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Exercise & Sports Science Australia Locked Bag 102 Albion DC QLD 4010

Ph: 07 3862 4122 Fax: 07 3862 3588 info@essa.org.au www.essa.org.au

MINUTES

Meeting Title: ESSA National Annual General Meeting

Meeting Date: Saturday, 2nd May 2015

Meeting Location: Pullman Cairns International, Kuranda Ballroom

Meeting Opened: 16.24pm EST

Meeting Closed: 17.23pm EST

Attendees: N = 74

National Board: Sebastian Buccheri (SB), Aaron Coutts (AC), Kade Davison (KD), Andrew Haynes (AH), Nathan Reeves (NR), Steve Selig (SS), Larina Tcherkezian (LT). Executive Officer - Anita Hobson-Powell (AHP)

National Members: Rhea Balmaceda, Charles Barclay, David Beard, Kate Bell, Adrienne Bratchford, Andrew Boyle, Sarah Comensoli, Gavin Corica, Telisha Crannage, Lyndell Crawford-Round, Brendan Cummins, Louise Czosnek, John Dennehy, Sharnee Dewstow, Timothy Douge, Angela Douglas, Ryan Ellmoos, Louise Ferguson, Scott Fisher, Laura Haig, Rebecca Hallam, Ty Halpin, Nathan Harten, Sharon Hetherington, Brendan Joss, Mia Kacen, Andrew Keady, Suzanne Kennedy, Kathryn Kirchner, David Labuschagne, Alex Lawrence, Emma Lothian, Warwick Maloney, Leanne Manderson, Michael Marthick, Natalie Martire, Lyndall McNeil, Clint Miller, Kylie Moffitt, Anna-Louise Moule, Claire Neylon, Annie Ng, David Nunn, Ashleigh O’Donnell, Daniel Parker, Thomas Patterson, Doris Pierce, Marg Rhodes, Marianne Riley, Shane Rose, Leah Rowan, Cassandra Sandison, David Sandison, Lisa Seiler, Andrew Simpson, Michael Sing, Daniel Smith, Richelle Street, Blake Thomas, John Toomey, Joshua Tree, Thomas Wendt, Joshua Van Den Broek, Samuel Warrener, Meredith Woolsey, Karina Young

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1.0 Formal Opening: Nathan Reeves (NR), Chairperson of the meeting and President of Exercise & Sports Science Australia welcomed all to the 2015 AGM. NR – Reminder to sign the AGM attendance sheet, all attendees are to sign the sheet, and also should have received two voting papers. Please raise your hand to alert a staff member if you have not signed the attendance sheet or received two of the voting papers and a staff member will provide you with these. Reminder to the 21 people who have already voted, please do not resubmit a voting form at this meeting. Today’s voting will be cross referenced against previously received votes. Welcome to the 2015 ESSA AGM, a pivotal point in time in the year where you, the membership, get to directly interface with the Board and we get the opportunity to provide you with a summary and report card on activities undertaken on your behalf over the last 12 months.

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NR – Introduced Board members present – Dr Kade Davison (KD), Ms Larina Tcherkezian (LT), Professor Steve Selig (SS), Professor Aaron Coutts (AC), Mr Sebastian Buccheri (SB), Mr Andrew Haynes (AH). Introduced Executive Officer and company secretary, Mrs Anita Hobson-Powell (AHP). NR – read out the three apologies.

2.0 Apologies: Dr Belinda Parmenter (Board member), Mr Chris Tzar (Board member), Prue Cormie (member).

3.0 Adopt the minutes of the last AGM – 11th April 2014

Previous minutes were moved as a true and accurate record by Brendan Joss and seconded by Clint Miller.

4.0 2014 Annual Report: NR – Hand over to AHP to provide the 2014 Annual Report. AHP – Explained 2014 Annual report including key activities and outcomes for the association, via power point presentation: Growth:

Have had growth in all areas of membership except associate membership which is not an area we have been pushing.

Substantial growth in some areas, particularly full membership and AEPs.

ESSA is the biggest growing allied health profession, next closest is the Dietitians at 8%.

