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Friday 5 November 2021

 

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)

4 November

Victoria has become the third Australian jurisdiction to hit the 80 per cent double-dose
COVID-19 vaccination mark, following on from New South Wales and the Australian Capital Territory. With the 80 per cent mark reached, the Commonwealth hotspot declaration for all LGAs in Greater Melbourne came to an end at 11.59pm on 31 October. The important 80 per cent double-dose vaccination mark is expected to be reached nationally in coming days. The first-dose national figure now stands at more than 88 per cent, said the Department of Health.
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Rapid Antigen Tests decision limits early COVID-19 detection and increases hospital exposure
RATs are an important, early detection tool for COVID-19 that is fast, convenient, and cost
effective. The 'Prohibition on the use of Rapid Antigen Tests Directions (No 2)', issued under Western Australia's Public Health Act 2016 prohibits an individual using a RAT, except for those people who are directed to do so under Section 14 of the Transport, Freight and Logistics Directions (No 4). Section 14 applies to a very small number of people, limited to transport workers bringing essential supplies into the State, said Pharmacy Guild of Australia.
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NT: Booster appointments now online
The NT Government will provide fully vaccinated Territorians aged 18 and over the opportunity to start booking their COVID-19 booster shot appointments. Territorians who received their vaccination six months ago will be able to receive their booster dose from as early as 8 November 2021. Pfizer booster doses will be available to all fully vaccinated Territorians aged 18 and over regardless of the brand of previous vaccine they received. AstraZeneca boosters are only available to those who can't have the Pfizer vaccine for medical reasons or people who are fully vaccinated with AstraZeneca, said NT Minister for Health Natasha Fyles.
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TAS: Clear plan to manage COVID in Tasmania
'In Tasmania, we are finalising a COVID@Home plan, which recognises home is the preferred treatment setting for those with mild symptoms, while ensuring patients are safe and supported. COVID-positive patients will be initially assessed and triaged by a team of Department of Health clinicians, with engagement also occurring with any existing care providers such as a GP, to determine the most suitable environment and support level required for that patient, at home, in a community care facility or if seriously ill, in hospital,' said Tasmanian Minister for Health Jeremy Rockliff.
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3 November

COVID-19 Vaccine pioneer awarded Prime Minister's prize for science
An evolutionary biologist and virologist who played a transformative role in the global scientific response to COVID-19 has won this year's Prime Minister's Prize for Science. Professor Edward C. Holmes from the University of Sydney received the $250,000 prize for almost 30 years of pioneering research on genome sequencing data, providing invaluable insights into diseases such as HIV, Ebola, SARS and most recently, COVID-19. Last year Professor Holmes was the first person in the world to publicly share the COVID-19 virus' genome sequence. This crucial data enabled scientists to start vaccine design within days, said Prime Minister Scott Morrison and Minister for Science and Technology Melissa Price.
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World-leading appointment for Australian disaster response expert
The strategic founder of Australia's National Critical Care and Trauma Response Centre (NCCTRC), Professor Leonard Notaras AO, has been appointed Chair of the World Health Organization's Emergency Medical Team (EMT) Strategic Advisory Group (SAG). Professor Notaras has a long history in disaster response having coordinated the Royal Darwin Hospital response to the 2002 and 2005 Bali bombings, along with events at Ashmore Reef in 2009. Minister for Health and Aged Care Greg Hunt said Professor Notras' nomination and acceptance of the role was a testament to his storied career in the medical profession.
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Analysis of Delta outbreaks needed
LASA is calling on the Federal Government to conduct on an independent analysis of Delta COVID-19 outbreaks in aged care to inform the sector on keeping residents and staff safe. LASA CEO Sean Rooney welcomed the release by the government of the Independent Review COVID-19 outbreaks in Australian Residential Aged Care Facilities by Professor Lyn Gilbert AO and Adjunct Professor Alan Lilly. 'We believe it's a national priority to do all that we can to protect older Australians in aged care homes and the dedicated staff who care for them,' Mr Rooney said.
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SA: COVID-19 Update 3 November 2021
There are no new cases of COVID-19, announced the SA Department of Health. There has been a total of 918 cases notified in South Australia.
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WA: New South Wales to transition to 'high risk' from 12.01am Saturday
Based on the latest health advice, New South Wales will transition from 'extreme risk' to 'high risk' under WA's controlled border arrangements from 12.01am Saturday, November 6. Under the 'high risk' setting, travellers must still be approved through the G2G Pass system, said WA Premier Mark McGowan and WA Minister for Health Roger Cook. The exemption list is limited to:
- certain senior Government officials;
- certain active military personnel;
- a member of the Commonwealth Parliament;
- a person carrying out functions under a law of the Commonwealth;
- a person carrying out a limited range of specialist functions; and
- a person given approval by the State Emergency Coordinator or an authorised officer.
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WA: COVID-19 update 3 November 2021
WA Health is reporting no cases of COVID-19 in the State. The State's total remains at 1112. To date, 1103 people have recovered from the virus in WA.
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2 November

Recommendations of review into COVID outbreaks in aged care accepted
The Government has accepted all 38 recommendations from a review into COVID- 19 outbreaks in residential aged care facilities. The Independent Review of COVID-19 Outbreaks in Australian Residential Aged Care Facilities, will underpin continued improvements as the Government and aged care sector prioritise the health and wellbeing of senior Australians in care. Minister Hunt and Minister Colbeck said the review was an important blueprint as Australia navigates the ongoing impact of the pandemic.
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Vaccine Operations Centre
The Department of Health said that the Australian Government has launched the next phase in its COVID-19 vaccination communications campaign, 'Spread Freedom', to encourage the remaining 13.2 per cent of the eligible population who aren't yet vaccinated to come forward to get the jab. Four jurisdictions - New South Wales (NSW), Victoria, Tasmania and the Australian Capital Territory (ACT) - have now passed the 70 per cent double-dose vaccination mark, and the nationwide rate is more than 73 per cent. NSW and the ACT have both passed the 80 per cent double-dose mark - and Victoria will do so in coming days.
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COVID-19 Rapid Antigen Self-tests (for home use)
The Department of Health said that from 1 November 2021, Australians are able to test themselves for COVID-19 at home. This is an important step in transitioning Australia's National COVID-19 Response now that vaccination rates are higher. Individual tests will require TGA approval and inclusion in the Australian Register of Therapeutic Goods (ARTG) as for all other testing kits. To ensure the reliable use of these tests at home it is important they are easy to use and interpret. Any consumer who has a positive rapid antigen test result should immediately have a confirmatory PCR test at a COVID-19 testing centre. WA and SA Governments currently have local arrangements in place that may prevent distribution of self-tests in those states.
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SA: COVID-19 vaccination rollout accelerates with 50 new schools
SA Premier Steven Marshall
and SA Minister for Health Stephen Wade said that COVID-19 vaccinations will be made available in more than 50 additional South Australian schools to make it easier for students and staff to get the potentially lifesaving vaccination before Christmas. The new sites are on top of the 24 already-established SA Health school vaccination hubs and take the total number of school-based clinics to more than 70, with the potential to reach 34,000 students by the end of this term. In the selection of locations priority has been given providing access to more vulnerable communities and communities with lower vaccination rates.
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TAS: Specifics of COVID plan need to be made clear
Tasmanian Premier Peter Gutwein
and Tasmanian Minister for Health Jeremy Rockliff need to clearly outline the government's COVID plan, particularly how emergency departments will cope with increased demand. Labor Leader Rebecca White said the most recent health dashboard data confirmed what many Tasmanians feared, that the health system is already at breaking point. 'People right across the state have rightly raised concerns about the health system's ability to cope with a COVID outbreak and the government is yet to comprehensively address them,' Ms White said.
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1 November

