SWSPHN Antenatal Shared Care Program

South Western Sydney Primary Health Network and South Western Sydney Local Health District are working together to enhance diabetes care in the area.

Diabetes Case Conference Clinic Days are now available for GPs in South West Sydney.

• Case conferencing can assist GPs to support patients who present with diabetes (Type 2).
• Case conferencing with an Endocrinologist in collaboration with the patients GP will provide robust clinical care and decrease admissions to the hospital
• Prior verbal or written consent from patient is required.

An Endocrinologist and Diabetes Educator will attend your practice for the day, where 10 eligible patients will each receive a 40-minute case conference. A follow up half day will occur 6 months later, where each patient will have a 20-minute case conference. Education will be provided, and you will be supported to run quality improvement initiatives for Diabetes.

What are the Benefits to My Practice?

• Access to billing for MBS chronic disease items for case conferencing, GP management plans, Team Care Arrangements and items of Diabetes Cycles of Care, as eligible.
• Diabetes Specialist service without extra cost to the patient
• Reduce waiting time for patients to access specialist care
• Increased patient satisfaction with a comprehensive, integrated, and interdisciplinary management approach in the one location

For more information, or to discuss booking a Case Conference Clinic day, please visit https://healthchat.swsphn.com.au/diabetes-special-interest-group?preview=true or contact Kathryn.dovey@swsphn.com.au

COVID-19 vaccination decision guide for women who are pregnant, breastfeeding or planning pregnancy

• Updated on 29 April 2022 to include:
  • Updated information on Nuvaxovid (Novavax)
  • Booster dose information has been updated to include people aged 16 and 17 years
  • Updated information on vaccine safety and effectiveness in pregnant individuals and infants has been included.
• Important point (page 6):
  • Can COVID-19 vaccines be given at the same time as influenza or other vaccines?
    • Yes. Evidence demonstrates that co-administering (i.e. given at the same time) a COVID-19 vaccine and an influenza vaccine is safe and produces good immune responses to both vaccines.
    • COVID-19 vaccines can also be co-administered with other vaccines, such as the pertussis vaccine, if required. There are limited data, however, on using COVID-19 vaccines at the same time as other vaccines.
    • It is important to balance the need for co-administration of vaccines with delivering vaccines on separate visits, as there is the potential for an increase in mild to moderate adverse events when more than one vaccine is given at the same time. It can also make it harder to attribute potential adverse events to specific vaccines.

The ANSC exclusion was updated on the 04/04/2022 .

The changes made are solely regarding COVID-19 in pregnancy and now allows many of our COVID-19 recovered women to participate in ANSC

Included/can participate in ANSC

• Women who contracted COVID-19 <14/40
• Women who experienced asymptomatic/mild COVID-19 in pregnancy not requiring admission
  • These women will require a post recovery O&G review with their referral hospital antenatal clinic before returning to ANSC +/- 3^rd trimester scan and any additional hospital-based visits explained and scheduled as decided upon at this consult.

  • At this consult the Obstetric team need to discuss:

    • the importance of maternal awareness of fetal movements as per GL2021_019 Care pathway for women concerned about fetal movements
    • awareness of signs and symptoms of pre-eclampsia
    • how to access care outside of the standard pathway if the woman has any concerns.

Excluded/can not participate in ANSC

• Women who contracted COVID-19 >14/40 that suffered moderate, serious or critical COVID-19 (requiring hospital admission) >14/40

Please ensure all your COVID-19 recovered women have attended an O&G review post isolation before returning to ANSC. If any of your women suffered moderate, serious or critical COVID-19 (requiring hospital admission) >14/40 please direct them back to the hospital antenatal clinic for ongoing care and management.

Liverpool Hospital Genetics department has recently updated their referral form into the service.

Could we kindly ask that you discard any old referral forms and replace with the December 2021 update.

With the new referral form also comes amended referral pathways. Please review the referral instruction document to ensure you are following the new pathways.

The primary objective of this procedure is to assist the Antenatal Shared Care (ANSC) Operations Group to identify and immediately address feedback or concerns raised about a General Practitioner (GP) with regards to the provision of antenatal share care. The procedure aims to ensure the GP reaches and maintains a satisfactory standard of compliance to the ANSC program in South West Sydney Local Health District (SWSLHD). To view the procedure, click here.

The SWSLHD ANSC Exclusion Criteria outlines an extensive list of conditions & complications that would prevent women to participate in the ANSC model.

The antenatal clinic boundaries have been updated, with the addition of new suburbs and also some boundary changes to existing suburbs. You can access the new listings here or by accessing the document section on the top right of the HealthChat page.

To request Antenatal Cards, call Finsbury Green on 08 8234 8000 or fill in their contact form.

Cost: FREE (will still incur a postage and handling fee which is calculated from the order size)

Minimum order: 250 cards (1 pack)

Maximum Order: 1250 (5 packs)

Call Toll Stream Solutions on 1300 786 075

The following are FREE while initial stocks last. Then they will incur a cost of approx. $10 per 100 + a postage and handling fee*
*Approximate cost: 1-5kg = $16.50; 5-15kg = $33; 15-20kg = $35

• Safer Baby Bundle flyer (NH700603)
• Side Sleeping practice poster (NH700547)
• Movements Matter ('Your baby's movements matter') patient flyer (NH700589). Get translated versions
• Movements Matter ('Your baby's movements matter') practice poster (NH700588)
• Smoking cessation ('Quit Smoking for baby') patient flyer (NH700590)
• Fetal Growth Restriction ('Your Baby's Growth Matters') patient flyer (NH700647)
• Fetal Growth Restriction ('Your Baby's Growth Matters') A3 poster (NH700648)

The following costs $8.37 (+ GST) per 100 + incurs a postage and handling fee*
* Approximate cost: 1-5kg = $16.50; 5-15kg = $33; 15-20kg = $35)

• Side Sleeping patient flyer (NH700546)

Resources are also available to download from the Stillbirth Centre of Research Excellence website.