This Newsletter covers Federal and State policy and legislative developments in the area of health. Copies of documents referred to can be obtained by clicking on the reference in this Newsletter or through Capital Monitor's collection at www.capitalmonitor.com.au or from the source quoted.
Major Announcements
Coronavirus (COVID-19)
7 October
Vaccine Operations Centre - Weekly Operational Update - 4 October
Approximately 44 per cent of Australian children 12 to 15 years of age have had their first COVID-19 vaccine dose in the first three weeks of that age group becoming eligible to be vaccinated. This equates to close to 550,000 vaccine doses being administered to 12 to 15-year-olds since the vaccination rollout was opened to them on 13 September 2021. Over this period of time, 3.3 per cent of Australian children aged 12 to 15 have received both doses for maximum protection against COVID-19, said the Department of Health.
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Victorian antigen tests welcomed by PSA - more needed
The Pharmaceutical Society of Australia (PSA) welcomes the Victorian Government's move to secure additional rapid antigen tests (RAT) for hospitals. However, government-funded routine RAT for community pharmacies is essential to ensure continuity of essential health services. The Victorian Government announced they will secure 2.2 million rapid antigen tests for the Victorian health system, most of which are likely to be utilised through the hospital sector. PSA Victorian Branch President, John Jackson, commended the move and called for government-funded rapid antigen testing for community pharmacists and their staff to be prioritised.
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1 million COVID-19 jabs administered by pharmacists
According to the data from the Australian Immunisation Register (AIR), 1 million COVID-19 vaccines have now been administered by pharmacists since community pharmacists started administering vaccines. PSA National President, A/Prof Chris Freeman, said that pharmacists are key to getting Australia's vaccination rates over the line. 'Today, pharmacists have achieved yet another milestone in the vaccine rollout, administering more than 1 million COVID-19 vaccinations to Australians.
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Health advice critical to recovery plan
The Australia Medical Association (AMA) is very concerned at the apparent shift in approach to the management of COVID-19 in NSW announced by Premier Dominic Perrottet and the potential sidelining of public health advice. The changes to the roadmap have occurred at the 11th hour without the presence of the Chief Health Officer Dr Kerry Chant at the announcement. Meanwhile, the NSW Government's Crisis Cabinet has morphed into an Economic Recovery Committee. This strongly suggests to the community that health advice will no longer guide the NSW Government as it navigates this critical phase of the pandemic.
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COVID-19 vaccinations essential to protect people living with dementia
Dementia Australia supports mandatory vaccinations across the aged care sector and urges people living with dementia or mild cognitive impairment, and their loved ones, to receive a COVID-19 vaccination as soon as possible. Dementia Australia CEO Maree McCabe AM said people living with dementia or mild cognitive impairment are more vulnerable to contracting severe COVID-19 and once infected, have a high risk of disease related morbidity and mortality. 'We know that during this pandemic people living with dementia are some of the most vulnerable people in our community,' Ms McCabe said.
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QLD: Pop-up vaccination clinics at 19 high school locations
Queenslanders will have even more opportunities to get vaccinated as 19 pop-up vaccination clinics open across selected high schools 9-10 October as part of the second Super Pfizer Weekend. Queensland Minister for Health and Ambulance Services Yvette D'Ath said the pop-up clinics would be available at selected high schools in South East Queensland, Darling Downs, Wide Bay Mackay, and Central Queensland. 'We're targeting areas with low uptake with these school pop-up clinics. This will initially be a trial to see how popular school-based clinics are, and we hope to expand to more areas in coming weeks,' Minister D'Ath said.
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TAS: Government needs to increase access to community vaccine clinics
The recent positive COVID case in Launceston should be a wake-up call for the Gutwein Government to act on low first dose vaccination rates across Tasmanian local government areas including - critically - increasing access. Tasmanian Shadow Minister for Health Anita Dow said current vaccination rates across many LGAs were concerning and the government should look to improve and review its approach to the rollout of vaccine clinics across communities. 'The government need to prioritise better local access to vaccine clinics and testing across the state and especially in Launceston and it's northern suburbs,' Ms Dow said.
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WA: Kalgoorlie locals urged to 'Roll up for WA' in COVID-19 vaccination effort
Western Australia Minister for Health Roger Cook visited Kalgoorlie and urged eligible Goldfields locals to get vaccinated against COVID-19 as soon as possible. The Minister visited the State-run COVID-19 clinic based at Kalgoorlie Hospital, which is run by the WA Country Health Service (WACHS). This clinic also provides outreach vaccination services in Norseman, Kambalda and Esperance. In the Goldfields, 49 per cent of eligible residents have received their first dose of a COVID-19 vaccine.
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WA: State Govt has dropped the ball again on COVID preparedness
The WA Opposition has criticised the WA Government for dropping the ball on WA's COVID-19 preparedness, with new figures showing a concerning downward trend in usage of the SafeWA app. WA Opposition Leader Mia Davies said the fact there was no plan for re-opening borders and only a vague 80-90 percent vaccination target, had slowed vaccination rates and dropped usage rates of the SafeWA check-in app. 'This is a disaster in the making - we have a health system on its knees, low vaccination rates particularly in regional areas and now we see a drop in check-ins using the SafeWA app,' Ms Davies said.
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6 October
WA: COVID-19 update 6 October 2021
WA Health reported no new cases of COVID-19. The State's total stands at 1110. To date, 1086 people have recovered from the virus in WA. As of 8pm, WA Health was monitoring 15 active COVID-19 cases, including five people who are in hotel quarantine, five in Fiona Stanley Hospital from the vessel, MV Stolt Sakura, and five aboard the Sakura.
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5 October
Australia secures access to additional Covid-19 treatment
Australia will have access to an additional COVID-19 treatment following the Government's deal to purchase 300,000 courses of the promising oral COVID-19 treatment Molnupiravir. Molnupiravir is an oral antiviral that is being developed for the first-line treatment of COVID-19 in adult patients with mild-to-moderate symptoms. Treatment with Molnupiravir has been shown to stop people with COVID-19 developing serious symptoms, keeping them out of hospital and preventing serious illness and death. Prime Minister Scott Morrison and Minister for Health Greg Hunt said the Government was ensuring Australians had access not only to COVID-19 vaccines, but also promising treatments.
