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)
16 April
Department of Health statement
The Therapeutic Goods Administration (TGA) and New South Wales Health authorities are investigating a death in NSW, as part of this process the TGA is seeking further clinical information including clinical test results from the New South Wales Health Department. The blood clotting disorders being investigated in connection with the AstraZeneca COVID-19 vaccine are very rare and differ from common blood clots or venous thromboembolism, which occur in around 50 Australians every day.
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15 April
Marine Rotational Force - Darwin - positive result for COVID-19 during initial screening
On 14 April, a US Marine who arrived in Australia as part of the 2021 Marine Rotational Force - Darwin (MRF-D) returned a positive result for COVID-19 during initial screening at the commencement of their mandatory 14-day quarantine period. The Marine was transferred to the NT Centre for National Resilience where they underwent confirmatory testing. They will continue to be monitored at the Centre and complete their quarantine there, said the Department of Defence.
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NSW: COVID-19 (Coronavirus) statistics
NSW Health recorded no new locally acquired cases of COVID-19 in the 24 hours to 8pm. Nine new cases were acquired overseas, bringing the total number of cases in NSW since the beginning of the pandemic to 5,167. There were 10,548 tests reported to 8pm, compared with the previous day's total of 12,260. There were 4,218 COVID-19 vaccines administered by NSW Health in the 24 hours to 8pm. The total number of vaccines administered by NSW Health is now 164,855.
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NT: Positive COVID-19 Case Update
One new positive COVID-19 case has been recorded in the Northern Territory in the past 24 hours. A 22-year-old male US Marine who arrived into the Northern Territory on 12 April 2021, has tested positive for COVID-19. The patient is mildly symptomatic and is under the care of the AUSMAT team at the NT Centre for National Resilience, said the NT Department of the Chief Minister and Cabinet.
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SA: New vaccine hubs to scale up SA's rollout
The COVID-19 vaccine rollout is set to reach more South Australians in the north and south of Adelaide, with the Government confirming it will establish two additional vaccination hubs at Elizabeth and Noarlunga. SA Premier Steven Marshall said more than 100,000 South Australians had now been vaccinated through the rollout. SA Minister for Health and Wellbeing Stephen Wade said the two sites, along with the upcoming establishment of hubs at the Adelaide Showgrounds, Port Lincoln, Mount Gambier and Kangaroo Island, will scale up the state's rollout to reach even more South Australians.
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SA: COVID-19 update
There have been two new cases of COVID-19, both reported from a medi-hotel. There have been a total of 677 cases notified in South Australia. The cases are a woman in her 20s and a man in his 30s, who both acquired their infections overseas and have been in medi-hotels since their arrival, said the SA Department of Health. A man in his 40s remains in the Royal Adelaide Hospital ICU, in a critical condition.
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WA: COVID-19 update 15 April 2021
The WA Department of Health has reported one new case of COVID-19 - a male in his 40s - who is in hotel quarantine after returning from overseas travel. The State's total number now stands at 965. WA Health is monitoring 18 active cases of COVID-19 and 938 people have recovered from the virus in WA.
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14 April
Advancing FTA negotiations and vaccine diplomacy
Minister for Trade, Tourism and Investment Dan Tehan will travel to Europe and the United Kingdom for further Free Trade Agreement (FTA) negotiations, to encourage investment in Australia and to discuss vaccine supply. Mr Tehan will discuss the Australia-EU FTA with European Commission Vice President and Trade Commissioner Valdis Dombrovskis and the Australia-UK FTA with Secretary of State for International Trade the Rt Hon Liz Truss MP.
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Close to 500 NSW facilities delivering COVID-19 vaccine rollout
The Australian Government is getting on with the job of rolling out COVID-19 vaccines to regional, remote and rural Australia, with almost 500 facilities in New South Wales signed up to administer the vaccine. Minister for Regional Health Mark Coulton visited a clinic in Gunnedah, NSW where the rollout is underway. 'I'm pleased to be at Barber Street Practice in Gunnedah to visit one of the many GP clinics across rural Australia which has signed up to deliver COVID-19 vaccinations,' Minister Coulton said.
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Batch release assessment of COVID-19 vaccines
The TGA ensures there is an independent quality assessment of every batch of vaccine supplied in Australia. This page provides information about the batch release assessment process for COVID-19 vaccines. During the evaluation process for provisional registration, the TGA reviews data to confirm that the manufacturing process is well controlled and sets up how the quality of the vaccine will be maintained in future batches.
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Australian Health Protection Principal Committee (AHPPC) statement on continuous learning in managed quarantine for international arrivals
Managed quarantine (including hotel quarantine) for international arrivals to Australia continues to be important in Australia's response to COVID-19. It helps to prevent transmission of COVID-19 and protect the Australian community. The Australian Health Protection Principal Committee (AHPPC) continues to monitor current quarantine arrangements and look for ways to continuously improve the system, in line with the National Hotel Quarantine principles.
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SA: COVID-19 Update 14 April 2021
There has been one new case of COVID-19, reported from a medi-hotel. There have been a total of 675 cases notified in South Australia, said the SA Department of Health. The case is a man in his 30s who acquired his infection overseas and has been in a medi-hotel since his arrival. A man in his 40s remains in the Royal Adelaide Hospital ICU, in a critical condition.
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WA: COVID-19 update 14 April 2021
The WA Department of Health has reported seven new cases of COVID-19 - all of whom are in hotel quarantine after arriving from overseas. The new cases include a mother in her 30s and her young daughter and five males in their 30s, 40s and 50s. The State's total number now stands at 964.
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13 April
AstraZeneca ChAdOx1-S COVID-19 vaccine
The Vaccine Safety Investigation Group (VSIG), a panel of expert advisors to the TGA has concluded that a recently reported case of thrombosis with thrombocytopenia is likely to be linked to vaccination. This is the second Australian report of a case of thrombosis with thrombocytopenia following the AstraZeneca COVID-19 vaccine. The case occurred in a woman in her 40s who was vaccinated in Western Australia. The person remains in hospital receiving treatment and is in a stable condition.
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QLD company's COVID tests get European approval
Queensland biotech firm AnteoTech has gained European accreditation for its rapid COVID-19 testing platform and will now move to commercialising products as it waits to receive accreditation from Australian health authorities. The outer Brisbane-based health tech developed a 15 minute COVID-19 test using proprietary binding technology coupled with assay detection systems which provides decision-making support for the early detection and isolation of infected patients, said InnovationAus.
