feature tile Australia's HIV response strengthened with Health Minister's 2020 World Health Day announcements

NACCHO Aboriginal Health News: Australia’s HIV response strengthened

feature tile Australia's HIV response strengthened with Health Minister's 2020 World Health Day announcements

Australia’s HIV response strengthened

Among Aboriginal and Torres Strait Islander peoples, the number of HIV diagnoses has fluctuated over the past five years, but diagnosis rates are still between 1.3–1.9 times higher than in Australian-born, non-Indigenous Australians. Professor James Ward from the University of Queensland says “To reduce this unacceptable gap, there needs to be sustained investment in targeted, culturally appropriate, community focused campaigns.”

Today (1 December 2020), on World AIDS Day, the Australian Federation of AIDS Organisations (AFAO) has warmly welcomed a number of announcements from the Health Minister, the Hon. Greg Hunt MP, including the intention to ensure every person living in Australia with HIV has access to life saving antiretroviral medicine, regardless of Medicare eligibility. “This is a critical public health measure,” said Darryl O’Donnell, chief executive of the AFAO, “For too long, too many people in Australia who aren’t eligible for Medicare struggled to afford the medicine needed to keep them healthy. This act of leadership will give access to antiretroviral medicine to everyone in Australia who needs it. This is more than a question of treatment, it is also a question of prevention, because a person with an undetectable viral load cannot transmit HIV.”

Darryl O’Donnell continued, “Australia has always been a global leader in the HIV response and today with 90% of those living in Australia with HIV tested and diagnosed, 91% on treatment and 97% achieving an undetectable viral load, we can be proud of being among a small handful of nations to meet the UNAIDS 2020 global [90-90-90] goal for HIV treatment and prevention. This is an important milestone, however we can and should be more ambitious. We must double down. With renewed political and financial commitment we can achieve 95-95-95 [the ambitious strategy announced by UNAIDS in 2014, aiming to end the AIDS epidemic by 2030 by achieving 95% diagnosed among all people living with HIV (PLHIV), 95% on antiretroviral therapy (ART) among diagnosed, and 95% virally suppressed (VS) among treated].”

AFAO has produced a number of resources you can view by clicking on the resource title below:

To listen to a recording of this morning’s 2020 World AIDS Day Parliamentary Breakfast click here.

To view the AFAO media release click here.

image of Minister Payne, Minister Wong and Minister Hunt at podium on World AIDS Day

Minister for Foreign Affairs, Marise Payne, Senator Penny Wong, Minister for Health, Greg Hunt at the 2020 World AIDS Day Parliamentary Breakfast. Image source: AFAO website.

NACCHO Aboriginal Health News: Reconciliation Barometer shows heightened racism in 2020

feature tile reconciliation barometer 2020 and feet below marchers with flag we can health together

Reconciliation Barometer shows racism heightened in 2020

The 2020 Australian Reconciliation Barometer—a national research study conducted by Reconciliation Australia every two years—shows that the global and local Black Lives Matter movements have challenged  experiences and understanding of racism in Australia. “This year’s Barometer shows more Aboriginal and Torres Strait Islander people reporting an incident of racial prejudice than the 2018 barometer,” said Reconciliation Australia CEO, Karen Mundine. “Just over half of Aboriginal and Torres Strait Islander respondents reported to have experienced at least one form of racial prejudice in the last six months.”

“More Australians now agree with the statement that ‘Australia is a racist country’, a rise across the board in understanding how racism operates. In 2020 we have seen increasing political and social polarisation due to uncertainty and disruption from COVID-19. Through the 2020 Barometer we hear many more people speaking up, speaking the truth, asking the hard questions, seeing the hard facts, and moving from a space of safe to brave on issues affecting Aboriginal and Torres Strait Islander peoples.”

You can view the full 2020 Reconciliation Barometer report, including a summary of the report, by clicking here.

group of Aboriginal girls with Deadly choices t-shirts

Image source: Reconciliation Australia website.

Permanent telehealth model being developed

The AMA will work with the Federal Government to make Medicare-funded telehealth a permanent part of the Australian healthcare system. Health Minister Greg Hunt announced the partnership approach during a joint media conference with AMA President, Dr Omar Khorshid. “The AMA has been working with the Government on how to embed telehealth into the Australian healthcare system for months,” Dr Khorshid said. “The AMA has long advocated for telehealth consultations to be subsidised under the Medicare Benefits Schedule (MBS). “The temporary COVID-19 arrangements have allowed us to test the model, and shown where refinements can be made. MBS-funded telehealth has been embraced by doctors and patients alike.”

To view the AMA’s media release regarding the model click here.

man on mobile phone pointing to Aboriginal hand on computer screen

Image source: The Medical Journal of Australia.

Nurses support public drunkenness decriminalisation

Victoria is close to the decriminalisation of public drunkenness, three decades since the Royal Commission into Aboriginal Deaths in Custody first made the recommendation. The Australian Nursing and Midwifery Federation (Victorian Branch) has welcomed the Andrews Government’s decision to review all recommendations of its Expert Reference Group’s report Seeing the clear light of day. The report reinforces that no one should be in a police cell just because they are intoxicated. ANMF supports the two-year implementation period which will enable the Andrews Government to develop a public health model response to replace the jail cell. The implementation period will include trial sites before rolling the approach out across the state.

To view the ANMF (Victorian Branch) media release click here.

Daughters Apryl Watson and Kimberly Watson with photos of their mother Tanya Day outside Coroners Court.

Daughters Apryl Watson and Kimberly Watson with photos of their mother Tanya Day (who was arrested under the public drunkenness law in Victoria and latter died in custody) outside Coroners Court. Image source: The Age.

