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One Focus Enhancing health service delivery in the south metropolitan area Autumn 2015 Mental Health services in the South Care closer to home for cancer patients New hand service southmetropolitan.health.wa.gov.au Contents New procedures saving lives 3 Supporting vulnerable young mums 4 Care closer for cancer patients 5 Day Admissions Centre takes front position 6 Moss Street steps towards Alma Street address 6 A firm grip on hand services 7 Happenings at Fremantle 7 Continuity of midwifery care 8 Helping migrant women 9 Mental health services at our hospitals 10 Culturally appropriate mental health care 12 Working with business to stop the smoke 12 Historic moment for new hyperbaric service 13 Patient centred care recognised 14 Patient focus for nurses 15 Peel breast service 15 Contact details For all editorial queries contact the One Focus editor: Communications South Metropolitan Health Service 16 Ogilvie Road MOUNT PLEASANT WA 6153 T: 08 9318 7500 E: [email protected] W: www.southmetropolitan.health.wa.gov.au This document can be made available in alternative formats on request. © State of Western Australia, Department of Health 2015 One Focus From the desks After meticulously planning one of the most significant patient, service and staff moves in WA Health history, the transition of services in the south metropolitan area is complete and Fiona Stanley Hospital is open. Within six months two hospital sites – Shenton Park Campus and Kaleeya Hospital – closed along with Fremantle Hospital’s Emergency Department. With great care we have moved a total of 230 patients – with many being some of our sickest patients. In addition, more than 40,000 outpatients in 25 speciality areas were relocated throughout clinics. Adjunct Associate Professor Robyn Collins Royal Perth Hospital transitioned to a 450-bed tertiary hospital and Fremantle Hospital became a 300-bed specialist hospital. These are significant achievements and never before has something of this type occurred in Professor Frank Daly Australia or the world. Whilst it hasn’t been without difficulties, what has been achieved is worth recognising and celebrating, particularly the dedication of staff who went through the change and continued to provide excellent care to patients. The journey, however, hasn’t ended and we are not resting on our achievements. Over coming months we will consolidate and refine our services across all our hospitals so we can achieve the return on the huge investment made in WA Health. Our focus remains on providing high quality care to our patients and the community so they can be comfortable with being treated in any of our hospitals and by any one of our clinical teams. This edition showcases a small sample of some of the ways we continue to put the patient first and foremost in everything we do. Adjunct Associate Professor Robyn Collins Chair, SMHS Governing Council Professor Frank Daly A/Chief Executive, SMHS Front page: Hand Service Lead Orthopaedic Surgeon Paul Jarrett with Occupational Therapist Jude Feldman and Clinical Nurse Coordinator Nicola Mawson. New procedure saving lives The leading cause of death in trauma patients within the first 24-hours is the risk of haemorrhaging and a team of Royal Perth Hospital trauma doctors are at the forefront of saving patients who are minutes from death. The Royal Perth Hospital State Adult Major Trauma Unit is the first team in Australasia to perform the new procedure that stops uncontrolled internal bleeding. “The REBOA procedure is less invasive, helping to reduce the impact on the patient and shorten their recovery time.” Dr Dieter Weber, who has performed the lifesaving procedure, said Resuscitative Endovascular Balloon Occlusion of the Aorta, or REBOA as is commonly known, is a last chance for patients who are haemorrhaging. REBOA involves inserting a tube into the artery at the groin and feeding it up into the aorta in the heart. “REBOA is performed in the Emergency Department on patients who often have no pulse and who, without this procedure, wouldn’t make it from the Emergency Department to the operating theatre in time,” Dr Weber said. An x-ray is taken to ensure the tube is in place before inflating a small balloon to stop blood from flowing out of the heart and leaking out of the damaged organs. “Preventing blood-loss buys the time needed to take the patient to Dr Dieter Weber surgery and repair their damaged organs,” Dr Weber said. REBOA has been used at Royal Perth Hospital in place of a resuscitative thoracotomy, a procedure where the chest is cut open and the rib cage broken in order to directly access a patient’s aorta and insert a clamp. Royal Perth Hospital State Adult Major Trauma Unit is the second largest trauma unit in the country and is constantly working to improve treatment methods so patients have a fighting chance. “REBOA is performed on patients who often have no pulse and without this procedure, wouldn’t make it to the operating theatre in time.” │ 3 Supporting vulnerable young mums Armadale Health Service’s Supporting Those at Risk (STAR) clinic is assisting vulnerable women with complex social and health issues. Armadale Health Service Clinical Midwife and STAR Clinic Coordinator Belle Sexton said the specialist service focuses on providing a one-stop antenatal clinic for young women with substance or alcohol abuse, living with a mental illness or are mothers aged below 