Submission to Medicare Benefits Schedule Review Taskforce. Public Consultation Paper

Save this PDF as:

Size: px
Start display at page:

Download "Submission to Medicare Benefits Schedule Review Taskforce. Public Consultation Paper"

Transcription

1 Ph: Submission to Medicare Benefits Schedule Review Taskforce Public Consultation Paper 9 November 2015 Liz Wilkes CEO Jenny Gamble Chair and Director 1

2 About Midwifery Maternity Provider Organisation Australia The Midwifery and Maternity Provider Organisation Australia (MMPOA) is a not for profit organisation established to support and promote continuity of midwifery care in the public and private sector. We also provide information to childbearing women about maternity care options. MMPOA was incorporated in February 2015 and aims to meet the Commonwealth government objectives as outlined in the National Maternity Services Plan. Our organisation connects with upward of 5000 maternity consumers annually through the broad membership base of our member organisation - Maternity Choices Australia - and through our strong relationship with the Pregnancy, Babies and Children's Expo. We run a "Meet the Midwife" area at the annual expos in Perth, Brisbane, Sydney, Adelaide and Melbourne and provide six education sessions per expo. Additionally we work with midwives working in continuity of care models in the public and private sector, including those with a Medicare provider number. Our engagement and support for this group of midwives includes education, mentoring, data collection, consulting services and business support. MMPOA s vision is Transforming Maternity Care: Midwifery continuity of care for every woman by Our purpose is to support the ongoing improvement in health outcomes for women and families that result from continuity of midwifery care from a known midwife. MMPOA provides unbiased evidence-based expertise and experience about the design, implementation and evaluation of maternity care. Our communication strategy with stakeholders includes direct communication with every eligible midwife in Australia enabling us to engage effectively with eligible midwives in our own right and on behalf of, or in conjunction with, the Commonwealth. Similarly to many professional and consumer organisations, we strongly support a universal funding model for all Australians, such as Medicare, and advocate for universal access to primary maternity care. Our view is that maternity care needs to be a focus of the current review of Medicare because maternity care is universally applicable every person is born and most women and their partners have at least one baby. We are concerned that primary maternity care has been neglected and poorly served at a state and national level and across sectors and that this MBS review provides an opportunity to address the oversights and problems. Evidence for changing models of maternity care 2

3 There is overwhelming evidence that women provided with continuity of midwifery care have better outcomes than in medical models (Sandall et al., 2015). Importantly, continuity of midwifery care did not show poorer outcomes on any variable compared with other models of care. This model is also less expensive than traditional fragmented models of care (Beake et al., 2001; O Brien, 2010; Toohill et al., 2012; Tracey & Hartz, 2005; Tracy et al., 2013). The cost savings and cost effectiveness of continuity of midwifery care has been consistently demonstrated for well over a decade and in different countries. This evidence of improved outcomes and cost benefit is reflected in national maternity policy through the National Maternity Services Plan (Department of Health, 2011). Furthermore, consumers have consistently sought improved access to continuity of care and this finding has been captured in every maternity services review (regional, state and national) since the review of maternity services in NSW in 1988 (Shearman, 1989). Despite the quality of the scientific evidence, the positive financial drivers, national policy, consumer and midwifery profession demand, scaling up access to continuity of midwifery care has been very slow and hesitant. As a result very few women and their families in Australia have access to this value-based - rather than the traditional activity based - model of maternity care. The pressing need for a primary care framework and relational care offered through continuity of midwifery care grows. Many current major impacts on women in pregnancy including mental health concerns, domestic violence, perinatal mental health, smoking, other drug use and obesity require a primary health approach integrated within their maternity care. Women may also require specialist services including specialist medical care, but the predominant need for all women is to have an ongoing relationship with their midwife (Sandall et al., 2015, Teakle, 2014). The genesis of many chronic diseases is in the perinatal period and therefore the opportunity to impact on the health of the whole community in the long term is also profound. MMPOA has a strong view that models where there is clear evidence supporting better outcomes and which are demonstrated to be cost effective should be the focus of the MBS review. Midwifery continuity of care is one such model. Challenges in funding maternity care Maternity care is funded by the Commonwealth in many ways; through the MBS, through funding to state hospitals and through the private health insurance rebate. Consumers of maternity care have long demanded change. The National Maternity Services Plan (Department of Health, 2011) provides a plan for reorientation, however much of this plan has not been fulfilled. Difficulties with the MBS have prevented significant uptake of the plan nationally. Therefore this provides another strong rationale to focus significantly on maternity care in the MBS review. 3

4 Challenges of the current MBS review The current MBS review process has not been set up to support widespread reorientation of the MBS in the maternity care area. The taskforce and working parties remain strongly medically focused. There is a limited opportunity for consumer input and, at this point, there appears to be no involvement for maternity consumers that have a representative role through nomination by a consumer organisation. An approach which tinkers at the edges without examining some of the fundamental issues, such as medical dominance of the health funding landscape, reinforces that there is a significant challenge which the reform may be avoiding addressing. Reform of the health system is overdue with a need to reorientate a medically dominated illness system to encourage a health focused wellness system. This requires far greater change, particularly in maternity care, than currently appears to be proposed. To create a significant change, disruptive thinking is required and MMPOA believes that maternity care could and should lead this change. MMPOA s submission will focus on specific components of the consultation paper provided by the Taskforce. The areas of focus are: Examples where the MBS seems to be failing to support delivery of best value healthcare, o Which services funded through the MBS represent low-value patient care (including for safety or clinical efficacy concerns) and should be looked at as part of the Review as a priority? o Which services funded through the MBS represent high-value patient care and appear to be under-utilised? Recommended improvements to the surrounding rules, processes and systems that support the MBS. Examples where the MBS seems to be failing to support delivery of best value healthcare The area of maternity care funding is complex and there may be elements that are outside the remit of the MBS review which will be addressed in the white paper regarding the relationship between the Commonwealth and the states for funding health. Maternity care is an area where primary health care intersects with acute services almost without fail (i.e. most women birth their baby in hospital) and as such the impact of MBS on maternity care must be examined. There is no equity in terms of similar work attracting the same payments for midwives and medical practitioners. There is 4