Mental health lessons from 2020

Menal Illness Education ACT will co-host a stimulating panel discussion on Wednesday 2 December 1.00pm–2.20pm (AEDT) to unpack how paid and unpaid workloads have changed in 2020 and the impacts on wellbeing, particularly for women. The discussion will cover the following topics:

  • We will look at the positives and challenges coming out of the current environment. 
  • Discuss how roles have changed from a range of perspectives and how we have and can respond to those changes as individuals, partners and organisations.
  • Provide strategies and resources on how to identify and respond to the shifting balance.

This session is for everyone, whether you are single, in a couple, a parent or a carer.

The event will be held on Teams. To register pleas click here.tile Lessons from 2020 strategies to balance the mental load

Stolen Generations bus back on healing mission

Bus operator CDC NSW has committed to a partnership in support of Australia’s indigenous people’s ‘Stolen Generations truth telling’. In cementing its partnership with Kinchela Boys Home Aboriginal Corporation (KBHAC) during its first KBHAC Mobile Education Centre (MEC) community visit post COVID-19, CDC NSW driver Mikhail Mikhail steered the MEC bus to a Healing Session at Aboriginal Health and Medical Research Council (AH&MRC) in Little Bay, where it was unveiled to a group of Kinchela Boy’s Home survivors and AH&MRC staff. The MEC – a converted commuter bus nicknamed ‘Benny’ featuring an audio-visual system and printed historical information on Stolen Generations – is the first of its kind and integral to helping KBHAC members tell their stories in a range of locations. To read the full article click here.

Stolen Generations bus

Image source: Australasian Bus & Coach website.

Urgent need to close digital divide

New analysis commissioned by the Australian Communications Consumer Action Network (ACCAN) shows that urgent action is needed to address the digital divide in remote Indigenous communities in the wake of COVID-19 lockdowns. While much of the nation turned to digital services such as videoconferencing and telehealth during the rolling lockdowns put into place during the COVID-19 pandemic, very few remote Indigenous communities were able to work or learn from home, or access government and health services online.

With access by service providers limited by travel restrictions, many people were left without access to essential services. In some remote communities, the Wi-Fi hotspot, the only point of access, was switched off to avoid people congregating. “COVID-19 saw communities without food and necessities of life because of the lack of access to adequate, reliable, and robust telecommunications,” said ACCAN Board Member and proud Torres Strait Islander, Dr Heron Loban.

To view the full article click here.

3 Aboriginal women and two Aboriginal children with iPad outdoors sand

Image source: sarahharroldblog wbsite.

Pius X win training awards

In a first for Moree, staff of Pius X Aboriginal Medical Service (AMS) have made a clean sweep of GP Synergy’s New England/North West GP training awards, taking out all three regional awards on offer. Pius X’s practice manager Ros Rose was named Practice Manager of the Year, GP supervisor Dr Hamze Hamze was named Supervisor of the Year and GP in training Dr Nada Abu Alrub was named Registrar of the Year in GP Synergy’s New England/North West GP training awards.

To read the full article click here.

3 Pius X staff holding bunch of flowers each and award certificates

Pius X’s GP in training Dr Nada Abu Alrub, practice manager Ros Rose and GP supervisor Dr Hamze Hamze. Image source: Moree Champion News.

COVID-19 vaccination survey

Do you provide immunisations? Do you transport vaccinations or receive them in your workplace? Do you work in rural or remote settings?

Finally, some good COVID-19 news, there have been some positive outcomes in the race outcomes in the race for the COVID-19 vaccine. Nurses, midwives, doctors and Aboriginal Health Practitioners working in primary health care will be very busy in 2021. They will be at the coalface of health promotion, allaying people’s fears, and organising the immunisation logistics to protect their communities. The focus will be on those most at risk, the elderly, men, and the health workforce.

Scaling-up rapid mass immunisation means more trained staff will be needed to administer the vaccinations and provide transportation logistics. The cold chain is only as effective as its ‘weakest’ link. There are many people involved in vaccine cold chain to rural and remote communities, some of whom do not routinely receive training in relation to medicines storage, such as transport drivers, Aboriginal Health Workers, and administration staff.

Central Australian Rural Practitioners Association have made a training video, telling the story of a vaccine’s journey from a supply centre to administration in a remote Aboriginal community, and would like your feedback. Please view the video here and then take 2–3 minutes to complete the 13 question survey here.

image from vaccine journey video. cartoon of cold box being handed between people

Image source: CARPA Inc. Vaccine Story video slide.

60% in remote communities have hearing loss

Chronic ear disease contributes to widespread hearing loss among Indigenous people in Australia. In 2020 it was found 40% of Indigenous people have hearing loss, 60% in remote communities with 79% of people with hearing loss not knowing they did not hear as well as others. Dr Damien Howard and Jody Barney have produced a new video on Indigenous hearing loss. To view the video click here. To take the 13 question survey (approved by the NT Department of Health and Menzies School of Health Research) click here.

cartoon of Aboriginal woman trying to hear on a telephone

Grow Local Cert IV in Mental Health

Despite the challenges this year due to COVID-19, Grow Local participants have worked hard towards completing their Grow Local Certificate IV in Mental Health, meaning communities throughout Western Australia will have additional mental health support available to those who may be struggling. The program has proven to not only be an effective way of meeting these community needs, but also a popular one, with more than 60 participants graduating in towns throughout the state in the coming weeks. The training is provided to community in partnership with the Australian Medical Association (WA), along with support from local organisations including Milligan House, who offered the use of their meeting rooms for the monthly workshops.

To view the WA Primary Health Alliance media release click here.

