2012 Regional health status profiles - Eastern Metropolitan region
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2012 Regional health status profiles Eastern Metropolitan region
Published by the Modelling, GIS and Planning Products Unit Victorian Government Department of Health, Melbourne Victoria. July 2013 © Copyright State of Victoria, 2013 This publication is copyright. No part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968. Authorised by the State Government of Victoria, 50 Lonsdale Street, Melbourne
Contents
Introduction iii
Section 1: Key determinants of health 1
1a – Geography 1
Figure 1 Map of region and administrative boundaries, 2012 1
Table 1 Area and breakdown of land use, 2012 2
1b – Demographics
Table 2 Current and projected resident population, 2011 and 2021 2
Table 3 Percentage population by age group, 2011 2
Table 4 Percentage population by age group, 2021 3
Table 5 Population dependency ratio, 2011 and 2021 3
Table 6 Number of births and total fertility rate, 2011 and 2021 3
1c – Diversity 4
Table 7 Number of Aboriginal and Torres Strait Islanders, 2011 4
Table 8 Indicators for cultural diversity (Census data), 2011 4
Table 9 Indicators of cultural diversity (immigration and ethnicity), 2011-12 4
Table 10 Top 3 countries of birth and percentage of LGA population, 2011 5
Table 11 Top 3 languages other than English and percentage of population, 2011 5
1d – Social engagement and crime 6
Figure 2 Map of IRSD index at SA1 level, 2011 6
Table 12 Rates of crime per 1,000 population, 2011-12 7
Table 13 Social wellbeing and connectedness indicators 8
1e – Socio-economic factors 9
Table 14 Economic and housing characteristics 9
Table 15 Transport and accessibility 10
Table 16 Education and employment characteristics 10
1f – Health behaviours 11
Table 17 Smoking status, 2008 11
Table 18 Daily fruit consumption, 2008 11
Table 19 Daily vegetable consumption, 2008 11
Table 20 Did not meet guidelines for fruit or vegetable consumption, males and females, 2008 12
Table 21 Alcohol and soft drink consumption 12
Table 22 Did not meet guidelines for physical activity, males and females, 2008 12
Table 23 Child and adolescent characteristics and behaviours 13
Table 24 Health screening participation 14
Section 2: Health Status 15
2a – Human function 15
Table 25 Aged and disability characteristics 15
Table 26 Obesity, males and females, 2008 15
2b – Health conditions 16
Table 27 Asthma and diabetes incidence and admissions 16
Table 28 Total malignant cancers diagnosed per 1,000 population, males and females, 2011 16
Table 29 Diagnosis rates of leading cancers per 1,000 population, by region, 2011 16
Table 30 Notifications and rates per 1,000 population of infectious diseases, 2011 17
Table 31 Top 7 ambulatory care sensitive conditions (ACSCs), separations & rates, 2011-12 18
Table 32 Top 7 specialty groups for persons admitted to hospital, separations & rates, 2011-12 19
2c – Life expectancy and wellbeing 20
Table 33 Life expectancy at birth (years), 2007 20
Table 34 Mental and physical development and wellbeing 20
2d – Deaths 21
iTable 35 Number of deaths and death rates, 2011 21 Table 36 Number of infant deaths and death rate, 2003-2007 21 Table 37 Avoidable mortality by cause, 0 to 74 years, 2003-2007 21 2e – Injuries 22 Table 38 Rates of intentional and unintentional injuries 22 Figure 3 Causes of injuries 23 Figure 4 Location of occurrence of injuries 23 Section 3: Health system performance 24 3a – Services and access 24 Figure 5 Service locations, 2012 24 Table 39 General practitioner workforce and attendances 25 Table 40 Health professional workforce, by region 25 Table 41 Service accessibility 26 3b – Hospital utilisation 27 Table 42 Current and projected hospital inpatient utilisation, 2011-12 27 Table 43 Emergency department presentations, 2011-12 28 3c – Preventable hospital admissions 29 Table 44 ACSC admissions, rates and average bed days, by region, 2011-12 29 3d – Other health utilisation 30 Table 45 Utilisation of selected health services per 1,000 population, 2011-12 30 Data definitions 31 ii
Introduction
This is the third version of the Regional Health Status Profiles, which are updated annually. The profiles
present a broad range of data that can be used to inform system planning by staff within Department of
Health, or in partner agencies across Victoria.
Production of the Regional Health Status Profiles is the responsibility of the Modelling, GIS and Planning
Products Section, which is part of the Health Strategy Branch of the Department of Health. The profiles are
highly relevant to a broad range of planning and policy development activities. They are available on the
Department of Health internet.
There is a separate Regional Health Status Profile volume for each of the eight Department of Health
Regions. Most of the data items also include a breakdown by Local Government Areas within the region.
There is a comprehensive definitions section at the end of each document, which describes each item, and
details the source and currency.
The data in the profiles comes from a variety of sources, internal and external to the Department. We greatly
value the contribution of the data providers in ensuring the quality and comprehensive nature of the profile.
We also appreciate the feedback provided by users, and encourage you to let us know of any suggested
improvements.
Jon Evans
Director, Health Strategy
July 2013.
iiiSection 1: Key determinants of health
1a – Geography
Figure 1: Map of Eastern Metropolitan region and administrative areas
11 2
Table 1: Area and breakdown of land use (percentage), 2012, Eastern Metro LGAs
Area (sq.
LGA Business Industrial Residential Rural Other
km.)
Boroondara (C) 60 3.2%5
Table 4: Projected percentage population by age group , 2021, Eastern Metro LGAs
LGA 0-14 15-24 25-44 45-64 65-84 85+
Boroondara (C) 16.0% 15.5% 28.9% 23.4% 13.6% 2.5%
Knox (C) 16.4% 12.7% 26.6% 26.1% 15.7% 2.5%
Manningham (C) 15.2% 13.3% 23.7% 25.5% 18.9% 3.3%
Maroondah (C) 17.6% 12.0% 26.3% 24.7% 16.4% 3.0%
Monash (C) 15.1% 14.4% 30.6% 22.2% 14.7% 3.0%
Whitehorse (C) 16.3% 13.2% 27.6% 24.0% 15.7% 3.3%
Yarra Ranges (S) 18.0% 12.1% 25.8% 26.2% 16.2% 1.8%
Eastern Metropolitan 16.3% 13.4% 27.3% 24.5% 15.7% 2.7%
Victoria 18.0% 12.4% 29.0% 23.9% 14.5% 2.2%
The current population profile of Eastern Metro region is older than the Victorian population overall with
15.5% of the population aged 65 plus compared with 14% for Victoria. Projections for 2021 indicate a shift
towards an ageing population with 18.4% of the region’s population expected to be aged 65 and over
compared with 16.7% for Victoria.
6
Table 5: Population dependency ratio , 2011 and 2021, Eastern Metro LGAs
LGA Dependency ratio 2011 Dependency ratio 2021
Boroondara (C) 0.46 0.47
Knox (C) 0.44 0.53
Manningham (C) 0.53 0.60
Maroondah (C) 0.49 0.59
Monash (C) 0.47 0.49
Whitehorse (C) 0.51 0.54
Yarra Ranges (S) 0.47 0.56
Eastern Metropolitan 0.48 0.53
Victoria 0.48 0.53
The dependency ratios in Table 5 indicate the proportion of people under 14 and over 65, compared with the
proportion of working age population (15-64). Higher dependency ratios mean fewer people of working age.
The Eastern Metro ratios are the same as the Victorian ratios, with Manningham substantially higher in both
2010 and 2022, and Monash and Boroondara lower.
7
Table 6: Number of births and total fertility rate , 2011, Eastern Metro LGAs
LGA Total number of births, 2011 Total fertility rate, 2011
Boroondara (C) 1,556 1.46
Knox (C) 1,776 1.76
Manningham (C) 1,029 1.55
Maroondah (C) 1,394 1.88
Monash (C) 1,820 1.53
Whitehorse (C) 1,869 1.67
Yarra Ranges (S) 1,789 1.94
Eastern Metropolitan 11,233 NA
Victoria 71,444 1.79
The fertility rate for Eastern Metro is lower than the Victorian rate, but Maroondah and Yarra Ranges have
higher rates than the Victorian rate.
