General Practice Matters 30 January 2015 10 local pathways published Map of Medicine Did you know that Peninsula Health offers a geriatric medicine clinic (no waiting list), a high risk foot clinic and a quit smoking counselling (no waiting list)? Would you like more information to help you navigate orthopaedics and endocrinology referrals? Would you like detailed referral information for 100s of services in your local area? This information and more is now published in Map of Medicine. Thanks to a constructive collaboration between GPs, specialists and allied health providers, we have now published 10 local care pathways in Map of Medicine. These are already being used by the 83 GPs registered to use the tool. The latest innovation is direct links to the National Health Services Directory, which will take users directly to a list of local providers that offer health services. For example, in the diabetes pathway, there is a link to local diabetes educators. Click here to sign up for Map of Medicine Registered users can click on the links below to view the pathways. Hip surgery referral Smoking cessation Alcohol and other drug misuse Knee surgery referral Behavioural presentations children aged 0-5 Low back and radicular pain Dementia Osteoarthritis Diabetes Paediatric asthma Updated Victorian Health Management Plan for Pandemic Influenza (VHMPPI) and preparedness arrangements, response and recovery from a pandemic. The plan provides a framework to minimise the impact of an influenza pandemic on the health sector and community, it describes the health response to the planning The plan also provides operational guidance for health services and primary care and includes planning considerations for aged care residential facilities, schools and education and child care facilities, local government, laboratories and emergency services. A range of issues are addressed in these contexts, including vaccination, isolation and quarantine, communication and infection prevention and control. The plan is available at Department of Health This website also contains information on seasonal and pandemic influenza for health professionals. Should you require any further information on the VHMPPI please contact Elizabeth Birbilis on (03) 9096 5220 or elizabeth.birbilis@ health.vic.gov.au Ophthalmic products temporarily unavailable Zovirax (aciclovir) Ophthalmic Ointment and Siguent Hycor (hydrocortisone) Ophthalmic Ointment are currently out of stock until April 2015. Alternative products that could be prescribed are outlined below. Zovirax (aciclovir) Ophthalmic Ointment out of stock: An alternative to topical aciclovir is oral aciclovir 400 mg five times daily, which is equivalent to topical treatment and avoids corneal epithelial toxicity. Alternatively (e.g. where renal impairment may limit systemic use of aciclovir), Ganciclovir 0.15% Ophthalmic Gel is available under Special Access Scheme which requires a completion of SAS B form prior to commencement. The usual dose (adults and elderly) is 1 drop of gel in each infected eye, five times per day until healed, then three times per day for 7 days. SAS Category B Approval Form • On the form, write product as Ganciclovir Eye Gel 0.15%, 5g • HL Pharma and Symbion are two distributors of this product (Virgan is the current brand of ganciclovir ophthalmic gel). The dispensing pharmacy will require a copy of the SAS Approval Form prior to supply of the medication. It usually takes 5 business days for SAS product approval, but the TGA has advised that if the application form is faxed and followed up with a phone call (02 6232 8111), it can be approved sooner, as they are prioritising all ganciclovir request forms. Patients can take the approval form and prescription to their local pharmacy (or practices can purchase directly). HL Pharma can deliver the ganciclovir the same day in metropolitan Melbourne (if ordered before 10am) or the following business day, although some rural locations may require 2 days delivery. GP Seeking Employment VR GP with 30 years experience • Worked in GP practice in Albury for 28yrs and for 22 of these years was one of 2 principals • Methadone prescriber for 14yrs (many of which was the sole prescriber covering a 200km area) • After 36yrs retired from general practice 2008/2009 • National registration from 19/08/10 • Vocationally registered • Over the past 4-5 years has worked as a GP locum. Locum work in VIC including Mornington), NSW, TAS and NT. For further details view our website Clinical images on mobile devices Distributor details: HL Pharma Pty Ltd, T: 03 9823 6228, [email protected] www.hlpharma.com.au Siguent Hycor (hydrocortisone) Ophthalmic Ointment shortage: An alternative corticosteroid ophthalmic