17 years. professionals and obstetricians to break down the barriers for vulnerable women accessing care and bring about better outcomes for mothers and their babies. Samantha Gauci, who was referred to the STAR clinic due to medical complications she experienced in her previous pregnancy, said she felt supported by this specialised service. “Our focus is on providing antenatal education and care that is individualised to each mother’s circumstance whilst covering the fundamentals of childbirth and parenting,” Ms Sexton said “We seek to build trusting relationships with vulnerable women in a caring, nonjudgemental environment to ensure they receive continuity of care throughout their antenatal period and to provide advocacy on their behalf where necessary.” STAR midwives have specialist Samantha Gauci with Armadale Health Service STAR Clinic Midwife Kristy Zani. “Being able to see the same midwife at every appointment instead of a different person each time, makes it more comfortable for me to talk about problems and issues that may arise,” Ms Gauci said. knowledge in the field of substance use and mental health disorders and their impact on maternity care. They work collaboratively with social workers, mental health The clinic also provides support to women who are experiencing family and domestic violence or are being assisted by the Department for Child Protection and Family Support. Quick facts Service supports vulnerable pregnant women who are: involved in substance or alcohol use living with mental illness experiencing family and domestic violence being assisted by Department for Child Protection and Family Support mothers aged below 17 years. One Focus S ervice provided by midwives trained in managing complex and social issues. Women will be supported through a personalised care plan based on their circumstances. Women will have access to support provided by mental health liaison, social work and a specialist obstetrician. For more information call 08 9391 2901. Patient Peter Willars with Acting Clinical Nurse Julie MacLeod and Clinical Nurse Specialist Maxine Reynolds. Care closer for cancer patients The number of patients receiving chemotherapy services at Rockingham General Hospital has increased and so too the service to meet growing demand. Geraldine Carlton Executive Director said the expanding chemotherapy service gives many patients from Rockingham, Kwinana and surrounding areas the option to have their treatment closer to home and importantly, near to their support networks. Maxine Reynolds has been Clinical Nurse Specialist in the unit since its opening, as have most of the four-strong nursing team, and has seen the expansion in the service and the need to develop closer ties to community networks. “With a 48 per cent increase in admissions to the same-day clinic in the past 12 months, this is an important service for Rockingham General Hospital to provide to patients in the area,” Geraldine said. Maxine said the team are only too aware of the importance of support programs for patients which is why the team has been proactive in developing our own links with local organisations. “While it may still be necessary for some patients to travel to the tertiary sites for specialist care, many are now able to receive their treatment and followup appointments at Rockingham General Hospital. The benefit of being closer to a patient’s support networks, and the difference this makes, can’t be underestimated.” “We regularly host ‘Look good…Feel better’ workshops for patients, which boosts their confidence as the sessions give information and tips on managing the appearance-related side effects of cancer treatment,” Maxine said. The growth has been accompanied by the introduction of oncology and more recently haematology outpatient clinics at Rockingham General Hospital. While the majority of patients attending the unit receive anti-cancer drugs, a number receive immunotherapy and transfusions to treat a range of other illnesses. The unit has a combination of treatment beds and chairs, spread across two light, bright areas, allowing for the treatment of up to 10 patients at any one time. There is also an isolation procedure room within the unit. │ 5 Day Admissions Centre takes front position Behind the locked doors of the former Fremantle Hospital Emergency Department, work has started on creating the new 50-bed Day Admissions Centre. Instead of treating people needing emergency care, the unit will be used to admit and discharge patients requiring admission for any surgery or procedure at Fremantle Hospital, no matter their length of stay. Clinical Nurse Manager Leesa Kerr, who will head the unit when it opens in June, said the centre would streamline the hospital’s admission and discharge process for patients and staff. “All patient admissions will come through the one central entrance, which will greatly simplify the often daunting task of finding your way through a busy public hospital with multiple entrances,” Leesa said. Construction of the centre is one of the major changes at Fremantle Hospital as it starts its new life a 300-bed specialist service. It is part of the Bigger Picture in Health and the $19m allocated to Fremantle Hospital for its upgrades. Moss Street steps towards Alma Street address The hub for rehabilitative care at Fremantle Hospital and Health Service will soon have a new address and more opportunity to expand its service. For the past 14 years, East