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ACT: Ensuring vaccination for health care workers
The ACT Government is working towards requiring workers in certain health care settings to be fully vaccinated against COVID-19. ACT Chief Minister Andrew Barr said ensuring health care workers are vaccinated would help protect them against the virus, while also reducing the risk of transmission amongst patients and the community. 'As restrictions are eased, we expect there will be more cases of COVID-19 in our community, which will likely lead to an increase in hospital admissions,' Chief Minister Barr said. 'Although we have very high vaccination rates in the ACT, we recognise that the higher risk in health care settings requires the highest possible level of vaccination against COVID.'
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ACT: Continuing the COVID-19 response
Australian Capital Territory Chief Minister Barr and Australian Capital Territory Minister for Health Rachel Stephen-Smith said that Canberrans will continue to get the vital health support they need through the pandemic. The ACT Government is investing almost $90 million to continue the COVID-19 public health response and push forward with the vaccine rollout. Thanks to the enthusiasm of Canberrans, the ACT will be one of the first jurisdictions in Australia to reach 80 percent full vaccination. The ACT is also on track to go well beyond 80 per cent vaccination coverage and reach around 95 percent. Additional funding of $22.5 million will be allocated to the vaccine program to ensure vaccines are available for all eligible Canberrans.
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NSW: COVID-19 (Coronavirus) statistics
NSW Health recorded 608 new locally acquired cases of COVID-19. No new cases were acquired overseas. The total number of cases in NSW since the beginning of the pandemic is 65,687. Sadly, NSW Health is reporting the deaths of seven people - six men and one woman. One person was in their 50s, two people were in their 60s, three people were in their 70s, and one person was in their 80s.
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WA: COVID-19 update 5 October 2021
WA Health reported one new case of COVID-19. This case was reported in the statement but is recorded in the official numbers. The case is linked to the family of a returned diplomat. All are in hotel quarantine. Contact tracing has identified 50 close and casual contacts. So far, 41 have tested negative to COVID-19 with eight results pending. All contacts remain in self-quarantine for 14 days and will be managed by WA Health public health officials. The State's total stands at 1110. To date, 1085 people have recovered from the virus in WA.
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4 October
Australia secures additional supplies of sotrovimab
The Australian Government has increased supplies of the promising COVID-19 treatment sotrovimab with over 15,000 additional doses arriving in Australia over recent days. Sotrovimab is a novel monoclonal antibody and was approved for use by the TGA on 20 August. The sotrovimab treatment requires a single dose to be administered through an intravenous (IV) infusion in a health care facility and has been shown to reduce hospitalisation or death by 79 per cent in adults with mild to moderate COVID-19, who are at risk of developing severe COVID-19, said Minister Hunt.
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QLD: Millions set to receive a text from the government in new vaccination push
Text messages and recorded voice messages will be sent to millions of people across the state at midday on Tuesday, urging Queenslanders to get vaccinated. Queensland Minister D'Ath said the text blast was part of the government's campaign to ramp up Queensland's vaccination rollout. 'Getting vaccinated is vital to keeping Queensland safe and protecting our freedoms in this state,' she said.
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VIC: More reasons to smile as vaccination vans hit the road
Some of Victoria's 'Smile Squad' dental vans will be used to support targeted vaccination efforts, in partnership with the Victorian Aboriginal Community Controlled Health Organisation (VACCHO), community leaders and mainstream health services. The first of three dedicated COVID-19 Vaccine Vans will hit the road, travelling to the City of Greater Shepparton, with another van travelling to the City of Latrobe, said Victorian Minister for Health Martin Foley and Victorian Minister for Aboriginal Affairs Gabrielle Williams.
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3 October
QLD: Pop into a pop-up clinic
Brisbane northsiders are spoilt for choice for COVID-19 vaccination options. Queensland Minister D'Ath said the Queensland Government is providing even more opportunities to get vaccinated with pop-up clinics at North Lakes Heath Precinct and Suncorp Stadium. 'Our newest vaccination clinic will open at North Lakes Health Precinct starting from Saturday 2 October. It will be open Saturday and Sunday with the first jabs available from 8.30am and last walk-ins at 3.50pm,' Minister D'Ath said.
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1 October
mRNA COVID-19 vaccines available for Australians 12+
All Australians aged 12 and over are eligible to receive an mRNA COVID-19 vaccine through Australia's network of GPs and community pharmacies. The decision by the Australian Government to open up mRNA vaccines to the 60 and over age group will give Australians more options and encouragement to receive a COVID-19 vaccine, if they haven't already. Minister Hunt said that the Government is on track to ensuring every eligible Australian can receive a COVID-19 vaccine by the end of this month, with more than 28 million doses administered to date.
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PSA welcomes mandatory vaccination of Victorian health workers
The PSA welcomes the Victorian Government's decision to mandate COVID-19 vaccination for the state's frontline health workers. Victoria's Acting Chief Health Officer signed public health orders requiring all people who work in a health care setting to be vaccinated against COVID-19. The order applies to community pharmacy, hospital, general practice and more. From 15 October, in order to enter these worksites, a worker must have received their first dose of the vaccine by 15 October and 15 December for dose two.
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TGA recognition of additional COVID-19 vaccines provides certainty for international students
The TGA's decision to recognise Coronavac (Sinovac) and Covishield (AstraZeneca/Serum Institute of India) vaccines for incoming international travellers gives certainty to Australia's international students, said Group of Eight Chief Executive Vicki Thomson. 'This is a major milestone in ensuring a smooth transition for their return to Australian campuses, when the Federal and State Governments deem it safe to do so. Importantly, we can now provide clear advice to our international students, who while continuing their studies offshore have had to rely on the vaccines made available to them.'
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Aged Care
7 October
Aged care provider reports to strengthen individual care
Food and nutrition for aged care residents across Australia will come into sharp focus as providers deliver their first reports under mechanisms to strengthen individual care. In a continued response to the Royal Commission into Aged Care Quality and Safety, the online reporting will improve transparency and standards, as providers receive increased funding through the basic daily fee of $10 per resident per day, said Minister for Health and Aged Care Greg Hunt and Minister for Senior Australians and Aged Care Services Richard Colbeck.
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4 October
Payment to recognise value of registered nurses in aged care
The number of registered nurses working in aged care will be increased and strengthened, particularly in rural and remote areas, under a new payment aimed at rewarding clinical skills and leadership. The $135.6 million commitment will also reward nurses who take on additional training responsibilities and recognises the invaluable contribution aged care nurses make across the sector. Under the initiative, full-time registered nurses can receive a payment of $3700 for each year and part-time and casual registered nurses can receive payment on a pro-rata basis, averaging $2700 each year, said Minister Hunt and Minister Colbeck.