5 little analysis of the cost: benefit ratio for many areas of health and this is particularly apparent with areas such as bedside ultrasound. Despite the strong body of evidence around the benefits of continuity of midwifery care, little has been done to shift funding patterns to support these models either through the state funded system or within the MBS. There are three main issues to be addressed in this MBS review. 1) Enhanced use of midwives to provide more women with primary maternity care. MMPOA strongly supports a shift in the MBS funding model to support midwives providing continuity of care through pregnancy, birth in hospital and the postnatal period. In MMPOAs view there should be a shift to a primary model of maternity care where midwives, and to some extent GPs, are the main providers of universally accessible primary pregnancy care funded by Medicare. There should be move away from pregnancy care provision in the public hospital system. Implementation of this model would need appropriate focus on funding and workforce strategies but would be supported through Federal/state reform and potentially other reforms in the primary health space. Women would see a midwife or GP throughout pregnancy unless they required consultation, referral or transfer of care to obstetric specialist care which would attract a fee for service item numbers. Where women choose, rather than need, to seek private obstetric care they would be able to make this choice supported by private health insurance. 2) Bundling antenatal and postnatal items to promoting continuity of care MMPOA views bundling of antenatal and postnatal items as a strategy to provide better incentives for provision of primary maternity care and continuity of care. Mechanisms to ensure compliance with minimum standards of care and requirements around safe provision of care would be built in to the item descriptors. This model of care funds a more appropriate mix of health care provision: right provider, right level of care at the right time; focused on consumer needs rather than promoting one single model the biomedical model over any others. MMPOA sees that a mixed funding model which allows for pre-payment and payment based on an entire episode of care (e.g. a trimester of pregnancy), blended with access to fee for service models (i.e. for discrete obstetric consultations where required), would better serve consumer needs with client-led funding and the payment following the woman. Our view is that this would allow for more appropriate health measures and would promote well-being in pregnancy. 5

6 3) Fair recompense for Medicare-funded midwives A fairness test needs to be applied to the type of care provided. Currently eligible midwives providing 12 hours of direct client care have a scheduled fee for that service that is almost identical for the scheduled fee for obstetric care in normal birth. Obstetric care for normal birth generally consists of very small periods of attendance over the woman s labour, at times consisting of as little as 10 minutes of care. Antenatal visits with a midwife are generally 1 hour long. The scheduled fee for a long antenatal visit is $ MMPOA feels that items should be more equitable and time-based. Midwives with visiting rights to hospital are required (as part of their access agreement) to attend inter-professional team meetings (e.g. audit) and be part of clinical governance in the hospitals where they have visiting access. This needs to be funded through some mechanism. Similarly, recompense is required for clinical teaching of students and preceptoring new graduates and midwives transitioning to Medicare-funded practice (e.g. pre-eligible midwives) if workforce sustainability is to be addressed. Recommended improvements to the surrounding rules, processes and systems that support the MBS. While the MBS provides for some midwives to have access to Medicare, the rules and processes around this are restrictive and the actual funding model within the MBS does not support the continuity element of this model. The current rules and measures surrounding midwives access to the MBS have created barriers to women using midwifery care from Medicare-funded midwives. There are three stand-out problems with the Medicare rules: 1) Collaborative arrangements used to restrict midwives access to hospitals Collaborative arrangements are inappropriately used to block midwives gaining visiting access to hospital in most Australian states/ territories (except Queensland). Collaborative arrangements are a legislated requirement for midwives participating in the MBS, however there is no concurrent onus on the collaborating partner to participate. This places women in a completely untenable position as accessing participating midwives is reliant on an obstetrician being prepared to accept working collaboratively. This is unnecessary and both administratively and clinically burdensome. A recommended alternative is to remove this requirement and to indicate that midwives must be able to indicate pathways for clinical referral e.g. booking women to hospital for their intrapartum care. 6

7 2) Salaried midwives need to be able to use Medicare Salaried midwives working in public employed continuity of midwifery care models are prevented from using Medicare to improve access for women these models. This area of potential reform sits within the current COAG arrangements. Salaried midwives could provide access for women to continuity of midwifery care models with a process which enables salaried midwives to have rights to private practice in public employed models of care, not just those restricted to hospitals with a 19.2 exemption. 3) Requiring three-years of fulltime equivalent practice post-registration before being able to obtain a Medicare provider number restricts Medicare-funded midwives from being able to grow the workforce of Medicare eligible midwives and to meet demand for services. This timeframe (3 years) was arbitrarily determined and is an anomaly. It should be changed to be consistent with the requirement for medicine. Midwives who have less than three years experience but are working in private practices with accredited midwives need a pathway to access a provisional Medicare rebate, potentially for a limited number of items. Summary of recommendations to the MBS Review Taskforce 1. Enhance access for midwives and GP s as primary care provider to MBS to promote primary maternity care 2. Review descriptors of obstetric items to reduce use of high cost, low value services such as bedside ultrasound 3. Bundle antenatal and postnatal items to promote continuity of care 4. Fairly compensate Medicare-funded midwives 5. Remove the collaborative arrangements requirements and replace with pathways to acute obstetric care where required 6. Provide a mechanism for salaried midwives to access rights to private practice and potential Medicare rebates for work in public employed continuity of midwifery care models. The current restriction to enable this to only occur those hospitals with a 19.2 exemption needs to be removed. 7. Remove the requirement 3 years post-registration requirement for access to a Medicare provider number and replace with a system to allow midwives to work toward a provider number in a practice with other Medicare provider midwives. 7