Industry development:

Submissions – over 50 submissions last year on a range of issues

Launch of the mentoring program

Received a $30,000 grant to work with the NSW Office of Ageing and discussion is continuing this year

Had input into Queensland Health’s Healthier.Happier campaign with a series of videos and fact sheets and are now having discussions with other states to replicate that work

Established the Exercise Science Advisory Group (ESAG)

Attended many stakeholder meetings EPAG – the Exercise Physiology Advisory Group, thank you to the members on this group, members are volunteers and help us extensively:

Review of AEP scope of practice

Assisted by attending a number of meetings in particular fields

Provide great feedback on submissions in particular areas ESAG – the Exercise Science Advisory Group, a new and dynamic group, formed to:

develop initiatives to help exercise science members

differentiating themselves from AEPs and the fitness industry SSAG – the Sports Science Advisory Group:

ESSA has devoted time and resources, and engaged these volunteers to fight the cause for sports science last year with heavy involvement from Aaron Coutts.

Held a roundtable to talk to sports and industry about the need for accreditation or some kind of regulation. Included key sports, the department, the two Ministers who looked after sport last year.

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Senator Di Natale advocated for regulation of sports science and we are in contact about every two months regarding the progress.

Started working on the development of graduate attributes and standards for sports science and are now translating that into a new accreditation system.

NUCAP – National University Course Accreditation Program:

Extremely busy year, have all universities who deliver an exercise and sports science degree involved with NUCAP at some level – not all are accredited but if not they are in the process of accrediting.

Accredited 12 universities last year. Marketing and communications:

Launched Exercise Right week directed at the public to identify who to see for the right types of exercises, including online and newspaper advertising. Looking to replicate this in 2015.

30 Days 30 Reasons campaign involved having high profile celebrities contributing their profile to the campaign by providing a statement why exercise is important to them.

Launched new website in September with more pages and resources.

Many social media milestones achieved. EIM – Exercise is Medicine:

Still a key initiative, in its 5th year.

Have put 800 GPs and practice nurses through a workshop, either face-to-face or online, and have had this workshop accredited with RACGP (the Royal Australian College of General Practitioners) and APNA (Australian Primary Health Care Nurses Association), to ensure professional development points for them.

Worked with Aboriginal health care workers, training them on the importance of exercise and on the referral process.

First research conducted, had an evaluation on 31 Patients, 31 Days to talk about physical activity and refer. Evaluation had excellent results on upskilling GPs on talking about physical activity and referring.

Developed a number of new factsheets to help professions and the public.

HEAL – Healthy Eating, Activity and Lifestyle:

Program delivered with South Western Sydney Medicare Local, running throughout Australia and particularly helping to enable rural and remote communities.

Focused on providing the program to teenagers as this was identified as a niche requiring help.

Developed YouTube clips, case studies and had success in two published articles – one written by staff member Sharon Hetherington and one from a university.

Conference:

Biggest ever with over 1000 delegates, record number of trade exhibitors and abstract submissions.

Thank you to organisers Jeff Coombes and Danny Green for their vision for the conference.

Standards:

New area being focused on, new staff member employed last year to focus on standards and trying to improve the expectations of our professionals.

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Working with Steve Selig on reviewing the exercise physiology standards as well.

Pre exercise screening group:

Have been working since we released the pre-screening tool a few years ago to develop resources to assist medical professionals with high risk patients and whether they should see an exercise physiologist. Guidelines should be available later this year.

5.0 Audited Statements & Accounts: For the period 1st January, 2014 to 31st December, 2014

NR invited Board member Larina Tcherkezian to provide an update on the 2014 financials. LT – Provided an introduction as director on ESSA Board and Chairperson of the Finance Committee, will go through net results, with power point presentation.

Happy to announce a successful financial year for ESSA in 2014, with increase in profit by $230,000.

Performance better than expected due to membership increasing by 19% to 4,789 members, and the number of accredited exercise physiologists (AEPs) increasing by over 14% to 3,359 AEPs.

Total revenue for 2014 was $3.4 million, with main income streams of accreditation fees and membership fees.

There was $692,000 contributed by revenue for the 2014 conference.

Expenses totalled approximately $3.2 million, a slight increase from 2013 mainly due to the increased costs of services to members. This increase is expected as ESSA needs to accommodate members with the highest level of services.

In this economic climate ESSA maintained a positive cash flow with net cash held of approximately $1.7 million as at the end of 2014.

