The changing health and human

services landscape in Victoria

Kathleen Philip

Chief Allied Health Advisor

Gippsland, 20 May 2016.

And some priorities for allied health….

Vision:

Increasing the contribution of Allied Health to the health

and wellbeing of all Australian’s to its full potential

26 July 2016

Strategic priorities for allied health

•Grow the leadership capacity of allied health

•Increase the visibility of the AH contribution

•Have a meaningful voice at national policy level

•Retention of good people through building AH career pathways/progression

•Carve a niche for AH research in translational research rather than compete in crowded NHMRC space

•Continue to develop the community of AH by investing in its identity

•Increase understanding and engagement with allied health in mental health and human services sector.

26 July 2016

The changing national policy landscape

Backdrop of national reforms

• Primary Health Networks- integrate services in primary

care and across the interface with secondary and tertiary

care

• creation of Health Care Homes

• MBS Review

• Implementation of National Disability Insurance Scheme

26 July 2016

The changing landscape in Victoria

Andrews Government November 2014 – key election commitments and

focus on vulnerable and disadvantaged people.

Department of Health & Human Services; 1 January 2015

Key Andrew’s Government reforms

• Roadmap for Reform: strong families, safe children

• Education state

• Victoria’s 10 year Mental Health Plan

• Health 2040

• Back to Work

26 July 2016

Major DHHS restructure in February 2016.

Key reforms being led by the department include:

• the Integrated Services System,

• the Roadmap for Reform,

• Victoria’s 10-year Mental Health Plan, Health 2040,

• Homelessness and Social Housing Reform,

• Implementation of the National Disability Insurance Scheme (NDIS)

• response to the Family Violence Royal Commission response to the

Hazelwood Mine Fire Inquiry

26 July 2016

Roadmap for Reform: strong families, safe children

• Commission on Family Violence – report concluded that support for

victims and perpetrators is crisis- driven, fragmented and

uncoordinated.

• 227 recommendations

• $572 M over 2 years to meet demand for family services, establish in-

home early childhood support, support & increase foster and kinship

carers, improve maternal and child health services for Aboriginal

families, boost child protection workforce and transform residential

care into a treatment model focused on early intervention.

26 July 2016

Victoria’s 10 year Mental Health Plan

• A whole-of-government suicide prevention framework

• An Aboriginal social and emotional well-being framework

• A mental health workforce strategy

• A comprehensive strategy to divert people with mental illness from the

criminal justice system by strengthening pathways to early community

treatment and support

26 July 2016

Health 2040

• Better Care Victoria - comprehensive audit into capacity of Victoria’s

hospitals, and will help drive improvements by identifying and funding

innovative projects that can be scaled up across our health system.

• Statewide Strategic Services and Infrastructure Plan - The Plan will

be a roadmap to rebuild and reshape Victoria’s health system to

achieve a better balance between community-based and hospital-

based care over the next 20 years,

• Ministerial Advisory Council; first plan due in 2017 will have a focus on

the next five years.

• Health 2040: discussion paper - Victorian Health Reform Summit in

September 2015.

26 July 2016

DHHS - the new structure

Regional Health – aligning regional performance activities with the strengthened focus on

quality and safety in central office with four health regional directors reporting to Operational

Deputy Secretaries. Work to continue strengthening the linkages between primary, community

and acute health - and with community services - to improve patient outcomes.

Central Office - NDIS implementation and human services Performance and Reporting teams to

Operations Division, bringing implementation, monitoring and practice leadership functions

together.

• Human services regulation teams together with health services regulation in a new Health

and Human Services Regulation Branch

• creation of an integrated Health and Human Services Workforce Branch in Portfolio

Strategy and Reform

• a new Health Information and Reporting Branch comprised of health data functions that

have moved from Portfolio Strategy and Reform to Health Service Performance and

Programs

• a newly created Quality and Safety Branch in Health Service Performance and Programs

that will oversee the quality and safety of Victorian health services and drive continuous

improvement in standards of clinical governance through strengthened leadership, policy

direction, and program implementation

26 July 2016

Strategic priorities for allied health

• Grow the leadership capacity of allied health

• Increase the visibility of the AH contribution

• Have a meaningful voice at national policy level

• Retention of good people through building AH career pathways/progression

• Carve a niche for AH research in translational research rather than compete in crowded NHMRC space

• Continue to develop the community of AH by investing in its identity

• Increase understanding and engagement with allied health in mental health and human services sector.

26 July 2016

Build sector support for developing allied health

leadership

• Review of allied health representation in health services leadership

structure and organisational benefit of allied health leadership to

provide a platform and recommendations for building allied health

leadership capacity

• Develop a leadership development framework

• Sustainable leadership program with four levels from transition to

practice through to ‘nourishing and retaining the curiosity of

established leaders’ that will involve both the sector and the

department in aspects of delivery.

26 July 2016

Increase the visibility of the AH contribution

• Ensure the Chief Allied Health Advisor role is visible and

accessible within the DHHS

• ‘Bridging Allied Health Roles for Better Patient Outcomes to

demonstrate the leadership in the national regulatory space.

• Support dissemination of key allied health research and

evidence to non-allied health audiences including national

conferences and submissions to key reform bodies

• developing Allied Health Sensitive Indicators

• Allied Health Benchmarking Project in acute and subacute

settings to increase understanding of allied health staffing

profiles

26 July 2016

Retention of good people through building AH career

pathways/progression

• Allied Health Career Pathways Blueprint

• Mapping career pathways in 4 streams in health and human services.

• Develop non-medical prescribing with HWI&R team (2016 ongoing)

26 July 2016

The Allied Health Career Pathway Blueprint

Clinical Research Management /

Leadership Education

Allied Health Discipline Graduate

Positions

& Roles …

Positions

& Roles …

Positions

& Roles …

Key human services for vulnerable people Other services for vulnerable people (examples)

DHHS

Department

of Justice

Community Mental Health

Alcohol and Other Drugs services

Aged support services

Community health care

Community corrections services

Crime prevention

Problem gambling

Liquor & gambling harm minimisation

Financial counselling

Child protection

Out of home care

Family services

Homelessness

Family violence

Disability services

Social housing

Youth Justice and Youth Services

DHHS Department

of Education

and Training

Enhanced maternal child health

Early childhood intervention services

Student support services

Programs for students with disabilities

350 funding programs across 3 departments

Increase understanding and engagement with allied

health in mental health and human services sector.

Questions?

26 July 2016