Practice Connect #172

15 June 2023

Welcome to this edition of Practice Connect, a fortnightly update for practice managers, nurses and practice administration staff on relevant issues, upcoming events and education.

Acknowledgement of Country 

WA Primary Health Alliance acknowledges and pays respect to the Traditional Owners and Elders of this country and recognises the significant importance of their cultural heritage, values and beliefs and how these contribute to the positive health and wellbeing of the whole community.

Throughout this newsletter, the term 'Aboriginal' is used to refer to Aboriginal and/or Torres Strait Islander people, unless stated otherwise.


General Practice GP Grants


Special consideration – Strengthening Medicare GP Grants

Recognising some general practices have extenuating circumstances preventing them from finalising their application for a Strengthening Medicare GP Grant, WA Primary Health Alliance (WAPHA) can confirm these will still be considered after the 15 June 2023 deadline.

This includes practices that are part way through the application process in the WAPHA system and those logged for review with the Australian Government Department of Health and Aged Care.

Any practice that has not begun their application process with WAPHA by 15 June 2023 will be considered on a case-by-case basis.

More than 96% of eligible* general practices in WA have applied for a grant, and we urge all practices not to delay completing their applications so they can access their grant funding as soon as possible.

Please direct any queries to the Practice Assist team by calling 1800 2 ASSIST (1800 2 277 478 or 08 6278 7900) or emailing

To find out more about the GP Grants Program, visit the Practice Assist website.

*Medicare general practices, and ACCHS that deliver general practice services and are not owned or operated by a state, territory or local government agency or body. Please note eligible ACCHS will be able to apply for the GP Grants through the National Aboriginal Community Controlled Health Organisation (NACCHO). 


Need assistance completing your GP Grant application?

For information about completing your GP Grant application, visit the Practice Assist website or refer to the manuals below to assist with completing steps 2 and 3.

Step 2 – Supplier Registration within the WA Primary Health Alliance ASPIRE System:

Step 3 – Complete your GP Grant application in ASPIRE:

If you require further assistance completing steps 2 or 3, please email 


Ideas about how to use your GP Grant funding

With many practices now in receipt of their Strengthening Medicare GP Grant funding, we have developed a guide with examples of investment activities your practice can consider under each of the three investment streams:

1.      Enhancing digital health capability – to fast-track the benefits of a more connected health care system in readiness to meet future standards.

2.      Upgrading infection prevention and control arrangements – to support the safe, face-to-face assessment of patients with symptoms of potentially infectious respiratory diseases.

3.      Maintaining or achieving accreditation against the Royal Australian College of General Practitioners (RACGP) Standards for General Practices (5th edition), under the General Practice Accreditation Scheme – to promote quality and safety in general practice.

We would like to emphasise that the GP Grants Investment Stream Activities General Guidance resource provides guidance, rather than direction, on what to purchase and it is not exhaustive.


Primary Sense Update 



Steps to using Primary Sense successfully in your practice 

More than 80% of eligible practices have now installed Primary Sense in their practice.  

Primary Sense is a data extraction and clinical support tool that uses de-identified general practice data to give patients the right care at the right time, supporting practices to use data for quality improvement.  

Now that you have Primary Sense within your practice, we have developed a resource to take you through the steps to successfully introduce the tool to your team by exploring and sharing your knowledge.  

It has been designed to provide you with all the necessary links and support to ensure the installation is complete and will guide you through each step.  

Download the Steps to using Primary Sense successfully in your practice resource and get started. 

If your practice shares data with WA Primary Health Alliance for PIP QI and you are yet to install Primary Sense, contact Practice Assist on 1800 2 ASSIST (1800 2 277 478 or 08 6278 7900) or email

Feature - Bowel Screening


Bowel cancer and screening for early detection

In Australia, June is Bowel Cancer Awareness Month, which provides an opportunity to raise awareness of the signs and symptoms of bowel cancer (also known as colorectal cancer) and the importance of bowel screening for early detection.
According to Cancer Council Australia, bowel cancer is the second leading cause of cancer death in Australia and we have one of the highest rates of bowel cancer in the world. Thankfully, over 90% of bowel cancers can be successfully treated when detected early.
Bowel cancer often develops without symptoms and bowel screening is the best way to detect early signs of the disease. As part of the National Bowel Cancer Screening Program (NBCSP), eligible people aged 50-74 are mailed a free bowel screening test kit to be done at home every two years.

