Adelaide PHN - An Australian Government Initiative

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Our Priorities Adelaide PHN - An Australian Government Initiative

Our Priorities

The purpose of this list is to showcase our programs and activities current and or currently under development by the Adelaide PHN. It is not an exhaustive list but encompasses ongoing and anticipated activities addressing the local priorities from our needs assessment process. The activities are grouped under overarching categories which reflects the Commonwealth Department of Health key priorities and performance indicators for all PHNs.

Aboriginal and Torres Strait Islander Health

To view programs and activites currently or under development around Aboriginal and Torres Strait Islander Health, click on the button below.

1 Integrated Team Care

The Closing the Gap program supports Aboriginal and Torres Strait Islander people who need assistance to access health services, and support in self-management of their health care needs.

The program works at the local level by engaging with communities, health care providers and Aboriginal organisations to ensure care is streamlined through an understanding of local health care systems and needs. The management of the Closing the Gap Programs has transferred to a single organisation Northern Health Network (NHN). The NHN was contracted by Adelaide PHN to provide the Closing the Gap service in the north during 2015-16, and is now commissioned to continue in the North and expand to the West and Southern area across Adelaide metropolitan region until June 2018. Click here for more information

2 GP Outreach Service Pilot

A joint partnership between the Adelaide PHN (APHN) and the Southern Adelaide Local Health Network (SALHN) and a local GP Practice.  The Project will ‘concept-test’ the sustainability of the GP outreach model to improve access to culturally appropriate medical services for Aboriginal and Torres Strait Islander people living in the southern metropolitan Adelaide region.

The project will provide a consistent GP service at the Aboriginal Family Clinic (AFC) sites.

Test the potential for a sustainable outreach GP service business model within a nurse led clinic environment which utilizes MBS claimable options and improve patient outcomes by supporting clinical management of Aboriginal people with acute and chronic conditions. The pilot phase 1 and 2 commenced in July 2016 and will be completed in February 2017.

Commenced (Finish Feb 2017)


The Commonwealth Department of Health defines After-Hours period as 6 pm to 8am on weeknights, between 8 am and 12 pm on Saturdays, and all day Sundays and public holidays. To view the range of activites currently being developed around After Hours, please click on the button below to view more information.

1 After Hours Consumer Awareness Resource

The project proposes a range of solutions to ensure that residents in the Adelaide PHN region will have access to, or information regarding, appropriate and accessible after-hours primary care services. A key element will include the provision of consumer information offering advice such as: Emergency Department triage of symptoms, determining the most appropriate care available in the after-hours period and information enabling access to affordable care.

The two elements to the project include a hard copy flip chart for Playford City Council residents (early 2017) and a mobile optismised website for the entire Adelaide metropolitan region (mid-2017). 

currently being developed
2 Extended Primary Care in Residential Aged Care Facilities

This program  involves a GP led coordinated multidisciplinary team approach together with capacity and capability building components within residential aged care to improve care and management of residents with complex/chronic conditions and at end of life to reduce avoidable transportation to hospital.   Adelaide PHN has commissioned Eldercare Inc., to undertake the project across three sites in Seaford, Glengowrie and Payneham commencing February 2017.

currently being developed
3 After Hours Extension of Mental Health Clinical Services

The after-hours extension of mental health clinical services enables Adelaide PHN commissioned providers of primary mental health care services to provide services in the after-hours period. Selected commissioned providers may provide mental health care services in these hours, adjusted according to population health needs and in agreement with the Adelaide PHN. This flexibility in the provision of primary mental health care services aims to maximise the availability of services during the after-hours period and match service provision to individual need across the region. 

currently being developed
4 After Hours Innovation Grants

In May, Adelaide PHN undertook a process for After Hours Innovation Grants. The purpose of the grants is to provide financial incentive to support GP practices and other primary care providers to implement innovative approaches to after-hours care.

The following projects commenced in August/September 2016 and will run until 30th June 2017.

Parkside Family Practice

After hours General Practitioner phone triage for palliative care in RACF; RACF and independent living centre residents;  Women's refuge and Boarding School house students.

Prospect Rd Day Night Clinic 

Support with culturally appropriate resources for preventive health clinic aimed at female new arrivals/refugees currently unable to access service in hours.


Support to enhance After Hours capacity and provide urgent minor procedural and diagnostic services.

One Care Medical Centre

Support with extension of clinic and nursing hours to improve targeting of, and access for vulnerable patients, also, support to provide on-call GP telephone triage.

Trinity Medical Centre

After hours General Practitioner phone triage for vulnerable patients.

Enhance Occupational Therapy

After Hours Occupational Therapy service; increasing collaboration between Hospital systems, Specialists and GPs 


Aged Care

If you would like to see what the Adelaide PHN is doing around Aged Care, please click on the button below. This area is continuously being updated, so please check at a later time for more updates. 