8 References Beake S, McCourt C, Page L. (2001). Evaluation of one-to-one midwifery: second cohort study. London: The Hammersmith Hospitals NHS Trust and Thames Valley University, ( Department of Health, (2011). National Maternity Service Plan. Australian Government, Canberra. O Brien, B., Harvey, S., Sommerfeldt, S., et al. (2010). Comparison of costs and associated outcomes between women choosing newly integrated autonomous midwifery care and matched controls A pilot study. JOGC ;32(7): Sandall, J., Soltani, H., Gates, S., Shennan, A., Devane, D. Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database of Systematic Reviews 2015, Issue 9. Art. No.: CD DOI: / CD pub4. Shearman, R.P. (1989). Final Report of the Ministerial Taskforce on Obstetric Services in NSW. Maternity Services in NSW, Department of Health. Teakle, B., (2014). Primary Maternity Care Reform: Consumer Action Pack. Accessed: Toohill, J., Turkstra, E., Gamble, J., & Scuffham, P. (2012). A non-randomised trial investigating the cost-effectiveness of Midwifery Group Practice compared with standard maternity care arrangements in one Australian hospital. Midwifery. doi: /j.midw Tracey, S., Hartz, D. (2005). North Sydney Central Coast Area Health Service. Quality review of the Ryde Midwifery Caseload Practice. Tracy, S., Hartz, D., Tracy, M., Allen, J., Forti, A., et al. (2013). Caseload midwifery care versus standard maternity care for women of any risk: a randomised controlled trial. The Lancet 382 (9906), Wilkes, E., Gamble, J., Adam, G. and Creedy, D. (2015). Reforming maternity services in Australia: Outcomes of a private midwifery practice. Midwifery. http;//dx.doi.org/ /j.miw/

9 9

Delivering continuity of midwifery care to Queensland women

Delivering continuity of midwifery care to Queensland women Nursing and Midwifery Office, Queensland Queensland Health Delivering continuity of midwifery care to Queensland women Queensland Health Delivering continuity of midwifery care to Queensland women ISBN

More information

Guidelines for Education Requirements for Recognition as Eligible Midwives and Accreditation Standards for programs of study leading to endorsement

Guidelines for Education Requirements for Recognition as Eligible Midwives and Accreditation Standards for programs of study leading to endorsement Guidelines for Education Requirements for Recognition as Eligible Midwives and Accreditation Standards for programs of study leading to endorsement for scheduled medicines for Eligible Midwives 6447 Contents

More information

Registration standard: Endorsement as a nurse practitioner

Registration standard: Endorsement as a nurse practitioner Registration standard: Endorsement as a nurse practitioner Consultation report February 2016 Nursing and Midwifery Board of Australia G.P.O. Box 9958 Melbourne VIC 3001 www.nursingmidwiferyboard.gov.au

More information

Submission to Medicare Benefits Schedule Review Taskforce Public Consultation Paper

Submission to Medicare Benefits Schedule Review Taskforce Public Consultation Paper Submission to Medicare Benefits Schedule Review Taskforce Public Consultation Paper 9 November 2015 Lee Thomas Federal Secretary Annie Butler Assistant Federal Secretary Australian Nursing & Midwifery

More information

NGO information to the United Nations Committee on the elimination of discrimination against Women.

NGO information to the United Nations Committee on the elimination of discrimination against Women. NGO information to the United Nations Committee on the elimination of discrimination against Women. For consideration when compiling the List of Issues with regard to the Combined Eighth and Ninth Periodic

More information

australian nursing federation

australian nursing federation australian nursing federation Submission to Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009 and two related Bills: Midwife Professional Indemnity (Commonwealth Contribution) Scheme

More information

SUBMISSION TO THE MEDICARE BENEFITS SCHEDULE REVIEW TASKFORCE

SUBMISSION TO THE MEDICARE BENEFITS SCHEDULE REVIEW TASKFORCE SUBMISSION November 2015 SUBMISSION TO THE MEDICARE BENEFITS SCHEDULE REVIEW TASKFORCE Submission by the Chiropractors Association of Australia Page 1 of 10 About the Chiropractors Association of Australia

More information

Professional Indemnity Insurance for Eligible Midwives

Professional Indemnity Insurance for Eligible Midwives Professional Indemnity Insurance for Eligible Midwives Information Booklet Practise with confidence From 1 July 2010 IMPORTANT This document has been prepared to provide eligible midwives with key information

More information

Submission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care

Submission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care Submission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care The Consultation Paper titled Australian Safety and Quality Goals for Health

More information

I. Examples where allied health care providers offer the same or similar services as other providers and are not recognised by health funds,

I. Examples where allied health care providers offer the same or similar services as other providers and are not recognised by health funds, Submission regarding the ACCC s Report to the Australian Senate on anti-competitive and other practices by health funds and providers in relation to private health insurance Thank you for the opportunity

More information

Guidelines for professional indemnity insurance arrangements for midwives

Guidelines for professional indemnity insurance arrangements for midwives Guidelines for professional indemnity insurance arrangements for midwives June 2013 updated April 2016 These guidelines have been developed by the Nursing and Midwifery Board of Australia (NMBA), in conjunction

More information

RURAL DOCTORS ASSOCIATION OF AUSTRALIA. Response to the Review of the Medicare Benefits Schedule Consultation Paper

RURAL DOCTORS ASSOCIATION OF AUSTRALIA. Response to the Review of the Medicare Benefits Schedule Consultation Paper RURAL DOCTORS ASSOCIATION OF AUSTRALIA Response to the Review of the Medicare Benefits Schedule Consultation Paper Via email: MBSReviews@health.gov.au Contact for RDAA: Jenny Johnson Chief Executive Officer

More information

australian nursing and midwifery federation

australian nursing and midwifery federation australian nursing and midwifery federation Submission to the Australian Nursing and Midwifery Council for Consultation Paper 1: Accreditation Standards required for Eligible Midwife Programs February

More information

The contribution of continuity of midwifery care to high quality maternity care. A report by Professor Jane Sandall for the Royal College of Midwives

The contribution of continuity of midwifery care to high quality maternity care. A report by Professor Jane Sandall for the Royal College of Midwives The contribution of continuity of midwifery care to high quality maternity care A report by Professor Jane Sandall for the Royal College of Midwives 2 The contribution of continuity of midwifery care to

More information

What next for the homebirth insurance exemption?

What next for the homebirth insurance exemption? Bruce Teakle May 2014 What next for the homebirth insurance exemption? Australian women s access to midwifery care in homebirth is due for a big shakeup in July 2015, when the exemption expires or is extended.

