Australian Medical Association

Federal Budget Submission 2012-13: Priorities in preventive health

The AMA Budget Submission identifies areas where additional investment in health care and health infrastructure is needed and should be considered in the forthcoming Federal Budget.

The AMA does not suggest that the answer to every question is to spend more. We have identified areas where the Government can spend more effectively.

Federal Budget Submission 2012-13: Health financing

Federal Budget Submission 2012-13: Tackling chronic disease management

Federal Budget Submission 2012-13: Medical workforce and training

Federal Budget Submission 2012-13: Health and medical research

Federal Budget Submission 2012-13: e-health

Federal Budget Submission 2012-13: Mental health

Federal Budget Submission 2012-13: Aged care

Federal Budget Submission 2012-13: Climate change and health

Federal Budget Submission 2012-13: Aboriginal and Torres Strait Islander health

Federal Budget Submission 2012-13: GP infrastructure

The AMA has made a submission to the Medical Board of Australia's second round consultation on the proposed registration standard for granting registration as a medical practitioner on completion of intern training. In it we have again emphasised that a term in emergency medical care should ideally be completed in an emergency department and recommended that there must be a mechanism for an intern to apply to the MBA to have exceptional circumstances considered on a case-by-case basis. Read the full submission here.

The AMA submission to government on Regionally Tailored Primary Health Care Initiatives through Medicare Locals Fund comments on the role of Medicare Locals, the creation of the Medicare Locals National Body and the utilisation of funds set aside for Medicare Locals.  The AMA highlights the need for Medicare Locals to support GPs in caring for patients, for clarity and transparency in how funds are allocated, and stresses that any savings from the consolidation of funding arrangements must be directed towards supporting services for patients. 

The AMA wrote to the Pharmaceutical Society of Australia on 15 November 2011 opposing the continued dispensing proposal under the Fifth Community Pharmacy Agreement. Continued dispensing will represent a significant change in the professional role of pharmacists and their role within the health care team. The draft guidelines circulated by the Pharmaceutical Society of Australia heighten the AMA's concerns that continued dispensing will undermine the collaboration between pharmacists and medical practitioners.

The AMA has identified the medical workforce shortage as a major health issue with the overall distribution of doctors being skewed heavily towards major cities such that regional, rural and remote areas shoulder a disproportionate workforce shortage burden. There is a strong preference amongst much of the current medical workforce to live and work in major cities. So much so that attracting young professionals to rural locations is extremely difficult. The AMA believes the factors affecting the supply of medical workforce in rural areas should be viewed in the context of generalism; remuneration and incentives; hospital infrastructure; compensation and family support; costs of establishing a practice and access to community; high on-call demands and the need for rosters and locum services;and recruitment of international medical graduates (IMG) doctors.The submission makes a series of recommendations addressing these issues as well as the effect of the introduction of Medicare Locals, anomalies with the ASGC scheme and the need to extend MBS telehealth items.

Did you know that the RACGP Vocational Training Standards are changing? The new draft standards involve significant change and a move to an outcomes based approach. Supervisors and doctors-in-training have expressed concern about some elements of the draft standards. Find out what the changes to the Vocational Training Standards could mean for you by reading our submission.

This submission responds to the HWA draft background paper - Rural and Remote Health Workforce Innovation and Reform Strategy released in July 2011 as part of the consultation process.

The AMA believes it is important that the Government gets it right to ensure that the health workforce in rural and remote areas is sustainable and that people in rural communities can access affordable, appropriate health care services when needed.

The AMA submission to the Productivity Commission outlined how the promised administrative efficiencies and economies of scale of the national scheme have not been realised for the medical profession. The scheme:

• has increased compliance costs for the medical profession;
• has introduced administrative red tape;
• lacks clarity on the handling of notifications;
• has introduced mandatory reporting requirements that must be thoroughly evaluated before its impact is properly understood; and
• requires greater transparency and accountability of AHPRA administration for each registered health profession.

The AMA submission on the exposure draft of the Personally Controlled Electronic Health Records Bill 2011 highlights that the safety objects of the legislation will be undermined by the opt-in design of the system and the ability of patients to to effectively remove clinical documents from their PCEHR. The submission also makes several suggestions to improve the transparency of the governance arrangements for the PCEHR and to clarify the operation of the civil penalty provisions.

The AMA submission to the Chinese Medicine Board:

• asked for registration standards for Chinese medicine practitioners to be at least equal to those for pharmacists, osteopaths and chiropractors;
• opposed registration of practitioners who do not meet English language proficiency requirements; and
• opposed grandfathering of practitioners who do not hold recognised qualifications.

The AMA has made a submission to the Medical Board of Australia on its Proposed Registration Standard – Granting registration as a medical practitioner on completion of intern training. The Board's proposed standard includes the option for health services to provide interns with exposure to emergency medicine (EM) in a general practice context. Of utmost concern to the AMA is the absence of clear criteria about what would constitute appropriate exposure to EM under this type of arrangement. As a result, the AMA has offered to be part of the team that will prepare guidelines to better define the Board’s requirements. In the mean time, the AMA maintains that all interns should have access to a term in an Emergency Department.

Following a request by Committee members the AMA made a supplementary submission to the Senate Community Affairs References Committee Inquiry into the funding and administration of mental health services, which is examining 2011/12 Budget cuts to Medicare rebates for GP mental health services under the Better Access Program.

The AMA's submission to the Senate Finance and Public Administration Committee on the National Health Reform Amendment (Independent Hospital Pricing Authority) Bill 2011 highlights the importance of the Pricing Authority, the Australian Commission on Safety and Quality in Health Care, and the National Health Performance Authority collaborating on their roles and responsibilities, for example, on data collection requirements.

It also points out that the Pricing Authority should consider the standards set by the Performance Authority when calculating the national 'efficient' price, that is, it must take into account the performance that must be achieved. In addition, the National Health Reform Agreement allows states to pay hospitals less than the determined efficient price, therefore, we recommend that the actual payments made to hospitals are reported to Parliament so that it is clear when poor performance is linked to insufficient funding.

Overall the Bill before Parliament responds to the AMA's lobbying last year to ensure the Pricing Authority considers the range of variables affecting the actual costs of providing health care services when calculating the national efficient price. However we recommend that the Authority is explicitly required to ensure hospitals can fulfil their teaching and research obligations.

The AMA submission to the Department of Health and Ageing on the draft Performance and Accountability Framework which will be used by the National Health Performance Authority urges the Government to undertake a proper consultation process on the performance indicators proposed in the Framework beyond the State and Territory governments.