5
Department of Planning and Community Development, 2012 - Victoria in Future 2012 population projections
6
Australian Bureau of Statistics, 2012 – Estimated Resident Population at 30 June 2011; Department of Planning and
Community Development, 2012 – Victoria in Future 2012
7
Australian Bureau of Statistics, 2012 – Births, Australia 2011.
31c – Diversity
8
Table 7: Number of Aboriginal and Torres Strait islanders , 2011, Eastern Metro LGAs
LGA Aboriginal persons % of population
Boroondara (C) 221 0.14%
Knox (C) 543 0.37%
Manningham (C) 152 0.14%
Maroondah (C) 412 0.41%
Monash (C) 355 0.22%
Whitehorse (C) 314 0.22%
Yarra Ranges (S) 972 0.70%
Eastern Metropolitan 3,529 0.31%
Victoria 37,699 0.74%
The percentage of Aboriginal and Torres Strait Islanders is considerably lower for Eastern Metro Region than
for Victoria. Only Yarra Ranges has a percentage similar to the Victorian average.
8
Table 8: Indicators of cultural diversity (Census data) , 2011, Eastern Metro LGAs
% Born in non-
% Speak
% Born English % Low English
LGA language other
overseas speaking proficiency
than English
country
Boroondara (C) 29.5% 22.0% 24.4% 2.4%
Knox (C) 28.7% 20.7% 21.7% 2.1%
Manningham (C) 37.9% 31.9% 39.9% 4.9%
Maroondah (C) 21.8% 13.2% 13.0% 1.8%
Monash (C) 46.7% 41.2% 46.0% 5.5%
Whitehorse (C) 34.9% 28.8% 31.4% 4.5%
Yarra Ranges (S) 17.1% 7.5% 6.2% 0.5%
Eastern Metropolitan 31.5% 24.2% 26.7% 3.1%
Victoria 27.7% 20.9% 24.2% 3.1%
The Eastern Metro population displays a high level of cultural diversity, with 31.5% of population born
overseas and 26.7% speaking a language other than English. LGAs with the highest levels of cultural
diversity are Monash, Manningham and Whitehorse, while Maroondah and Yarra Ranges have below
average levels of cultural diversity.
Table 9: Indicators of cultural diversity (immigration and ethnicity), 2011-12, Eastern Metro LGAs
Humanitarian Community
New settler arrivals
LGA 9 arrivals - % of total acceptance of
per 100,000 9 10
arrivals diverse cultures
Boroondara (C) 761.9 1.3% 62.8%
Knox (C) 375.7 5.2% 45.2%
Manningham (C) 623.3 4.4% 57.4%
Maroondah (C) 618.8 47.1% 51.3%
Monash (C) 1,241.2 1.4% 58.0%
Whitehorse (C) 1,024.5 4.0% 54.3%
Yarra Ranges (S) 143.9 36.0% 50.7%
Eastern Metropolitan 707.2 7.7% NA
Victoria 656.3 12.3% 50.6%
8
Australian Bureau of Statistics, 2011 – Census of Population and Housing 2011.
9
Department of Immigration and Citizenship, 2012.– Settlement database, 2011-12.
10
VicHealth – VicHealth Indicators Survey, 2011
4Eastern Metro has a higher than average rate of new settler arrivals, although the percentage of
humanitarian arrivals is lower than average. However, new settler arrival rates vary markedly between LGAs,
with by far the highest rates in Monash and Whitehorse. While Yarra Ranges has a low percentage of new
settler arrivals, the percentage of humanitarian arrivals is much higher than the Victorian average.
Maroondah also has a high percentage of new settler arrivals. The regional level of community acceptance
of diverse cultures is similar to the Victorian average, but is well below average in Manningham and
Monash..
11
Table 10: Top 3 countries of birth (2011) and % of LGA population
LGA Country 1 Country 2 Country 3
Boroondara (C) China (4.4%) United Kingdom (4%) India (2.3%)
Knox (C) United Kingdom (5.6%) India (2.1%) China (1.9%)
Manningham (C) China (6.1%) Italy (3.3%) United Kingdom (3.2%)
Maroondah (C) United Kingdom (6.1%) China (1.5%) India (1.3%)
Monash (C) China (8.5%) India (4.5%) Sri Lanka (3.5%)
Whitehorse (C) China (7.6%) United Kingdom (3.7%) India (2.4%)
Yarra Ranges (S) United Kingdom (7.3%) Netherlands (1.3%) New Zealand (1.2%)
Eastern Metropolitan United Kingdom (4.7%) China (4.5%) India (2.2%)
Victoria United Kingdom (4.2%) India (2.2%) China (1.8%)
11
Table 11: Top 3 languages other than English (2011) and % of total population
LGA Language 1 Language 2 Language 3
Boroondara (C) Mandarin (5.2%) Greek (3.3%) Cantonese (3.1%)
Knox (C) Cantonese (2.8%) Mandarin (2.6%) Italian (1.4%)
Manningham (C) Cantonese (8.2%) Greek (7.3%) Mandarin (6.4%)
Maroondah (C) Mandarin (1.6%) Cantonese (1.0%) Italian (0.9%)
Monash (C) Mandarin (9.6%) Greek (6.7%) Cantonese (5.1%)
Whitehorse (C) Mandarin (7.8%) Cantonese (5.3%) Greek (3.3%)
Yarra Ranges (S) Italian (1.1%) German (0.7%) Dutch (0.6%)
Eastern Metropolitan Mandarin (5.0%) Cantonese (3.7%) Greek (3.3%)
Victoria Italian (2.4%) Greek (2.3%) Mandarin (2.0%)
The most common overseas country of birth for Eastern Metro region is the United Kingdom, followed by
China and India. In four LGAs, Boroondara, Manningham, Whitehorse and Monash, China is the most
common overseas country of birth. Either Mandarin or Cantonese are the most common non-English
languages spoken at home in all LGAs other than Yarra Ranges, where the most common non-English
language is Italian. Yarra Ranges is the only LGA which does not feature both Mandarin and Cantonese in
the top tree languages other than English.
11
Australian Bureau of Statistics, 2011 – Census of Population and Housing 2011
51d – Social Engagement and Crime
12
Figure 2: Map of Index of Relative Socio-economic Disadvantage (IRSD) , 2011, at statistical area 1 (SA1) level, Eastern metro region
12
Australian Bureau of Statistics, 2012 – Socio-Economic Indexes for Areas (SEIFA), 2011
6Eastern Metropolitan has relatively small, widely dispersed areas of areas of disadvantage including parts of the following suburbs: Box Hill, Nunawading,
Ringwood, Bayswater North, Kilsyth and Mooroolbark. The towns of Millgrove and parts of Lilydale and Healesville are also relatively disadvantaged. The whole
eastern part of Yarra Ranges has relatively high levels of disadvantage.
13
Table 12: Rates of crime per 1,000 population, 2011-12, Eastern Metropolitan LGAs
Family % of population
% of population
violence Drug usage/ possession Violent crime who feel safe on
Total offences per who feel safe on
LGA incidents offences per 1,000 offences per 1,000 the streets
1,000 population 14 the streets at
per 1,000 population population during the day 14
night
population
Boroondara (C) 3.2 1.1 3.7 38.2 99.5 84.6
Knox (C) 8.8 2.2 6.5 52.5 98.0 62.4
Manningham (C) 4.2 1.4 3.7 34.9 97.4 68.7
Maroondah (C) 7.1 2.3 6.5 59.8 97.6 64.6
Monash (C) 5.0 1.1 5.4 47.0 98.1 73.4
Whitehorse (C) 4.4 1.3 4.5 39.6 98.2 68.0
Yarra Ranges (S) 7.1 2.2 5.8 41.9 99.0 73.7
Eastern Metropolitan 5.6 1.6 5.1 44.5 NA NA
Victoria 9.1 3.4 9.8 70.6 97.0 69.3
Crime rates in Eastern Metro region (Table 12) are lower than the Victorian average. Total offences in 2011-12 are 44.5 per 1,000 population compared with
70.6 per 1,000 population for Victoria, and all LGAs have lower crime rates than the Victorian average. Rates of family violence, violent crime and drug usage
and possession are also well below average, but the percentage of the population who feel safe on the streets at night is only slightly above average.
