Dec 2019 - December 2024
From the President

From the President

As the end of the year approaches it is a great pleasure to be able reflect on another year for the ANZSGM.

The Society has been busy on many fronts including further appearances before the Aged Care Royal Commission, making our case with the Medicare review with regard to the future of the CGA item numbers, understanding the work being undertaken by the Australian and New Zealand College of Anaesthetists with regard to developing perioperative medicine and continuing to work with our various other colleagues to ensure we can all continue deliver quality goal orientated multidisciplinary care to geriatric patients.  The proposed changes to arrangements for Aged Care Assessment (ACAT/ACAS) in Australia has also been a major focus of attention in our dealings with government and other stakeholders.

The Society continues to grow as do our own expectations as to how the ANZSGM can contribute.  The addition of Jo Dunlop as Communications Officer has significantly enhanced our capacity to respond more robustly and cohesively to the extensive range of consultations to which we have the opportunity to contribute.  With Jean Hannan and Lynda Donaldson in the office we have an excellent team behind us.

In addition to the above at our most recent Council meeting we spent significant time discussing our own governance and internal processes with the assistance of the Associations Forum.  Given our relatively rapid growth over the last several years and a general increased understanding and expectation of what good governance looks like this was a timely discussion.  This included discussion of our current constitution as well as reflection on some of our internal processes.  My sense is that no major issues were identified but there is always room for modernisation and improvement which will form the basis for further discussions with council and members in 2020.

Finally I would like to thank Louise Baird who will shortly step down as the RACP ATC Chair and thank her for the excellent contribution she has made both to training but also the ANZSGM Council.  Lucy Dakin will be taking over the mantle formally in January and will also join the ANZSGM Council as GMET chair.

I wish you all a safe and happy Christmas and expect to see a very large number of you in Melbourne at the ASM in May (now open for registration)!  My guess is 2020 is going to be an even busier year for us as a Society – bring it on!

Dr John Maddison

Director (Medical) Division of Aged Care, Rehabilitation & Palliative Care

Northern Adelaide Local Health Network

Ph +61 8 8161 2533

New Members

New Members

The Society welcomes the following New Members, who were endorsed at the Council meetings held on August 26th and December 2nd 2019.

Council held August 26th, 2019

Surname Given name/s Division Category
Chen Xiao Feng Wendy NSW AT
Powell Alicia Cassia NSW AT
Tran-Nam Anh NSW AT
Tsang Fiona NSW AT
Hack Emma Louise NT AT
Britton Holly NZ AT NZ
Hughes Charlotte Melanie NZ AT NZ
Stiebel Victoria Kate NZ AT NZ
Aravind Ardash NZ Full NZ
Eason Bob NZ Full NZ
Hulme Nicholas NZ Full NZ
Charalambous Angela QLD AT
Sue See Rhiann QLD AT
Wong Alice QLD AT
Chan Kok Cu QLD Full
Lai Ean Loon QLD Full
Smith Shasti SA AT
Gupta Ankit VIC AT
Lim Kai Aun VIC AT
Louie Yiling Jenny VIC AT
Spiteri Alisha Maree VIC AT
Tharmarajah Kauyani VIC AT
Wong Francis VIC AT
Wu Jethro Zit Wing VIC AT
O’Donovan Claire WA AT

Council held December 2nd, 2019

Surname Given name/s Division Category
Stackpool Thomas Michael ACT Full
Wong Chloe NSW AT
Goode Georgette NSW AT
Heran Parvinder Singh NZ AT
Knoll Susanna NZ AT
KaurAT ATPaven QLD AT
Baker Shona Louise QLD AT
Gray Elyshia QLD AT
Weeraseke Srahavini QLD AT
Chan Laurel QLD AT
Greenwood Alice QLD AT
Haldar Ayantika SA AT
Bhagwat Anju TAS Full
Manzoni Jessica VIC AT
Parish Stephanie Claire VIC AT
Vu Phi VIC Full
ANZSGM ASM 2020

ANZSGM ASM 2020

On behalf of the Local Organising Committee, we are very excited to invite you to the 2020 Annual Scientific Meeting of the Australian and New Zealand Society of Geriatric Medicine, from 27th – 29th May at the Sofitel Melbourne on Collins

The 2020 theme “Vision for the future” is an opportunity to look at the emerging issues in Geriatric Medicine and how these will impact on the care of the older person into the future.  We are delighted to launch the initial program featuring over 20 international and national experts delivering informative and innovative presentations across eight plenary sessions covering topics including dementia and delirium, along with topical issues such as the new Voluntary Assisted Dying legislation in Victoria and the Australian Royal Commission into Aged Care Quality and Safety.  We will explore what’s new in technology and how it relates to the care of older people as well as emerging techniques in medical education.