Fremantle’s Moss Street Centre has provided a comprehensive off-site rehabilitation service and is now preparing to continue its care provision in the former Fremantle Hospital Children’s Ward. physiotherapists, occupational therapists, dietitians, speech pathologists, social workers, therapy assistants and a clinical psychologist. While the location is changing, the service will continue to focus on providing multidisciplinary care for people aged over 18. Clinical Nurse Consultant Janice Guy said bringing the services and the associated staff on-site highlighted the important role rehabilitative care had to play in the configuration of Fremantle Hospital as a specialist service. Their robust rehabilitative care program includes a Parkinson’s clinic, general geriatric medical clinic, memory evaluation clinic, balance and mobility clinic, and continence clinic. “The benefit of the move into the bigger, brighter environment means staff will be able to further develop services as there will be more space available.” The collaborative nature of each clinic means that clients can benefit from the skills and knowledge of consultant geriatricians, nurses, One Focus Moss Street Centre Occupational Therapist Paula McGinley with patient Caroline Rutz. Did you know? About 1,900 occasions of services are registered at the Moss Street Centre each year. Happenings at Fremantle Fremantle Hospital is undergoing several structural and service ‘facelifts’. Hand Service Lead Orthopaedic Surgeon Paul Jarrett with Occupational Therapist Jude Feldman, Clinical Nurse Coordinator Nicola Mawson and Physiotherapist Lauren Ford. A firm grip on hand services Fremantle Hospital is the leading specialist provider of hand surgery and treatment within the south metropolitan area. In early April, the hand service opened as a key area of care that Fremantle Hospital is providing in its capacity as a 300-bed specialist service. The comprehensive service is structured to enable Emergency Departments at Armadale Health Service, Royal Perth Hospital, Fiona Stanley Hospital and Rockingham General Hospital to refer outpatients with hand and finger injuries to Fremantle for surgery and treatment. This means patients within the SMHS catchment area, not just those living near Fremantle Hospital, will be able to access the specialist team and services. Hand Service Lead Orthopaedic Surgeon Paul Jarrett said patients would benefit from the concentrated service, with care provided by orthopaedic and plastic surgeons, occupational therapists and physiotherapists. Fremantle is embracing its new role and has already begun making a positive difference to the health and wellbeing of many West Australians. Additional services moving onto the Fremantle Hospital site over the next three months include: ophthalmology service coming online in April/ May Marmion Street Older Adult Mental Health Unit moving to the hospital in late May 50-bed Day Admission Centre (DAC) due for completion in mid-June. Moss Street Clinic moving into the old paediatric ward towards the end June 2015. “The specialist team will provide holistic care for patients in a timely manner,” Mr Jarrett said. “Patients will also benefit from research done by the team at Fremantle Hospital.” The configuration of the service and its links to other hospitals will allow patients to have surgery on the day of their first consultation at Fremantle Hospital, if necessary. Typical injuries that will be treated include tendon injuries, nerve damage, fractures, lacerations and finger amputations that don’t require reattachment. │ 7 Continuity of midwifery care Expectant women in Armadale and the surrounding areas have a new public midwifery service offering them great continuity of care. Midwifery Group Practice, run off-site in the community by the Armadale Health Service, provides women with a dedicated midwife who will care for them from the moment they are booked into the hospital for antenatal care through to labour, birth and postnatal stage. Clinical Midwifery Manager Sarah Weightman said having a single point of care for women throughout their pregnancy and beyond had many benefits for mothers and babies. “The continuity of midwifery care helps to build a strong bond of trust between the mother and midwife,” Sarah said. “It allows the midwife to gain extensive knowledge of the mother’s health needs and any associated risks which will lead to safer a birth and a shorter stay in hospital. “Expectant women will not have to repeat their concerns to a different midwife at each antenatal appointment and this leads to better outcomes for a mother and her baby.” Inga Butefisch, who is 34 weeks into her pregnancy, said she was encouraged that the person caring for her understood her health needs and would also get to know her personally. “Preparing to give birth is such a personal and intimate experience so it is important to me that I am not dealing with strangers every week,” Inga said. Midwifery Group Practice is the first of its kind in the south metropolitan area and helps to meet the increasing demand for maternity services while providing greater choice for women. Similar programs have run in country areas and at King Edward Memorial Hospital. Inga Butefisch with her Midwifery Group Practice midwife Susan Cudlipp. Fact File Armadale Health Service delivered 2,432 babies in 2013/14. Midwifery Group Practice complements mainstream hospital maternity services. Continuity of