Migrant/Refugee Health
Quality Use of Medicines (QUM)
Youth Health

To enhance and support co-operative working partnerships between GPs, Residential Aged Care Facilities (RACFs) and Pharmacists within the 0363 divisional area with the aim of improving administrative systems and health care outcomes.

Main Activities

• Identify key stakeholders and develop contact lists in order to ensure role clarity and improved communication.
• Support and encourage GPs by funding involvement in ACHs Medication Advisory Committees (MACs)
• Facilitate GP focus group for identifying issues of concern
• Support Strengthening Medicare Initiatives
  • Comprehensive Medical Assessments (CMA)
  • GP Liaison Group operating under GP Panel Initiative
  • Residential Medical Medication Review (RMMR)
• Develop resource aids/mechanisms for addressing identified issues
• Facilitate combined stakeholder forums for advancement of issues
• Support complete uptake of a single medication management record in RACFs and other community care locations (Hospitals, Community Nursing etc.).
  

Services to Members

• Increased capacity for integration, collaboration and communication between key stakeholders
• GPs paid to participate in RACF MAC meetings
• CPD presentations
• Access to information
• GP Panel activities
• Compact drug charts and labels - bulk purchasing facility

Resources

• Guidelines for medication management in RACFs – APAC Nov 2002 3rd edition. For a copy of the Guidelines, contact Sue Saltmarsh at GP North.
• Medical Care of Older Persons in Residential Aged Care Facilities "Silver Book".
• Guidelines for a Palliative Approach in Residential Aged Care. May 2004. Copy available at GP North - contact Sue Saltmarsh.
• Compact Drug Charts.

  • Medication Charts - Why Compact ?
  • Order Form - Compact Drug Charts and Labels.
  • How to print Compact Drug Charts in Medical Director
• GP Claim form for MACs - contact Sue Saltmarsh
• Contact List of RACFs in Northern Tasmania
• "Who Can Decide? - a six step capacity assessment process" edited by Dr Peteris Darzins, Dr D William Molloy & Dr D Strong. A very good book dealing with personal care, health care, property & finance, Wills & Power of Attorney, advance directives issues. Contact Sue Saltmarsh at GP North for a loan of this book.
• Falls Prevention Posters (pdf files) produced as part of the "Stand Up Right - Stay Upright" Project
  • "What would you do if you were alone and had a fall"
  • "Don't fall for it. Falls can be prevented".

Web Links

• Strengthening Medicare - Aged Care GP Panels Initiative aims to ensure better access to primary medical care for residents of aged care homes and to enable GPs to work with homes on quality improvement strategies for the care of all residents.
• This site contains details about the recommendations of the Review of Pricing Arrangements in Residential Aged Care (the Review) ( summary report , full report ) and the Australian Government's response to the Review.
• Investing in Australia's Aged Care : More places, better care.
• Department of Veterans Affairs
• The Aged Care Standards and Accreditation Agency is the independent body responsible for managing the accreditation and ongoing supervision of Commonwealth-funded aged care homes.
• Australian Institute of Health and Welfare - Ageing and Aged Care.
• EPC MBS Items - Outline of the EPC items on the Medicare Benefits Schedule with links to all program areas.

DIABETES

The Division's Diabetes management program within general practice consists of several components: practice based identification, registration and recall systems; systematic 6 monthly and annual review of all diabetic patients; enhanced communication and referral systems between key service providers for diabetes and comprehensive education for general practitioners and practice nurses in management strategies and assessment techniques.

The system of registration, reminder/recall and a systematic annual review of diabetic patients have been developed by northern GPs and is offered to all practices in the Division free of charge.  Several resources, including reminder/recall record forms and a record form for an annual review, have been developed as part of the program.

Attached to the program is a quality assurance activity.  GPs send de-identified patient information to the Division for collation and the Division provides the GP with a profile of their diabetic patient population with regional comparisons on an annual basis.

Services to Members

• Complete Patient Registration, Recall and Annual Complication Screen Systems available free to all GPs
• Standardised referral and feedback forms.
• CPD updates in relation to Type I and Type II Diabetes
• Yearly aggregate feedback reports for all GPs submitting data
• Opportunity to compare own patient results with regional averages.
• GP registered patient data payments.

Resources

• Diabetes Referral Form and Patient Record Form can be downloaded from this website. Click here.
• Diabetes Feedback Form
• Diabetes Patient Record Form
• Diabetes Patient Record Booklet
• Diabetes Management in General Practice Booklet 2007/08
• Tasmanian Personal Diabetes Record - contact GP North for copies.