Commonwealth COVID-19 hotspot to end in Greater Melbourne on 31 October 2021
The Department of Health said that the Australian Government Chief Medical Officer, Professor Paul Kelly, has confirmed the Commonwealth hotspot declaration for all LGAs in Greater Melbourne will cease at 11.59pm on 31 October 2021. This follows confirmation that the double-dose COVID-19 vaccination rate in Victoria has reached 80 per cent for people aged 16 and over. Under the National Plan agreed to by all First Ministers, the Commonwealth's hotspot declaration automatically ceases within a particular state or territory once the 80 per cent fully vaccinated rate has been reached within that jurisdiction, with hotspot-related support to cease two weeks thereafter. Targeted and specific funding from the Australian Government to support the management of COVID-19 in Victoria will continue to be provided through the National Partnership Agreement on COVID-19 Response with all states and territories.
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'Living with COVID' means living with caution
The Consumers Health Forum welcomed the Federal Government's additional support for community-based care for COVID cases but urges Australians to take care as Australia transitions to 'living with COVID' arrangements. 'The easing of lockdowns and opening of borders mean that even with an overall decline in pandemic risks, significant challenges for both hospitals and primary care doctors and nurses in the community will continue. Consumers need to play their part in avoiding infection by continuing with sensible anti-COVID precautions,' the CEO of the Consumers Health Forum, Leanne Wells, said.
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QLD: Ultra-low COVID-19 vaccine dose given to six people
Queensland Health
contacted 175 people who received the Pfizer COVID-19 vaccination at the Flagstone Community College pop-up vaccination clinic on Saturday 23 October. It has been identified that six people may have received an ultra-low dose of the vaccine, due to a vaccine preparation error. The Pfizer vaccine requires a process of preparation, where saline is added to the vaccine vial and withdrawn to make up to six doses. An initial review indicated one vial was used twice, meaning the doses drawn on the second use were over-diluted.
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NSW: COVID-19 (Coronavirus) statistics
NSW Health recorded 135 new locally acquired cases of COVID-19. No new cases were acquired overseas, and one new case was acquired interstate. Seven cases have been excluded following further investigation, bringing the total number of cases in NSW since the beginning of the pandemic to 75,218. Sadly, NSW Health is reporting the deaths of four people with COVID-19, two men and two women.
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WA: 'Super Vax Weekend' making it easier than ever to 'roll up' for WA
WA Premier McGowan
and WA Minister Cook said that 'Super Vax Weekend' is coming to Western Australia from November 6 to 7. Pop-up clinics at eight Bunnings locations and other convenient locations, as well as fixed State-run clinics, will make it easier than ever for Western Australians to get vaccinated - with no appointment necessary. Participating Bunnings stores include Rockingham, Harrisdale, Mindarie, Balcatta, Cannington, Ellenbrook, Geraldton and Busselton. Thousands of Diwali festivalgoers will also be able to 'roll up' for WA at an expanded Claremont Showgrounds clinic with extended hours.
Download

31 October

NSW: Health to provide booster shots at its vaccine clinics from Monday 1 November
NSW Health
state-run clinics will offer a booster dose, using the Pfizer COVID-19 vaccine, to individuals aged 18 and over from Monday 1 November. This booster shot will help people maintain a high level of protection against the COVID-19 virus, including the Delta variant. People aged 18 years and older may receive a booster at least six months after receiving their second dose of any of the COVID-19 vaccines registered for use in Australia. The Pfizer COVID-19 vaccine will be offered as the booster dose, regardless of the COVID- 19 vaccine received for the first or second dose.
Download

30 October

Recommencing quarantine-free travel from New Zealand to Australia
The Department of Health said that Australia's rapidly increasing vaccination coverage has put us in good stead to take the next steps in reopening borders to the world. From 1 November 2021, vaccinated Australians will be able to travel internationally without seeking exemptions, and vaccinated Australian citizens, residents and their families will be able to return quarantine-free to jurisdictions that are ready. Considering this, the Chief Medical Officer has advised that one-way quarantine-free travel to Australia from anywhere in New Zealand can recommence from 11:59 pm AEDT on Sunday 31 October 2021 for jurisdictions that are ready to do so and for travellers that have been in either Australia or New Zealand for the 14 days prior to departure.
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29 October

Australia's COVID-19 vaccine rollout delivers high vaccination rates among people with disability
The Government welcomed the formal submission of the final report from the Disability Royal Commission on Public Hearing 12, which examined the experiences of people with disability through the COVID-19 Vaccine Rollout. The Disability Royal Commission held a public hearing focusing on the vaccine program in May 2021. Since then, vaccination rates among Australians with disability have significantly increased with an ongoing focus on supporting access to ensure maximum protection from severe outcomes of COVID-19. Minister Hunt and Minister for Social Services Linda Reynolds said the Government has accepted six of the seven recommendations and noted the seventh, emphasising that significant progress in the vaccination rollout for people with disability has already been made.
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Anxiety over vaccine mandates will not exempt you from receiving a COVID-19 vaccine
The Royal Australian College of General Practitioners (RACGP) warned patients that they will not receive a COVID-19 vaccine exemption on the grounds of anxiety over vaccine mandates. It comes following an anti-vaxxer group providing followers with advice to seek a vaccine exemption on the grounds of 'acute major anxiety caused by the threat of a mandatory medical procedure'. The Australian Technical Advisory Group on Immunisation's (ATAGI) Expanded Guidance, which was prepared to support completion of an immunisation exemption form, notes that exemptions can be granted for 'acute major medical illness', which ATAGI describes as undergoing major surgery or hospital admission for a serious illness. Anxiety is not listed as a condition for vaccine exemption.
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RACGP welcomed plan for caring for COVID-19-positive patients in the community
The RACGP welcomed a package of new measures to help GPs care for COVID-19-positive patients in the community. RACGP President Dr Karen Price welcomed the announcement. 'It is good news that the Federal Government has heeded the RACGP's calls and introduced this suite of measures to help hardworking GPs care for COVID-19-positive patients,' she said. 'We must be upfront about the fact that COVID-19 cases are going to spike significantly across Australia. GPs stand ready to help, we have the right skills and expertise to continue caring for COVID-19-positive patients in the community.'
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General practice continues to play central role in fight against COVID
The Australian Medical Association (AMA) welcomed the Government's recognition that general practice must continue to play a frontline role in supporting patients with COVID-19 as Australia reopens and COVID-19 becomes endemic in the community. The Minister for Health, Greg Hunt, announced additional measures to support GPs to care for COVID-19 patients in the community. AMA President Dr Omar Khorshid said: 'With high rates of vaccination, most people with symptoms of COVID-19 will experience mild-to-moderate illness and GPs are well equipped to care for these patients, taking significant pressure off our hospital system.'
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Indigenous leaders urge PM to address low vaccination among First Nations Australians
Indigenous leaders and health professionals have written to Prime Minister Scott Morrison seeking an urgent meeting about low COVID-19 vaccination rates among Aboriginal and Torres Strait Islander peoples. More than 20 leaders, including Professor Peter Yu from The Australian National University (ANU), have signed the letter, which outlines the 'gravest concerns' at continuing low levels of COVID-19 vaccination in Indigenous Australian communities. 'Despite the efforts of the Aboriginal Community Controlled health sector, we have unfortunately not seen the same levels of vaccination achieved in our communities as in the wider population,' the letter reads.
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ACT: Health Minister to give evidence on the COVID-19 pandemic response
The ACT Select Committee on the COVID-19 pandemic response will hold its fourth public hearing into the ACT government's health and financial response relating to the COVID-19 pandemic from 4.30 to 5.30 pm on Monday, 1 November 2021. Witnesses include Ms Rachel Stephen-Smith MLA, Minister for Health, and the Chief Health Officer. Committee Chair, Ms Elizabeth Lee MLA, said 'The Committee welcomes the opportunity to discuss the health response to COVID-19 with the Minister and Chief Health Officer. This includes both the lockdown and the pathway to recovery.'
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NSW: COVID-19 (Coronavirus) statistics
NSW recorded 268 new locally acquired cases of COVID-19. One new case was acquired overseas, and 16 cases have been excluded following further investigation. The total number of cases in NSW since the beginning of the pandemic is 74,698. Sadly, NSW Health is reporting the deaths of two people.
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Aged Care

