Queensland Divisions Forum 27 June 2008

1. Queensland Divisions Forum 27 June 2008 Ann Maree Liddy Chief Executive Officer

2. National Health Reform • National Health and Hospitals Reform Commission • CoAG Health and Ageing Working Group • Australian Health Care Agreements • Primary Health Care Strategy • MBS Review • RRMA Review • GP Super Clinics • National Health Preventative Taskforce

3. From the Health Minister • “ The challenges that the health system faces – in the ageing population, chronic disease burden, rising costs and so on – demand thorough reforms, not just tinkering at the edges” • Hon Nicola Roxon, AGPN Primary Mental Health Care Forum, Sydney, June 2008.

4. National Health Reform • Where do Divisions Fit?

5. What the Experts Say • System Reform and Development for Chronic Disease Management • Hal Swerissen, Australian Institute for Primary Care,February, 2008 • Reformed Divisions would have a key role as “meso level organisations” in planning, building capacity and performance management of the primary and community care system. Divisions would become Divisions of Primary Health and Community Care implementing systems reforms (e.g. IM/IT, guidelines, service coordination tools).

6. What the Experts Say • Divisions of General Practice in Australia: How do they measure up in the international context? • Judith Smith and Bev Sipthorpe, July 2007 • Divisions as “commissioner” of local primary health care services, addressing needs, designing appropriate care and purchasing services to meet assessed need. Expanding roles without compromising strong GP engagement.

7. What the Experts Say • Funding Models for General Practice Based Multidisciplinary Team Care • Australian General Practice Network, July 2007 • Divisions to become regionalised fundholding and funds pooling entities to allow versatile use of resources to best meet population needs

8. What the Experts Say • A New Approach to Primary Care for Australia • Jennifer Doggett, Centre for Policy Development, June 2007 • Establish 200 integrated Primary Health Care Centres, each servicing a population of 100,000. Undertake a staged rollout of 20 centres a year. Centres to be governed by Boards comprising health care providers, government representatives and consumers and regulated by a joint federal-state body.

9. What the Experts Say • Service Integration Discussion Paper • Australian Healthcare and Hospitals Association, May 2008 • Create regional liaison structures that bring together health, HACC, Divisions and other health care providers • Create opportunities and incentives to develop regional health management programs for chronic diseases and life stages • Promote flexible opportunities for regions to test cash out and funds pooling models for specific patient populations

10. What the Experts Say • Meso level organisations as a solution • Judith Smith, AGPN Forum, Hobart, Nov 2007 • Divisions to take on a greater degree of population-based budgetary management • Divisions to become the local planner and commissioner of primary care, holding funds on behalf of all funders • Divisions to develop into health maintenance organisations, taking responsibility for a registered population’s health care

11. Lessons from Overseas • What can we learn from the experiences of UK and New Zealand General Practice?

12. The Challenge to Qld Divisions • What do we want to be in the future? • What needs to change? • What are our next steps?

13. Thank you