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Aged care residents to welcome back visitors
Age care facilities across Australia will be opened to visitors under a plan agreed to by National Cabinet. The Australian Health Protection Principal Committee (AHPPC), has outlined the principles to remove restrictions on visitation to residential aged care facilities. Minister Hunt and Minister Colbeck welcomed the endorsement of these principles saying it marked an important opportunity to reduce the impacts of social isolation in residential care settings.
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1 October
International Day of Older Persons helping keep us connected
Older Australians are recognised for the vital contributions they make to communities around the country as part of the United Nation's International Day of Older Persons. Minister Hunt and Minister Colbeck said the global day of awareness marked an important opportunity to show gratitude to seniors Australians - from parents to neighbours and friends. 'The value older Australians bring to communities across our nation is immeasurable,' Minister Hunt said.
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Nominations open for Australia's first Council of Elders on aged care
Nominations are now open for members of Australia's first-ever Council of Elders - a panel of representatives charged with providing advice and feedback on aged care issues around the country. In another important response to the Royal Commission into Aged Care Quality and Safety, the council will be established as part of the Government's comprehensive $17.7 billion reinforcement of the sector, said Minister Hunt and Minister Colbeck.
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Royal Commission into Aged Care Quality and Safety
None this edition.
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Allied Health
None this edition.
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Children's Health
None this edition.
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Clinical Governance
None this edition.
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Construction and Health Infrastructure
None this edition.
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Dental
None this edition.
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Disabilities
7 October
Peak disability org calls for clarity on proposed NDIS reforms
On 9 September, the Government released the long-awaited proposed changes to the NDIS Act for a short period of consultation The proposed changes are based on David Tune's 2019 Independent Review of the NDIS Act, which aim to give participants more choice and flexibility. In a submission responding to the proposed changes, People With Disability Australia (PWDA) commended the government for implementing some of the Tune Review's most important recommendations but expressed concern about how some measures could lead to poorer governance of the program as well as impact on the NDIS co-design process and the rights of people with disability to self-determination.
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ACT: Enhancing disability inclusion in ACT's justice system
ACT Minister for Disability and Justice Health Emma Davidson has congratulated ACT Corrective Services on the launch of its Disability Action and Inclusion Plan 2021-23 on the 2020 International Day of People with Disability (I-Day). 'The ACT Government is committed to making Canberra inclusive and welcoming for all. Ensuring equitable access to justice for people with disability is a key part of realising that vision,' Minister Davidson said.
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VIC: Vaccination boost for people living with a disability
As the state moves closer to meeting roadmap vaccination targets, the Victorian Government is investing a further $5 million to boost vaccination rates among people living with a disability, launching ten dedicated disability vaccination 'pop-ups' in areas of concern, and expanding Victoria's successful disability liaison service. The new vaccination supports build on a wide range of existing help that is available to help people living with a disability - and their loved ones and carers - come forward to protect themselves, their family and their community, said Victorian Minister for Disability, Ageing and Carers Luke Donnellan and Victorian Minister for Health Martin Foley.
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5 October
WA: Allied health funding for Aboriginal NDIS participants will help deliver the right services, in the right place, the right way
Western Australia Minister for Disability Services Don Punch said that the State Government will fund a trial of culturally appropriate services for Aboriginal NDIS participants in the Kimberley. The Broome Regional Aboriginal Medical Service will undertake research and consult with specialists and Aboriginal people to develop a culturally competent model of allied health service delivery for the region over 18 months. There will be a particular focus on developing techniques and resources that can be used by allied health professionals who work with Aboriginal NDIS participants. A six-month 'Community of Practice' will also be set up to test and learn from the practical tools and resources created by the project.
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4 October
Increased COVID support for NDIS workers in Victoria
Eligible NDIS providers in Victoria will be able to claim a one-off payment from the National Disability Insurance Agency (NDIA) to cover costs for support workers to receive their COVID- 19 vaccination. Minister for the NDIS Linda Reynolds said the measure was being introduced in line with the Victorian Government announcement that all authorised workers are required to have received their first vaccination, to continue working after October 15. 'We know one of the challenges for disability workers and providers is ensuring coverage of supports while workers get their vaccination, as part of their work requirement,' Minister Reynolds said.
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Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability
None this edition.
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E-Health
5 October
A new pathway to help families coping with drug and alcohol harms
Minister for Health Greg Hunt said that the Government launched a new information portal, which will provide vital information and support for Australians seeking help for family members and friends with alcohol and drug related issues. Developed by the Alcohol and Drug Foundation (ADF), Path2Help is a new information and support pathways directory that contains more than 7,000 services nationwide for Australians who may need information for themselves or their loved one about alcohol and other drug use. Funded as part of the 2019-20 Budget, the Government provided the ADF with a $3.9 million grant to implement a number of activities, including the development of the Path2Help portal.
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Education and Training
7 October
Medical students say university education is lacking
The Australian Medical Students' Association (AMSA) is calling out 'inadequate' curricula in the area of sexual health in their University-level medical training. AMSA says medical students around Australia have spent the past month attending online webinars - created by other medical students - centred on sexual and reproductive health, gender and sexuality, following complaints that University Medical Education is lacking. 'Sexual and reproductive health needs to be brought into the 21st century,' said Ms Sophie Keen, President of AMSA.
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Funding
6 October
QLD: National health pressures need federal government funding support
The Government has not properly funded Australia's health system, Queensland Minister for Health Yvette D'Ath said. The Minster said that despite health ministers from across the country and across the political divide pleading with the Government since at least May to properly fund Australia's public hospitals and ensure patients waiting for NDIS and aged care places were not stuck in wards, nothing had happened. 'Every state and territory across the nation is experiencing pressures and has been for some time,' the Minister said. 'It's not just me saying that; it's every state and territory health minister.'
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ACT: What's in it for Belconnen?
Living in Canberra's largest and most established region, Belconnen residents will benefit from the 2021-22 ACT Budget through record investments in school and health infrastructure as the ACT Treasury said that the Government supports the community through the COVID-19 pandemic. The Budget is the next stage of the Government's plan to support Canberran's through the pandemic and recover from this once-in-a-generation crisis. Over the coming years, the population in Belconnen is expected to grow with the establishment of new suburbs such as Ginninderry, and $1 million has been provided to design a new primary school in Strathnairn, which will support families moving to West Belconnen.