More information

The medical practitioner as the leader of the health care team

The medical practitioner as the leader of the health care team AMA Queensland response to draft Ministerial Taskforce on Health Practitioner Expanded Scope of Practice report Thank you for the opportunity to respond to the draft Ministerial Taskforce on Health Practitioner

More information

Choosing your model of care. A decision aid for pregnant women choosing their maternity care provider

Choosing your model of care. A decision aid for pregnant women choosing their maternity care provider Choosing your model of care A decision aid for pregnant women choosing their maternity care provider If you have any concerns about yourself or your baby/babies and want to talk to someone, please call:

More information

South African Nursing Council (Under the provisions of the Nursing Act, 2005)

South African Nursing Council (Under the provisions of the Nursing Act, 2005) South African Nursing Council (Under the provisions of the Nursing Act, 2005) e-mail: registrar@sanc.co.za web: www.sanc.co.za P O Box 1123, Pretoria, 0001 Republic of South Africa Tel: 012 420-1000 Fax:

More information

NATIONAL HEALTHCARE AGREEMENT 2012

NATIONAL HEALTHCARE AGREEMENT 2012 NATIONAL HEALTHCARE AGREEMENT 2012 Council of Australian Governments An agreement between the Commonwealth of Australia and the States and Territories, being: t t t t t t t t the State of New South Wales;

More information

QUESTIONS AND ANSWERS HEALTHCARE IDENTIFIERS BILL 2010

QUESTIONS AND ANSWERS HEALTHCARE IDENTIFIERS BILL 2010 About Healthcare Identifiers QUESTIONS AND ANSWERS HEALTHCARE IDENTIFIERS BILL 2010 Q1. What is the Healthcare Identifiers Service? The Healthcare Identifiers (HI) Service will implement and maintain a

More information

Clinical Governance for Nurse Practitioners in Queensland

Clinical Governance for Nurse Practitioners in Queensland Office of the Chief Nursing Officer Clinical Governance for Nurse Practitioners in Queensland A guide Clinical Governance for Nurse Practitioners in Queensland: A guide Queensland Health Office of the

More information

The following facts address common queries that you might have about CPD.

The following facts address common queries that you might have about CPD. Fact sheet Updated March 2015 Continuing professional development Nurses and midwives registered with the Nursing and Midwifery Board of Australia (NMBA or the National Board) are expected to do a minimum

More information

Better Outcomes for People Living with Chronic and Complex Health Conditions through Primary Health Care

Better Outcomes for People Living with Chronic and Complex Health Conditions through Primary Health Care Submission: Primary Health Care Advisory Group Discussion Paper (August 2015) Better Outcomes for People Living with Chronic and Complex Health Conditions through Primary Health Care August 2015 Contact

More information

Allison Shorten Publications

Allison Shorten Publications Allison Shorten Publications Decision-aid Products Shorten, A 2006, Birth choices: What is best for you vaginal or caesarean birth. A decision-aid for women making choices about birth after caesarean section,

More information

Midwife Accreditation Standards 2014. midwife

Midwife Accreditation Standards 2014. midwife Midwife Accreditation Standards 2014 midwife Midwife Accreditation Standards 2014 ANMAC 2014 This work is copyright. You may download, display, print and reproduce this material in unaltered form only

More information

Make sure you have health cover for your family. Allianz Global Assistance OVHC offers three types of policies:

Make sure you have health cover for your family. Allianz Global Assistance OVHC offers three types of policies: Overseas Visitors Health Cover Pregnancy Fact Sheet This fact sheet aims to help you understand the Australian healthcare system when having a baby. During your pregnancy Make sure you have health cover

More information

Submission to the Medicare Benefits Schedule Review Taskforce Consultation. 9 November 2015. 1 P age

Submission to the Medicare Benefits Schedule Review Taskforce Consultation. 9 November 2015. 1 P age Submission to the Medicare Benefits Schedule Review Taskforce Consultation 9 November 2015 1 P age Introduction The George Institute for Global Health is working to improve the health of millions of people

More information

19 September 2014 Senate Select Committee on Health PO Box 6100 Parliament House Canberra ACT 2600 health.sen@aph.gov.au

19 September 2014 Senate Select Committee on Health PO Box 6100 Parliament House Canberra ACT 2600 health.sen@aph.gov.au 19 September 2014 Senate Select Committee on Health PO Box 6100 Parliament House Canberra ACT 2600 health.sen@aph.gov.au Thank you for the opportunity to provide a submission to the Senate Select Committee

More information

Professional Indemnity Insurance Application Form for Eligible Midwives

Professional Indemnity Insurance Application Form for Eligible Midwives Professional Indemnity Insurance Application Form for Eligible Midwives This Form will be used by MIGA to consider your application for Professional Indemnity Insurance with MIGA and for your automatic

More information

Inquiry into the out-of-pocket costs in Australian healthcare

Inquiry into the out-of-pocket costs in Australian healthcare Submission to the Senate Standing Committee on Community Affairs - References Committee Inquiry into the out-of-pocket costs in Australian healthcare May 2014 Out-of-pocket costs in Australian healthcare

More information

Primary Health Networks Life After Medicare Locals

Primary Health Networks Life After Medicare Locals Health Industry Group Primary Health Networks Life After Medicare Locals BULLETIN 2 25 MARCH 2015 HEALTH INDUSTRY GROUP BULLETIN a Federal health policy is changing with 30 Primary Health Networks (PHNs)

More information

Nurse Practitioner Frequently Asked Questions

Nurse Practitioner Frequently Asked Questions HEALTH SERVICES Nurse Practitioner Frequently Asked Questions The Frequently Asked Questions (FAQs) have been designed to increase awareness and understanding of the Nurse Practitioner role within the

More information

Programme Specification and Curriculum Map for BSc (Hons) Midwifery with Professional Registration (Shortened Programme for Registered Adult Nurses)

Programme Specification and Curriculum Map for BSc (Hons) Midwifery with Professional Registration (Shortened Programme for Registered Adult Nurses) Programme Specification and Curriculum Map for BSc (Hons) Midwifery with Professional Registration (Shortened Programme for Registered Adult Nurses) 1. Programme title Midwifery with Professional Registration

More information

Make sure you have health cover for your family. Allianz Global Assistance OSHC offers three types of policies:

Make sure you have health cover for your family. Allianz Global Assistance OSHC offers three types of policies: Overseas Student Health Cover Pregnancy Fact Sheet This fact sheet aims to help you understand the Australian healthcare system when having a baby. During your pregnancy Make sure you have health cover

