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12 October 2022                                                                                   View this email in your browser

This Primary Care Update expands on the previous COVAX updates to include a broader range of information to support current challenges faced by primary care providers. If you have items to share across the network, please send them to covax@murrayphn.org.au

Please forward this update to any colleagues who may be interested and view previous editions here.

Prepare for a flood emergency
The Bureau of Meteorology has again issued flood warnings for Victoria and NSW rivers, in and surrounding the Murray PHN region. If you haven't already, now is a good time to review your emergency response plan.

The Preparing Patients for a Disaster HealthPathway provides practical suggestions around managing medications, emergency alert systems and disaster plans for people who live with chronic disease.

In addition to stocking up on essential supplies, other key things to plan for are:

  • Power and internet outages
  • Disruption to clean water and gas supplies
  • Where vulnerable populations are and if they will be able to access services and medications.
If you are a Victorian general practice, part of your plan can include the cloud-based Emergency Response Planning Tool (ERPT), which has been developed in conjunction with the RACGP, to help prepare for, respond to and recover from the impacts of emergencies and pandemics. The Victorian Department of Health is providing free access until 31 December 2023. If you need support to access the ERPT email your local quality improvement consultant or email gpsupport@murrayphn.org.au

Trauma-informed Care training
Phoenix Australia, in conjunction with a GP, has developed the Supporting Individuals after a Disaster course. It is a 90-minute, self-paced online course aimed at helping you support your community’s ongoing recovery from traumatic events such as bushfires and floods.

The course is tailored to the needs of general practice and community health staff. Through this training, you will learn trauma-informed care principles for interacting with people who have experienced trauma, and creating an environment that supports their recovery, while protecting your own wellbeing. The course also includes a module on best practice treatments for posttraumatic stress disorder. Click here to register and apply the coupon code MPHN38 at registration for free access to the course. 

COVID vaccination provider bulletin 6 Oct

Moderna 6 months to 5 years vaccine
Sites who have been onboarded for Moderna 6 months to under 5 years are encouraged to place orders promptly. 14 October is the last day to place an initial order to ensure you receive all six deliveries. The Taskforce acknowledges that the under 5 cohort is limited and vaccine wastage is a concern for providers, however if you have an eligible patient, please administer the vaccine as soon as possible.

If your practice is receiving interest in this vaccine and you would like to administer to this cohort, contact covax@murrayphn.org.au


Moderna Bivalent vaccine
The rollout of Moderna Bivalent has commenced and the vaccine has been added to the AIR to allow vaccination providers to report administration. When reporting, providers should use the code MODBIV. See all the AIR Vaccine Codes here.

If the vaccine is not displayed in your Practice Management Software (PMS), the Taskforce recommends contacting the software provider in the first instance. Providers could alternatively report the vaccine using the AIR site – see example in the bulletin.

Please note: The existing Moderna Spikevax vaccine (MODERN) will remain available for vaccination providers to report to the AIR.

Victorian COVID-19 vaccination sites
As the majority of people are accessing vaccinations at GPs and pharmacies, all state-funded, fixed vaccination sites in Victoria are now closed. Victoria’s vaccination program will continue, but will be more targeted, focusing on specialist paediatric and mobile vaccination clinics. See the ‘Local outreach vaccination and testing clinics’ section below for details on upcoming clinics.

Japanese Encephalitis Virus (JEV)
The Ovens Murray Public Health Unit, in conjunction with the National Centre for Immunisation Research and Surveillance and the Victorian Department of Health is conducting a study on Japanese Encephalitis in Northern Victoria. This study will help in understanding how widely JEV has spread, how many people have been infected, who is more likely to be infected and determine who should be prioritised for vaccination and other prevention activities.

If you have a patient who would like to be involved, click here to access the consent form and questionnaire. For further information, contact Ovens Murray Public Health Unit e: phu.communications@awh.org.au or t: 02 6048 1000.

Providers of the vaccine in the Murray PHN region can be found here and local public health units are also providing JEV vaccines. Please call ahead to ensure stock on hand.  

The Victorian Department of Health webpages include information for health professionals and the public. A social media pack for the promotion of prevention messages to community is also available.


Support for homebound individuals
If you have a homebound patient, Murray PHN can help to engage a local primary care vaccine provider or apply to the Commonwealth for a VAPP provider to be allocated.
Click here to see eligibility criteria and complete a referral form or for further information, contact Emma Healion t: 0437 616 877 or e: covax@murrayphn.org.au


Local outreach vaccination and testing clinics
Upcoming clinics in the Murray PHN catchment:   
  • Bendigo Health is providing vaccination clinics for COVID, Influenza and JE at Rochester and Elmore District Health Service on 25 October and 8 November – more information here
  • GV Health COVID-19 vaccination buses are also providing Influenza and JE vaccines to those who meet eligibility criteria.
  • Bendigo Health Covid Clinic is open 10am-5.30pm, Tuesday to Saturday. 
  • Ovens Murray PHU vaccination clinics – COVID-19, influenza and JE vaccines are available at the Wodonga site (corner of Smythe and Stanley streets) on Thursdays and Fridays from 8.30am to 4pm. Outreach clinics will be operating across the region on Mondays, Tuesdays and Wednesdays – dates and times in the link above.
To promote vaccination outreach clinics or events, e: covax@murrayphn.org.au

Local vaccination providers
Details of local general practices, Aboriginal Community Controlled Health Organisations and pharmacies providing COVID-19 and influenza vaccinations are available on Murray PHN's website. If you wish to opt-out, e: covax@murrayphn.org.au

Note: Sites listed on our website are those classified as ACTIVE by the Commonwealth. Where specific vaccines are classified as DORMANT (no orders and <10 total administrations in the last 4 weeks) those vaccines have been removed.

