Author: admin

The Greens have welcomed the Productivity Commission report into Mental Health and say that it has provided a clear way forward for the Government in reforming Australia’s mental health system.
“It is a great shame that this report has not been released earlier and that the Government didn’t take the opportunity in the recent budget to start the process of reform that is so urgently needed.
As Australians we pride ourselves on having an accessible health care and Medicare system, but at the moment people who need treatment for their mental health are not getting the access or the standard of care they need.
We currently have a fragmented system and thousands of Australians are falling through the cracks.
The ad-hoc approaches need to stop.
Three quarters of mental health issues begin before the age of 25, it is critical that we support the mental health of children and young people.
This report makes a clear case for addressing the social determinants of health which is so often ignored by this Government.
A housing first approach is essential for treating mental health.
Living in poverty is a clear contributor to poor mental health and anxiety.
The Productivity Commission has made some recommendations on the income support system and the mutual obligations system and their negative impacts.
Not only does living in poverty make access to treatments difficult the system itself exacerbates mental health conditions and creates stress and anxiety.
This is a long-term roadmap for reform and the Government needs to start now.
Our health system will not be truly universal until people can get access to a mental health treatment in exactly the same way they would for a broken leg.

The Greens say that it is imperative that the Commonwealth learn the hard lesson from the Victorian aged care COVID outbreak and take leadership before it is too late.
“All providers must be focused on preventing the entry and spread of Covid-19 in aged care facilities”, Greens spokesperson on Ageing Senator Rachel Siewert said.
What we learnt from the Victorian experience is that aged care providers cannot wait to act once an outbreak occurs.
Prevention is key to stopping older Australians from experiencing another disastrous outbreak of Covid-19.
The Commonwealth must support the South Australian agencies to:

• Support all aged care workers to transition to working at a single site to reduce infections between facilities
• Ensure all aged care providers have at least one trained infection control officer working at each facility effective immediately
• Ensure infection prevention and control experts are deployed to aged care facilities to ensure staff training in infection prevention is up to date and best practice effective immediately
• Ensure all staff are wearing PPE
• Ensure adequate PPE is provided to facilities as soon as they need it
• Have a clear guide in place for visitors to residential aged care facilities

The Aged Care Quality and Safety Commission must start re-assessing South Australian aged care facilities for their readiness for Covid-19 outbreaks and continue with unannounced visits.
The Government has no excuse not to urgently act on the recommendations of the Aged care and COVID-19: a special report. 
Given that the Royal Commissioners have made the unusual step of releasing a special report so close to when the final report is due indicates how serious the failures of the system to deal with Covid-19 are.
These failures cannot be repeated in South Australia.

The Greens have tabled a dissenting report to the inquiry into the Government’s Social Security (Administration) Amendment (Continuation of Cashless Welfare) Bill 2020 saying that there isn’t evidence to justify the use of the card, that in fact the process adversely impacts people and should be abandoned.
“Through this inquiry process and over many years, the Government and supporters of this card have failed to provide any quantitative evidence that the card has met any of its objectives”, Greens Spokesperson on Family and Community Services Senator Rachel Siewert said.
The Government has also failed to commit to releasing the next evaluation before the legislation is voted on and the Committee has not had access during its determination. Just today a University of South Australia researcher said she was surprised by how little evidence there is to support the introduction of a Cashless Debit Card.
In the final sitting weeks of 2020, the Senate will again be forced to vote on a complex and divisive piece of legislation in a short time-frame while many questions remain unanswered.
One such question is whether the Government will choose to place new income support recipients in the four trial sites onto the Cashless Debit Card.
The Minister paused new entrants being placed on the Cashless Debit Card in March, it is unclear whether this pause will remain in place once the card becomes permanent. People have a right to know whether they will be placed onto the Cashless Debit Card before the scheme becomes permanent.
The Greens reject any proposition that genuine, two-way consultation has occurred with First Nations communities or anyone currently on the Cashless Debit Card about the proposal to make the scheme permanent.
Many submitters highlighted that the absence of any real consultation with First Nations communities goes against the new National Agreement on Closing the Gap which has been founded on the principles of shared decision-making and self-determination.
There has been little to no transparency around the cost of implementing and rolling out the Cashless Debit Card. The future outputs for the scheme are shrouded in secrecy and ‘commercial in confidence’ agreements with the cardholder, Indue. The community only ever discovers the cost of the scheme after the fact.
This Bill is no different. We have no understanding of how much it will cost to permanently entrench the Cashless Debit Card, lift the cap on the number of participants who enter the scheme, and roll it out to the Northern Territory.
This scheme goes to the broader question of a private company, in this case Indue, profiting from our social security system.
There is no evidence to support the entrenchment of this punitive scheme and the Senate crossbench must reject it.
In the middle of a global pandemic and Australia’s first recession in 30 years, the Government has chosen this moment as the right time to make the Cashless Debit Card permanent.
It is astounding that the Government refuses to make any decisions about the base rate of the Jobseeker payment due to the changing economic conditions but is happy to try and entrench compulsory income management.
The Greens dissenting report can be found here.