Web Links

• Diabetes Australia - Tasmania is a registered charity and community based support organisation which has worked for all people with diabetes and their families since 1955.
• The national website of Diabetes Australia - features multilingual content and up to date information.
• Diabetes Institute
• Reality Check - A useful website for young adults with diabetes 
• Department of Health and Human Services - Diabetes

HMR is a service provided to patients living at home in the community. The goal of HMR is to maximise an individual patient's benefit from their medication regimen, accomplished through a team approach involving the general practitioner (GP) and the patient's preferred community pharmacist, with the patient as the central focus.

DVA - Dose Administration Aid Scheme Information

The Department of Veteran Affairs has initiated a new program for eligible veterans from the beginning of March 2008. The Dose Administration Aid (DAA) Service builds on DVA's Quality Use of Medicines programs, which include the Veterans' Medicines Advice and Therapeutics Education Services (Veterans' MATES) program and aims to assist the veteran community to get the most out of their medicines and to reduce medication mismanagement.

The DAA Service provides veterans, war widows and other eligible DVA clients, living in the community with regularly secure dose administration aids and the ongoing coordinated care of their doctor and pharmacist. Suitable veterans are identified through a Home Medicines Review and then placed on a one-month trial where they are monitored regularly by their GP and pharmacist. After a successful trial, veterans take up the service for six months, all the while under the supervision of the GP and pharmacist, before their suitability is reassessed.

A Dose Administration Aid (DAA) is a secure, usually disposable style - “Webster”®, “MedicoPak”® or similar, not a re-useable plastic slide style “Dossette® Box” even though the term used in the Veteran section of the website information refers to a “pillbox”. Prescriptions for the DVA DAA Service are provided to veterans through the normal Repatriation Pharmaceutical Benefits Scheme (RPBS) Authority approval process. GPs need Veterans' Affairs Pharmaceutical Advisory Centre (VAPAC) Authority approval to prescribe, which can be given over the phone.

The aims of the DAA Service are to improve veterans' health outcomes through better, safer use of medication. Eligibility criteria apply. For more information go to DVA-DAA Information.

Residential Medication Management Review (RMMR)

RMMR is a service provided to patients living in Residential Aged Care Facilities. The goal of a collaborative RMMR is to maximise an individual patient's benefit from their medication regimen, accomplished through a team approach involving the general practitioner (GP), Facility staff and the Accredited Pharmacist conducting the review, with the patient remaining as the central focus.

What are the objectives of HMR and RMMR?

• Achieve safe, effective, and appropriate use of medications by detecting and addressing medication related problem/s that interfere with desired patient outcomes
• Improve the patient's quality of life and health outcomes using a best practice approach, that involves a collaborative effort between the GP, pharmacist, other relevant health professionals, and the patient (and where appropriate, their carer)
• Improve the patient's and health professionals' knowledge and understanding about medications
• Facilitate cooperative working relationships between members of the health care team, in the interests of patient health and well-being.

Who is eligible to receive a HMR?

The HMR process is available to people living in their homes. It does not apply to in-patients of a hospital, day hospital facility or care recipients in residential aged care facilities.

The patient should not have received an HMR service within the past 12 months (unless there has been a significant change in their condition or medication regimen).

The GP must assess the need for an HMR based on potential patient benefits and quality use of medicines goals. Those patients most likely to benefit are:

Patients at risk of medication related problems because of their co-morbidities, age or social circumstances;

• The characteristics of their medicines (eg warfarin);
• The complexity of their medication treatment regimen;
• Patients recently discharged from hospital with multiple changes in therapy;
• Suspected non-compliance or difficulties managing medication related therapeutic devices.

How do you claim the MBS HMR or RMMR benefit?

GPs can use Medicare Online, submit a Medicare direct bill assignment form or provide the patient with an account. For either service to be eligible for a Medicare rebate, the requirements for the item must be met, including patient consent for the service and agreement with the medication management plan developed.

Cost to patient

• Cost to patients is dependent on individual GP practice billing policy.
• Pharmacies claim directly from Medicare Australia and do not charge a fee to patients for either RMMR or HMR services.