The World AIDS Day Parliamentary Breakfast is tomorrow

Event begins tomorrow at 7:20am AEDT (for 7:30am start) via Zoom https://us02web.zoom.us/j/81494660983

Each year we ask international and Australian HIV/AIDS experts to share their perspectives on HIV/AIDS in the world and our country, and the outlook for the future. We hope you will find their articles interesting and informative.

Please see the link to the World AIDS Day booklet here.

SA – can be based anywhere across SA – Nunyara Aboriginal Health Service Inc.

Systems Implementation Coordinator Aboriginal disAbility Alliance

SA West Coast ACCHO Network (SAWCAN) is a consortia supporting 4,976 Aboriginal people in a region that stretches from Whyalla in the east, right over to the WA border. Nunyara is acting as the lead agent of the consortia and is seeking to employ a suitably qualified person as the Systems Implementation Coordinator to apply a systems-focused approach in the capacity building of Aboriginal Community Controlled Health Organisation (ACCHO) staff to ensure the seamless integration of NDIS within the comprehensive primary health care model.

To view the job description click here.

Applications close 5.00pm Wednesday 9 December 2020.

SA – Whyalla – Nunyara Aboriginal Health Service Inc.

FT Community Activator – 12 month contract

The Nunyara Aboriginal Health Service is an RACGP accredited service that provides culturally appropriate health care, health promotion and education programs for the Aboriginal community in Whyalla. Nunyara is looking to engage an energetic and motivated person to work as a Community Activator within the Aboriginal disAbility Alliance project. This position will provide assertive outreach and advocacy to Aboriginal people living with a disability, their families and carers in a culturally sensitive manner, breaking down barriers to accessing the NDIS and developing trust and rapport.

To view the job description click here.

Applications close 5.00pm Friday 11 December 2020.Nunyara Aboriginal Health Service Inc. logo

ACT – Canberra – Bimberi Residential Services

FT Family Engagement Officer – temporary

Bimberi Residential Services is seeking an experienced, committed and suitably qualified person to fill the Family Engagement Officer role.

The Family Engagement Officer is designed to assist with the engagement of young people and their families and to promote Aboriginal and Torres Strait Islander practices and perspectives, in the day to day functions across Bimberi Residential Services. The role also is involved in promoting initiatives and developing innovative approaches to meeting client and program needs.

To view the job description click here.

Applications close Friday 11 December 2020.

external view of Bimberi Youth Dentention Centre ACT

Image source: ABC News website.

NSW – Dubbo – Coonamble Aboriginal Health Service

FT Psychologist – 2 year contract, possibility of extension

Coonamble Aboriginal Health Service (CAHS) is seeking an enthusiastic and committed person to fill a full-time position of Psychologist within the highly successful Aboriginal community-controlled organisation Dubbo Regional Aboriginal Health Service (DRAHS) Social & Emotional Wellbeing Department. This is a busy clinical role working with clients to prevent, diagnose and treat psychological issues within a health clinic in NSW.

To view the job description click here.

Applications close Friday 11 December 2020.

ACT – Canberra – OzChild

OzChild, an organisation established to support vulnerable children and young people by providing healing, preventing abuse and neglect, and strengthening families so all children and young people are safe, respected, and nurtured, and reach their full potential, is looking to employ a Family Practitioner and a Team Leader in their Functional Family Therapy (FFT) program. Both roles will strengthen the benefit of services to children, young people and their families in specified areas utilising an evidence based program. This evidence-based program has been developed to support families, with children and youth aged 12 to 18 years, in the home and the community. To view the position descriptions for the roles click on the role titles below.

Family Practitioner – Functional Family Therapy (FFT)

Team Leader – Functional Family Therapy

To apply, please contact the OzChild HR advisor Paul Ridley by phone 03 9695 2243 or to email click here.two Aboriginal young girls, one kissing the other on the cheek, OzChild logo

NACCHO Aboriginal Health News: Aboriginal health funding boosted, but infrastructure overlooked

external view of medical clinic in slightly run down state

Aboriginal health funding boosted, but infrastructure overlooked

NACCHO has welcomed the increase in funding for Aboriginal and Torres Strait Islander health in the Budget with the Chair of NACCHO, Donnella Mills, saying, “I am heartened by the additional investment in the Indigenous Australians Health Program with $33m for our hard-working services over the next three years. I am also pleased to hear of the regional-and-remote health funding that will assist many of our clinics and the communities they serve as well as assistance for training and workforce development. These are all very welcome.”

NACCHO Conference 2017
Photo: Geoff Bagnall

“While these measures are significant, NACCHO will continue to press the Government for targeted infrastructure investment in our clinics. If stimulus is the main objective of the Budget, we believe that there is no better way to do so than to invest in local communities. There was a valuable opportunity here to invest in our 550 local clinics across the country where our 410,000 clients reside. This was an opportunity missed.”

To view NACCHO’s media release on the Budget click here.

new Armajun Aborignal Health Service Inverell being built

Armajun Aboriginal Health Service, Inverell. Image source: Adam Marshall MP website.

Mental health support extended in NPY region

Ngaanyatjarra Pitjantjatjara Yankunytjatjara Women’s Council (NPYWC) and Smiling Mind have partnered to see crucial, prevention-focused mental health support extend even further into Australia’s Indigenous communities. Over the past two years, Smiling Mind has worked closely with NPYWC, translating its popular in-app mindfulness sessions into the region’s Indigenous languages, in order to support the communities’ youth with tools in their native language. To date, the programs have engaged more than 2,500 subscribers, and more than 5,000 meditations have been completed. Three remote schools in the central desert region have also benefited from mindfulness training, where educators were supported to foster positive mental health habits with their students and the wider school community. 