ESSA remains in a strong financial position and the ESSA Board and Finance Committee are committed to members by looking at opportunities to further develop its position in the market as leaders, and by reinvesting member funds in the exercise and sports science industry in 2015.

6.0 Elections and Appointments: 6.1 Board Elections

NR – Elections and appointments. We have two Director positions who have terms that are up. In the agenda notice for the AGM you will have received a request for nominations for these positions. The new positions are for a period of 3 years. Steve Selig is one of the positions and Steve has decided to re-nominate. Would like to acknowledge the contributions of Chris Tzar, a long term Director with ESSA who is not re-nominating. In the absence of Chris I would like to cover off on some of Chris’ achievements – Chris has been a Director on the Board since 2008 and prior to that was heavily involved in the NSW chapter of ESSA. Chris played an integral role in the rebranding of ESSA, was integral in the lobbying of Medicare to provide recognition of AEPs in this space, and was also integral in the negotiation phase with ACSM (the American College of Sports Medicine) in the Exercise is Medicine initiative, and this initiative has been enduring. Chris was also the focus of a Catalyst episode which spoke to Exercise is Medicine and

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reported on the importance and relevance of that from a domestic point of view. Chris has also been the face of numerous TV and newspaper articles championing the cause for our profession. I would like to acknowledge Chris’ dedication and commitment to the organisation. As stated there are two positions up for voting and we have four nominations for these positions. I would like to provide a brief background on each of the nominees in no particular order: Professor Aaron Coutts – has served on the Board for the last 12 months in an appointed role in the position of sports science representative. He has played an integral role in the Sports Science Advisory Group and continues to be heavily involved in that initiative. Mrs Mia Kacen – currently the NSW state chapter secretary and Vice-President of the ESSA Business Special Interest Group. Dr Simon Rosenbaum – has served on the NSW state chapter previously and is currently on the ESSA Exercise Physiology Advisory Group. Professor Steve Selig – is a current ESSA Director, he has served as the Chair for the ESSA Accreditation and Curriculum Committee and is currently Chair of the ESSA Exercise Physiology Accreditation Review Committee. You will have in your possession a voting form titled Voting form Board of Directors. Please indicate on that form with two crosses your voting intention for these two positions and provide to the staff circulating around the room. The staff will tabulate the votes, cross-referencing against those who have already voted and add those votes to the postal votes and pre-polling we have received. It is our intention to provide you with the result of the vote before the closing of the AGM.

7.0 Special Resolutions:

7.1 Motion: That the current Constitution for Exercise & Sports Science Australia Ltd be repealed by the membership and be replaced with the new Constitution, as presented to the membership

NR – Move now to the special resolution. Stated the motion: That the current Constitution for Exercise & Sports Science Australia Ltd be repealed by the membership and be replaced with the new Constitution, as presented to the membership. The draft proposed Constitution has been distributed widely amongst our constituency. There are essentially three themes that underpin the changes to the Constitution and will run through those now and provide the Board’s opinion and the Board’s commitment to the new Constitution:

1. Rewarding and recognizing volunteers – in recent years there has been a shift in the not-for-profit sector as Boards and memberships recognize the imperative for strong governance and a strategic oversight in the increasingly fluid and challenging corporate landscape. ESSA, the organisation that oversees your professional interests is no different. ESSA has embraced a governance reform agenda and is now focused on attracting and retaining the best Board Directors to ensure your future is

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successful. To this end the 2014 AGM saw, for the first time in our history, the appointment of Directors with a specific skill set. The finance, governance and sports science expertise of the Board have consequently been bolstered. The next stage in ESSA’s governance reform is to consider fair recognition for the time and skills of the Board Directors. In 2014 the Constitution consultation process confirmed through your feedback that you were supportive of that view. Voting for the new Constitution will show your support for allowing the ESSA Board of Directors to be remunerated for their time. It will also enable ESSA to actively recruit the very best candidates who will bring a wealth of knowledge to this table. Following on from this change a suitable remuneration package for Board Directors will be brought to you, the membership, at the 2016 AGM for consideration. It is at this point in time we will ask you to consider that remuneration package.