Program Services to Members

• Multi-disciplinary forums and CPD events
• Synergies with other programs e.g Practice Support, chronic disease programs, hospital clinical integration and discharge programs and other QUM initiatives
• Encourage and improve communication between GPs and community pharmacists
• Opportunity to develop participation in evaluation program
  

Pharmacy Newsletters

HMR Pharmacy Newsletter May 2006

Web Links

• HMR OnLine Resource Kit
• Australian Divisions of General Practice - HMR Program
• Medicare Australia - HMR Information
• Department of Health and Ageing - information on medication management reviews (HMR & RMMR)
• DVA-DAA Program - Information for GPs
• DVA-DAA Program - Information for Pharmacists
• Australian Association of Consultant Pharmacy (AACP) - Pharmacist Accrediting Body for HMR & RMMR
• Australian College of Pharmacy Practice and Management (ACPPM) - Education provider for Pharmacist
• Pharmacy Guild of Australia (PGA)
• Pharmaceutical Society of Australia (PSA)
• QUM links - other links from our QUM program section of website
• Auspharmacist.net.au - Pharmacist Relevant Sites - links to many major health information websites.
• Medscape - Pharmacotherapy home page useful starting place for information, many links to other databases

The General Practice North immunisation program aims to improve the quality of vaccination services provided by general practice with the overall goal of improving immunisation rates to a 95% coverage rate within the divisional region. The program commenced in September 1998 with the establishment of a reference group chaired by Dr Gerard Gill.

General Practice North continues to support GPs and practice staff in all aspects of immunisation through practice visits, phone support, resource provision and continuing professional development activities. The Division offers support to GPs and practice staff in assisting with data cleansing, cold chain management and information provision. Many resources have been developed to assist general practice with the implementation of a high quality immunisation service and providing support to assist with improving immunisation rates.

Services Available to Practices

• Staff training in relation to cold chain management and data cleansing
• Cold chain audits and logging vaccine fridge temperatures
• Assistance with data cleansing
• Provision of information in relation to immunisation issues

Resources Available

• NEW : Oral Rotarix Vaccine - Dose cut-off dates
• Immunisation - Information and Resource Kit (March 2008 Version 1.3)- downloads in pdf format
• 2008 Immunisation Schedules (including ATSI Immunisation Schedule)
• Multiple Injection Information Sheet
• Information Sheet outlining what GP/Providers need to do and discuss at each immunisation visit
• Pre Immunisation Checklist with Comparison of Vaccine and Diseases on the reverse side
• Immunisation Posters for the waiting room
• Policies and Protocols for cold chain management
• Daily Temperature Recording proforma

To order any of the above resources please click here.

Useful Contacts

• State Health Immunisation Line – 1800 671738 or 03 6233 3762
• General Practice Immunisation Incentives –1800 246 101
• Australian Childhood Immunisation Register – 1800 653 809
• To Reorder ACIR Stationary – 1800 815 664

Web Links

• Immunise Australia Program
• ADGP National General Practice Immunisation Program
• World Health Organisation. Information geared to answering parents' questions about immunisation and also offers brief explanations for commonly held misconceptions about the value and safety of vaccination.
• The Australian Childhood Immunisation Register - records details of vaccinations given to children under the age of seven who live in Australia.
• Centrelink - information on immunisation requirements for payments such as Child Care Benefit and Maternity Allowance.
• The National Centre for Immunisation Research and Surveillance (NCIRS)

WHAT'S NEW! General Practice North together with General Practice North West are undertaking a comprehensive program to support GPs and practices in improving access for DVA elegiible patients to services supporting their general and mental health needs.

This program will involve comprehensive practice base education for health professionals, dissemination of information and resources specific to the current DVA VVCS and At Ease programs. There will be a specific focus on improving utilization of existing VVCS services and supplementary resources and also on broadening access to other counseling and support programs for DVA clients with mental health needs. This site will be updated shortly to reflect the project strategies and advise members of expected outcomes.

GPs, practice staff and other providers are also encouraged to access the DVA “At Ease” website for current information and advice as to available DVA services and resources.

COMING SOON!!! By the beginning of 2009, General Practice North's Psychological Services will be delivering telephone-based Cognitive Behaviour Therapy, Suicide Prevention and Perinatal Depression Therapies. Contact the Division for more information.