Envato Foundation, the philanthropic arm of leading technology business Envato, have donated $100,000 to give new life to the partnership, allowing for an extension to the tools and resources already created to infiltrate further across the NPY  region of Central Australia, a region spanning 28 remote communities in the tri state region of NT, SA and WA over an area covering 350,000 square kms.  

To view the full Mirage article click here.

Aboriginal woman on Country listening to podcast

Image source: NPYWC website.

Centre for Disease Control an urgent priority

‘The pandemic experience this year is a clear reason for the establishment of an Australian Centre for Disease Control,’ says Alison Verhoeven, Australian Healthcare and Hospitals Association (AHHA) Chief Executive. ‘The call for this has been long-standing, with a 2013 recommendation to the Government by the Standing Committee on Health and Ageing overlooked in favour of the development of a National Communicable Disease Framework. Such a Centre would position Australia well to demonstrate global leadership in communicable disease planning and response capabilities. ‘It would also support existing state and territory disease control measures through a cohesive approach to research, diagnosis, screening, reporting, case management, contract tracing, forecasting and trend monitoring.’

To read the AHHA media release click here.

scientist in laboratory with full PPE looking at a sample

Image source: The Conversation website.

Budget health response scale warranted

Federal AMA President Dr Omar Khorshid has commended the Federal Government’s $16 billion COVID-19 health response and further stimulus spending aimed at fending off a COVID-19 recession, saying ‘The health and economic impacts of COVID-19 warrant this scale of health response and stimulus spending directed toward restarting the economy. A safe, effective and widely available vaccine is not guaranteed for next year and if it doesn’t eventuate and a large outbreak occurs, economic recovery will be threatened, along with many Australian lives. Governments cannot drop the ball and must continue a broad range of strong policies to keep COVID-19 out of the community in order to ensure a sustained health and economic recovery.’

To view the AMA media release click here.

Aboriginal flat with stethoscope sitting on top

Image source: My South West Directory website.

Telehealth must be start of a health ‘revolution’

CEO of the Consumer Health Forum of Australia (CHF), Leanne Wells, says the use of telehealth during the pandemic shows transformative change is possible in healthcare. She went on to say ‘telehealth has been stimulated by the pandemic to trigger easier and safe access to doctors, we look forward to further developments after the six month extension to March 2021 expires and we hold great ambition for the scope of services that will be possible under the 10 Year Primary Health Care Plan currently in development.’

To view the CHF media release click here.

two Aboriginal men and health professional looking at monitor

Image source: The Fred Hollows Foundation website.

 

ACT – Canberra – National Aboriginal Community Controlled Health Organisation (NACCHO)

Social Media Communications Coordinator

As the Social Media Communications Coordinator within the NACCHO Communications team, you will manage and maintain NACCHO’s social media presence and the daily blog. You will report to the Director, Communications and seek direction and approval on content delivery. You will work cohesively with the NACCHO Communications teams towards the creation and the delivery of social media campaigns and driving key Aboriginal and Torres Strait Islander health sector news content across channels.

This position will be offered as a fixed contract on a full time or part time basis depending on the candidate. 

To view the full position description click here. Applications close 9.00am Friday 16 October 2020.

NSW – Narooma – Katungul Aboriginal Corporation Regional Health and Community Services

FT Systems Analyst

Katungul Aboriginal Corporation Regional Health and Community Services has a vacancy for a Systems Analyst. The focus of the role is to oversee the implementation, maintenance and upgrading of information technology systems to support the delivery of Katungul’s range of services and for related research, analysis and performance reporting functions. The Systems Analyst will be an integral member of a collaborative team that works closely with Katungul’s service areas to deliver the best outcomes for the community.

To view the position description click here. Applications close 5.00 pm Friday 16 October 2020.Katungul Log

 

NACCHO Aboriginal Health News: Daffodil Day – cancer awareness

Feature tile - Daffodil Day - Aboriginal flag with yellow daffodil as centre

Every day around five Aboriginal and Torres Strait Islander people are diagnosed with cancer. Aboriginal and Torres Islander people have a slightly higher rate of cancer diagnosis, however are approximately 40 per cent more likely to die from cancer than other Australians (Reference: Australian Institute of Health and Welfare 2019 – Cancer series no.119. Cat. no. CAN 123).

The daffodil is recognised internationally as the symbol of hope for all people affected by cancer. Cancer Council chose it as its emblem as the bright yellow colouring heralds the return of spring, representing new life and growth. Daffodil Day is Cancer Council’s most iconic and much-loved fundraising campaign. Funds raised this Daffodil Day Appeal will help fund researchers dedicated to discovering the next cancer breakthroughs, including less harsh cancer treatments.

To visit the Cancer Council Daffodil Day Appeal website click here.

ACCHOs’ wealth of expertise much to offer

The Aboriginal Community Controlled Health Organisation (ACCHO) sector has a wealth of expertise in addressing the social and cultural determinants of health, responsive service development, and providing culturally safe care. The wider health sector needs to gain a deeper understanding of the contributions of the ACCHO sector.

Cover image from the report: Aboriginal Community Controlled Health Organisations in practice: Sharing ways of working from the ACCHO sector

These are some of the findings in a report from the work of the Centre of Research Excellence in Aboriginal Chronic Disease Knowledge Translation and Exchange (CREATE), a collaborative enterprise between NACCHO, Wardliparingga Aboriginal Research Unit, at the South Australian Health and Medical Research Institute, and the University of Adelaide’s School of Public Health.

To view the full article by Croakey click here.

More required so well placed to emerge from COVID-19

Yesterday the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) and members of the Aboriginal Executive Council (AEC), a group made up of 11 Aboriginal CEOs from peak Aboriginal organisations across Victoria, provided evidence to the Public Accounts and Estimates Committee (PAEC) Inquiry into the Victorian Government’s Response to the COVID-19 Pandemic.