There are numerous resources available to support practices and patient education:

For further information about bowel screening, contact Practice Assist by emailing or calling 1800 2 ASSIST (1800 2 277 478 or 08 6278 7900).


Alternative access model for bowel screening kits – EOI for GPs

In addition to the existing mail-out model for bowel screening test kits, GPs can now bulk order free NBCSP test kits via the alternative access model and offer them to eligible patients (50-74 years of age) during appointments.

Many patients are more likely to complete the test after discussing it with a trusted health care provider. You play an important role in helping your patients make informed decisions about bowel cancer screening.

The alternative access model will help remove barriers for unscreened/under-screened people and aims to address the lower participation rates of Aboriginal and Torres Strait Islander people, people with disabilities and those from culturally and linguistically diverse backgrounds.

WA Primary Health Alliance is seeking expressions of interest (EOI) from general practices that would like to implement the alternative access model. To find out more, view the EOI flyer.


Bowel screening quality improvement (QI) opportunities

To increase the participation of eligible patients in the National Bowel Cancer Screening Program (NBCSP), your practice can undertake and document the activities outlined below as part of your team’s QI journey.

  • Run the Primary Sense report for Bowel and Breast Cancer Screening to identify a list of patients that may be due for bowel cancer screening. These patients can be recalled to the practice to discuss the options with their GP.
  • Access the National Cancer Screening Register (NCSR) for up-to-date bowel screening information, and update patient files within your practice software if applicable.
  • Undertake a learning opportunity for staff to be confident in data entry within your clinical software (e.g. screening results are entered into the appropriate fields within the patient record).

Your local QI Coach can guide and support you in undertaking and documenting these suggested activities. To connect with your local QI Coach, contact Practice Assist.

COVID-19 Updates 


Vulnerable Populations Vaccination Program 2023

With the 2023 booster dose now available, some people may need assistance to access COVID-19 vaccinations this winter. WA Primary Health Alliance has been given additional funding by the Department of Health and Aged Care to support the vaccination of people at greater risk of illness from COVID-19.

With this round of funding, we have been directed to focus on the following vulnerable populations and we are looking to engage with organisations that work with:

  • Aboriginal and Torres Strait Islander people
  • Culturally, ethnically, and linguistically diverse populations
  • People living in rural and remote communities
  • People living with a disability, or who are homebound
  • People experiencing homelessness​​​​​​​

Find out more

Download the flyer

Immunisation & Cancer Screening Updates 


Influenza poster for Aboriginal and Torres Strait Islander patients


The Australian Government Department of Health and Aged Care has released an influenza poster for Aboriginal and Torres Strait Islander patients, which is available for general practices to download and display in their waiting rooms.
With influenza cases continuing to rise in the community, general practices are being asked to encourage all patients who have not yet received their influenza vaccine to do so during June, as part of the Western Australian Department of Health's free influenza vaccination program.

Further information about the free influenza vaccination program is available on the program webpage.


Get your flu immunisation video

With flu season well and truly upon us, we have prepared a short video encouraging patients to have their flu immunisation featuring Dr Norman Swan.

You can play the video on the screens in your practice or post it via your social media channels.

Download the video here.


Study of GP follow-up processes following a positive iFOBT

The University of Notre Dame Australia is undertaking a study to investigate follow-up protocols amongst GPs for positive immunochemical faecal occult blood tests (iFOBTs) through the National Bowel Cancer Screening Program.

Interviews focus on GP experiences in providing care following a positive iFOBT. GPs will then be invited to participate in a Consensus Roundtable to discuss and verify the findings from the interviews.

View the flyer for further information.


National Cervical Screening Program self-collection expansion – one year on

From 1 July 2022, self-collection as an option for cervical screening was expanded to include all people eligible for screening.
Recent reporting from the National Cancer Screening Register (NCSR) indicates that the number of self-collected samples received since the expansion has surpassed expectation.
In March 2023, 13% of all NCSR participants opted to take advantage of self-collection, which has increased from 10% in December 2022. An increase in the uptake of this option has been indicated across all eligible age groups.
To order free patient resources to support self-collection, complete this form and email it to the WA Cervical Cancer Prevention Program (WACCPP) via


Sharing Knowledge About Immunisation (SKAI) eLearning module

The Sharing Knowledge About Immunisation (SKAI) eLearning module is available free of charge via the Sydney Child Health Program (SCHP).

