NACCHO #Budget2018 Coverage 4 of 5 : Government Press Releases @GregHuntMP #HealthBudget18 @senbmckenzie #RuralHealthBudget @KenWyattMP #IndigenousHealth @NigelScullion #IndigenousAffairs #Budget2018NACCHO

 

1.Minister Health Greg Hunt

1.1 Guaranteeing essential services – record investment in health

1.2 Guaranteeing Medicare with record funding

1.3 More choices for a longer life

1.4 Providing record access to life-saving and life-improving medicines

1.5 Record Commonwealth funding for public hospitals

1.6 Supporting better mental health for all Australians

1.7 Boosting essential infant and maternal health services

1.8 Promoting a healthy and active Australia

2.Minister Rural Health Bridget McKenzie

2.1 Stronger Rural Health Strategy to deliver high quality care

3.Minister Indigenous Health Ken Wyatt

3.1 Better targeting support to improve Indigenous health

3.2 : Close to Country: $25 million for remote area dialysis

4. Minister Indigenous Affairs Nigel Scullion

4.1: 2018-19 Budget to strengthen economic, employment and health opportunities for First Australians

 “ This Budget confirms the Coalition Government’s continued investment of $5 billion over four years through the Indigenous Advancement Strategy which is making targeted investments in the three priorities fundamental to improving outcomes – getting kids to school, adults to work and making communities safer. Importantly, the number of Indigenous organisations delivering services has drastically increased under the Indigenous Advancement Strategy from 30 to 45 per cent now. “

Post 1 of our NACCHO Posts on #Budget2018 NACCHO

Post 2 will be the NACCHO Chair Press Release

Post 3 will be Health Peak bodies Press Release summary

Post 4 will be Government Press Releases

Post 5 Opposition responses to Budget 2018

ALL NACCHO BUDGET COVERAGE HERE

1.Minister Health Greg Hunt

1.1 Guaranteeing essential services – record investment in health

Download Health Budget HERE  NACCHO Budget INFO

The 2018–19 Budget is guaranteeing the essential health services that Australians rely on, with a $12.4 billion increase in the Health Budget and a $414.5 billion investment in health, aged care and sport.

We will increase:

Medicare funding by $4.8 billion;

public hospital funding by more than $30 billion;

investment in new medicines by $2.4 billion; and

funding for aged care by $5.0 billion.

We will invest in a National Health and Medical Industry Growth Plan of $1.3 billion, including a ground-breaking $500 million Australian Genomics Health Futures Mission.

The Government is also delivering the More Choices for a Longer Life Package to help Australians maximise the opportunities that a longer life brings.

1.2 Guaranteeing Medicare with record funding

The Turnbull Government will continue our absolute rock-solid commitment to Medicare with an additional $4.8 billion investment, building on the Medicare Guarantee Fund we established last year.

For 2017-18, $34.4 billion has been credited to the Fund. A further credit of $35.3 billion will be made to meet the estimated Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS) expenditure for 2018-19.

Medicare spending is guaranteed and increasing every year from $24 billion in 2017-18 to $28.8 billion in 2021-22 to support healthcare for every Australian.

Indexation of the Medicare Benefits Schedule, which the Government reintroduced in last year’s Budget will deliver an additional $1.5 billion for Medicare services through to 2021-22.

Following recommendations from the expert MBS Review Taskforce and the independent Medical Services Advisory Committee we will provide new Medicare support for renal dialysis in remote communities, MRI scans for prostate cancer checks, a new cutting edge 3D mammography test for the early detection of breast cancer and new genetic testing for cystic fibrosis.

1.3 More choices for a longer life

The 2018-19 Budget will deliver the More Choices For a Longer Life package which will support older Australians to live longer and be better prepared, healthier, more independent and connected to their communities,

The Package gives older Australians more choices and greater flexibility, including:

An additional 14,000 high-level home care packages so older Australians can stay in their homes longer if they want to;

Allowing pensioners to earn more without reducing their pension;

Greater flexibility to use home equity to increase retirement incomes.

Since the last Budget, the Turnbull Government has delivered an extra 20,000 high-level home care packages, to support people to live at home longer.

We will provide 13,500 new residential aged care places and 775 short-term restorative places to be made available where they are most needed, plus $60 million for capital investment.

We will also invest $40.0 million to support aged care providers in regional, rural and remote Australia for urgent building and maintenance works.

More than $105 million will improve access to culturally safe aged care services in remote Indigenous communities.