13
Victoria Police, 2012 – Corporate statistics for family violence and crimes.
14
VicHealth – VicHealth Indicators Survey, 2011
7Table 13: Social wellbeing and connectedness indicators, Eastern Metro LGAs
% who use
% who
Gaming % of social
% of % who believe area
machine households networking % who attend % who feel
population participate in has good
losses per with to organise community valued by
LGA which citizen facilities
head of broadband time with events society
volunteers engagement and 18 18
population internet 16 17 family or
15 16 services
friends 18
17
Boroondara (C) $148 81.7% 25.1% 55.9% 39.5% 95.1% 53.1% 61.2%
Knox (C) $698 79.5% 17.8% 46.3% 35.8% 93.4% 53.4% 47.6%
Manningham (C) $677 79.4% 18.6% 40.5% 32.1% 88.3% 47.8% 49.6%
Maroondah (C) $786 77.1% 20.3% 48.5% 35.4% 94.0% 54.4% 52.3%
Monash (C) $828 77.9% 18.2% 41.7% 42.4% 91.7% 52.5% 54.9%
Whitehorse (C) $435 77.2% 22.1% 54.1% 36.1% 90.8% 56.3% 54.1%
Yarra Ranges (S) $267 77.1% 21.4% 57.9% 35.1% 81.4% 57.6% 47.8%
Eastern Metropolitan $538 78.6% 20.6% NA 37.0% 90.8% 53.7% 52.8%
Victoria $602 72.6% 19.3% 50.5% 35.1% 85.2% 52.9% 52.4%
While gaming machine losses per head of population are lower for Eastern Metropolitan Region ($538) than the state average ($602), they are well above
average in Monash, Knox, Manningham and Maroondah. Broadband internet is relatively accessible, with a higher than average percentage of households
connected in all LGAs. A higher than average percentage use social networking to organise time with family and friends, with only Manningham below the
Victorian average. The rate of volunteering is variable, from 17.8% in Knox to 25.1% in Boroondara, compared with the Victorian average of 19.3%. The
percentage of population who believe their area has good facilities and services is higher than the Victorian average for all LGAs other than Yarra Ranges.
Boroondara and Whitehorse score above average for participation in citizen engagement, attendance at community events and feeling valued by society, while
Manningham scores below average for these three indicators.
15
Victorian Commission for Gambling Regulations, 2011-12
16
Australian Bureau of Statistics, 2011 – Census of Population and Housing, 2011
17
VicHealth - VicHealth Indicators Survey 2011
18
Department of Planning and Community Development (2010) – Indicators of community strength at the local government area level in Victoria 2008
81e – Socio-economic factors
Table 14: Economic and housing characteristics, Eastern Metropolitan LGAs
% of
Median
persons Median % % with % with % of rental New Social
Median rent for
with household experiencing mortgage rental housing dwellings housing as
LGA house 3
individual income food stress stress that is 23 per 1,000 % of total
19 20 21 21 22 price bedroom 24 25
income insecurity affordable 22 population dwellings
19 houseTable 15: Transport and accessibility, Eastern Metropolitan LGAs
Persons with Passenger
% households % of population
greater than 2 vehicles per
LGA with no motor near public
hour 1,000 28 29
26 27 vehicle transport
commute population
Boroondara (C) 5.5% 226.3 8.8% 100.0%
Knox (C) 14.2% 295.4 4.3% 91.7%
Manningham (C) 18.8% 275.7 4.0% 88.6%
Maroondah (C) 10.5% 309.3 6.1% 92.4%
Monash (C) 19.1% 278.3 7.8% 99.6%
Whitehorse (C) 10.3% 268.4 8.9% 100.0%
Yarra Ranges (S) 17.5% 334.6 3.9% 55.8%
Eastern Metropolitan 13.7% 282.0 6.5% 90.2%
Victoria 11.6% 289.5 8.7% 74.3%
A higher than average percentage of Eastern Metropolitan Region residents commute for more than two
hours per day, with the highest percentages in Manningham, Monash and Yarra Ranges. The
percentage in Boroondara is however well below average, and Boroondara also has the lowest rate of
passenger vehicles per 1000 population. All LGAs other than Yarra Ranges have well above average
accessibility to public transport.
Table 16: Education and employment characteristics, Eastern Metropolitan LGAs
% of population % of population
Unemployment FTE who did not with higher
LGA 30 31
rate students complete year education
28 28
12 qualification
Boroondara (C) 3.1% 34,756 19.1% 71.7%
Knox (C) 3.9% 19,680 44.5% 38.4%
Manningham (C) 4.2% 15,684 34.0% 55.7%
Maroondah (C) 4.5% 17,359 44.1% 40.5%
Monash (C) 5.1% 28,271 30.3% 58.9%
Whitehorse (C) 5.1% 23,727 31.4% 58.3%
Yarra Ranges (S) 4.0% 25,705 51.4% 31.2%
Eastern Metropolitan 4.3% 165,181 35.6% 52.7%
Victoria 5.4% 869,697.7 43.7% 45.7%
The unemployment rate for Eastern Metro is lower than the Victorian average at 4.3%, with the highest
rates in Monash and Whitehorse. The percentage of regional population who did not complete year 12 is
considerably lower than the Victorian average and the population with a higher education qualification is
higher than the Victorian average. However, residents with higher levels of education tend to be
concentrated in Boroondara, Manningham, Monash and Whitehorse. Yarra Ranges, Knox and
Maroondah have relatively high percentages who have not completed year 12, and low percentages with
a higher education qualification.
26
VicHealth – VicHealth Indicators Survey 2011
27
Australian Bureau of Statistics – Motor Vehicle Census, 31 January 2012 and Estimated Resident Population,
2011
28
Australian Bureau of Statistics – Census of Population and Housing, 2011
29
Australian Bureau of Statistics – Estimated Resident Population, 2011; Department of Transport – public transport
location data
30
Department of Employment and Workplace Relations – Small area labour markets, September quarter 2012
31
Department of Education and Early Childhood Development, 2012
101f – Health behaviours
Table 17: Smoking status, 2008, Eastern Metropolitan LGAs
% of 15-17 year
% Current 32 32 olds who
LGA 32 % Ex smoker % Non smoker
smoker smoked in last
33
30 days
Boroondara (C) 13.6% 21.9% 63.7% 23.8%
Knox (C) 26.7% 22.6% 50.7% 17.1%
Manningham (C) 14.6% 15.2% 70.1% 20.6%
Maroondah (C) 17.1% 23.1% 59.6% 25.5%
Monash (C) 17.9% 20.6% 61.3% 9.4%
Whitehorse (C) 13.6% 23.0% 63.4% 10.9%
Yarra Ranges (S) 21.0% 23.5% 55.5% 19.0%
Eastern Metro 17.8% 21.5% 60.5% 18.4%
Victoria 19.1% 23.8% 56.8% 17.7%
Blue = significantly below Victorian average; red = significantly above Victorian average.
Note that sum of percentages for current, ex- and non-smokers may not add to 100 per cent due to a proportion of
'don't know' or 'refused' responses.
32
Table 18: Daily fruit consumption (percentage), 2008, Eastern Metro LGAs
No serves of One serve of 2 or more serves Did not meet
LGA
fruit fruit of fruit fruit guidelines
Boroondara (C) 12.9% 33.2% 51.8% 46.2%
Knox (C) 13.9% 38.8% 47.0% 52.4%
Manningham (C) 10.1% 35.2% 54.4% 44.4%
Maroondah (C) 12.3% 36.6% 50.6% 48.5%
Monash (C) 15.3% 38.4% 45.7% 53.8%
Whitehorse (C) 10.7% 35.3% 53.4% 46.1%
Yarra Ranges (S) 11.7% 35.3% 51.5% 47.6%
Eastern Metro 12.7% 36.3% 50.1% 49.0%
Victoria 14.3% 36.1% 48.6% 50.5%
32
Table 19: Daily vegetable consumption (percentage), 2008, Eastern Metro LGAs
No serves 1-2 serves 3-4 serves 5 or more Did not meet
LGA of of of serves of vegetable
vegetables vegetables vegetables vegetables guidelines
Boroondara (C) 5.1% 56.5% 28.8% 8.3% 89.1%
Knox (C) *3.9% 60.4% 26.7% 7.8% 90.9%
Manningham (C) 3.7% 53.7% 33.0% 8.0% 90.1%
Maroondah (C) *5.5% 57.0% 27.7% 8.8% 89.2%
Monash (C) 7.9% 59.1% 24.5% 7.2% 91.3%
Whitehorse (C) *4.0% 58.7% 28.4% 7.6% 89.9%
Yarra Ranges (S) 4.4% 53.2% 33.1% 8.2% 88.2%
Eastern Metro 5.1% 57.5% 28.2% 7.9% 90.0%
Victoria 5.8% 56.9% 28.2% 7.7% 90.0%
* Estimate has a relative standard error between 25 and 50 per cent and should be interpreted with caution.
