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From the CEO's desk

Severe workforce shortages continue to impact every part of the economy, from construction and manufacturing to health and education.  Hard hats and hi-viz gear are competing shoulder-to-shoulder with scrubs and PPE in a tight labour market. As the govenment's Jobs and Skills agenda begins to ramp up, there will be a plethora of choices out there for young people embarking on their careers.

The pandemic has had a significant adverse impact on the existing health workforce, whose very public expressions of exhaustion and fatigue born from multiple double-shifts, cancelled leave and, at times, abuse from members of the general public, must raise questions in the minds of young people about whether a career in health is the right one for them.  More recently, the media focus on employment conditions for the care and support workforce highlight perceptions that these are not greatly valued jobs, reinforced by low pay rates (noting the recent welcome announcement of a 15% increase in pay for aged care workers).

These issues are amplified for rural and remote communities, where young people already face challenges in accessing education and training that don't involve moving away from home, with the culture shock and financial imposts that go along with that.  Aspiring allied health professionals from a rural background must compete for scholarship support with career aspirants from every other sector, including VET.  There is a real risk that health disparities for rural and remote Australians, driven by workforce maldistribution and poor access to services, will worsen in view of current labour market trends.

Now more than ever, our sector needs to refocus around bolstering health workforce pipelines to make sure we have the right people with the right skills in the right places to meet current and future demands for health and social services for all Australians.  This must include productivity improvements that harness the full potential of allied health professionals well-positioned to provide high-value, low-cost care and preventive health interventions; effective development and deployment of the assistant workforce; and an inclusive digital health strategy (together with the infrastructure required to ensure rural and remote Australians have equitable access to fast internet) that blends new technology with best practice care.


Travel safe,
Cath

If you’re looking for informative and entertaining chat while you cover those miles between country towns on your daily rounds, this is the podcast for you.  Why not be part of it and tell your story?

Do you have any themes/topics that you would like to hear us discuss? People you’d like us to interview?  Please drop us an email to our mailbox at sarrah@sarrah.org.au

Listen to earlier episodes here

HELP Debt wiped for doctors and nurse practitioners who go rural
This is, of course, very welcome news for doctors and nurse practitioners and for the communities who (we hope) will gain access to services they might not otherwise have had.  We Government is looking to balance new costs to the Budget (in a very tight fiscal environment) with community demand for services they need too often can’t get.  By restricting it to doctors and nurse practitioners they contain the cost – and the expense of directing further support to people who might have gone rural anyway would have been weighed up and thought worth it.  But the proposal, like when the former Coalition Government put it forward In late 2021, Minister Butler’s media release made no mention of other health professions in extreme shortage in rural and remote Australia.  Yes, it’s good news, but leaders repeatedly make claims about having a world class health system, integrated models of care concerned to meet patient-centred needs, some form of universal coverage etc.  The health professionals who aren’t covered by this measure make up about 80 per cent of the health professional workforce nationally.  Many of them are in desperate short supply outside of the major cities (and even within them).


Interestingly, it’s often the leading rural doctors, when giving evidence to parliamentary Inquiries and the like who raise the vital importance of having the whole health team (including allied health and nurses) to make things work, sustainable and/or do-able.  When the issue was raised in late 2021, there was strong community concern conveyed to the then Minister about the narrow focus of the proposal (with acknowledgment to the clarity and range of voices coming out of rural WA). The National Rural Health Student Network (NHRSN) surveyed their members (cross-disciplinary) and put out an excellent paper- Higher Education Loan Program (HELP) Debt Reduction Scheme: Ideas, Concerns and Perspectives of the NRHSN Student Body.
 
Sure, we have to watch the Budget bottom-line and can’t wait for a full and comprehensive plan to come out of the Strengthening Medicare Taskforce or other group, but if you want the roof to stay up, soon or later you need to make sure the side walls are holding up as well.  The 2022-23 Budget will tell us a great deal about what the level of understanding and commitment exists to health care access, equity and the reform needed to deliver it.

