PHN Core and Flexible Funding - 2019-2021 Activity Work Plan
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
PHN Core and Flexible Funding Activity Work Plan 2019-2021
1. (a) Planned PHN activities for 2019-2020 and 2020-2021
– Core Flexible Funding Stream
Proposed Activities
ACTIVITY TITLE CF1.1 Mental Health – Early intervention & low intensity strategies
Modified Activity
Existing,
Modified, or New
Previously CF12-Mental Health & Comorbidity support
Activity
Program Key Mental Health
Priority Area
MH 1- Low Intensity Service delivery to reduce waiting lists and increased
Needs
access of mental health to areas of high disadvantage pg. 50
Assessment
MH 5- Integrated and coordinated holistic services pg. 55
Priority
Aligning with the PHN objective of Improving coordination of care to ensure
patients receive the right care in the right place at the right time, this activity
will complement and integrate with Primary Mental Health funded programs
and Stepped Care ideology while also focussing on early intervention
Aim of Activity strategies, low intensity approaches and holistic complementary services.
There is no service duplication or replication between this activity and the
Primary Mental Health Care Activity Work Plan.
Activities will:
• Focus on wellness promotion and prevention by providing access to
Description of information, advice and self-help resources;
Activity • Increase early intervention through access to lower cost, evidence-
based alternatives to face-to-face psychological therapy services;
Population groups include (but are not limited to):
• people living in rural and remote communities;
• people identified as being at a high risk of disadvantage;
Target population
• people with, or at risk of, mild mental illness;
cohort
• people with severe and complex mental illness; and
• people with a co morbid mental health and drug and alcohol condition.
Indigenous No
specific
• Rural Counselling Services -Eyre Peninsula LGA, Central Local Govt.
Region
Coverage • Low intensity mental health -Eyre Peninsula LGA, Central Local Govt.
Region
Mental Health, Alcohol and Other Drug community consultations were
conducted with both service providers and community members providing
context to data already gathered through the literature.
Consultation
CSAPHN is also developing an evidence based Foundation Plan for Mental
Health and Suicide Prevention in the region with CHSA LHN and other key
stakeholders. Once completed it will provide a vital resource to the region to
1support the integrated delivery of mental health and suicide prevention
services within the community. The Plan will identify needs and gaps, reduce
duplication, remove inefficiencies and encourage innovation.
Also, in conjunction with CHSA LHN, we have undergone extensive service
mapping of core and commissioned services across both sectors with the
stepped care model and held 6 jointly chaired forums focusing on the findings
as well as key issues surrounding:
• local service gaps;
• pressure points;
• points of intersection; and
• areas of opportunity to further collaborate.
All activity has been part of a co-design process flowing from consultation
through to collaborative service design with providers. Linkages between
relevant funded services and other services and supports, including non-clinical
support, are contractually required to ensure a person-centred approach to
Collaboration
service delivery. As part of stepped care strategy regional workshops are
facilitated by the PHN to help establish partnerships between organisations
and services to facilitate ‘joined up’ services and sector integration.
Provide the anticipated activity start and completion dates (including the
planning and procurement cycle):
Activity start date: 1/07/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
1. ☐ Not yet known
☒ Continuing service provider / contract extension
☐ Direct engagement. If selecting this option, provide justification for direct
engagement, and if applicable, the length of time the commissioned
provider has provided this service, and their performance to date.
☐ Open tender
☐ Expression of Interest (EOI)
Commissioning ☐ Other approach (please provide details)
method and
approach to 2a Is this activity being co-designed?
market No
2b Is this activity this result of a previous co-design process?
Yes
3a. Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
No
3b. Has this activity previously been co-commissioned or joint-commissioned?
No
1a. Does this activity include any decommissioning of services?
