Practice Connect #231

Issue 231 - 17 October 2025


 

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

 

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MBS changes for 1 November 2025



From 1 November 2025, there will be changes to the MBS. These changes include a range of administrative and policy changes, including to implement the Government’s responses to recommendations from the MBS Review Taskforce (the Taskforce) and the Medical Services Advisory Committee.
 
Changes include: 

  • MBS bulk billing incentive items will be amended to remove the requirement that the patient is under 16 years of age or a Commonwealth concession card holder
  • Better Access Mental Health Treatment Plan (MHTP) changes linking preparation, review and referral to a patients MyMedicare registration or usual medical practitioner. MHTP review and mental health consultation items will be removed from the MBS, with practitioners able to use general attendance items to review, refer and/or provide ongoing mental health consultation for a patient’s mental health.
  • Making minor administrative amendments to fix and clean up chronic condition management (CCM) changes implemented on 1 July 2025.
  • Extending the eligibility criteria for MBS GP telehealth items to include MyMedicare as an alternative pathway for patients to qualify for MBS GP telehealth consultations; make nurse practitioner telehealth items subject to the eligible telehealth practitioner criteria unless the service is exempt.
  • Adding new ultrasound MBS item (55080) for complex gynaecological conditions including severe endometriosis.

For a full list of upcoming changes click here.
 
For support on MBS changes, please contact the Practice Assist Help Desk on 08 6278 7900 or via email practiceassist@wapha.org.au
 

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Bulk Billing Practice Incentive Program Calculator and Practice Readiness Checklist



From 1 November 2025, practices can choose to register and participate in the Bulk Billing Practice Incentive Program (BBPIP) and will equally share in the additional incentive payment of 12.5% of MBS billings for eligible services.
 
A new BBPIP Practice Readiness Checklist has been developed to assist practices that intend to register for BBPIP with their planning and preparation.
 
A calculator is available for general practice owners, managers and individual general practitioners to estimate annual earnings from Medicare bulk billing incentives (BBIs) and the new Bulk Billing Practice Incentive Program (BBPIP), starting 1 November 2025. Access to the Bulk Billing Incentives Calculator can be obtained here.
 
Bulk Billing Incentives Calculator User Guide is also available explaining how to use the calculator.
 
For information or support on the Bulk Billing Practice Incentives or MyMedicare please contact the Practice Assist Help Desk on 08 6278 7900 or via email practiceassist@wapha.org.au
 

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Upcoming changes to Better Access Mental Health Program 



From 1 November 2025, changes will be made to the
Better Access to Psychiatrists, Psychologists and General Practitioners Initiative through the Medicare Benefits Schedule, subject to the passage of legislation.
 
Consistent with recommendations in the Better Access Evaluation published in 2022, the changes will:

  • Improve the Better Access initiative to better meet the needs of individuals and improve equity of access to mental health supports and services.
  • Support the holistic relationship between a patient and their healthcare provider, leading to improved patient outcomes.
  • Reduce the administrative burden and complexity for general practitioners (GPs) and prescribed medical practitioners (PMPs) by providing greater flexibility by using time-tiered professional (general) attendance MBS items to review a Mental Health Treatment Plan (MHTP), refer a patient for mental health treatment and undertake general mental health consultations.
 

Overview of the changes:

From 1 November 2025:
  • A Medicare benefit will only be payable for MHTP preparation, referrals for treatment services and reviews of a MHTP when a patient has seen either a GP/PMP at the patients MyMedicare registered practice or if the patient is not registered with MyMedicare, their usual medical practitioner.
  • GP and PMP MHTP review items (2712, 92114, 92126, 277, 92120, and 92132) and GP and PMP ongoing mental health consultation items (2713, 92115, 92127, 279, 92121 and 92133) will be removed from the MBS.
  • Removal of the 12 review and mental health consultation items provides GPs and PMPs greater flexibility to use the most appropriate time-tiered professional (general) attendance item, reflecting the time spent with patients. This includes items for longer consultations and, where applicable, the triple bulk billing incentive to review MHTPs and deliver mental health care and support to patients.
  • The MyMedicare and usual medical practitioner requirements will also apply to GP/PMP telehealth items for MHTPs, with these services no longer exempt from the established clinical relationship rule. Further information on the GP MBS telehealth (video and phone) established clinical relationship criteria and exemptions will be available from 1 November 2025 in explanatory note AN.1.1 on MBS Online.
  • Any MHTP referral dated prior to 1 November 2025 will remain valid until all treatment services specified in the referral (within the maximum session limit for the course of treatment) have been delivered to the patient.