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Health Professionals
7 October
WA: Reform focus for nursing and midwifery forum
The WA Department of Health said that nurses and midwives from across the public, private and community healthcare sectors came together to have their voices heard and help shape the future of the nursing and midwifery professions in Western Australia. The Nursing and Midwifery Stakeholder Forum marked the beginning of a broad consultation process to inform the first independent review of nursing and midwifery in Western Australia. Minister for Health Roger Cook opened the Forum, inviting attendees to share their opinions about how the nursing and midwifery professions could be supported to respond to a changing healthcare environment.
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WA: Figures highlight WA Govt's failure to prioritise frontline worker growth
Figures obtained by the Opposition have revealed that the growth in bureaucratic and non frontline workers in the Department of Health has been double the growth in the number of those working on the frontline. WA Shadow Minister for Health Libby Mettam said the figures illustrated the McGowan Government has its priorities all wrong. 'It's extraordinary given the chronic and often dangerous shortage of nurses on the frontline that the biggest growth in employees in the Department of Health is in the number of bureaucrats or non-frontline services,' Ms Mettam said.
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5 October
NSW: Prosecuted complaint against Dr Dilshan Ariyarathna, a medical practitioner, before Civil and Administrative Tribunal
The NSW Health Care Complaints Commission prosecuted a complaint against Dr Dilshan Ariyarathna, a medical practitioner, before the NSW Civil and Administrative Tribunal (the Tribunal). It was alleged that during the period 12 April 2018 and 15 January 2019, while working in a hospital, Dr Ariyarathna engaged in conduct of a harassing or stalking nature towards a junior colleague, and inappropriately used his hospital email account to send and receive emails from dating sites. On 30 September 2021, the Tribunal determined that Dr Ariyarathna was guilty of unsatisfactory professional conduct and professional misconduct, and that the inappropriate conduct was of an extremely serious nature and inconsistent with the standards expected of a medical practitioner.
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Hospitals
6 October
Catholic hospitals welcome ACT Government's COVID vaccine mandate
Catholic Health Australia (CHA) , the peak advisory body for not-for-profit hospitals and aged care, has welcomed news the ACT Government will require most workers in its health care system to be fully vaccinated against COVID-19. CHA, which is a national body, has been calling for the mandatory vaccination of the Australian health workforce since mid-July. The ACT said its Chief Health Officer would sign a public health direction covering staff in any health care facility operated by Canberra Health Services, or in any hospital or hospice, as well as ambulance services or other patient transport.
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Insurance
None this edition.
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Medicare
None this edition.
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Men's Health
None this edition.
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Mental Health
7 October
VIC: More mental health nurses to help Victorians in need
The Victorian Government is making sure all Victorians experiencing mental health concerns can get the specialised support they need with a boost to upskill and expand the state's mental health nursing workforce. Victorian Minister for Mental Health James Merlino has announced a $23.6 million mental health nursing workforce package - supporting Victoria's dedicated mental health nurses by investing in more graduate positions and upskilling nurses with a new postgraduate mental health scholarship program.
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VIC: Government blocks mental health support for Victoria's kids, again
In a move backed by the Australian Counselling Association, the Liberal Nationals introduced a Private Member's Bill to Victorian Parliament that sought to unlock 2000 specialists for the mental health workforce by recognising registered counsellors as mental health practitioners. But Labor MPs joined with the Greens and independent crossbenchers Fiona Patten from the Reason Party and Andy Meddick from Animal Justice Party to stop the simple change, said Victorian Shadow Minister for Mental Health Emma Kealy and Victorian Shadow Minister for Health Georgie Crozier.
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6 October
Threats to mental health and workplace violence among OHS risks faced by frontline workers
A new survey conducted for the Australian Council of Trade Unions (ACTU) shows that mental health continues to be the fastest growing challenge to the safety of working people in their workplaces, as well as appalling rates of workplace violence experienced by frontline workers who continue to protect the community from the pandemic. 17 per cent of workers say they have experienced mental health injuries as a result of their work, with 10 per cent saying they were regularly bullied. The picture the data paints of the frontline healthcare workforce is shocking. 56 per cent of healthcare workers say that understaffing in their workplace causes overwork, leading to stress.
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4 October
VIC: Statewide mental health support for secondary schools
Every government secondary student in Victoria can now access vital mental health support at school with the roll out of mental health practitioners to every Victorian government secondary and specialist school now complete. Victorian Minister Merlino announced the roll out of the $51.2 million Mental Health Practitioners initiative will be finalised by Term Four - a year earlier than originally committed to, in response to the COVID-19 pandemic. The last phase of the roll out will see more than 50 secondary and specialist schools in Goulburn, Brimbank/Melton and Wimmera South West receive funding to recruit a mental health practitioner from the start of term four.
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1 October
Oil and Gas Industry unites for mental health
The voice of Australia's oil and gas industry joined forces with Safer Together and Australian Resources & Energy Group AMMA to release a national 'Mental Health and Wellbeing Implementation Guideline'. Australian Petroleum Production & Exploration Association APPEA Chief Executive Andrew McConville said the guideline's release coincides with the start of National Mental Health Month. 'Today APPEA, AMMA and Safer Together have released a 'Mental Health and Wellbeing Implementation Guideline' to support our members as they continue to prioritise the mental health of our workforce,' Mr McConville said.
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Royal Commission into Victoria's Mental Health System
None this edition.
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Pharmaceuticals and Regulation
6 October
PHI 73/21 Hospital and Second-tier updates
The Department of Health released t the following hospitals' names and/or addresses have been updated following confirmation from the state authority:
Previous Hospital name: Warringah Mall Day Surgery
Updated Hospital name: Warringah Day Surgery
Previous address: 2/1A Cross Street, Brookvale NSW 2100
Updated address: 10 Dale Street, Brookvale NSW 2100
Provider number: 0656991J
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Pause on New Zealand green zone flights continued
The Department of Health and Therapeutic Goods Administration (TGA) said that a number of locally acquired cases of COVID-19 with the Delta variant of concern continue to be detected in New Zealand. Since the last review of the situation on 21 September 2021, there has been a further spread of locally acquired cases on the North Island and outside of the Auckland region. Considering this, the Australian Government will continue the pause of green zone flights from New Zealand until 11:59 pm (AEST) on 12 October 2021, with all flights being classified as Red Zone flights until this time.
