Brief History of MSOAP Current Activities Issues for Discussion MSOAP Overview 2007 Brief History of MSOAP Current Activities Issues for Discussion

Overview The Medical Specialist Outreach Assistance Program (MSOAP) is an initiative of the Commonwealth Department of Health and Ageing under the Rural Health Strategy. It operates in all states and the Northern Territory. In NSW administration of MSOAP is shared between NSW Health (public sector) and NSWRDN (private sector). The current round of funding will continue until June 30, 2008.

Stakeholders 14 Divisions of General Practice 3 Aboriginal Medical Services 2 private hospitals 1 Area Health Service

Stakeholders Other stakeholders include: The Department of Health and Ageing The MSOAP Advisory Committee The specialists Rural and remote communities NSW Department of Health

From Humble Beginnings In 2002 there were 7 specialist outreach services. In March 2007 there are 102. By the end of 2006/07,this will have increased by approximately 25%. The result of a positive partnership.

MSOAP Progress

Budget MSOAP’s annual budget for 2006/07 is $2,652,610

Services There are currently 102 MSOAP private specialist services in NSW They operate across 46 rural and remote communities The services are:

Services March 2006 *GP upskilling **Established specialist 18 Psychiatry services in: Coffs Harbour* Cowra/ Blayney* Grafton* Griffith* Kempsey* Leeton* Lithgow* Muswellbrook* Nyngan/Warren** Singleton* Tamworth (2)* Taree* Wagga Forbes* Purfleet* *GP upskilling **Established specialist

New Services to March 07- continued 12 Dermatology services in: Armidale* Bega/ Narooma** Broken Hill (2)* Coffs Harbour(2) Cooma Dubbo Griffith Port Macquarie Taree 8 Neurology services in: Armidale/ Inverell* Bega Coffs Harbour* (Parkinsons Disease) Cooma Dubbo Port Macquarie* Coffs Harbour *GP upskilling **Established specialist

New Services to March 2007- continued 12 Paediatric services in: Bega* Bombala* Broken Hill (Developmental) Corowa* Albury* (Endocrinology) Wagga (Haematology) Wagga (Neurology) Deniliquin Wagga (Renal) Wagga (Respiratory) Gunnedah Taree 8 Endocrinology services in: Lithgow Port Macquarie/ Kempsey Coffs Harbour Armidale/Inverell* Griffith* Narooma *GP upskilling **Established specialist

New Services to March 2007- continued 6 Rheumatology services in Dubbo* Moruya* Orange** Tamworth* Wagga* Pambula 6 Cardiology services in: Bega** Broken Hill Dubbo (2) Walgett Kempsey 4 O&G services in: Broken Hill* Finlay* Narrabri/Inverell* Young *GP upskilling **Established specialist

New Services to March 2007 - continued 2 Orthopedics services in: Leeton* Young 3 Ophthalmology services in: Bega Hay Moree** 6 General Physician services in: Parkes* Dareton* Moree/Inverell/Armidale** Kempsey *GP upskilling **Established specialist

New Services to March 2007- continued 1 Oncology service in: Finley 1 Palliative Care service in Moruya* 2 Respiratory Medicine services in: Dubbo Walgett 2 Surgery services in: Warialda Bingara* 2 Vascular Surgery Bega Batemans Bay 1 Addictions Medicine service in: Bourke 3 Neurosurgery services in: Gulgong Tamworth Port Macquarie 2 Anaesthetic Upskilling in: Kempsey* 1 ENT service in: Crookwell** *GP upskilling **Established specialist

Current Activities Specialist survey Patient survey Annual review

Annual Review Both surveys are part of an annual review which all MSOAP fundholders are required to conduct. For RDN this involves site visits to local fundholders, budget and program reviews. The results of the review are then incorporated into the annual project plan, which requires endorsement by the Advisory Committee followed by submission to DoHA.

Recent Initiatives Dermatology Registrars Outreach to Indigenous communities Upskilling programs

Questions/Discussion

MSOAP Contacts Sharif Bagnulo Project Manager – MSOAP NSW Rural Doctors Network 02 83378100 sbagnulo@nswrdn.com.au