More information

ACN Federal Budget Submission 2014-2015. Funding priorities. 1. A National Transition Framework for nurses

ACN Federal Budget Submission 2014-2015. Funding priorities. 1. A National Transition Framework for nurses ACN Federal Budget Submission 2014-2015 Funding priorities 1. A National Transition Framework for nurses Recommendation: That resources be provided for a National Transition Framework designed to support

More information

Health Professionals Amendment Regulation 2006 (No 1)

Health Professionals Amendment Regulation 2006 (No 1) Australian Capital Territory Health Professionals Amendment Regulation 2006 (No 1) Subordinate Law SL2006-1 The Australian Capital Territory Executive makes the following regulation under the Health Professionals

More information

Make sure you have health cover for your family. Allianz Global Assistance OSHC offers three types of policies:

Make sure you have health cover for your family. Allianz Global Assistance OSHC offers three types of policies: Overseas Student Health Cover Pregnancy Fact Sheet This fact sheet aims to help you understand the Australian healthcare system when having a baby. During your pregnancy Make sure you have health cover

More information

Key Priority Area 1: Key Direction for Change

Key Priority Area 1: Key Direction for Change Key Priority Areas Key Priority Area 1: Improving access and reducing inequity Key Direction for Change Primary health care is delivered through an integrated service system which provides more uniform

More information

Submission to the National Commission of Audit. November 26 2013. Contact: Samuel Dettmann, Policy Advisor 02 9410 0099

Submission to the National Commission of Audit. November 26 2013. Contact: Samuel Dettmann, Policy Advisor 02 9410 0099 Submission to the National Commission of Audit November 26 2013 Contact: Samuel Dettmann, Policy Advisor 02 9410 0099 1 This submission The Australian Osteopathic Association (AOA) appreciates the invitation

More information

NATIONAL GUIDELINES FOR THE ACCREDITATION OF NURSING AND MIDWIFERY PROGRAMS LEADING TO REGISTRATION AND ENDORSEMENT IN AUSTRALIA

NATIONAL GUIDELINES FOR THE ACCREDITATION OF NURSING AND MIDWIFERY PROGRAMS LEADING TO REGISTRATION AND ENDORSEMENT IN AUSTRALIA NATIONAL GUIDELINES FOR THE ACCREDITATION OF NURSING AND MIDWIFERY PROGRAMS LEADING TO REGISTRATION AND ENDORSEMENT IN AUSTRALIA NATIONAL GUIDELINES FOR THE ACCREDITATION OF NURSING AND MIDWIFERY PROGRAMS

More information

Public consultation paper

Public consultation paper Public consultation paper September 2013 Proposed expanded endorsement for scheduled medicines Draft Registration standard for endorsement of registered nurses and/or registered midwives to supply and

More information

6 August, 2012. Committee Secretary Health and Community Services Committee Parliament House Brisbane Q. 4000. By email: hcsc@parliament.qld.gov.

6 August, 2012. Committee Secretary Health and Community Services Committee Parliament House Brisbane Q. 4000. By email: hcsc@parliament.qld.gov. 6 August, 2012 Committee Secretary Health and Community Services Committee Parliament House Brisbane Q. 4000 By email: hcsc@parliament.qld.gov.au Dear Committee Secretary Health and Community Services

More information

AMA CDT STRATEGIC PLAN 2014-16

AMA CDT STRATEGIC PLAN 2014-16 This Strategic Plan is designed to guide the activities of the Council over an approximately three-year cycle, vertically integrating with organisation-wide Strategic Plans and planning processes, where

More information

Submission on the National Registration and Accreditation Scheme Partially Regulated Occupations

Submission on the National Registration and Accreditation Scheme Partially Regulated Occupations Submission on the National Registration and Accreditation Scheme Partially Regulated Occupations The Australian Medical Council Limited (AMC) welcomes the opportunity to make a submission to the Practitioner

More information

Medicare Benefits Schedule Review Taskforce Consultation. 9 November 2015

Medicare Benefits Schedule Review Taskforce Consultation. 9 November 2015 Submission to the Medicare Benefits Schedule Review Taskforce Consultation 9 November 2015 Contact: Alison Verhoeven Chief Executive Australian Healthcare & Hospitals Association T: 02 6162 0780 F: 02

More information

Guidelines on endorsement as a nurse practitioner

Guidelines on endorsement as a nurse practitioner Guidelines on endorsement as a nurse practitioner 7160 Introduction The National Registration and Accreditation Scheme (the National Scheme) for health professionals in Australia commenced on 1 July 2010

More information

South African Nursing Council (Under the provisions of the Nursing Act, 2005)

South African Nursing Council (Under the provisions of the Nursing Act, 2005) South African Nursing Council (Under the provisions of the Nursing Act, 2005) e-mail: registrar@sanc.co.za web: www.sanc.co.za P O Box 1123, Pretoria, 0001 Republic of South Africa Tel: 012 420-1000 Fax:

More information

Submission to the Senate inquiry into out-of-pocket costs in Australian healthcare

Submission to the Senate inquiry into out-of-pocket costs in Australian healthcare MULTIPLE SCLEROSIS AUSTRALIA Submission to the Senate inquiry into out-of-pocket costs in Australian healthcare 15 May 2014 Debra Cerasa Chief Executive Officer Multiple Sclerosis Australia ABN 51 008

More information

Regionally Tailored Primary Health Care Initiatives through Medicare Locals Fund

Regionally Tailored Primary Health Care Initiatives through Medicare Locals Fund 10/222 Ms Jennie Roe Assistant Secretary Medicare Locals Branch Department of Health and Ageing MDP 1051, GPO Box 9848 CANBERRA ACT 2601 By email: pcprojectscoord@health.gov.au Dear Ms Roe Regionally Tailored

More information

Dear Dr Weaver. Introduction

Dear Dr Weaver. Introduction Dr Ted Weaver Chair Training Program Review Working Party Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) College House 254 260 Albert Street East Melbourne VIC 3002

