Statewide PCP Chairs and Executive Officers Tuesday 14 August 2012

1. Sylvia Barry Manager Partnerships and Primary Health Statewide PCP Chairs and Executive OfficersTuesday 14 August 2012

2. What I will cover today • Primary health care strategic directions • Work to strengthen community health services • PCP 2013-17 development of the work program

3. Primary health care policy context • Current – Victorian Health Priorities Framework 2012-22 • Dec 2012 - Victorian Primary Health Care Strategic Directions 2012-22 • Dec 2012 – National framework for joint primary health care plans • July 2013 – Joint Victorian/Commonwealth primary health care plan

4. Focus of the draft primary health care strategic directions Continuum of care Chronic disease/ condition management Complex condition Focus of the Victorian Health Priorities Framework Established disease/disability Early intervention & treatment Early stages of disease/disability Secondary prevention & episodic care At risk Episodic health events Focus of the Victorian Public Health & Wellbeing Plan Primary prevention Well

5. Victorian Health Priorities Framework 2012-2022 …driving the primary health care strategic directions People are as healthy as they can be The health system is highly productive & sustainable People are managing their own health People have the best health care service outcomes possible Care is clinically appropriate & cost effective & delivered in the most clinically appropriate & cost effective settings Victorian Health Priorities Framework 2012-22 reform outcomes Direction 1 A service system that is accessible Primary health care strategic directions Direction 2 Victorians involved in their own health care Direction 3 Working together for better health Direction 4 Providing the most effective care & sustainable care

6. Draft National framework for joint state/Commonwealth plans • Consistent with National primary health care strategy • 4 draft strategic outcomes: • Build a consumer-focused integrated primary health care system • Improve access and reducing inequity • Increase the focus on screening, prevention and early intervention • Improve quality, safety, performance and accountability

7. Work to strengthen CHSs • Community Health Indicators • Drawn from the Commission's work on indicators for primary care and developed for CHSs – some have a focus on SC and ICDM • Progress to date – draft suite of process / structure indicators developed, recommendations for outcomes indicators being considered • Community Health Integrated Program Guidelines • Service design based on local population needs • Improved consistency in service delivery and program design • Increased implementation of evidence based practice • Focus on client flow in accordance with service coordination principles

8. PCPs reporting 2011 - results • Highlights: • All PCPs have core agencies as members, and increasingly are engaging with mental health services and human service organisations • The SC survey indicated areas of consistent practice include; obtaining client consent for disclosure of information, acknowledgement of urgent and routine referrals, implementation of SC principles into practice • The ICDM survey indicated that the following improvements were made; an increase in consistent assessment, improved provision of self management • Some case studies flagged strong consumer engagement in PCP work • Some case studies showcased IHP and ICDM work that led to tangible organisational improvements at a catchment level (that are expected to result in better care for clients)

9. PCPs reporting 2011 - results • Areas for improvement: • Reporting identified that consumer engagement could be strengthened • The SC and ICDM surveys indicated that areas that require continued focus are; coordinated care plans and sharing care planning information with General Practice • Very few case studies identified the benefits for providers and for consumers • Few ICDM case studies referenced the development and implementation of care pathways for clients with chronic/complex conditions • Many IHP case studies lacked detail about evaluation results, and the impact of work

10. PCP 2013-17 development of the work program • PCP bridging year 2012-13 guidelines • Priorities framework and primary health directions • National primary health framework • Evolving work of medicare locals • Other work that informs the directions: • E care planning • PCP and private providers project • Service coordination workforce initiative

11. Your feedback • What would you like to see included in the 2013-17 • PCP work program? • Feedback to Sylvia Barry by 31 August 2012 • sylvia.barry@health.vic.gov.au