The mental health program aims to increase the knowledge, confidence and skills of regional GPs in diagnosing and managing people with mental illness. Our activities include

• Provision of various mental health educational opportunities for GPs and Practice Staff, including interactive and supportive peer circle activities.
• Provision of opportunities for GPs to meet with government and non-government mental health service providers, and work towards improved systems of communication, referral and follow up. The Division's Mental Health Collaboration Group meets every 8 weeks, and is open to all GPs, each meeting is attended by different members of the Mental Health Services team, who provide useful and informative program updates.
• Promote holistic (mind and body) care for GPs and patients alike.
• Provision of psychological services, including Psychologists, OT's and Mental Health Nurses. GPs are able to refer to these services using a mental health care plan.

Program Activities

Peer Circle
GPs, allied health professionals, mental health nurses, psychiatrists and guests discuss case studies in a small group learning environment. For a current listing of dates and topics held contact Ellie Archer .

NEW MENTAL HEALTH ITEMS : Better Access to Mental Health Care Initiative

As of 1 November 2006 there are a range of mental health items available to improve access for patients to focused psychological strategies. The introduction of these items, and the initiative, have provided the Division the opportunity to increase the capacity of our Psychological Services, to include Psychologists, OT's and Mental Health Nurses, who provide services across the region. Outreach services are provided at Deloraine, Westbury, Georgetown, Beaconsfield, Campbelltown, Longford and Flinders Island .

Under this scheme:

• GPs will need to complete a mental health care plan for patients and claim item 2710 before the patient can access rebated psychological services from allied health professionals.
• Once a patient has completed six sessions with a psychological service provider, GPs can then undertake a mental health review and claim item 2712 , after which a patient can access a further six sessions with the service provider if required.
• GPs no longer need to have undertaken familiarisation training and be Level 1 registered in order to refer patients to allied health professionals, however, in most cases, a mental health care plan will be required.

Further information can be found at AGPN website under Better Access to Mental Health Care Initiative . This information includes:-

• Patient Pathways - an explanation of GP referral options
• GP Fees and Patient Rebates - an explanation of patient fees
• Better Access Flowchart - sets out the three components in detail
• Frequently Asked Questions - Edition One

Services to Members

• Access to specialist advice in small groups through peer circle
• Involvement of GPs in determining the direction of the mental health program
• Provision of broad based CPD in mental health
• Access to Psychological Services

Resources

• Poster : GPs Care - providing quality mental health care within the community. To order, please contact GP North.
• A Manual of Mental Health Care by John Davies. Ring GP North for your free copy.
• Health and Body Image Resource. To view electronically the resource has been divided into two sections.
  
  Section 1: Dealing with patient barriers, diagnostic checks for anorexia and bullemia, details on issues in the treatment of eating disorders and flow chart - click here to view.
  
  Section 2: Action plan script pad, services available and weekly challenge record - click here to view.

Please contact General Practice North if you would like to receive the Health and Body Image Pack.

Web Links

• Aspire
• At Ease Veteran's Resources
• Australian General Practice Network
• Australian Government Department of Health and Ageing
• Beyond Blue
• GP Psych Support
• headspace
• Living Is For Everyone (LIFE)
• Men's Line
• Mental Health Services (DHHS)
• National Mental Health Strategy
• National Primary Mental Health Care
• Richmond Fellowship
• Sane
• Suicide Call Back Service

Program Outline

General Practice North is proud to announce that the "Refugee Primary Health Care Clinic" is now in operation, having seen its first clients on 22nd March. The clinic is the result of a General Practice North led collaborative partnership between the Division, Migrant Resource Centre and Department of Health and Human Services.

What does the Refugee Primary Health Care Clinic offer?

The clinic offers an initial screening and assessment for all newly arrived refugees.

The clinic aims to :

• Comprehensively screen and assess all new arrivals
• Commence and/or complete necessary treatments including catch up immunisation schedules
• Formulate a longitudinal plan of care
• Source general practices to provide ongoing primary health care the the clinic's clients

This assessment will be undertaken in a 3 visit consultation structure, with comprehensive supports from the Launceston General Hospital. These supports will include specialist medical services, dedicated nursing services as well as pathology and radiology.

What does the Clinic mean for GPs and newly arrived refugees?

• Reduced pressure on GPs to undertake the complex assessment of newly arrived refugees
• Co-ordinated early refugee health access in Northern Tasmania
• Smooth transition into mainstream general practice
• Increased local capacity and expertise in refugee health

Operation of the Clinic

The Refugee Health Clinic will operate two sessions a week (all day Thursday) from the Migrant Resource Centre Launceston. Working in the clinic are a group of GPs with wealth of experience, a Registered Nurse providing expert nursing support to the clinic and a Medical Receptionist.