2. Allow the separation of membership and accreditation – currently the ESSA Constitution links membership and accreditation i.e. ESSA full membership is a pre-requisite for accreditation. The Australian government cannot require a person to be a member of an organisation but they can require practitioners of a profession to hold a certification, registration or accreditation. So, to comply with this government requirement ESSA needs to separate membership and accreditation. There are further implications for AEPs due to their status as an allied health profession. Practitioners within the Australian healthcare system belong to regulated professions or self-regulated professions. The majority of allied health professionals, including AEPs, self-regulate. Other self-regulated allied health professions include Dietitians, Social Workers, Audiologists, Speech Pathologists, Perfusionists and Sonographers. In July 2010, the Australian government introduced a major change to the governance framework for registered health professions by introducing a national registration and accreditation scheme – NRAS. The NRAS is a national regulation framework that replaces state based regulation systems. It does not include self-regulated professions e.g. AEPs. The Australian Healthcare Practitioner Regulation Agency (AHPRA) provides governance oversight for NRAS and registered health professions through profession based Boards. These Boards oversee functions that include formal recognition of qualifications, administration of minimum entry professional standards, assurance of practice standards, providing a code of conduct and investigating complaints. In self-regulating professions these functions are performed by the peak professional body – for AEPs that is ESSA. The ESSA Board provides governance oversight by formally recognising qualifications, administering minimum entry standards, assurance of practice standards, providing a code of conduct and investigating complaints. One of the main criteria for registration versus self-regulation of the health profession is the potential risk of harm for the consumer. While our professions prescribe active exercise treatments, these treatments are predominantly

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non-invasive in nature and therefore the potential risk of harm to consumers is low. As a result of this low potential risk of harm to the consumer the government has seen no need to register our profession, but has formally recognised ESSA as accrediting and regulating exercise physiologists. Consequently, protection to the public is provided through AEP accreditation with ESSA. However, public expectation is that all health and sport support professions are registered, so there is a disparity between public expectation and the legislated approach to regulate the professions. To address this disparity ESSA is one of 8 allied health professions who will be developing a comprehensive set of standards that will be put to the Australian government as a framework to standardised governance across self-regulating professions. True self-regulation in this framework will require certification and accreditation to be separated from membership. In pursuing a formalized self-regulatory framework for AEPs the government would require ESSA to do the following:

Separate membership and accreditation

Link accreditation with minimum qualifications i.e. Bachelor degree

Clearly differentiate between accredited and non-accredited members in a way that is recognisable to the public

Consequently, AEP accreditation standards would remain unchanged but full membership would not be compulsory to receive accreditation. By voting in favour of the new Constitution we can set the foundation for the future of AEP self-regulation.

3. To strengthen the profession and recognise excellence – ESSA’s full membership is based on meeting all of the exercise science requirements. Unfortunately ESSA has not been able to award membership to some undergraduate and post-graduate degrees because they do not meet all of the exercise science criteria. ESSA’s full membership requirements are more restrictive than any other exercise and sports science organisation around the world including BASES in UK, ACSM in the USA, ECSS in Europe and SESNZ in New Zealand. In separating accreditation and membership ESSA intends to allow all graduates who have completed exercise and sports science studies to join the organisation as a full member. The proposed changes cater for the expansion of the membership without compromising the quality and excellence in accreditation. Full members would need to show the following:

one year of full-time equivalence of exercise and sports science study units

to have undertaken industry experience in the area of exercise and sports science

The ESSA Board encourages you to vote in favour of the new Constitution so we can reward and recognise excellence and update our contract with the membership. The ESSA Board commends the new Constitution and are unanimous in our support for the new Constitution and believe it sets us up for the future of the organisation.

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Happy to take questions before going to vote on the Constitution: Question from David Nunn – Is there a minimum percent of members of ESSA that need to vote for the Constitution for it to be approved? Response from NR – Under our Constitution and because it is a special resolution this requires a 75% vote in favour of the Constitution change. Question from David Nunn – what is the quorum? Response from NR – The quorum is 20. No further questions. NR – The ESSA Board commends the motion that the current Constitution for Exercise & Sports Science Australia Ltd be repealed by the membership and be replaced with the new Constitution, as presented to the membership. You have a voting card, please state your name on your voting card and place a cross if you approve or reject the motion. Once you have voted place your hand up and your votes will be collected by the staff. It is our intention to provide you before the end of this meeting with how the membership has voted on this motion.