The Turnbull Government will establish an Aged Care Quality and Safety Commission to create a tough cop on the beat to ensure older Australians receive the best possible care, with an additional $50 million to assist providers implement the new standards.

MyAged Care will be improved with an investment of $61.7 million to make it easier to use, along with simplifying the forms required to apply for aged care services, and $7.4 million to trial navigators to assist people to choose the aged care services that suit their needs.

We will invest $32.8 million to improve palliative care for older Australians living in residential aged care, filling current gaps in support services, $5.3 million for innovations in managing dementia, and $102.5 million for mental health programs for older Australians.

And people over 65 will be assisted to undertake more physical activity, with locally-based sporting organisations receiving grants totalling $22.9 million to deliver new programs for older Australians.

The Government is helping Australians to work for as long as they want, laying the foundations for a secure retirement. We will provide up to $10,000 in Restart wage subsidies for employing Australians aged 50 and over. The Skills and Training incentive will provide up to $2,000 to fund up-skilling opportunities for mature aged workers.

The 2018-19 Budget delivers measures to boost living standards and expand retirement income options to give retirees confidence in their financial security.

We are increasing the Pension Work Bonus to allow age pensioners to earn an extra $50 per fortnight without reducing their pension. The Pension Loans Scheme will be expanded giving greater flexibility to use home equity to boost retirement incomes, e.g. up to $17,787 a year for a full rate age pensioner (couple).

1.4 Providing record access to life-saving and life-improving medicines

The Turnbull Government will invest $2.4 billion on new medicines to build on our commitment to guarantee those essential services that all Australians rely on. This includes a new $1 billion provision to maintain our commitment to listing all new medicines recommendation by the independent Pharmaceutical Benefits Advisory Committee.

Unlike Labor, we list and will continue to list, every single drug recommended by the medical experts – the Pharmaceutical Benefits Advisory Committee – with approximately $9 billion of investment in new drug listings since coming into government.

In particular, the Government will provide $703.6 million for the listing of Kisqali ® on the PBS to support women with breast cancer. Without subsidy, patients would pay $71,820 per year.

We will also list Spinraza ® on the PBS, a life-changing medicine which treats the devastating illness Spinal Muscular Atrophy. Without subsidy, patients would pay more than $367,850 per year. These new listings mean patients will have access to these medicines paying a maximum of $39.50 per script. Concessional patients, including pensioners, will pay just $6.40.

The Turnbull Government has also signed a landmark agreement with Medicines Australia to improve access to life saving medicines for rare diseases through key reforms to the Life Saving Drugs Program.

1.5 Record Commonwealth funding for public hospitals

The Government will deliver more than $30 billion in additional public hospital funding under a five-year National Health Agreement, with funding increasing for every state and territory, every year.

From 2020-21 to 2024-25, the new agreement will deliver a record $130.2 billion in public hospital funding, with six of Australia’s eight states and territories now covered by this new agreement, including three Labor governments and three Liberal governments.

This represents a more than doubling of public hospital funding under the Coalition Government, rising from $13.3 billion in 2012-13 to $28.7 billion in 2024-25.

1.6 Supporting better mental health for all Australians

The Turnbull Government will deliver an increase of $338.1 million in mental health funding, with a focus on suicide prevention, research and older Australians and advancing the Fifth National Mental Health and Suicide Prevention Plan.

We will expand the beyondblue Way Back Support Service across Australia, which provides outreach, follow-up care and practical support to people discharged from hospital after a suicide attempt. This will see an investment of $37.6 million.

We will provide Lifeline Australia $33.8 million to support its phone counselling services, and SANE Australia will receive $1.2 million for the Better off With You campaign.

The Government will fund a new Million Minds Mission through the Medical Research Future Fund. Over the next 10 years, $125 million will be invested in new research to support an additional million people with mental illness, through new research, diagnosis and treatment.

Men over 85 years of age have the highest risk of suicide for all ages. That’s why the Government will deliver $82.5 million for psychological services in residential aged care, while mental health nurses will help develop and deliver a $20 million program to support older Australians in the community who are isolated and at risk.

The National Mental Health Commission will receive an increase of $12.4 million to oversee mental health reform and take an expanded role under the Fifth National Mental Health and Suicide Prevention Plan. Funding of $4.7 million will support the continued operation of Head to Health, the new digital gateway for mental health services.

We will also fund the Royal Flying Doctor Service for mental health outreach, which will receive $20.4 million to ensure regional and rural Australians get care wherever they are.