1 November

Finalists for LASA innovAgeing awards announced
Leading Age Services Australia (LASA) said that innovAGEING, along with its Foundation Partners the Commonwealth Bank and KPMG Australia, is delighted to announce the finalists for the 2021 innovAGEING National Awards. 'Congratulations to this year's finalists. It's inspiring to see their incredible work in the service of older Australians,' say Merlin Kong, Head of innovAGEING. 'The calibre and number of entries this year has been excellent, and it's especially great to see this given the challenging 20 months everyone in the age services has experienced,' Mr Kong said.
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ACT: New Public Health Direction for disability and aged care workers to be signed
The requirement for disability support workers and in-home and community aged care workers in the ACT to be vaccinated against COVID-19 will take effect in mid- November. Following significant consultation between the ACT Health Directorate and stakeholders representing the disability and aged care sectors, a new public health direction will be signed. ACT Minister for Health Rachel Stephen-Smith said that feedback from stakeholders indicated that the originally proposed dates of 1 November and 29 November for the first and second dose requirements would not give employers enough time to ensure they were meeting their obligations.
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29 October

Vaccination uncertainty puts the most vulnerable at risk and is difficult for visitors and providers alike
The Australian Aged Care Collaboration (AACC) said it is disappointed that Victoria's new Public Health Order does not require all visitors to residential aged care to be fully vaccinated. Visits from loved ones in aged care homes are fundamental to the health and wellbeing of residents in care. AACC's priority is to ensure the wellbeing and safety of residents and the dedicated staff that care for them. It must be a national priority to keep vulnerable older Australians safe from COVID-19. This must translate into appropriate protections in Public Health Orders in States and Territories.
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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

29 October

VIC: Delivering healthy futures
The Government is making sure young Victorians have the physical and mental wellbeing support they need to thrive. Victorian Minister for Health Martin Foley launched Healthy Kids, Healthy Futures - the Governments five year plan to ensure Victorian children and young people are strong, healthy and well from their earliest years. Healthy Kids, Healthy Futures will help tens of thousands of Victorian children and young people thrive as they grow through the promotion of healthy eating and active lifestyles.
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Clinical Governance

4 November

General practice in desperate need of support AMA tells senate inquiry
The AMA has said just as the COVID-19 pandemic has shone a light on the inadequacies of the public hospital system, it has also highlighted the long-term under-resourcing of general practice. AMA Vice President Dr Chris Moy and AMA Council of Rural Doctors representative Dr Peter Maguire have told a senate inquiry into the provision of general practitioner (GP) and related primary health services to outer metropolitan, rural and regional Australians that GPs 'desperately need help now' if patient care across Australia is not to suffer.
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TAS: Prolonged health waiting lists to cause prolonged pain
The government needs to be upfront with Tasmanians about what the border reopening will mean for the health system, particularly the already ballooning health wait lists. Shadow Minister for Health Anita Dow said with 10,776 Tasmanians already on the elective surgery waitlist, 56,252 Tasmanians waiting to see a specialist and 18,193 Tasmanians waiting to see a public dentist, the health system is clearly not meeting current demand. 'Tasmania's health system is in crisis, and after almost eight years of ballooning wait lists under the Liberals there is a real risk it will only get worse,' Ms Dow said.
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Construction and Health Infrastructure

None this edition.

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Dental

None this edition.

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Disabilities

4 November

Provider list now available to help participants find and compare information about continence products
'Today we published the continence provider list - a collation of NDIS registered providers and their service offerings which will help participants, their families and carers find trusted information on continence products. The list is an additional resource to help with finding and comparing continence products and providers. To be considered for the list, providers had to apply and meet our service requirements, which included accessibility, transparent pricing, range of products and customer service,' said the National Disability Insurance Agency (NDIA).
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New modelling shows $52 billion benefit of NDIS
The National Disability Insurance Scheme is delivering $2.25 to the Australian economy for every dollar being spent, according to a landmark report titled False Economy, said National Disability Services. The analysis from independent thinktank Per Capita calculates the nation benefitting $52 billion in 2020-21 alone with benefits including:
- Support for 467,000 Australians being supported in the scheme.
- 270,000 workers delivering support, generating spending and demand for goods and services.
- A significant increase in labour market participation by carers and people with disability.
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NDIS cuts will be an Aussie job killer
The Government has put out 10 conflicting sets of numbers this year alone to justify its cuts to the NDIS. The new report from peak body National Disability Services shows that for every $1 billion in funding cut from the scheme, more than 10,000 jobs are lost. The report also shows that there is a benefit to the economy of $2.50 for every $1 spent on goods and services through the scheme. This is a phenomenal investment that the Government has chosen to ignore in order to cut funding to NDIS participants, said the Shadow Minister for the National Disability Insurance Scheme Bill Shorten.
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1 November

QLD: Have your say on protecting the rights of people with disability
Queenslanders are invited to help shape reforms to safeguard people with disability who may harm themselves or others. Queensland Minister for Disability Services Craig Crawford said with Queensland's transition to the National Disability Insurance Scheme now done, it was time to review the use of positive behaviour support and restrictive practices. Mr Crawford said the review would look at how laws could best support people with disability, families, carers, service providers and workers through NDIS for national consistency.
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29 October

Legislation improving the NDIS for participants
Minister for the NDIS Linda Reynolds said that the Government introduced legislation to improve the experiences of participants, their families and carers of the National Disability Insurance Scheme (NDIS). The NDIS provides essential support for almost 500,000 people living with significant and permanent disability. 'After eight years of lived experience of the NDIS it is evident changes are needed to further safeguard participants, cut red tape and give greater control and choice to participants,' Minister Reynolds said. The NDIS Amendment (Participant Service Guarantee and Other Matters) Bill 2021 implements recommendations of the 2019 Tune Review, which was underpinned by extensive stakeholder and participant consultation.
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QLD: Queensland Government welcomes and responds to statewide NDIS Inquiry
Queensland Minister Crawford welcomed the public release of the Queensland Productivity Commission's (QPC) final report for the Inquiry into the NDIS market in Queensland and the Queensland Government's response. 'Queensland taxpayers invest over $2 billion a year in the NDIS,'' Mr Crawford said. 'We want to make sure that Queenslanders with disability have every opportunity to access supports under the scheme.'
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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

None this edition.

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Education and Training

None this edition.

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Funding

3 November

Solid foundations for the future of stem cell transplants
The Government is helping refine the delivery of life-saving stem cell and bone marrow transplants for patients with blood or immune disorders, and those receiving chemotherapy or radiation treatment. Haemopoietic progenitor cells (HPC) are self-renewing stem cells which can change and mature into all blood cell types. A HPC transplant regenerates bone marrow and blood-forming systems, potentially saving or extending the recipient's life. Minister for Regional Health Dr David Gillespie said the new National HPC Framework spans Commonwealth and state and territory governments, delivering on a commitment to enhance future operations and management of the Australian HPC sector.
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Riverina project to help build drought resilience in young farmers
A special project to help young farmers manage stress has received a big boost from the Federal Government. Member for Riverina Michael McCormack said Farmlink Research Ltd would receive $18,096 for a project titled Improving Young farmer Mental Resilience in Times of Drought. The grant is one of 33 awarded across Australia worth a total of $1.4 million in Round 1 of the Future Drought Fund's Networks to Build Drought Resilience program.
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ACT: Healthy Canberra grants to reduce harm from risky behaviours
Healthy Canberra grants are now open for projects that will focus on reducing the harms associated with risky behaviours such as drinking, smoking and unsafe sex. ACT Minister for Health Rachel Stephen-Smith said while on average Canberrans enjoy one of the highest standards of health and wellbeing in the world, many are living with preventable chronic diseases. 'This latest $1.3 Million funding round will help improve the health of Canberrans, including by tackling sexually transmissible infections and blood borne viruses and supporting programs aimed at reducing risky behaviours,' Minister Stephen-Smith said.
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29 October

Supporting and strengthening Primary Care as Australia opens up
Minister for Health Greg Hunt
said that the Australian Government is taking further steps to support and strengthen the health system under phases B and C of the National Plan to transition Australia's National COVID Response, as agreed by National Cabinet. As States and Territories reach the target COVID-19 vaccination rates, lockdowns are lifted and borders opened, there will be more but milder COVID-19 cases in a community better protected through Australia's successful vaccine rollout. With a highly vaccinated population the majority of COVID-positive people will be able to be managed in the community and won't require hospitalisation.
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Health Professionals