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Royal Commission into Aged Care Quality and Safety

Royal Commission into Aged Care Quality and Safety

ANZSGM President Dr John Maddison appeared before the Royal Commission into Aged Care Quality and Safety on Thursday 16th October in Melbourne. The hearing inquired into aged care workforce with a focus on how to enhance capacity and how to make the aged care sector more attractive and rewarding. A full statement was provided to the Royal Commission (see link below) which highlighted the training required to qualify as a geriatrician, the role of geriatric medicine in residential aged care and the current makeup of the profession in Australia. 
 
ANZSGM’s Clinical Issues Committee also provided a valuable contribution to the Royal Australasian College of Physicians’ submission to the Royal Commission which includes over 50 recommendations for improved best practice care for older Australians.
 
Statement by John Maddison at the Royal Commission into Aged Care Quality and Safety
AJA end of year wrap up

AJA end of year wrap up

An overview of recent AJA activity

Season’s Greetings! In our final edition for 2019, as always, we cover a range of topical issues. There is an Invited Commentary on perioperative medicine in older people. The results of a binational survey are presented in a brief report that describes perioperative geriatric medicine services in Australia and New Zealand, and explores geriatricians’ views on the need for and challenges in providing perioperative care. There is a review by Haley and colleagues on the use of physical training for delirium management in the hospital setting.

 

The range of clinical topics covered includes:

  • Opioid use in chronic non-cancer pain
  • Treatment of urinary urgency
  • Resuscitation planning in GEM
  • Hospital admissions due to medication misadventure

The complete Table of Contents and all articles can be accessed (subject to membership) at

https://onlinelibrary.wiley.com/toc/17416612/2019/38/4

We have also published an Open Access Special Issue on Organising Care, Practice and Participative Research, curated by colleagues from the Cognitive Decline Partnership Centre.

 

In case you missed it, our September issue can be accessed at https://onlinelibrary.wiley.com/toc/17416612/2019/38/3

It contains an insightful, thought provoking editorial on dementia treatment , plus articles on topics ranging from advance care planning implementation, through discharge medications and falls to an evaluation of a deprescribing model in an acute general medical unit.

The Journal aims to provide articles of interest to a multidisciplinary audience of gerontologists and geriatricians, professionals who share an interest in the opportunities and challenges of an ageing society. We hope that this issue will assist in guiding your research and practice. We welcome contributions from you about your innovative work. In addition to the scientific papers we publish, we also welcome contributions for our ‘Reflection’ section. Poems or stories (fiction or non-fiction) related to any aspect of ageing, whether from the point of view of a health care worker or older person or patient, or simply an observer, will be considered.

 

Jane Sims, Deputy Editor-in-Chief, AJA.

 

 

Clinical Issues Committee update

Over the past months the Clinical Issues Committee has provided feedback to several organisations for the development and review of various publications and guidelines:

  • The Royal Australian College of General Practitioners (RACGP) development of Standards for general practice residential aged care (1st edition). The Standards for GPRAC are a way to address the gaps between the Aged Care Quality Standards (1 July 2019) and the RACGP Standards for general practices (5th edition).
  • The RACP consultation paper on the Pricing Framework for Australian Public Hospital Services 2020-21, the primary mechanism for providing input on the approach the Independent Hospital Pricing Authority (IHPA) takes to determine public hospital funding.
  • The RACGP’s review of its flagship publication – Medical care of older persons in residential aged care facilities – known commonly as the Silver Book. The committee looked specifically at Section B: General Approaches to Aged Care which will be available on the RACGP website in mid 2020. This will be the fifth edition of the resource, which was first developed more than 20 years ago.
  • The Draft National Safety and Quality Health Service (NSQHS) Standards Aged Care Module developed to allow organisations to meet the requirements of both the NSQHS and the Aged Care Quality Standards.
  • National Aged Care Alliance Aged Care/Health Interface Working Group Position Paper, developed to highlight overlooked policy issues. The position paper was adapted by NACA into a submission for the Royal Commission for Aged Care Quality and Safety in September.

GMET 2019 update

GMET has had a busy year supporting the ATC in Geriatric Medicine training. There are 307 current ATs in Geriatric Medicine across Australia and New Zealand, 36 Fellowships have been awarded already in 2019, with many more expected in the final fellowship round in December. Louise Baird finishes her time as Chair of GMET and the ATC shortly handing over to Lucy Dakin in January 2020. 

GMET members have been marking projects and conducting site accreditation visits, along with contributing to the development of the Common AT standards for the new AT curriculum for the RACP.

GMET has also provided input into the ANZSGM’s submission into workforce and training (from undergraduate to postgraduate education into geriatric medicine) to the Royal Commission into Aged Care, with John Maddison adding insightful evidence in his appearance before the commission in October.