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Greens call for Finance Minister's COVID advance to be used now for publicly-owned vaccine production
The Greens say the government should use unallocated discretionary funds set aside for COVID to begin work on a publicly-owned domestic vaccine manufacturer. If the Government fails to act, the Greens plan to move in the Senate to demand action on domestic vaccine production when Parliament resumes, said Leader of the Australian Greens Adam Bandt and Greens Health spokesperson Senator Rachel Siewert.
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NSW: COVID-19 (Coronavirus) statistics
NSW recorded no new locally acquired cases of COVID-19. Five new cases were acquired overseas, bringing the total number of cases in NSW since the beginning of the pandemic to 5,155. There were 5,510 tests, compared with the previous day's total of 7,198. There were 4,359 COVID-19 vaccines administered by NSW Health. The total number of vaccines administered by NSW Health is now 155,894.
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SA: COVID-19 Update 13 April 2021
There have been eight new cases of COVID-19, all reported from a medi-hotel. There have been a total of 674 cases notified in South Australia. The cases include a child, a woman in her 20s, two women in their 30s, a woman in her 40s, a woman in her 50s, a man in his 20s, and a man in his 30s. All eight people acquired their infections overseas and have been in medi-hotels since their arrival, said the SA Department of Health.
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WA: COVID-19 update
The WA Department of Health has reported three new cases of COVID-19 - a female in her 20s and a male in his 40s are in hotel quarantine after arriving from overseas. A Filipino seaman in his 50s, who was transferred from a bulk carrier anchored off the Pilbara coast, is in a COVID-19 isolation ward in Royal Perth Hospital. The State's total number now stands at 957. WA Health is monitoring 11 active cases of COVID-19 and 937 people have recovered from the virus in WA.
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WA: Chief Health Officer statement: Adverse reaction linked to AstraZeneca vaccine
The Therapeutic Goods Administration (TGA) has confirmed a case of thrombosis with thrombocytopenia syndrome (TTS) in a Western Australian is likely linked to the Astra Zeneca vaccine. The woman, aged in her 40's, is currently under specialist care in the Royal Darwin Hospital. She received the AstraZeneca vaccine in mid-March in a WA regional hospital, said the WA Department of Health.
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12 April
NSW: COVID-19 (Coronavirus) statistics
NSW recorded no new locally acquired cases of COVID-19. Nine new cases were acquired overseas, bringing the total number of cases in NSW since the beginning of the pandemic to 5,150. There were 7,198 tests reported, compared with the previous day's total of 7,927. NSW Health administered 25,009 vaccines in the week ending Sunday 11 April.
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QLD: QLD company's 15-min rapid COVID-19 test takes fight to Europe
Queensland company AnteoTech has won a vital European accreditation for its 15-minute COVID-19 rapid test. AnteoTech now has Conformitè Europëenne Mark registration for its innovative point-of-care COVID-19 antigen rapid test platform, EuGeni. This meets crucial health and safety conditions in Europe and the United Kingdom. Queensland Premier Annastacia Palaszczuk said the Queensland Government was proud to provide support to companies developing technology to fight COVID-19. Queensland Treasurer Cameron Dick said Queensland ingenuity was proving crucial in stopping the spread of COVID-19.
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11 April
Timor-Leste flood and COVID-19 response
Australia is working in partnership with its close friend and neighbour Timor-Leste to support its recovery from the devastating Easter weekend flooding and its impact on COVID- 19 preparedness. In response to a request for assistance from the Government of Timor-Leste, an emergency relief of $7 million will support the estimated 100,000 people affected by the deluge and address critical food security needs. This assistance is in addition to immediate support Australia provided on the ground in Dili to thousands of people sheltering in evacuation centres, said Minister for Foreign Affairs Marise Payne and Minister for International Development and the Pacific Zed Seselja.
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NSW: COVID-19 (Coronavirus) statistics
NSW recorded no new locally acquired cases of COVID-19. Six new cases were acquired overseas, bringing the total number of cases in NSW since the beginning of the pandemic to 5,141. There were 7,927 tests reported, compared with the previous day's total of 8,686. NSW Health's vaccination clinics generally operate Monday to Friday. Therefore, there is a limited number of vaccines administered on weekend days due to planned closures.
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QLD: Historic case linked to Brisbane COVID-19 cluster
A historic case with a link to a recent Brisbane cluster has been added to Queensland's COVID-19 cases, taking the total to 1,502, said the Queensland Department of Health. Chief Health Officer Dr Jeannette Young said the case, who attended the Byron Bay party, had been in self-isolation and there was no risk to the community. 'This case is linked to the second Brisbane cluster that originated from a Princess Alexandra Hospital nurse, taking the total number of cases linked to that cluster to 13,' Ms Young said. 'As this person had attended the party where COVID-19 spread to a number of people, they were placed into self-isolation at home and a testing routine commenced.'
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10 April
Sharing COVID-19 vaccines with neighbours
'Australia is committed to supporting our region to respond to COVID-19,' said Minister for Health and Aged Care Greg Hunt, Minister Payne and Minister Seselja. 'We will soon start sharing doses of our Australian manufactured AstraZeneca vaccine with our neighbours. We will support our partners to vaccinate quickly their highest-risk populations at a time when the international supply of vaccines is constrained. Initially, Australia will share at least 10,000 AstraZeneca COVID-19 doses per week and will scale up as required.'
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9 April
National Cabinet Statement
The National Cabinet met to discuss Australia's COVID-19 response and the Australian COVID- 19 Vaccine Strategy, said Prime Minister Scott Morrison. National Cabinet continues to work together to address issues and find solutions to the health and economic consequences of COVID-19. The Chief Medical Officer, Professor Paul Kelly, provided an update on the latest epidemiological data and medical advice in relation to COVID-19. There have been 29,390 confirmed cases in Australia and, sadly, 909 people have died. More than 16 million tests have been undertaken in Australia.
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Australia boosts assistance for Papua New Guinea's COVID-19 response
Australia is working closely with the Government of Papua New Guinea to support its COVID-19 response, deploying a second team of health and medical specialists, said Minister Payne. An Australian Medical Assistance Team (AUSMAT) of 17 specialists will depart on a Royal Australian Air Force (RAAF) flight, to work with PNG's National Control Centre for COVID-19 and provide supplementary expert advice to local health authorities. Australia has also procured an additional 40,000 GeneXpert rapid testing cartridges for PNG's COVID-19 response, with 20,000 to be delivered to PNG.