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5 October
TGA grants provisional determination to Pfizer Australia's COVID-19 treatment PF-07321332 + ritonavir
The Department of Health and Therapeutic Goods Administration (TGA) granted provisional determination to Pfizer Australia in relation to a new combination medicine containing PF-07321332 and ritonavir, for the treatment of adult patients with symptomatic, confirmed coronavirus infection. PF-07321332 is an oral antiviral treatment. It is intended to be administered in combination with low-dose ritonavir - to maintain plasma levels of PF-07321332 for the duration of the treatment. The granting of a provisional determination means that the TGA has made a decision that Pfizer Australia is now eligible to apply for provisional registration of this treatment in the Australian Register of Therapeutic Goods (ARTG). Provisional determination is the first step in the process. It is anticipated that Pfizer will submit an application for provisional registration shortly.
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1 October
Prescriptions now required to import nicotine vaping products
Australian consumers now require a valid prescription from any of Australia's 100,000 medical practitioners to import nicotine vaping products, purchased from overseas websites. Consumers should ask overseas retailers to include a copy of their prescription with the order. Australian Border Force (ABF) officials can stop goods at the border that they suspect are unlawful imports and refer them to the TGA for further investigation. Nicotine vaping products may be seized if there is no prescription provided by the importer, or enclosed in the package, and the goods may be destroyed and the importer fined, said
Department of Health and Therapeutic Goods Administration (TGA).
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Laparoscopic power morcellators - Update 3
On 29 December 2020, the US Food and Drug Administration (FDA) published an updated safety communication for laparoscopic power morcellators. The FDA recommends the use of laparoscopic power morcellators for hysterectomy and myomectomy only be conducted with a tissue containment system, which is legally marketed within the US market. Tissue containment systems used during laparoscopic power morcellation are intended to isolate and contain tissue that could potentially spread malignant cells in patients with previously undetected uterine cancer. The FDA also continues to recommend performing these procedures only in appropriately selected patients, said Department of Health and Therapeutic Goods Administration (TGA).
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The Poisons Standard
The Poisons Standard is a Legislative Instrument for the purposes of the Legislative Instruments Act 2003. The Poisons Standard consists of decisions regarding the classification of medicines and poisons into Schedules for inclusion in the relevant legislation of the States and Territories. The Poisons Standard also includes model provisions about containers and labels, a list of products recommended to be exempt from these provisions, and recommendations about other controls on drugs and poisons, said Department of Health and Therapeutic Goods Administration (TGA).
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Research
None this edition.
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Rural, Regional and Remote Health
7 October
VIC: Strengthening regional health services
The Victorian Government is ensuring people living in rural and regional areas have access to the world-class care they deserve close to home, unveiling more than $100 million in vital hospital upgrades across the state. Nearly 80 rural and regional hospitals, community health services and Aboriginal Community Controlled Health Organisations will share in $120 million from the Regional Health Infrastructure Fund (RHIF) - creating hundreds of jobs, said Victorian Minister for Health Martin Foley.
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6 October
RACGP launches new project to shine a spotlight on rural and Aboriginal and Torres Strait Islander GPs
The Royal Australian College of General Practitioners (RACGP) has launched a new project to inspire more people to consider a career in rural general practice and Aboriginal and Torres Strait Islander health. This Rural Life is a digital project, showcasing the unique experiences and rewards of a career in rural general practice, with a focus on Aboriginal and Torres Strait Islander health. The project puts a spotlight on GPs across all career stages working in rural or remote Aboriginal and Torres Strait Islander health by sharing the incredible stories of those in the field. It was inspired by RACGP members who told us that we need to share the important, complex, and often isolating work of GPs in rural and remote areas.
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Women's Health
None this edition.
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Transcripts
Minister for Defence Peter Dutton and Deputy Leader of the Australian Labor Party Richard Marles
08 OCT: Transcript of Interview with Allison Langdon and Karl Stefanovic, Today Show
Subjects: National Cabinet, Health system, Federal Election, NSW roadmap, Vaccinating our younger population, Politicians on Instagram
Prime Minister Scott Morrison
07 OCT: Transcript of Press Conference, Canberra
Subjects: New South Wales, 70 per cent double vaccination rate threshold, National Plan, Lockdown, Economic support, Doherty Institute, AstraZeneca
Minister for Finance Simon Birmingham
07 OCT: Transcript of Doorstop Interview, Bullsbrook
Subjects: Centre for National Resilience, Delta variant, Home quarantine for international travellers, GST, State borders, Nuclear-powered submarines
Deputy Leader of the Australian Labor Party Richard Marles
07 OCT: Transcript of Interview with Kieran Gilbert, Sky News Afternoon Agenda
Subjects: Minister of Resources' comments on net zero by 2050, Fed Opp, Small Business, Easing of restrictions, NSW, Victorian lockdown, Hospitals under strain
Shadow Minister for Education Tanya Plibersek
07 OCT: Transcript of Interview with Scott Emerson, 4BC Drive
Subjects: Political donation disclosures, Fed Opposition's health polices, Transparency, COVID-19, Public hospital funding, JobKeeper, JobSeeker
Department of Health
06 OCT: Transcript of Interview of Lieutenant General, John Frewen, with Edwina Bartholomew, Sunrise
Subjects: Vaccine rollout, National plan, Vaccine misinformation, Vaccine hesitancy
Department of Health
06 OCT: Transcript of Interview of Lieutenant General, John Frewen, with Karl Stefanovic, Today Show
Subjects: Vaccine rollout, COVID Vaccination Taskforce, National plan, Vaccination rates, Booster shots, States vaccine programs
Department of Health
06 OCT: Transcript of Interview of Lieutenant General, John Frewen, with Rebecca Levingston, ABC Radio Brisbane
Subjects: Vaccine rollout, Vaccine hesitancy, Vaccine incentives, National plan, Booster program, AstraZeneca, QLD
Prime Minister Scott Morrison
05 OCT: Transcript of Interview with Karl Stefanovic, Today Show
Subjects: Quarantine, NSW Premier, Hospital funding, QLD response to COVID-19, COVID-19 treatment, Australia-France relationship, Nuclear submarine programme
Prime Minister Scott Morrison
05 OCT: Transcript of Interview with Gareth Parker, 6PR
Subjects: COVID-19 treatments, Vaccine rollout, National plan, Vaccination rates, WA Premier, Hospital system, NSW Premier, GST, NSW ICAC, Federal election
Prime Minister Scott Morrison