The Australian Medical Research and Innovation Priorities 2022-2024 came into effect on 6 November 2022. he Australian Medical Research Advisory Board (AMRAB) develops the Priorities to inform Government decisions on MRFF investments in health and medical research. Here are the 2022-2024 Priorities, which are meant to align with the vision, aim and objectives of the Australian Medical Research and Innovation Strategy 2021-2026 (the Strategy).
The Financial Report on the Australian Aged Care Sector: 2020–21 was released this week.  For this reader it was certainly larger than it was informative, but it did reiterate some important workforce related data that was previously released from the (non-mandatory) 2020 Aged Care Workforce Census.  This is presented below, and aligns with the concerns SARRAH and others have repeatedly raised, including:
  • The proportion of the aged care workforce delivering allied health care is reducing – as a percentage, and it would seem on a per aged care recipient basis;
  • Within the aged care workforce, fewer AHPs are being employed while AHA (qualified?) numbers are increasing;
  • The average age, complex needs etc of the aged care recipient population has increased over time – as would their care needs.
The Aged Care reform process (including, but not only the AN-ACC) have some very substantial long-term trends and practical, logistic realities to contend with, if they are to deliver the volume and quality of allied health care envisaged in the Aged Care Royal Commission recommendations.
 
 
Some things appear to be improving … Dietitians Australia welcomes strengthened Aged Care Quality Standards. In response to the release of draft revised Aged Care Quality Standards (see our Consultations section for more information) Dietitians Australia said (in their media release) - "We are pleased the draft revised 'Aged Care Quality Standards' propose a whole new standard (Standard 6) on food and nutrition,' said CEO Robert Hunt. Action 6.3.1 proposes that 'menus are developed and reviewed with the input of chefs/cooks and an Accredited Practising Dietitian, particularly for older people with specialised dietary needs. "Another welcome addition is the requirement for providers to implement processes to recognise, monitor and manage malnutrition and dehydration," said Mr Hunt.
With more attention shifting to the impacts of Long Covid – the Sydney Morning Herald reportedAustralia’s long COVID clinics are so under-resourced patients are waiting almost a year for treatment, as the Victorian government warns it will struggle to care for the growing number of patients without extra federal funding.” Reporting on Long Covid is likely to increase as the current Federal Parliamentary Inquiry into its impacts progresses and more submissions are provided to the Inquiry, published on-line.
It's timely, then, that Exercise and Sports Science Australia have released new COVID-19 Exercise Guidelines: 'Safe Exercise Across the Clinical Course of COVID-19’. The guidelines have been designed from the practitioner’s perspective when providing exercise advice for people who have contracted COVID-19, and the practicum environment when supervisors oversee the activities of students managing people having contracted the virus.
Halving the rate of hearing loss of First Nations children by 2029: Hearing Australia has launched the Hearing Australia Action Plan for Improving Ear Health and Hearing Outcomes for Aboriginal and Torres Strait Islander Children. The Action Plan outlines how Hearing Australia will work with its partners to halve the rate of hearing loss in Aboriginal and Torres Strait Islander children by 2029. Across Australia, chronic otitis media (inflammation and infection of the middle ear) is far more frequent and serious in Aboriginal and Torres Strait Islander children compared to non-Indigenous children. In fact, one in three Aboriginal and Torres Strait Islander children experience this disease, making it difficult for them to hear, learn and yarn. 

Studies show Aboriginal and Torres Strait Islander children experience up to 32 months of conductive hearing loss, compared to just three months among non-Indigenous children.  This is an investment in Australia’s future.

Congratulations to Australian Physiotherapy Association for being awarded Association of the Year.  The Australian Physiotherapy Association (APA) took out the top prize at the annual Association Awards Dinner held this week in Sydney by Associations Forum. The Association Awards recognise excellence and accomplishment by associations and outstanding individuals. IAHA is also a member of Associations Australia and is delighted that the APA has been recognised in this way.


Thank you to our supporters 



Submissions 
National Health Literacy Strategy (NHLS)

SARRAH provided a submission to the Commonwealth Dept Health on development of a National Health Literacy Strategy (NHLS). Once the draft NHLS is developed a further round of public consultation is planned.  You can view SARRAHs submission here.