Web Links

• Migrant Resource Centre, Launceston
• Translation and Interpreter Service (TIS)
• Multicultural Tasmania
• DHHS - Refugee Health including RAHAC in Hobart

• Consideration of the place of medicines in treating illness and maintaining health
• Selecting the best option from the range of medicines available based on the patient, clinical condition, risks, benefits, dosage, length of treatment, co-morbidities, other therapies, monitoring and costs (for the patient, community and health system)
• Ensuring the best possible outcome via safe effective prescribing.

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DIVISIONAL NPS PROGRAM

General Practice North has an experienced training NPS Facilitator, Danielle Truscott. The National Prescribing Service is not affiliated with Government, the pharmaceutical industry nor does it have access to doctors prescribing data.

One-on-one educational visits or small group discussions on therapeutic topics are a time to update and reinforce prescribing choices. The clinical information discussed is based on best practice guidelines and evidence-based medicine principles.

Educational Visiting : "Evidence Informed Medicine"

What is it?

An opportunity to ask, question what evidence is available and reflect on your practice.

The answer to all these questions is no. In an educational visit current esearched therapeutic management or best practice medicine is reviewed and discussed in an interactive manner. Information is independent, concise and honest. You can explore the benefit versus harm and how to explain that to your patient. Expect to build on your knowledge and be assisted to find out more information in order to better manage your patients. An alternative viewpoint on prescribing will expose new ideas and everyone is always hungry for information, especially comparative information on new drugs.

There is trust and mutual respect developed between the educational visitor and doctor. They will be flexible in order for your objectives to be fulfilled and will certainly learn from you. They won't pretend to know something they don't.

Are there limitations?

Yes, your clinical experience will need to be merged with the 'guidelines'. Time is limited to respond to specific questions about individual patients and the generalisability of the evidence cannot be guaranteed. There may be controversial issues and gaps in knowledge. Keep your eyes out for advertisement of the next therapeutic topic. Only a handful of divisional GPs are yet to get involved.

ENSURING DRUG SAFETY IN AUSTRALIA

Do you report suspected adverse drug reactions to ADRAC? Remember you don't have to be certain just suspicious.

In Australia, adverse reaction reporting is coordinated by the Adverse Drug Reactions Unit (ADRU) at the Therapeutic Goods Administration (TGA). The system for monitoring adverse reactions in Australia is by voluntary reporting by health professionals and consumers. Each year the ADRAC receives approximately 12,000 reports of suspected adverse drug reactions, about one-third of these come from GPs. The Adverse Drug Reactions Advisory Committee (ADRAC) is a subcommittee of the Australian Drug Evaluation Committee (ADEC) and was formed in 1970 to advise the TGA on the safety of medicines. It is composed of independent medical experts who have expertise in areas of importance to the evaluation of medicine safety.

Your reports can result in ADRAC recommending action to the TGA and publishing information in the Adverse Drug Reactions Bulletin. This Australian bulletin is sent to health professionals here and to other countries, thus contributes to worldwide drug safety. An accumulation of reports on a drug can allow very detailed ADR profiles to be developed and sometimes changes to the product information are recommended.

There are many examples. The Bulletin alerted prescribers to the occurrence of Australian cases of rhabdomyolysis in association with cerivastatin ( particularly when used with gemfibrozil). ADRAC made a number of recommendations to the TGA including the need for a " Dear Dr " letter, a boxed warning and an additional study. Cerivastatin was withdrawn worldwide by the sponsor.

THE QUALITY PRESCRIBING INITIATIVE (QPI): How can your practice benefit?

• Are you or your GPs participating in quality prescribing activities with NPS?
• Is your practice accessing the QPI payment? Click here to find out more.

ON-LINE RESOURCES

Click here for useful on-line resources e.g. Guidelines for Medication Management in RACFs, Australian Medicines Handbook and more....