ANZSGM would like to thank Dr Louise Baird for her leadership of GMET and the ATC, her contribution and support has been invaluable.

AJA Royal Commission Submission

Royal Commission into Aged Care Quality and Safety: Australasian Journal on Ageing submission

 

In response to the Australian Government Royal Commission into Aged Care Quality and Safety, the Australasian Journal on Ageing commissioned three Virtual Issues of previously published articles focusing on the terms of reference of the Royal Commission.  The Australasian Journal on Ageing publishes studies about research and innovation in aged care across many areas of importance to the terms of reference of the Australian Government Royal Commission into Aged Care Quality and Safety. This evidence base should be an important source for policy makers. The breadth and depth of research on ageing in Australia provides a strong case for continued investment in both research and best practice implementation that will support aged care services being delivered in a way that provides efficient and effective outcomes for older Australians. The three Virtual Issues can be found at the links below, and the three editorials for each issue are attached. We sincerely hope that these works can contribute to this important debate.-:

https://onlinelibrary.wiley.com/page/journal/17416612/homepage/quality-and-safety-in-aged-care?)

Quality and Safety in Aged Care Virtual Issue: What Australian research published in the Australasian Journal on Ageing tells us

https://onlinelibrary.wiley.com/doi/toc/10.1111/(ISSN)1741-6612.quality-and-safety-in-aged-care

It’s time to move from researching problems to providing solutions

https://onlinelibrary.wiley.com/doi/toc/10.1111/(ISSN)1741-6612.quality-and-safety-in-aged-care-2

Delivering inclusive and quality services in community and residential aged care settings

https://onlinelibrary.wiley.com/doi/toc/10.1111/(ISSN)1741-6612.quality-and-safety-in-aged-care-3

 

 

Professor Lynne Parkinson, Dr Jane Sims

Editor in Chief, Deputy Editor in Chief,

Australasian Journal on Ageing

Specialty Society webinar series RACP ANZSGM

In 2019, ANZSGM was one of eight specialty societies to participate in the Royal Australasian College of Physicians, webinar series program.

The following links are to view the ANZSGM 2019 webinars, please note all webinars from 2019 and previous years, are also available via RACP Member login.

ANZSGM Webinar 1 – Professor Len Gray

Improving the care of older people through clinical decision support and telehealth systems
ANZSGM webinar 1: RACP YouTube

ANZSGM Webinar 2 – Dr Richard Lindley

Update on stroke management
ANZSGM webinar 2: RACP YouTube

ANZSGM Webinar 3 – Professor Renuka Visvanathan

Nutritional Frailty
ANZSGM webinar 3: RACP YouTube

ANZSGM Webinar 4 – Professor Leon Flicker and Dr Oliver Menzies

Predictors of dementia and mortality in Indigenous Peoples
ANZSGM webinar 4: RACP member login

ANZSGM Webinar 5 – Dr Ming Loh

Perioperative care of the elderly – the new frontier for Australian Geriatricians.
ANZSGM webinar 5: RACP YouTube

ANZSGM Webinar 6 – Professor Srikanth Velandai

Impact of vascular disease and threshold for dementia.
ANZSGM webinar 6: RACP YouTube 

 

 

Perioperative medicine communique Nov 2019

Perioperative medicine communique Nov 2019

From the contemplation of surgery to recovery

Message from the chair

Mapping the patient journey – starting and ending with the primary referrer – has been a key focus of our work in recent months towards our goal of developing a viable model of perioperative care that can be adopted by health systems to improve patient outcomes.

Please click here to read more…

News on the 34th International Conference of Alzheimer’s Disease International

News on the 34th International Conference of Alzheimer’s Disease International

Dear Friends and Colleagues,

 As you may have heard, ADI will be hosting their 34th International Conference with Alzheimer’s Disease Association (ADA) in Singapore on 19-21 March 2020. The theme of the conference will be “Hope in the age of dementia: New science. New knowledge. New solutions” and we would be delighted if you joined us.

The ADI international conference is one of the longest running and largest international conferences on dementia. Its diverse programme reflects its multidisciplinary audience including researchers, scientists, medical professionals, people living with dementia, family members, care professionals, and staff and volunteers of Alzheimer associations.

With the international conference every 2 years and no ADI Asia Pacific regional conference in 2020, this would be a great opportunity to learn from and meet the global dementia community.

Pictured: Attendees of ADI’s 2014 International Conference in San Juan

 

ADI 2020 will feature a range of engaging keynote speakers, presentations and workshops on all aspects of dementia, including updates on policy, care, science and development, innovation and technology from around the world. 

Additionally, ADI is also offering new super early bird registration rates until tomorrow 13 September, with early bird registration closing on 30 November.