05 OCT: Transcript of Interview with Neil Breen, 4BC
Subjects: COVID-19 vaccine rollout, Vaccination rates, International travel, Climate change, Home quarantine
Minister for Health Greg Hunt
05 OCT: Transcript of Press Conference with Secretary of the Department of Health, Brendan Murphy, Canberra
Subjects: COVID-19, Public health, Vaccination rates, Immunisation, Net-zero emissions targets, Energy, Molnupiruvir
Shadow Treasurer Jim Chalmers and Shadow Minister for Health and Ageing Mark Butler
05 OCT: Transcript of Doorstop Interview, Burpengary
Subjects: COVID-19, Public health, Hospital funding, Vaccines, Hotel quarantine, NSW Premier, JobKeeper, Treasurer, National Anti-Corruption Commission
Shadow Minister For Health And Ageing Mark Butler
05 OCT: Transcript of Interview with Mandy Presland, ABC NewsRadio
Subjects: PM, Federal funding for hospitals, Anti-corruption commission, Hospital system, Lockdowns, AMA, Frontline health care professionals
Member for Wills Peter Khalil
05 OCT: Transcript of Interview with Peter Stefanovic, Sky News
Subjects: COVID-19, Public health, Melbourne lockdown, Restrictions, Mandatory vaccination, Immunisation, Sport, Cricket, Ashes, NRL Grand Final
Assistant Minister for Industrial Relations Amanda Stoker
05 OCT: Transcript of Interview with Steve Austin, ABC Radio Brisbane Drive
Subjects: Federal Commonwealth Integrity Commission, Queensland's hospital crisis, Anti-corruption, Ministerial integrity
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Reports
Response to National Disability Insurance Scheme Workforce Interim Report of the Joint Standing Committee on the National Disability Insurance Scheme
Australian Government
The interim report makes 14 recommendations that cover funding arrangements; training and accreditation; employment opportunities for people with lived experience of disability; the distribution of allied health professionals; investing in the Aboriginal and Torres Strait Islander workforce; and securing reliable workforce data to support workforce planning and policy development. The Australian Government supports or supports in principle 11 of the recommendations made in the committee's interim report, and notes three recommendations.
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Australian Burden of Disease Study 2018: key findings for Aboriginal and Torres Strait Islander people
Australian Institute of Health & Welfare (AIHW)
This report contains key findings for Aboriginal and Torres Strait Islander people from the forthcoming Australian Burden of Disease Study (ABDS) 2018. Full results, including more detailed reports and interactive data visualisations, are planned for release in early 2022. The ABDS2018 Aboriginal and Torres Strait Islander study includes 219 diseases, as well as estimates of the burden attributable to 39 individual risk factors, such as alcohol use and smoking. The study includes results for 2003 and 2011 for comparison, as well as estimates for selected states and territories, by remoteness area and socioeconomic groups.
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Cancer screening programs quarterly data
Australian Institute of Health & Welfare (AIHW)
Cancer screening programs aim to reduce illness and death from selected cancers. This report presents the latest information on the use of Australia's national bowel, breast and cervical cancer screening programs. It includes quarterly national data on the number of screening tests performed each month, along with screening participation rates for Australia, states and territories, Primary Health Network areas, and smaller local areas across Australia.
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BreastScreen Australia monitoring report 2021
Australian Institute of Health & Welfare (AIHW)
This monitoring report presents data for BreastScreen Australia, based on the current national performance indicators. To ensure that the most recent data are used for each indicator, the time frame in which each is reported can vary. In this report, the most recent participation data for BreastScreen Australia are for the period 1 January 2018 to 31 December 2019.
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Report of the Independent Expert on the enjoyment of all human rights by older persons
United Nations Human Rights Council (UNHRC)
In the report, the Independent Expert examines and raises awareness of the prevalence of ageism and age discrimination, analyses their possible causes and manifestations and reviews the way the existing legal and policy frameworks at the international and regional levels protect against ageism and age discrimination. The analysis is followed by the Independent Expert's conclusions and recommendations, which are aimed at assisting States in designing and implementing frameworks to address and prevent ageism and age discrimination and to ensure the promotion and protection of the rights of older persons. The report also contains an overview of the activities of the Independent Expert during the reporting period.
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Submission: Response to Department of Social Services consultation on proposed NDIS legislation changes
Mental Health Australia
The NDIS has been life-changing for many Australians, however people with psychosocial disability have faced barriers in accessing both the Scheme and appropriate NDIS supports. The proportion of NDIS participants with primary psychosocial disability (10.4%) has remained well below the anticipated rate (13.9%), with only three-quarters of the 64,000 people with psychosocial disability anticipated to be eligible accessing the NDIS as of June 2021.1 Analysis indicates this is due to both low NDIS application rates and lower rates of success for those with psychosocial disability who do apply.
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Optimising oral health in frail older people
Australian Prescriber, NPS Medicinewise
There is a link between oral health and systemic health. Conditions such as dementia and pneumonia are associated with poor oral health. Frail older people receive regular care from medical and nursing staff but tend not to see dentists regularly or only seek treatment when there is a dental problem. Collaboration between dentists and other health professionals is therefore increasingly important. Oral health should be assessed regularly. This enables early referral to a dentist.
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Approach to the diagnosis of secondary hypertension in adults
Australian Prescriber, NPS Medicinewise
Presentations that should raise suspicion of secondary hypertension include early-onset, severe or resistant hypertension. A suggestive family history or clinical clues can point to a specific secondary cause. The most common causes and associations are renal disease, primary aldosteronism and obstructive sleep apnoea. Medicines, illicit substances and alcohol may also be responsible. The assessment of patients begins with history taking and examination, to look for clinical clues.
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ACT: Budget 2021-22 Budget: Statements C
ACT Treasury
The ACT Health Directorate (the Directorate) provides strategic leadership, policy advice and oversight of the public health system, supporting and enabling clinical excellence and research across the public health system, to improve Territory-wide health care in the ACT. The Directorate engages with its partners and stakeholders to ensure better health outcomes for all in the ACT and surrounding regions.