VACCHO CEO Jill Gallagher said the low incidence of COVID-19 cases in Victorian Aboriginal Communities was testament to Aboriginal community control and what can be achieved when working meaningfully together. In order for Aboriginal Communities to be well placed to emerge from the COVID-19 pandemic, however, more needs to be done now to ensure the sector is better placed to help Aboriginal communities affected by disproportionate rates of mental health and social emotional wellbeing issues, as well as justice and correctional issues.

To read the VACCHO media release click here.

Image sources: National Geographic for Kids and Belyuen youth NT, ABC News.

Additional Medicare subsidised psychological therapy sessions

The Australian Government will provide 10 additional Medicare subsidised psychological therapy sessions for people subjected to further restrictions in areas impacted by the second wave of the COVID-19 pandemic. In a media release Minister for Health Greg Hunt said the Government recognises the mental health impact the COVID-19 pandemic is having on individuals and communities, particularly those in areas such as Victoria where more stringent measures have been necessary to stop the spread to the virus.

To view the full media release click here.

oil paingint of Aboriginal man with head in hand sitting on rock in outback

Image source: Camilla Perkins for Mosaic.

QLD – Cairns

FT Member Support Regional Manager – Northern Region (Identified)

QAIHC is a non-partisan peak organisation representing all Aboriginal and Torres Strait Islander Community Controlled Health Organisations across Queensland at both state and national Level. QAIHC members deliver comprehensive and culturally appropriate, world class primary health care services to their communities.

QAIHC is seeking an experienced, passionate and high-level manager to support its members in the Aboriginal and Islander Community Controlled Health Sector.

To view the job description click here.

Broome – WA

Regional Sexual Health Facilitator – Kimberley Aboriginal Medical Service

KAMS now has an opportunity for Regional Sexual Health Facilitator to join their friendly, multidisciplinary team in Broome WA, on a full-time fixed term contract basis till 30 June 2021.

In this role, will be responsible for providing support for the coordination, development, implementation and review of practice in the area of Sexual Health in the Kimberley. In particular, this position provides advice and facilitation for an increase by clinicians in provision of opportunistic and targeted screening and appropriate management and follow up of people with sexually transmitted infections.

To view the job description click here.

NACCHO Aboriginal Health News: NACCHO Chair says on-the-ground Aboriginal and Torres Strait Islander healthcare a priority

On-the-ground healthcare a priority for new funding

During a radio interview with The Wire NACCHO Chair Donnella Mills said the additional $33 million in government funding to strengthen primary health services for Aboriginal and Torres Strait Islander people, “will be used to ensure we have continuity of care and certainty of funding for three years on the ground. The funding will help with a possibility of expansion towards significant unmet healthcare needs and in areas where we see higher population growth of our people.”

To listen to the full interview click here.

AMA calls for Medicare Telehealth Items extension

The AMA has called on the Federal Government to extend temporary telehealth arrangements under Medicare, due to end on 30 September, that have supported patients to have a consultation with their doctor either over the phone or by video. AMA President, Dr Omar Khorshid said “the AMA has long advocated for Medicare-subsidised telehealth consultations, and the COVID-19 arrangements have shown the value of telehealth.”

To view the AMA’s media release click here.

Images: mivision, the Opthalmic Journal website and AMA President Dr Omar Khorshid.

Australian Indigenous HealthBulletin

The Australian Indigenous HealthBulletin is a peer-reviewed electronic journal from the Australian Indigenous HealthInforNet. It facilitates access to new information about research of relevance to the health of Aboriginal and Torres Strait Islander peoples and aims to showcase original articles as well as providing links to reports, publications, journals, resources and theses published externally to the HealthBulletin. To access the Australian Indigenous HealthBulletin click here. Australian Indigenous Health Bulletin banner & logo - 3 concentric circles

2020 NAIDOC Local Grants funding round

The National Indigenous Australians Agency is inviting eligible applicants to submit applications for the 2020 NAIDOC Local Grants funding round under the Indigenous Advancement Strategy (IAS). This grant funding round provides funding to organisations to contribute to the costs of local and regional NAIDOC activities across Australia during NAIDOC Week 2020 (8–15 November) that celebrate Aboriginal and Torres Strait Islander histories, cultures, achievements and continuing contributions to Australia. Activities should align with the National NAIDOC Theme for 2020, ‘Always was, Always will be’.

Organisations need to complete an online application, which can be accessed here, and submit it by 7pm AEST Monday 17 August 2020.

Organisations that submitted an application for the 2020 NAIDOC Local Grants Round that opened in February 2020 but was closed due to the COVID-19 pandemic need to resubmit their application.NAIDOC Week 2020 tile including drawing of Australia with a snake border & a person inside the border; National Indigenous Australians Agency logo - circle with a curved path of circles running from the top to the bottom of the circle

Antecedents of Renal Disease in Aboriginal Children and Young People Study

The Antecedents of Renal Disease in Aboriginal Children and Young People Study (ARDAC) hopes to find some answers about why the risk of chronic conditions such as kidney disease, heart disease and diabetes are so much greater for Aboriginal Australians.

The study monitors the kidney and heart health of Aboriginal and non-Aboriginal children and young people in NSW. As a community-based, longitudinal, cohort study, participants remain involved over a long period of time. The study was initiated by Rita Williams, a senior Aboriginal Health professional at the Children’s Hospital at Westmead, Western Sydney and has been running since 2002.

You can access the ARDAC website here for more information. If your community would like to particpate in the study they can contact ARDAC here.

ARDAC Logo, fish, turtle, dolphin, echidna & a photo of a school child having blood pressure taken & photo of a young adult having blood pressure taken

Image Source: ARDAC website.