1.7 Boosting essential infant and maternal health services

To give Australian children the best possible start in life, we are investing $77.9 million in infant and maternal health and for the first 2,000 days of a child’s life.

This includes $17.5 million for maternal and infant health medical research.

Health professionals will give parents-to-be simple and effective guidance on staying healthy during pregnancy with a $3.0 million program.

The Government will extend the childhood immunisation education campaign, targeting areas with low vaccination rates.

Every mother will be given the opportunity to vaccinate against whooping cough, with $39.5 million to fund the pertussis vaccine to all pregnant women.

To help parents keep track of their children’s health from birth, the Government will introduce a national digital baby book with $5.0 million of funding, replacing state and territory hard copy baby books, and giving children their passport to a lifelong health record.

We will invest $6.2 million to subsidise the cost of more insulin pumps for children with type 1 diabetes.

With injury the leading cause of death of children aged one to 16 years, the Government will fund $0.9 million for the development of a new National Injury Prevention Strategy aimed at reducing childhood injuries. In addition, funding of $1.0 million for the SeeMore Safety Program will support preschool and kindergarten children and their families to reduce the number of preventable childhood injuries.

We will also roll out a new $1 million program to assist GPs to learn more about endometriosis, so they can better diagnose and treat the condition, which can affect around one in ten women and is a key contributor to infertility.

1.8 Promoting a healthy and active Australia

The Turnbull Government will invest $230 million to implement a range of sport and physical activity initiatives that will see more Australians, more active, more often.

This investment builds on our national strengths and will provide more opportunities for Australians to participate in sport and physical activity and promote healthy, active life styles.

The Government will invest $28.9 million in participation grants targeted at less active Australians.

This includes an extension of the Local Sporting Champions grants program which will see more than 3,000 additional young athletes receiving support, including for young athletes in the regions to attend competitions.

The Government will also provide $41.7 million towards extending the popular Sporting Schools Program which provides opportunities for children to participate in sport by reducing the financial burden for parents and building a culture of the enjoyment and benefits of sport for a digitally focused generation.

The Government is acting to reduce drowning at Australia’s beaches, rivers and waterways, as well as improving safety on our snow fields through the Water and Snow Safety Program, with a total investment of $48.5 million.

Participation in sport is vital for the health and wellbeing of all Australians, and is foundational to the Government’s sport plan which will be released later this year.

The Turnbull Government is delivering a strong economy which means we can guarantee the essentials that Australians rely on like Medicare, hospitals, lifesaving medicines and aged care.

2.1 Stronger Rural Health Strategy to deliver high quality care

The Turnbull Government will deliver the most comprehensive rural health package in decades, which will improve access to doctors, nurses and other health care services for all Australians, especially those in the regions.

The Stronger Rural Health Strategy will improve the delivery of healthcare by ensuring we have the right health care professionals located in the regions. It will provide greater opportunities for Australian doctors through better teaching, training, recruitment and retention. The package will see growth in multidisciplinary care and increased access to nursing and allied health services.

This comprehensive strategy has been developed in close consultation with the AMA, RACGP, ACRRM and other rural medical leaders.

In order to support teaching in the regions, we will invest $95.4 million to create the new Murray Darling Medical Schools Network comprising of the University of NSW (Wagga Wagga), University of Sydney (Dubbo), Charles Sturt University/Western Sydney University (Orange), Monash University (Bendigo, Mildura), and University of Melbourne/La Trobe University (Bendigo, Wodonga, Shepparton). The Government will also include Curtin University (for medical training) and La Trobe University (for nursing and allied health training) in the Rural Health Multidisciplinary Training (RHMT) program.

This will be done while retaining the existing number of Commonwealth Supported Places for medical students.

This is a fundamental change in the teaching and supply of rural and regional doctors and will transform rural training schools, enabling students to undertake most of their education and training in rural areas to provide a continuum for doctors to learn, train and work in the regions.

The Stronger Rural Health Strategy will mean more Australian doctors for the regions.

3.1 Better targeting support to improve Indigenous health

The Budget provides ever greater support for our effort to Close the Gap and better targets funding to improve outcomes for Aboriginal and Torres Strait Islander people, with funding for Indigenous Health of $3.9 billion from 2018-19 to 2021-22 and $10 billion over a decade.

In particular, the Turnbull Government will deliver $33.4 million for Aboriginal and Torres Strait Islander health workforce, and provide funding to prevent and treat complex and chronic health conditions including eye disease ($34.3 million), hearing loss ($30.0 million), and crusted scabies ($4.8 million).