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QLD: Border Restrictions Direction (No. 49)
Queensland Department of Health
The Border Restrictions Direction (No. 47A) given on 2 October 2021 and the Border Restrictions Direction (No. 48) given on 5 October 2021 are revoked from 1.00am on 5 October 2021. This Direction applies from 1.00am on 5 October 2021 until the end of the declared public health emergency, unless revoked or replaced.
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QLD: Notifiable Dust Lung Disease Register annual report 2020-2021
Queensland Department of Health
This report has been prepared to meet the requirements of the Public Health Act 2005 and is the second annual report of the Queensland Health Notifiable Dust Lung Disease Register (NDLD Register). The report is for the financial year 1 July 2020 to 30 June 2021 (2020-21) and includes:
- the number of notifications and reports given to the NDLD Register during 2020-21; and
- a description of the types of notifiable dust lung diseases recorded in the NDLD Register during 2020-21.
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Hansards
Tasmania
16 SEP 2021: TAS ASSEMBLY HANSARD: Questions - Mental Health - Provision of Beds
15 SEP 2021: TAS ASSEMBLY HANSARD: Questions - Mersey Community Hospital - Funding and GST
15 SEP 2021: TAS ASSEMBLY HANSARD: Questions - Mental Health Services - Update
Victoria
07 OCT 2021: VIC COUNCIL HANSARD: Questions Without Notice and Ministers Statements - COVID-19 Vaccination
07 OCT 2021: VIC COUNCIL HANSARD: Members Statements - COVID-19
07 OCT 2021: VIC COUNCIL HANSARD: Members Statements - COVID-19 Vaccination
07 OCT 2021: VIC COUNCIL HANSARD: Adjournment - COVID-19 Vaccination
07 OCT 2021: VIC ASSEMBLY HANSARD: Questions Without Notice and Ministers Statements - COVID-19
07 OCT 2021: VIC ASSEMBLY HANSARD: Questions Without Notice and Ministers Statements - Ambulance Response Times
07 OCT 2021: VIC ASSEMBLY HANSARD: Questions Without Notice and Ministers Statements - Ministers Statements: COVID-19 Vaccinations
07 OCT 2021: VIC ASSEMBLY HANSARD: Questions Without Notice and Ministers Statements - Ministers Statements: COVID-19
05 OCT 2021: VIC COUNCIL HANSARD: Adjournment - Northern Hospital
05 OCT 2021: VIC ASSEMBLY HANSARD: Bills - Health Legislation Amendment (Information Sharing) Bill 2021 - Introduction, First Reading
05 OCT 2021: VIC COUNCIL HANSARD: Bills - Mental Health Amendment (Counsellors) Bill 2021 - Introduction and First Reading
05 OCT 2021: VIC COUNCIL HANSARD: Bills - Judicial Proceedings Reports Amendment Bill 2021 - Occupational Health and Safety and Other Legislation Amendment Bill 2021 - Social Services Regulation Bill 2021 - Royal Assent
05 OCT 2021: VIC ASSEMBLY HANSARD: Bills - Judicial Proceedings Reports Amendment Bill 2021 - Occupational Health and Safety and Other Legislation Amendment Bill 2021 - Social Services Regulation Bill 2021 - Royal Assent
05 OCT 2021: VIC COUNCIL HANSARD: Questions Without Notice and Ministers Statements - COVID-19 Vaccination
05 OCT 2021: VIC ASSEMBLY HANSARD: Questions Without Notice & Ministers Statements - COVID-19 Vaccinations
05 OCT 2021: VIC ASSEMBLY HANSARD: Questions Without Notice & Ministers Statements - COVID-19
05 OCT 2021: VIC ASSEMBLY HANSARD: Questions Without Notice & Ministers Statements - Aged-Care Funding
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Court Cases
None this edition.
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New Regulations
Federal
Royal Commissions Amendment (Defence and Veteran Suicide Private Sessions) Regulations 2021
Legislative Instrument - F2021L01395
The Act provides for the establishment, powers and operation of Royal Commissions and for the management of Royal Commission records. Section 17 of the Act provides that the Governor-General may make regulations, not inconsistent with the Act, prescribing all matters that the Act requires or permits to be prescribed, or necessary or convenient for carrying out or giving effect to the Act. The purpose of the Minute is to recommend amendments to the Royal Commissions Regulations 2019, to authorise the use of Private Sessions under Part 4 of the Act, by the Royal Commission.
Explanatory Statement
Dental Pulp and Periapical Disease (Balance of Probabilities) (No. 100 of 2021)
Legislative Instrument - F2021L01389
The Statement of Principles sets out the factors that must exist, and which of those factors must be related to the following kinds of service rendered by a person:
- eligible war service (other than operational service) under the VEA;
- defence service (other than hazardous service and British nuclear test defence service) under the VEA;
- peacetime service under the MRCA,
before it can be said that, on the balance of probabilities, dental pulp and periapical disease or death from dental pulp and periapical disease is connected with the circumstances of that service. The Statement of Principles has been determined for the purposes of both the VEA and the MRCA.
Explanatory Statement
Dental Pulp and Periapical Disease (Reasonable Hypothesis) (No. 99 of 2021)
Legislative Instrument - F2021L01388
The Statement of Principles sets out the factors that must as a minimum exist, and which of those factors must be related to the following kinds of service rendered by a person:
- operational service under the VEA;
- peacekeeping service under the VEA;
- hazardous service under the VEA;
- British nuclear test defence service under the VEA;
- warlike service under the MRCA;
- non-warlike service under the MRCA,
before it can be said that a reasonable hypothesis has been raised connecting dental pulp and periapical disease or death from dental pulp and periapical disease, with the circumstances of that service. The Statement of Principles has been determined for the purposes of both the VEA and the MRCA.
