In a historic first, Australians living with a rare form of epilepsy will have access to a medicinal cannabis drug, which is being listed on Australia’s Pharmaceutical Benefits Scheme (PBS) for the first time.
From 1 May 2021, Australians living with Dravet syndrome, will have access to Epidyolex® (cannabidiol), a new treatment used in combination with at least two other anti-epileptic medicines on the PBS.
Epidyolex® is only the second medicinal cannabis drug registered for supply in Australia, and the first one to be subsidised by the Australian Government on the PBS.
Dravet syndrome is a rare, genetic epileptic encephalopathy that gives rise to seizures which don’t respond well to the standard medications. The disorder begins in the first year of life in otherwise healthy infants.
About 8 out of 10 people with the syndrome have a gene mutation that causes problems in the way ion channels in the brain work. It is a “new” mutation and is not usually inherited.
Australia’s medicines regulator – the Therapeutic Goods Administration – says that, while there have been very few well-designed clinical trials using medicinal cannabis, the evidence to support its use in the treatment of certain childhood epilepsies is the strongest.
It is estimated that around 116 patients each year will benefit from the listing of Epidyolex®, who might otherwise pay more than $24,000 per year for the treatment. Instead, they will now pay only $41.30 per script or $6.60 if they have a concession card.
We are also expanding the PBS listing of Asacol® (mesalazine) for ulcerative colitis, an inflammatory bowel disease, with a new strength tablet designed to dissolve once it enters the intestines.
Inflammation is a normal way for the immune system to defend the body when it’s fighting off invaders, such as bacteria or viruses. Usually, the inflammation disappears once the invaders are destroyed. With ulcerative colitis, a problem with the immune system causes the inflammation to continue, damaging the walls of the digestive tract.
In 2020, over 650 patients accessed a similar form of mesalazine through the PBS, and will benefit from this additional treatment option. Without PBS subsidy, patients might pay more than $1,400 per course of treatment with this medicine.
Each of these listings has been recommended by the independent Pharmaceutical Benefits Advisory Committee.
Since 2013, the Australian Government has approved over 2,600 new or amended listings on the PBS. This represents an average of around 30 listings or amendments per month – or one each day – at an overall investment by the Government of $13 billion.
The Government’s commitment to ensuring that Australians can access affordable medicines, when they need them, remains rock solid.
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More GPs for rural areas increases access for patients in the bush
Increasing numbers of doctors are training to become GPs in regional, rural and remote areas, which will deliver significant benefits to patients and communities in the bush.
The Australian Government’s 2021 Australian General Practice Training (AGPT) Program selection process has seen the largest number of acceptances – 1,434 doctors – in several years, more than 100 additional doctors than last year’s intake.
Of these, the Australian College of Rural and Remote Medicine is allocated 150 training places, and the Royal Australian College of General Practitioners (RACGP) is allocated 1,350.
Federal Regional Health Minister, Mark Coulton said almost 700 of these doctors will undertake their training in regional, rural and remote locations across the country.
“The evidence does tell us that if you train in the regions you are likely to stay in the regions and that’s why we are focused on supporting the rural training pipeline,” Minister Coulton said.
“Rural and remote communities want safe and high quality primary healthcare services delivered by well- trained GPs with training in an extended rural skill set.
“Through work which is underway on long-term workforce and training reforms we want to look at opportunities to provide greater supervision and support for doctors and practical ways to build a sustainable and highly trained medical workforce.”
Minister for Health and Aged Care, Greg Hunt, said the Australian Government is strongly committed to bridging the city-country divide in providing health services to all Australians, by continuing to build the rural medical training pipeline.
“The AGPT Program is a central element in this and this latest intake means more doctors studying, training and working in regional, rural and remote locations,” Minister Hunt said.
Minister Coulton said the Federal Government understood that doctors who study and train in rural locations are more likely to choose to work and live there permanently, enjoying the benefits of a rural lifestyle.
“These high acceptance numbers show the AGPT program is working, with particular benefits for communities who may struggle to attract a GP,” Minister Coulton said.
The AGPT Program is for doctors interested in training to become a GP in Australia. Doctors can be placed anywhere – in cities or regional, rural and remote areas. Most successful applicants in this latest intake have already started training, with the rest to start in the next three months.
Second Deputy National Rural Health Commissioner announced
Queensland Health’s Chief Nurse and Midwifery Officer, Adjunct Professor Shelley Nowlan, took on a new role this week as Deputy National Rural Health Commissioner, which will see her play a key role in the Federal Government’s agenda to increase access to rural health services and address rural workforce shortages.
Federal Rural Health Minister, Mark Coulton, and National Rural Health Commissioner, Prof Ruth Stewart, met with Prof Nowlan today in Brisbane to congratulate her and discuss priorities for the role.