1 Falls Prevention SA Website Project

Having a fall can have broad reaching consequences for elderly people, their families/carers and there is a high cost to the health system for admission to hospital following a fall.  Adelaide PHN has partnered with Country SA PHN to provide funding to Active Ageing Australia for the update and maintenance of the Falls Prevention SA website. The website provides evidence based information and resources for health professionals and consumers to improve understanding of falls prevention and support falls management and identifies other organisations which deliver community-based services and resources for people at risk of or having had a fall. This project has commenced in July 2016 and completed in January 2017.


Alcohol and Other Drug Treatment Services

View projects Adelaide PHN are developing or have developed around Alcohol and Other Drug Treatment Services.

1 Alcohol and Other Drug Treatment Services

As part of the Australian Government’s Response to the National Ice Taskforce’s Final Report, Adelaide PHN has commissioned Alcohol and Other Drug (AOD) treatment services to reduce the harms associated with drugs and alcohol, with a focus on methamphetamine use in the community.

The aims of the program include increasing the service delivery capacity of the AOD treatment sector and improving the effectiveness of treatment services by increasing co-ordination between various sectors and improving sector efficiency.

Adelaide PHN has commissioned services across the stepped care continuum to ensure that there are options available for people with differing needs.  New services include assessment and brief interventions, one to one counselling and therapeutic group sessions.

New services are also available in the north, central, south and western regions of metropolitan Adelaide and this aims to build the capacity of the services in the regions with the highest need.

Click here for more information.


Cancer Screening

To view current activities around Cancer Screening (Breast, Cervix, Bowel) click on the button below.

1 Coordinated Approach to increase Cancer Screening participation

The focus for this project is breast, bowel and cervix screening, and the role that primary health care providers have in increasing participation in these screening programs. In the initial consultation and planning stages, the Adelaide PHN is participating with SA Health and Commonwealth screening programs to consider key geographic areas and population groups in the Adelaide PHN region that have lowest screening rates, and what could be done about it. Cancer screening participation is one of the Commonwealth Department of Health’s Key Performance Indicators for all PHNs. 

currently being developed

Digital Health

Learn more about what we're doing around Digital Health by click on the button below. 

1 Digital Health Support

The Adelaide PHN will assist Primary Health Care providers and their practices with the implementation and ongoing usage of Digital Health in the Health Care setting. The main focus of the Digital Health Team is promoting and assisting health professionals, the Commonwealth Governments “My Health Record” initiative. Currently, there are more than 4 million consumers registered in Australia with 15% of South Australia’s population currently registered for a My Health Record. Click here for more information

Health workforce

The Adelaide PHN have a range of activities underway around Health Workforce, click on the button below for more information.

1 General Practice Support

Adelaide PHN provides a range of commissioned services, programs and support activities to support and enhance primary health care in the Adelaide metropolitan area, with a particular focus on General Practice. Our Primary Health Care Liaison Officers (PHCLO), Digital Health team and Immunisation Coordinator work together to help build the capacity of general practice teams and support them to reach their full potential, optimise quality care and patient health care outcomes. Click here for more information

2 PenCAT

Digital health support is delivered as part of Adelaide PHN’s General Practice Support Program.

The provision of subsidised PenCAT software licence and training in the software utilisation is to Improve the Quality of Care for patients, help practice to Identify Patients at Risk, improve Practice Data Quality and help maximise the Business Potential for Practice. Click here for more information

3 Mental Health Clinical Internship Program

The Mental Health Clinical Internship Program is part of the Adelaide PHN’s commitment to workforce development in the region. The program is offered to post-graduate students to develop mental health clinical skills, enabling participation in the provision of clinical services within commissioned primary mental health care service providers. The program aims to provide a standard of training comparable to existing education facilities and meet recognised standards for mental health clinicians. The program has been initiated by the Adelaide PHN to build capacity and sustainability in the mental health clinical therapeutic workforce. 

4 Workforce Education and Capacity Building support

Education is a key area of service provision delivered as part of Adelaide PHN’s General Practice Support. The purpose of providing education services is to increase the capacity of primary health care providers to provide quality health services to their communities. Adelaide PHN released a Request for Proposal (RFP) which closed 25 August 2016. The RFP sought proposals from education/training providers for the provision of innovative, multi-disciplinary training and education through to June 30 2018. Adelaide PHN is currently in contract negotiations with the preferred providers.

currently being developed


The Adelaide PHN are developing activities around (Childhood) Immunisation, click on the button below to find out what we're doing.