Decommissioning
No
2Proposed Activities
ACTIVITY TITLE CF1.2 Mental Health - Acute transitions and holistic supports
Modified Activity
Existing,
Modified, or New
Previously CF12-Mental Health & Comorbidity support
Activity
Program Key
Mental Health
Priority Area
Needs MH 4- Mental Health Hospital Separations pg. 54
Assessment MH 6- Step Up and Down interface with acute services (MH 6) pg. 56
Priority
Aligning with the PHN objective of Improving coordination of care to ensure
patients receive the right care in the right place at the right time, this activity
will complement and integrate with Primary Mental Health funded programs
and Stepped Care ideology while also supporting regional interfaces between
Aim of Activity inpatient and community mental health settings.
There is no service duplication or replication between this activity and the
Primary Mental Health Care Activity Work Plan.
Activities will:
• Provide wrap-around holistic coordinated care for disadvantaged rural
people with complex needs; and
Description of
• Bridge the gap between acute episode discharge and re-entry to
Activity
primary mental health services and wrap around supports via
coordinated care and appropriate clinical triage
Population groups include (but are not limited to):
• people living in rural and remote communities;
• people identified as being at a high risk of disadvantage;
Target population
• people with, or at risk of, mild mental illness;
cohort
• people with severe and complex mental illness; and
• people with a co morbid mental health and drug and alcohol condition.
Indigenous No
specific
• Mental Health Coordinated Care -South East
Coverage • Mental health recover and support -Central Local Govt. Region
Mental Health, Alcohol and Other Drug community consultations were
conducted with both service providers and community members providing
context to data already gathered through the literature.
CSAPHN is also developing an evidence based Foundation Plan for Mental
Health and Suicide Prevention in the region with CHSA LHN and other key
Consultation stakeholders. Once completed it will provide a vital resource to the region to
support the integrated delivery of mental health and suicide prevention
services within the community. The Plan will identify needs and gaps, reduce
duplication, remove inefficiencies and encourage innovation.
Also, in conjunction with CHSA LHN, we have undergone extensive service
mapping of core and commissioned services across both sectors with the
3stepped care model and held 6 jointly chaired forums focusing on the findings
as well as key issues surrounding:
• local service gaps;
• pressure points;
• points of intersection; and
• areas of opportunity to further collaborate.
All activity has been part of a co-design process flowing from consultation
through to collaborative service design with providers. Linkages between
relevant funded services and other services and supports, including non-clinical
support, are contractually required to ensure a person-centred approach to
Collaboration
service delivery. As part of stepped care strategy regional workshops are
facilitated by the PHN to help establish partnerships between organisations
and services to facilitate ‘joined up’ services and sector integration.
Provide the anticipated activity start and completion dates (including the
planning and procurement cycle):
Activity start date: 1/07/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
1. Please identify your intended procurement approach for commissioning
services under this activity:
☐ Not yet known
☒ Continuing service provider / contract extension
☐ Direct engagement. If selecting this option, provide justification for
direct engagement, and if applicable, the length of time the commissioned
provider has provided this service, and their performance to date.
☐ Open tender
☐ Expression of Interest (EOI)
Commissioning ☐ Other approach (please provide details)
method and
approach to 2a. Is this activity being co-designed?
market No
2b. Is this activity this result of a previous co-design process?
Yes
3a. Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
No
3b. Has this activity previously been co-commissioned or joint-commissioned
No
1a. Does this activity include any decommissioning of services?
Decommissioning
No
4Proposed Activities
ACTIVITY TITLE CF2.1 Aboriginal Health - Chronic Disease Program
Modified Activity
Existing,
Modified, or New
Previously in 2018-19 AWP CF11 Aboriginal and Torres Strait Islander Health
Activity
Program Key Aboriginal and Torres Strait Islander Health
Priority Area
Gen-1 Aboriginal Health, Priority Aboriginal Health (page 42)
Needs
2. Activities that support Aboriginal patients with chronic disease conditions in
Assessment
self-management, with the aims of improving individual and community
Priority
health outcomes and reducing avoidable hospitalisation.