3 November

Unsatisfactory professional conduct
The Health Care Complaints Commission prosecuted a complaint against neurologist Dr Daniel Ghougassian before the NSW Civil and Administrative Tribunal. It was alleged that in 2018, while practicing from his private rooms in Sydney, he inappropriately interviewed a 13 year old girl (Person X) who was the daughter of a Patient (Patient A) and photographed her legs, and on another occasion videoed her in a state of undress, all without the knowledge and consent of her parents. Separately, the Commission alleged that on two separate occasions in 2003-2004 Dr Ghougassian filmed a then 18 year old patient (Patient B) in a state of undress without confirming that the patient understood the consent form he asked her to sign for the video or affording her privacy.
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1 November

TAS: Rockliff needs to outline impact of vaccine mandate across entire health service
Tasmanians should be given a clearer picture of the impact of the government's COVID vaccine mandate across both the private and public health service. Tasmanian Shadow Minister for Health Anita Dow said although the Tasmanian Government had revealed 170 public health staff had now been stood down with a view to being terminated, the effect on the private health system needed to be made clear. 'The vaccine mandate rightly applied to all health workers across the public and private systems but it's concerning that the Minister Jeremy Rockliff has not provided an update on how many private health workers have been affected,' Ms Dow said.
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31 October

TAS: Health workforce protects against COVID- 19
Tasmanian Minister for Health Jeremy Rockcliff
said: 'The overwhelming majority of Tasmanian health workers have complied with a Public Health Direction to be vaccinated against COVID-19 and I commend them for their efforts. At the deadline of 12.01am today, 15,970 Department of Health employees or 99 per cent of the workforce had reported their vaccination or medical exemption evidence as required. I would like to thank each and every one of these people for making sure they have done what they can to help keep Tasmanians - including some of the most vulnerable - as safe as they can be against COVID-19.'
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29 October

HESTA welcomed scrapping of $450 super threshold
The Australian Government introduced legislation removing the $450 per month threshold to expand coverage of the super guarantee to eligible employees regardless of their monthly pay. Below is a statement from Health Employees Superannuation Trust Australia (HESTA) CEO Debby Blakey: 'We've been calling for the scrapping of the unfair $450 super threshold for more than 10 years, so we welcome the introduction of this legislation. It's a long overdue and important step that will help improve financial security for the lower paid. The end of the $450 threshold means that many casual and part-time workers no longer miss out on the benefits of super entirely. It's a key equity measure that super is paid on every dollar earned.'
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Hospitals

3 November

WA: Healthy funding boost to further increase WA's hospital capacity
WA Premier Mark McGowan and WA Minister for Health Roger Cook said the WA Government will invest an additional $400 million in 270 new beds across the health system to increase capacity and be extra prepared for when border controls are further eased and COVID-19 enters the Western Australian community. The $398 million investment builds on the WA Government's massive $1.9 billion health investment in the 2021-22 Budget - equating to one of the biggest investments ever in the health system.
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2 November

SA: nWCH coming together, like pieces in a puzzle
The new $1.95 billion Women's and Children's Hospital (nWCH) reaches another major milestone with consultation opening on the internal layout plans - which map out the proposed placement of the clinical spaces within the new building like a jigsaw puzzle. SA Minister for Health and Wellbeing Stephen Wade said this is an exciting next step moving from the planning phase into the design process.
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1 November

WA: Robotic surgery a first for a WA public hospital
WA Minister Cook said that patients at Fremantle Hospital will now benefit from the latest in robotic technology which assists surgeons to plan and more accurately perform bone cuts and optimise functional outcomes in joint replacement surgeries. Making itself at home in one of the newly refurbished theatres, the Mako SmartRobotics system will be based at Fremantle Hospital following a successful Market-led Proposal by manufacturer, Stryker Australia. The Mako SmartRobotics uses a CT scan to create a 3D image of the patient's unique anatomy which can be manipulated to assist the surgeon to plan the surgery.
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29 October

ACT: Local artists to enhance wellbeing at the Canberra Hospital Expansion
The ACT Government said it is seeking an expert art consultant to lead the art strategy for the Canberra Hospital Expansion. ACT Minister for Health Rachel Stephen-Smith said public artwork would enhance the wellbeing of people using the new Critical Services Building. 'Community input into this new facility, including from health care consumers, carers and the Aboriginal and Torres Strait Islander community, is vitally important. We want the Canberra community to have the chance to really put their stamp on the new facilities they'll be using.'
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Insurance

None this edition.

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Medicare

31 October

Medicare to fund allied health case conferencing
Minister for Health Greg Hunt
said that new Medicare items will encourage eligible health providers to work together more closely to support the health of vulnerable Australians. Allied health professionals will - for the first time - be reimbursed through Medicare for taking part in case conferences to support people with chronic diseases or young children with developmental disorders like autism. To date, allied health professionals could take part but were unpaid. These additional items will improve care coordination and deliver better outcomes to patients with complex needs who have multiple care providers.
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Men's Health

None this edition.

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Mental Health

3 November

Public hearing with Ministers for Education and Mental Health on the COVID-19 pandemic response
The Select Committee on the COVID-19 2021 pandemic response will hold its fifth public hearing into the ACT government's response to the pandemic. The witnesses include Ms Yvette Berry MLA, Minister for Education, and Ms Emma Davidson MLA, Minister for Mental Health. The Committee is holding regular public hearings with ACT Government officials and community groups which will be held virtually and live streamed to the public. The hearings can be viewed at the Assembly on Demand website.
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2 November

Report calls for permanent mental health committee
Even before the COVID-19 pandemic, it was estimated that one in five Australians and nearly half of all adults would experience a mental or behavioural condition in their lifetime, and over 65,000 Australians make a suicide attempt each year. The House Select Committee on Mental Health and Suicide Prevention has released its final report, calling on the Australian Government to implement reform to address the pandemic- and natural disaster-induced mental health, suicidality, and social and emotional wellbeing crisis.
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Lifeline Australia welcomed Select Committee Report on Mental Health and Suicide Prevention
Lifeline Australia
welcomed the publication of the House of Representatives Select Committee on Mental Health and Suicide Prevention's final report on Mental Health and Suicide Prevention (the report), which calls for a 'whole-of-government, whole-of- parliament approach to mental health and suicide prevention'. John Brogden, Chairman of Lifeline Australia, said 'The last couple of years have shown us very clearly the impact that disasters such as bushfires and COVID-19 can have on people's mental health. Lifeline has seen demand skyrocket during this time - in fact, the 33 busiest days in Lifeline's 58-year history were all in August and September this year.'
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1 November

NSW: $130million to fast track state's mental health recovery
The NSW Government's economic roadmap has mental health as a top priority with a record $130 million to provide immediate access to help for anyone whose mental health has been impacted by the COVID-19 pandemic. Premier Dominic Perrottet said the lockdown combined with working from home and home schooling has seen a record number of people reach out to crisis lines. NSW Minister for Mental Health Bronnie Taylor said the new funding will provide public access to private psychiatrists, psychologists and mental health beds as well as training 275,000 people in the community to become mental health first aiders.
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NSW: Funding support for additional mental health outreach in NSW
NSW Minister Taylor said the delivery of Safe Havens and Outreach Teams will hopefully engage with people in distress before they need to be hospitalised, along with reducing the likelihood of further suicidal behaviours. 'Instead of struggling alone or heading to a bustling emergency department, anyone who is experiencing mental health distress can now head to one of these purpose-designed Safe Havens,' Mrs Taylor said. 'There are no appointments or referrals needed, so whether you need some peace and quiet, a chat with someone who understands what you're going through, or some calming activities to reduce the intensity of your negative thoughts and feelings, you can walk right in.'
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Royal Commission into Victoria's Mental Health System

None this edition.