Explanatory Statement
Victoria
05 OCT 2021: VIC, FOLEY: Tobacco (Victorian Health Promotion Foundation) Further Amendment Regulations 2021 - S.R. No. 126/2021
04 OCT 2021: VIC, DEPT OF HEALTH & HUMAN SERVICES DHHS: Directions from Acting Chief Health Officer in accordance with emergency powers arising from declared state of emergency - Workplace (Additional Industry Obligations) Directions (No 49)
04 OCT 2021: VIC, DEPT OF HEALTH & HUMAN SERVICES DHHS: Directions from Acting Chief Health Officer in accordance with emergency powers arising from declared state of emergency - Stay at Home Directions (Restricted Areas) (No 26)
04 OCT 2021: VIC, DEPT OF HEALTH & HUMAN SERVICES DHHS: Directions from Acting Chief Health Officer in accordance with emergency powers arising from declared state of emergency - Restricted Activity Directions (Restricted Areas) (No 20)
04 OCT 2021: VIC, DEPT OF HEALTH & HUMAN SERVICES DHHS: Directions from Acting Chief Health Officer in accordance with emergency powers arising from declared state of emergency - Restricted Activity Directions (Regional Victoria) (No 13)
04 OCT 2021: VIC, DEPT OF HEALTH & HUMAN SERVICES DHHS: Directions from Acting Chief Health Officer in accordance with emergency powers arising from declared state of emergency - Stay Safe Directions (Regional Victoria) (No 12)
04 OCT 2021: VIC, DEPT OF HEALTH & HUMAN SERVICES DHHS: Directions from Acting Chief Health Officer in accordance with emergency powers arising from declared state of emergency - COVID-19 Mandatory Vaccination Directions (No 5)
01 OCT 2021: VIC, DEPT OF HEALTH & HUMAN SERVICES DHHS: Directions from Acting Chief Health Officer in accordance with emergency powers arising from declared state of emergency - Area Directions (No 23)
01 OCT 2021: VIC, DEPT OF HEALTH & HUMAN SERVICES DHHS: Directions from Acting Chief Health Officer in accordance with emergency powers arising from declared state of emergency - COVID-19 Vaccinated Activities Directions (No 2)
Western Australia
05 OCT 2021: WA, DEPT OF HEALTH: Health Worker (Restrictions on Access) Directions (No 3) - Exemption Guidelines
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Proclamations
None this edition.
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Gazette Notices
NSW
05 OCT 2021: NSW GOVERNMENT GAZETTE No. 506: Extraordinary Gazette - Public Health Act 2010 - Section 7 - Public Health (COVID-19 Additional Restrictions for Delta Outbreak) Order (No 2) Amendment (No 25) Order 2021
04 OCT 2021: NSW GOVERNMENT GAZETTE No. 505: Extraordinary Gazette - Public Health Act 2010 - Section 7 - Public Health (COVID-19 General) Order 2021
02 OCT 2021: NSW GOVERNMENT GAZETTE No. 504: Extraordinary Gazette - Public Health Act 2010 - Section 7 - Public Health (COVID-19 Additional Restrictions for Delta Outbreak) Order (No 2) Amendment (No 23) Order 2021
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Consolidated Legislation
Federal
Therapeutic Goods (Medical Devices-Excluded Purposes) Specification 2020
Legislative Instrument Compilation - F2021C00988
Specifications as amended, taking into account amendments up to Therapeutic Goods (Medical Devices-Excluded Purposes) Amendment (COVID-19 Rapid Antigen IVD Medical Devices for Self-Testing) Specification 2021.
Download
Australian Immunisation Register Act 2015
Act Compilation - C2021C00418
Act No. 138 of 2015 as amended, taking into account amendments up to Australian Immunisation Register Amendment (Reporting) Act 2021 An Act to establish and provide for an immunisation register, and for related purposes.
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National Health Act 1953
Act Compilation - C2021C00416
Act No. 95 of 1953 as amended, taking into account amendments up to National Health Amendment (Decisions under the Continence Aids Payment Scheme) Act 2021 An Act relating to the provision of pharmaceutical, sickness and hospital benefits, and of medical and dental services.
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New Bills
Victoria
A Bill for An Act to amend the Assisted Reproductive Treatment Act 2008, to consequentially amend the Status of Children Act 1974 and for other purposes.
The main purposes of the Bill are to amend the Assisted Reproductive Treatment Act 2008 including -
- to expand the class of persons permitted to carry out artificial insemination, and to extend requirements for provision of advice and information to doctors carrying out artificial insemination other than on behalf of a registered ART provider;
- to make various amendments to consent and counselling requirements;
- to include exceptions to the offence for use of donated gametes in treatment procedures that may result in more than 10 women having children who are genetic siblings;
- to provide for reimbursement of costs incurred by a surrogate's partner and to recognise the surrogate mother's rights;
- to permit posthumous use of gametes or an embryo by a surviving partner, irrespective of gender; and
- to clarify the application of confidentiality offences where information on the Central Register was not disclosed by the Authority.
The Bill will also make consequential amendments to the Status of Children Act 1974.
LA: 1R 07/09/21, 2R 08/09/21, 14/09/21, 16/09/21, Passed 16/09/21
LC: 1R 05/10/21, 2R 05/10/21, 07/10/21, Passed with amendments 07/10/21
Assent TBA, Act No. TBA
Commencement:
(1) Subject to subsections (2) and (3), this Act comes into operation on a day or days to be proclaimed.
(2) This Part and sections 25, 29, 35, 36 and 37 come into operation on the day after the day on which this Act receives the Royal Assent.
(3) If a provision of this Act does not come into operation before 7 September 2022, it comes into operation on that day.
A Bill for an Act to amend the Health Services Act 1988 to establish a centralised electronic system to enable public hospitals and other specified health services to share specified patient health information, to make consequential amendments to the Health Records Act 2001 and for other purposes.
The Bill amends the Health Services Act 1988 (HS Act) to provide for the establishment of a centralised electronic system to enable public hospitals and specified health services to share specified patient health information for the purpose of providing medical treatment to patients. The Bill also permits information access, use and disclosure for system establishment and maintenance, and makes consequential amendments to the Health Records Act 2001 (HR Act).
LA: 1R 05/10/21, 2R 06/10/21, Passed TBA
LC: 1R TBA, 2R TBA, Passed TBA
Assent TBA, Act No. TBA
Commencement:
(1) Subject to subsection (2), this Act comes into operation on a day or days to be proclaimed.
(2) If a provision of this Act does not come into operation before 17 February 2023, it comes into operation on that day.
A Private Member's Bill (Crozier) for An Act to amend the Mental Health Act 2014 to provide that counsellors are included in the definition of mental health practitioners for the purposes of the Act and for other purposes
Purpose of Bill
LC: 1R 05/10/21, 2R 06/10/21, Negatived 06/10/21
LA: 1R TBA, 2R TBA, Passed TBA
Assent TBA, Act No. TBA
Commencement:
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New Acts
None this edition.
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