Activities aim to:
• Increase access to culturally safe, comprehensive and coordinated care
• Contribute to improved Aboriginal and Torres Strait Islander health
Aim of Activity outcomes
• ACCHOs and AMS achieve increased capacity to provide quality services.
• Enabling best practice approach to delivery of care
Support to rural and remote communities in delivering comprehensive and
coordinated care to Aboriginal patients with chronic conditions. Including the
provision of primary health care services to clients with a chronic and/or complex
condition that aims to improve the health outcomes of the client and enables self-
management of their condition.
Description of
Activity Primary health care services, on referral from a General Practitioner, include
screening, early intervention, treatment and condition (self) management. The
targeted health and lifestyle conditions that are to be prioritised include chronic
condition care and management, and managing risk factors such as smoking,
nutrition, alcohol and physical activity.
Target population Aboriginal and Torres Strait Islander people
cohort
Yes
Indigenous The activity engages directly with the Aboriginal Community Controlled Health
specific Service sector as it commissions chronic condition management services directly to
Aboriginal Community Controlled Health Services.
• Ceduna SA2 (Ceduna and Surrounds including Koonibba)
• West Coast SA2 (Yalata Community and Surrounds)
• Western SA2 (Maralinga Tjarutja)
Coverage • Coober Pedy SA2 and Outback SA2
• Murray Bridge SA2, Murray Bridge Region SA2, Mannum SA2 The Coorong
SA2, Fleurieu and KI SA3
CSAPHN works in consultation with ACCHOS, communities, elders and the SA
Aboriginal Chronic Disease Consortium. The consortium has a very structured and
Consultation
detailed Community engagement and consultation process in which the Action Plan
priorities have been driven by community.
5CSAPHN works in consultation with Aboriginal Community Controlled Health
Organisations (ACCHO’s), Country Health SA LHN, SA Health, SA Health and Medical
Research Institute (SAHMRI) other health and tertiary education providers in
endeavouring to improve the health outcomes of our Aboriginal people.
Collaboration Each area provides advice on existing programs and services and service gaps in
order to address key priorities, identify collaboration opportunities and avoid service
duplication. In addition, there are representatives in the Independent
Commissioning Committee which has a role in approving proposed service
contracts.
Provide the anticipated activity start and completion dates (including the planning
and procurement cycle):
Activity start date: 29/04/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
1. Please identify your intended procurement approach for commissioning services
under this activity
☒ Not yet known
☒ Continuing service provider / contract extension
☒ Direct engagement. If selecting this option, provide justification for direct
engagement, and if applicable, the length of time the commissioned provider has
provided this service, and their performance to date.
☐ Open tender
☐ Expression of Interest (EOI)
☐ Other approach (please provide details)
Direct engagement of a newly established ACCHO in the Murray Mallee and Fleurieu
Commissioning and KI region of country South Australia. This is most culturally appropriate service
method and to engage in the region. The number of patients serviced in the Aboriginal
approach to Community Controlled Health Organisation in the short period of time it has been
market established exceeds previous engagement rates by Mainstream Primary Health Care
providers. All other services are continuing.
2a. Is this activity being co-designed?
Yes
2b. Is this activity this result of a previous co-design process?
Yes
3a Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
No
3b. Has this activity previously been co-commissioned or joint-commissioned?
No
1a. Does this activity include any decommissioning of services?
Decommissioning
No
6Proposed Activities
ACTIVITY TITLE CF2.2 Aboriginal Health - Workforce Support and Capacity Building
Modified Activity
Existing,
Modified, or New
Previously in 2018-19 AWP CF11 Aboriginal and Torres Strait Islander Health
Activity
Program Key Aboriginal and Torres Strait Islander Health
Priority Area
Gen-1 Aboriginal Health, Priority Aboriginal Health (page 43)
5. Provide material support to ACCHOs and AMS that covers:
• Better business modelling & forward planning
• Service sustainability
• After hours business modelling
• Strategy and improvements in data use and utilisation of technology
Needs
(including promotion of data cleansing)
Assessment
• Participation in improvement programs
Priority
• Coordination of continuing professional development.
