Queensland Institute of Medical Research A Synthesis of the Outcomes of Four National Rural Health Conferences (Clark and Martini)

Queensland Institute of Medical Research 17 Years!

Queensland Institute of Medical Research Collate the Major themes Assess the impact of Conference Recommendations on Government policy Aim

Queensland Institute of Medical Research All 8 Conferences Aboriginal Health Policy (strategic reform) Health and Medical Research

Queensland Institute of Medical Research 7 Conferences Aged Care

Queensland Institute of Medical Research 6 Conferences Workforce: –Education –Recruitment and Retention –Health Services (access and availability) –Health Financing

Queensland Institute of Medical Research 5 Conferences Workforce: –Training –Communication Technology –Undergrad / Postgrad –Local Management (community controlled) –Community Participation Service Delivery: –Transport

Queensland Institute of Medical Research Healthy Horizons (1999) Improve the Health of Aboriginal and Torres Strait peoples (4) Maintain a skilled and responsive health workforce (3) Develop needs-based flexible funding arrangements (3)

Queensland Institute of Medical Research Aboriginal Health –new primary health care services $24m over 4 yrs Dept of Health and Family Services

Queensland Institute of Medical Research Rural Health $20m Undergrad / Postgrad $27m over 4 yrs for 6 University Depts of Rural Health (Mt.Isa & Broken Hill) $1m locum services for docs (conf also calls for nurses) $4m John Flynn scholarship scheme $1m nurse practitioners to gain access to training and support

Queensland Institute of Medical Research Health and Medical Research –public health research increased to $3.6 over 3 yrs ($9.9m) Aged Care –$60m new and continuing respite care

Queensland Institute of Medical Research Aug 96 and May 97 $3b health expend cut but $150m extra on Rural Health

Queensland Institute of Medical Research 1997 – 1998 Health and Family Services Health W’force crisis identified and acknowledged Structural and Strategic Reform - $17.4m over 4 yrs to target major Rural and Remote Health Priority Areas (1997 conference – models of service delivery) (all conferences focus on research) (rec across 5 conferences)

Queensland Institute of Medical Research $5m pilot study on obstetric services in Rural areas Continued Support …. Health and Medical Research to $156m Focus on Collaboration ….

Queensland Institute of Medical Research Aboriginal and Torres Strait Islander Health – funding for community controlled services 1997: Health Framework Agreements signed (conf requested Tasmania and N.T be included)

Queensland Institute of Medical Research 1998 – 1999 Health and Family Services National Injury Prevention framework Indigenous Australians: $22.6 over 4 yrs for immunisation and STDs $72m over 4 yrs Primary Health Care Services

Queensland Institute of Medical Research $12.4m Public Health Evidence Base Health &Medical Research $165m $13m extra for Rural Workforce Agencies ($65m over 4 yrs) – Conf 99 requested multi discip RWAs!

Queensland Institute of Medical Research 1999 – 2000 Health and Aged Care retention payments for rural docs 30 new Rural Health Service Centres (MPS) upgrade to Bush Crisis Line training for Remote nurses Rural Health now $200m budget up from $70m BUT AHPs, dental health, pharmacists, health managers

Queensland Institute of Medical Research Wooldridge Delivers Largest Ever Country Health Budget: $562m in three sections 2000 – 2001 Health and Aged Care

Queensland Institute of Medical Research More Health Professionals (More Doctors Better Services) MAHS $49.5m (major shift in policy although no direct access to MBS)

Queensland Institute of Medical Research Training and Education $162m 9 new clinical schools 3 new UDRH (multi discip focus)

Queensland Institute of Medical Research More Health Services $185m –assistance for Pharmacies to start up or relocate –chronic disease support –aged care –$30m revitalise bush nursing

Queensland Institute of Medical Research 2001 – 2002 Health and Aged Care Disease Focus (HH) National Depression Initiative Practice Nurses Rural Nursing Scholarships (all welcome in Press Releases BUT not enough) $40m improve Indigenous access to PHC services Health Dis-connect

Queensland Institute of Medical Research 2002 – 2003 Health and Aged Care The Continuation Budget Savings of $1.9b on PBS Aged Care focus

Queensland Institute of Medical Research Does funding clinical schools, UDRHs and Regional Health Services help the desirable move to collaborative Primary Health Care Teams?

Queensland Institute of Medical Research 2003 – 2004 Health and Aged Care Focus on Prevention Health Funkenected extra $5m

Queensland Institute of Medical Research 2004 – 2005 Minister Abbott first budget Aged Care $6b additional viability for rural homes Medical Research $200m over 7 yrs NICS $22.7m

Queensland Institute of Medical Research New MBS item for AHP services New MBS item for Dentists $9.7m for Consumer and Community involvement in influencing health decisions

Queensland Institute of Medical Research 2005 – 2006 Health and Aged Care Cancer (HH) –Pap smears by practice nurses $129m more prac nurses $20.6 over 3 yrs for Rural and Remote nurses training support $17.2 Rural and Remote Health Workers education and training $160m Aboriginal and Torres Strait Islander health over a range of initiatives

Queensland Institute of Medical Research 2006 – 2007 Health and Aged Care $905m Medical Research Programs to align services for communities less than 7000 pop 400 new med school places 1000 nursing places 840 AHWs training 25 Puggy Hunter Memorial Scholarships

Queensland Institute of Medical Research THE KEY MESSAGE