The SKAI eLearning module is designed to help healthcare professionals adapt their clinical communication skills to meet the needs of all parents, whether they are ready to vaccinate, have questions or intend to decline vaccination altogether. The module also provides guidance on using the SKAI system and resources to assist with immunisation consultations.
To find out more, visit the SKAI eLearning module webpage.


Additional vaccinations for people with an occupational risk

People working in a range of occupations have an increased risk of contracting vaccine-preventable diseases, including:

  • healthcare workers
  • people who work with children
  • carers
  • emergency and essential services workers
  • laboratory workers
  • people who work with specific communities
  • people who work with animals
  • people exposed to human tissue, blood, body fluids or sewage.

The Australian Immunisation Handbook outlines the additional vaccinations recommended for people with an occupational risk, as well as details about post-exposure prophylaxis following potential workplace exposures.


Immunisation "Back to Basics" Webinar

Presented by WA Primary Health Alliance
Thursday 6 July (5pm – 6pm AWST)

WA Primary Health Alliance is hosting the Immunisation "Back to Basics" Webinar with guest speaker Michele Cusack from Services Australia.

This webinar is aimed at practice nurses and Aboriginal health practitioners to assist with navigating the Australian Immunisation Register (AIR).

During the webinar, Michelle will use real-time examples to discuss:

  • accessing PRODA
  • accessing the AIR
  • completing overseas vaccinations on the AIR.

To register for the webinar, visit the registration webpage.


Adult Immunisation Forum

Presented by Adult Immunisation Forum (AIF)
Thursday 22 June (8am - 4:30pm AWST) Pan Pacific Perth 

The Adult Immunisation Forum (AIF) will take place in Perth on June 22, immediately following the Public Health Association of Australia (PHAA) Communicable Diseases and Immunisation Conference. It is a 1 day event, presented as a hybrid meeting. 

The forum will be ideal for GPs, practice nurses and other immunisation specialists.

The vaccines to be covered will include pneumococcal disease (PCV 15,20,21), RSV in adults, pertussis in older people, herpes zoster, influenza, Covid-19, Strep A, travel vaccines, as well as paediatric vaccines.

Chaired by Prof Robert Booy, confirmed speakers include Professors Tony Cunningham, Peter Richmond, Chris Blyth and Paul Van Buynder.

It is free to attend, with refreshments and lunch provided. Visit the webpage to find out more.

Practice Updates 


New interactive syphilis decision-making tool to boost syphilis care

With syphilis cases rising across the country, the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) has launched a new interactive syphilis decision-making tool to guide clinicians through testing and treating syphilis.
The free decision-making tool is available online and includes treatment pathways for pregnant women, a priority population group of growing concern.
ASHM Board President, Sexual Health Physician and Researcher Dr Nicholas Medland explained that we have seen a concerning increase in syphilis cases over the past decade, with particular spikes among several priority populations.
“This tool takes primary care doctors through the complexities of test results and supports decision making to identify which patients need urgent treatment,” Dr Medland said.
For further information, visit the syphilis decision-making tool webpage.


Only one week until MEDCON23 – 30% discount for GPs

WAPHA has extended the offer of subsidised registration for WA GPs – offering a 30% discount for MEDCON23, taking place at Crown Perth on 23-24 June.

MEDCON23 is Australia’s premier medical conference with a great range of sessions and exhibits relevant to all doctors, including:

  • clinical, health policy and business-related presentations and workshops
  • exhibition hall showcasing the latest in innovation, products and services
  • social events
  • keynote speakers the Hon Julie Bishop and Dr Jordan Nguyen
It's the perfect opportunity to grow your knowledge, earn Continuing Professional Development (CPD) hours, enhance your business and expand your professional networks.