midwifery care benefits mothers and babies including: greater birth satisfaction for mothers safer birth outcomes for babies better breastfeeding outcomes reduced likelihood of birth interventions shorter length of stay in hospital following birth reduced likelihood of postnatal depression and improved access to support for mothers if necessary. For more information, visit www.ahs.health.wa.gov.au One Focus Helping migrant women A partnership between South Metropolitan Health Service, Mental Health Access Service and Fremantle Multicultural Centre has helped pave the way for better quality mental health care for migrant women. For some the trauma of migration, a change in language, culture, religious beliefs and understanding western way of living can be overwhelming, which is why a holistic approach to mental health care delivery has been developed. SMHS Executive Director, Mental Health Strategic Leadership Unit Dr Elizabeth Moore said the partnership allowed the delivery of tailored services that better met the needs of migrant women. “Adapting to a new culture, dealing with grief, loss and the continuing anxiety over family and friends left behind can have a huge impact on a person’s mental health,” Dr Moore said. “Processing traumatic experiences before and after settlement and the isolation makes transitioning hard for people and it was evident that a more culturally sensitive and responsive services were needed.” The services support between 200 and 300 clients at any given time frame. “We assist these new arrivals in navigating the mental health system as needed and to provide support and advocacy,” Dr Moore said. “Case workers are assigned to individuals to ensure personalised care and service is offered to clients.” Through this partnership, women migrants have continuous and seamless access to mental health services without needing to know where to go to get the services required – government or nongovernment. There is also frequent evaluation to value add and fill gaps in the services needed. The partnership has raised interest in the international community with Dr Moore invited to present key findings at the Sixth World Congress on Women’s Mental Health in Tokyo, as the service model can be transferred other countries to help them successfully support women through mental health and migration issues. South Metropolitan Health Service Mental Health Access Service and the Fremantle Multicultural Centre team working together to help migrant women. │ 9 Mental health services at our hospitals Working with hospital specialities including medical, nursing, psychology and social work, our mental health teams use a multidisciplinary approach to provide the best possible care to consumers. South Metropolitan Health Service mental health staff are a specialised team who use best practice models of care to get consumers on the pathway to recovery. At a glance… Armadale Mental Health Service The Armadale Mental Health Service provides a comprehensive range of mental health programs for adults and older adults predominantly from the Armadale, Gosnells and Serpentine-Jarrahdale local government areas. The comprehensive range of service includes: consultation, assessment and treatment for moderate to server mental health problems individual, group and family therapy education on mental health conditions and the medication prescribed mental health recovery programs and life skills development. Bentley Mental Health Service Bentley Mental Health Service provides a comprehensive range of specialist mental health services for adults and older adults including acute inpatient mental health services, rehabilitation services and community mental health services. Also on offer is community-based care and a hospital-based day therapy service for consumers aged 65 and older. The comprehensive range of service includes: acute inpatient mental health services rehabilitation services community mental health services. One Focus Fremantle Mental Health Service The Fremantle Hospital Mental Health Service’s Alma Street Centre has been providing a comprehensive mental health service for the past 21 years. Continuing to provide people living in Fremantle and its surrounds with inpatient, outpatient and community services for adults and older adults is one of the keystones of Fremantle Hospital’s new role as a specialist service. The comprehensive range of services includes: acute inpatient, community treatment and continuing care programs 48-bed acute adult inpatient unit 16-bed older acute inpatient unit, both of which provide short term inpatient treatment to people during the acute phase of mental illness. Fiona Stanley Mental Health Service Rockingham Mental Health Service The Fiona Stanley Hospital Mental Health Service is a key addition to existing mental health services offered in Perth’s south metropolitan area. The Rockingham Peel Group Mental Health Service provides specialist inpatient, outpatient and community services for adults (aged 18–65 years) and older adult (over 65 years). Fiona Stanley Hospital offers a range of age-appropriate mental health services across the life span (from young adults) and includes mental health liaison teams and the delivery of drug and alcohol services. Services are provided throughout the hospital, with a strong presence in the Emergency Department, rehabilitation, and maternity service areas. The comprehensive range of services includes: an emergency