For further information on the Better Access Mental Health Program changes see: MBS Online - Better Access changes from 1 November 2025
 
You can find more information about MyMedicare on the Practice Assist MyMedicare page.
  
For information or support on the Better Access Mental Health Program or MyMedicare please contact the Practice Assist Help Desk on 08 6278 7900 or via email practiceassist@wapha.org.au

 

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Bushfire - Prepare your practice for the effects of bushfires in your communities



Western Australia can expect a hot and dry summer bringing higher risk to patients in your communities this bushfire season.
 
Bushfires can be started by natural causes, such as lightning strikes, or by people (accidentally or deliberately) and can bring about dangerous conditions, reduced air quality and significant impact to community safety.

General practice has a role to play in preparing patients for the effects of bushfires and can help to reduce the impact to your communities.
Education is crucial in ensuring patients are equipped with the knowledge and resources to protect themselves during bushfires.
 

Who is at risk?

  • Patients with asthma or respiratory illnesses.
  • Children, older people, pregnant women, people experiencing homelessness and those living with a disability. 
  • Patients living with chronic conditions and/or on multiple medications.  
  • Patients who are unable to respond due to dementia, disability, or other factors. 
  • Those impacted by environmental factors e.g., outdoor workers. 
  • Aboriginal population living in remote areas. 
 

How can general practice assist?

Encourage patients at most risk to prepare and plan: 
  • Encourage that they establish a reliable location to go to in the event of evacuation,  
  • Have sufficient medications on hand, 
  • Review care plans for patients with asthma or respiratory conditions,
  • Direct patients to the most appropriate source of information.
  • Promote the use of digital health tools such as My Health Record, which can assist patient care during emergency situations.

 
For up to date information, see below resources


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Reflecting on WA Mental Health Week

With WA Mental Health Week wrapping up last week, we’re reminded of the vital role of general practice in supporting the mental health and wellbeing of our communities.

At WA Primary Health Alliance (WAPHA), mental health is one of our key health priority areas. In 2023–24, we invested $93.12 million in community-based mental health and suicide prevention services across Western Australia.

We continue to work alongside general practices to strengthen a primary care system where physical and mental health needs are addressed together, ensuring patients can access holistic, person-centred care when and where they need it most.

Learn about WAPHA’s mental health priorities on the WAPHA website.



 

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Live and work in Rural WA competition



Are you a student or health professional working in rural Western Australia? Rural Health West (RHW) want to hear your story!

Rural health services across WA play a vital role in ensuring people living in country communities have access to essential care. But they know the challenges of attracting and retaining qualified health professionals are real. That’s why RHW is inviting you to share your experiences in their Live and Work in Rural WA Competition.

This competition celebrates the rewarding aspects of rural health careers and aims to inspire more students and professionals to consider going rural. 


Who can enter?

  • Final-year students completing a rural placement in WA in an eligible profession.
  • Health professionals currently living and working in rural WA (Modified Monash Model 2–7) in an eligible profession.

Eligible professions

Aboriginal Health Worker, Audiology, Chiropractic, Dietetics/Nutrition, Exercise Physiology, Midwifery, Nursing, Occupational Therapy, Optometry, Paramedicine, Pharmacy, Physiotherapy, Podiatry, Psychology/Mental Health, Radiography, Social Work, Speech Pathology.
 


How to enter

  1. Create a short video (90 seconds, portrait format) that highlights your rural health experience.
  2. Share your story authentically – whether it’s a day in the life, the rewards of your role, or the unique challenges of rural practice.
  3. Submit your video via the application form before 4 December 2025.


Prizes and recognition

  • Finalists will have their videos showcased on Rural Health West’s social media channels.
  • Winners will be selected based on creativity, authenticity, and engagement.
  • Fantastic prizes up for grabs in both the student and professional categories!