Sessions in the spotlight: 

  • ADHD diagnosis delays: Can GPs play a bigger role?
  • AHPRA mythbusters
  • General practice: The next decade
  • Cybersecurity considerations for your business
  • Tips to manage aggressive behaviour in healthcare
  • Ethical and legal billing to provide better patient care
  • Demystifying the Professional Services Review
  • Trans, gender diverse and non-binary health
  • Towards better: Why we need to reculture medicine
  • Managing COVID-19 in WA: Reflections and lessons
  • ScriptCheck and reducing red tape in prescribing
  • OncoBeta: A game-changing therapy for non-melanoma skin cancers
  • The Pulse of the Community: CT for cardiac risk stratification

View the full program

Register now – save 30%

Don’t miss out on the special 30% discount for GPs, offering up to $297 off a two-day delegate pass. To book your discounted tickets, simply visit MEDCON23 and use the promo code WAPHA30 at checkout.


GP consultation vital to inform workforce needs in your region

To gain intelligence and test assumptions about the GP catchments in greatest need of GP services, WA Primary Health Alliance (WAPHA) would like to hear from general practices, about the workforce needs and training capacity for GP registrars in your region.

Register to attend a virtual or face-to-face consultation sessions being held across WA and make a make a vital contribution to the future of GP training in WA.

If you have further enquiries, please email for metropolitan enquiries or for regional enquiries.
Please note, this event is in relation to AGPT GP registrars only.


Improved HealthPathways WA search function

In response to feedback from users, a new and improved search function has been rolled out on the HealthPathways WA website. The new modified version makes it easier for clinicians to search for the information they need more quickly, with improvements that include:

  • better handling of most misspellings, and other small variations in languages
  • auto-suggest getting you straight to the page most relevant to your search
  • identification of pages that have been adapted for Western Australia and those that have not
  • additional context identifying the scope of a pathway, if available
  • utilising SNOMED, a comprehensive clinical terminology standard to support searching for synonyms, meaning it will be more likely to find the information you need when using a different term e.g., CHF is a synonym of ‘chronic heart failure’.

For an overview of the changes, watch the improving search – demo video.

Are you new to HealthPathways WA? Visit the website and click ‘register now’ to request login details.


Integrated Chronic Disease Care (ICDC) Service refinements

The Integrated Chronic Disease Care (ICDC) Service, delivered in Country WA delivers evidence based chronic disease care coordination and allied health services for improved management of chronic conditions.

From 1 July 2023, a refinement of the eligibility criteria will come into effect to include the requirement for GP Management Plans on enrolment to the service, and the need for clients to require care coordination support in addition to access to allied health. 

Other key changes include: 

  • broadening of eligible conditions to include obesity and other conditions on a case-by-case basis (to align with the National Strategic Framework for Chronic Conditions)
  • broadening of the range of allied health services that can be provided to include support for social issues (e.g. social work) and non-dispensing pharmacy. 

WA Primary Health Alliance is committed to continuously improving the ICDC Service to provide high-quality care and support for individuals with chronic conditions in Country WA.

For further information and to stay updated on the latest developments, please visit HealthPathways WA.


2023 ATO resources for nurses and midwives

Tax time is around the corner and the Australian Taxation Office (ATO) has prepared a range of tailored information to help make it easier for nurses and midwives to complete their tax returns this year.

From union fees to protective equipment and self-education, the ATO’s tailored guide for nurses and midwives covers a range of information on common deductions for these occupations. The ATO advises that the best time to lodge is from late July, when most of the information from employers, banks and health funds has been automatically included in your tax return.
If you tested positive for COVID-19 and could not earn income because you work in a high-risk setting, and you received the High-Risk Settings Pandemic Payment from Centrelink, you will need to include this payment manually in your tax return. It will not be prefilled into your tax return or included in your Centrelink payment summary.
Further information is available on the ATO website.


‘Sounds Like’ it’s time to help patients quit smoking


Cancer Council WA’s Make Smoking History Program is currently re-running the WA-made ‘Sounds Like’ campaign, which focuses on the early health impacts of smoking including smoker’s cough, wheezing, breathlessness and gum disease.
In addition to stop-smoking medications, you can help your patients start their quit journey by:

For more information about the campaign or resources to help patients quit smoking, email the Make Smoking History team via 


Uploading advance care planning documents to My Health Record using Best Practice

The Australian Digital Health Agency has announced that GPs who use Best Practice software will soon be able to upload patients’ advance care planning documents to My Health Record. Enabling GPs to directly upload advance care planning documents comes with the expansion of capabilities for the use of My Health Record.
The new feature in Best Practice will assist with accessing important care planning documents and remove the challenge of GPs, patients and patients’ families retrieving documents at a time of need and review.
GPs will be able to access the new feature in Best Practice’s next release, Bp Premier Orchid SP1.