department mother and baby unit psychiatric intensive care unit consultation services. The service provides care and treatment for patients in the communities and surrounding areas from Rockingham and Kwinana through to Mandurah, Pinjarra and Waroona. Community services are based in Rockingham and Mandurah, while the inpatient unit at Rockingham General Hospital provides care for those suffering from acute and serious mental illness. The comprehensive range of services includes: an emergency department 30-bed acute adult inpatient unit consultation services intensive day therapy. │ 11 Culturally appropriate mental health care The South Metropolitan Health Service Mental Health Managing Cultural Diversity training program, a first in Western Australia, has become nationally and internationally recognised in the 10 years since it commenced. The intensive one-day training course was developed after two SMHS staff members noted an increase in cultural diversity in WA; however, they found there were no suitable training programs available. The training program has now trained more than 1000 participants from 13 WA organisations. Executive Director, Mental Health Strategy and Leadership Unit, Dr Elizabeth Moore said the growth of the program indicated there was a continuing need for cultural training in order to deliver world-class patient care. “On a daily basis mental health staff must deliver services to culturally diverse communities and it is essential they have the skills to tailor their messages to patients of all backgrounds,” Dr Moore said. “This is yet another example of how we are prioritising patient needs and adapting to meet a changing population.” Dr Moore also complimented the training staff on their resource sharing, with information now being made available throughout Australia and internationally. SMHS is leading the way in the area of cultural training by presenting findings at the past three Royal Australian and New Zealand College of Psychiatrists conferences and at the 2013 World Association of Social Psychiatry Conference in Portugal. Working with business to stop the smoke Shoppers at Westfield Carousel Shopping Centre have traditionally had to walk through clouds of smoke every time they entered the centre, but smokers are now being asked to butt-out in the friendliest of ways. South Metropolitan Population Health Unit Health Promotion Officer Lisa Rooke said her team had worked with Carousel management and the City of Canning to create this new culture because smoking outside the entrances was such a problem for shoppers. “Most smokers want to do the right thing and they try to smoke where they won’t affect other people – but without clear direction and guidelines, it is hard for them to know where to smoke,” Lisa said. “We have painted lines so people know the boundaries outside the entrances, One Focus and they can move away in confidence, knowing they are doing the right thing.” There are colourful new “no smoking” signs around the shopping centre entrances, green lines painted on the ground so people can easily see the boundaries of the smoke-free zones and, importantly, security guards have been trained to speak to smokers in a nonconfrontational ways. The Tobacco Products Control Act 2006 states smoking is prohibited in enclosed public spaces, outdoor eating areas, in and around children’s playgrounds, and in cars with children under 17 years of age. Historic moment for new hyperbaric service Fiona Stanley Hospital treated its first diver with decompression sickness, or ‘the bends’, almost 100 years after the first recorded use of a hyperbaric chamber in Australia In February 1915 a Broome Japanese pearl diver was treated for paralysis in an experimental re-compression chamber and 100 years later Rockingham local, Mark Richardson, presented to Fiona Stanley Hospital after completing two dives at 35 and 28 metres. The reason behind the decompression sickness remains a mystery for the experienced diver who was treated in the hospital’s new $4.6 million, 56 tonne hyperbaric chamber. Mark said he realised that something wasn’t right when the pain in his shoulder, arm and elbow was still present the next night after his diveand called Healthdirect. “I do like to push the limits with my diving and it was deep for a recreational diver, but I followed my computer exactly so I am still puzzled as to why I ended up with the bends,” Mark said. Mark had four sessions in total in the chamber and was grateful for the very knowledgeable staff that treated him. Dr Fiona Sharp, a part of Mr Richardson’s treatment team, said the new chamber provided an increase in care we hadn’t previously been able to provide in the smaller chambers. Rachel Byrne and Dr Fiona Sharp assist patient Mark Richardson. “The larger chambers mean patients such as Mr Richards can lie down, if required, and enable the team to provide the best medical care and assessment by being present in the chamber,” Dr Sharp said. “We will see an average of 35 dive patients a year in Western Australia but the majority of our patients are treated for radiation damage, late radiation injury, wound healing, gas poisoning and necrotising infections”. Fiona Stanley Hospital’s Hyperbaric Medicine Unit opened in November 2014. The chamber that treated the pearl diver 100 years ago is on now on display at the Broome Museum. “The new chamber provided an increase in care we hadn’t previously been able to provide in the