Entries open: 9 October – 4 December 2025

Ready to inspire others to live and work in rural WA? Enter here.

For more information, contact RHW: (08) 6389 4500 | marketing@ruralhealthwest.com.au

 

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My Health Record Share by Default: Better and Faster Access to health information



Australians will soon experience better and faster access to their key health information in My Health Record. 

Better Access

Under new legislation, healthcare providers will soon be required to upload written pathology and diagnostic imaging reports to My Health Record. This change ensures that key health information is more consistently available to support informed clinical decisions, reduce unnecessary duplicate testing, and enable more coordinated care across different healthcare settings. Over time, this initiative will close long-standing gaps in information sharing, giving people and their healthcare teams a more complete picture of their health.

Faster Access

The Faster Access initiative will reduce the time people wait to see their results, empowering Australians to take a more active role in managing their health.

  • From mid-October 2025, people will be able to view most of their pathology reports as soon as they are uploaded to My Health Record. Certain tests, including anatomical pathology, cytopathology, and genetic tests, will be viewable after a 5-day delay, reduced from the previous 7-day delay.
  • From February 2026, people will be able to view x-ray reports for their limbs immediately after upload to My Health Record. They will be able to view other imaging reports 5 days after they are uploaded (such as reports for CT, MRI and PET scans, ultrasounds, as well as x-rays of the head, chest, abdomen and pelvis).
If access to a result is delayed this is nothing to do with the result – it’s just that some types of tests won’t be accessible for 5 days. Healthcare providers will continue to have access to all reports as soon as they are added to a person’s My Health Record.
 

Getting Ready

For providers:
  • Be aware of the Share by Default requirements and the types of written reports that will be uploaded.
  • Check My Health Record for recent results before ordering new tests to avoid unnecessary duplication.
  • Talk with your patients about access to their results in My Health Record, and share the fact sheet with them if they need more information.
  • Consider opportunities to partner with your patients as active participants in monitoring their health, particularly when they are living with a chronic condition.
  • Continue to follow your organisation’s internal workflows for critical results management, noting that My Health Record does not replace your existing processes for urgent follow-up.
  • Download the Better and Faster access guide for requesting providers

For more information, visit digitalhealth.gov.au or email help@digitalhealth.gov.au
 

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Global movement to defeat meningitis - one catch up at a time



World Meningitis Day was recently celebrated on 5 October 2025.

Meningococcal disease can cause life-threatening meningitis. Fortunately, it is largely preventable through timely vaccination.

WA Health is urging all immunisation providers to support increased protection for meningococcal disease.

At any given time, approximately 10 per cent of healthy people carry meningococcal bacteria in their nose or throat without symptoms. However, in rare cases, the bacteria can cause serious illness and even death. For this reason, it is important to ensure eligible cohorts are up-to-date with their MenACWY and MenB vaccinations.
 
For eligibility, see the WA Immunisation Schedule. Refer to the Australian Immunisation Handbook for further advice, including vaccine dosage, contraindications and other groups that are recommended to receive meningococcal vaccines.

Resources for Providers:

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Measles outbreak in the Pilbara

An Infectious Diseases Health Alert for clinicians was released on 9 October due to the outbreak of measles in the Pilbara region and an updated Measles Alert was issued on 13 October following recent cases detected in returned overseas travellers.
 
Immunisation providers are encouraged to:

  • Remain vigilant for measles symptoms, especially in patients who have recently travelled internationally or been exposed to recent travellers.
  • Review immunisation records and use reminder/recall systems for patients who may be overdue for MMR vaccination.
  • Offer opportunistic vaccination to eligible individuals, including adolescents and adults born after 1965 who have not already received two doses of MMR vaccine. This additional dose is part of the state funded program with no need for serology and no out of pocket expense for the vaccination.
  • Discuss measles vaccination with parents of infants aged 6 months to under 12 months, who are travelling overseas to countries experiencing a measles outbreak or who have been exposed to measles.
  • Report suspected cases immediately to your local Public Health Unit to support a timely public health response.

To read the full alert from 9 October, please click here.

To read the Vaccine Update and Alert from 13 October, please click here.
 