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Pharmaceuticals and Regulation

4 November

Prescription medicines: applications under evaluation
This page provides a list of applications for new medicines or new uses for existing medicines that are currently under evaluation by the Therapeutic Goods Administration (TGA). The list of medicines under evaluation is updated each month.
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2 November

Free-market fanatics plan to kill off yet another industry... owner-operator pharmacies
Member for Kennedy Bob Katter
said a plan floated by the AMA (Australian Medical Association) to deregulate pharmacies by expanding the sale of medicines to vending machines in GP clinics, supermarkets and online, is a 'wicked proposal' that he will fight tenaciously. 'The people pushing the deregulation of all our industries seem to have a hatred of the Australian way of life, which is the ordinary bloke having a go,' Mr Katter said. 'They won't rest until 'Cold' and 'Worthless' own everything, are foreign-owned companies, and have 100 percent market share.'
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Australian Public Assessment Report for Casirivimab/imdevimab
The Therapeutic Goods Administration (TGA) released an AusPAR describing the application by Roche Products Pty Limited (the sponsor) to register Ronapreve (casirivimab/imdevimab) 120 mg/mL casirivimab and 120 mg/mL imdevimab, solution for infusion and injection.
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Authorised Prescribers
The TGA said that the Authorised Prescriber Scheme allowed authorised medical practitioners to supply therapeutic goods (such as medicines, medical devices or biologicals) that are not included in the Australian Register of Therapeutic Goods (ARTG) to a class of patients with a particular medical condition. An Authorised Prescriber is allowed to supply the product directly to specified patients under their immediate care without requiring separate approval for individual patients. Authorised Prescribers must report the number of patients treated every 6 months. Use of the product must be reported twice yearly covering each period between 1 January to 30 June and 1 July to 31 December.
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TGA warns consumers of counterfeit nicotine vaping products
The TGA warned consumers to be aware of counterfeit nicotine vaping products advertised and sold online. Fake products, known as counterfeits, imitate genuine products but may contain undeclared and hazardous active ingredients. If a product contains nicotine but is not declared to contain nicotine on the product or packaging it is a counterfeit product. New laws were introduced on 1 October 2021 on how nicotine vaping products may be imported, supplied and advertised in Australia. These laws were introduced to prevent adolescents and young adults from taking up nicotine vaping (and potentially smoking) while enabling current smokers to access these products for smoking cessation with appropriate medical advice.
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1 November

TGA recognises two more COVID-19 vaccines not registered in Australia but used widely internationally
The TGA determined that Covaxin (manufactured by Bharat Biotech, India) and BBIBP- CorV (manufactured by Sinopharm, China) vaccines would be 'recognised' for the purpose of establishing a traveller's vaccination status. This recognition is for travellers aged 12 and over who have been vaccinated with Covaxin, and those 18 to 60 who have been vaccinated with BBIBP- CorV. The TGA has obtained additional information demonstrating these vaccines provide protection and potentially reduce the likelihood that an incoming traveller would transmit COVID-19 infection to others while in Australia or become acutely unwell due to COVID-19. The supporting information has been provided to the TGA from the vaccine sponsor and/or the World Health Organisation.
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Section 19A medicines subsidised by the Pharmaceutical Benefits Scheme
The TGA said that in the event of a medicine shortage, a provision under section 19A of the Therapeutic Goods Act 1989 allows for temporary approvals to be granted for the import or supply of a brand of medicine that is not registered on the Australian Register of Therapeutic Goods, which could act as a substitute for the medicine that is unavailable or in short supply. A list of section 19A medicines approved for supply are available on the TGA website.
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Australian Public Assessment Report for BNT162b2 (mRNA)
The TGA said that this AusPAR describes the application by Pfizer Australia Pty Ltd (the sponsor) to register Comirnaty (BNT162b2 (mRNA)) 30 µg/0.3 mL concentrated suspension for injection for the following changes to the dosage regimen and other major changes in the Product Information.
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AMA called for discussion on how and where medicines are dispensed
The Australian Medical Association (AMA) released The future of dispensing, a discussion paper on Australians having affordable and accessible medicines into the future, and it explores alternative dispensing models for medications. AMA President Dr Omar Khorshid said the discussion paper aims to consider how, where and why medicines are dispensed in Australia and to promote discussion among health professionals, doctors and consumers. 'The AMA earlier this year launched its Vision for Australia's Health, which outlines a blueprint for the future of the Australian healthcare system that is based on the core principles of access, sustainability and patient empowerment that is led by medical practitioners,' he said.
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29 October

HIV self-tests available in Australia
The Department of Health said that one HIV self-test is approved for use in Australia, the Atomo HIV Self Test. Conditions which placed limitations on the supply of this self-test changed on 22 October 2021 to improve the accessibility of HIV testing. The limitations on its supply were eased following further studies demonstrating the preferences, acceptability and significantly improved usability of this HIV self-test. It is now easier for Atomo to supply their HIV Self Test through online purchases, over-the- counter sales in pharmacies and to other relevant businesses, organisations and institutions that work with HIV at-risk communities including gay, bisexual, and other men who have sex with men (GBM).
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PSA welcomed extension to continued dispensing arrangements but permanency needed
The Pharmaceutical Society of Australia (PSA) welcomed the Government's decision to extend continued dispensing arrangements. This extension will allow pharmacists to continue providing their patients with up to one month's supply of their Pharmaceutical Benefits Scheme (PBS) medicines, if they are unable to access their prescription or a doctor in an emergency situation. PSA National President, A/Prof Chris Freeman, welcomed the announcement and once again urged the Government to make it permanent.
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Research

2 November

Counting women in COVID-19 vaccine research
There has been a 'positive shift' in inclusive gender practices in COVID-19 vaccine research, but there is still room for improvement, experts say. Women have been equally recruited and represented in randomised control trial research about COVID-19 vaccine safety, efficacy and effectiveness, according to a new study by The George Institute for Global Health and The Australian National University (ANU). The researchers argue the trend is helping improve decades of women being overlooked in major health research. 'We found some really positive research practices for gender inclusivity,' lead author, Dr Amy Vassallo, from The George Institute, said.
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Researchers reveal a strategy for next- generation COVID-19 vaccines
A study led by the Garvan Institute of Medical Research has revealed a guide to developing COVID- 19 vaccines that both prevent the coronavirus from infecting human cells and that are more resistant to evolving viral strains. The team's key criteria for antibodies generated by future vaccines are to target regions of the SARS- CoV-2 viral surface that are unlikely to mutate and share key features that the researchers found could block the virus from infecting human cells. Remarkably, the researchers found in experimental models that immunising with surface proteins from related viruses, such as SARS-CoV-1, the virus responsible for the original 2003 SARS epidemic, generated antibodies that met these criteria.
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29 October

US Department of Defense grants boost Garvan's cancer research
Two innovative cancer research projects at the Garvan Institute of Medical Research have been awarded highly competitive grants totalling US$1.68 million (AU$2.23 million) by the US Department of Defense. Professor Vanessa Hayes and Associate Professor Alex Swarbrick are leading the two projects, which are investigating the genomic and environmental factors that lead to severe prostate and breast cancers, in a bid to improve patient outcomes. Funding for these projects comes through the US Department of Defense's Congressionally Directed Medical Research Programs, a highly competitive grant program open to research institutes around the world that was established to invest in ground-breaking projects and target critical gaps in basic and translational research.
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Rural, Regional and Remote Health

3 November

TAS: Rural and regional hospitals need to be ready
Tasmania's rural and regional hospitals must be prepared for when the borders open and COVID-19 cases are in the community. Tasmanian Shadow Minister for Health Anita Dow said the government needs to make sure that Tasmanians can access the health care they need, where they need it, particularly post December 15. 'When there are COVID cases in Tasmania our hardworking health workers will be under even more pressure than they already are,' Ms Dow said.
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2 November

NT: Health alert - increase in rotavirus in the Territory
The NT Department of Health said that people in the Northern Territory are being alerted to an increase in rotavirus. an infection that causes gastroenteritis. Rotavirus notifications have increased over the past two months, with 91 cases recorded since 1 September 2021, mostly in children under 10 years of age. Dr Vicki Krause, Director, Centre for Disease Control, said: 'Comparatively. during the same period in 2020, there were just three cases notified. Recent cases of rotavirus have been reported across the NT and we expect further spread. A fifth of cases have been in children under 10 years of age who were not vaccinated against rotavirus.'
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1 November