32
Department of Health, 2011 – Victorian Population Health Survey 2008
33
Department of Education and Early Childhood Development – Adolescent profiles 2010.
1134
Table 20: Did not meet guidelines for fruit and vegetable consumption percentage), males and
females, 2008, Eastern Metro LGAs
Did not meet fruit or Did not meet fruit or
Did not meet fruit or
vegetable vegetable
LGA vegetable
guidelines guidelines
guidelines (males)
(females) (persons)
Boroondara (C) 50.0% 34.2% 42.4%
Knox (C) 59.7% 44.2% 51.0%
Manningham (C) 48.1% 36.3% 42.6%
Maroondah (C) 55.7% 36.7% 45.3%
Monash (C) 59.1% 46.5% 52.4%
Whitehorse (C) 51.8% 33.8% 44.4%
Yarra Ranges (S) 42.3% 44.9% 43.6%
Eastern Metro 53.0% 40.5% 46.6%
Victoria 54.8% 41.9% 48.2%
Blue = significantly below Victorian average.
Table 21: Alcohol and soft drink consumption, Eastern Metro LGAs
% with short % who %15-17 year
% who drank
term risk from purchased olds who drank
LGA soft drink every
alcohol alcohol in past alcohol in past 35
34 35 36 day
consumption 7 days 7 days
Boroondara (C) 6.2% 44.7% 53.5% 4.3%
Knox (C) 13.4% 32.0% 54.2% 14.0%
Manningham (C) *5.2% 32.0% 53.3% 8.0%
Maroondah (C) 10.4% 38.2% 58.3% 9.5%
Monash (C) 8.9% 29.3% 34.8% 9.5%
Whitehorse (C) 8.9% 31.5% 44.7% 10.0%
Yarra Ranges (S) 12.8% 42.9% 55.1% 12.1%
Eastern Metro 9.4% 35.7% 50.6% 9.6%
Victoria 10.2% 36.3% NA 12.4%
Blue = significantly below Victorian average.
* Estimate has a relative standard error between 25 and 50 per cent and should be interpreted with
caution.
34
Table 22: Did not meet guidelines for physical activity , males and females, 2008, Eastern Metro
LGAs
Did not meet Did not meet
Did not meet
physical activity physical activity
LGA physical activity
guidelines guidelines
guidelines (males)
(females) (persons)
Boroondara (C) 29.4% 25.3% 27.7%
Knox (C) 24.2% 27.7% 25.5%
Manningham (C) 30.1% 27.7% 28.5%
Maroondah (C) 20.6% 31.1% 26.7%
Monash (C) 27.4% 29.6% 28.5%
Whitehorse (C) 23.4% 31.0% 25.9%
Yarra Ranges (S) 26.2% 25.9% 26.3%
Eastern Metro 26.3% 27.3% 26.9%
Victoria 27.5% 27.2% 27.4%
34
Department of Health – Victorian Population Health Survey, 2008
35
VicHealth – VicHealth Indicators Survey, 2011
36
Department of Education and Early Childhood Development – Adolescent profile, 2010
12Adults resident in Eastern Metro region display relatively healthy behaviours. A lower percentage are
smokers compared with the Victorian population, and a slightly higher than average population meet fruit
and vegetable consumption and physical activity guidelines. While regional percentages with short term
risk from alcohol consumption are below the Victorian average, the percentages at risk are higher than
average in Knox and Yarra Ranges. Rates of daily soft drink consumption are also above average in
Knox, around average in Yarra Ranges and below average in all other LGAs. While the highest
percentage of population purchased alcohol in the past seven days in Boroondara (44.7%), that LGA has
a lower than average percentage of persons at short term risk from alcohol consumption (6.2%).
Table 23: Child and adolescent characteristics and behaviours, various years, Eastern Metro
LGAs
Children Adolescents
Adolescents
Low birth Infants fully fully who brush
who adopt
LGA weight breastfed at immunised their teeth at
37 38 sunsmart
babies 3 months at 24-27 40 least twice
39 behaviour 40
months daily
Boroondara (C) 5.9% 64.6% 92.5% 3.7% 73.7%
Knox (C) 6.3% 54.2% 95.7% 2.6% 60.2%
Manningham (C) 6.2% 56.0% 89.1% 3.7% 65.7%
Maroondah (C) 5.9% 56.6% 95.2% 2.9% 70.9%
Monash (C) 6.3% 54.8% 92.2% 3.5% 72.2%
Whitehorse (C) 6.0% 59.3% 91.5% 2.3% 73.7%
Yarra Ranges (S) 6.1% 52.9% 89.4% 3.2% 67.2%
Eastern Metro 6.1% 56.9% 92.4% 3.1% 69.8%
Victoria 6.6% 51.8% 93.4% 3.1% 67.4%
The percentage of low birth weight babies is below average for all LGAs in Eastern Metro region. The
percentage of infants fully breastfed at three months is also higher than the state average for all LGAs.
The regional percentage of children fully immunised at 24-27 months is slightly lower than the Victorian
average of 93.4%, with lowest rates in Manningham (89.1%) and Yarra Ranges (89.4%). Percentages of
adolescents who adopt sunsmart behaviours or brush their teeth at least twice per day vary considerably
between LGAs, with Boroondara scoring highest for both.
37
Public Health Information Development Unit, 2011 – Social Health Atlas, low birth weight babies 2006-2008.
38
Department of Education and Early Childhood Development, 2010-11.
39
Medicare Australia – Australian Childhood Immunisation Register, March 2012.
40
Department of Education and Early Childhood Development – Adolescent profiles, 2010.
13Table 24: Health screening participation, Eastern Metro LGAs
Breast cancer Cervical cancer
Bowel cancer
LGA screening screening 43
41 42 screening
participation participation
Boroondara (C) 58.2% 68.5% 38.4%
Knox (C) 59.4% 63.0% 36.9%
Manningham (C) 60.0% 66.7% 38.8%
Maroondah (C) 58.1% 62.7% 37.7%
Monash (C) 57.7% 59.6% 37.7%
Whitehorse (C) 57.0% 62.7% 39.4%
Yarra Ranges (S) 56.8% 64.4% 38.4%
Eastern Metro 58.1% 63.9% 38.2%
Victoria 55.9% 60.7% 37.1%
The Eastern Metropolitan regional rates of screening for breast, cervical and bowel cancer are slightly
higher than the Victorian average. All LGAs have higher rates of breast cancer screening than the
Victorian average, all but Monash have higher rates of cervical cancer screening and all but Knox have
higher rates of Bowel cancer screening.
41
Breast Screen Victoria, 2010-11
42
Victorian Cervical Cytology Register - statistical report, 2010
43
Public Health Information Development Unit (PHIDU) – Social Health Atlas of Victorian Local Government Areas,
2011
14Section 2: Health status
2a – Human function
Table 25: Aged and disability characteristics, Eastern Metro LGAs
% with Disability Age
% of
% with need severe and support pension
persons
for profound pension recipients
aged 75+
LGA assistance disability recipients per per 1,000
who live
with core living in 1,000 eligible eligible
44 alone 45
activities community 44 pop pop
44 45
Boroondara (C) 3.8% 2.4% 38.9% 21.1 403.7
Knox (C) 4.3% 3.2% 33.8% 40.6 762.2
Manningham (C) 4.7% 3.5% 26.7% 27.5 592.2
Maroondah (C) 4.7% 3.2% 39.0% 47.6 703.9
Monash (C) 4.8% 3.4% 29.7% 34.2 655.1
Whitehorse (C) 4.5% 3.4% 37.0% 36.7 652.0
Yarra Ranges (S) 4.0% 3.1% 33.8% 47.8 729.5
Eastern Metro 4.4% 3.2% 34.0% 36.1 633.6
Victoria 5.0% 3.8% 35.9% 54.8 704.5
Eastern Metro region scores lower than average percentage for persons with need for assistance with
core activities, and persons aged 75 plus living alone. All LGAs have lower percentages requiring
assistance than the Victorian average. The percentage of people aged 75+ living alone ranges from
26.7% in Manningham to 38.9% in Boroondara, compared with the Victorian average of 35.9%. There
are below average rates of disability support pension recipients in all LGAs, and age pension recipients
in LGAs other than Knox and Yarra Ranges.