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Birth-dose hepatitis B vaccinations safe and necessary

Hepatitis Australia and the Australasian Society for HIV, Viral Hepatitis, and Sexual Health Medicine (ASHM) are reminding all Australians of the importance of hepatitis B vaccinations to protect the health and wellbeing of children. 
 
Hepatitis B is a virus which can lead to acute or chronic hepatitis B conditions, with the latter being associated with increased risk of liver damage and liver cancer. The birth-dose hepatitis B vaccine has been recommended since 2000 and is provided for free under Australia’s National Immunisation Program. Currently, the Australian Immunisation Handbook recommends  four hepatitis B vaccinations by six months of age, with the first being preferably within 24 hours of birth when medically stable.  
 
Refer to the National Immunisation Program (NIP) Schedule for state and territory-specific guidance. Further evidence-based guidance around hepatitis B prevention and vaccinations can be found on ASHM’s B Positive web portal.  
 
Anyone seeking further information about hepatitis B, including vaccination, can call HepLink on 1800 437 222. 
 

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Post exposure rabies protocol

People may be exposed to rabies and other lyssaviruses through animal scratches or bites, or by direct contact of mucosal surfaces with infected saliva. Exposure can be from animals overseas or bats in Australia (or overseas).

Any patient who has potentially been exposed should receive post-exposure prophylaxis with a specific course of rabies vaccines and in some cases, rabies immunoglobulin.
 
Rabies post exposure prophylaxis is provided free by WA health.
 
Call Public Health to get advice and access free vaccines/immunoglobulin.

Contact your local public health unit during business hours. After hours, contact public health on-call (1800 434 122).
 
Information for clinicians is available here.

More detailed information here.

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New edition of the national vaccine storage guidelines - Strive for 5

The Department of Health, Disability and Ageing has launched the 4th edition of the National Vaccine Storage Guidelines ‘Strive for 5’ to help providers manage vaccine cold chain storage – and ensure maximum vaccine efficacy for patients.
 
‘Strive for 5’ [degrees Celsius] framework also offers advice on how to respond to a cold chain breach and includes resources, such as checklists, posters and stickers, to support best practice at all times including during unexpected events like power failures.
 
The guidelines are for all service providers, from medical practices to large hospitals, clinics and outreach providers.
 
Access the updated guidelines here.

Please remember to bookmark them for future reference.
 

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NCIRS launches new vaccine safety webpages

The National Centre for Immunisation Research and Surveillance (NCIRS) has published a series of vaccine safety pages for immunisation providers and the public that give clear, easy-to-understand information on range of vaccine topics, including how: 

  • decisions are made about which vaccines to recommend
  • healthcare providers and the public can report adverse events following vaccination
  • vaccine safety is monitored.

These pages have been created to give easy access to clear, evidence-based information about vaccines and how safety concerns are managed in Australia and globally.
 
To view the vaccine safety webpages, click here.

 

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Promote early skin cancer detection in your practice



Cancer Council WA invites your practice to host a waiting room display this November to help raise awareness about the importance of the early detection of skin cancer.
 
Your display will encourage patients to:

  • Get to know their skin and what changes to look out for
  • Check their skin regularly
  • Visit their GP as soon as possible if they notice anything new or unusual.
How to get involved.
  1. Order free resources for your display via the resource order form
  2. Set up your display in your waiting room for the month of November 2025
  3. Send Cancer Council WA a photo of your display by emailing it to gp@cancerwa.asn.au by 10 December 2025 to go in the draw to win!
All practices that submit a photo of their display will receive a complimentary gift for participating and will also go into the major prize draw for a $300 gift card.

Entries will be judged on:
  • innovation and creativity
  • use of Cancer Council WA resources
  • overall effort

For all the information and terms and conditions, click here.

 

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Immunisation for health and life

Presented by Immunisation Coalition, in collaboration with Inovating
25 October 2025 (6.30am to 2.30pm AWST)

The Immunisation Coalition, in collaboration with Inovating, announce the 3rd Primary Care Infectious Diseases meeting on Saturday 25 October at the Stamford Plaza, Brisbane.
 