QLD: More rural renal services for North Queensland
Infrastructure upgrades at Ingham and Charters Towers Hospitals will deliver eight renal chairs to bring care closer to home for patients receiving haemodialysis for renal failure and kidney disease. Queensland Minister for Health and Ambulance Services Yvette D'Ath said Hutchinson Builders would begin construction on two satellite renal dialysis units at each facility this month (1 November and 8 November). The new chairs are being funded through a $4 million injection of funds from the Queensland Government's Rural and Regional Renal Program.
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QLD: Government funding to support Mackay Manufacturers
Support from the Government for Mackay manufacturers has taken another step forward with the new round of the highly successful Manufacturing Hubs Grants Program (MHGP) opening for applications. Queensland Assistant Minister for Health and Regional Health Infrastructure Julieanne Gilbert said the grant program specifically targets regional manufacturers with Round 2 only available to manufacturers in the Mackay and Gold Coast regions. 'Earlier this year the Queensland Government opened a Regional Manufacturing Hub in Mackay to provide advice and support to local manufacturers looking to grow their operations,' Mrs Gilbert said.
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31 October

QLD: QR codes used to improve patient travel experience
A trial program is using QR code armbands to help support rural patients who have been flown to a major hospital outside the region for emergency treatment. Queensland Minister D'Ath said the innovative program had been devised by the Central West Hospital and Health Service and could be used in other rural areas if successful. 'The armbands being trialed as part of this program provide information which can be scanned and used by staff at a receiving hospital to help make appropriate arrangements to return patients to their home locations,' she said.
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Women's Health

2 November

SA: nWCH coming together, like pieces in a puzzle
The new $1.95 billion Women's and Children's Hospital (nWCH) reaches another major milestone with consultation opening on the internal layout plans - which map out the proposed placement of the clinical spaces within the new building like a jigsaw puzzle. SA Minister for Health and Wellbeing Stephen Wade said this is an exciting next step moving from the planning phase into the design process.
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Transcripts

Minister for Health and Aged Care Greg Hunt
04 NOV: Transcript of Press Conference, Melbourne
Subjects: Government funding for WEHI, Vaccine rollout and booster shots, MRIs, Medical research, NHMRC New Ideas grants, Therapeutic Goods Administration, Drug approval

Minister for Health and Aged Care Greg Hunt
04 NOV: Transcript of Interview with Sarah Harris & Tristan Macmanus, Studio 10
Subjects: NHMRC Health and Medical Research Grants, Vaccine for Kids, Long COVID, Pfizer, Neurology, Booster shots, Relations with France, AUKUS

Minister for Agriculture and Northern Australia David Littleproud
04 NOV: Transcript of Interview with David Dowsett, ABC Wide Bay
Subjects: Desert Rose, Services Australia, Community outreach, Mobile services, Disaster relief, Vaccination certificates, Medicare, Working holiday makers tax

Minister for Home Affairs Karen Andrews
03 NOV: Transcript of Interview with Neil Breen, 4BC Breakfast
Subjects: Family, Police, Crime, AUKUS, COVID-19, Safe reopening of the international border, Travel, Tourism, Technology, Naval Group, National security

Minister for Foreign Affairs Marise Payne
03 NOV: PAYNE: Transcript of Interview with Jim Wilson, 2GB Drive
Subjects: Australia-France relationship, Foreign affairs, Nuclear submarine deal, AUKUS, Australian reputation, Glasgow summit, National interests, Quarantine

Australian Medical Association (AMA)
03 NOV: Transcript by Interview AMA President, Dr Omar Khorshid, with Hilary Harper, ABC Radio National Life Matters
Subjects: Elective surgeries, NSW hospital system, Staff shortages in hospitals

Leader of the Opposition Anthony Albanese
03 NOV: Transcript of Doorstop Interview, Ballarat
Subjects: Cleo Smith, Local infrastructure funding in Ballarat, Next Federal election, Climate change, Booster vaccines for COVID-19

Shadow Minister for Foreign Affairs Penny Wong
02 NOV: Transcript of Interview with Patricia Karvelas, ABC Afternoon Briefing
Subjects: Prime Minister, President of France, COP26, Interstate border restrictions, Tonga COVID-19 outbreak, Vaccines for the region

Shadow Minister for the NDIS Bill Shorten
02 NOV: Transcript of Interview with Karl Stefanovic, Today Show
Subjects: Former submarine agreement with France, Diplomatic relationship with France, President of the US, Qld health workers stood down over vaccines, Melbourne Cup

Department of Health
01 NOV: Transcript of Interview of Lieutenant General, John Frewen, with Rebecca Levingston, ABC Radio Brisbane
Subjects: Vaccine rollout, Booster shots, Youth immunisation, COVID-19, AstraZeneca, Pfizer, MRNA, Moderna

Prime Minister Scott Morrison
30 OCT: Transcript of Press Conference, Rome
Subjects: Health security and economic security, International rollout of vaccines, Keeping kids safe in the digital world, Passing of Bert Newton, AUKUS, Australia's relationship with France

Minister for Health and Aged Care Greg Hunt
29 OCT: Transcript of Press Conference, Melbourne
Subjects: New funding to support COVID-19 cases at home, COVID-19 vaccination rollout, Online health consultation, GPs role in vaccine rollout

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Reports

COVID-19 vaccine weekly safety report - 04-11-2021
Department of Health and Therapeutic Goods Administration (TGA)

Three COVID-19 vaccines are currently in use in Australia - Comirnaty (Pfizer), Spikevax
(Moderna) and Vaxzevria (AstraZeneca). These vaccines meet the TGA's high standards for quality, safety and effectiveness. The TGA closely monitors reports of suspected side effects (also known as adverse events) to the COVID-19 vaccines. This is the most intense safety monitoring ever conducted in Australia.
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Independent Review COVID-19 outbreaks in Australian Residential Aged Care Facilities
Department of Health

This review was commissioned by the Commonwealth Department of Health to examine lessons learned from COVID-19 outbreaks in residential aged care facilities (RACFs) in Australia and to make recommendations for continued improvement. The report builds on previous reviews of COVID-19 outbreaks in individual RACFs in New South Wales and Victoria.
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Health and Medical Life Sciences Industry Strategy
Department of Jobs, Tourism, Science and Innovation and Department of Health

The Health and Medical Life Sciences Industry Strategy will guide the Western Australian Government's efforts for strategic development of this industry by building on the state's comparative advantages. This strategy supports the state's economic development framework, Diversify WA, which identifies health and medical life sciences as a priority sector for the state. The strategy focuses on supporting the growth of an ecosystem that will support innovators, taking their ideas and research through to prototyping, scale-up and commercialisation. It considers opportunities across the breadth of the health and medical life sciences industry subsectors.
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PHLN guidance on laboratory testing for SARS-CoV-2 (the virus that causes COVID-19)
Department of Health

Standard-of-care testing for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) predominantly involves virus detection using nucleic acid amplification tests targeting different viral genes, and retrospective diagnosis using pathogen-specific serology (predominantly IgG seroconversion).
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SA3 - Geographic Vaccination Rates
Department of Health

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COVID-19 vaccination - Geographic vaccination rates - SA4
Department of Health

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Local Government Area (LGA) Geographic Vaccine Rates
Department of Health

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COVID-19 Vaccine Roll-out Jurisdictions Breakdowns
Department of Health

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Life tables
Australian Bureau of Statistics (ABS)

Life expectancy at birth was 81.2 years for males and 85.3 years for females in 2018-20. The Australian Capital Territory had the highest male (82.1 years) and female (85.9 years) life expectancy of the states and territories.
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Agents of Our Own Destiny: Activism and the road to the Disability Royal Commission
Royal Commission into Violence, Abuse, Neglect & Exploitation of People with Disability

