care, especially through medication safety and effective management, has led to positive outcomes and better service delivery within the WNSWLHD. Prue's collaborative decision-making, open communication, and inclusive leadership have fostered teamwork, respect, and empowerment among staff and stakeholders.

Prue's innovative thinking and creative solutions have enhanced patient care and outcomes. By utilising new information and research, she has continually improved processes to ensure the highest standard of care. Her dedication to cultural change, inspiring others, and fostering collaboration has significantly impacted the organisation, driving positive change and continuous improvement.

Overall, Prue's exemplary leadership, commitment to excellence, and positive impact on patient care make her a deserving candidate for Staff Member of the Year. Her dedication to empowering staff, engaging stakeholders, and promoting a culture of respect and openness sets her apart as a valuable asset to the organisation.

Tania Biddle

Tania excels in every aim of the award criteria. As a Quality Program Partner, she supports all facilities in the Local Health District (LHD) by emphasising the importance of the Safety and Quality National Standards in healthcare. Tania conducts site visits, either solo or with the Quality System team, for internal verifications in preparation for short-notice accreditation. She aids Quality Managers, Health Service Managers, and Nurse Managers in achieving top results during these assessments.

During the often stressful accreditation process, Tania offers her expertise, professionalism, and calm demeanour to the sites. Her dedication to quality healthcare is evident through her involvement in the Recognising and Responding to Acute Deterioration Committee, where she commits to patient care. Tania provides education, support, and assistance with policy integration and process changes that improve patient care.

Tania fosters strong team collaboration, connecting and supporting all staff. She helps them understand audits, promotes quality improvements, and ensures that clinical care standards are met across the Local Health District.

Elizabeth Allen - RECIPIENT

Elizabeth has dedicated countless hours as the consumer representative for Dubbo Health Service. Over the past 15 years, she has supported the governance teams at Dubbo, actively participating in many patient safety committees. She has also committed several years to attending and providing a community voice in the functional and schematic design of the Dubbo Hospital redevelopment.

Elizabeth is a dedicated member of the Dubbo National Standards Accreditation program and actively participates in all ACHS accreditation surveys.

Elizabeth has been a leading advocate in raising awareness of prostate cancer in Dubbo and its surrounds. She has supported partners and families of men diagnosed with prostate cancer throughout their journey.

Claire Jones

Claire is an enthusiastic, caring, and dedicated volunteer at Orange Health Service (OHS). She contributes her time as a member of the Health Council, serves as a Wayfinder, and participates in several committees at OHS.

As a Wayfinder, Claire provides outstanding support for patients, carers, and families who visit our facility. She is kind, approachable, and always ready to help. Claire is an exceptional asset to the project groups she joins, offering a consumer perspective willingly and openly.

Claire exemplifies volunteering in health by making significant contributions to key hospital committees, such as our monthly patient safety and clinical quality committee. She is also actively involved in our Aboriginal Health Journey form project and the Community Carers project. Additionally, Claire is a Health Council Member and a Wayfinder.

Claire is generous with her time and knowledge, demonstrating a genuine commitment to volunteering at Orange Hospital. She is a valued member of our health team. 
 

Colin Begg

Col has been an active member of the Orange Hospital Health Council for the past 10 years. He is passionate about our healthcare facility and is dedicated to ensuring the best possible patient experience. Col is an excellent communicator, known for being open, friendly, and trustworthy. He professionally discusses ideas, new concepts, and community feedback in Health Council meetings, making him a valued member.

In addition to his role on the Health Council, Col is a key consumer representative in various other meetings. He actively participates in Infection, Prevention, and Control (IP&C) meetings, the Antimicrobial Stewardship Committee (AMS), and the Orange Hospital Sepsis Working Party. This year, he also began serving as a consumer representative in Clinical Services Planning, helping to shape the future of our facility to ensure continued excellence in care.

Shelley Ellery

Shelley, a dedicated local, is following in her parents' footsteps by going above and beyond to enhance the quality of life for residents at the Dunedoo MPS Residential Aged Care. Working as a cleaner, Shelley also volunteers her time to organise, prepare, and run activities that enrich the lives of residents and their families. She frequently uses Facebook to ask the local community for items like jars, flowers, and other materials needed for her projects. By involving the community, Shelley fosters a sense of purpose and provides social inclusion and enjoyment for residents and their loved ones. Her inventive, creative, and often environmentally sustainable projects draw great public interest and are well-received by everyone involved.

Public health analytics dashboard - RECIPIENT

The Public health analytics dashboard is a joint initiative between the Strategic Reform Planning and Partnerships (SRPP) directorate and the Public Health Unit (PHU) in Western NSW. It aims to centralise and visualise public health data, facilitating timely and consistent monitoring of diseases and risks. This platform supports data-driven decision-making for public health responses and enhances health protection and population health efforts in the region.

The project was developed using an agile methodology, leveraging existing resources. A small project team established essential elements such as a steering committee, key stakeholders, data governance, and security measures. The team defined the project's purpose, objectives, benefits, and scope, addressing dependencies, risks, and issues along the way.

Jo Lemmich, WNSWLHD Patient Safety Manager - RECIPIENT

Circular recycling program Orange - RECIPIENT

The project aimed to recycle hard polypropylene surgical products instead of sending them to landfill, turning these plastic items into new products. To achieve this, we partnered with AMP Circular, who manage recycling projects within NSW Health. We followed a change management process to roll out the project, educate staff, and engage key stakeholders.

Results from a recent trial showed that 1600kg of hard polypropylene plastic—equivalent to 160 wheelie bins—was diverted from landfill.

In conclusion, the recycled polypropylene is now used to create durable seating for the community health and ICU courtyard at Orange Health Service. This new seating benefits patients, staff, and visitors, and is both aesthetically pleasing and long-lasting.

First experience, lasting impression -paediatric clothing pool Dubbo - RECIPIENT

The project aimed to enhance the hospital experience for young patients by focusing on their personal belongings and clothing. Many children arrived with few or no personal items, which added stress for their parents and discomfort for the kids. Hospital gowns were disliked by the children, who often refused to wear them, leaving them in soiled clothes and leading to them hiding under bed covers to avoid moving around or participating in activities.

To address this, the project created a clothing pool from donated second-hand children's clothes, with strict processes for selection, hygiene, and storage to meet infection control standards. The results were notable: children became more active, engaging in activities like playing in the garden and moving around the ward. This approach helped improve their hospital experience, making them feel valued and fostering a positive connection with the healthcare system.

Occupational therapy in the emergency department - RECIPIENT

In Western NSW, a trial of Occupational Therapy (OT) was conducted in the Emergency Departments (ED) of Orange, Bathurst, and Mudgee Hospitals over three months from July 2023 as part of the District's Winter Strategy. The aim was to enhance early discharge planning and reduce hospital admissions for patients aged 65 and over by providing timely OT interventions during the winter period, which sees a spike in presentations from this age group.

The trial involved implementing a seven-day-a-week OT roster in the ED to facilitate early assessment, intervention, and planning for patients aged 65 and over. The effectiveness was measured by monitoring the Emergency Treatment Performance (ETP) for admitted patients over 65, with the target being to keep the ETP for this age group above 9.3% and to reduce monthly admissions for those over 65 to below 517.
Results indicated an increase in the number of patients discharged within four hours for both age groups since the OT's introduction. Feedback from staff and patients revealed that the OT role positively impacted the patient experience and improved staff understanding of OT's role in patient care. Overall, incorporating an Occupational Therapist in the ED successfully met the ETP targets across all three facilities.