Allied Health Workforce Chief Allied Health Adviser Strategic Control Workforce and Regulation

Allied Health Professions in DHHS  Audiology  Dental therapy  Dental prosthetics  Dental hygiene  Dietetics/nutrition  Environmental health  Medical and health physics  Medical imaging  Nuclear medicine  Radiation therapy  Medical librarian  Medical science  Occupational therapy  Optometry  Orthoptics  Orthotics and prosthetics  Pharmacy  Physiotherapy  Podiatry  Psychology  Speech pathology  Sonography  Social work  Counsellor  (Chaplaincy)

Allied Health Services Allied health professionals work in all DHHS service programs Acute and community health Mental health Oral health Disability child, youth and family services Aged care and rehabilitation Forensic mental health Alcohol and drugs Cancer screening Population health Tas Ambulance

Allied Heath Service Sites Allied health professionals work across a range of service sites: Acute hospitals Regional hospitals Community health centres Integrated care centres Multipurpose centres Outreach services Client homes Education facilities Local councils

Related support roles Assistants  Allied health  Dental  Laboratory  Library  Pharmacy Technicians  Laboratory  Pharmacy  Dental

Allied Health Training Programs UTAS offers:  Medical science  Social work  Psychology  Pharmacy  Environmental health  Medical imaging VET offers:  Allied health assistant – generic, profession specific  Aged Care, rehabilitation and community assistant roles  Oral health – assistants, technicians  Pharmacy - assistants and technicians  Prosthetic technicians

Drivers for workforce data National and state demographics Tas health demographics Need for patient centred care at all levels of health care New and emerging roles Efficiencies and costs Max use of skills in available workforce

Context for workforce mapping National:  National Health Workforce Strategic Framework 2004  National Health Workforce Innovation and Reform Strategic Framework for Action 2011 – 2015  The National Rural and Remote Health Workforce Innovation and Reform Strategy  AIHW Allied Health Workforce 2012 (National Health Workforce Series Number 5)  Mental and Primary Health Workforce Reform  HWA Workforce Reform Agenda  Grattan report

Context for workforce mapping Tasmania  Commission on Delivery of Health Services in Tasmania  Tasmanian Health Workforce Strategy (CAPABLE )

Making the most of our health workforce Full scope of practice – diffs with private and public eg x-ray requests Advanced scope Extended scope – catching up with other states and internationally Evidence based practice Support workforce – supervision and delegation frameworks; full scope of practice Clinical redesign projects impact Health practitioner prescribing pathway

Workforce mapping AHPs in public health system 2003 Last mapped with 2002 data  19 professions, 969 staff over FTE 2009 Tasmanian Allied Health & Oral Health Workforce Study  22 professions, statewide, survey (45%) 2014 DHHS Workforce mapping  28+ professions, around 1450 staff, ?FTE

Methodology Establishment list Verification of the establishment National information:  ABS  Professional associations  HWA  AIHW  AHPRA

Challenges for mapping AHP workforce Number of professions and size of this workforce group in DHHS and THOs Registered and unregistered professions Disaggregation of the workforce – multiple sites and services Titles and identifying AHPs in generic roles eg AH professional Lack of data nationally and state – how to obtain Resourcing

Future challenges Maintaining small but critical professions – training pathways, tertiary sector choices Overcoming cultural and professional barriers Increasing client access to services Maintaining safety and quality Credentialing for new scopes of practice