smaller chambers.” │ 13 Patient centred care recognised Patient centred care and consumer engagement are the hallmarks of Bentley Health Service according to assessors from the National Safety and Quality Health Service. Committed to patient-centred care: BHS staff with their official certificate of accreditation. The EQuIPNational program was developed by the ACHS to assess health services and their facilities against the ten National Safety and Quality Health Service (NSQHS) Standards. Bentley Health Service Acting General Manager Maree Thomter said the feedback from the ACHS assessors highlighted Bentley’s commitment to patient-centred care. “We strive to provide the best possible health care outcomes and the accreditation results are a testament to our efforts to create an ideal environment for our patients,” Maree said. “We received great feedback, with the assessors noting the cohesiveness of the multidisciplinary teams and the integration of general and mental health.” Accreditation against the 10 NSQHS Standards ensures One Focus hospitals provide patients with high quality care in a safe environment. our dedication to the continuous improvement of all our services.” The standards take into consideration areas such as infection control, medication safety, governance for safety and quality, and patient identification procedures. Bentley Health Service met the requirements of all 10 NSQHS Standards emphasising their commitment to providing high quality care for their patients. Bentley Health Service’s strong relationship with the Consumer Advisory Council was also highlighted by the assessors. “The Consumer Advisory Council plays an important role at BHS, offering a patient perspective and an understanding of the consumer experience,” Maree said. “By advising on strategies to improve consumer, carer and community participation, they help us provide care and services that meet the needs of our patients. “The surveyors were very impressed by our collaboration with our consumer members, and Quick facts All hospitals in Australia undergo mandatory assessment against the 10 National Safety and Quality Health Service (NSQHS) Standards (www.safetyandquality.gov.au). The standards drive the implementation of safety and quality systems to improve the quality of care for patients in Australia. Bentley Health Service achieved accreditation, with assessors highlighting the exceptional focus on patient-centred care and consumer consultation. Patient focus for nurses This year’s 11 graduate nurses at Peel Health Campus have completed the 12 month Graduate Registered Nurse Program with exceptional results. As part of the program designed to support the graduates during their first year as a registered nurse, each nurse is required to complete a quality improvement project, based on one of the National Safety and Quality Health Service Standards. Di Barr Director of Clinical Services said graduates’ projects were outstanding, detailing solutions to enhance the patient experience at Peel. “With passionate junior nurses of this high calibre entering our profession, I am very confident that the future of patient care is in great hands,” Di said. The nurses’ projects identified clinical risks and enhancements to the provision of clinical care and patient outcomes across a range of topics from pain assessment to monitoring of intravenous cannula sites and identifying which patients are most at risk from falling. Graduates from the registered nurse program at Peel Health Campus. Acknowledgement for Peel breast service Peel Health Campus’s on site McGrath breast care nurse and support for women in the Peel region has been rewarded by being invited to attend the Pink Test and Jane McGrath Day in Sydney. Donna Cook, along with a patient she supported for several years, was selected to attend this special occasion, which was about inspiring, educating and raising funds for the McGrath Foundation. Donna Cook with Prime Dr Margaret Sturdy Peel Minister Tony Abbott Health Campus Chief on Pink Test and Jane Executive Officer said McGrath Day. the entire campus was very proud and privileged to have Donna as part of the hospital’s team. “We are extremely proud of Donna and what she has achieved, since she joined us last year to provide Peel Health Campus with a dedicated breast care nurse,” Margaret said. “Donna provides physical, psychological and emotional support from the time of diagnosis and throughout treatment, and her passion and dedication to the McGrath Foundation along with the work she is doing here in the Peel community is outstanding” Donna said being part of the McGrath day in Sydney was an amazing opportunity to give something back to the McGrath Foundation after working for them for seven years and it is fantastic that the hospital is able to provide the service. “I’m extremely happy to be working at Peel Health Campus as it is a truly unique environment and one that is focused on extending services to those living in the Peel region,” Donna said. │ 15 Flu can be deadly serious, even if you’re fit and healthy. The flu vaccine is your best protection against severe symptoms. It’s FREE for pregnant women, people aged 65 years and older, people with a chronic medical condition, children aged 6 months to 5 years, and Aboriginal people aged 15 years and older. healthywa.wa.gov.au © State of Western Australia, Department of Health 2015 The flu. As easy to catch as a bus. Get the flu vaccine today.