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Communication key to vaccine confidence
The Australian Medical Association (AMA) commends the Government for listening to medical advice on the AstraZeneca vaccine and taking a more cautious approach to the rollout, with emerging evidence there is a very low risk of clotting associated with the vaccine. 'I want to emphasise the AstraZeneca vaccine for people who are 50 and over is considered very safe and the benefits vastly outweigh any risks,' AMA President Dr Omar Khorshid said. 'The system has worked as it should. The expert advice has been given and the Government is acting in line with it. The clotting seen in few patients around the world is extremely rare.'
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PNG health package backed by Aussies
The Australian Council for International Development (ACFID) has warmly welcomed the Government's next step in responding to the PNG epidemic by providing 10,000 vaccines a week to Melanesian countries and Timor-Leste and a further health assistance package for PNG. In responding, ACFID has released polling conducted by YouGov (1-6 April) showing that 84 per cent of Australians agree that the Government should be supporting PNG to help stop the spread of COVID-19. ACFID CEO, Marc Purcell commented: 'The Government is swinging behind our friends in PNG. This is another critical step to tackling the epidemic.'
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NSW: Coronavirus (COVID-19) statistics
NSW recorded no new locally acquired cases of COVID-19 in the 24 hours to 8pm. Two new cases were acquired overseas, bringing the total number of cases in NSW since the beginning of the pandemic to 5,131. There were 14,078 tests reported to 8pm, compared with the previous day's total of 11,694, said the NSW Department of Health.
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VIC: More Victorians in offices, shows and theatres
From midnight Friday 9 April, Victoria will move to allowing 100 per cent of seated indoor and outdoor capacity for entertainment, cultural and sporting venues up to a maximum of 1,000 patrons per space. The revised COVID-Safe settings mark a major milestone for operators in Victoria who can now sell more tickets, fill more seats and host more patrons. Seated indoor and outdoor entertainment, cultural and sporting venues seeking attendance of more than 1,000 people per space must apply for consideration under the Public Events Framework, said Victorian Minister for Health Martin Foley.
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Aged Care
15 April
Reform in opioid regulation should not be at the expense of palliative care patients
Palliative Care Australia (PCA), the nation's peak body for palliative care, has reiterated its support for reform of opioid regulation in Australia, but restated its position that any changes must not impact access to appropriate opioids for palliative care patients.
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14 April
Dementia care is personal... It's about all of us
'Based on current statistics, it seems inevitable that every single family in this country will at some stage experience the torment and distress of a loved one being overtaken by dementia,' Dementia Australia Chair Professor Graeme Samuel will say in his address. 'With around 70 per cent of Australians living in residential aged care having some form of cognitive impairment, their families face enormous difficulties in providing support for relatives struggling with the memory loss and behavioural changes that accompany the disease.'
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13 April
AMA identifies savings of $21.2 billion in aged care hospital admissions
The Australian Medical Association (AMA) has estimated that over the year up until 30 June 2021, there will have been 27,569 admissions of residents from nursing homes to hospitals that were potentially avoidable, costing $312 million and accounting for 159,693 hospital patient days. The staggering figure is the first national estimate of potentially preventable admissions to hospitals from nursing homes alone. In total, new AMA modelling has identified $21.2 billion of savings that could be made over four years if immediate reforms were implemented to the aged care system.
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12 April
Twelve aged care consumer peaks propose aged care reform plan
Twelve leading aged care consumer organisations, led by the Council on the Ageing (COTA) Australia, have issued a detailed joint response to the Final Report of the Aged Care Royal Commission, identifying the key reforms the Government must implement in the upcoming Federal Budget to ensure its response to the Royal Commission gets off to a flying start. In their joint statement the consumer organisations set out the package of urgent reforms the Government must deliver in the next 12-18 months to build a high quality aged care system that's grounded in human rights and which treats older people with respect for their diversity and capacities.
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Royal Commission into Aged Care Quality and Safety
12 April
Twelve aged care consumer peaks propose aged care reform plan
Twelve leading aged care consumer organisations, led by the Council on the Ageing (COTA) Australia, have issued a detailed joint response to the Final Report of the Aged Care Royal Commission, identifying the key reforms the Government must implement in the upcoming Federal Budget to ensure its response to the Royal Commission gets off to a flying start. In their joint statement the consumer organisations set out the package of urgent reforms the Government must deliver in the next 12-18 months to build a high quality aged care system that's grounded in human rights and which treats older people with respect for their diversity and capacities.
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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
15 April
Learning from consumer experience improves health care
The health system in Australia would benefit significantly by paying more attention to the lessons learned from patient experience, the Consumers Health Forum says. This is a key message from the latest edition of the Health Voices ejournal published which covers the recent Shifting Gears Australasian summit conference of the Consumers Health Forum.
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14 April
WA: Proof of concept to identify new HR system for WA Health
The Western Australian Government's $8.5 million investment to identify and prepare for a new integrated human resource (HR), payroll and rostering solution for the Western Australian health system has entered its second stage. Following an open tender and comprehensive stage one evaluation process, Deloitte has been invited to take part in a period of proof of concept testing, said WA Minister for Health Roger Cook.
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13 April
TAS: How many elective surgeries will Labor deliver?
Labor will not confirm how many elective surgeries Tasmanians will receive under their plan. Bastien Seidel has side stepped questions on elective surgery numbers for days, which suggests the real number falls well short of the Liberals 22,300 surgeries and endoscopies over four years. Labor do not see this as a priority and it's no surprise that last time in Government, Tasmanians were left waiting as long as 10 years for a surgery, said Tasmanian Minister for Health Sarah Courtney.
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TAS: Dr Seidel challenges Liberals to health debate
Tasmanian Shadow Health Minister Dr Bastian Seidel has thrown down the gauntlet to Peter Gutwein, Sarah Courtney and the Liberal Party, challenging them to a debate on the key election issue of health. Dr Seidel said he would be available to debate them anywhere, anytime. 'I am more than willing to put my years of record as a doctor up against Peter Gutwein, Sarah Courtney and their army of advisors,' Dr Seidel 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
15 April
Ugly compulsory independent assessments should be cancelled not just delayed
NDIS Minister Linda Reynolds must stop all compulsory independent assessments for people who participate in the NDIS and rollback vicious cuts to the scheme. Minister Reynolds has announced a delay in the so-called 'independent' assessments, but it does not go far enough. The assessments plan is an anti-disability monster and as the new Liberal gatekeeper of the NDIS she needs to put a stake in its heart - not just delay it, said Shadow Minister for the National Disability Insurance Scheme Bill Shorten.