Minister Coulton welcomed Prof Stewart’s engagment of Prof Nowlan, recognising the wealth of experience and expertise Prof Nowlan brings to the position.
“I welcome Shelley Nowlan’s appointment as Deputy Commissioner. A registered nurse with more than 30 years’ experience, Prof Nowlan holds a longstanding interest in the health outcomes of rural and remote Australians.
“Prof Nowlan’s professional qualifications and practical experience will provide real-world knowledge and insight to healthcare challenges in country Australia.”
Professor Ruth Stewart said Prof Nowlan had worked for decades to ensure nurses and midwives met the needs of people living in rural and regional Australia.
“Prof Nowlan’s work in strategic health policy, health reform, innovation, and program evaluation has supported the delivery of nurse and midwifery care in communities across Queensland,” Professor Stewart said.
“I look forward to working with Shelley to develop new and innovative ways to provide health services to people in rural and remote Australia and make it an even better.”
Minister Coulton said the appointment of Deputy Commissioners is part of the Government’s expansion of the Office of the National Rural Health Commissioner to elevate its effectiveness and capacity to engage with rural challenges in a more holistic manner.
“By engaging two Deputy Commissioners to provide expert advice on allied health, nursing, and Indigenous health disciplines and making the National Rural Health Commissioner a permanent office, we are ensuring rural challenges receive the attention and the expertise they deserve.
Prof Nowlan is the second of two Deputy National Rural Health Commissioner to be announced. Associate Professor, Dr Faye McMillan, was announced last month as a Deputy Commissioner. Prof Nowlan is engaged as Deputy Commissioner until 30 June 2022.
Decisions under Australia’s Foreign Arrangements Scheme
Australia’s Foreign Arrangements Scheme has been in operation since 10 December 2020. The Scheme requires states and territories, local governments and Australian public universities to notify the Minister for Foreign Affairs of existing and proposed foreign arrangements. I have so far been notified of over 1,000 arrangements.
States and territories have now completed their initial audit of existing arrangements with foreign national governments.
The more than 1,000 notified so far reflect the richness and breadth of Australia’s international interests and demonstrate the important role played by Australia’s states, territories, universities and local governments in advancing Australia’s interests abroad.
I thank the states and territories for their cooperation and for what is developing as a cooperative approach under the Scheme.
Following review and consideration of arrangements, I can advise that the following four will be cancelled:
- Memorandum of Understanding between the Department of Education and Training (Victoria) and the Technical and Vocational Training Organisation, Ministry of Labour and Social Affairs, the Islamic Republic of Iran, signed 25 November 2004.
- Protocol of Scientific Cooperation between the Ministry of Higher Education in the Syrian Arab Republic and the Ministry of Tertiary Education and Training of Victoria, signed 31 March 1999.
- Memorandum of Understanding between the Government of Victoria and the National Development and Reform Commission of the People’s Republic of China on Cooperation within the Framework of the Silk Road Economic Belt and the 21st Century Maritime Silk Road Initiative, signed 8 October 2018.
- Framework Agreement between the Government of Victoria and the National Development and Reform Commission of the People’s Republic of China on Jointly Promoting the Framework of the Silk Road Economic Belt and the 21st Century Maritime Silk Road, signed on 23 October 2019.
I consider these four arrangements to be inconsistent with Australia’s foreign policy or adverse to our foreign relations in line with the relevant test in Australia’s Foreign Relations (State and Territory Arrangements) Act 2020.
I have also decided to approve a proposed Memorandum of Understanding on Cooperation on Human Resources Development in Energy and Mineral Resources Sector between the Department of Jobs, Tourism, Science and Innovation of the Government of Western Australia and the Ministry of Energy and Mineral Resources of the Republic of Indonesia.
I will continue to consider foreign arrangements notified under the Scheme. I expect the overwhelming majority of them to remain unaffected. I look forward to ongoing collaboration with states, territories, universities and local governments in implementing the Foreign Arrangements Scheme.
Australia must back vaccine patent waiver: Greens
The Greens have reiterated their calls for Australia to support a global vaccine patent waiver, supported by more than 100 countries, ahead of a critical World Trade Organization council meeting on Friday.
Senator Mehreen Faruqi, International Aid and Development spokesperson, said:
“This is a matter of global justice and responsibility. It is morally bankrupt for Australia to give anything other than full-throated support for the patent waiver.
“Rich, western countries banding together to hoard vaccines and deny them to poorer countries where thousands are dying daily is white supremacy, plain and simple.”
“It’s well overdue for the government to come out with a clear position in support of the waiver.
“The lives and health of billions of people matter far more than the profits of big pharmaceutical companies.