Digital health and aged care channels upgrade

Services Australia are upgrading their digital and aged care channels, which will impact members. They have developed the following fact sheets to provide further information about the next steps you need to take:

  • Fact sheet 1 – Web services for Medicare Online, DVA, AIR and ECLIPSE – click here
  • Fact sheet 2 – Web services for PBS Online – click here
  • Fact sheet 3 – PRODA Organisation for web services (also included with fact sheets 1 and 2) – click here
  • Update – Web services for aged care – click here

The fact sheets are also available on the Services Australia website, click here. and select ‘How to prepare for web services’ to download the Web Services Kit.

WA – Riverdale

FT Senior Advisor – Aboriginal Health x 1

WA Primary Health Alliance (WAPHA) Senior Advisors play a key role in strategy development by taking current policy and industry knowledge and turning it into tangible objectives for WAPHA’s operational teams. WAPHA is currently seeking a Senior Advisor specialised in Aboriginal Health. The role requires extensive strategic experience, strong analytical and research skills and adept communication and interpersonal skills.

You can visit WAPHA’s website here and apply for the position here or send an application directly to jobs@wapha.org.au.

Candidates must submit a CV along with a cover letter addressing the selection criteria outlined in the job posting.

photo of Aboriginal man & WAPHA logo, circles with 17 prongs - 5 blue, 6 dark red, 6 green

Aboriginal Health and #ChronicDisease 1 of 2 #SaveADates Submissions Close 15 July for Reviewing the Practice Incentives Program Indigenous Health Incentive (PIP IHI). Register for Workshops 17 June to 3 July #NSW #QLD #VIC #SA #WA #NT#ACT


NACCHO Aboriginal Health , #ACCHO’s and #Medicare : Download Your guide to Medicare for Indigenous health services’ : Includes tips from people who work with Indigenous communities every day.

The Department of Human Services has a new guide to support health professionals with all aspects of Indigenous health services available under Medicare

Your guide to Medicare for Indigenous health services includes tips from people who work with Indigenous communities every day.

The department’s Medicare Liaison Officers – Adam from the Northern Territory and Hazel from north Queensland – contribute insights based on their own experiences.

The guide can help you find out more about:

  • family and domestic violence
  • the Practice Incentives Program including the PIP Indigenous Health Incentive
  • the Practice Nurse Incentive Program
  • Closing the Gap PBS prescriptions, and
  • Indigenous Medicare servicing

Your guide to Medicare for Indigenous health services  is available online for downloading and features artwork by Indigenous Australians.

Next steps 

Read more News for health professionals

INFO HERE

Education guides

These guides support health professionals who provide services to Aboriginal and Torres Strait Islander Australians. The guides also include case studies.

NACCHO Aboriginal Health :The @AusHealthcare blueprint ‘Healthy people, healthy systems maps out how to give Australians a 21st century health system’

 

” We’re giving Health Ministers an early Christmas gift, over the past nine months Australian health leaders mapped out how to transform our healthcare system into a fit for purpose 21st century system that will meet the needs and expectations of Australians.

‘Healthy people, healthy systems is a solid blueprint with a range of short, medium and long term recommendations on how to reorientate our healthcare system to focus on patient outcomes and value rather than throughput and vested interests.”

Australian Healthcare and Hospitals Association (AHHA) Chief Executive Alison Verhoeven. see Part 1 Below

Download Healthy people, healthy systems  ahha_blueprint_2017

 “For Aboriginal and Torres Strait Islander people, institutional racism in hospitals and health services fundamentally underpins racial inequalities in health.

It forms a barrier to accessing healthcare, and must be acknowledged and addressed in order to realise health equality.

A matrix has been developed for identifying, measuring and monitoring institutional racism. Simple and cost-effective to administer, research to date shows its value as both an internal and external assessment tool “

(Marrie & Marrie 2014). See Section 2 Performance information and reporting

“ The need for integrated care, workforce development and reform and a reorientation to primary and preventive care were central recommendations.

We would welcome more performance reporting on such measures as patient reported health outcomes and experiences of care and deeper examination of how that care will be delivered in the future and by whom.

“Prevention funding needs to be increased and to be explicitly tied to evidence-based interventions.

We strongly support many of the aims of the report Healthy people, healthy systems.”

CEO of the Consumers Health Forum, Leanne Wells See Part 2 Below .

Great blueprint by AHHA  for a Post-2020 National Health Agreement. Fantastic to see it aligning with PHAA’s key principles of universal healthcare, a holistic view of health and well being, and health equity. ”

Public Health Association Australia

Part 1 AHHA Press Release

‘In 2018 Health Ministers and First Ministers will negotiate and agree new public hospital funding arrangements—if Ministers are committed to a healthy Australia supported by the best possible healthcare system they simply need to direct their health departments to begin rolling out the recommendations found in the blueprint.

‘Health Ministers must be more ambitious than agreeing what public hospital funding arrangements will look like after 2020. The health sector is adamant it’s time we move our system toward value-based care and away from more of the same and tinkering around the edges.

‘To do this we outline four steps with recommendations on governance arrangements, data and reporting that drives intelligent system design, health workforce reform and sustainable funding that is dependable yet innovative.

‘An independent national health authority distinct from Commonwealth, state and territory health departments  reporting directly to the Council of Australian Governments (COAG) or the COAG Health Council would help take the politics and finger pointing out of health reform and allow for a nationally unified and regionally controlled health system.

‘Requiring all health service providers delivering government funded or reimbursed services to supply data on patient outcomes and other service provision dimensions will better inform system performance and help us move toward publicly available outcomes data that will empower patients to make informed choices about treatment options and providers.