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Pause to NDIS changes must be permanent
Australian Greens Disability spokesperson Senator Jordon Steele-John said the Government's plans to stall the introduction of compulsory independent assessments was an acknowledgement of the broad opposition to the controversial changes from disabled people and peak advocacy organisations.
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13 April
Minister Reynolds must call off disability razor gang
New NDIS Minister Linda Reynolds must stop hiding and come clean on a freshly revealed secret plan to slash services to Australians with disability. A new Sustainability Action Taskforce has told staff to 'slow' down getting Australians with disability on the NDIS and to slow their funding. It's time Minister Reynolds stopped treating the NDIS as a demotion and started burying Stuart Robert's terrible legacy, said Shadow Minister for the National Disability Insurance Scheme Bill Shorten and Shadow Assistant Minister for Government Services & the NDIS Kimberley Kitching.
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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
12 April
Perils of recording telehealth consultations
The COVID-19 pandemic has necessitated rapid uptake and use of telehealth, unmasking a 'number of concerns potentially not previously contemplated by clinicians, patients and legislators', according to the authors of an Ethics and Law article published by the Medical Journal of Australia (MJA). 'Recording of clinical conversations or processes may enhance patient and clinician participation, self-reference, research, education and funding,' wrote the authors, led by Dr Caitlin Farmer, a radiology registrar at Monash Health, and Dr Patrick Mahar, a dermatologist at the Skin Health Institute and the Royal Children's Hospital Melbourne. 'In certain jurisdictions, however, clinical consultations or meetings may be lawfully recorded with or without participants' knowledge.'
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Education and Training
14 April
WA: Connecting WA's growing disability and aged care sector with job-ready workers
Developed in partnership with industry to meet its workforce needs, the Ageing and Disability Job Ready pilot program is part of the State Government's $5.5 billion investment to upskill the WA workforce and enhance employment and training opportunities following COVID-19. Applications for the program are now open with the first intake of students scheduled to start on April 23, 2021. The program is free for all job seekers, young people and concession-eligible students, said WA Minister for Education and Training Sue Ellery and WA Minister for Disability Services and Seniors and Ageing Don Punch.
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Funding
15 April
VIC: More than $200 million down the toilet in Labor's failed Ice Action Plan
Hundreds of millions of dollars poured into the Victorian Government's Ice Action Plan has failed to put a dent in Victoria's drugs crisis. Drug addiction is ruining lives and livelihoods of more and more Victorians every day. Reports have revealed Ice addiction is killing at least two Geelong residents every week, with data showing local residents are nearly three times as likely to die from illicit drugs than the state average, said Victorian Shadow Minister for Mental Health Emma Kealy.
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Health Professionals
None this edition.
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Hospitals
15 April
VIC: Helping protect hospitals from cyber attacks
Victorian hospitals and health services will share in $30 million to upgrade and modernise their IT infrastructure to help guard against cyber-attacks, thanks to the State Government. Victorian Minister for Health Martin Foley announced 28 hospitals and health services across Victoria that will receive funding as part of the Clinical Technology Refresh program. The program delivers funding to refresh older network infrastructure and replace end-of-life systems required to support safe delivery of patient care. Hospitals across Melbourne will share $21.67 million of the funding while regional and rural health services will share in $8.32 million.
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VIC: Better care and jobs: Work begins on Wangaratta Hospital
Work is underway on a bigger and better Wangaratta Hospital, which will deliver around 60 new jobs and ensure people living in Victoria's northeast can access the high-quality and safe care they need, closer to home. Victorian Minister Foley and Victorian Attorney-General Jaclyn Symes announced the $22.9 million project is on track to be completed in November 2022. 'This significant redevelopment will ensure Wangaratta Hospital can meet the needs of a growing community with increased capacity, reducing the need for patients to travel to Melbourne for care,' said Minister Foley.
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13 April
TAS: Major boost in frontline medical staff will slash out-of-control waiting lists at North West Regional Hospital
A Labor Government will significantly boost frontline medical staff at the North West Regional Hospital after seven years of cuts and neglect under the Liberals. Tasmanian Labor Leader Rebecca White said 25 additional permanent nurses and 12 new permanent specialist doctors would be employed at a cost of $23.4 million over the next four years to help slash waiting lists and solve the disaster the Gutwein Government has created for both patients and staff in the region.
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WA: Important staffing boost for WA hospitals
Nursing staff will increase as 100 new graduates begin starting shifts at hospitals across Western Australia. The new starters are among 600 new nurses set to join the WA health system over the next two years. There will be 300 new nurses this year, including 100 general graduate nurses and midwives, 100 newly qualified enrolled nurses and 100 graduate nurses for mental health service, said WA Minister for Health Roger Cook.
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12 April
TAS: Tasmanian Opposition will bring back essential health services including maternity and permanent medical staff to the Mersey Community Hospital
The Mersey Community Hospital will be transformed into a National Centre for Rural Health and Integrated Maternity Care under a Tasmanian Opposition Government. Tasmanian Leader Ms White said Labor's vision would see the Mersey Hospital take advantage of its unique position as a national leader in high-quality clinical care, build on its regional and rural health workforce and deliver additional funding for building upgrades. 'The Mersey Community Hospital provides critical health care to the community,' Ms White said. 'Across the north-west the importance of the Mersey and North-West Regional Hospital cannot be underestimated.'
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VIC: Nutritious and diverse food for Victorian hospitals
Victorian public hospital patients will have access to higher quality, more culturally diverse and locally sourced food, with new standards for health services to be introduced by the Government. The new nutrition and quality food standards will be finalised and put in place by the end of this year. Delivering on another key election commitment, the Government had a panel of experts in clinical and food service dietetics, food service management and procurement review the current standards and make recommendations to better serve Victorian patients and residential aged care residents, said Victorian Acting Premier James Merlino and Victorian Minister Foley.