ointment is not currently available, so whilst intermittent availability of this product continues until April 2015, it may be appropriate for general practitioners and optometrists to prescribe corticosteroid eye drops, instead of the ointment. For more information: please contact Pharmacy Department, The Royal Victorian Eye and Ear Hospital, Phone: (03) 9929 8203 Physical Activity Directory for Older People The updated Physical Activity Directory for Older People is now available. Listing over 200 groups, it is a great resource to support older people to find suitable physical activity options. Many practices hand them out as part of the 75+ health assessment. Groups are divided into Gentle Exercises, Walking/Cycling, Water Exercises, Strengthening Programs, Leisure & Dancing. Each listing includes the cost, times/day, a description of the session and any prerequisites. Click here to view the directory Hard copies can be ordered by contacting the Agestrong Network [email protected] or 5976 9071. In November 2014 the AMA and the MIIAA produced a new guide for medical students and doctors on the proper use of personal mobile devices – including smart phones, cameras, tablets, laptops, and portable music devices – when taking and transmitting clinical images. The guide is very hospital-centric but can easily be adapted for private practice. It outlines the key ethical and legal issues to be aware of before using a personal mobile device to take or transmit clinical images for the purpose of providing clinical care. Clinical images and the use of personal mobile devices guide ATAPS Update All Suicide / Self Harm Referrals require the GP to complete the SPP Risk Assessment Tool for GPs and send with the referral to the Mental Health Team. The SPP Risk Assessment Tool for GPs can be located at ; SPP Risk Assessment Tool To complete: For each risk factor please tick your rating for your client on that risk factor in either the low, moderate or high and column then provide an overall assessment of risk based on your ratings of all the risk factors. Any questions please contact the Mental Health Team on 5973 5655. GP seeking part-time employment VR GP with 32 years’ experience in community health. Dr Craig Blandy will soon retire from Monash University where he has held many roles including university community health & being a GP to the campus. He has advanced skills and knowledge in travel medicine and skin cancer and is looking for a place to continue that practice in a part-time capacity. For further details please view our website Upcoming Events Pharmaceutical Opioids: The risks, benefits and challenges - Special Interest Network (SpIN) Nurses in General Practice – Session 1: Breast Cancer Screening Audience: General Practitioners Breast cancer is most treatable when found early, which is why screening is so important. In the Frankston-Mornington Peninsula catchment, rates for breast cancer screening are lower than the Victorian average and mortality rates are higher than the Australian average. Presented by: Dr David Jacka, Addiction Medicine Specialist, Monash Health Date: Tuesday 10 February 2015 Venue: The Dandenong Club, Dandenong Time : 6.30pm - Registration & Light refreshments , 7 pm - Presentation Click here to register or contact Lynn Goon ( Pharmacotherapy Liaison Coordinator ) [email protected] Lactose and Fructose mal-absorption: How breath tests are actually performed In our first of three cancer screening workshops, facilitated by John Lee – BreastScreen Victoria, you are invited to learn more about breast awareness and what to look for, breast cancer risk factors and the risks and benefits of screening. Your knowledge, skills and status as a health professional gives you the opportunity to educate women about the need for breast cancer screening and to encourage them to take part in screening activities. Date: Wednesday 4 February 2015 Date: Wednesday 11 February 2015 Time: 12.30pm – 2.00pm Time: 18.30 - 20.30 (dinner & refreshments from 18.00) Venue: Brooklands of Mornington, 99 Tanti Avenue Mornington 3931 Venue: Mornington Endoscopy, Mornington VIC 3931 Speakers: Click here to register • Dr. Thuy Dinh – Specialist Gastroenterologist • Dr. Emily Wright - Specialist Gastroenterologist Click here to register Frankston-Mornington Peninsula Medicare Local PO Box 107 Mornington Victoria 3931 t 03 5973 5655 f 03 9708 8157 www.fmpml.org.au ABN: 80 156 428 572 To unsubscribe to General Practice Matters, please email [email protected] with unsubscribe in the subject line. Frankston-Mornington Peninsula Medicare Local acknowledges the financial and other support of the Australian Government Department of Health
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