‘A national health workforce reform strategy is required that goes beyond the supply and location of health practitioners and considers roles and responsibilities needed to achieve a health workforce that is flexible, competent, working to the top of their scope of practice, and actively participating in the design and delivery of health services.

‘Maintaining current Commonwealth funding levels for public hospitals, including the growth formula, will provide sustainable and appropriate support, but we need to be more innovative in our move toward value-based care. In the short term, trialling a mixed funding formula with a 25% component for achieved health outcomes relating to the top 4 chronic diseases is a start.

‘It’s time to step out of our comfort zones and transform fragmented healthcare in Australia. The blueprint’s recommendations are a good place to start. We thank the many health leaders, clinicians and consumers who have contributed to this work.’

For more information on AHHA, see: http://ahha.asn.au

To read the Healthy people, healthy systems. Strategies for outcome-focused and value-based healthcare: a blueprint for a post-2020 national health agreement, see: http://ahha.asn.au/blueprint

The Consumers Health Forum welcomes the Australian Healthcare and Hospitals Association’s blueprint for a national health agreement as a much-need stimulus for a serious rethink of Australia’s health system.

“We strongly support many of the aims of the report Healthy people, healthy systems,”

the CEO of the Consumers Health Forum, Leanne Wells said.

“In too many corners of Australia’s health system, whether it be Medicare, primary care, prevention or health insurance, there is a lack of rigorous evaluation and less than optimal use of available data and knowledge to improve services.

“We back AHHA’s call for Australia to re-orientate the healthcare system over the next 10 years by enabling outcomes-focused and value-based health care,” Ms Wells said.

“We agree that the national hospitals agreement requires reform, that it, should be negotiated for the longer-term and that we need much better coordination and integration to promote consumer-centred health care.

“While there is undoubtedly a pressing need for a more nationally cohesive leadership and administration of health, we are not sure a national health authority as prescribed by AHHA would achieve this.  It could risk imposing another layer of management and decision-making with no certainty of any benefit.

“On the other hand, moves to greater regional coordination of health services, is the best way to achieve integrated locally responsive services. We know that integration is best achieved when decisions about how services are configured and organised are taken as close to the point of care delivery as possible by people who know and understand local services and need.  Joint planning, funds pooling and joint commissioning by PHNs and LHDs should be actively explored.

“We would urge governments to note the consistency of advice coming from Australian health leaders about how we can strengthen and improve our health system.

CHF presented an Issues Paper containing our ideas for health system improvements to Minister Hunt at our Consumer and Community Roundtable in August, see:

https://chf.org.au/sites/default/files/docs/chf_ministerial_roundatble_issues_paper_final.pdf

“The need for integrated care, workforce development and reform and a reorientation to primary and preventive care were central recommendations.

“We would welcome more performance reporting on such measures as patient reported health outcomes and experiences of care and deeper examination of how that care will be delivered in the future and by whom.

“Prevention funding needs to be increased and to be explicitly tied to evidence-based interventions.

“AHHA’s chair, Dr Deborah Cole, states that if there is a genuine commitment to delivering patient-centred care that improves health outcomes, consumers must be genuinely engaged in co-designing services and how the entire health system functions across hospitals, primary healthcare and prevention activities.

“We fully agree and hope all health leaders would actively support that rationale.  Only when we involve consumer insights in planning and evaluation will achieve better health, better experience of care and better value care” Ms Wells said.

The Healthy people, healthy systems report is at:

http://ahha.asn.au/sites/default/files/docs/policy-issue/ahha_blueprint_2017.pdf

NACCHO #Aboriginal Health and #Immunisation @AIHW reports Aboriginal children aged 5 national immunisation rate of 94.6%

 ” Aboriginal and Torres Strait Islander people suffer a disproportionate burden from communicable diseases (diseases that can be transmitted from person to person), with rates of hospitalisation and illness due to these conditions many times higher than other Australians.1

Part 2  below presents results for children who were identified as Aboriginal and/or Torres Strait Islander on the AIR. “

 In 2015–16, Aboriginal and Torres Strait Islander children aged 5 had an even higher national immunisation rate of 94.6%. However, there was wider variation across PHN areas, ranging from 98.8% in the Gold Coast (Qld) to 89.4% in Western Victoria.”

Download Healthy Communities:

AIHW_HC_Report_Imm_Rates_June_2017

See Previous NACCHO Aboriginal Health and #WorldImmunisationWeek : @healthgovau Vaccination for our Mob

Part 1 Overview MORE INFO HERE

Immunisation is a safe and effective way to protect children from harmful infectious diseases and at the population level, prevent the spread of these diseases amongst the community.

Australia has generally high immunisation rates which have increased steadily over time, but rates continue to lag in some local areas.

This report focuses on local area immunisation rates for children aged 5 and shows changes in immunisation rates over time. It also presents 2015–16 immunisation rates for all children and Aboriginal and Torres Strait Islander children aged 1, 2 and 5.

Results are presented for the 31 Primary Health Network (PHN) areas. Where possible they are broken down into smaller geographic areas, including for more than 300 smaller areas and across Australian postcodes.

Further detailed rates are available in the downloadable Excel sheet and a new interactive web tool allows users to compare results over time by geography and age group.

This local-level information assists professionals to use their knowledge and context for their area, to target areas in need and develop effective local strategies for improvement.

The report finds:

  • Since 2011–12, childhood immunisation rates have improved nationally and across smaller areas, for all children and for Aboriginal and Torres Strait Islander children. Variation in rates still exists across local areas, however the gap between those areas with the highest and lowest rates is diminishing
  • Nationally 92.9% of all children aged 5 were immunised in 2015–16. All PHN areas achieved an immunisation rate of 90% or more, ranging from 96.1% in Western NSW to 90.3% in North Coast (NSW).