46
Table 26: Obesity , males and females, 2008, Eastern Metro LGAs
Percentage of Percentage of
Percentage of males
LGA females overweight persons overweight
overweight or obese
or obese or obese
Boroondara (C) 40.6% 25.1% 32.1%
Knox (C) 60.0% 39.0% 49.4%
Manningham (C) 53.5% 37.5% 45.6%
Maroondah (C) 63.6% 36.6% 48.0%
Monash (C) 49.1% 38.9% 44.0%
Whitehorse (C) 55.2% 35.1% 46.1%
Yarra Ranges (S) 57.5% 44.1% 50.9%
Eastern Metro 54.2% 36.5% 45.1%
Victoria 57.2% 40.3% 48.6%
Blue = significantly below Victorian average.
The percentages of males, females and persons overweight or obese in Eastern Metro Region are lower
than the Victorian average, with the percentages in Boroondara significantly below the Victorian average.
44
Australian Bureau of Statistics, 2011 – Census of Population and Housing, 2011
45
Centrelink, 2012; Australian Bureau of Statistics – Estimated Resident Population, 2011
46
Department of Health – Victorian Population Health Survey, 2008.
152b – Health conditions
Table 27: Asthma and diabetes incidence and admissions, Eastern Metro LGAs
% of persons % of persons Asthma Diabetes
LGA reporting reporting type 2 admission rate admission rate
47 47 48 48
asthma diabetes ratio ratio
Boroondara (C) 9.3% 2.9% 0.69 0.56
Knox (C) 12.4% 4.4% 0.88 0.95
Manningham (C) 9.7% 3.5% 0.60 0.76
Maroondah (C) 9.8% 5.0% 1.04 0.87
Monash (C) 11.4% 4.0% 1.12 0.78
Whitehorse (C) 13.3% 5.3% 0.86 0.81
Yarra Ranges (S) 9.4% 3.2% 0.92 0.79
Eastern Metro 10.8% 3.9% 0.87 0.78
Victoria 10.7% 4.8% 1.00 1.00
The percentage of persons reporting asthma is above average in Knox, Monash and Whitehorse, while
the percentage reporting type 2 diabetes is above average in Maroondah and Whitehorse. The asthma
admission rate ratio is above average for Maroondah and Monash while the diabetes admission rate
ration is below average for all LGAs.
49
Table 28: Total malignant cancers diagnosed per 1,000 population, and for males and females,
in 2011, Eastern Metro LGAs
LGA Males Females Total
Boroondara (C) 5.35 4.44 4.88
Knox (C) 5.25 4.19 4.71
Manningham (C) 6.48 5.15 5.80
Maroondah (C) 6.25 4.95 5.58
Monash (C) 6.05 4.07 5.05
Whitehorse (C) 6.28 4.88 5.56
Yarra Ranges (S) 5.70 4.23 4.96
Eastern Metro 5.87 4.51 5.18
Victoria 5.73 4.54 5.13
49
Table 29: Diagnosis rates of leading cancers per 1,000 population , 2011, by region
Region Bowel Prostate Breast Lung Melanoma
Barwon-South Western 0.92 0.88 0.79 0.58 0.52
Eastern metropolitan 0.64 0.95 0.71 0.40 0.37
Gippsland 0.89 0.96 0.88 0.62 0.48
Grampians 0.95 0.79 0.73 0.53 0.57
Hume 0.88 1.04 0.73 0.55 0.54
Loddon Mallee 0.85 1.09 0.83 0.60 0.49
Northern and West
0.53 0.62 0.59 0.37 0.23
metropolitan
Southern metropolitan 0.64 0.95 0.66 0.45 0.40
Victoria 0.67 0.85 0.68 0.45 0.37
The rates of total malignant cancers diagnosed per 1000 population are around average for males,
females and total population in the Eastern region. The rates for males, females and total population in
Manningham, Maroondah and Whitehorse are above average. Regional rates of bowel, breast, lung and
melanoma cancers are around average, while the rate of prostate cancer is slightly above average.
47
Department of Health – Victorian Population Health Survey, 2008
48
Prevention and Population Health Branch, Wellbeing, Integrated Care and Aged Division, Department of Health,
2011-12
49
Cancer Council of Victoria – Victorian Cancer Registry, 2011.
1650
Table 30: Notifications and rates (per 1,000 population) of infectious diseases , 2011, Eastern
Metro LGAs
Pertussis Influenza Chlamydia
LGA
Notifications Rates Notifications Rates Notifications Rates
Boroondara (C) 204 1.2 187 1.1 492 2.9
Knox (C) 208 1.3 55 0.4 428 2.8
Manningham (C) 154 1.3 62 0.5 291 2.5
Maroondah (C) 141 1.3 35 0.3 322 3.0
Monash (C) 219 1.2 142 0.8 384 2.2
Whitehorse (C) 258 1.6 76 0.5 466 3.0
Yarra Ranges (S) 294 2.0 87 0.6 454 3.1
Eastern Metro 1,478 1.4 644 0.6 2,837 2.8
Victoria* 8,806 1.6 3,226 0.6 19,237 3.5
*Vic totals include cases with unknown locations (could not be allocated to an LGA).
The rate of Pertussis is below average in all LGAs in Eastern Metro region other than Yarra Ranges,
where it is slightly above average. Rates of Influenza are nearly twice the Victorian average in
Boroondara, but around average for the other LGAs. Rates of Chlamydia are below average in all LGAs.
50
Department of Health – Notifiable Infectious Diseases Surveillance database, 2012; Australian Bureau of Statistics
– Estimated Resident Population, 2011
1751
Table 31: Top seven ambulatory care sensitive conditions (ACSCs), 2011-12, separations and rates, Eastern Metro LGAs
Chronic
Diabetes Congestive heart obstructive Iron deficiency
LGA Dental conditions Pyelonephritis Cellulitis
complications failure pulmonary anaemia
disease
Separations
Boroondara (C) 667 771 422 353 239 282 226
Knox (C) 1,177 436 482 360 378 314 474
Manningham (C) 875 372 321 343 280 295 171
Maroondah (C) 699 365 349 228 290 197 231
Monash (C) 1,308 349 558 438 371 373 266
Whitehorse (C) 1,160 487 495 462 305 367 302
Yarra Ranges (S) 930 596 390 277 421 268 376
Eastern Metro 6,816 3,376 3,017 2,461 2,284 2,096 2,046
Victoria 45,724 16,499 16,733 14,278 16,003 11,114 10,187
Rate per 1,000 population
Boroondara (C) 4.00 4.62 2.53 2.12 1.43 1.69 1.35
Knox (C) 7.64 2.83 3.13 2.34 2.45 2.04 3.08
Manningham (C) 7.48 3.18 2.74 2.93 2.39 2.52 1.46
Maroondah (C) 6.52 3.41 3.26 2.13 2.71 1.84 2.16
Monash (C) 7.35 1.96 3.14 2.46 2.08 2.10 1.49
Whitehorse (C) 7.35 3.09 3.14 2.93 1.93 2.33 1.91
Yarra Ranges (S) 6.25 4.01 2.62 1.86 2.83 1.80 2.53
Eastern Metro 6.62 3.28 2.93 2.39 2.22 2.04 1.99
Victoria 8.26 2.89 3.02 2.58 2.89 2.01 1.84
The most common ACSC in Eastern Metro Region is diabetes complications, followed by dental conditions. The rate for diabetes complications is lower than the
Victorian average of 8.26 for all LGAs. The regional rate for dental conditions (3.28) is higher than the Victorian average (2.89), and is highest in Boroondara (4.62).