Consultations
Capability review of the Aged Care Quality and Safety Commission - Public submissions are open until 2 December 2022.
The Commonwealth Government has appointed Mr David Tune AO PSM to conduct the independent review.  The review final report expected to be delivered the first half of 2023. Here are the Terms of reference.    Go to the DSS Consultation Hub to access the public submission process or for more information about the capability review.


South Australia - Burns Clinical Prioritisation Criteria (CPC) for both adult and paediatric servicesThe consultation period is open until Friday 9 December 2022.
released for consultation and feedback.  The SA Chief Medical Officer has invited SARRAH to contribute by providing feedback on the Burns CPC, which is available on the Clinical Prioritisation Criteria website. Input can be provided to SARRAH (to allan@sarrah.org.au, preferably by the end of November) or directly via health.cpc@sa.gov.au.


Major review of the Disability Services Act - Consultation on the Disability Services Act is open until 20 December 2022.
The Commonwealth Government has launched the first major review of the Disability Services Act since 1986. The Act governs how the Government provides services for people with disability to improve their independence and participate in community and economic life. The new Act will also provide a basis for continued supports and services outside the NDIS for people living with disability. The new Act will support priorities in Australia’s Disability Strategy 2021-31, the national disability policy framework. (See the separate submission process on the Strategy, below). More details are available at DSS Engage.


National Stigma and Discrimination Reduction Strategy - Feedback/input due by 1 February 2023
The National Mental Health Commission is developing a National Stigma and Discrimination Reduction Strategy to address mental health-related stigma and discrimination.   The (Draft) Strategy aims to present a long-term vision, and proposes a range of actions by governments, industry and the community, across sectors and settings, to reduce self-stigma, public stigma and structural stigma and discrimination experienced by people with personal lived experience and their families and support people. The Draft Strategy is available for input and feedback, with input due by 1 February 2023. The Commissioner invites you to provide your feedback via an online survey on proposed actions and/or by uploading a submission. If you have questions, please reach out via email to StigmaStrategy@mentalhealthcommission.gov.au


Consultation Reminders 
Entry-level Competency Standards for Optometry 2022 - Please provide responses prior to close of business on 16 November 2022 

The Entry-level Competency Standards for Optometry 2022 are out for public consultation.  If you’d like to provide feedback, you can find the consultation paper here.


The House of Representatives Standing Committee on Health, Aged Care and Sport -Submissions close on 18 November 2022
Inquiry into Long COVID and Repeated COVID Infections. For further information please contact the secretariat at Health.Reps@aph.gov.au.


A new program for in-home aged care – Discussion paper: Due by 25 November 2022
The paper seeks views on key aspects of the new program by 25 November. You can have your say through the online submission process or by calling 1800 318 209. Following closure of the submission process, the Department will hold a reforming in-home aged care update webinar on Wednesday 7 December from 2:00 – 4:00pm AEDT, if you would like to attend, please register here.


Review of the Aged Care Quality Standards- Public consultation closes 25 November 2022.


Department of Social Services - Australia’s Disability Strategy 2021-2031 - Public consultation is open until 11:59 pm AEST, 30 November 2022.
The Strategy provides Australia’s national disability policy framework. It drives action at all levels of government to make Australia an inclusive society that ensures people with disability can fulfil their potential as equal members of the community. To support implementation of the Strategy, governments are seeking feedback on two new guides that aim to help make policies, programs and services more accessible and inclusive for people with disability. 
The Guide to the Guiding Principles will make it easier for governments, businesses and the community to apply the Strategy’s Guiding Principles in their policies, programs and services.

  • The Guide to Involving People with Disability in Evaluation will make it easier to involve people with disability in evaluating policies, programs and services.

A consultation paper is available and there’s a questionnaire. These are available in Easy Read, Braille, Auslan and a range of languages other than English. There are also alternative ways to make a submission which can be found on https://engage.dss.gov.au/ads-consultations-develop-guide-evaluation


Employment White Paper Submissions: Public submissions covering any aspects of the Terms of Reference can be lodged up until midnight 30 November 2022. More information is available here.