8.0 General Discussions NR – The Board is very eager to hear from our constituents and this is the opportunity to welcome questions from the floor. Please state your name before asking your question. Comment from Brendan Joss – Looking at the list of achievements and 14% growth in membership, that is a phenomenal amount of growth and something that is difficult to keep up with, so I want to put it out hopefully on behalf of the membership to say what a wonderful job you have continued to do during that time and also the office staff, you are doing an exceptional job in trying circumstances. I wanted to use this forum to thank you and the office staff for a wonderful job. Response from NR – Thank you Brendan, that is much appreciated. Question from Tom – In the future is there a possibility to collaborate with BASES (the British Association of Sport and Exercise Sciences) or the accreditation boards in New Zealand or America so we can all learn off each other and make better connections with them. Response from NR – We have a number of initiatives underway in collaboration internationally. In the last two months there has been a strong undertaking from SESNZ (Sport and Exercise Science New Zealand) to collaborate with ESSA. I think it is fair to say that they are observing the inroads that we are making in a domestic setting and are quite envious of the recognition that our constituents have across the broad breadth of areas that exercise scientists, exercise physiologists and sports

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scientists deliver their services. To that end AHP and myself have had teleconferences with our equivalents at SESNZ and have talked about initiatives. One of the initiatives they have put on the table is dual recognition of accreditation which is something we are happy to continue dialogue on. There is a separation in the standards and qualifications of our counterparts in New Zealand so there would need to be a certain degree of bridging in order for them to gain accreditation within our system. There is also a recognition of the professional development platform that has been set by ESSA and they are strongly looking at tapping into that professional development as they see it as highly relevant to their constituents. The past Presidents have set-up a committee and one of their key initiatives is the internationalisation of ESSA and they are championing that cause. They have met a number of times throughout 2014 and have provided a proposal to ESSA to consider internationalisation and collaboration. We see that as having multiple benefits, ESSA being more broadly recognised by our peers, and also our membership being increasingly recognised internationally and hopefully there being a significant increase in opportunities for you internationally. They are just two initiatives from an international perspective in partnering and sharing interests. There is an opportunity for us to progress dialogue with those organisations where they are doing some great things as well and we can be reaping the benefits of their hard work just as they can tap into the benefits of the initiatives and hard work of ours over the last 24 years. Steve Selig – adding to NR’s comments – from ESSA’s point of view it is probably some years off before there is reciprocal recognition of accreditation so that there is an automatic transfer of accreditation from one country to another e.g. the AEP being recognised as an ACSM registered clinical exercise physiologist. I think it is fair to say that is some years off. At the moment the shortest way to do that, for example if you are wanting to work in North America, is to take the ACSM clinical exercise physiologist examination, and we know of at least one case recently where someone did that successfully i.e. education in Australia was sufficient to get that person over the line. That is in the short term. In the reverse of that is that we now have an international exam and have already have our first graduate from that process, so the ability for an international graduate with the right credentials to sit a theory exam and a practical exam can enable them to become an AEP in Australia. To be eligible they need to have graduated and practised in clinical exercise physiology overseas. The high level discussions between ESSA, ACSM and BASES are still taking place. There is a tremendous amount of goodwill that can be built on. Aaron Coutts – From a sports science perspective we have obviously done a lot of work developing new accreditation standards replacing old ones in the current framework and we have collaborated with BASES in developing the level 1 standards so they are commensurate with a long