WEB LINKS

• National Prescribing Service Limited - the website contains information about NPS, QUM, NPS News and PPRs, clinical audits and case studies. It also includes media releases and links to other sites.
• RADAR is an on-line service, developed by NPS providing helpful, timely and independent information on new medicines, revised PBS listings and new research relevant to primary care.
• Schedule of Pharmaceutical Benefits (effective 1 February 2007), is a listing of the medicines subsidised by the Australian Government. The Schedule is part of the wider Pharmaceutical Benefits Scheme administered by the Department of Health and Ageing and Medicare Australia.
• Full text of Australian Prescriber is available free on the internet website
• Adverse Medicines Line - consumer reporting of adverse drug reactions
• Therapeutic Advice & Information Service (TAIS) - A nationally coordinated telephone service for health professionals wanting independent drug and therapeutics information.
• Adwatch - misleading drug information
• Veterans' Mates therapeutic advice & information
• Australasian Cochrane Centre
• MedLine (via PubMed)
• New Zealand Guidelines Group cardiovascular risk calculator
• Therapeutics Letter, Therapeutics Initiative The Therapeutics Initiative is an independent organization at The University of British Columbia dedicated to providing up to date, evidence based, practical information on rational drug therapy. The Initiative is at arms length from government, pharmaceutical industry and other vested interest groups.
• Prescribing Evidence Based Therapies. This website, developed in the USA, has very thought provoking information relevant for us in here in Australia. It is a publicly-funded educational program developed to improve awareness of drug development and pharmaceutical marketing practices. It is an innovative, multi-media, interactive web-based pharmaceutical curriculum which may be of interest to GPs. Module 1 can be overlooked due to its applicability here but the other short videos are educational and entertaining. The documentary also explores solutions as to how to improve practice methods in order to help practitioners make better informed, more objective prescribing choices.
• Independent Drug Information Service (iDiS). This is an innovative program designed to provide physicians with an evidence based, non-commercial source of the latest findings about the drugs they prescribe (Boston, USA).

NPS Medicines Line and Therapeutic Advice Call: 1300 888 763. Medicines line is a national telephone information service for consumers which provides access to independent, accurate and up to date information about medicines including prescription medicines, over-the-counter medicines, complementary medicines and herbal and natural therapies.

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GP North's Youth Health Program aims to improve the health care outcomes of youth (aged 12 to 24) within the Divisional area. GP North has chosen to assist this group in two ways:-

• Offering medical services in an accessible format to youth within major urban centre (drop in centre, bulk billing, youth "friendly environment")
• Educating all Divisional GPs and their staff in the special needs of this age group

The specific strategies adopted are :

• Encouraging, educating and supporting medical services at the Launceston Youth Health Centre “The Corner”
• Investigating the feasibility of other youth health care initiatives from “The Corner”
• Encouraging and supporting GPs and their staff in increasing their knowledge and skills in the specific health needs of youth
• Exploring funding opportunities that would allow further work in the area
• Establishing links to other youth health organisations

Services to Members

• Resource of youth health information
• Confidential GP youth health service
• Youth friendly practice information

Web Links

• National Divisions Youth Alliance - GPs working with young people
• Pressure Point - Cyber Youth Clinic - Dr YES (Dr Youth Education Sessions) and Youth Friendly Doctor
• Australian Institute of Health and Welfare Report "Australia's Young People - Their Health and Wellbeing 1999" Clockwork: Young People's Health Service
• Youth Network of Tasmania - peak body for the non-government youth sector in Tasmania
• Reachout- An internet based service that helps young people through rough times

Program Outline

The Division's Physical Activity Program has now been broadened to encompass Health Risk Management, Prevention and Promotion and a new Reference Group was formed in February consisting of Dr Joe Tempone, Dr Judith Watson, Dr Robin Bailey-Smith and Dr Beth Mulligan. Scoping of this new program has continued with strong links having being established with the consortium that is developing the SNAP framework (Smoking, Nutrition, Alcohol and Physical Activity). It is envisaged that a suite of resources concentrating on these four risk factor areas will be available to general practice in September/October 2005.

Program Activities

To view assessment, scripts and guides in pdf file:-

To download assessment, scripts and guides into Medical Director:-

First download instructions for downloading:- Instructions for Downloading

Then select any of the following links to download (NB: you may need to select the category "Lifescript Templates" to show all the templates below):-

• CPD events
• Participation in physical activity events
• Support through the provision of Physical Activity Resource Kits (includes prescription pad, patient progress sheet and information. To order contact Jan Dawkins.
• Lifescripts Summary from the Heart Foundation

Web Links

• Green Book : 2nd edition of Putting Prevention into Practice: Guidelines for the implementation of prevention in the general practice setting
• Smoking, Nutrition, Alcohol, Physical Activity (SNAP) Framework for General Practice
• Office of Sport and Recreation
• Skilled Burnie Ten
• Premier's Physical Activity Council
• Australian Sports Commission - Developing Sport
• ADGP - Lifescripts