Better Together

Consumer driven conversations in health care. Nepean Blue Mountains Local Health District, NSW, Australia

Better Together is a platform for health consumers and health care workers to partner in vital conversations about how our health system can achieve better outcomes for all. The podcast comes to you from the Nepean Blue Mountains Local Health District (NBMLHD) in NSW Australia, where Health Consumer Representatives join with senior clinicians and health service leaders to discuss a range of topics relevant to health care design and delivery. Better Together is a 100% health consumer driven initiative, proudly supported by staff at NBMLHD. Contact us at: bettertogetherconsumerpodcast@gmail.com

Episodes

  1. 08/20/2025

    Better Together with Special Guest Brad Astill (Chief Executive, NBMLHD)

    In this episode, our host Matt Roger sits down with Brad Astill to get his insights into consumer engagement as the recently appointed Chief Executive for Nepean Blue Mountains Local Health District (NBMLHD). We explore Brad’s experiences in health management, lessons about consumer engagement, and how consumer lived experience shapes the District’s strategic vision. Brad provides his thoughts on how collaboration between consumer representatives and health workers can help improve health outcomes by delivering exceptional patient care. We also explore strategies that are beneficial for staff to learn from, and engage with, different patient/consumer groups from multicultural, disability and diversity backgrounds in a safe and supported way. Brad shares his perspective on how doctors and other health care workers can better engage with patients and their families in service planning and policy development. We reflect on some of the barriers and challenges to meaningful consumer engagement, and the ways to overcome those challenges and barriers so that consumers, patients and their families become better involved in their own health care journey, particularly through the expansion of virtual care capabilities. Brad provides a crystal ball view of what consumer engagement models in Health might look like in 2030 (five years away). Finally, we celebrate some success in consumer engagement in a health initiative that had a positive impact on patient health outcomes or service delivery.

    48 min
  2. 07/23/2025

    Better Together with special guests Dr Shantel Duffy and Kelly Thompson

    In this episode, our host Matt Roger sits down with Dr Shantel Duffy (Manager, Research Governance and Development at NBMLHD), and Kelly Thompson (Director of Research Operations at NBMLHD) to discuss the roles that consumers can and should play in health and medical research. In 2016, the National Health and Medical Research Council (NHMRC) and The Consumers Health Forum of Australia Ltd (CHF) released the Statement on Consumer and Community Involvement in Health and Medical Research (the Statement). The Statement's purpose is to guide research institutions, researchers, consumers and community members in the active involvement of consumers and community members in all aspects of health and medical research. The NHMRC understands the importance of engaging with consumers and the community on its role and activities, whilst also providing leadership and guidance to the health and medical research sector on the meaningful engagement of consumers throughout all stages of research and health care. Consumer voices often say “Nothing about us without us’. This phrase supports the idea that those who are affected by research have a right to influence what is researched and how this is done. To that end, we outline four levels of health and medical research codesign. We reflect on some of the barriers and challenges to meaningful consumer engagement in health and medical research, and the ways to overcome those challenges and barriers so that consumers, patients and their families can become better involved in health and medical research.    As research relies on a lot of sensitive patient data, we discuss the governance mechanisms to maintain the security and confidentiality of that data. Shantel and Karen also provide their thoughts on the use of Artificial Intelligence in health and medical research. Finally, we celebrate some success in consumer engagement in a health and medical research project that had a positive impact on patient health outcomes and service delivery due to the engagement of consumers. Read NBMLHD's Research Strategy and Implementation Plan here: https://www.nsw.gov.au/sites/default/files/2022-10/nbmlhd-research-strategy-2022-2025.pdf

    48 min
  3. Better Together ep08 - (with Karen Alexander)

    08/28/2024

    Better Together ep08 - (with Karen Alexander)

    In this episode our host Matt Roger sits down with Karen Alexander (Nepean Blue Mountains Local Health District Disability and National Disability Insurance Scheme Manager). Like everyone else, people with disability want to live their best life, with access to all areas of life including education, employment, health care, housing, justice, love, and relationships. Disability is a part of being human. Disability results from the interaction between health conditions, environmental and personal factors. Everyone is different, and disability can be visible or invisible.   Having an equitable health system that supports the healthcare needs of all people regardless of disability is an important consideration in service planning, service delivery and policy development. Karen offers her perspective on what “inclusive health care” means to her and her role in the District, and the social and medical model lenses of looking at disability. We reflect on barriers to meaningful consumer engagement identified in research outcomes that tend to indicate that people with disability have poorer self-reported physical and mental health, higher rates of chronic conditions and poorer access to health services.   Launched in 2023, we discuss the District’s Disability Inclusion Action Plan and what it means for patients, consumers and staff. Building on that Action Plan, we reflect on the role of the District’s Disability Consumer Council supporting ways that people with living with a disability (and their families) can overcome those challenges and barriers to become better involved in their own health care journey.   We explore the ways that doctors and other health care workers can better engage with those patients living with the challenges of a disability and their families in service planning and policy development.   We also celebrate a recent disability health initiative that had a positive impact on patient health outcomes.   Finally, we provide an overview of the National Disability Insurance Scheme and Karen’s role in assisting patients transition from hospital-based care to National Disability Insurance Scheme funded services and supports.

    28 min
  4. Better Together ep07 - (with Belinda Berryman & Julie Russell)

    08/28/2024

    Better Together ep07 - (with Belinda Berryman & Julie Russell)

    In this episode our host Matt Roger sits down with Belinda Berryman (Communications and Engagement Manager, Health Infrastructure and co-chair of the Nepean Hospital Redevelopment Consumer Committee) and Julie Russell, a fellow consumer representative in the Nepean Blue Mountains Local Health District and co-chair of the Nepean Hospital Redevelopment Consumer Committee.   Nepean Hospital is the main hospital facility in the District and is currently in Stage 2 of its $1 billion, multi-year redevelopment. To provide a lived experience voice into the Redevelopment, the Consumer Committee has been operating for many years.   We discuss the importance of consumer engagement in the Nepean Hospital Redevelopment, including the communication strategy for keeping consumers and patients informed. We reflect on how consumers are leveraging broader consumer networks and patient experiences in the codesign of the Redevelopment.   Belinda and Julie discuss some real examples of how consumer engagement in Stage 1 of the Nepean Hospital Redevelopment has delivered positive benefits for consumer and patient experiences alike, and how ongoing consumer engagement is helping to influence Stage 2. On the flipside, we also consider some of the main barriers or challenges to genuine consumer engagement.   Belinda highlights how the consumer codesign lessons learned from the Nepean Redevelopment Consumer Committee are being applied in other NSW Health Infrastructure significant redevelopment projects. Julie also provides some insights into where to next for strengthening consumer engagement in significant Redevelopments of hospitals and health services.

    43 min

About

Better Together is a platform for health consumers and health care workers to partner in vital conversations about how our health system can achieve better outcomes for all. The podcast comes to you from the Nepean Blue Mountains Local Health District (NBMLHD) in NSW Australia, where Health Consumer Representatives join with senior clinicians and health service leaders to discuss a range of topics relevant to health care design and delivery. Better Together is a 100% health consumer driven initiative, proudly supported by staff at NBMLHD. Contact us at: bettertogetherconsumerpodcast@gmail.com