Northern Australia's workforce development - Submissions are due by 9 December.
The Joint Select Committee on Northern Australia will inquire into and report on Northern Australia's workforce development - considering the impediments to building the economic and social infrastructure and workforce needed to support economic development. 


Closing the Gap Review:  Review paper 2: Proposed approach and invitation to engage with the review - Submissions on the review paper are due by 12 December 2022
The Commission would like your input. Review paper 2 outlines how you can contact them to share your views on their approach to assessing progress of the National Agreement on Closing the Gap and how it is being implemented. To make a submission or brief comment visit www.pc.gov.au/inquiries/current/closing-the-gap-review. You can also email the Commission at CTG.Review@pc.gov.au.


Australian Cancer PlanPublic consultation will close on 16 December 2022.
Cancer Australia is inviting your feedback on the public consultation for the Australian Cancer Plan (ACP), which sets a 10-year plan to improve outcomes. To improve outcomes, Cancer Australia is calling for coordinated system-wide engagement and inviting comment on a on the strategy, priority areas, objectives and actions in cancer control.  To view the draft Australian Cancer Plan and provide feedback, visit engage.australiancancerplan.gov.au. 


Inquiry into Community Safety, Support Services and Job Opportunities in the Northern Territory - No closing date for submissions is provided, however the report is due by 1 December 2022
On the 28 September 2022, the Senate referred an inquiry into community safety, support services and job opportunities in the Northern Territory to the Joint Standing Committee on Aboriginal and Torres Strait Islander Affairs. . If you have any questions about the inquiry or the process of making submissions, please contact the secretariat at JSCATSIA@aph.gov.au.


Inquiry into the Capability and Culture of the National Disability Insurance Agency (NDIA) - Submissions closing 16 December 2022. 
Inquiry into and report on general issues around the implementation, performance, governance, administration and expenditure of the NDIS  


The extent and nature of poverty in AustraliaSubmissions are sought by 3 February 2023.
The Senate Community Affairs References Committee is inquiring into the extent and nature of poverty in Australia, with a report due by 31 October 2023. The Terms of Reference include – to quote: (c) the impact of poverty on individuals in relation to: (i) employment outcomes, (ii) housing security, (iii) health outcomes, and (iv) education outcomes.  Further detail about the scope of the inquiry is provided in the terms of reference. 

The Joint Standing Committee (JSC) on the National Disability Insurance Scheme (NDIS) - Submissions close on 30 June 2023 
Review of the NDIS. The Review is scheduled to be undertaken over 12 months, from October 2022.  No formal submissions process appears to have been established at this point (11 November).  You can subscribe to news on the review through this link.

Unintended Consequences of Telehealth Implementation in Rural and Remote Australia: A Qualitative Study Using Systems Archetypes

The study will contribute towards the understanding of what unintended consequences (both positive and negative) telehealth could have on the delivery of healthcare in rural and remote areas in Australia. Findings from this study could have invaluable implications for telehealth evaluation programs and could also be used to inform policy for rural and remote health in Australia.
If you are interested in participating in this study, complete the consent FORM and send it to Sagda Osman at sagda.osman@hdr.mq.edu.au



Have your say on End-of-Life care resources - End-of-life Essentials
Based on the National Consensus Statement: Essential elements for safe and high-quality end-of-life care, End-of-life Essentials (EOLE) provides free peer-reviewed online education modules to health care professionals.

As a critical component of health care provided to millions of Australians each year, these online education modules provide valuable support to nurses, doctors and allied health professionals working in acute hospitals.

Share your feedback 


SA Voluntary Assisted Dying Implementation Conference - Register now!
SA Health is facilitating the SA Voluntary Assisted Dying Implementation Conference to be held virtually on Wednesday 16th November 2022. See the SA Voluntary Assisted Dying Virtual Conference Program (PDF 592KB)

The conference will provide details to the health services community on how voluntary assisted dying will be implemented in South Australia including an overview of the process and support services. The target audience will be medical professionals, government health sector employees, interested community organisations, non-government organisations, not-for-profit organisations and general practice managers. It will be held virtually to enable the maximum number of participants to attend and will be recorded to allow those that cannot attend on the day access to the content.
Register for SA Voluntary Assisted Dying Implementation Conference.

