Newsletter July 2000 GPDV home

CONTENTS

GPII Evaluation
Division Immunisation Coverage Rates
Guide to Representation for Divisions
Accreditation
Medical Labour Force
Primary Care Partnerships - DHS Update
EPC MBS New Item Numbers
Train the Trainer Program

Psychiatry Shared Care Forum
Rural Allied Health
Rural Health Stocktake


GPII Evaluation
Is your practice one of the 600? Have your say about GPII.

The evaluation of the GPII Scheme includes a survey to a sample of practices (600 nationally). GPDV stongly recommends completing the survey to ensure a full and accurate report.

All divisions have received a survey about their immunisation program and interested members should contact their division if they wish to see the completed response. Divisions had very little time to complete the survey (due June 23rd) which made broad consultation with members impossible. However, divisions were able to draw upon the extensive knowledge and expertise of division staff and GP program managers involved in their immunisation programs.
Board Finances Workshop

The next in the board governance series of workshops will be held on Saturday August 19th, at the Monash Conference centre.

The workshop will cover the financial governance role of divisions. This will include learning about the various financial reports available to boards such as profit and loss, balance sheet, reporting formats such as YTD and YTD against Budget, accrual accounting and what the DH&AC requires in financial accountability.

Contact your division for the program.


Division Immunisation Coverage Rates

The May quarter figures show that three Victorian divisions are ranked in the top 10 nationally. Congratulations to:

West Vic division Rank 1 90.3%
Border division Rank 5 87.5%
Otway division Rank 6 86.7%

Two Victorian divisions are included in the national top 10 with the largest increase in their coverage rate, from March 98 to December 99. Congratulations to:

North East Vic 13.8%
Inner South East Melbourne 13.6%


Guide to Representation for Divisions

GPDV has prepared a presentation that maps the general practice representation environment. The guide helps division boards or members to identify where to take particular issues, and the discussion covers the relationship between the community, profession and government-funded organisations, and their inter-relationships.

The GPDV division consultants are available to present the guide to division boards, and to facilitate discussion of representation strategies for divisions.


Accreditation

As at Friday 23 June 2000, 63.86% of all practices have registered for AGPAL Accreditation.

SA 86.6% TAS 82% QLD 78.5%
VIC 76.7% WA 61.9% NT 50.9%
NSW 48.4% ACT 47.7%


Medical Labour Force

As many readers would know from recent references in the media, the Australian Institute of Health and Welfare released the latest report on Australia’s Medical Labour Force in June.

The report presents statistics on all medical practitioners registered with the medical board in each State and Territory of Australia in December 1998. The number and characteristics of all registered medical practitioners are presented, including statistics showing employment in medicine by age, sex, type of practitioner, work setting, hours worked, country of initial qualification, residency status and geographic region. The report also includes data on the number of students enrolled in and completing tertiary medicine courses, levels of international migration within the field, and 1998–99 Medicare statistics.

It can be viewed or downloaded from www.aihw.gov.au or a bound copy is available ($20) from AusInfo, the Government Information Shop (Melbourne branch: tel. 9670 4224, fax. 9670 4115, email:
mel.infoshop@dofa.gov.au).


Primary Care Partnerships - DHS Update

The Information Management Discussion Paper and Better Access to Services Draft Policy Framework will be released in late July. Consultations with Divisions of General Practice, Primary Care Partnerships and other stakeholders on the contents of both of these papers, including specific forums for Divisions/ General Practitioners, will begin in July and continue through to the end of September.

Following this consultation:

* a final Better Access to Services Policy Framework will be prepared; and
* a draft Information Management Strategic Directions will be developed.

The Primary Health Knowledge Base (PHKB) became "live" and available for public viewing in May 2000 at http://www.dhs.vic.gov.au/phkb.

The PHKB aims to:

* promote a better understanding of primary health services among all users, including general practitioners, private sector professionals, and consumers;
* improve linkages between primary health service providers and between these providers and DHS;
* promote the professional development of primary health services in Victoria

Primary health service providers are welcome to provide content information for the site.

A Literature Review of Effective Models and Interventions for Chronic Disease Management in the Primary Healthcare Sector is due for release in July. Guidelines for Planning and Management of Health Promotion in Primary Care Partnerships are currently being prepared and are expected to be available in September.


EPC MBS New Item Numbers
Train the Trainer Program


Professor Leon Piterman, Department of Community Medicine & General Practice, Monash University, facilitated the training session held on Saturday 17 June. The training day was well received by the 53 participants from 30 Victorian divisions and from Tasmania. However there were a number of questions raised about the rules governing the use of these titems. GPDV has forwarded these questions to both the HIC and the Medicare Benefits Branch of DH&AC. When a response is received the answers will be forwarded to divisions.

Divisions are now in the process of adapting the training to meet local needs and GPDV will continue to field the numerous questions that keep coming up about the items. In this way we can develop a State bank of answers to queries raised. Please contact Rosemary Fenech on 9341 5220 if you would like further information.

Psychiatry Shared Care Forum

On: Sat 22 July, 12 pm to 5.30 pm
At: RACGP Victoria,
1186 Toorak Road, Camberwell

This forum will be jointly run bythe RACGP, the RANZCP and GPDV. All divisions should have recently received a flyer about this event – further copies are available from Sandra Walsh at GPDV. The Forum is aimed at GPs, Program staff, and Divisions interested in mental health activities, as well as psychiatrists.

The Program includes presentations from:
Dr Merryn Wild, Border Division
Dr Jenni Parsons, Central Highlands Division
Deb Podbury, Mental Health Branch, DHS
Dr Phil Hammond, Whitehorse Division
Grace Groom, Director Mental Health Support Strategy, Queensland Division
Professor Ian Hickie, Head, Dept of Psychiatry, St George Hospital, Sydney
Dr Graham Meadows, Senior Lecturer in Acute Care, University of Melbourne


Rural Allied Health

The 2000-1 Federal Budget included funding of rural allied health services and since then there has been much discussion about how this funding will be allocated and managed in rural areas. GPDV has facilitated discussion between the Victorian divisions on the best response to the proposal, and Minister Wooldridge discussed the issue at last week’s meeting with GP representatives of rural divisions. The brief report from ADGP of the meeting stated that the discussion covered collaborative models, recruitment of allied health professionals, funding options, and needs-based outcomes. The importance of the funding fitting in with the PCPs and not leading to a decrease in state funding of allied health services was stressed.

There is a possibility that some of the funding will be allocated on a per capita basis, with the remaining 50% directed to the areas of greatest need. GPDV will ensure rural divisions are kept informed of the plans for the rollout of the program, and facilitate consultation with divisions.


Rural Health Stocktake

The Rural Health Stocktake - a report by Jack Best, dated March 2000, was released by the Department of Health & Aged Care in June. The stocktake was undertaken between March and October 1999. It was commissioned to advise DH&AC on ways to improve the coordination and effectiveness of Commonwealth programs and incentives to improve health outcomes in regional, rural and remote areas of Australia.

The report contains a number of recommendations related to rural health strategies, workforce issues and divisions of general practice. There has been some criticism among GPDV, the other state based organisations of divisions and ADGP that the report does not show a deep understanding of the Divisions of General Practice Program, nor of the full range of activities that divisions and SBOs undertake. ADGP has distributed its initial comments to all divisions.

Dr Best’s 150-page report can be found at www.health.gov.au/ruralhealth/rhs/index.htm