Theme: If under vaccination is the disease, primary care is the cure
 
This is a hybrid event and is specifically designed for General Practitioners, Nurse Immunisers and Pharmacists who are on the front line of vaccinating Australians against infectious diseases.

There will be keynote presentations, workshops and panel discussions.
 
For further information, a program guide and to register, click here.
 

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Protecting adolescents through immunisation: insights, drivers and opportunities for action

Presented by National Centre for Immunisation Research and Surveillance
5 November 2025 (4pm to 5pm AWST)

This webinar from the National Centre for Immunisation Research and Surveillance (NCIRS) will explore the latest evidence and practical strategies to help reverse the trend and strengthen community confidence in immunisation.

The session is intended for anyone who has a role in supporting adolescent health, including public health professionals, educators, school staff, nurses, general practitioners and pharmacists.
 
For further information and to register, click here.
 

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Diphtheria, Tetanus and Pertussis webinar

Presented by Immunisation Coalition
5 November 2025 (3.30pm to 4.30pm (AWST)

The Immunisation Coalition is hosting this webinar to provide an important update for healthcare professionals involved in childhood immunisation.

Since the COVID-19 pandemic, vaccination rates in children under 5 years have declined across several key disease areas, including DTPa (diphtheria, tetanus, and pertussis).
 
Learning Objectives: 

  • Review the epidemiology, disease burden and Australian immunisation rates of DTPa in children under 5 years of age
  • Explain the importance of DTPa immunisation and the rationale behind the 5 dose NIP schedule (2, 4, 6, 18 and 48 months of age)
  • Summarise the key reasons behind the declining vaccination rate and detail practical strategies for HCPs and parents that lead to reversing the decline
  • Summarise available real-world experience on DTPa vaccines including global vaccination rates, strategies to address this, and a focus on safety, efficacy and effectiveness
  • Discuss the need for ongoing evidence generation and post-marketing surveillance of DTPa immunisation, to support continued evaluation and confidence of DTPa immunisation

For more information and to register, click here.

 

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This year, the APNA Workforce Survey turns 20!

For two decades, nurses and midwives have told the Australian Primary Health Care Nurses Association (APNA) what it's really like to work in primary health care.

You've helped APNA change what it's like to work outside the four walls of a hospital for the better. 

Help make this year's Workforce Survey the biggest yet.

Simply complete the survey by Friday, 31 October. You do not need to be an APNA member to take part, and you can save the survey at any time to complete later.

You could win one of two $1000 RedBalloon vouchers!

Start now

APNA - making sure you are valued, visible and respected.

 

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Shared care for ADHD in children – webinar 2

Presented by WA Primary Health Alliance
22 October
2025 (6pm to 7pm)



Join us for a webinar series designed to support general practitioners with increasing their skills in identifying, diagnosing and treating children with attention deficit hyperactivity disorder (ADHD), including prescribing and monitoring stimulants.
 
The three webinars are accredited for 3 RACGP EA CPD hours (1 hour each webinar).
 
Webinar 2: Wednesday 22 October 2025
 
This webinar will cover the following topics:

  • Co-occurring conditions with ADHD and the functional impact of ADHD.
  • Non-medication approaches and psychosocial support for patients and families.

To find out more, view the flyer and register for webinar 2 today.

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Enhancing men’s and women’s health in primary care

Presented by WA Primary Health Alliance
19 November
2025 (12pm to 1pm)



Join us for a practical and engaging quality improvement (QI) webinar designed to support primary care professionals with delivering gender-responsive health care.
 
This webinar will cover the following topics:

  • Understanding QI
  • Data-driven decision making
  • Gender-specific health issues
  • Primary care led initiatives
  • Health promotion
  • Further education

To find out more, view the flyer and register today.

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Register now for a Clinician Assist WA live demonstration

Presented by Clinician Assist WA
Tuesday 18 November – 12:30pm to 1:15pm 


 

Clinician Assist WA is a secure website providing GPs and other health professionals with guidance for assessing, managing and referring patients across Western Australia. It has replaced HealthPathways WA, offering the same trusted local guidance, features and functionality and remains available at no cost.

