PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...

prior to the launch of NTPCDS, such as the Coordinated Care Trials, into programs planned forthe future.To provide a context for the NTPCDS evaluation, a summary of events that facilitated or informedthe development of the NTPCDS in 1999, plus the key actions that have occurred since that timethat have contributed to achieving its objectives, have been summarised into Table 1.2. The tableincludes major clinical studies, policy changes, programs funded, health reports, programinitiatives and workforce information and their outcomes.Table 1.2Summary of events leading to PCDS development and achievement of goals.* P – Policy • R – Review/Clinical Study • W – Workforce • F – Funded Programs • S - ReportsYear * Action Outcome1995 F CoAG – Council of AustralianGovernments introduces a 3-yearreform plan in response to chronicdisease.It introduces• Outcome / output funding• Broad banding of programs• Allocates capital to care streams –including CC trial with incentives.1995 P NT Food and Nutrition Policy andStrategic Plan 1995-2000 weredeveloped.1996/97 F CoAG Funding allocated. Funding allocated to:1997 R NT Chief Health Officer convenes aworking party (12) to develop anintegrated response to the extremelyhigh incidence of chronic renal failureand chronic disease.The Territory Food project developedresources to promote healthy eating. It alsosupports community nutritionists andcommunity nutrition workers in selectedcommunities.• Improve access to health care inrural/remote areas,• Address the perceived rural healthworkforce crisis• Establish nationally consistent paymentand information systems (15) .The development of the NT PreventableChronic Disease strategy is commissioned.1997 P The Commonwealth-funded NTAboriginal and Torres Strait IslanderCoordinated Care Trials (IndigenousCCT) two new health servicescovering Tiwi Islands and KatherineWest areas. Additional fundsprovided a platform for developingand testing models of coordinatedcare.During these trials, the under-utilised PBS andMBS funds for these areas were “cashed out”on a per capita arrangement (16) and pooledwith funds from NT and other sources to bedirected towards health-care in these regions(17) .Chapter 1: Introduction – Evaluation of the NT Preventable Chronic Disease Strategy 2007 7