Labor Appoints New Shadow Health Minister

[vc_row][vc_column][vc_column_text]Taking over the role of from Catherine King the ex-treasurer has tweeted @Bowenchris. “Medicare is one of Labor’s greatest achievements. Protecting and nurturing Medicare is an important part of Labor’s governing mission. Delighted to have been appointed Shadow Minister for Health and looking forward to building on Labor’s tremendous record in health.

Chris Bowen entered Parliament in 2004 and served as Interim Leader of the Labor Party and Acting Leader of the Opposition following the 2013 Federal election to the end of the 2019 Federal election defeat.
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Portable Theatre Used for an Australian First in Melbourne Hospital

[vc_row][vc_column][vc_column_text]Originally designed for war zones, the portable operating theatre can be packed down to the size of a shipping container for easy transport. Surgeons at a Melbourne hospital have become the first in Australia to perform open-heart surgery in a portable theatre.

Professor Paul Myles, the hospital’s Director of Anaesthesia and Perioperative Medicine says it was an “innovative” solution.

Stating, “when it was delivered here it was basically able to be fully functional within three to four days. The bottom line is if we didn’t have this operating theatre running, (patients) might miss out on their surgery or have to wait days or weeks longer.”[/vc_column_text][/vc_column][/vc_row]

Dr Charlie Teo puts spotlight back on cost of specialists

[vc_row][vc_column][vc_column_text]Dr Teo appeared on the Today show with Georgie Gardner who asked him to explain, if the procedure he was offering was valid, why it was not covered by Medicare through the public system. He went on to explain the breakdown of fees and that private hospitals must make a profit.

What started off as a tweet has quickly grown into a full-blown debate about exorbitantly high surgeons’ fees and costs in the Australian healthcare system more broadly.

Dr Teo’s fees have previously been challenged by insurers and Medicare, according to an industry figure quoted in the Sydney Morning Herald this week.

According to Private Healthcare Australia CEO Rachel David, if a rebate was paid by Medicare, the hospital stay, intensive care and rehabilitation would normally be covered by insurance. “The funds will also pay ‘gap cover’ for the surgeon, assistant and anaesthetist, but this will be nowhere near the six-figure sums charged by Dr Teo as this would put too much pressure on premiums for other members,” said Dr David.

In March of this year, Health Minister Greg Hunt announced that the Federal Government would be launching a website which will list feed and out-of-pocket expenses charged by individual specialists, following a report released by the government revealing concerns over doctors charging patients with hidden fees such as ‘administrative’ or ‘booking’ fees. Minister Hunt said that the website would be aimed at reducing the risk of “bill shock”.

Leanne Well, CEO of the Consumers Health Forum, said that “the challenge now will be to ensure that once it is introduced after consultation with consumers and doctors that all specialists use it.”[/vc_column_text][/vc_column][/vc_row]

Therapeutic Innovation Australia to Invest in Cell and Gene Therapy Facilities

[vc_row][vc_column][vc_column_text]The Facilities to receive funding are:​

  • Cell and Molecular Therapies (Royal Prince Alfred Hospital)
  • Cell and Tissue Therapies WA (Royal Perth Hospital)
  • Centre for Cellular Immunotherapy (Peter MacCallum Cancer Centre)
  • Q-Gen Cell Therapeutics (QIMR Berghofer Medical Research Institute)
  • Sydney Cell and Gene Therapy (Westmead Precinct)

Professor John Rasko AO, Founding Director, Cell & Molecular Therapies Royal Prince Alfred Hospital and President of International Society of Cell and Gene Therapy stated,” with national co-ordinated funding initiatives such as the TIA NCRIS investment. Australia is now well placed on the map to attract investors, clinical trialists and the biotechnology sector for the benefit of patients and their families.”