Australia will share its successful approach to the COVID-19 pandemic and the pathway ahead as the host of the virtual Global Innovation Summit 2020.
Held over the next two days, the theme of this year’s summit – Crossing the chasm: Health, Innovation and the Future Economy. Participants will explore the impact of COVID-19 from a health, social and economic perspective, and the pivotal role innovation will have as we recover.
Minister for Health, Greg Hunt, said the global sharing of ideas, successes, challenges and plans was more important than ever as the world responds to the pandemic.
“Globally, Australia is in an enviable position – both financially and in our health response to COVID-19,” Minister Hunt said.
“Throughout the COVID-19 pandemic, we have seen monumental change to the way Australians can take care of their health. This includes the introduction of telehealth, which has revolutionised the way Australian patients can receive care.”
“This summit gives us the opportunity to outline how we have approached the most challenging of times, and allows us to work with other global leaders to develop the innovative health solutions we need in the months and years ahead.”
The summit will provide an opportunity to showcase Australia’s innovation breakthroughs and technology to leaders across the health, science, industry, investment and technology sectors.
Minister for Industry, Science and Technology, Karen Andrews, said the virtual conference will bring together some of the brightest minds from around the world to discuss how economies can emerge from COVID-19 pandemic with increased resilience and competitiveness.
“Manufacturing will be critical to our nation’s economic future, and the Morrison Government is strategically investing in areas of manufacturing where we know we have an edge, so that Australian manufacturers can scale up and create new jobs,” Minister Andrews said.
“Through the Modern Manufacturing Strategy, we are boosting the role of science and technology in industry, which will allow us to open up new markets and take more Australian products to the world.
“To prepare for the post-COVID economy, we are also investing in additional support for Australian businesses to use digital tools to enhance their processes, as part of our goal to become a leading digital economy by 2030.”
The Global Innovation Summit is co-hosted by the Global Federation of Competitiveness Councils – a network of organisations and 35 countries with shared principles, to enhance regional, national and global prosperity.
The two-day event will include international leaders’ perspectives, interactive panel discussions and presentations highlighting key innovation breakthroughs assisting the response to the COVID-19 pandemic.
The virtual event is free and you can register online.

The communities of Tumut Tumbarumba, Batlow and Adelong will benefit from a new primary health care model to improve access to local health care and provide better continuity of care for rural patients.
Regional Health Minister, Mark Coulton said the Coalition Government is investing in first-of-a-kind primary care models as part of a broader effort to improve health outcomes for rural Australians.
The 2020-21 Budget invests $3.3 million in new models of primary care to help pioneer local solutions to team based care and provide better healthcare services across sub-regions in western and southern NSW.
“The challenge of delivering health services in small communities is well known, and it is clear the existing one-size-fits-all approach isn’t working for every rural community,” Minister Coulton said.
“The trial of a new collaborative model of health care in these four communities aims to create more efficient and co-ordinated networks of GPs, nurses, and allied health professionals to deliver local services.
“We know that rural, regional and remote Australians can face difficulty accessing health care. Creating more flexible settings as part of this approach is an important step in creating a rural health workforce to service the needs of the region.”
The new Snowy Valleys model will investigate if viable practices may be better sustained by having a team of GPs, nurses and allied health professionals deliver integrated health services to a number of smaller, connected communities.
Senator for New South Wales, Perin Davey said The Nationals in Government want people living in these communities to benefit from continued access to essential health services as well as reduce the time it takes to travel for primary care.
“Community is at the core of this approach and we want local communities maximise their local health services and co-design solutions that are tailored to meet the needs of their communities,” Senator Davey said.
“In addition, we want more health professionals to choose a career in the bush. The rollout of the new model is a good example of how we can improve the scope of practice for doctors and health professionals and provide rewarding lifestyle and career opportunities.
Minister Coulton said this new model provided a further incentive for young doctors to come to the region and built on the recent Murrumbidgee Model for Rural Generalist GPs that was providing a training pipeline and improved support for young trainee GPs.
Director Service Delivery at NSW Rural Doctors Network (RDN), Mike Edwards, said Tumut was an ideal location to trial innovative approaches to health workforce solutions.
“A key enabler of success for this trial will be aligning community and health sector expectations and goals,” Mr Edwards said.
“Through consultation with community-based working groups already in place in Tumut, we can agree on approaches that may work best for the trial.
“NSW Rural Doctors Network sees this Collaborative Care project as the start of a model that could hopefully be scaled-up to support similar sub-regional approaches in remote and rural areas across Australia. We look forward to starting work early in the new year.”
The models are part of the Coalition Government’s broader primary care reforms including a 10-year plan to support patient centred care and equitable access to the best available primary health care services. Minister Coulton said rural and remote primary care is a key focus of the reforms.
“If we want to make an impact to tackle health access issues in our communities, we need to understand the local needs and look at more flexible and practical solutions to delivering healthcare in the bush,” Minister Coulton said.
The trial will last 18 months and is a practical solution developed with extensive community consultation and support.