1 SA Primary Health Network Immunisation Hub

The Adelaide PHN and Country SA PHN immunisation projects have merged to form The SA PHN Immunisation Hub. The aim of the Hub is to engage with a range of immunisation service providers and stakeholders to ensure there is an ongoing, unified immunisation program focus across the state. Through focusing on five specific domains:

  1. Children overdue for immunisation (identify low coverage areas and population groups and enhance Australian Immunisation Register data quality)
  2. Champion Nurse Network (provide clinical support to immunisation providers and advocate for increased immunisation uptake in the community)
  3. Service delivery (accessible and high-quality local immunisation programs and particularly in identified low coverage areas)
  4. Stakeholders (building strong networks and relationships)
  5. Provider support (further develop the skill base of immunisation providers (GP’s, nurses, Pharmacists) to better deliver safe immunisation services)

This project commenced July 2015 and is ongoing. Click here for more information

2 Champion Nurses

One of the five domains of the SA PHN Immunisation Hub is to commission a Champion Immunisation Nurse network to provide ongoing organisational support for all elements of the immunisation program, including mentoring of nurses, GP’s and Pharmacists new to the immunisation program. The Champion Nurses will assist in increasing immunisation rates through:

  • identifying disadvantaged families who require additional support to access immunisation services or who would benefit from a home immunisation service
  • providing a non-threatening environment for vaccine hesitant parents to consult with an experienced immunisation nurse
  • identifying community groups requiring additional immunisation information and education, such as parent groups and child care centres
  • raising awareness and advocating for immunisation at community events

Mental Health

Click on the button below to view what we've been up to with Mental Health activities and new programs.

1 Primary Mental Health Service Reform

Adelaide PHN’s primary mental health care reforms aim to improve the outcomes and experience for people at risk of and/or seeking treatment for mental illness through the provision of a mix of services and functions which provide best practice care appropriate to the needs of the client.  

The reforms are based on a stepped-care model of service provision, integrating new and existing primary mental health care services to ensure:

  • services are ‘joined up’ and collaborate to ensure people seeking treatment can access the right care, in the right place, at the right time;
  • service gaps are addressed, taking in to account established services, both Commonwealth and State funded;
  • referrers, particularly General Practice, are supported in matching people with appropriate services;

Adelaide PHN’s commissioned service providers commenced service delivery in July 2016

Click here for more information


Population Health

There are many activites underway for population health, click on the button below to find out whats happening. 

1 “Embracing Health and Diversity” - Migrant and Refugee Health Forum

The Adelaide PHN in Partnership with the Northern Adelaide Local Health Network and the Northern Health Network are working together to host the “Embracing Health and Diversity” -  Migrant and Refugee Health Forum on Thursday 9th March 2017. The forum will provide a better understanding of the journey of culturally and linguistically diverse communities within the Adelaide metropolitan health care system, explore how health care may be better delivered to this sector and provide health professionals with the tools to assist in delivering care in culturally sensitive and appropriate ways. The forum will bring together a range of health professionals with the local community.

2 Child and Youth Wellbeing in Schools Literacy Project

Evidence indicates the overlap between under-achievement in literacy and the impact on mental health in later adulthood. The project covers targeted schools and preschools in the southern and northern areas of the Adelaide PHN area.  Adelaide PHN has commissioned services to provide support to children with specific learning difficulties in the targeted sites, staff and parents/carers. The project in the north has been in place for approximately 2 years finishing end of December 2016. The project in the south has been in place since January 2016 and will continue through to December 2017.

3 APHN/CASAPHN Conference

The Adelaide PHN in conjunction with Country SA PHN will jointly run the first bi-annual South Australian Primary Health Care Conference 1st and 2nd of April 2017. This Conference is “An SA Conversation in Primary Health Care” for the whole of Primary Health Care community in South Australia to come together in a collaborative, interactive environment and offer some innovative solutions.  It is an opportunity for Primary Health Care Providers to engage in knowledge sharing, collaboration and relationship building, whilst also being provided with education, professional development, referral pathways and linkages within the Primary Health Care community. The SA PHN’s will also be showcasing a range of projects and programs.

currently being developed
4 Culturally And Linguistically Diverse (CALD) and New Emerging Communities Health Project

The CALD and New Emerging Communities Health Project, will aim to improve capacity of mainstream services to work effectively with CALD and emerging communities, and increase community access to information and resources. Work is currently being undertaken by the Adelaide PHN to ensure the Project meets the needs of community and key stakeholders.

currently being developed
5 Preventive health care and community health literacy

Adelaide PHN considers that health promotion, early intervention and increasing health literacy are essential elements of good coordinated primary health care. This activity will advocate for greater understanding and emphasis on preventive health and health literacy across all primary health care services, engaging with the community (particularly new and emerging communities, Aboriginal and Torres Strait Islander people and other CALD communities) and health care professionals through a range of mediums.