The Report is divided into three sections. The first section, 'Emerging', focuses on the activism era in the disability rights movement - particularly its highpoint, the United Nations' (UN) International Year of Disabled Persons in 1981. The second section, 'Engaging', focuses on the advocacy era of the disability rights movement . 'Engaging' explores why - despite activists moving into powerful advocacy positions, using the DDA to win important victories and conducting multiple campaigns - systemic progress was limited by a shift in government policies towards neoliberalism.
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Disability in Australia: Shadows, struggles and successes
Royal Commission into Violence, Abuse, Neglect & Exploitation of People with Disability

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Standards Advisory AS18/10 - Informed financial consent
Australian Commission On Safety & Quality In Health Care

To describe assessment requirements for informed financial consent in health service organisations. Informed financial consent (IFC) is the provision of cost information to patients, including notification of likely out-of-pocket expenses (gaps), by all relevant service providers, preferably in writing, prior to admission to hospital or treatment. The Commission notes informed consent cannot be sought or obtained in certain circumstances, including for some patients admitted from an emergency department.
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Employment outcomes for NDIS participants
National Disability Insurance Scheme (NDIS)

Australians aged 25 to 64 have a higher labour force participation rate (around 80%), compared to Australians aged 15 to 24 (65%-70%). During the COVID period (orange shading) there was a larger initial drop (8%) for 15 to 24 year olds, followed by a recovery. Pre-COVID, the unemployment rate was around 4% for those aged 25 to 64, compared to around 12% for those aged 15 to 24. During the COVID period (orange shading) unemployment rates increased compared to historical levels, and more so for the younger age group
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Suicide & self-harm monitoring
Australian Institute of Health and Welfare (AIHW
)
Suicide and Self-harm Monitoring brings together key statistical data on suicide and self-harm from multiple national sources that will be updated regularly as new data become available. Here, you can examine the data through interactive visualisations and read information on the demographics, trends, methods and risk factors of suicide and self-harm in Australia.
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The health impact of suicide and self-inflicted injuries in Australia, 2019
Australian Institute of Health and Welfare (AIHW)

This report updates and extends data previously published on the burden of suicide and self-inflicted injuries from the 2015 Australian Burden of Disease Study (ABDS) (AIHW 2019). It includes updated estimates of the total, fatal and non-fatal burden of suicide and self-inflicted injuries in Australia in 2019. Detailed information is provided by age and sex, on changes over time, and on differences by key population groups.
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False economy: The economic benefits of the National Disability Insurance Scheme and the consequences of government cost-cutting
National Disability Services (NDS)

The NDIA's Annual Financial Sustainability Report of December 2020 (AFSRDec20) made waves in the disability support community when it was released earlier this year. It contains modelling stating that over the coming five years the participant costs of the NDIS will be $50 billion more than previously assumed. By 2029-30, the AFSRDec20 modelling suggests an annual overshoot as high as $22 billion; a 54% increase in costs.
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Lonely voices: Submission to the inquiry into social isolation and loneliness in Queensland
Australia Institute
The report produces polling on loneliness and social isolation that may be useful for the committee, particularly with regards to the first term of reference: The nature and extent of the impact of social isolation and loneliness in Queensland, including but not limited to: (a) identification of and consultation with vulnerable and disadvantaged individuals or groups at significant risk across the life course; and (b) the interplay of COVID-19 with this issue.
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Final Evaluation Report: National Suicide Prevention Trial
University of Melbourne

The evaluation used a mixed-methods design drawing on quantitative and qualitative data from a range of sources. It was recognised from the outset that due to the relatively rare incidence of suicide at a population level and the short duration of the Trial, that it was unlikely that the evaluation would have been able to detect any changes in the ultimate outcomes of suicide deaths and attempts.
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NATIONAL DISABILITY SERVICES NDS: Annual Report 2021

QLD: Domestic and Family Violence Death Review and Advisory Board - 2020-21 Annual Report
Queensland Government

This Annual Report outlines the work of the Board throughout the 2020-21 financial year. During this time, the Board undertook in-depth reviews of 12 domestic and family violence homicides and apparent suicides. In accordance with the Board's statutory mandate to identify common systemic failures, gaps or issues, and make recommendations to improve systems, practices, and procedures, these cases were selected because of the cross-agency systemic issues identified.
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Hansards

Federal

29 OCT 2021: SENATE ESTIMATES HANSARD: FINANCE & PUBLIC ADMINISTRATION LEGISLATION COMMITTEE: Cross-Portfolio Indigenous Matters - Department of Health - National Indigenous Australians Agency

28 OCT 2021: SENATE ESTIMATES HANSARD: FOREIGN AFFAIRS, DEFENCE & TRADE LEGISLATION COMMITTEE: Defence Portfolio - Department of Veterans' Affairs - Outcome 2 - Program 2.2 - Veterans' Hospital Services

28 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Social Services Portfolio - Services Australia - Outcome 3 - Program 3.1 & 3.2 - NDIS - NDIA - NDIS Quality & Safeguards Commission

27 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Health Portfolio - Dept of Health - Outcome 1: Health Policy, Access and Support - Program 1.8: Health Protection - Program 1.9: Immunisation - TGA

27 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Health Portfolio - Dept of Health - Outcome 1: Health Policy, Access and Support - Program 1.1, 1.2, 1.4, 1.5, 1.6 & 1.7 - National Mental Health Commission

27 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Health Portfolio - Department of Health - Outcome 2: Individual Health Benefits - Program 2.1-2.7

27 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Health Portfolio - Dept of Health - Outcome 1: Health Policy, Access & Support - Program 1.1, 1.2, 1.4, 1.5, 1.6 & 1.7 - Australian Institute of Health & Welfare

27 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Health Portfolio - Department of Health - Opening Statement

27 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Health Portfolio - Department of Health - Outcome 1: Health Policy, Access and Support - Program 1.1, 1.2, 1.4, 1.5, 1.6 & 1.7

27 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Health Portfolio - Department of Health - Whole of portfolio / Corporate matters

27 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Health Portfolio - Dept of Health - Outcome 3: Ageing & Aged Care - Program 3.1: Access & Info, Program 3.2: Aged Care Services, Program 3.3: Aged Care Quality

27 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Health Portfolio - Dept of Health - Outcome 4: Sport & Recreation - Program 4.1 - Sport Australia (AIS), Aus Sports Foundation, Sports Integrity Australia

27 OCT 2021: SENATE ESTIMATES HANSARD: COMMUNITY AFFAIRS LEGISLATION COMMITTEE: Health Portfolio - In Attendance

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Court Cases

None this edition.

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New Regulations

Federal

Health Insurance (General Practice COVID-19 Management Support Service) Determination 2021
Legislative Instrument - F2021L01513

The purpose of the Health Insurance (General Practice COVID-19 Management Support Service) Determination 2021 (the Determination) is to list a temporary attendance service for patients who have been recently diagnosed with COVID-19 by a laboratory diagnostic test. Patients diagnosed with a point of care test, such as a rapid antigen test, will not be eligible until they have the result confirmed by a laboratory test.
Explanatory Statement

Health Insurance (Section 3C - Allied Health Services) Amendment (Case Conference Exceptional Circumstance) Determination 2021
Legislative Instrument - F2021L01512

The purpose of the Health Insurance (Section 3C - Allied Health Services) Amendment (Case Conference Exceptional Circumstance) Determination 2021 (the Determination) is to make a consequential change by introducing an exceptional circumstances provision for patients who are accessing these services (items 10955, 10957 and 10959).
Explanatory Statement

National Health (Chemotherapy Prescribing) Consequential Amendments Special Arrangement 2021
Legislative Instrument - F2021L01492

The purpose of the National Health (Chemotherapy Prescribing) Consequential Amendments Special Arrangement 2021 (this instrument) is to make a consequential amendment to the National Health (Chemotherapy Prescribing) Special Arrangement 2020 (PB 52 of 2020) (the Special Arrangement). This instrument amends the definition of 'authorised prescriber' in the Special Arrangement to align with the current definition of the term in the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (Listing Instrument). This is a consequential amendment following amendments to the Listing Instrument made by the National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2021 (No. 7).
Explanatory Statement

National Health (Listed Drugs on F1 or F2) Amendment Determination 2021 (No. 8)
Legislative Instrument - F2021L01491

