NSLHD News October 7 2022


emissions, Nicola said inroads can be made by simply having a conversation about some of the changes or improvements they would like to see with their teams or managers. “I encourage staff to work together on quality improvement and innovation initiatives they can champion in their service or department that reduce carbon emissions and help achieve our net zero target,” she said. For more information on NSLHD’s Planetary Health efforts, visit: www.nslhd. health.nsw.gov.au/AboutUs/ Pages/planetaryhealth.aspx sessions at Ryde Hospital, has helped David resume hobbies including long walking and cycling. “The empathy and care of the whole team at RNSH Hospital helped me so much on my journey,” David said. “It was inspirational in my determination to prepare so well, both pre-operation and In 2021 David was referred by his GP to the Royal North Shore Hospital Neurosurgery Clinic. As part of the Spinal Pain Pathway Triage Service, he received a comprehensive assessment by a physiotherapist and his condition was identified as hip osteoarthritis. He then underwent a seven- month treatment program incorporating aquatic physiotherapy and exercises with NSLHD’s Osteoarthritis Chronic Care Program. In February he received same-day hip replacement, performed by RNSH surgeon Dr Andrew Ellis. RNSH is believed to be one of the few hospitals in Australia to offer same-day treatment in this area, which enabled David to return home within a few hours of surgery. A further six-month physiotherapy program post- surgery, including further aquatic physiotherapy

then through recovery. “Perhaps same day surgery would not suit all but I highly recommend it for those who are suitable. To return home in your own surroundings helps you recover quicker, I believe. “It’s so important to follow guidance and equally to put the effort in.” RNSH Outpatient Department and Hydrotherapy Senior Physiotherapist Katrina Ferguson said good communication between all the teams and practitioners had also been key to David’s positive outcome. “It’s a great example of how we can work together well as a team,” she said. “It’s incredibly rewarding being part of a patient’s successful journey like this and seeing the impact on lives.”

“Our soon-to-be-appointed net zero leads from medicine, nursing, pharmacy, and allied health disciplines, will lead teams of interested staff and students in their service or specialty and conduct action research projects to re-think and re-imagine their service with a net zero lens. “Research shows that more than half of healthcare’s carbon footprint is from clinical care, and so it is critical that our staff are engaged in the development of high quality, low carbon models of care.” For staff wanting to get involved in efforts to reduce “Supermarket staff had to bring out a chair for me as I couldn’t walk,” he said. “I had run marathons - now I was struggling to cross the road. “I couldn’t sleep because of the pain – it was terrible.” combining cutting-edge same day surgery, clinical collaboration and his own sheer determination is helping Northern Sydney Local Health District hip replacement patient David Moore on the path to a remarkable recovery. The former marathon runner, State League soccer referee and all-round keen sportsman had endured more than a decade of debilitating back pain, with a succession of treatments and diagnoses unable to solve the problem. After eventually being diagnosed with hip program provided by NSLHD incorporating same-day joint hip replacement, both pre and post-operation hydrotherapy and other physiotherapy is helping him return to peak fitness. David’s pain, which started in 2008 and was unsuccessfully diagnosed by a succession of doctors and specialists as a spinal issue, left him struggling for basic mobility. osteoarthritis, a multi- disciplinary treatment

NSLHD hip replacement patient David Moore

NSLHD Planetary Health Manager Nicola Groskops



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