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Insurance
9 April
PHI 19/21 update on Prostheses List Reforms
The Department of Health would like to thank all stakeholders who have contributed to discussions about reforms and improvements to the Prostheses List (PL), including those individuals and organisations who submitted a response to the recent consultation paper. The Consultation Paper was released on 18 December 2020 and closed for comment on 15 February 2021. The Paper sought feedback about better defining the scope of the PL, reducing benefits, and consolidating the PL.
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Medicare
None this edition.
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Men's Health
None this edition.
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Mental Health
15 April
ACT: Office for Mental Health and Wellbeing on track to drive positive change
The Office for Mental Health and Wellbeing Mid-Term Review considered the office's model, its key achievements to date and heard directly from key stakeholders and community members about its value. The review received community feedback through surveys, interviews and meetings with key stakeholders. It found that the office was filling a critical gap by pursuing system integration and systemic quality improvements in the ACT, which should in the longer term contribute to better mental health and wellbeing outcomes for the community, ACT Minister for Mental Health Emma Davidson said.
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Royal Commission into Victoria's Mental Health System
None this edition.
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Pharmaceuticals and Regulation
14 April
Batch release assessment of COVID-19 vaccines
The Therapeutic Goods Administration (TGA) ensures there is an independent quality assessment of every batch of vaccine supplied in Australia. This page provides information about the batch release assessment process for COVID-19 vaccines. During the evaluation process for provisional registration, the TGA reviews data to confirm that the manufacturing process is well controlled and sets up how the quality of the vaccine will be maintained in future batches.
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Prescription medicines: new or extended uses, or new combinations of registered medicines
Over time, the approved therapeutic uses of prescription medicines registered on the Australian Register of Therapeutic Goods (ARTG) can change, said the TGA. Changes commonly include 'new uses' or 'extended uses'. A new use is where an already registered medicine is approved for an additional therapeutic use. An extended use is where an already registered medicine is approved to treat a broader range of patients, e.g. a wider age range. New or extended uses are called 'extensions of indications'.
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Prescription medicines: registration of new generic medicines and biosimilar medicines
Throughout the year, the TGA be publishing information on new generic and biosimilar prescription medicines as they are approved. Once an application has been accepted for evaluation by TGA, the approval time is defined as the number of TGA working days between commencement of evaluation and registration decision.
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Prescription medicines: registration of new chemical entities in Australia
Each year, TGA registers approximately 40 new prescription medicines containing new active substances. These are referred to as New Chemical Entities (NCEs) or New Biological Entities (NBEs). Some of these NCEs/NBEs are innovative or 'first-in-class', and have been made available to the public for the first time outside the controlled environment of a clinical trial. This decision by TGA to register a NCE/NBE often comes after years of research and development and following a comprehensive review by TGA scientists and clinicians of the medicine's quality, safety and efficacy.
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Notification of decision on application DIR 179 from Novotech (Australia) Pty Limited - Clinical
trial with a genetically modified Vaccinia virus based treatment for solid cancerous tumours
The Office of the Gene Technology Regulator has issued licence DIR 179 to Novotech (Australia) Pty Limited, authorising the clinical trial with a genetically modified Vaccinia virus based treatment for solid cancerous tumours. The Risk Assessment and Risk Management Plan (RARMP) and the licence were finalised taking into account input received during consultation.
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13 April
AstraZeneca ChAdOx1-S COVID-19 vaccine
The Vaccine Safety Investigation Group (VSIG), a panel of expert advisors to the TGA has concluded that a recently reported case of thrombosis with thrombocytopenia is likely to be linked to vaccination. This is the second Australian report of a case of thrombosis with thrombocytopenia following the AstraZeneca COVID-19 vaccine. The case occurred in a woman in her 40s who was vaccinated in Western Australia. The person remains in hospital receiving treatment and is in a stable condition.
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Research
15 April
VIC: New biobank the next step In Maddie's vision
15 APR: The Victorian Government is backing initiatives in the fight against bone marrow failure syndromes, launching a vital new biobank to conduct ground-breaking research. The new biobank is the first of its kind in Australia and will be the next important step toward hopefully finding a cure for bone marrow failure syndromes. 'The next step towards hopefully finding a cure is the launch of this biobank, which has the potential to save lives through ground-breaking research,' said Victorian Minister for Innovation, Medical Research and the Digital Economy Jaala Pulford.
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How antibodies make the switch to better immunity
Researchers have uncovered how antibodies that are specialised to different immune 'disposal systems' become the dominant form in the bloodstream, a process which is critical to the immune system's ability to destroy pathogens and a key objective for the development of effective vaccines. Findings led by the Garvan Institute of Medical Research have revealed this new form of antibody selection happens in germinal centres - the body's 'antibody tuning centres' located in lymphoid organs such as the lymph nodes, spleen and tonsils.
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12 April
Calling 000 when chest pain hits vital to better outcomes
The value of calling an ambulance when chest pain strikes, rather than arranging your own transport, has been confirmed by new research published by the Medical Journal of Australia (MJA). Researchers led by Professor David Brieger, Professor of Cardiology at Concord Repatriation Hospital in Sydney, and Dr Eleanor Redwood, a Basic Physician Trainee at Prince of Wales Hospital and Community Health Services, analysed data on patients with confirmed ST elevation myocardial infarction (STEMI) from 43 hospitals.
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Perils of recording telehealth consultations
The COVID-19 pandemic has necessitated rapid uptake and use of telehealth, unmasking a 'number of concerns potentially not previously contemplated by clinicians, patients and legislators', according to the authors of an Ethics and Law article published by the MJA. 'Recording of clinical conversations or processes may enhance patient and clinician participation, self-reference, research, education and funding,' wrote the authors, led by Dr Caitlin Farmer, a radiology registrar at Monash Health, and Dr Patrick Mahar, a dermatologist at the Skin Health Institute and the Royal Children's Hospital Melbourne.
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Rural, Regional and Remote Health
None this edition.
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Women's Health
15 April
Updates to the Prescribing Medicines in Pregnancy database
The Prescribing Medicines in Pregnancy database has been updated, said the Department of Health and the Therapeutic Goods Administration (TGA).
