PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...
PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ... PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...
people (Figure 3.5). Each layer brought together the four main stakeholders and members of theHealth Forum – AMSANT, ATSIC, Territory Health Services and the Commonwealth Departmentof Health & Aged Care.The 2003 Aboriginal Health Strategic Framework, reasserted the 1989 National Aboriginal HealthStrategy‟s commitment to Indigenous community controlled primary health care services, namingthe new PHCAP as the mechanism and making a commitment to supporting the development ofIndigenous Health Boards. The document was signed by all State and Territory Health Ministers.Despite this support by 2005 a renal physician noted “At the time of writing, the development ofzone strategic plans for primary health care are in their infancy, and PHCAP fatigue is prevalent.”This is evident in the lack of recent documentation about the health zones.3.5.2 Funding Community Controlled Health ServicesObjective 8: Aboriginal community controlled health services will be funded to deliverkey preventive programs, and early detection and best practice clinical managementservices, to defined segments of the population in specific locations.There are 12 Aboriginal Community Controlled Health Organisations (ACCHOs) in the NT. Thepeak body for ACCHOs in the NT is Aboriginal Medical Services Alliance of the NT (AMSANT),which was formally established in 1994. Aboriginal Health Services were funded by theCommonwealth Government through ATSIC until 1 July 1995. In 1995, the funding responsibilityfor Aboriginal primary health care was transferred from ATSIC to the Office of Aboriginal andTorres Strait Islander Health, in the Department Health and Ageing.Following the transfer, AMSANT became involved in the detailed work of setting up the newarrangements, including drafting and commenting on the provisions of the FrameworkAgreements that each State/Territory Government would sign (along with the Commonwealth,ATSIC and the community controlled sector) specifying the roles and responsibilities of theseplayers, and setting up the actual planning structures. The NT Framework Agreement was signedoff by the Northern Territory Health Minister in April 1998.Since then, AMSANT has chaired the NT Aboriginal Health Forum (NTAHF) and the CentralAustralian and Top End regional planning bodies (CARIHPC and TERIHPC). By 2001, AMSANT,working with the NTAHF planning partners, secured PHCAP funding for five health zones inChapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 62
Central Australia and two zones currently proposed in the Top End. Through the NTAHFstructure, AMSANT has continued to play a key role in the roll-out of other interim financingoptions (such as RCI, RHS and regional planning funds), through targeting available fundingagainst the health needs of Aboriginal people prior to the full roll-out PHCAP, and to implementthese interim financing options in accordance with agreed regional plans.ACCHOs provide key primary care services in many urban and remote communities. A commonmodel for service provision in these organisations is that Aboriginal Health Workers provide thefirst contact point for all patients; they then refer on to a GP employed by the ACCHOs ifnecessary. In the past, this service model resulted in a lack of Medicare funds provided toACCHOs compared to other primary health sectors. Since 2002, doctors working in ACCHOs havebeen able to bulk bill patients, with the proceeds from Medicare flowing back to the practice paygroup under section 19 (2) of the Health Insurance Act. This means that billing items such asEPC item 710 Adult Health Check Screen and more recently EPC item 708 Child Health Screeningare able be used to provide Medicare funding to ACCHOs.3.5.3 Funding of non-government organisations for preventiveprogramsObjective 9: Non-government organisations in the wider society will be funded todeliver specific preventive programs.The 2005-06 NTDH&CS Annual Report states that there was a 14.1 per cent increase in grantsand subsidies to community organisations but is not explicit about which organisations (2) .The major NGOs concerned with the chronic diseases identified in the NTPCDS are:‣ the National Heart Foundation NT (IHD and HT),‣ Healthy Living NT (Diabetes and IHD),‣ the Lung Foundation and Asthma Foundations (COAD),‣ the Australian Kidney Foundation (Renal Disease), and‣ the Arthritis and Osteoporosis foundation (70) .Other groups that have received funding for chronic disease activities include: NGOs such as LifeBe In It – Physical activity programs, communities such as Gapuwiyak for the Strong Women,Chapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 63
- Page 29 and 30: Year * Action Outcome2005 P Aborigi
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people (Figure 3.5). Each layer brought together the four main stakeholders and members of the<strong>Health</strong> Forum – AMSA<strong>NT</strong>, ATSIC, Territory <strong>Health</strong> Services and the Commonwealth Departmentof <strong>Health</strong> & Aged Care.The 2003 Aboriginal <strong>Health</strong> Strategic Framework, reasserted the 1989 National Aboriginal <strong>Health</strong><strong>Strategy</strong>‟s commitment to Indigenous community controlled primary health care services, namingthe new PHCAP as the mechanism and making a commitment to supporting the development ofIndigenous <strong>Health</strong> Boards. The document was signed by all State and Territory <strong>Health</strong> Ministers.Despite this support by 2005 a renal physician noted “At the time of writing, the development ofzone strategic plans for primary health care are in their infancy, and PHCAP fatigue is prevalent.”This is evident in the lack of recent documentation about the health zones.3.5.2 Funding Community Controlled <strong>Health</strong> ServicesObjective 8: Aboriginal community controlled health services will be funded to deliverkey preventive programs, and early detection and best practice clinical managementservices, to defined segments of the population in specific locations.There are 12 Aboriginal Community Controlled <strong>Health</strong> Organisations (ACCHOs) in the <strong>NT</strong>. Thepeak body for ACCHOs in the <strong>NT</strong> is Aboriginal Medical Services Alliance of the <strong>NT</strong> (AMSA<strong>NT</strong>),which was formally established in 1994. Aboriginal <strong>Health</strong> Services were funded by theCommonwealth Government through ATSIC until 1 July 1995. In 1995, the funding responsibilityfor Aboriginal primary health care was transferred from ATSIC to the Office of Aboriginal andTorres Strait Islander <strong>Health</strong>, in the Department <strong>Health</strong> and Ageing.Following the transfer, AMSA<strong>NT</strong> became involved in the detailed work of setting up the newarrangements, including drafting and commenting on the provisions of the FrameworkAgreements that each State/Territory Government would sign (along with the Commonwealth,ATSIC and the community controlled sector) specifying the roles and responsibilities of theseplayers, and setting up the actual planning structures. The <strong>NT</strong> Framework Agreement was signedoff by the Northern Territory <strong>Health</strong> Minister in April 1998.Since then, AMSA<strong>NT</strong> has chaired the <strong>NT</strong> Aboriginal <strong>Health</strong> Forum (<strong>NT</strong>AHF) and the CentralAustralian and Top End regional planning bodies (CARIHPC and TERIHPC). By 2001, AMSA<strong>NT</strong>,working with the <strong>NT</strong>AHF planning partners, secured PHCAP funding for five health zones inChapter 3: Progress Against <strong>PCD</strong>S Objectives – <strong>Evaluation</strong> of the <strong>NT</strong> Preventable Chronic Disease <strong>Strategy</strong> 2007 62