More information

NATIONAL GUIDANCE. Maternity Care

NATIONAL GUIDANCE. Maternity Care NATIONAL GUIDANCE O N C O L L A B O R AT I V E Maternity Care W O R K I N G TO B U I L D A H E A LT H Y A U S T R A L I A Commonwealth of Australia 2010 Printed document This work is copyright. Apart

More information

Re: Comments on draft legislation for the National Registration and Accreditation Scheme (Bill B)

Re: Comments on draft legislation for the National Registration and Accreditation Scheme (Bill B) Dr. Rebecca Doble PhD SA To the National Registration and Accreditation Implementation Project Team Sent by email to: nraip@dhs.vic.gov.au Thursday 16 th July, 2009 Dear Team, Re: Comments on draft legislation

More information

Knowledge, Evidence and Skills for Normal Birth

Knowledge, Evidence and Skills for Normal Birth MODULE SPECIFICATION KEY FACTS Module name Knowledge, Evidence and Skills for Normal Birth Module code APM020 School School of Health Sciences Department or equivalent Division of Midwifery and Radiography

More information

From conception to birth a holistic approach to midwifery: yes, it can happen in a public rural facility

From conception to birth a holistic approach to midwifery: yes, it can happen in a public rural facility From conception to birth a holistic approach to midwifery: yes, it can happen in a public rural facility Chris Giles, Northeast Health Wangaratta RURAL BACKGROUND Northeast Health Wangaratta (NHW) is located

More information

National Mental Health Commission Review of Mental Health Programs Australian Primary Health Care Nurses Association (APNA) April 2014

National Mental Health Commission Review of Mental Health Programs Australian Primary Health Care Nurses Association (APNA) April 2014 National Mental Health Commission Review of Mental Health Programs Australian Primary Health Care Nurses Association (APNA) April 2014 For further information and comment please contact Kathy Bell, Chief

More information

Framework for the Establishment of Advanced Nurse Practitioner and Advanced Midwife Practitioner Posts

Framework for the Establishment of Advanced Nurse Practitioner and Advanced Midwife Practitioner Posts NATIONAL COUNCIL FOR THE PROFESSIONAL DEVELOPMENT OF NURSING AND MIDWIFERY Framework for the Establishment of Advanced Nurse Practitioner and Advanced Midwife Practitioner Posts 4th Edition JANUARY 2008

More information

2013/14 Choice Framework

2013/14 Choice Framework 2013/14 Choice Framework April 2013 2013/14 Choice Framework Prepared by the Department of Health April 2013 Contents My NHS care: what choices do I have?... 2 Choosing your care and treatment... 3 Choosing

More information

Submission to the Productivity Commission

Submission to the Productivity Commission Submission to the Productivity Commission Impacts of COAG Reforms: Business Regulation and VET Discussion Paper February 2012 LEE THOMAS Federal Secretary YVONNE CHAPERON Assistant Federal Secretary Australian

More information

Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies

Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies First Antenatal Contact with the GP Obtain medical and obstetric history. Measure

More information

Making Sense of the MBS

Making Sense of the MBS Making Sense of the MBS An Overview Introduction This fact sheet provides an overview of the Medicare Benefits Schedule (MBS). The fact sheet is intended for headspace centre managers, to assist them with

More information

Accreditation of Advanced Nurse Practitioners and Advanced Midwife Practitioners

Accreditation of Advanced Nurse Practitioners and Advanced Midwife Practitioners NATIONAL COUNCIL FOR THE PROFESSIONAL DEVELOPMENT OF NURSING AND MIDWIFERY Accreditation of Advanced Nurse Practitioners and Advanced Midwife Practitioners 2nd Edition NOVEMBER 2008 A Celebration of Life

More information

Key Provisions Related to Nursing Nursing Workforce Development

Key Provisions Related to Nursing Nursing Workforce Development Key Provisions Related to Nursing The newly released House bill, the Affordable Health Care for America Act (HR 3962), clearly represents a movement toward much-needed, comprehensive and meaningful reform

More information

INDIGENOUS CHRONIC DISEASE PACKAGE CARE COORDINATION AND SUPPLEMENTARY SERVICES PROGRAM GUIDELINES

INDIGENOUS CHRONIC DISEASE PACKAGE CARE COORDINATION AND SUPPLEMENTARY SERVICES PROGRAM GUIDELINES CLOSING THE GAP tackling disease INDIGENOUS CHRONIC DISEASE PACKAGE CARE COORDINATION AND SUPPLEMENTARY SERVICES PROGRAM GUIDELINES November 2012 CONTENTS 1. Introduction... 3 Program Context... 3 Service

More information

Building a 21st Century Primary Health Care System. A Draft of Australia s First National Primary Health Care Strategy

Building a 21st Century Primary Health Care System. A Draft of Australia s First National Primary Health Care Strategy Building a 21st Century Primary Health Care System A Draft of Australia s First National Primary Health Care Strategy Building a 21st Century Primary Health Care System A Draft of Australia s First National

More information

PROGRAMME OF RESEARCH ON EVALUATING MODELS OF SERVICE DELIVERY

PROGRAMME OF RESEARCH ON EVALUATING MODELS OF SERVICE DELIVERY PROGRAMME OF RESEARCH ON EVALUATING MODELS OF SERVICE DELIVERY CALL FOR PROPOSALS FOR EMPIRICAL RESEARCH ON MATERNITY SERVICES: AN EVALUATION OF MIDWIFERY-LED UNITS As part of its programme of research

More information

To date there are 2,069 Clinical Nurse and Midwife Specialist posts in Ireland,

To date there are 2,069 Clinical Nurse and Midwife Specialist posts in Ireland, Submission from the National Council for the Professional Development of Nursing and Midwifery to the European Commission on the Green Paper on Workforce for Health The National Council for the Professional

More information

Australian Federation of AIDS Organisations (AFAO) Primary Health Care Reform

Australian Federation of AIDS Organisations (AFAO) Primary Health Care Reform Australian Federation of AIDS Organisations (AFAO) Primary Health Care Reform 27 February 2009 1 Introduction The Australian Federation of AIDS Organisations (AFAO) is the peak body for Australia s community

More information

The Family Nurse Partnership Programme

The Family Nurse Partnership Programme The Family Nurse Partnership Programme Information leaflet DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance Planning