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Transcripts
Minister for Employment, Workforce, Skills, Small and Family Business Stuart Robert
16 APR: Transcript of Interview with Danica De Giorgio, Sky News Live First Edition
Subjects: Labour force figures, Unemployment, COVID-19, Vaccine rollout
Prime Minister Scott Morrison
15 APR: Transcript of Press Conference, Stirling Community Centre, WA
Subjects: Australian Defence Force, Withdrawal of troops from Afghanistan, Veterans' affairs, Vaccine rollout, Aged care
Prime Minister Scott Morrison
15 APR: Transcript of Interview with Oliver Peterson, 6PR Perth
Subjects: South Australian politics, Federal election, Unemployment rate, Taxation, International travel for work, COVID-19 vaccine rollout, Australian troops in Afghanistan
Prime Minister Scott Morrison and Minister for Defence Industry Melissa Price
15 APR: Transcript of Press Conference, Christmas Creek Mine
Subjects: Mining, Australia-China relationship, AstraZeneca vaccine, COVID-19 vaccine rollout
Prime Minister Scott Morrison and Australian Medical Association (AMA)
15 APR: Transcript of Opening Remarks with Dr Omar Khorshid, AMA President, GP Roundtable
Subjects: COVID-19, Vaccination program, General practitioners, Public health, Vaccine confidence
Australian Medical Association (AMA)
15 APR: Transcript of Interview by President, Dr Omar Khorshid, with Ali Moore, ABC Radio Melbourne
Subjects: Mass vaccination centres, Vaccine rollouts, AstraZeneca vaccine, GPs, Pfizer vaccine, ATAGI
Prime Minister Scott Morrison
14 APR: Transcript of Address to the WA Chamber of Commerce and Industry, Kings Park
Subjects: COVID-19, Health, Recession, Economy, National Cabinet, Industry, JobKeeper, IR, Freight routes, Supply chains, Vaccines
Minister for Trade, Tourism and Investment Dan Tehan
14 APR: Transcript of Interview with Karl Stefanovic, Channel 9 Today
Subjects: Australia Post inquiry, EU export restrictions on COVID-19 vaccine, Vaccine rollout, International travel, Aviation and tourism sector package, Travel bubbles
Minister for Trade, Tourism and Investment Dan Tehan
14 APR: Transcript of Interview with Michael Rowland, ABC News
Subjects: Vaccine rollout, Christine Holgate, National Cabinet, Vaccine supply, Papua New Guinea, Vaccine deals
Minister for Health and Aged Care Greg Hunt and Therapeutic Goods Administration (TGA)
13 APR: Transcript of Press Conference with Professor John Skerritt, Canberra
Subjects: Vaccine rollout, AstraZeneca vaccine, Aged care doses, Vaccine Safety Investigation Group, International travel
Minister for International Development and the Pacific Zed Seselja and Member for Canberra Alicia Payne
13 APR: Transcript of Interview with Stephen Cenatiempo, 2CC Breakfast Show
Subjects: COVID-19, Vaccine rollout program, NDIS changes, Australian medical officials, Europe, AstraZeneca, Johnson and Johnson
Prime Minister Scott Morrison
12 APR: Transcript of Press Conference
Subjects: COVID-19, Pandemic, Recession, Employment, Community transmission, Border controls, Vaccination program, New Zealand, UK, US
Minister for Health and Aged Care Greg Hunt
12 APR: Transcript of Interview with Deborah Knight, 2GB Afternoons
Subjects: COVID-19 vaccines, Disability sector, Aged care, AstraZeneca safety advice, Pfizer availability
Minister for Health and Aged Care Greg Hunt
12 APR: Transcript of Interview with Laura Tingle, ABC 7.30
Subjects: COVID-19 Vaccine rollout, Vaccine advice, Public health, Chief Medical Officer, TGA, UK, US, Pfizer, AstraZeneca, CSL
Minister for International Development and the Pacific Zed Seselja
12 APR: Transcript Interview with Fran Kelly, RN Breakfast
Subjects: Domestic vaccine rollout, AstraZeneca vaccine, PNG COVID support, Offshore processing, Nauru contracts
Department of Health
12 APR: Transcript of Interview by Chief Medical Officer, Professor Paul Kelly, with Michael Rowland, ABC News Breakfast
Subjects: Vaccine rollout timeline, GPs, AstraZeneca vaccine, Moderna, Johnson & Johnson
Department of Health
12 APR: Transcript of Interview by Chief Medical Officer, Professor Paul Kelly, with Natalie Barr, Sunrise
Subjects: COVID-19 vaccination timeline, Uncertainty about supplies, AstraZeneca vaccine, TGA, GPs
Department of Health
12 APR: Transcript of Interview by Chief Medical Officer, Professor Paul Kelly, with Fran Kelly, ABC Radio National
Subjects: Vaccine rollout timeline, AstraZeneca vaccine, National Cabinet, GP clinics, TGA, Pfizer vaccine, AMA
Leader of the Opposition Anthony Albanese and Shadow Minister for Trade and Resources Madeleine King
12 APR: Transcript of Doorstop Interview, Karratha, WA
Subjects: Resources sector, Ex-Tropical Cyclone Seroja, Climate change, Net zero emissions target, COVID-19 vaccines, Energy sources, Gas industry
Shadow Assistant Treasurer Stephen Jones & Senator for Queensland Nita Green
12 APR: Transcript of Doorstop Interview, Cairns
Subjects: COVID-19 vaccine rollout, Domestic tourism, Superannuation investment, Investment in regional Australian infrastructure, Gender super gap
Minister for Health and Aged Care Greg Hunt
11 APR: Transcript of Doorstop Interview, Mount Martha
Subjects: Australian COVID-19 epidemiology update, Australian vaccine rollout, Vaccine hesitancy, Moderna and Johnson & Johnson vaccines, TGA, ATAGI
Prime Minister Scott Morrison, Minister for Health and Aged Care Greg Hunt & Department of Health
09 APR: Transcript of Press Conference with Secretary of Department of Health, Professor Brendan Murphy, Parliament House, ACT
Subjects: COVID-19, Pfizer-BioNtech vaccine, AstraZeneca, Novavax, COVAX, TGA
Attorney-General and Minister for Industrial Relations Michaelia Cash
09 APR: Transcript of Interview with Leila Mckinnon, Channel 9 Today Show
Subjects: Respect@Work report, Fed Govt response, Workplace culture, Vaccine rollout
Treasurer Josh Frydenberg
09 APR: Transcript of Interview with Tony Jones, 3AW
Subjects: Vaccine rollout, ACTU, JobKeeper, Holocaust survivor, Holocaust education
Minister for Trade, Tourism and Investment Dan Tehan
09 APR: Transcript of interview with Tom Connell, Sky News
Subjects: Vaccine rollout, Aus-NZ travel bubble, International borders, Tourism, Novavax
Minister for Finance Simon Birmingham
09 APR: Transcript of Doorstop Interview, Australian Parliament House
Subjects: Vaccine rollout, AstraZeneca vaccine, International borders
Department of Health
09 APR: Transcript of Secretary of Dept of Health Brendan Murphy's Interview with Stephen Quartermain & Emily Power, 3AW
Subjects: COVID-19, Vaccines, AstraZeneca, Pfizer, Supply chains
Deputy Leader of the Opposition Anthony Albanese
09 APR: Transcript of Press Conference, Sydney
Subjects: Vaccine rollout, COVID-19, AstraZeneca, Supply & distribution of vaccines, Respect@Work, Sexual harassment, Women's safety
Senator for Queensland Nita Green
09 APR: Transcript of Doorstop Interview, Cairns
Subjects: AstraZeneca, Rural & regional health, COVID-19 vaccine, Supply & distribution, Torres Strait, Papua New Guinea
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Reports
Opioid Prescribing Practices Project - Key Outcomes
Department of Health
The Australian Government has taken a targeted approach to reduce harm to patients from inappropriate opioid use by raising general practitioner (GP) awareness and supporting clinically appropriate prescribing. The Department of Health designed and evaluated a project through a randomised controlled trial (RCT) to determine whether GPs who had high rates of opioid prescribing would reduce their prescribing when sent a letter informed by behavioural insights principles about their prescribing patterns.