Rates of COPD are below average in all LGAs, while rates of pyelonephritis are higher than average in Knox, Maroondah, Monash and Whitehorse. Rates of
congestive heart failure are above average in Manningham and Whitehorse, as are rates of iron deficiency anaemia.
51
Victorian Health Information Surveillance System (VHISS), 2011-12; Australian Bureau of Statistics – Estimated Resident Population, 2011
1852
Table 32: Top seven specialty groups for persons admitted to hospital , 2011-12, Eastern Metro LGAs
LGA Gastroenterology Renal Dialysis General Surgery Orthopaedics General Medicine Oncology/Radiology Cardiology
Boroondara (C) 9,841 7,522 5,004 4,716 3,929 3,927 2,771
Knox (C) 10,336 8,683 5,455 4,490 4,589 4,012 3,473
Manningham (C) 7,818 8,855 3,982 3,227 3,346 3,568 2,748
Maroondah (C) 6,409 5,556 3,660 3,185 2,984 2,833 2,292
Monash (C) 11,023 10,651 5,246 4,236 4,454 5,033 3,731
Whitehorse (C) 10,096 8,299 5,381 4,514 4,299 4,462 3,568
Yarra Ranges (S) 9,184 5,264 5,454 4,702 4,012 3,666 3,293
Eastern Metro 64,707 54,830 34,181 29,070 27,613 27,501 21,876
Victoria 307,496 316,482 181,115 151,278 148,640 145,278 125,774
Rate per 1,000 population
Boroondara (C) 58.99 45.09 30.00 28.27 23.55 23.54 16.61
Knox (C) 67.07 56.35 35.40 29.14 29.78 26.04 22.54
Manningham (C) 66.84 75.71 34.05 27.59 28.61 30.51 23.50
Maroondah (C) 59.82 51.86 34.16 29.73 27.85 26.44 21.39
Monash (C) 61.94 59.85 29.48 23.80 25.03 28.28 20.96
Whitehorse (C) 64.00 52.61 34.11 28.62 27.25 28.29 22.62
Yarra Ranges (S) 61.74 35.39 36.66 31.61 26.97 24.64 22.14
Eastern Metro 62.85 53.26 33.20 28.24 26.82 26.71 21.25
Victoria 55.56 57.18 32.72 27.33 26.86 26.25 22.73
The most common condition requiring hospitalisation in Eastern Metropolitan region is gastroenterology, followed by renal dialysis. The rates of hospital admission
for gastroenterology are higher than the Victorian average of 55.56 for all LGAs. While the regional rate of admission for renal dialysis (53.26) is below the Victorian
rate (57.18), the rate in Manningham (75.71) is well above average. Rates of admissions for general surgery are above the Victorian average (32.37) for all LGAs
other than Boroondara and Monash, and are above the Victorian average for orthopaedics (27.33) in all LGAs other than Monash. Manningham has higher than
average rates of admissions for all of the top seven specialty groups..
52
Department of Health – Victorian Admitted Episodes Dataset, 2011-12 (specialty groups from ‘spec v5’ variable); Australian Bureau of Statistics – Estimated Resident Population,
2011
192c – Life expectancy and wellbeing
53
Table 33: Life expectancy at birth (years) , 2008, Eastern Metro LGAs
LGA Male life expectancy Female life expectancy
Boroondara (C) 82.2 85.8
Knox (C) 79.7 83.0
Manningham (C) 81.9 85.6
Maroondah (C) 80.5 84.8
Monash (C) 81.5 85.8
Whitehorse (C) 81.3 85.3
Yarra Ranges (S) 80.1 84.3
Eastern Metro 82.0 85.4
Victoria 80.3 84.4
Male and female life expectancy is above average in Eastern Metro LGAs other than Knox and Yarra
Ranges.
Table 34: Mental and physical development and wellbeing (percentages), Eastern Metro LGAs
Persons Persons Children
Adolescents Adolescents
reporting reporting vulnerable
reporting reporting
LGA fair/poor high/very high in one or
being positive psych
health psychological more 56 56
54 54 55 bullied development
status distress domains
Boroondara (C) 12.8% 5.1% 10.8% 43.5% 62.0%
Knox (C) 21.3% 10.6% 16.7% 46.2% 60.7%
Manningham (C) 14.6% 10.6% 14.2% 41.0% 63.8%
Maroondah (C) 15.5% 10.5% 19.3% 42.7% 71.5%
Monash (C) 17.5% 13.3% 19.2% 50.9% 64.1%
Whitehorse (C) 12.9% 9.0% 13.8% 35.8% 66.3%
Yarra Ranges (S) 18.9% 11.7% 18.1% 47.4% 61.5%
Eastern Metro 16.2% 9.8% 15.8% 44.4% 64.1%
Victoria 18.3% 11.4% 20.3% 44.6% 61.1%
Blue = significantly below Victorian average.
The percentage of persons reporting fair or poor health status and high or very high psychological
distress is below the Victorian average for Eastern Metro region. The percentages in Boroondara are well
below average for both indicators, and are well below average in Whitehorse for fair/poor health status.
The percentage of children vulnerable on one or more domain is below average in all LGAs. The
percentage of adolescents reporting bullying is above average in Monash, Knox and Yarra Ranges and
well below average in Whitehorse, while the percentage of adolescents reporting positive psychological
development is above average in all LGAs other than Knox.
53
Department of Health, 2010. – Life expectancy at birth 2003-2007.
54
Department of Health, 2010. – Victorian Population Health Survey 2008
55
Department of Education and Early Childhood Development – AEDI 2009.
56
Department of Education and Early Childhood Development – Victorian Adolescent Health and Wellbeing Survey
(HowRU?), 2009.
202d – Deaths
The indirect standardised death rate is below average for all LGAs in Eastern Metropolitan Region. The
infant death rate is also below average in all LGAs.
57
Table 35: Number of deaths and death rates , 2011, Eastern Metro LGAs
LGA Number of deaths Indirect standardised death rate
Boroondara (C) 1,158 4.9
Knox (C) 929 5.5
Manningham (C) 745 4.5
Maroondah (C) 783 5.9
Monash (C) 1,159 4.9
Whitehorse (C) 1,116 4.9
Yarra Ranges (S) 720 5.3
Eastern Metro 6,610 NA
Victoria 36,552 5.7
58
Table 36: Number of infant deaths and death rate , 2003-2007, Eastern Metro LGAs
LGA Number of infant deaths Infant death rate
Boroondara (C) 27 3.2
Knox (C) 51 5.4
Manningham (C) 23 4.1
Maroondah (C) 16 2.4
Monash (C) 35 4.1
Whitehorse (C) 38 4.0
Yarra Ranges (S) 40 4.3
Eastern Metro 230 4.0
Victoria 1,467 4.6
# = small number
58
Table 37: Avoidable mortality by cause 0 to 74 years , 2003-2007, Eastern Metro LGAs
Average annual death rate per 100,000 aged 0 to 74 years
LGA Circulatory Respiratory Road Suicide
All
Cancers systems systems traffic /self
causes
diseases diseases injuries inflicted
Boroondara (C) 48.6 25.7 3.5 2.0 6.0 106.1
Knox (C) 60.4 37.7 7.9 6.2 10.2 151.7
Manningham (C) 50.7 23.9 2.7 3.3 8.2 108.8
Maroondah (C) 55.8 35.7 6.5 3.8 11.7 136.2
Monash (C) 48.9 24.4 3.6 2.9 10.3 112.8
Whitehorse (C) 48.3 32.0 5.9 3.8 8.7 122.8
Yarra Ranges (S) 59.7 35.2 9.6 7.7 15.3 151.8
Eastern Metro NA NA NA NA NA NA
Victoria 61.4 39.8 8.4 6.2 11.0 158.2
All Eastern Metro LGAs have lower avoidable mortality rates for cancers and circulatory systems
diseases than the Victorian average. Yarra Ranges has higher than average rates of respiratory system
diseases and road traffic injuries, and Maroondah and Yarra Ranges have higher rates of suicide/self
inflicted injuries. All Eastern Metro LGAs have lower rates of avoidable mortality due to “all causes” than
the Victorian average.