The $8.8 Million in funding will be provided over the next four years.[/vc_column_text][/vc_column][/vc_row]

After The Vote…

[vc_row][vc_column][vc_column_text]The return of the incumbent LNP means Budget 2019/20, as presented in early April, should be rolled out. In terms of health, the focus was on continuing initiatives to progress the four pillars of the Coalition’s ‘Long Term National Health Plan’ (see later). The development of the Long-Term National Health Plan had been announced two years earlier by the Hon. Greg Hunt, who was at the time relatively new to the Health portfolio. The announcement was preceded by focused activity to sign compacts with potentially vocal and volatile stakeholders. These compacts and other relevant activities are listed in the Table below.

Agreement / Compact Other Party (ies) End date Key Purpose
Royal Commission into Aged Care Quality and Safety Consumers, providers, States & Territories Reports: Oct 2019 (I) Apr 2020 Terms of reference include quality and delivery of service, meeting needs, future challenges, sustainability
National Health Reform Agreement (and Addendum) COAG States & Territories 30 Jun 2020 Public hospital funding; Health Care Home (HCH) model
Community Pharmacy Agreement (6CPA) Pharmacy Guild 30 Jun 2020 Community Pharmacist renumeration; Wholesaler payments; funding for community pharmacy programmes, Pharmacy Location Rules
Compact: A Shared Vision for Australia’s Health System Australian Medical Association 2020-21 Early resumption of MBS indexation; reversal of bulk billing incentives for pathology and diagnostic imaging; MBS review; My Health Record uptake; Health Care Homes
Compact: Strengthening Medicare Royal Australian College of GPs 2020-21 Early resumption of MBS indexation; MBS review process; after-hours MBS items; workforce reform; My Health Record uptake
Agreement to improve access to & affordability of medical devices for privately insured Australians Medical Technology Association of Australia 31 Jan 2022 Price certainty and reduce time to market for medical devices; transparency & efficiency of Protheses listing processes
Strategic Agreement Medicines Australia 30 Jun 2022 Delivery of $1.8 billion in savings; PBS process improvements
Strategic Agreement. Compact: Strengthening PBS-Measures to Support Generic and Biosimilar Medicines Uptake (2-year extension) Generic Biosimilar Medicines Association 30 Jun 2022 Greater certainty of Government pricing policies for F2 Formulary medicines with brand competition, in an environment of ongoing medicine price reductions associated with price disclosure
† period of forward estimates from 2017-18 budget; (I) Interim

The compacts were said to be a platform for the national plan and ‘underpinned by a range of shared principles …, transparency in decision making, accountability for reforms, stability and certainty in regards to Government investment ‘. The ultimate success of this approach was reflected in how health was debated equally alongside the other common issues important to Australians in the lead up to yesterday’s election (no controversy, unlike ‘Mediscare’ in 2016). The roll-out of the National Plan reforms is scheduled in 3 waves:

  • Wave 1: guaranteeing Medicare, agreement by COAG on an opt-out model for My Health Record and investments in mental health psycho-social support;
  • Wave 2: sustainability and affordability of private health insurance, mental health particularly in rural areas, workforce strategy, aged care reform; and
  • Wave 3:reform of public hospitals and post 2020 agreements with the states, primary health care and preventive care.

Activity appears to have been well progressed into Wave 2 when the election was called. The next Federal Minister of Health will be in demand as the compacts (and agreements) come up for review. The 4 pillars and Budget 2019/20 initiatives are loosely in line with the Department of Health operational Outcomes:

  1. Guaranteeing Medicare and Access to Medicines [TGA, MBS and PBS; Outcomes 4 & 5]
  2. Supporting our Hospitals [State funding; Outcome 2] 
  3. Prioritising Mental Health, Preventive Health and Sport [Outcome 3]
  4. Life Saving and Job Creating Medical Research [Medical Research Future Fund; Outcome 1].

Note: Ageing and Aged Care [Outcome 6] was also specifically addressed by the Budget in the environment of an ongoing Royal Commission. Many of the identified activities for funding mirror those likely to be part of the Commission Recommendations when they are tabled.[/vc_column_text][vc_zigzag][/vc_column][/vc_row][vc_row][vc_column width=”1/4″][vc_single_image image=”3203″ img_size=”full”][/vc_column][vc_column width=”3/4″][vc_column_text]

About the Author

Sharon Leadbitter is Principal of TACS Healthcare, an independent consultancy providing market access and health policy services to the Life Sciences and Pharmaceutical Industries.[/vc_column_text][/vc_column][/vc_row]

Game Changing 3D Printing Creates Prosthetics Limbs For As Little As $1

[vc_row][vc_column][vc_column_text]While traditional prosthetic fingers can cost up to $6000. The man who started the now registered charity, Mat Bowtell’s revolutionary “kinetic finger” can be made for 90 cents.