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Supply & wholesaling of medicinal cannabis products (MCP)
Department of Health, Therapeutic Goods Administration (TGA)
Starting materials for use in manufacturing therapeutic goods are exempt goods, unless they are pre-packaged for supply for other therapeutic purposes or are formulated as a dosage form. This means that the TG Act allows the importation, manufacture, supply or exportation of starting materials (including active pharmaceutical ingredients) unless they are in a form that can be given to a patient.
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Australian Public Assessment Report for Labetalol hydrochloride - Report
Department of Health, Therapeutic Goods Administration (TGA)
This AusPAR describes the application by Southern Cross Pharma Pty Ltd (the sponsor) to register Labetalol SXP/RMB/TLB (labetalol hydrochloride) 50 mg/10 mL solution for injection for the following proposed indication:
- Treatment of severe hypertension, including severe hypertension of pregnancy.
Severe hypertension can present as an emergency in which blood pressure rises rapidly and there is a risk of end-organ damage such as renal failure, hypertensive encephalopathy or cardiac failure. This can require inpatient management with parenteral anti-hypertensives to achieve a rapid reduction in blood pressure.
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Australian Public Assessment Report for insulin degludec/liraglutide
Department of Health, Therapeutic Goods Administration (TGA)
Xultophy is given once daily by subcutaneous administration. Xultophy can be administered at any time of the day, preferably at the same time of the day. Xultophy is to be dosed in accordance with the individual patient's needs. It is recommended to optimise glycaemic control via dose adjustment based on fasting plasma glucose As with all insulin products, adjustment of dose may be necessary if patients undertake increased physical activity, change their usual diet or during concomitant illness.
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Submission to House Select Committee on Mental Health & Suicide Prevention
Department of Health
The provision of mental health services is the responsibility of all governments and is provided through a range of publicly and privately funded means. A 'stepped care' approach to the provision of care recognises a 'no one-size fits all' approach and forms the accepted basis of targeting services across governments, mental health experts and service providers. Stepped care is an evidence-base, staged system with a hierarchy of interventions from least to most intensive, which can be matched to an individual's needs.
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Inquiry into Mental Health and Suicide Prevention - Interim Report
Reps Select Committee on Mental Health & Suicide Prevention
Mental health issues impact everyone at some point in their life. Mental illness may be episodic, acute or chronic, and may affect an individual, a family member, friend or colleague, or someone met in a chance encounter. The negative impact that COVID-19 might have on mental health was recognised from the outset, where concern came not only from fear of contracting the virus, but also the various measures implemented seeking to contain its spread and reduce its transmission.
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Impacts of COVID-19 on Medicare Benefits Scheme & Pharmaceutical Benefits Scheme - Quarterly Data
Australian Institute of Health & Welfare (AIHW)
Total Medicare claiming can be seen on the Broad Type of Service (BTOS) comparison tab, and the volume of services and benefits paid for items more specific to COVID can be seen on the COVID items and GP attendances tabs. The bulk-billing incentive items detail the impact of both the introduction of bulk-billing incentive items specific to the pandemic response, and the temporary doubling of all Medicare bulk-billing incentive fees which ceased on 1 October 2020.
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Alcohol and other drug treatment services in Australia: key findings
Australian Institute of Health & Welfare (AIHW)
In 2019-20, 1,258 publicly funded alcohol and other drug (AOD) treatment agencies provided just over 237,500 treatment episodes to an estimated 139,000 clients. The four most common drugs that led clients to seek treatment for their own drug use were alcohol (34% of all treatment episodes), amphetamines (28%), cannabis (18%) and heroin (5.1%). Almost two-thirds (64%) of all clients receiving treatment were male, and the median age of clients was 35 years.
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Response to Australian Commission of Safety & Quality in Health Care consultation on draft credentialing & defining scope of clinical practice: guide for managers & clinicians - Submission Paper
Australian Nursing & Midwifery Federation (ANMF)
The Australian Nursing and Midwifery Federation (ANMF) is Australia's largest national union and professional nursing and midwifery organisation. In collaboration with the ANMF's eight state and territory branches, it represents the professional, industrial and political interests of more than 300,000 nurses, midwives and carers across the country. The ANMF does not support the use of the draft guide for nurses and midwives and has significant concerns with the foundations of the draft.
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Aged care - the way forward
Australian Aged Care Collaboration (AACC)
Australia's population is ageing. Currently 2% of the Australian population is aged over 85 but this is projected to grow to more than 1.5 million people, or 3.7% of the population, by 2058. That's why genuine reform must start now because if it doesn't the challenge will only grow, and the current generation of older people and future generations will continue to bear the consequences of a lack of care.