The Clinician Assist WA team will run online demonstrations facilitated by a GP Clinical Editor throughout 2025 to support users. These sessions will demonstrate how to maximise integration of Clinician Assist WA into your clinical practice. Learn key functionalities of the website and how to access condition specific tools and resources, Referral Access Criteria (RAC) (where available), GPbook Specialist Directory and visiting specialist rosters.

Sessions have been approved for 1 CPD Educational Hour with RACGP and will be held online. This will be the final live demonstration for 2025 with no further sessions planned for 2026. If you are interested, register now.

Demonstrations are open to general practitioners, general practice staff and other health professionals registered to practice in WA.

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Immunisation and Cancer Screening Preventative Health Forum

Presented by WA Primary Health Alliance
26 November and 1 December 2025 (6pm to 9pm



Join us for one of the Immunisation and Cancer Screening Preventative Health Forums in Perth South or Perth North.
 
These in-person events are designed to support practice nurses with understanding the National Immunisation Program (NIP), administering vaccinations and increasing cancer screening rates.
 
To find out more, view the flyer and register for the Perth South Forum or the Perth North Forum today.

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Microlearning for Culturally Responsive Practice

Presented by WellMob
Online course

New training opportunity to strengthen your work with First Nations people

As busy health practitioners, finding time for professional development can be challenging. Yet, when working with Aboriginal and Torres Strait Islander clients, ongoing learning is not optional, it’s essential!

Wellmob are launching a short course to develop practical skills when using culturally-based digital tools with First Nations clients. WellMob’s new pilot training program offers a flexible, bite-sized approach to learning. Designed for busy practitioners, this three-week course delivers eight short email lessons that fit easily into your day. Each lesson includes multiple-choice questions with instant feedback, helping you build cultural responsiveness without the time burden of traditional training.

Who is it for?
This is for health professionals only and not for clients or community. It has been designed for GPs and allied health workforce, including psychologists, counsellors, social workers, AOD and youth workers, as well as educators.

Find out more.

 

 

Other Webinars, Events & Workshops

BreastScreen WA visit to York
Presented by BreastScreen WA
17 October to 6 November
BreastScreen WA visit to Roeburne
Presented by BreastScreen WA
21 October to 23 October
BreastScreen WA visit to Bridgetown
Presented by BreastScreen WA
21 October to 5 December
Dealing with Depression
Presented by Black Dog Institute
25 October
BreastScreen WA visit to Pannawonica
Presented by BreastScreen WA
27 October to 28 October
Wesley LifeForce Suicide Prevention Training Primary Care Support Staff Workshop (Carnarvon)
Presented by Wesley LifeForce
28 October
Wesley LifeForce Suicide Prevention Training Primary Care Support Staff Workshop (Geraldton 5.30pm)
Presented by Wesley LifeForce
29 October
VAD Practitioner Training Day
Presented by NMHS Voluntary Assisted Dying (VAD) 
29 October
ACNP National Conference
Presented by Australian College of Nurse Practitioners (ACNP)
29 October to 31 October
Wesley LifeForce Suicide Prevention Training Primary Care Support Staff Workshop (Geraldton 1pm)
Presented by Wesley LifeForce
30 October
BreastScreen WA visit to Karratha
Presented by BreastScreen WA
30 October to 22 December
Wesley LifeForce Suicide Prevention Training Primary Care Support Staff Workshop (Wanneroo)
Presented by Wesley LifeForce
4 November
Hepatitis C in Primary Care 
Presented by ASHM
5 November
Wesley LifeForce Suicide Prevention Training Primary Care Support Staff Workshop (Online)
Presented by Wesley LifeForce
5 November
BreastScreen WA visit to Northam
Presented by BreastScreen WA
7 November to 21 January
Wesley LifeForce Suicide Prevention Training Primary Care Support Staff Workshop (Online)
Presented by Wesley LifeForce
7 November
Asia Pacific Autism Conference (APAC)
Presented by Autism Association of Western Australia
13 November to 15 November
Wesley LifeForce Suicide Prevention Training Primary Care Support Staff Workshop (Online)
Presented by Wesley LifeForce
15 November
Contraception Essentials in Primary Care
Presented by ASHM
26 November and 3 December


 

Acknowledgement 
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.

 

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.

Disclaimer
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.