57
Australian Bureau of Statistics – Deaths Australia 2011
58
Public Health Information Development Unit, Department of Health and Ageing – Social Health Atlas of Victorian
Local Government Areas, 2011
212e – Injuries
Table 38: Rates of intentional injuries and unintentional injuries resulting in hospital treatment,
59
and % of unintentional injuries involving falls, 2011-12, Eastern Metro LGAs
% unintentional
Intentional injury Unintentional injury
LGA injuries caused by
rate rate
falls
Boroondara (C) 2.1 37.6 45.4%
Knox (C) 3.5 54.4 40.8%
Manningham (C) 1.9 43.7 44.2%
Maroondah (C) 3.6 61.7 43.2%
Monash (C) 1.6 28.2 42.6%
Whitehorse (C) 2.1 42.9 47.5%
Yarra Ranges (S) 3.7 71.4 38.7%
Eastern Metro 2.6 47.4 42.7%
Victoria 3.8 61.7 37.6%
The regional rates for intentional and unintentional injuries are lower for Eastern Metropolitan Region
than the Victorian average. All LGAs have a lower than average rate of intentional injuries, while only
Yarra Ranges has an above average rate of unintentional injuries. The percentage of unintentional
injuries caused by falls is higher than average in all LGAs.
59
Victorian Injury Surveillance Unit, Monash University, data extracted from VAED, 2011-12
2260
Figure 3: Causes of injuries , Eastern Metropolitan Region
60
Figure 4: Location of occurrence of injuries , Eastern Metropolitan Region
60
Victorian Injury Surveillance Unit, Monash University, data extracted from VAED, 2011-12
23Section 3: Health system performance
3a – Services and access
61
Figure 5: Service locations , 2012, Eastern Metro LGAs
Health services in Eastern metro region are concentrated in the LGAs of Boroondara and Monash with relatively few in Yarra Ranges.
61
Department of Health, 2012
2462
Table 39: General Practitioner (GP) workforce (2013) and attendances (2009-10), Eastern Metro
LGAs
General GP attendances GP attendances GP attendances
practitioners per 1,000 per 1,000 per 1,000
LGA
per 1,000 population - population - population -
population males females total
Boroondara (C) 1.53 3653.8 5008.2 4344.1
Knox (C) 1.00 4828.0 6571.4 5711.5
Manningham (C) 1.27 4577.0 6238.2 5423.1
Maroondah (C) 0.96 4387.1 6054.0 5234.0
Monash (C) 1.27 4570.0 6115.8 5334.6
Whitehorse (C) 1.37 4487.2 5969.1 5245.1
Yarra Ranges (S) 0.89 4054.5 5870.2 4961.6
Eastern Metro 1.20 4358.0 5950.1 5162.9
Victoria 1.33 4572.8 6197.5 5390.8
Eastern metropolitan region has a higher rate of general practitioners per 1,000 population than the
Victorian average, with the highest rates in Boroondara and Whitehorse. The rates in Knox, Maroondah
and Yarra Ranges are below average. The rates of GP attendances for males, females and total
population are slightly below average. The lowest rates are in Boroondara while the highest rates are in
Knox,
63
Table 40: Health professional workforce , Eastern Metro region, comparison with other regions
Practitioners per 1,000 population
Specialist
Region
medical Nurses/midwives Pharmacists Physiotherapists
practitioners
Barwon South Western 0.56 20.38 0.73 0.86
Gippsland 0.23 16.57 0.79 0.58
Grampians 0.45 21.92 0.69 0.61
Hume 0.33 18.41 0.62 0.66
Loddon Mallee 0.32 19.79 0.76 0.74
North and West metropolitan 0.89 12.82 0.99 0.79
Southern metropolitan 0.72 13.95 0.82 1.07
Eastern metropolitan 0.74 16.42 0.90 1.30
Victoria 0.69 15.47 0.86 0.93
Eastern Metropolitan Region has a higher than average rate of specialist medical practitioners, with most
concentrated in Boroondara, Whitehorse and Monash. The rates of nurses/midwives, pharmacists and
physiotherapists are all above average. Boroondara and Whitehorse have higher than average rates of
each professional group. Yarra Ranges generally has lower than average rates, but has a higher than
average rate of nurses/midwives.
62
GPs per 1,000 population (2013) – Medical Directory of Australia; GP attendances (2009-10) – PHIDU Social
Health Atlas; Estimated Resident Population – ABS, 2011
63
Specialists per 1,000 population (2013) – Medical Directory of Australia; nurses/midwives, headcount of practising
workforce, 2009 – Nurses Board of Victoria registration and survey data; pharmacists and physiotherapists, count of
registered practitioners, 2010 – relevant registration boards; Estimated Resident Population – ABS, 2011
25Table 41: Service accessibility, Eastern Metro region LGAs
Aged care Aged care
% patients who
places (high places (low % persons with
accessed
LGA care) per 1,000 care) per 1,000 private health
inpatient care 66
target target 65 insurance
64 64 within region
population population
Boroondara (C) 56.1 50.3 30.6 71.9%
Knox (C) 60.7 45.6 73.3 57.3%
Manningham (C) 36.0 32.5 42.2 62.6%
Maroondah (C) 58.1 51.8 82.1 53.5%
Monash (C) 49.9 30.9 19.6 58.6%
Whitehorse (C) 43.3 30.1 72.8 59.5%
Yarra Ranges (S) 36.3 35.8 81.4 51.6%
Eastern Metro 48.4 38.4 59.6 59.7%
Victoria 45.8 41.7 NA 48.0%
Eastern Metropolitan Region has a slightly above average rate of high care aged care places, and a
slightly below average rate of low care places. Boroondara, Knox and Maroondah are well serviced for
both types of care, while Manningham and Yarra Ranges have below average levels of both. Overall,
around 60% of patients accessed inpatient care within the region, and this ranged from 19.6% in Monash
to 81.4% in Yarra Ranges. An above average percentage of persons have private health insurance in all
LGAs. Boroondara has the highest rate of nearly 72%, compared with the Victorian rate of 48%.
64
Commonwealth Department of Health and Ageing, 2012.
65
Department of Health – Victorian Admitted Episodes Dataset (VAED), 2011-12.
66
Public Health Information Development Unit, Department of Health and Ageing – Social Health Atlas of Victorian
Local Government Areas, 2011
263b – Hospital utilisation
67
Table 42: Current and projected hospital inpatient utilisation , 2011-12, Eastern Metro LGAs
Per annum Projected
Separations Average
Inpatient % inpatient Average change in per annum
from most length of
separations Public hospital most separations length of hospital change in
LGA frequently stay (days),
per 1,000 frequently attended in private stay (days), separations separations
attended public
population hospital all hospitals (2001-02 to (2011-12 to
hospital hospitals
2011-12) 2021-22)
Boroondara (C) 407.92 Box Hill Hospital 29.9% 67.7% 3.9 3.0 2.6% 1.5%
Knox (C) 469.15 Angliss Hospital 36.9% 46.1% 2.8 2.6 4.5% 2.6%
Manningham (C) 479.83 Box Hill Hospital 32.5% 55.1% 3.0 2.7 4.6% 2.6%
Maroondah Hospital
Maroondah (C) 460.51 53.2% 46.1% 3.2 3.0 6.0% 2.7%
[East Ringwood]
Monash Medical Centre
Monash (C) 442.88 35.5% 52.0% 3.1 2.8 2.7% 1.1%
[Clayton]
Whitehorse (C) 486.56 Box Hill Hospital 55.0% 55.8% 3.3 2.9 3.6% 1.6%
Maroondah Hospital
Yarra Ranges (S) 428.83 39.2% 40.4% 3.0 2.8 4.4% 2.6%
[East Ringwood]
Eastern Metro 451.84 Box Hill Hospital 15.0% 52.2% 3.1 2.8 3.8% 2.1%
Victoria 425.48 NA NA 37.0% 3.1 2.9 3.7% 2.7%
Inpatient separations per 1,000 population for Eastern Metro region (451.84) are slightly higher than the Victorian figure (425.48). The LGA with the highest rate of
separations is Whitehorse (486.56) while Boroondara has the lowest (407.92). Box Hill Hospital is the most frequently attended hospital in the region, but only has
15% of separations. Other frequently attended hospitals are Maroondah, Angliss and Monash Medical Centre. The percentage of inpatient separations in a private
hospital is well above the Victorian figure, and ranges from 67.7% in Boroondara to 40.4% in Yarra Ranges. The average length of stay is consistent with the
Victorian average. The per annum change in hospital separations between 2001-02 and 2011-12 is similar to the Victorian average of 3.7%, but ranges from 2.6%
in Boroondara to 6% in Knox. The projected per annum change in separations to 2021-22 is lower than the Victorian figure of 2.7% in all LGAs other than
Maroondah, where it is equal.