Summary

In 2015–16, childhood immunisation rates continued to improve nationally and in most local areas. Although rates vary across local areas, the gap in rates between the highest and lowest areas is diminishing.

This report focuses on immunisation rates for 5 year olds and presents results since 2011–12. It also provides the latest information for 1, 2 and 5 year olds for Australia’s 31 Primary Health Network (PHN) areas and smaller local areas.

From 2011–12 to 2015–16, there were notable improvements in rates for fully immunised 5 year olds. National rates increased from 90.0% to 92.9%. Rates increased for PHN areas too, as all areas reached rates above 90% in 2015–16.

Rates in smaller local areas (Statistical Areas Level 3, or SA3s) have also improved. In 2015–16, 282 of the 325 local areas had rates of fully immunised 5 year olds greater than or equal to 90%. This is up from 2011–12 when only 174 areas had rates in this range. Further, the difference in rates between the highest and lowest areas has decreased over time (Figure 1).

In 2015–16, the rate of fully immunised children varied across PHN areas for the three age groups:

  • 1 year olds – 95.0% to 89.8% (national rate 93.0%)
  • 2 year olds – 93.2% to 87.2% (national rate 90.7%)
  • 5 year olds – 96.1% to 90.3% (national rate 92.9%).

Part 2 Aboriginal and Torres Strait Islander children

Aboriginal and Torres Strait Islander people suffer a disproportionate burden from communicable diseases (diseases that can be transmitted from person to person), with rates of hospitalisation and illness due to these conditions many times higher than other Australians.1

This section presents results for children who were identified as Aboriginal and/or Torres Strait Islander on the AIR. These data are based on Medicare enrolment records.

For Aboriginal and Torres Strait Islander children, national immunisation rates in 2015–16 for 1 and 2 year olds were lower than the rates for all children (89.8% compared with 93.0% for 1 year olds, and 87.7% compared with 90.7% for 2 year olds).

In contrast, the national immunisation rate for Aboriginal and Torres Strait Islander children aged 5 years was higher than the rate for all children (94.6% compared with 92.9%).

Primary Health Network areas

In 2015–16, the percentages of fully immunised Aboriginal and Torres Strait Islander children varied across PHN areas for all three age groups as shown in Figure 6. The range in immunisation rates across PHN areas for the three age groups is outlined below.

  • 1 year olds – 94.2% in Tasmania to 76.1% in Perth North (WA)
  • 2 year olds – 93.4% in South Western Sydney (NSW) to 76.0% in Perth South (WA)
  • 5 year olds – 98.8% in Gold Coast (Qld) to 89.4% in Western Victoria.

Statistical Areas Level 4 (SA4s)

For Aboriginal and Torres Strait Islander children, Statistical Areas Level 4 (SA4s) were used instead of SA3s as the smallest geographic areas. There are larger populations in SA4s and this allows more reliable reporting for smaller population groups such as Aboriginal and Torres Strait Islander children.

Across more than 80 SA4s, the percentage of Aboriginal and Torres Strait Islander children fully immunised in 2015–16 varied considerably:

  • 1 year olds – ranged from 95.9% in Central Coast (NSW) to 72.4% in Perth–North West (WA)
  • 2 year olds – ranged from 96.0% in Coffs Harbour–Grafton (NSW) to 71.2% in Perth–South East (WA)
  • 5 year olds – ranged from 100% in Murray (NSW) to 87.6% in Perth–South East (WA).

Figure 6: Percentage of Aboriginal and Torres Strait Islander children fully immunised and numbers not fully immunised, by Primary Health Network area, 2015–16

# Interpret with caution: This area’s eligible population is between 26 and 100 registered children.

Notes

  • Components may not add to totals due to rounding.
  • Data are reported to one decimal place, however for graphical display and ordering they are plotted unrounded.
  • These data reflect results for children recorded as Aboriginal and Torres Strait Islander on the AIR. Levels of recording may vary between local areas.

Source Australian Institute of Health and Welfare analysis of Department of Human Services, Australian Immunisation Register statistics, for the period 1 April 2015 to 31 March 2016, assessed as at 30 June 2016. Data supplied 2 March 2017.

ADDED June14

Influenza Vaccination During Pregnancy

Vaccination remains the best protection pregnant women and their newborn babies have against influenza.

Despite influenza vaccination being available free to pregnant women on the National Immunisation Program, vaccination rates remain low with only 1 in 3 pregnant women receiving the influenza vaccine.

Influenza infection during pregnancy can lead to premature delivery and even death in newborns and very young babies. Pregnant women can have the vaccine at any time during pregnancy and they benefit from it all through the year.

Health professional:

Pregnant women:

 

NACCHO Aboriginal Health : MBS Review Taskforce – Next round of public consultation now open

 ” As you are aware, the Medicare Benefits Schedule (MBS) Review Taskforce is considering every one of the more than 5,700 items on the MBS, with a focus of how the items can be better aligned with contemporary clinical evidence and practice to improve health outcomes for all Australians.
 
Today, the recommendations were made available for public consultation for the following clinical committees:
  • Dermatology, Allergy & Immunology
  • Diagnostic Imaging – knee imaging
  • Diagnostic Imaging – pulmonary embolism and deep vein thrombosis
  • Renal Medicine
  • Spinal Surgery
  • Urgent after-hours primary care services funded by the MBS

Examples

The online survey is open from today until Friday July 21, 2017.
 
It is important to note that these recommendations are not final and are being released publicly for the purpose of obtaining stakeholder feedback.

Your input as a stakeholder is critical in shaping the Review. Please use the online surveys (rather than emailing your comments directly) for accuracy and transparency when analysing your feedback.

 

If you have any questions or queries on the Review or the work of the Taskforce please contact the MBS Review Team.