• Support to recruitment and retention of GP and other health
professionals
• Facilitation of engagement by the Pharmacy with ACCHOs to provide
material assistance to stock control management in remote
dispensaries.
Activities aim to:
• Increasing the participation of Aboriginal primary health care
providers in professional development, inclusive of Integrated Team
Care service providers
• Increase access to culturally safe, comprehensive and coordinated
Aim of Activity
care
• ACCHOs and AMS achieve increased capacity to provide quality
services.
• Enabling best practice approach to delivery of care
Delivery of capacity support to Aboriginal primary health care providers
inclusive of Integrated Team Care Providers. This includes but is not limited to
workforce professional development support.
Aboriginal Health Workforce grants: Increasing the Aboriginal Health
Description of
Practitioner/Worker supply where issues have been identified in terms of
Activity
availability (local people) and development of the workforce in particular
areas where it has been identified in terms of chronic conditions. E.g.
Spirometry Training associated with areas of high Asthma and COPD
diagnosis.
Target population Aboriginal and Torres Strait Islander people
cohort
Yes
Indigenous
The activity engages directly with the Aboriginal Community Controlled Health
specific
Service sector as it requests expressions of interest from this sector. For those
Service Providers who are Integrated Team Care Service Providers, direct
7commissioning will be included as the most efficient process to deliver the
support.
Whole CSAPHN Region.
Coverage
CSAPHN works in consultation with ACCHOS, communities, elders and the SA
Aboriginal Chronic Disease Consortium. The consortium has a very structured
Consultation and detailed Community engagement and consultation process in which the
Action Plan priorities have been driven by community.
CSAPHN works in consultation with Aboriginal Community Controlled Health
Organisations (ACCHO’s), Country Health SA LHN, SA Health, SA Health and
Medical Research Institute (SAHMRI) other health and tertiary education
providers in endeavouring to improve the health outcomes of our Aboriginal
people.
Collaboration
Each area provides advice on existing programs and services and service
gaps in order to address key priorities, identify collaboration opportunities
and avoid service duplication.
In addition, there are representatives in the Independent Commissioning
Committee which has a role in approving proposed service contracts.
Provide the anticipated activity start and completion dates (including the
planning and procurement cycle):
Activity start date: 29/04/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
1. Please identify your intended procurement approach for commissioning
services under this activity:
☐ Not yet known
☐ Continuing service provider / contract extension
☒ Direct engagement. If selecting this option, provide justification for
direct engagement, and if applicable, the length of time the commissioned
provider has provided this service, and their performance to date.
Commissioning ☐ Open tender
method and ☒ Expression of Interest (EOI)
approach to ☐ Other approach (please provide details)
market
Integrated Team Care Service providers will be directly engaged into the
funding as the most efficient process to include. This reduces the number of
service agreements between the organisations and the CSAPHN. Integrated
Team Care Service Providers have proven engagement history with the
Aboriginal and Torres Strait Islander population in their service areas and as
such the delivery of capacity support including workforce development to
these organisations (predominantly ACCHOs) is paramount to maintaining
relevant and quality services to the population.
8Most service providers will be in the third year of delivery of the Integrated
Team Care Service. These service providers also have consistently responded
to EOI requests in workforce development grant activities.
Other organisations (not Integrated Team Care service providers) will be
asked to complete an Expression of Interest.
2a. Is this activity being co-designed?
Yes
2b. Is this activity this result of a previous co-design process?
Yes
3a. Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
No
3b. Has this activity previously been co-commissioned or joint-commissioned?
No
1a. Does this activity include any decommissioning of services?