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Hansards
Federal
15 APR 2021: SENATE NOTICE PAPER: Questions on Notice - 3362-3363 Senator Faruqi: Minister for Health & Aged Care - With regard to ejiao, what measures are in place & what consideration is imposed regarding the safety of products derived from donkeys
Tasmania
25 MAR 2021: TAS ASSEMBLY HANSARD: Questions - Access to Reproductive Health
25 MAR 2021: TAS ASSEMBLY HANSARD: Questions - COVID-19 - Vaccination Rollout Update
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Court Cases
None this edition.
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New Regulations
Northern Territory
15 APR 2021: NT, DEPT OF HEALTH: Public and Environmental Health Act 2011 - COVID-19 Directions (No. 5) 2021 - Cruise vessels
Queensland
Hospital and Health Boards Amendment Regulation 2021
Subordinate Legislation 2021 No. 27
Management of patient records forms part of the delivery of public sector health services in Queensland. However, to protect patients' privacy, access to patient records and disclosure of confidential information is strictly regulated. The Hospital and Health Boards Act 2011 creates a duty of confidentiality, prohibiting 'designated persons' (Queensland Health staff, including contractors and volunteers) from disclosing confidential information about a person who is receiving, or who has received, a public sector health service if the person could be identified from the information.
Explanatory Notes | Human Rights Certificate
Western Australia
09 APR 2021: WA, GOVERNOR IN EXECUTIVE COUNCIL: Health Services Act 2016 - Health Services (Fees and Charges) Amendment Order (No. 3) 2021 - SL 2021/35
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Proclamations
None this edition.
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Gazette Notices
Victoria
10 APR 2021: VIC SPECIAL GAZETTE No. S 167: Public Health and Wellbeing Act 2008 - Section 198(7)(C) - Extension of Declaration of a State of Emergency
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Consolidated Legislation
Federal
National Health (IVF Program) Special Arrangement 2015
Legislative Instrument Compilation - F2021C00309
PB 60 of 2015 Arrangements as amended, taking into account amendments up to National Health (IVF Program) Special Arrangement Amendment Instrument 2021 (No. 1) (PB 30 of 2021).
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Classification Principles 2014
Legislative Instrument Compilation - F2021C00308
Principles as amended, taking into account amendments up to Aged Care Legislation Amendment (Aged Care Recipient Classification) Principles 2021.
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National Health (Prescriber bag supplies) Determination 2012
Legislative Instrument Compilation - F2021C00307
PB 73 of 2012 Determinations/Health as amended, taking into account amendments up to National Health (Prescriber bag supplies) Amendment Determination 2021 (No. 1) (PB 26 of 2021).
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National Disability Insurance Scheme (Protection and Disclosure of Information-Commissioner) Rules
Legislative Instrument Compilation - F2021C00306
Rules/Other as amended, taking into account amendments up to National Disability Insurance Scheme (Protection and Disclosure of Information-Commissioner) Amendment Rules 2021.
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National Health (Efficient Funding of Chemotherapy) Special Arrangement 2011
Legislative Instrument Compilation - F2021C00305
PB 79 of 2011 Arrangements as amended, taking into account amendments up to National Health (Efficient Funding of Chemotherapy) Special Arrangement Amendment Instrument 2021 (No.3) (PB 29 of 2021).
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Accountability Principles 2014
Legislative Instrument Compilation - F2021C00304
Principles as amended, taking into account amendments up to Aged Care Legislation Amendment (Aged Care Recipient Classification) Principles 2021.
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National Health (Originator Brand) Determination 2015
Legislative Instrument - F2021C00303
PB 100 of 2015 Determinations/Health as amended, taking into account amendments up to National Health (Originator Brand) Amendment Determination 2021 (No. 2) (PB 34 of 2021).
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National Health (Pharmaceutical Benefits Scheme-Exempt items - Section 84AH) Determination 2017
Legislative Instrument Compilation - F2021C00301
PB 81 of 2017 Determinations/Health as amended, taking into account amendments up to National Health (Pharmaceutical Benefits Scheme-Exempt items - Section 84AH) Amendment Determination 2021 (No. 1) (PB 36 of 2021).
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National Health (Pharmaceutical benefits-early supply) Instrument 2015
Legislative Instrument Compilation - F2021C00299
PB 120 of 2015 Other as amended, taking into account amendments up to National Health (Pharmaceutical Benefits - Early Supply) Amendment Instrument 2021 (No. 3) (PB 23 of 2021).
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National Health (Continued Dispensing - Emergency Measures) Determination 2020
Legislative Instrument Compilation - F2021C00294
Determinations/Health as amended, taking into account amendments up to National Health (Continued Dispensing - Emergency Measures) Amendment Determination 2021 (No. 3).
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Quality of Care Principles 2014
Legislative Instrument Compilation - F2021C00292
Principles as amended, taking into account amendments up to Aged Care Legislation Amendment (Serious Incident Response Scheme) Instrument 2021.
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National Health (Commonwealth Price and Conditions for Commonwealth Payments for Supply of Pharmaceutical Benefits) Determination 2019 (PB 114 of 2019)
Legislative Instrument Compilation - F2021C00291
PB 114 of 2019 Determinations/Health as amended, taking into account amendments up to National Health (Commonwealth Price and Conditions for Commonwealth Payments for Supply of Pharmaceutical Benefits) Amendment Determination 2021 (No. 2) (PB 24 of 2021).
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Aged Care Quality and Safety Commission Rules 2018
Legislative Instrument Compilation - F2021C00288
Rules/Other as amended, taking into account amendments up to Aged Care Legislation Amendment (Serious Incident Response Scheme) Instrument 2021.
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Records Principles 2014
Legislative Instrument Compilation - F2021C00287
Principles as amended, taking into account amendments up to Aged Care Legislation Amendment (Serious Incident Response Scheme) Instrument 2021.
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Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020
Legislative Instrument Compilation - F2021C00285
Determinations/Health as amended, taking into account amendments up to Health Insurance Legislation Amendment (Extend Cessation Date of Temporary COVID-19 Items) Determination 2021.
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Health Insurance (Section 3C Pathology Services - COVID-19) Determination 2020
Legislative Instrument Compilation - F2021C00284
Determinations/Health as amended, taking into account amendments up to Health Insurance Legislation Amendment (Extend Cessation Date of Temporary COVID-19 Items) Determination 2021.
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New Bills
None this edition.
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New Acts
None this edition.
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