Integrated Team Care (ITC)

Aims of the ITC contribute to improving health outcomes for Aboriginal and Torres Strait Islander people with chronic health conditions through better access to coordinated and multidisciplinary care; contribute to closing the gap in life expectancy by improved access to culturally appropriate mainstream primary care services (including but not limited to general practice, allied health and specialists) for Aboriginal and Torres Strait Islander people.

What happened? Commonwealth has combined the Care Coordination and Supplementary Services (CCSS) and Improving Indigenous Access to Mainstream Primary Care (IIAMPC) activities into a single activity now known as Integrated Team Care (ITC). Existing CCSS and IIAMPC services will continue for a 6 month period with a transition to newly commissioned ITC services commencing on 1 st January 2017.

Indigenous Chronic Disease Package (ICDP) November 2008 the Council of Australian Governments (COAG) pledged to develop and implement strategies to address Indigenous disadvantage COAG agreed to $1.6 billion National Partnership Agreement (NPA) to Close the life expectancy gap within a generation Commonwealth’s contribution was the $805.5 million Indigenous Chronic Disease Package (ICDP) funded between ICDP aims were: - tackle chronic disease factors, in particular smoking - improve chronic disease management and follow-up care, and - expand and support the Indigenous health workforce.

Evaluation was commissioned by the Department of Health (the department) and undertaken by KPMG with support from Winangali and Baker IDI. The full report comprises: Details of the evaluation of each measure that makes up the ICDP and the evaluation of the whole of package, and ICDP impact on Patient Journey and Service Availability report 1. KPMG 2014, National Monitoring and Evaluation of the Indigenous Chronic Disease Package: Final Report (2014), Australian Government Department of Health, Canberra. 2. KPMG 2014, National Monitoring and Evaluation of the Indigenous Chronic Disease Package Volume 2: ICDP Impact on Patient Journey and Service Availability (2014), Australian Government Department of Health, Canberra. ICDP Evaluation in 2014

July 2014 the Commonwealth consolidated the ICDP with three other funding streams into the IAHP: -primary health care funding -child, maternal and family health programs -Stronger Futures in the NT NPA IAHP aims to improve: - the health of Aboriginal and Torres Strait Islander people - access to comprehensive primary health care - system level support to the Aboriginal primary health care sector to increase the effectiveness and efficiency of services Indigenous Australians’ Health Programme Aims (IAHP)

Current Funding activities Indigenous Australians' Health Programme - Tackling Indigenous Smoking Primary Health Care Activity Remote Area Health Corps Care Coordination and Supplementary Services programme (CCSS) Improving Indigenous Access to Mainstream Primary Care programme (IIAMPC) Indigenous Australians’ Health Programme Aims (IAHP)

Commonwealth appropriated $2.413 billion over 3 years commencing Around 60% is allocated to primary health care services and targeted health activities; $1.4bn fund culturally appropriate primary health services (primarily delivered through ACCHOs and other suitably qualified providers), including Healthy for Life Program $205.9m for CCSS and IIAMPC $116m for Tackling Indigenous Smoking $237m New Directions and the Australian Nurse-Family Partnership child and maternal health initiatives IAHP Funding

In , 205 organisations funded to provide Indigenous primary health care services 138 of the 205 funded organisations were ACCHOs WA had 18 ACCHOs received funding WA 6 NGO and Government organisations received funding Indigenous Australians’ Health Programme

New ITC Guidelines Patient GP Management Plan (GPMP) and be referred by their GP Care Coordinator work in accordance with patients GPMP, in consultation with GP, and should provide feedback to the GP about how patient is managing their condition including treatment and services their accessing Supplementary Services Funding Pool may be used by Care Coordinators to help eligible patients access services identified in their GPMP Foster collaboration and support between mainstream primary care and ACCHOs Improve culturally appropriateness of mainstream primary health, including encouraging Aboriginal patients to self-identify, and Increase the uptake of Aboriginal specific Medicare items, including Health Assessments and follow up items

Number of Aboriginal specific Medicare services claimed across the metro PHNs - January 2013 to March 16 (Source: Medicare Australia)

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