Parliamentary inquiry
The Consumers Health Forum of Australia (CHF) are providing a submission to the Parliamentary Inquiry into Long COVID and Repeated COVID Infections. They are requesting the views and experiences of health care providers and their patients to contribute to their submission. A consultation session will be held at 3.30pm on 19 October, click here to register.

COVID care in the community 
The COVID-19 Positive Community Care and Treatment pathway supports health professionals in the management of COVID-positive adults in the community, including in aged and disability care facilities. It contains information on the prescription of antivirals and the Murray PHN funded face-to-face home assessment and monitoring service.

If you have a patient who is located in Albury, Towong, Bendigo, Heathcote, Quambatook/Pyramid Hill, Kerang or Robinvale who has a positive COVID result and is managing their symptoms at home but requires escalation of care to avoid hospitalisation, they may be eligible for this service - view the referral section of the pathway for details


COVID+ pathways
The COVID Positive Pathways Program is delivered by Victorian health services, through community health services and hospitals, in collaboration with Aboriginal health services and other providers, and coordinated by the Victorian Department of Health. The program will continue to support all people living with COVID to manage symptoms, access care and to be COVID-safe.

While the program continues to connect most people with usual care, changes that came into effect on 30 September mean that the program now primarily focuses on supporting those who experience barriers to accessing care or need support to recover, including the following priority population groups:

  • Aboriginal and Torres Strait Islanders
  • People aged 80 years or older
  • People living with a disability or a carer of a person living with a disability
  • People needing assistance to isolate safely at home
  • People living in rural isolated communities
  • People of refugee or asylum seeker status.
People who test positive by PCR will be sent a link via SMS to complete a new assessment survey to allocate them into usual-care or the COVID Positive Pathways Program. Please encourage patients who test positive by rapid antigen test to register their result via this online form or by calling the Coronavirus Hotline on 1800 675 398.

Health Service Partnerships (HSPs) will play an important role to support integration and escalation pathways between health services and primary care. An overview of the Covid Positive Pathways for the Murray PHN region is available here.

GPs can contact their regional COVID Positive Pathways program if they are concerned about a COVID positive patient to discuss whether monitoring, care and social support through the program is appropriate. To access the 'Factsheet for Referrers' contact Covid+pathways@health.vic.gov.au

Further resources can be found on the Victorian Department of Health website here.


COVID-19 antivirals
Last week, Professor Paul Kelly, the Chief Medical Officer, issued a letter of thanks to Primary Care Providers for aiding the successful rollout of oral treatments. He also reminded providers to pre-assess suitability for COVID-19 antivirals wherever possible, discussing advanced consent. There is no limit to prescribing subsequent courses if an eligible patient tests positive again.

The Victorian Virtual Emergency Department (VVED) can prescribe COVID-19 antivirals to Victorians who return a positive result and can’t get a GP appointment or access a GP respiratory clinic. The VVED can assess patients, determine their eligibility for COVID-19 medications, and prescribe these medications. More information can be accessed in flyers for healthcare professionals and patients.


For resources including a list of local dispensing pharmacies (updated 29 August), visit Murray PHN's antiviral webpage.

Changes to pandemic management
From midnight tonight, Victoria’s pandemic declaration will end. Victorians will no longer be required to isolate after testing positive to COVID-19, with isolation for positive cases now strongly recommended. More information here.

Removal of mandatory isolation rules in NSW begin on 14 October. Some restrictions will still apply for high-risk settings such as healthcare and aged care facilities, more information will be available soon.

Supporting the disability sector

Disability providers and liaison officers have been advised to contact Murray PHN for assistance with engaging local primary care providers to offer in-reach vaccinations or to request Commonwealth in-reach. If your practice is able to assist with in-reach or homebound vaccinations, e: covax@murrayphn.org.au

Primary care vaccine providers can access support and resources from Disability Liaison Officers to enable people with disability to access COVID-19 vaccination at their site in: 

For additional vaccination information for specific groups, click here.

Mildura helpline for former Tristar patients

The Mildura Helpline will be available until 4pm, this Friday, 14 October. Until then, former Tristar Mildura patients can continue to call the Mildura Helpline for care advice and information on 1800 191 663 daily, between 8am-4pm. Once a nurse has assessed symptoms, people may be eligible to receive a call back from a GP. For more information and links to local and other supports, click here.

Education and training

Online learning

Recorded webinars

New and updated resources

Further assistance

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Copyright © 2022 Murray PHN, All rights reserved.

Murray PHN acknowledges its catchment crosses over many unceded First Nations Countries, following the Dhelkunya Yaluk (Healing River).
We pay our respects and give thanks to the Ancestors, Elders and Young people for their nurturing, protection and caregiving of these sacred lands and waterways, acknowledging their continuing cultural, spiritual and educational practices.
We are grateful for the sharing of Country and the renewal that Country gives us. We acknowledge and express our sorrow that this sharing has come at a personal, spiritual and cultural cost to the wellbeing of First Nations peoples. We commit to addressing the injustices of colonisation across our catchment, and to listening to the wisdom of First Nations communities who hold the knowledge to enable healing.
We extend that respect to all Aboriginal and Torres Strait Islander peoples.

Murray PHN (ABN 92 156 423 755) acknowledges the financial and other support from the Australian Government Department of Health.
 






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Murray PHN · 3-5 View Point · Bendigo, Vic 3550 · Australia