More information

Draft National Framework for Health Services for Aboriginal and Torres Strait Islander Children and Families

Draft National Framework for Health Services for Aboriginal and Torres Strait Islander Children and Families 20 February 2015 Indigenous Early Childhood Section The Department of Health GPO Box 9848 CANBERRA ACT 2601 mothersandbabies@health.gov.au To whom it may concern Draft National Framework for Health Services

More information

ISSUES IN NURSE PRACTITIONER DEVELOPMENTS IN AUSTRALIA

ISSUES IN NURSE PRACTITIONER DEVELOPMENTS IN AUSTRALIA ISSUES IN NURSE PRACTITIONER DEVELOPMENTS IN AUSTRALIA Glenn Gardner Queensland University of Technology & Royal Brisbane and Women s Hospital Email: Ge.gardner@qut.edu.au Gardner, Glenn E. (2004) Issues

More information

Physiotherapist referral to specialist medical practitioners. 2014 15 pre-budget submission

Physiotherapist referral to specialist medical practitioners. 2014 15 pre-budget submission Physiotherapist referral to specialist medical practitioners 2014 15 pre-budget submission 1 2014 15 Pre-budget Submission Letter from Marcus Dripps APA President The Australian primary healthcare system

More information

Maternity care pathway workforce model testing the prototype

Maternity care pathway workforce model testing the prototype Maternity care pathway workforce model testing the prototype The CfWI produces quality intelligence to inform better workforce planning, that improves people s lives The CfWI nursing and midwifery programme

More information

Scope of Practice. Background. Approved: 2009 Due for review: 2014

Scope of Practice. Background. Approved: 2009 Due for review: 2014 Approved: 2009 Due for review: 2014 Scope of Practice Background Australia s health system is in need of reform in order to meet a range of long-term challenges, including timely access to services, the

More information

Productivity Commission Education and Training Workforce: Early Childhood Development

Productivity Commission Education and Training Workforce: Early Childhood Development Productivity Commission Education and Training Workforce: Early Childhood Development Victorian Association of Maternal and Child Health Nurses Submission The Victorian Association of Maternal and Child

More information

Policy Paper: Accessible allied health primary care services for all Australians

Policy Paper: Accessible allied health primary care services for all Australians Policy Paper: Accessible allied health primary care services for all Australians March 2013 Contents Contents... 2 AHPA s call to action... 3 Position Statement... 4 Background... 6 Healthier Australians

More information

The Australian Government. Department of Health and Ageing. Medicare Benefits Schedule Allied Health Services

The Australian Government. Department of Health and Ageing. Medicare Benefits Schedule Allied Health Services The Australian Government Department of Health and Ageing Medicare Benefits Schedule Allied Health Services 1 November 2007 PART 3 PSYCHOLOGICAL THERAPY SERVICES FOR PATIENTS WITH AN ASSESSED MENTAL DISORDER

More information

Registered nurse professional practice in Queensland. Guidance for practitioners, employers and consumers

Registered nurse professional practice in Queensland. Guidance for practitioners, employers and consumers Registered nurse professional practice in Queensland Guidance for practitioners, employers and consumers December 2013 Registered nurse professional practice in Queensland Published by the State of Queensland

More information

Insurance for Eligible Midwives in Private Practice. Combined Financial Services Guide and Product Disclosure Statement.

Insurance for Eligible Midwives in Private Practice. Combined Financial Services Guide and Product Disclosure Statement. Insurance for Eligible Midwives in Private Practice Combined Financial Services Guide and Product Disclosure Statement 1 July 2015 Medical Defence Association of South Australia Limited ABN 41 007 547

More information

Registered Nurse professional practice in Queensland

Registered Nurse professional practice in Queensland Nursing and Midwifery Office, Queensland Strengthening health services through optimising nursing Registered Nurse professional practice in Queensland Guidance for practitioners, employers and consumers.

More information

Positioning paper: Innovative Health Services for Homeless Young People (IHSHYP) Contents

Positioning paper: Innovative Health Services for Homeless Young People (IHSHYP) Contents Positioning paper: Innovative Health Services for Homeless Young People (IHSHYP) Contents Positioning paper: Innovative Health Services for Homeless Young People (IHSHYP)... 1 Key points... Error! Bookmark

More information

Re-entry to practice policy

Re-entry to practice policy Re-entry to practice policy Re-entry to practice overview Summary This policy sets out the re-entry requirements for people who previously held registration as a nurse and/or a midwife in Australia, including

More information

Submission on the draft National Primary Health Care Strategic Framework October 2012

Submission on the draft National Primary Health Care Strategic Framework October 2012 Submission on the draft National Primary Health Care Strategic Framework October 2012 Council of Social Service of NSW (NCOSS) 66 Albion Street, Surry Hills 2010 Ph: 02 9211 2599 Fax: 9281 1968 email:

More information

Response. The Royal College of Midwives response to the NHS Pay Review Body s Consultation on Seven Day Working. December 2014

Response. The Royal College of Midwives response to the NHS Pay Review Body s Consultation on Seven Day Working. December 2014 Response The Royal College of Midwives response to the NHS Pay Review Body s Consultation on Seven Day Working December 2014 15 Mansfield Street London W1G 9NH Tele: 020 7312 3535 Fax: 020 7312 3536 Email:

More information

Continuing Professional Development. FAQs

Continuing Professional Development. FAQs 4 May, 2010. Continuing Professional Development FAQs Q1. What is Continuing Professional Development (CPD)? A. Continuing professional development is the means by which members of the profession maintain,

More information

Key Concepts of Nursing Practice Seminar

Key Concepts of Nursing Practice Seminar Key Concepts of Nursing Practice Seminar For Midwives and Public Health Nurses May 3rd and 4th 2014 Presented by the Nurses for Nurses Network Central Queensland University Bundaberg Campus 14 hours of

More information

4 th December 2015. Private Health Insurance Consultations 2015-16 Department of Health. Via email: PHIconsultations2015-16@health.gov.

