Appendix 7
Review of Medicare Locals – Report to the Minister for Health and Minister
for Sport (extract)
Recommendations
1: The government should establish organisations tasked to
integrate the care of patients across the entire health system in order to
improve patient outcomes.
2: The government should consider calling these
organisations Primary Health Organisations (PHOs).
3: The government should reinforce general practice as the
cornerstone of integrated primary health care, to ensure patient care is
optimal.
4: The principles for the establishment of PHOs should
include:
-
contestable processes for their establishment;
-
strong skills based regional Boards, each advised by a number of
Clinical Councils, responsible for developing and monitoring clinical care
pathways, and Community Advisory Committees;
-
flexibility of structure to reflect the differing characteristics
of regions;
-
engagement with jurisdictions to develop PHO structures most
appropriate for each region;
-
broad and meaningful engagement across the health system,
including public, private, Indigenous, aged care and NGO sectors; and
-
clear performance expectations.
5: PHOs must engage with established local and national
clinical bodies.
6: Government should not fund a national alliance for PHOs.
7: The government should establish a limited number of high
performing regional PHOs whose operational units, comprising pairs of Clinical
Councils and Community Advisory Committees, are aligned to LHNs [Local Hospital
Networks]. These organisations would replace and enhance the role of Medicare
Locals.
8: Government should review the current Medicare Locals’
after hours programme to determine how it can be effectively administered. The
government should also consider how PHOs, once they are fully established,
would be best able to administer a range of additional Commonwealth funded
programmes.
9: PHOs should only provide services where there is
demonstrable market failure, significant economies of scale or absence of
services.
10: PHO performance indicators should reflect outcomes that
are aligned with national priorities and contribute to a broader primary health
care data strategy.
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