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term view of having further collaborations at that level, so we are definitely working with those international organisations. NR – Thank you for your question Tom, does that satisfactorily answer your question? Tom – Yes. David Labuschagne – On the topic of international accreditation, with regards to the status in the European Union, I have been working in the European Union for the last 7 years as an exercise physiologist and have been participating in committees within European Health Commission (EHC). What initiatives have been undertaken in regards to collaborating or communicating with the EHC? Response from NR – In short, there has been no undertakings from ESSA or the ESSA Board in that regard with the EHC. We would be happy to receive an email from you or have some dialogue with you to get your perspective and to provide some insight from your experience in that sector and any contacts you may have, and as a member any views you have on the advantage for you or the membership more broadly in progressing down that path. Question from Gavin Corica – I am an AEP and Physiotherapist, where is ESSA headed in the future? The APA in 2013 did what they called the InPractice 2025 Final Report, where they were looking at where the profession was headed in the future and where they might be getting new clients and services from. Has ESSA undertaken anything like this? Response from Kade Davison – We have become aware of that report. We are coming to the end of a current strategic planning cycle and part of the discussions the Board have had is around our new cycle of strategic planning. We have typically had 3 year planning cycles and have had discussions around longer term perspectives but we haven’t progressed on a specific plan or specific direction. We have started the process about whether 3 years is sufficient future gazing. The type of report that you are mentioning was an external consultant delivered report which are quite costly. ESSA has revenue at our disposal to put into this type of thing because of our strong membership growth but part of what we need to decide is how that money can best be spent to get the best return for our membership. It is part of ongoing discussions, it is not within our current strategic plan to spend money on determining what the future might look like in 10 years but it may be in our ongoing planning discussions. Gavin Corica – Just to lead onto that, one of the things they identified was a broader range of services. Looking in the crystal ball, does the Board have any ideas on where we may be heading as AEPs? Response from Steve Selig – To add to KD’s comments, we are absolutely looking at expanding the scope of practice. The scope of practice was reviewed over a couple of years leading up to last year when the new scope of practice was announced. It is more of a generic model than a

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specific model on areas we would be wanting to get into. I don’t want to give examples because I don’t want to have omissions. In general terms we are moving much more strongly with a much higher profile into worker health, that is one area. Some other areas that have definitely come up are an increased profile in mental health than we have now, cancer treatment and healthy ageing. The system we are now writing for the new AEP accreditation criteria, one of the key performance indicators of that process is that the next scheme, for 2016 – 2021, will be nimble enough to take opportunities with a fairly short timeframe and be able to implement those. We are busy getting the current work finished but are interested in looking at wider scope. It is definitely a high priority for us and we are very interested to get member feedback and input. Sometimes we get input and this becomes part of the system a couple of years down the track thanks to that input. Response from Kade Davison – Given the relative maturity and relative size of the professions when you compare strategic foresight, when you look at the physiotherapy profession and association, they are at a more established level where they have the resources at their disposal and stability in order to do the longer term gazing. We have lots of initiatives we would love to implement but have limited resources at our disposal so we have more acute and short term challenges at the moment for our organisation and our professions. Response from Aaron Coutts – Two things we have discussed in response to the needs of the industry going forward are looking at an econometric report on cost effectiveness of exercise physiology practices and also possibly developing the involvement of members in practice based research network where we can gather information from the work you are doing in the field to establish the efficacy to provide as feedback to key stakeholders. Question from Sarah – If the Constitutional changes are accepted today, and membership is optional, the financials show that quite a lot of the revenue comes from membership and so if it becomes optional next year, are we still going to be encouraged to be members, and if we people don’t become members how will that be measured with the revenue? Response from Kade Davison – Good question Sarah, the Board have had long deliberations on how that will work in practise if it does come through. ESSA is principally a membership service organisation and we run an accreditation system as a service to our membership so we regulate the profession on behalf of our members. The cost of running an accreditation system will always be run at an advantage to members so it will be subsidized to members. There is no intention to increase the cost of the accreditation to members, the area we need to come to a position on is the cost of accreditation to non-members. There is a cost differential in paying for professional development, if a non-member chooses to attend they pay a surcharge. The accreditation system would run in the same way, it would be intended to run on a full cost recovery basis. In any of the modelling we have done there would be a cost advantage in taking out membership when taking out accreditation e.g.

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lower prices of professional development. The balance of the cost differential would be very quickly shifted if you make use of the member benefits associated with being a member. We are confident we wouldn’t expect to see a change in our member profile. NR – Thank you for that question Sarah. If there are no other questions I will go back to the two motions that were voted on. The votes have been tallied. I would like to congratulate Professor Steve Selig in being re-appointed to the Board, and Dr Simon Rosenbaum, we welcome him to the Board as a new Director. The special resolution for the Constitutional change, the votes have been tallied and we have an approval rate of 94% so the new Constitution has been passed. Thank you, this is relief to the Directors, there has been a lot of hard work put in over the years and we believe this will set the membership and the organisation up for a bright future.

2015 AGM closed at 17.23pm

NR declared the 2015 AGM closed.