Decommissioning
No
9Proposed Activities
ACTIVITY TITLE CF2.3 Aboriginal Health - Ngangkari Traditional Healers
Existing Activity
Existing,
Modified, or New
Previously in 2018-19 AWP CF11 Aboriginal and Torres Strait Islander Health
Activity
Program Key Aboriginal and Torres Strait Islander Health
Priority Area
Gen-1 Aboriginal Health, Priority Aboriginal Health (page 43)
Needs
Assessment 1. Investigate opportunities that support prevention, early identification and
Priority treatment activities.
The activity aims to support Aboriginal and Torres Strait Islander
understandings of health and the complex interplay between cultural, spiritual,
Aim of Activity
physical, social and emotional health.
This is targeted at Aboriginal Community Controlled Health Services to provide
Ngangkari Services as part of a holistic health framework. It is to support the
clinical activities undertaken and can serve to improve participation and
engagement in lifestyle programs and education that need to be undertaken.
These grants will be the result of an EOI targeted at Aboriginal Community
Controlled Health services.
Description of
Activity Ngangkari Services are not included in the ITC Program as a recognised ‘Allied
Health Professional’ or a ‘Specialist Service’ and therefore there is no service
duplication. They can support the services provided under the ITC program
through enhancement of self-management by increased motivation to engage
in active management and control of their health.
• Supporting these activities through building the local Aboriginal and
Torres Strait Islander Health workforce and service capacity.
Target population Aboriginal and Torres Strait Islander people
cohort
Yes
Indigenous
The activity engages directly with the Aboriginal Community Controlled Health
specific
Service sector as it requests expressions of interest from this sector.
Whole CSAPHN Region.
Coverage
CSAPHN works in consultation with ACCHOS, communities, elders and the SA
Aboriginal Chronic Disease Consortium. The consortium has a very structured
Consultation and detailed Community engagement and consultation process in which the
Action Plan priorities have been driven by community.
CSAPHN works in consultation with Aboriginal Community Controlled Health
Organisations (ACCHO’s), Country Health SA LHN, SA Health, SA Health and
Collaboration Medical Research Institute (SAHMRI) other health and tertiary education
providers in endeavouring to improve the health outcomes of our Aboriginal
people.
10Each area provides advice on existing programs and services and service gaps in
order to address key priorities, identify collaboration opportunities and avoid
service duplication.
In addition, there are representatives in the Independent Commissioning
Committee which has a role in approving proposed service contracts.
Provide the anticipated activity start and completion dates (including the
planning and procurement cycle):
Activity start date: 29/04/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
. Please identify your intended procurement approach for commissioning
services under this activity:
☐ Not yet known
☐ Continuing service provider / contract extension
☐ Direct engagement. If selecting this option, provide justification for
direct engagement, and if applicable, the length of time the commissioned
provider has provided this service, and their performance to date.
☐ Open tender
Commissioning ☒ Expression of Interest (EOI)
method and ☐ Other approach (please provide details)
approach to
market 2a. Is this activity being co-designed?
No
2b. Is this activity this result of a previous co-design process?
Yes
3a. Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
No
3b. Has this activity previously been co-commissioned or joint-commissioned?
No
1a. Does this activity include any decommissioning of services?
Decommissioning
No
11Proposed Activities
CF2.4 Aboriginal Health - Aboriginal Health Navigator Project (Discharge Care
ACTIVITY TITLE
to Community)
Modified Activity
Existing,
Modified, or New
Previously in 2018-19 AWP CF9 Improving the patient journey across
Activity
disconnected system
Program Key Aboriginal and Torres Strait Islander Health
Priority Area
Gen-1 Aboriginal Health, Priority Aboriginal Health (page 43)
Needs
Investigate potential models for support to or coordination of activity to assist
Assessment
the management of high or frequent users of the health system, as an avenue
Priority
for hospital avoidance.
The aim of the activity is to improve patient pathways of Aboriginal and Torres
Strait Islander people in systematic discharge, referral and follow-up between
Aim of Activity
hospital and primary health care services.
This Activity is designed to support patient self-management through
supported health system navigation. The Activity seeks to develop a function
that will lead the design and implementation of a Health System Navigation
mechanism to support Aboriginal patients transitioning from tertiary to
community-based healthcare.