67
Department of Health – VAED. 2011-12 and Inpatient Forecast Model, 2011-12; Australian Bureau of Statistics – Estimated Resident Population, 2011
2768
Table 43: Emergency department presentations , 2011-12, Eastern Metro LGAs
Emergency Primary care type ED % ED presentations
LGA presentations per presentations per 1,000 that are primary care
1,000 population population type
Boroondara (C) 127.3 50.7 39.8
Knox (C) 251.3 110.7 44.1
Manningham (C) 184.4 61.6 33.4
Maroondah (C) 251.2 97.7 38.9
Monash (C) 164.3 56.3 34.3
Whitehorse (C) 184.2 57.7 31.3
Yarra Ranges (S) 274.0 115.1 42.0
Eastern Metro 201.5 77.2 38.3
Victoria 259.6 112.3 43.3
Presentations to emergency departments for Eastern Metropolitan Region (including data from only the
hospitals that report to the Victorian Emergency Minimum Dataset) are lower than the Victorian rate.
Only Yarra Ranges has a rate slightly above the Victorian rate. Presentations categorised as ‘primary
care type’ (could have been attended to by a GP or other primary health setting) are also lower than the
Victorian rate. In percentage terms, 38.3 % of ED presentations from Eastern Metro region are primary
care type, compared with 43.3% for Victoria. This ranges from 31.3% for residents of Whitehorse to 44.1
for residents of Knox.
68
Department of Health – Victorian Emergency Minimum Dataset (VEMD), 2011-12; Australian Bureau of Statistics
– Estimated Resident Population, 2011
283c – Preventable hospital admissions
Better access to primary health care increases the use of ambulatory care, prevents unnecessary hospitalisations and improves the health status of the population.
Analysis from the Victorian Ambulatory Care Sensitive Conditions study identified significant differentials and inequalities in access to the primary health care system
in Victoria. The analysis of ACSCs included a broad range of health conditions that are classified as ACSCs. Data is presented for total, and acute and chronic
ACSC’s for each region.
At 6.4%, ACSC admissions as a percentage of total admissions for Eastern Metro Region were considerably lower than the Victorian average (7.2%), and the lowest
of all regions. ACSC bed days as a percentage of total bed days were also lower (11.6%) than the Victorian average (13%), and the lowest of all regions. The rates
per 1,000 persons for acute and chronic ACSCs were lower than the Victorian average, and again were the lowest of all regions. The average length of stay was
similar to the Victorian average for total and acute ACSCs but slightly higher for chronic ACSCs.
69
Table 44: Total ACSC, acute ACSC and chronic ACSC admission numbers, rates and average bed days , 2011-12, by region
Barwon- North and
Eastern Loddon Southern
South Gippsland Grampians Hume West Victoria*
metro Mallee metro
Western metro
Total ACSC 13,828 29,543 9,607 8,138 9,343 11,723 51,511 42,711 176,407
Number of
Acute ACSC 6,773 14,777 3,942 3,868 3,982 5,231 22,325 19,640 80,451
admissions
Chronic ACSC 6,947 14,459 5,636 4,255 5,400 6,428 28,602 22,605 94,332
Admissions as
% of total Total ACSC 8.4 6.4 7.5 7.7 8.4 8.1 7.2 7.0 7.2
admissions
Total ACSC 37.7 28.7 37.1 36.4 35.0 38.0 29.6 32.0 31.9
Rate per 1,000
Acute ACSC 18.5 14.4 15.2 17.3 14.6 16.9 12.8 14.7 14.5
persons
Chronic ACSC 18.9 14.0 21.7 19.0 20.2 20.8 16.4 16.9 17.0
Total ACSC 4.5 5.2 5.7 5.6 5.7 4.9 5.4 5.0 5.2
Average length
Acute ACSC 2.4 2.9 3.2 2.7 3.0 2.9 2.6 2.9 2.8
of stay (days)
Chronic ACSC 6.9 7.7 7.3 7.6 7.1 7.2 7.5 6.9 7.3
Bed days as %
of total bed Total ACSC 13.7 11.6 14.2 13.1 14.6 13.6 13.7 12.5 13.0
days
*Victorian totals include interstate and non-resident admissions.
69
Department of Health – Victorian Health Information Surveillance System, 2011-12.
293d – Other health utilisation
Table 45: Utilisation of selected health services per 1,000 population, 2011-12 Eastern Metro
LGAs
Registered
HACC clients HACC clients Drug and
mental health
aged 0-69 per aged 70 plus alcohol clients
LGA clients per
1,000 target per 1,000 target per 1,000
70 70 71 1,000
population population population 71
population
Boroondara (C) 151.1 400.4 2.8 6.6
Knox (C) 138.7 294.9 5.4 8.5
Manningham (C) 164.1 478.4 2.3 5.2
Maroondah (C) 152.9 312.7 4.8 9.5
Monash (C) 129.8 384.3 2.1 6.0
Whitehorse (C) 146.9 428.6 3.5 7.9
Yarra Ranges (S) 218.2 332.7 5.1 9.1
Eastern Metro 155.3 376.4 3.7 7.5
Victoria 196.9 339.6 5.1 10.3
Eastern Metropolitan Region has lower than average rates of HACC clients aged 0-59, and higher than
average rates of clients aged 70 plus. The only LGA with an above average rate of HACC clients aged 0-
69 is Yarra Ranges, while Boroondara, Manningham, Monash and Whitehorse have rates of HACC
clients aged 70 plus well above the Victorian average. All LGAs have rates of registered mental health
clients below the Victorian rate of 10.3%, while only Knox has a rate of drug and alcohol clients above
the Victorian average, with Yarra Ranges equal to the Victorian average.
70
Department of Health – Home and Community Care program, 2011-12; Australian Bureau of Statistics –
Estimated Resident Population 2011.
71
Department of Health – Mental Health, Drugs and Regions Division, 2011-12; Australian Bureau of Statistics –
Estimated Resident Population 2011
30Data Definitions
Figure 1 Geography
Australian Statistical Geography Standard (ASGS), digital boundaries. Local government
areas, Medicare Local and Primary Care Partnership boundaries. Map produced by
Department of Health.
Source: Australian Bureau of Statistics; Commonwealth Department of Health
and Ageing; Department of Health
Currency: 2012
Table 1 Land area
The area, in square kilometres, of the local government area or region.
Source: Australian Standard Geographical Classification, digital boundaries,
Australian Bureau of Statistics.
Currency: 2012
Land use
The proportion of the region or LGA’s total area assigned to business, industrial, residential,
rural and other land use. Land use is based on planning zones, which reflect the primary
character of land and indicate the type of use and development that may be appropriate in
that zone.
Business land use includes business zones, for uses such as retail services and offices.
Industrial land use includes industrial zones, for uses such as manufacturing, and storage
and distribution of goods.
Residential land use includes residential developments at a range of densities, and also
includes mixed use zones which may allow for other uses that do not adversely affect the
amenity of the neighbourhood.
Rural land use includes planning zones such as farming zones, green wedge zones, rural
conservation zones, rural living zones and rural activity zones.
Other land use includes land not assigned to business, industrial, residential or rural land
use. This includes public land, special purpose land (eg, special use, urban floodway and
priority development zones), and Commonwealth land.
Source: Planning Zones, Department of Planning and Community Development
Currency: 2012
Table 2 Current population
Table 3 Estimated resident population at 30 June 2011.
Table 4 Source: Estimated Resident Population at 30 June 2011 (revised figures),
released August 2012, Australian Bureau of Statistics
Currency: 2011
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