The Australian Government will lift mutual obligation requirements for job seekers in South Australia from today 18 November 2020 until Sunday 29 November 2020.
This follows an announcement by the South Australian Government that the state will undertake a six-day shutdown to curb a COVID-19 outbreak in the state.
No South Australian job seeker will face payment suspension or financial penalties for failing to meet their mutual obligation requirements – such as not being able to attend appointments or activities.
Job seekers are still being encouraged to remain connected to employment services to ensure they are supported to access the full range of assistance including mental health services, if required.
This will apply to job seekers in jobactive, Online Employment Services and Disability Employment Services and participants in ParentsNext,
The Australian Government will continue to closely monitor the situation in South Australia.
More information is available at https://www.dese.gov.au/covid-19/job-seekers

Access to a life-saving and life-changing medicine will soon be expanded for Australian children and infants with Spinal Muscular Atrophy (SMA), thanks to a breakthrough medicines listing on the Pharmaceutical Benefits Scheme (PBS).
From 1 December, subsidised access to the life-changing medicine Spinraza® (nusinersen) will be expanded to include children and infants genetically diagnosed with the most severe types of SMA before the onset of symptoms (pre-symptomatic).
SMA is a rare inherited genetic muscle wasting disease characterised by a loss of motor neurons. It causes progressive muscle weakness and wasting, and its most severe forms can cause paralysis and death.
Without the subsidy, families would pay more than $367,000 a year for treatment. From 1 December families and their children will be able to access this life changing medicine for $41 or $6.60 per script with a concession card.
Approximately 18 children and infants, and their families, are expected to benefit from this expanded PBS listing per year.
The expanded listing of Spinraza will allow infants and children, diagnosed with SMA through a genetic test, to start treatment prior to the onset of symptoms.
This means children and infants diagnosed with SMA will be able to commence treatment with this medicine from birth and up to three years earlier, which is so critical to address the impact of this debilitating condition.
The least amount of damage to a child’s motor neurons occurs when they are pre-symptomatic.
The medicine works by slowing progression of the disease. In many cases, it can halt the progression of the disease or significantly improve motor function.
Starting treatment early is critical to halting the impact of this significantly debilitating and life-threatening condition, and preventing irreversible impacts.
Left unaddressed, infants with SMA struggle to meet the simplest of development milestones such as holding their head up, sitting up by themselves, walking and standing.
One in 10,000 live births in Australia are affected by SMA and the disease is the number one genetic cause of death of babies under two in Australia. There is no known cure for SMA.
One in 35 people in Australia unknowingly carry the faulty SMA gene. Being a carrier does not mean you are affected by the condition.
Spinraza is the first and only treatment of its kind to be listed on the PBS for SMA. It was first listed on the PBS in June 2018, and so far over 160 Australians per year are being treated with this medicine.
This PBS listing was recommended by the independent Pharmaceutical Benefits Advisory Committee (PBAC).
Since 2013, the Government has approved more than 2,500 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 $11.8 billion.
The Government’s commitment to ensuring Australians can access affordable medicines when they need them, remains rock solid.
The independent medical experts on the PBAC have been considering an application to expand the listing of Spinraza for the treatment of adults. An update on these deliberations will be provided on 18 December on the PBS website at: https://www.pbs.gov.au/pbs/home.
Further information on SMA can be found at: https://smaaustralia.org.au/wp-content/uploads/SMA_2020_A4_Information_Guide-compressed.pdf