2023 Health Workforce Needs Assessment Survey Competition Now Live!
Every year, Health Workforce Queensland undertakes a state-wide assessment of the remote and rural primary health care workforce. We continue to take the leading role in the identification and response to short, medium, and long-term issues facing health practitioners in remote, rural and regional Queensland. Our surveys are one way of gathering the data directly from the source.
CLICK HERE TO SUBMIT THE SURVEY


Complete Advertising Listing Form and submit it to sarrah@sarrah.org.au .

  1. Community Physiotherapist - Rural Generalist Training Position - Well Balanced Care
  2. Clinical Senior Occupational Therapist - SA Health
  3. Physiotherapist, Community Allied Health and Aged Care - Alice Springs
  4. TCP Occupational Therapist - Flinders and Upper North Local Health Network
  5. Occupational Therapist - Community Allied Health and Aged Care, Alice Springs
  6. Senior Occupational Therapist - Dubbo Cerebral Palsy Alliance 
  7. Senior Speech Pathologist - Dubbo Cerebral Palsy Alliance 
  8. Clinical Senior Dietitian - Eyre and Far North Local Health Network
  9. Occupational Therapist AHP1/ 2 - Riverland Mallee Coorong Local Health Network, Murray Bridge
  10. Executive Director Allied Health - South West Hospital and Health Service
  11. Dietitian - East Wimmera Health Services
  12. Registered Nurse (Continence Advisor)
  13. Podiatrist - Experienced and Graduate Opportunities
  14. Mental Health Professionals
  15. Community Nurse (RN/EN)
  16. Rural Regional Generalist Podiatrist - Port Augusta
  17. Speech Pathologist - Central Australia Health Service
  18. SARRAH Temporary/Casual Employment Register
  19. Allied Health Clinical Lead, Occupational Therapy- James Cook University
  20. Community Occupational Therapist - Rural Generalist Training Position
  21. Graduate Opportunities - Allied Health - NWRH
  22. Mount Gambier Physiotherapy Candidate Pool (AHP1/2)
  23. Allied Health Rural Generalist Position - Elephant in the Room Training & Consultancy
  24. Pharmacist - Emerald, QLD
  25. Physiotherapist - Eyre and Far North Local Health Network, Port Lincoln
  26. Occupational Therapist - Desert Therapy, Alice Springs
  27. Speech Pathologist - Well Balanced Care
  28. Occupational Therapist - Emerge Allied Health (St Helens)
  29. Physiotherapist - Corryong Health 
  30. Senior Speech Pathologist - Community Allied Health and Aged Care
  31. Psychologist - Well Balanced Care, Cairns
  32. Occupational Therapist - Well Balanced Care 
  33. Exercise Physiologist - Active Performance
  34. Speech Therapist - Active Performance
  35. Social Worker - Active Performance
  36. Occupational Therapist - Active Performance
  37. Physiotherapist - Active Performance
  38. Physiotherapist - Corryong Health
  39. Occupational Therapist - Dundaloo Health Services
  40. Psychologist or Accredited Clinical Social Worker - Dundaloo Health Services
  41. Clinical Educator (Allied Health) - Southern Queensland Rural Health - Charleville
  42. Speech Pathologist Rural Generalist - Mt Isa QLD
  43. Physiotherapist - Nhulunbuy NT - Arneham Physiotherapy Services
  44. Speech Pathologist - Health Workforce QLD
  45. Clinical Psychologist - Health Workforce QLD
  46. Physiotherapist - Health Workforce QLD
  47. Occupational Therapist - Health Workforce QLD
  48. Physiotherapist - Optimum Recruitment


Copyright © 2022 Services for Australian Rural and Remote Allied Health (SARRAH). All rights reserved.


Services for Australian Rural and Remote Allied Health
Level 2, 53 Blackall Street, Barton, ACT, 2600

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