Bionic hands cost just $8 in materials and the charity is currently working on a bionic arm that is stated will be equivalent to a $40,000 arm, which is hoping to be made for between $50 and $100.

Free 3D Hands Mission also releases all designs to the public under open-source licenses. With the aim to decentralise designs and empower communities, encouraging others to develop the ideas and designs further.[/vc_column_text][/vc_column][/vc_row]

Logan Hospital to Begin Stage 2 of Redevelopment Plan as Demand Booms

[vc_row][vc_column][vc_column_text]Stage 2 of the Logan Hospital’s redevelopment plan will build upon the Queensland Government’s previous $281 million commitment of Stage 1 that included 192 extra beds.

Logan Hospital has also received $33.4 million commitment to build an Urgent and Specialist Care Centre at Logan, which will treat people with urgent but not life-threatening illnesses and injuries.

This large amount of investment is in response to the rapidly growing demand for services in the Logan area.

With urgent action required as Queensland Health’s own data showing Logan Hospital was among the worst in the state for waiting times.

Deputy Mayor Trevina Schwarz stated “Logan Hospital is one of the most in-d]emand in Queensland with upwards of 88,000 admissions to the emergency department each year.”[/vc_column_text][/vc_column][/vc_row]

Indigenous People Living With Dementia To Receive Extra Support

[vc_row][vc_column][vc_column_text]The community project will aim to:

  • Increase community awareness, and drive acceptance, inclusion, and support for community members living with dementia
  • Improve knowledge, confidence and the capacity of community organisations, allied health and aged care professionals to respond to the needs of community members living with dementia
  • Identify gaps in current services

At the announcement Minister for Indigenous Affairs Ken Wyatt stated, “as researchers continue to explore the causes and contributing factors behind the higher prevalence of dementia among our people, this important project will help address this awareness gap and lay the foundation for better local support.”

Consultants will also identify individuals who will receive training, support and mentoring to continue to champion the aims of the project after it ends.

Outcomes and findings from the project will inform future dementia policy.[/vc_column_text][/vc_column][/vc_row]

Australian Researchers Working on Online Tool to Help Women Considering Egg Freezing

[vc_row][vc_column][vc_column_text]The website would include a questionnaire in which users were asked to write the “pros and cons of egg freezing based on their own personal values.

The quiz will cover a range of topics, including the woman’s understanding of success rates, when they would ideally like to become a parent and whether they would have regrets if they didn’t give egg freezing a go.

The decision aid will then provide feedback along the lines of ‘it looks like egg freezing might be for you, or not.

Currently, women are relying on information from commercial providers and internet sources such as unmoderated forums and blogs. [/vc_column_text][/vc_column][/vc_row]

MedTech to Assist in Aboriginal Medical Services

[vc_row][vc_column][vc_column_text]The funding will be delivered via the Government’s Indigenous Australians’ Health Programme and will contribute to new systems to provide better patient care.

The Indigenous Australian’s Health Programme is a signature initiative of the Australian Government and aims to provide Aboriginal and Torres Strait Islander people with access to effective high quality, comprehensive, culturally appropriate, primary health care services in urban, regional, rural and remote locations across Australia.

Including through Aboriginal Community Controlled Health Services, wherever possible and appropriate, as well as services across the entire health system that deliver comprehensive, culturally appropriate primary health care.

The Minister for Indigenous Health, the Hon Ken Wyatt MP said the Federal Government is committed to working with Aboriginal and Torres Strait Islander people and communities to develop practical, evidence-based policy and deliver programs that will make a real difference to the lives of First Australians.[/vc_column_text][/vc_column][/vc_row]