4 th December 2015. Private Health Insurance Consultations 2015-16 Department of Health. Via email: PHIconsultations2015-16@health.gov. 4 th December 2015 Private Health Insurance Consultations 2015-16 Department of Health Via email: PHIconsultations2015-16@health.gov.au Re: Private Health Insurance Consultations 2015-16 Dear Private Health

More information

Private Health Insurance: Proposal for Quality Assurance Requirements for Privately Insured Services

Private Health Insurance: Proposal for Quality Assurance Requirements for Privately Insured Services Private Health Insurance: Proposal for Quality Assurance Requirements for Privately Insured Services As you may be aware, the Department of Health and Aging, Private Health Insurance Branch as part of

More information

Foreword. Closing the Gap in Indigenous Health Outcomes. Indigenous Early Childhood Development. Indigenous Economic Participation.

Foreword. Closing the Gap in Indigenous Health Outcomes. Indigenous Early Childhood Development. Indigenous Economic Participation. National Aboriginal and Torres Strait Islander Health Workforce Strategic Framework 2011 2015 Prepared for The Australian Health Ministers Advisory Council by the Aboriginal and Torres Strait Islander

More information

Strategic Plan for Nurse Practitioners in the Northern Territory

Strategic Plan for Nurse Practitioners in the Northern Territory Strategic Plan for Nurse Practitioners in the Northern Territory 2014-2016 www.nt.gov.au/health PAGE 1 NT Department of Health Office of the Chief Nursing and Midwifery Officer NT Department of Health

More information

Mr Bruce Cooper General Manager Intelligence, Infocentre and Policy Liaison Branch phireport@accc.gov.au. Dear Mr Cooper

Mr Bruce Cooper General Manager Intelligence, Infocentre and Policy Liaison Branch phireport@accc.gov.au. Dear Mr Cooper Mr Bruce Cooper General Manager Intelligence, Infocentre and Policy Liaison Branch phireport@accc.gov.au Dear Mr Cooper The Australian College of Mental Health Nurses (ACMHN) would like to provide feedback

More information

Australian Institute of Health and Welfare Canberra Cat. no. IHW 97

Australian Institute of Health and Welfare Canberra Cat. no. IHW 97 Australian Institute of Health and Welfare Canberra Cat. no. IHW 97 Healthy for Life Aboriginal Community Controlled Health Services Report Card Key findings We have done well in: Increasing the proportion

More information

Midwifery. Papua New Guinea Specialist Nursing Competency Standards. Introduction. 1st Edition, September 2003. Papua New Guinea Nursing Council

Midwifery. Papua New Guinea Specialist Nursing Competency Standards. Introduction. 1st Edition, September 2003. Papua New Guinea Nursing Council Papua New Guinea Specialist Nursing Competency Standards Midwifery 1st Edition, September 2003 Papua New Guinea Nursing Council PO BOX 841, Port Moresby NCD Table of Contents Introduction 1 Professional

More information

Registering as a nurse or midwife in the United Kingdom. For applicants from countries outside the European Economic Area

Registering as a nurse or midwife in the United Kingdom. For applicants from countries outside the European Economic Area Registering as a nurse or midwife in the United Kingdom For applicants from countries outside the European Economic Area 2 Note: If you trained as a nurse or midwife outside the European Economic Area

More information

nursing, midwifery, allied health, & psychology NURSING, MIDWIFERY, ALLIED HEALTH & PSYCHOLOGY

nursing, midwifery, allied health, & psychology NURSING, MIDWIFERY, ALLIED HEALTH & PSYCHOLOGY NURSING, MIDWIFERY, ALLIED HEALTH & PSYCHOLOGY www.scu.edu.au/healthscience CRICOS Provider Nos: NSW 01241G, WA 02621K, QLD 03135E nursing, midwifery, allied health, & psychology Psychological Science

More information

Mental Health Nurse Incentive Program Program Guidelines

Mental Health Nurse Incentive Program Program Guidelines Mental Health Nurse Incentive Program Program Guidelines 1 Introduction On 5 April 2006, the Prime Minister announced the Australian Government would provide funding of $1.9 billion over five years for

More information

Australian Commission on Safety and Quality in Health Care National Safety and Quality Framework GPO Box 5480 SYDNEY NSW 2001

Australian Commission on Safety and Quality in Health Care National Safety and Quality Framework GPO Box 5480 SYDNEY NSW 2001 Health Information Management Association of Australia Limited ABN: 54 008 451 910 Ph: +61 2 9887 5001 Fax: +61 2 9887 5895 Locked Bag 2045 North Ryde NSW 1670 Australia www.himaa.org.au 10 September 2009

More information

Implementation of the Protection of Life During Pregnancy Act 2013 Guidance Document for Health Professionals 2014

Implementation of the Protection of Life During Pregnancy Act 2013 Guidance Document for Health Professionals 2014 Implementation of the t Protection of Life During Pregnancy Act 2013 Guidance Document for Health Professionals 2014 Table of Contents 1. Introduction... 4 1.1 Background to the Act... 4 1.2 The Protection

More information

Quality Maternity Care: the Role of the Public Health Nurse

Quality Maternity Care: the Role of the Public Health Nurse Quality Maternity Care: the Role of the Public Health Nurse Lori Webel-Edgar RN, MN Program Manager-Reproductive Health Simcoe Muskoka District Health Unit Barrie, Ontario session overview quality maternity

More information

Nurse Practitioners in NSW - Guideline for Implementation of Nurse Practitioner Roles - NSW Health

Nurse Practitioners in NSW - Guideline for Implementation of Nurse Practitioner Roles - NSW Health Guideline Ministry of Health, NSW 73 Miller Street North Sydney NSW 2060 Locked Mail Bag 961 North Sydney NSW 2059 Telephone (02) 9391 9000 Fax (02) 9391 9101 http://www.health.nsw.gov.au/policies/ space

More information

Private Health Insurance: What Consumers Want. Anna Greenwood. Deputy Chief Executive Officer. Presentation to the 2012 PHIO Industry Seminar

Private Health Insurance: What Consumers Want. Anna Greenwood. Deputy Chief Executive Officer. Presentation to the 2012 PHIO Industry Seminar Private Health Insurance: What Consumers Want Presentation to the 2012 PHIO Industry Seminar Anna Greenwood Deputy Chief Executive Officer Consumers Health Forum Advocates for appropriate and equitable

More information