“The Greens stand with the hundreds of Australian health professionals who have this week come out in support of the patent waiver.”
Senator Rachel Siewert, Health spokesperson, said:
“The Australian Government is enabling vaccine apartheid in not supporting a proposal to the World Trade Organisation to waive intellectual property rights to allow Covid-19 vaccine production to be rolled out and made accessible and affordable to everyone in the global community.
“The Australian Government has to act immediately on this issue, they have been dragging their feet far too long on it.
“The Government needs to play a role in ensuring big pharma moves to temporarily waive intellectual property rights on Covid-19 vaccines to facilitate universal access.
“Covid-19 vaccines should be seen as a public good, not a commodity.
“Australia has a global responsibility to ensure lower GDP nations get adequate and timely access to vaccines.
“It’s very clear that none of us are safe, until we are all safe.”
Major investment in Northern Territory defence bases
The Morrison Government will invest $747 million to upgrade four key training areas and ranges in the Northern Territory to enable the Australian Defence Force to conduct simulated training exercises and remain battle ready.
Essential upgrades will be made to four key military training areas and weapon ranges in the Northern Territory, including: Robertson Barracks, Kangaroo Flats, Mount Bundey and Bradshaw.
These Defence training areas and facilities will support greater engagement with our Indo-Pacific neighbours and our allies, and to conduct small and large scale military exercises across a number of different scenarios.
Prime Minister Scott Morrison said the investment was part of almost $8 billion in defence capital infrastructure works over the next decade in the Northern Territory.
“This investment will deliver a jobs boom for the Northern Territory,” the Prime Minister said.
“We continue to invest more than $270 billion in defence capability across Australia over the next decade, ensuring we have a capable defence force to meet a changing global environment, while backing thousands of ADF men and women with the newest technology and training,” the Prime Minister said.
“Working with the United States and Indo-Pacific neighbours, we will continue to advance Australia’s interests by investing in the Australian Defence Force, particularly across Northern Australia.”
“Our focus is on pursuing peace, stability and a free and open Indo-Pacific, with a world order that favours freedom.
“This investment will also maximise local jobs through a targeted industry plan to contract local businesses throughout the entire supply chain. My commitment is keeping Australians safe and keeping Australians in jobs.”
Minister for Defence Peter Dutton said this significant investment would ensure the Australian Defence Force continues to deliver world class training and our engagement with allies and other nations through the conduct of joint training exercises, including with the US Marine Rotational Force – Darwin.
“This investment is critical to ensuring that our ADF land combat capability is equipped with the cutting edge technology it will require to maintain our competitive advantage,” Minister Dutton said.
“These works will provide a strong economic benefit to the region, with significant opportunities for the local construction industry and local tradies over a five-year delivery phase program.
“Significant opportunities will exist for local Australian industry to bid for almost all of the construction works, planned to be delivered through numerous local sub-contractor packages by Defence’s local Darwin-based Managing Contractor, Sitzler.”
Subject to Parliamentary approvals, construction is expected to commence in the second half of 2021, with completion expected by mid-2026.
Permanent telehealth must be funded in May Budget
The Greens are calling on the Federal Government to make telehealth a permanent feature of our Medicare system.
“Telehealth has been lifesaving for Australians, especially for people living in regional and remote areas and for disabled people, people with kids and older Australians.
“We know that people living in regional and remote areas suffer worse health outcomes. Telehealth helps to bridge that gap.
“Patients and health practitioners need certainty about the future of telehealth in Australia.
“Peak bodies have been working with the government for months now on making telehealth permanent. We don’t need more ad-hoc 3 month extensions. We need certainty.
“We are in a global health pandemic and we need innovation and forward planning, not adhoc decision making that leaves people in limbo.
“It’s 2021 and it well past time we had telehealth embedded into our Medicare system.”
JobSeeker ‘lifestyle’ is one of poverty and $44 a day
The Greens say Employment Minister Mr Robert’s cruel comments on the ‘lifestyle’ of people on JobSeeker are not based in any realm of reality in which Australians are living.
“It’s just nonsensical to tell people to get a job when in March there were 238, 700 jobs available and there are 1.5 million people on JobSeeker and Youth Allowance payments”, Senator Rachel Siewert said.
“This Government is more than happy to fund the “lifestyles” of corporations with access to the JobKeeper payment to companies like Harvey Norman who have managed to make record profits in the midst of a recession and just today there are reports that the exclusive men’s club, the Australia Club has pocketed $2m of government money – and managed to more than double its annual surplus – by keeping JobKeeper payments.
“While we remain in a pandemic and a recession and jobs are not there the Government should be supporting people, not blaming them for being in circumstances outside of their control.