Register now

‌ADI Survey

Follow us at @AlzDisInt and @ADIConference #ADI2020

 

Thank you for your support, 

The ADI team

Inquiry into Quality of Care Amendment (Minimising the Use of Restraints) Principles 2019

Click to download: Proof Committee Hansard, Parliamentary Joint Committee on Human Rights

Dear ANZSGM member,

For your information

23 August 2019

Inquiry into Quality of Care Amendment (Minimising the Use of Restraints) Principles 2019

Please find attached a PDF copy of the proof Hansard transcript of evidence from the committee’s hearing held in Sydney on Tuesday 20 August 2019.

For information, the committee publishes links to transcripts from its public hearings at: https://www.aph.gov.au/Parliamentary_Business/Committees/Joint/Human_Rights/QualityCareAmendment/Public_Hearings.

If you consider corrections to the transcript are needed, please mark them in red on a hard copy and return that copy to the secretariat by 16 September 2019 via email (human.rights@aph.gov.au) or post. Please do not use track changes, as they will not be accepted. Please note that it will not be possible for corrections received after this deadline to be included in the Official Hansard transcript.

Corrections must be restricted to typographical and transcription errors (including inaccurate attributions). Suggested changes which seek to change the content, sense or tone of the evidence, or which are designed to improve style are not permitted. Should you wish to vary what you said to the Committee or provide additional information, this can be done by sending a letter providing additional information to the secretariat.

Please note that corrections suggested by a witness may not necessarily be accepted and that the committee may also make its own corrections.

If you do not wish to make any corrections, there is no need to respond to this letter. The Official Hansard transcript will then be finalised and published, and no further alterations will be possible.

If you undertook to provide additional material after the hearing, it would be appreciated if this material could be provided as soon as possible, in the week following the hearing.

Regarding answers to questions taken on notice, please note that answers are due on Monday 9 September 2019 and that the secretariat may be in touch with you regarding questions on notice.

I take this opportunity on behalf of the committee to thank you for your assistance with the inquiry.

Yours sincerely

Ms Anita Coles
Committee Secretary

Australian Charter of Healthcare Rights

Australian Charter of Healthcare Rights

The second edition of the Australian Charter of Healthcare Rights is now available. The new Charter empowers consumers to take an active role in their health care and reflects an increased focus on person-centred care within the Australian healthcare system.  

Learn more about the changes and how the Charter was developed in collaboration with healthcare providers, consumer groups and patients from across Australia. Read our media release

 

Resources available

The Charter is supported by a range of accessible resources to help as many people as possible understand their healthcare rights.

Available resources include translations into 19 languages plus Braille, Auslan and Easy English versions. 

Download the resources at safetyandquality.gov.au/your-rights

 

Expert panel discussion

If you weren’t able to tune into the live stream of the Charter launch, catch up on expert commentary via our video on demand. Speakers include Commission Chair Professor Villis Marshall AC, Clinical Director Associate Professor Amanda Walker, Health Consumers Queensland CEO Melissa Fox, SA Healthcare Complaints Commissioner Dr Grant Davies, and Princess Alexandra Hospital’s Veronica Casey.

The video will be available from Monday on our website.

 

For more information visit: safetyandquality.gov.au/your-rights

Painaustralia eNews and Media Releases

Painaustralia eNews and Media Releases

eNews

Issue 92 now available

Please click here to access Painaustralia eNews Issue 92

Earlier issues are also available

 

Media Releases

23 October 2019

Putting pain services on the map

Federal Minister for Health, the Hon Greg Hunt MP, has today launched Painaustralia’s National Pain Services Directory at Parliament House. Over 200 specialist pain services are mapped across Australia in the Directory, enabling better access to best practice pain management for millions of Australians fighting what it often an invisible condition – pain.

26 September 2019

New Data Reveals The Long Road Ahead in Minimising Opioid Related Harm

Data released by the Australian Bureau of Statistics on Australia’s leading causes of death 2018 reveals that opioids accounted for just over 3 deaths per day in 2018. The majority of these opioid-induced fatalities were unintentional overdoses in middle aged males involving the use of pharmaceutical opioids, often in the presence of other substances.

StepUp for Dementia Research

StepUp for Dementia Research

Introducing StepUp for Dementia Research:

An Australia-wide dementia research participation and public engagement platform
StepUp for Dementia Research is a research participation and engagement service, a “one-stop shop” that connects individuals, both with and without dementia, with researchers conducting studies into dementia prevention, diagnosis, treatment, care and cure. We make it easier for the brightest minds in research to connect with people willing to donate their time. For volunteer research participants, registration can take as little as five minutes.

Please click here to download the StepUp for Dementia Research Flyer