Adelaide PHN is currently engaging with a range of Local Government Councils to discuss activities to improve community health literacy and preventive health care awareness. Adelaide PHN will also collaborate with general practice and primary health care organisations to identify and develop or disseminate resources to support providers to undertake preventive activities. This project is ongoing.

currently being developed

Potentially Preventable Hospital Admissions

Potentially Preventable Hospitalisations (PPH) are defined as admissions to hospital for a condition where the hospitalisation could have potentially been prevented through the provision of appropriate individualised preventative health interventions and early disease management usually delivered in primary care and community-based care settings (for example by general practitioners and allied health professionals).

Potentially preventable conditions are usually grouped into three categories:

  • vaccine-preventable conditions—including invasive pneumococcal disease, influenza, tetanus, measles, mumps, rubella, pertussis, and polio
  • potentially preventable acute conditions—including dehydration/gastroenteritis, kidney infection, perforated ulcer, cellulitis, pelvic inflammatory disease, dental conditions, and ear, nose and throat infections
  • potentially preventable chronic conditions—including diabetes, asthma, angina, hypertension, congestive heart failure, and chronic obstructive pulmonary disease (AHMAC 2015).

To view the range of innovative projects the APHN has undertaken and designing to prevent PPH, please click on the button below.

1 Living Well with Persistent Pain

Combining a group program and individual pain service assessments, this evidence-based program supports individuals (adults) to better understand their pain condition, equips them with the necessary tools to improve their quality of life and thereby minimises the burden of pain on them, their families and the wider community. People who are currently waiting for hospital-based pain management services are a particular focus of the program.

Covering the Local Government Areas of Playford, Salisbury and Tea Tree Gully, Adelaide PHN has commissioned a locally accessible multi-disciplinary collaborative primary care based service with the patient at the centre of their own health care. This service is currently being delivered by the Northern Health Network and Elizabeth Family Health.

2 IMPACT Primary Care Coordination Program

Patients with complex needs and social vulnerabilities are at high risk of experiencing poor health and re-admission following discharge from hospital unless they have access to timely, appropriate and ongoing primary health care.  IMPACT (Innovative Models Promoting Access-to-Care Transformation) is an international research project between Canada and Australia. The aim of IMPACT is to reorient primary health care organisational structures to improve access for vulnerable populations to reduce unmet needs, avoidable emergency department visits and potentially avoidable hospitalisations.  In SA, IMPACT is being led by the University of Adelaide in partnership with the Adelaide PHN and is working closing with the Extended Primary Care for People Residing in Residential Aged Care Facilities (EPC4RACF) Project.  A reduction in Potentially Preventable Hospitalisations is one of the Commonwealth Department of Health’s Key Performance Indicators for all PHNs.


Adelaide PHN, Country SA PHN (CSAPHN) and the Women’s and Children’s Health Network have partnered to establish a General Practice Liaison Unit (GPLU) within the Pediatrics Medicine Unit of the Women’s and Children’s Hospital (WCH) in Adelaide.   The GPLU is focused  on improving the care of children and young people aged 1-18 years of age with chronic conditions such as asthma and type one diabetes who have frequent contact with the hospital by facilitating and strengthening collaboration, communication and integration with general practice. The GPLU team includes a General Practitioner, registered nurse and administrative support officer and commenced operation in February 2017.

4 Respiratory Health Project

The project involves an integrated approach to respiratory health prevention and management across the continuum (acute care, primary health care services and population health programs) across agencies and across the Adelaide region. A stepped model of care will enable service providers to focus on areas of expertise, whilst considering the connection and integration with other service providers for step up or step down care. The Adelaide PHN's role will be to ensure that the steps of the model are connected, integrated and promoted to both clinicians and consumers.

The project will be commissioned by mid-2017, with funding available from July 2017 – June 2018.

currently being developed
5 APHN Care Connections

Adelaide PHN Care Connections utilises elements of the Patient Centered Medical Home (PCMH) Model as a framework to improve chronic condition management. Care Connections will also support collaboration and coordination with a range of other providers (including, local health networks, allied health, pharmacy and community support services) to ensure care is responsive to an individual’s needs. Additionally, the program will enable General Practices to work with the PCMH model at their own pace and with dedicated support, in the form of Local Area Coordination services. The Request for Proposal for Local Area Coordination closed 17 November 2016

currently being developed
6 Concierge

This project, which is currently in the co-design phase, is a joint initiative between the Catalyst Foundation (formerly the Seniors Information Service), SA Health and Adelaide PHN to improve health outcomes for patients from vulnerable groups who are at high risk for a longer-than-necessary stay or readmission to hospital.  The aim is to enhance greater collaboration between the acute sector and community-based health and non-health professionals to facilitate information exchange and coordinate high quality patient handover to an appropriate primary health care provider (generally the individual’s GP).  It also aims to improve referral pathways to non-clinical agencies that provide social and practical support services. 

currently being developed