Free healthy lifestyle programs for children and families – term 3

The Better Health Company is continuing to deliver its free evidence-based healthy lifestyle programs for term 3, in partnership with the WA Department of Health:

Both programs are designed to provide families with weekly support from qualified health professionals, practical resources to support healthy behaviour change at home, and interactive weekly sessions. The programs are free-of-charge for participating families.  

Programs are face-to-face or online

To provide flexibility and accessibility for families, both Active8 and the Better Health Program are offered in two formats: 
  • Group-based programs delivered in local communities for families to attend face-to-face 
  • Online programs providing home e-learning modules and weekly personalised health coaching 

Making referrals to the program 

Eligible participants can be referred with the support of a health professional or self-refer, independently. You can refer by:

If you would like physical referral forms, flyers or posters, please email


Beyond the Wound – first two episodes released

URGO Medical Australia has released the first two episodes of the Beyond the Wound, a series that takes viewers on an educational journey with key clinical experts discussing the future directions in the prevention and best management of people with wounds.
Watch episode one:

Watch episode two:


Review of Auslan service use in primary care

Australian Healthcare Associates (AHA), on behalf of the Department of Health and Aged Care, is exploring how Auslan interpreting services are arranged and delivered in primary care settings.
Anyone who works in primary care is invited to participate, regardless of their level of experience working with Auslan interpreters. Note that this project is not limited to allied health professionals – we are seeking views from all health professionals working in primary care.
Health professionals can share their perspectives in a short survey, more information is available here.

The survey is open until 11:59pm AEST on 30 June 2023.


Palliative and Supportive Care Education (PaSCE) events and survey

As the preferred provider of palliative and supportive care education for health professionals across Western Australia, PaSCE collaborates with experienced palliative care clinicians to develop evidence-based education that enhances knowledge and confidence in delivering optimal palliative care across all health care settings.
GPs and nurse practitioners are invited to attend PaSCE’s Residential Aged Care: Excellence in Palliative Care (RACEPC) Communicate series of events. To find out more, view the events flyer.
GPs are also invited to participate in a survey to gather feedback on improving palliative and supportive care education. For further information, view the survey flyer.


Peel GP Education and Training Support Project

Practice managers, practice nurse staff and general practitioners are eligible to receive funding to assist with training and education expenses while working in private practice in the Peel region. Grants are available until 30 June 2023. Courses, workshops, conferences (online and face-to-face) are all eligible, along with reasonable travel and accommodation expenses.
View the flyer here. To apply or find out more about eligibility and guidelines, email


Education & Events 


Impact of Chronic Kidney Disease on Older People

Presented by Kidney Health Australia
Tuesday 20 June 2023 (7:30pm - 9pm AEST)

Do you know what normal kidney decline is, and the cognitive implications of chronic kidney disease (CKD)? CKD becomes more common as we age, affecting around 4 out of 10 adults aged over 75.

Health Professionals, tune in for this case-based activity, as GP Consultant Dr Chris Bollen explores with you the relationship of kidney function to ageing, the role that CKD plays in the decline of cognition and the clinical management of older people living with the disease.

Register here


Byford Health Hub - Information Session

Presented by Government of Western Australia - East Metropolitan Health Service
Thursday 22 June (7:30am - 8:30am Byford)

You are invited to attend a General Practitioner Information Session.

Following the State Government’s financial commitment last month to start planning for an extended primary healthcare service within the Byford Health Hub.

View the flyer here for more information and to register


Adult Immunisation Forum

Presented by Adult Immunisation Forum (AIF)
Thursday 22 June (8am - 4:30pm AWST)

The forum will be ideal for GPs, practice nurses and other immunisation specialists.

The vaccines to be covered will include pneumococcal disease (PCV 15,20,21), RSV in adults, pertussis in older people, herpes zoster, influenza, Covid-19, Strep A, travel vaccines, as well as paediatric vaccines.

Chaired by Prof Robert Booy, confirmed speakers include Professors Tony Cunningham, Peter Richmond, Chris Blyth and Paul Van Buynder.

It is free to attend, with refreshments and lunch provided. Visit the webpage to find out more.


