24 November 2016


Outcomes Statement for meeting held on 24 November 2016

 

Item

Description

1

Standing items

 

No comment or action required

2

Health Care Homes

 
  • UGPA released a media statement following their last meeting on 25 August 2016: Appropriately funded Health Care Homes is an opportunity too good to miss.
  • The profession is willing and able to work with the government to develop the Health Care Homes pilot.
  • Adequate funding for the trial is critical.  Some short listed organisations have a conflict of interest (eg pathology).
  • At this stage, the tools proposed for the pilot are not validated for the context and there is a lot of missing information, including details of support for practices in rural areas.
  • This is a funding model, not a service delivery model – a subset (at best) of the patient centred medical home.
  • The Health Care Homes trial needs to be right the first time, as there will not be another opportunity.

ACTION: Media release – Released 29 November 2016

  • Propose that implementation of the Health Care Homes Phase 1 be delayed by 6 months to allow additional time for consultation and finalisation of details 
  • An extension will allow time to review the instruments/tools being used, understand the information, and get the funding mechanisms right.
  • The instruments/tools being proposed are non-valid and cannot be trusted

3

Pathology collection centres

 
  • There is evidence that some practices are getting substantially above market value from a co-located pathology collection centre; however, the known majority are not receiving these levels of rent.
  • Business Council Australia is interested further exploring this issue: not just about small business, also about larger business shoring up competition. ACTION: Joint letter
  • Write letter to the Prime Minister, Minister for Health and Department of Health noting concerns (RACGP and AMA to draft initial letter for UGPA’s consideration).

4

Integrated rural training hubs

 
  • The integrated rural training hubs were an initiative that came from RACGP policy work a couple of years ago.
  • Not just about GPs, also other medical specialists.
  • From a registrar perspective, the return of the Prevocational General Practice Placements Program (PGPPP), or similar, to support junior doctors in rural areas would be welcome
  • ACRRM is broadly supportive of rural training hubs, but there is not a lot of funding/investment.
  • Good initiative, but needs to be targeted and need to make sure money gets to right place. 
  • unding provided is redirected, not new.
  • There should be additional funding for specialists practising in rural areas, but there also needs to be funding for generalists

5

Practice Incentive Payment redesign and consultation

 
  • Consultation documentation released by the Department lacked detail, particularly around what the Quality Improvement framework will look like.
  • There is concern that the Government will implement changes without significant sector consultation.
  • All of UGPA, as individual organisations, should be frank and fearless in their individual responses to the PIP consultation paper.

6

GPTAC update

 
  • At its most recent meeting, GPTAC had general conversation around GP education, with a particular focus on Aboriginal Health. 
  • The meeting was a general discussion, including an environmental scan, and brain storming.
  • The purpose of the group is still unclear.
  • GPTAC is not adequately informed on issues. 
  • Policy work, for which there is not enough consultation, needs to go back on the table.

7

Other business

 
  • GPSA raised an issue regarding doctors who are working as registrars in training practices and also working for other agencies in the evenings. Multiple back-to-back shifts are creating fatigue issues, which is creating risk for patients and medical indemnity issues. Some also work unsupervised.
  • AMA advised they have recently released a statement on safe working hours.
  • RACGP is concerned regarding supervision arrangements for these services.
  • GPRA is also concerned regarding fatigue and safe working hours
    • National Home Doctor Service (NHDS) is one of GPRA’s major sponsors – and agree with sentiments around safety and supervision.
  • Supervisors and registrars may consider disclosure to be required in contracts, in context of next agreement.
  • Registrars do need to do after-hours services.
  • Registrars are also undertaking a range of other roles other than after-hours locum work. Delineation needs to be made between these roles and after-hours locum work.
  • It would be useful to see some real evidence to what extent this is happening.

8

2017 UGPA meeting

 
  • UGPA agreed to two face-to-face meetings and one teleconference in 2017.
  • The first face-to-face meeting will be in Adelaide and coincide with GPTAC.
  • RACGP will seek to confirm meetings dates with UGPA members in 2017.