The Health Navigator focusses on the health needs of the individual, supporting
the patient’s identified health needs, and in particular, managing the transition
Description of
of care through admission and discharge and between non-acute services in
Activity
conjunction with Integrated Team Care Activity Care Coordinators, where
present.
The objective of the activity is to develop a sustainable platform which
improves the ability of Aboriginal people to navigate through primary health
services and between primary and acute services, in conjunction with the
CSAPHN and western region ACCHO’s.
Target population Aboriginal and Torres Strait Islander people
cohort
Yes
Indigenous
The activity engages directly with the Aboriginal Community Controlled Health
specific
Service sector as it requests expressions of interest from this sector.
• Western SA2
• Ceduna SA2
• West Coast SA2
• Port Lincoln SA2
• Whyalla SA2
Coverage
• Whyalla North SA2
• Port Augusta SA2
• Outback SA2
• Quorn-Lake Gilles SA2
12The development of the Activity will require effective engagement with
appropriate stakeholders across country South Australia (SA) regions including
Consultation
SA Local Health Networks (LHN), GPs, and ACCHOs.
This project is linked to the SA Aboriginal Chronic Disease Consortium
Collaboration Continuity of Care Project. As such all stakeholders of the Consortium have a
stake in the development and implementation of the activity.
Provide the anticipated activity start and completion dates (including the
planning and procurement cycle):
Activity start date: 29/04/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
1. Please identify your intended procurement approach for commissioning
services under this activity:
☐ Not yet known
☒ Continuing service provider / contract extension
☐ Direct engagement. If selecting this option, provide justification for
direct engagement, and if applicable, the length of time the commissioned
provider has provided this service, and their performance to date.
☐ Open tender
☐ Expression of Interest (EOI)
Commissioning ☐ Other approach (please provide details)
method and
approach to 2a. Is this activity being co-designed?
market No
2b. Is this activity this result of a previous co-design process?
Yes
3a. Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
No
3b. Has this activity previously been co-commissioned or joint-commissioned?
No
1a. Does this activity include any decommissioning of services?
Decommissioning
No
13Proposed Activities
ACTIVITY TITLE CF3.1 Population Health – direct clinical service delivery
Existing Activity
Existing, CF3.1 Population Health – direct clinical service delivery consists of existing
Modified, or New activity that appeared in 2018-19 AWP CF3 “Improving wrap around care in
Activity country”, CF4 “Illness prevention through health literacy and promotion” and
CF9 “Improving the patient journey across disconnected systems”
Program Key Population Health
Priority Area
Culturally and Linguistically Diverse Populations: GEN 13, pages 11-12
Chronic Disease and Risk Factors: GEN 4, pages 13-17
Needs Population Health and Other Factors: GEN 5 & 11, pages 18-22
Assessment Reducing Potentially Preventable Hospitalisations: GEN 8 & 9, pages 23-25
Priority Health Workforce: GEN 2, pages 26-29
Health System Integration and Coordination: GEN 6, pages 30-33
The aim of this activity is to ensure rural and remote communities and
individuals have better access to direct frontline service delivery, targeted
education and information on locally accessible services with regards to;
Aim of Activity
chronic disease and risk factors, cancer and screening and that medicine usage
is well managed to reduce potentially preventable hospitalisations.
Activities will address a range of national health priorities, PHN headline
indicators and key priority areas. This is achieved by commissioning
organisations that provide direct service delivery, promote health risk
behaviour modification and provide education and information for population
with, or at risk of, chronic disease. Activities facilitate connections between
health peak bodies, general practice, allied health, pharmacy and Local Health
Network community health services.
Specific attention is directed to the needs of vulnerable populations and those
at risk of chronic and complex conditions. These activities include, but are not
limited to:
1. Non-dispensing pharmacist in general practice program. This activity is
commissioned to the Pharmaceutical Society of South Australia. Currently 3
regions; Far West, Barossa and South East are receiving services including a
focus on: appropriate use of medicines, improved medication adherence,
Description of reconciliation and review of electronic record accuracy to improve patient
Activity outcomes and to prevent medication related preventable hospitalisation.