“Not only did the Government abandon 1.5 million people to live on $44 a day, research from ACOSS shows that the community sector is now under extreme stress and unable to support the influx of people seeking assistance.
“But instead of investing in people the Government is putting resources into punishing people looking for work, and which is set up to be open for abuses of power.
“The Job Provider system (Jobactive) is already rife with bullying, harassment, of people being ignored or treated very poorly by their job providers and now the Government is empowering employers with the means to intimidate and bully Jobseekers.
“I’m extremely worried about the potential for young people to be coerced into situations where they may be harassed or taken advantage of with little recourse because their employer will “dob” them in.
“The Government should stop blaming people who can’t find work that doesn’t exist and provide meaningful training and support to help people find real work opportunities.”
GREENS DEMAND INVESTIGATION INTO WESTERN SYDNEY AIRPORT OFFSETS SCANDAL
The Greens say an investigation is needed into the offsets for the Western Sydney Airport, after revelations that consortiums including advisors to the NSW government made millions from the development.
An investigation by Lisa Cox at The Guardian revealed that over a quarter of all offsets sold in the NSW scheme were collected by the consortiums.
Greens Leader, Adam Bandt said:
“Public trust is paramount for major projects and the revelations published in the Guardian this morning puts a massive question mark over the environmental value of offsets for the Western Sydney Airport.
“There needs to be an investigation into any conflicts of interests and possible insider trading.
“This is happening on the Morrison government’s watch. Our national environment laws are too weak.
Greens Environment spokesperson, Sarah Hanson-Young said:
“The offsets system is an utter rort. Just another scam for the Morrison Government to give their big developer and mining mates a green light for the environment wrecking projects.
“This is just more proof the Morrison Government and their state counterparts can’t be trusted to protect the environment and our wildlife. We need stronger laws, not weaker ones.
“Next week the Senate will be reviewing the Morrison’s Government’s moves to scrap environment laws. I will pursue this scandal with the Government officials. The Government must be held to account.
Greens Co-Deputy Leader, Larissa Waters said:
“Even the rorts are stuffed with rorts! This isn’t the first time serious questions have been raised about who’s profiting from the Western Sydney airport project.
“Last year we discovered that the federal government had paid a Liberal Party donor 10 times the fair value of a parcel of land earmarked for a second runway, handing over $29.8 million of taxpayer money for property valued at $3.1 million.
“And now we learn that a consultant has made a motza by advising governments to purchase environmental offset properties he had a financial stake in.
“Clearly there are problems with the governance of this project and both the NSW and federal governments have a lot of questions to answer. It’s yet another reminder why the Greens continue to call for a strong and independent national corruption watchdog.”
Renewables driving lower prices mean we must drive transition further, not prop up coal
Latest power price reports, showing again how renewables are driving down wholesale prices across the National Electricity Market after wholesale prices doubled following the Liberals’ repeal of the carbon price, should encourage the government to drive the transition faster and not prop up coal and gas, Greens Leader Adam Bandt said today.
The Greens fears that the Morrison government – which brags about lower wholesale prices despite driving them up after the carbon price repeal and opposing renewables at every step – is now getting ready to increase prices and pollution by propping up coal and gas generation.
Labor, who has already propped up Australia’s dirtiest power station by handing over undisclosed amounts to Energy Australia, owned by Hong Kong billionaire Michael Kadoorie, must now join the Greens in fighting the latest coal push from the Morrison government.
“Instead of bragging about power prices coming down because of renewable energy, Angus Taylor should be red-faced after doubling wholesale power prices by repealing the carbon price and then opposing renewables every step of the way,” Mr Bandt said.
“After doubling power prices and doing everything they could to block renewables, the Liberals now expect a pat on the back when solar and wind start driving prices down again.
“Even worse, the government talks up lower prices from renewables while simultaneously getting ready to prop up dirty coal generation by handing public money to the billionaire coal and gas corporations.”
“We don’t need payments to coal generators, we need the government to lead more investment in renewables and storage. As today’s prices have shown, renewables are cheaper, cleaner and the future for Australia. More renewables means lower prices.”
“We should be driving the transition further and faster, not trying to block it. We are in a climate emergency.”
“Labor must oppose the latest coal push. Labor already has form propping up Australia’s dirtiest power station in Victoria and they must stop supporting Scott Morrison on coal and gas.”
The Government – with Labor’s support – is passing legislation to allow public money to go to fossil fuel projects. The Energy Security Board is also due to release its report on post-2025 market design for the National Electricity Market in the coming days, with reports today suggesting the government may be concerned about so-called ‘early’ closure of coal-fired power stations.
Wholesale power prices doubled after the Liberals repealed the carbon price.