This Instrument makes amendments to the Principal Determination. The Act provides that PBS listed drugs may be assigned to formularies identified as F1 and F2. F1 is intended for single branded drugs and F2 for drugs that have multiple brands, or are in a therapeutic group with other drugs with multiple brands. Drugs on F2 are subject to the provisions of the Act relating to price disclosure and guarantee of supply.
Explanatory Statement

National Health (Originator Brand) Amendment Determination 2021 (No. 6)
Legislative Instrument - F2021L01490

This legislative instrument amends the National Health (Originator Brand) Determination 2015 (PB 100 of 2015) (the Principal Instrument) to determine the originator brand of a pharmaceutical item for one drug new to the Pharmaceutical Benefits Scheme (PBS) F2 formulary. This change is taking place on 1 November 2021.
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National Health (Continued Dispensing - Emergency Measures) Amendment Determination 2021 (No. 10)
Legislative Instrument - F2021L01489

The purpose of this legislative instrument, made under subsection 89A(3) of the National Health Act 1953 (the Act), is to amend the National Health (Continued Dispensing - Emergency Measures) Determination 2020 to make changes to the pharmaceutical benefits eligible to be provided as a Continued Dispensing supply.
Explanatory Statement

National Health (Pharmaceutical benefits - early supply) Amendment Instrument 2021 (No. 10)
Legislative Instrument - F2021L01487

The purpose of this legislative instrument, made under subsection 84AAA(2) of the National Health Act 1953 (the Act) is to amend the National Health (Pharmaceutical benefits-early supply) Instrument 2015 (PB 120 of 2015) (the Principal Instrument). PB 120 of 2015 specifies the pharmaceutical items that are in pharmaceutical benefits for which Pharmaceutical Benefits Scheme (PBS) safety net entitlements will not apply for early supplies, and to specify the period following previous supply.
Explanatory Statement

National Health (Highly Specialised Drugs Program) Special Arrangement Amendment (November Update) Instrument 2021
Legislative Instrument - F2021L01488

The amendments made by this Instrument reflect amendments to the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012), which commence on the same day. The National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (PB 71 of 2012) is made under sections 84AF, 84AK, 85, 85A, 88 and 101 of the Act.
Explanatory Statement

National Health (Efficient Funding of Chemotherapy) Special Arrangement Amendment Instrument 2021 (No. 10)
Legislative Instrument - F2021L01486

The purpose of this Instrument, made under subsection 100(2) of the Act, is to amend the National Health (Efficient Funding of Chemotherapy) Special Arrangement 2011 (PB 79 of 2011) (the Special Arrangement) to make changes relating to the Efficient Funding of Chemotherapy.
Explanatory Statement

Health Insurance (Pathologist-determinable Services) Amendment Determination 2021
Legislative Instrument - F2021L01477

The purpose of the Health Insurance (Pathologist-determinable Services) Amendment Determination 2021 (the Amendment Determination) is to amend the Health Insurance (Pathologist-determinable Services) Determination 2015 (Principal Determination) to include a reference to item 73389 and amend how item 72860 may be rendered as a pathologist determinable service to better reflect clinical practice.
Explanatory Statement

National Health (Chemotherapy Prescribing) Consequential Amendments Special Arrangement 2021
Legislative Instrument - F2021L0149

This instrument amends the definition of 'authorised prescriber' in the Special Arrangement to align with the current definition of the term in the National Health (Listing of Pharmaceutical Benefits) Instrument 2012 (Listing Instrument). This is a consequential amendment following amendments to the Listing Instrument made by the National Health (Listing of Pharmaceutical Benefits) Amendment Instrument 2021 (No. 7).
Explanatory Statement

ACT

Medicines, Poisons and Therapeutic Goods Amendment Regulation 2021 (No 2)
Subordinate Law SL2021-28

The objective of the Medicines, Poisons and Therapeutic Goods Act 2008 (MPTG Act) is to promote and protect public health and safety by minimising medicinal misadventure with, and diversion of, regulated substances, and the manufacture of regulated substances that are subject to abuse. The MPTG Act also provides for adoption of the Commonwealth Poisons Standard, which is used to categorise medicines and poisons for regulatory purposes as adopted by each State and Territory.
Explanatory Statement

Public Health (COVID-19 Affected Areas) Emergency Direction 2021 (No 12)
Notifiable Instrument NI2021-652

This Direction revokes the Public Health (COVID-19 Affected Areas) Emergency Direction 2021 (No 11) [NI2021-642].
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Public Health (Mandatory Face Masks) Emergency Direction 2021 (No 5)
Notifiable Instrument NI2021-649

This instrument revokes the Public Health (Mandatory Face Masks) Emergency Direction 2021 (No 4) [NI2021-635].
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Public Health (Returned Travellers) Emergency Direction 2021 (No 3)
Notifiable Instrument NI2021-648

This Direction revokes the Public Health (Returned Travellers) Emergency Direction 2021 (No 2) [NI2020-641].
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Public Health (Diagnosed People and Close Contacts) Emergency Direction 2021 (No 6)
Notifiable Instrument NI2021-647

This instrument revokes the Public Health (Diagnosed People and Close Contacts) Emergency Direction 2020 (No 5) [NI2021-640].
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02 NOV 2021: ACT, STEPHEN-SMITH: Public Health (Disability and Other Care Workers COVID-19 Vaccination) Emergency Direction 2021 - Notifiable Instrument NI2021-644

31 OCT 2021: ACT, COLEMAN: Public Health (COVID-19 Affected Areas) Emergency Direction 2021 (No 11) - Notifiable Instrument NI2021-642

31 OCT 2021: ACT, STEPHEN-SMITH: Public Health (Returned Travellers) Emergency Direction 2021 (No 2) - Notifiable Instrument NI2021-641

31 OCT 2021: ACT, STEPHEN-SMITH: Public Health (Diagnosed People and Close Contacts) Emergency Direction 2021 (No 5) - Notifiable Instrument NI2021-640

29 OCT 2021: ACT, STEPHEN-SMITH: Public Health (Restricted Activities) Emergency Direction 2021 (No 5) - Notifiable Instrument NI2021-637

29 OCT 2021: ACT, STEPHEN-SMITH: Public Health (Restricted Activities) Emergency Direction 2021 (No 4) - Notifiable Instrument NI2021-636

29 OCT 2021: ACT, STEPHEN-SMITH: Public Health (Mandatory Face Masks) Emergency Direction 2021 (No 4) - Notifiable Instrument NI2021-635

New South Wales

29 OCT 2021: NSW, HAZZARD: Legislation - Regulations and other miscellaneous instruments - Public Health Amendment (COVID-19 Penalty Notice Offences) Regulation (No 6) 2021 - Public Health Act 2010 - 2021-625

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Proclamations

None this edition.

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Gazette Notices

None this edition.

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Consolidated Legislation

Federal

Health Insurance (Diabetes Testing in Aboriginal and Torres Strait Islander Primary Health Care Sites Determination 2015
Legislative Instrument Compilation - F2021C01099

Determinations/Health as amended, taking into account amendments up to Health Insurance (Diabetes Testing in Aboriginal and Torres Strait Islander Primary Health Care Sites) Amendment Determination 2021.
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National Health (Immunisation Program - Designated Vaccines) Determination 2014 (No. 1)
Legislative Instrument Compilation - F2021C01096

Determinations/Health as amended, taking into account amendments up to National Health (Immunisation Program - Designated Vaccines) Amendment Determination (No. 1) 2021.
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Narcotic Drugs Act 1967
Act Compilation - C2021C00483

Act No. 53 of 1967 as amended, taking into account amendments up to Federal Circuit and Family Court of Australia (Consequential Amendments and Transitional Provisions) Act 2021 An Act to make provision in relation to narcotic drugs in accordance with the Single Convention on Narcotic Drugs, 1961, as in force from time to time, and for other purposes.
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National Disability Insurance Scheme Act 2013
Act Compilation - C2021C00471

Act No. 20 of 2013 as amended, taking into account amendments up to Federal Circuit and Family Court of Australia (Consequential Amendments and Transitional Provisions) Act 2021 An Act to establish the National Disability Insurance Scheme, and for related purposes.
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New Bills

None this edition.

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New Acts

None this edition.

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