3.2 : Close to Country: $25 million for remote area dialysis

The Australian Government is funding a $25 million expansion of remote renal clinics, so more Aboriginal people in Central Australia who suffer from kidney disease can receive dialysis on country or as near to their communities as possible.

Minister for Indigenous Health, Ken Wyatt AM, said the Government was proud to support the highly successful Western Desert Nganampa Walytja Palyantjaku Tjutaku, also known as Purple House, to complete four new clinics and extend a fifth.

“Purple House is making a huge difference to the physical, mental and spiritual health of people across Central Australia, by allowing them to receive care while remaining connected to their land and their people,” Minister Wyatt said.

“This expansion will take the number of remote clinics in the region to 17 and builds on this community driven project’s outstanding record.

“Purple House now provides 70 per cent of Central Australian dialysis services and is not only changing lives, its vast program has saved many lives, because patients don’t have to leave their families and communities for treatment.”

Recent clinical data shows the mortality rate for people on dialysis in Central Australia is now less than half the rate of the rest of the nation.

The funding will allow completion of clinics this year at Utopia, Ampilawatja, Kalkarindji and Ernabella, plus the expansion of the Lajamanu clinic. It will also support the operating costs of another three clinics

The expansion will take the number of remote dialysis machines from 36 to 54 and increase the remote patient group from around 250 to more than 400.

Chronic kidney disease is a significant health challenge among Aboriginal and Torres Strait Islander communities. More than 1,800 First Nations people are currently receiving dialysis, with almost 60 per cent of these starting dialysis before they were 55 years old.

Minister Wyatt said reducing the misery and death caused by kidney disease was a key Turnbull Government priority.

“Following a recent roundtable in Darwin, development of an Aboriginal and Torres Strait Islander renal health road map is underway,” said the Minister.

“Prevention is crucial and it starts during pregnancy, with low birthweight babies born with weaker kidneys.

“Organisations like Purple House are showing the way, through community based, holistic services and strong and effective Aboriginal governance.

“An independent study has shown Purple house delivers remote renal services at a cost comparable to or even lower than the standard Australian hospital dialysis cost.”

Purple House was formed in 2003, following years of work by Aboriginal leaders and supporters that culminated in a million-dollar fundraising auction of local art to establish the project.

The Commonwealth Government has previously provided $17.6 million over four years to Purple House for renal support services in the NT and Western Australia, including $6.45 million to enable the Purple House to build and expand renal infrastructure in Central Australia at six locations in the NT and one in South Australia.

The new funding, under the Government’s Indigenous Australians’ Health Program, will apply for three years from July 2018.

4.1: 2018-19 Budget to strengthen economic, employment and health opportunities for First Australians

 

First Australians right across the nation will benefit from a stronger economy, more jobs and guaranteed essential services through the 2018-19 Federal Budget.

Minister for Indigenous Affairs, Nigel Scullion, said this year’s Budget is delivering for First Australians across the board by investing in health, safety and security through economic and employment opportunities.

“The Coalition Government’s economic plan has already delivered over 400,000 jobs last year – the highest number of any year on record.

“We are delivering tax relief to hard-working Australian families, guaranteeing the essential services in health, education and community safety that all Australians rely upon, returning the Budget to a credible trajectory to surplus, while setting the stage for a return of business confidence and the jobs boom. We are also ensuring that First Australians have their fair share of this economic success.”

The Coalition Government’s cross-portfolio investment in initiatives to improve outcomes for Aboriginal and Torres Strait Islander Australians include:

  • The Community Development Programme (CDP) reforms to ensure remote job seekers are further supported on their pathway to employment. It will now be a simpler, more streamlined program, with less interactions with the national welfare system for remote job seekers. This is being complemented by a government-funded employment program for 6,000 jobs in remote Australia.
  • A new Aboriginal and Torres Strait Islander Land and Sea Future Fund (ATSILSFF) will replace the $2 billion Aboriginal and Torres Strait Islander Land Account (Land Account) leaving the Fund up to $1.5 billion better off, over 20 years, compared to the current investment mandate.
  • $550 million over five years ($110 million per annum) to support remote housing in Aboriginal and Torres Strait Islander communities across the Northern Territory. This funding will be matched by Northern Territory Government contributions. Negotiations remain ongoing with Western Australia, South Australia and Queensland however the Commonwealth remains hopeful of reaching an agreement with these jurisdictions soon.
  • $3.8 billion investment to the Indigenous Australians’ Health Programme (IAHP) from 2018‑19, an increase of over $800 million compared with the previous four years.
  • $38.1 million, over five years, to support Aboriginal and Torres Strait Islander students who need to travel away from home for education, in recognition of the 50th anniversary of ABSTUDY.
  • $105 million for better access to aged care Aboriginal and Torres Strait Islander people.
  • $18.2 million to support domestic violence prevention and protection programs for women and girls including maintaining the current DV alert service and 1800RESPECT trauma counselling service.
  • $34.8 million over four years to support the delivery of dialysis by nurses, including Aboriginal and Torres Strait Islander health workers in remote areas, under a new Medicare Benefits Schedule item.
  • $23.2 million over four years for Healthy Active Beginning Package which includes a policy to reduce the traumatic injury rate among young Indigenous Australians, who are 4.5 times more likely to sustain serious injury than non-Indigenous children.
  • $200 million for a third round of the Building Better Regions Funding to support rural, regional and remote community infrastructure projects.
  • $28.3 million over four years for Remote Airstrip Upgrade works supporting air access to remote towns and Indigenous communities.
  • $2 million over three years to the Australian Institute for Aboriginal and Torres Strait Islander Studies (AIATSIS) for a program of preservation and celebration of Indigenous languages and culture.

This Budget confirms the Coalition Government’s continued investment of $5 billion over four years through the Indigenous Advancement Strategy which is making targeted investments in the three priorities fundamental to improving outcomes – getting kids to school, adults to work and making communities safer. Importantly, the number of Indigenous organisations delivering services has drastically increased under the Indigenous Advancement Strategy from 30 to 45 per cent now.

Minister Scullion said efforts across the government would build on the success of initiatives such as the Indigenous Procurement Policy, which has seen over 1,000 Indigenous businesses win Australian Government contracts worth more than $1 billion since the policy’s inception in July 2015.

The IPP stands in stark contrast to the pathetic $6.2 million to just 30 Indigenous businesses in Labor’s last year in government.

“The Indigenous Grants Policy (IGP) we unveiled in February will see services intended specifically for Aboriginal and Torres Strait Islander communities to be delivered by local Indigenous organisations.

The policy will be trialled later this year for grants administered by the Department of Communications and the Arts, the Department of Social Services and the Department of the Prime Minister and Cabinet.

“The IGP builds on the Coalition’s efforts to deliver more grant funding through the Indigenous Advancement Strategy to Aboriginal and Torres Strait Islander organisations.

We are now delivering 55 per cent of grants through First Australian owned or controlled organisations compared with 35 per cent under Labor.

“To drive greater change and to close the gap, we need to harness greater opportunities for Aboriginal and Torres Strait Islander peoples across all areas of government expenditure and investment and that is precisely what we are doing,” Minister Scullion said.

“Through the Indigenous Business Sector Strategy, the Employment Parity Initiative, the Vocational Training and Employment Centre programme and the Indigenous Rangers Programme we are supporting First Australians realise their economic aspirations.

“Our strategic partnerships with First Nations’ representative bodies like the New South Wales Aboriginal Land Council in Western Sydney to include procurement and employment targets as part of the $5 billion Western Sydney Airport, and with the Northern Land Council on remote housing in the Northern Territory, demonstrates our strong commitment to putting First Australians at the heart of our economic plan for the nation,” Minister Scullion said today.

 

“The IGP builds on the Coalition’s efforts to deliver more grant funding through the Indigenous Advancement Strategy to Aboriginal and Torres Strait Islander organisations. We are now delivering 55 per cent of grants through First Australian owned or controlled organisations compared with 35 per cent under Labor.

“To drive greater change and to close the gap, we need to harness greater opportunities for Aboriginal and Torres Strait Islander peoples across all areas of government expenditure and investment and that is precisely what we are doing,” Minister Scullion said.

“Through the Indigenous Business Sector Strategy, the Employment Parity Initiative, the Vocational Training and Employment Centre programme and the Indigenous Rangers Programme we are supporting First Australians realise their economic aspirations.

“Our strategic partnerships with First Nations’ representative bodies like the New South Wales Aboriginal Land Council in Western Sydney to include procurement and employment targets as part of the $5 billion Western Sydney Airport, and with the Northern Land Council on remote housing in the Northern Territory, demonstrates our strong commitment to putting First Australians at the heart of our economic plan for the nation,” Minister Scullion said today.

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