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PHCOs in Victoria: what might health reform mean?

PHCOs in Victoria: what might health reform mean?. PCP Statewide Forum 3 June 2010 Bill Newton, CEO General Practice Victoria. Schedule B Outlines: Creation of PHCOs Example PHCO roles Services to be transferred Transition arrangements for funding and service delivery

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PHCOs in Victoria: what might health reform mean?

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  1. PHCOs in Victoria: what might health reform mean? PCP Statewide Forum 3 June 2010 Bill Newton, CEO General Practice Victoria

  2. Schedule B Outlines: Creation of PHCOs Example PHCO roles Services to be transferred Transition arrangements for funding and service delivery State and Commonwealth obligations under this agreement Process and timelines for further negotiations COAG: NHHN Agreement

  3. How will PHCOs be formed? • Where possible, Medicare Locals (PHCOs) will be drawn from those Divisions of General Practice that have the capacity to take on the roles and functions expected under the new arrangements. A National Health and Hospitals Network (Red Book) p.40 • The Commonwealth recognises the need for ongoing engagement and collaboration with States (B6) in National Health & Hospitals Network Agreement 20/4/10

  4. PHCO responsibilities (B26) Aim: Easier for patients to navigate.. More integrated care. • Work with local health professionals – services to collaborate so patients can access what they need easily • Facilitate allied health care & other support for people with chronic conditions, as identified in GP care plan • Identify groups missing out on GP and PHC, or local needs, and better target services to respond • Work with hospital networks on pathways, transitions • Deliver health promotion and preventive health programs • undertake population level planning and potential funding roles in areas of market failure

  5. Vic services to be funded by Commonwealth Schedule B 10: • Community health care services including counselling and rural services • Primary mental health • Hospital avoidance programs that do not target patients being treated in acute care • Prevention programs for early intervention & care coordination for chronic disease • Screening for cancer • Any (other) services agreed • Move to 100% Commonwealth funding for phc equivalent outpatients services

  6. Services which may be transferred in the future Schedule B34: • Community health promotion & prevention • Drug and alcohol services • Child and maternal health services • Community palliative care • Specialist mental health services Also: • Victorian immunisation (B37) • HACC? (B30)

  7. COAG agreement: transition • Commonwealth and States will develop agreed implementation plan for services transferred to Commonwealth (B6) • States will continue to operate transferred GP and primary services… the Commonwealth will not substantially alter delivery mechanisms, without agreement by the relevant state, for 5 years from 1 July 2011 (B7) • States “will not establish duplicate GP and primary health care organisations” (B23)

  8. What else do we know about PHCOs? • Member-based organisations? Who will be members? • What governance? • Will PHCOs be a network? What will it look like? • Who will do the current work done by divisions? • How do we extend practice-level support to allied health? • How will PHCOs engage with the existing primary health care sector?

  9. The aim is to improve the health system. Our advice • Recognise the increased role of the states since COAG • Understand that PHCOs will be new organisations • Strengthen partnerships with all local stakeholders • Continue to deliver on usual business, contracts, etc • Work with local partners and neighbouring divisions to develop a model that will work for their region

  10. What will PHCOs be? • (we) recommend that… unless there are compelling local reasons, PHCOs are established as new companies. David Butt , AGPN CEO Draft position statement 10/5/10

  11. Forming PHCOs • A model where divisions work collaboratively with key stakeholders to design the preferred PHCO governance structure and arrangements as well as other aspects of transition is highly desirable. • AGPN recommends… a broadly based steering committee in each region comprising a core set of stakeholders with some local flexibility of membership to oversee the design and establishment of PHCOs.

  12. Everyone is part of the solution Come, let us reason together

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