AAPM Educare Event


Presented by AAPM
Friday 23 June at Crown Perth

This year AAPM will be presenting a series of short, sharp content, including the latest education information and updates. Each session will be 45 minutes in duration, along with question time. The day will conclude with light refreshments and a networking opportunity.

Register here and download the program here


GP Forum - Supporting the sexual and reproductive health needs of women from culturally diverse backgrounds

Presented by Women and Newborn Health Service and WA Primary Health Alliance
24 June 

This is a multi-format educational event targeted at GPs.

With the rising number of migrants, refugees and asylum seekers from countries where female genital cutting/mutilation (FGC/M) is customary, it is important for GPs to be equipped with a good understanding of this practice, along with its cultural and health implications.

Register here or contact for more information.


MEDCON23 - 30% discount for GPs

Presented by AMA (WA)
23 to 24 June 

WA Primary Health Alliance is subsidising the cost of MEDCON23 registrations exclusively for GPs by 30%. Offer valid until places are full.

The AMA (WA)’s annual conference includes clinical presentations, workshops, expert speakers, innovation and networking, with the opportunity to enhance knowledge and professional development while gaining up to 12.5 CPD hours.

Subsidised tickets can be booked via the registration page using promo code WAPHA30 at checkout.


Immunisation "Back to Basics" Webinar

Presented by WA Primary Health Alliance
Thursday 6 July (5pm - 6pm AWST)

WA Primary Health Alliance is hosting the Immunisation "Back to Basics" Webinar with guest speaker Michele Cusack from Services Australia.

This webinar is aimed at practice nurses and Aboriginal health practitioners to assist with navigating the Australian Immunisation Register (AIR).

Register here


Festival of Nursing 2023


Presented by APNA
27 to 29 July at the Perth Convention and Exhibition Centre

Join hundreds of nurses from across the country at this one-of-a-kind nursing conference in Perth this July.

Festival of Nursing 2023 features well-renowned speakers, interactive workshops, and engaging discussions that will provide valuable insights into the latest developments and changes in the nursing field.

Visit the webpage to find out more and register


Other Webinars, Events & Workshops

Cybersecurity in Primary Care
Presented by WA Primary Health Alliance
Recording Now Available!

Identifying and Responding to Child Abuse and Neglect e-learning module available NOW
Presented by Safer Families Centre of Research Excellence
Available Online Now

Australian Digital Health Agency (ADHA) - Webinars
Presented by ADHA
Multiple Dates

Fetal Surveillance Education Program (FSEP)
Presented by Rural Heath West
16 June
Rural Obstetrics and Gynaecology Forum
Presented by Rural Heath West
17 and 18 June
BreastScreen WA Visit to Kellerberrin
Presented by BreastScreen WA
Until 20 June
Anxiety Disorders in Women (Session 1)
Presented by Black Dog Institute
21 June (11am AWST)
Anxiety Disorders in Women (Session 2)
Presented by Black Dog Institute
21 June (6pm AWST)
Project ECHO Session 13: At home alcohol detox
Presented by WA Primary Health Alliance
22 June
Supporting the Sexual & Reproductive Health Needs of Women from Culturally and Linguistically Diverse (CaLD) Communities
Presented by Women and Newborn Health Service and WA Primary Health Alliance
24 June
The Benchmarque Group Pty Limited
26 June
Monkeypox, Syphilis and STIs
Presented by Monash University
27 June (4:30pm AWST)
Youth in Distress (Online Workshop)
Presented by Black Dog Institute
28 June
The Benchmarque Group Pty Limited
29 June
BreastScreen WA Visit to Geraldton
Presented by BreastScreen WA
6 July to 19 September
General Practice Conference & Education
Presented by GPCE
22 July & 23 July
Early Career GP Conference
Presented by RACGP
29 July (9am to 4pm AWST)
Practice Assist acknowledges and pays respect to the Traditional Owners and Elders of this country and recognises the significant importance of their cultural heritage, values and beliefs and how these contribute to the positive health and wellbeing of the whole community.

While the Australian Government Department of Health has contributed to the funding of this website, the information on this website does not necessarily reflect the views of the Australian Government and is not advice that is provided, or information that is endorsed, by the Australian Government. The Australian Government is not responsible in negligence or otherwise for any injury, loss or damage however arising from the use of or reliance on the information provided on this website.