Ongoing funding to this program will see it extend to three other CSAPHN
regions via an expression of interest to general practice
2. Community Paramedic Program. This activity is commissioned to, and
conducted in partnership with, SA Ambulance Service. It provides
supplementary resources in rural and remote communities which support
and coordinate care options and linking vulnerable people with health care
suited to their unique circumstances. Coverage is the Far West region,
specifically in Ceduna, and in the Limestone Coast region
3. Skin cancer screening and awareness program. This activity is
commissioned via Clare Medical Centre to the regions of; Murray Mallee,
Yorke Peninsula and Eyre Peninsula. It provides direct frontline service
delivery in rural and remote locations without a permanent GP, where the
workforce is predominantly overseas trained and where GPs lack
confidence in the core competencies required to undertake screening and
14excisions. Ongoing funding to this program will see it extend to other
CSAPHN regions which include but are not limited to; Mid North, Flinders
and Port Augusta and South East. This will be achieved via an expression of
interest to general practice. This commissioned activity is linked to that
provided by Cancer Council SA (see CF3.2 Population Health - Chronic
condition literacy and self-management program) so that clinical services
and community awareness are conducted in unison
4. Culturally and Linguistically Diverse Wellness and Health Literacy Program.
This activity is commissioned to Survivors of Torture and Trauma Assistance
and Rehabilitation Service and to Focus One Health. It includes frontline
service delivery in the form of; general health checks, chronic disease risk
assessments, immunisation, cancer screening and illness prevention and
health literacy. Service delivery occurs in the Riverland, Murray Mallee and
Limestone Coast regions
This activity is targeted towards people with complex conditions and or chronic
Target population disease, vulnerable populations and those disadvantaged by availability of
cohort clinical services
Indigenous No
specific
These activities cover a range of whole of region and targeted locations. Please
Coverage refer to details in “Description of Activity”.
Engagement with appropriate stakeholders is imbedded in the activity of
CSAPHN. CF3.1 Population Health – direct clinical service delivery consultation
includes; Pharmaceutical Society of Australia, Pharmacy Guild, Drug and
Therapeutic Information Service (DATIS), Cancer Council SA, Rural Doctors
Workforce Agency, Rural Doctors Association of South Australia, general
practice, Survivors of Torture and Trauma Assistance and Rehabilitation
Consultation Service, Focus One Health, Australian Migrant Resource Centre, Flinders
University, South Australian Ambulance Service, State Health and Country
Health SA LHN. This consultation is augmented by consultation with Clinical
Council/s and Community Advisory Committee/s. Further, commissioned
service providers are required to demonstrate their consultation activities and
how service delivery is based on need, feedback and evaluation.
1. Non-dispensing pharmacist in general practice program: Co-design of the
program occurred between the Pharmaceutical Society and CSAPHN. In this
regard consultation and collaboration has occurred with the Pharmacy
Guild and DATIS
2. Community Paramedic Program: This program has been trialled in the Far
West and Limestone Coast regions. Service delivery continues via a
partnership with SA Ambulance Service and State Health
3. Skin cancer screening and awareness program: This program has been co-
Collaboration
designed with Cancer Council SA and Clare Medical Centre
4. Culturally and Linguistically diverse wellness and health literacy program:
Collaborators in this program include; Survivors of Torture and Trauma,
Migrant Resource Centre, Flinders University and Focus One Health
Where commissioned activity is linked, commissioned service providers are
required to collaborate so that clinical services and community awareness are
conducted in unison
15Provide the anticipated activity start and completion dates (including the
planning and procurement cycle):
Activity start date: 1/07/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
1. Please identify your intended procurement approach for commissioning
services under this activity:
☐ Not yet known
☒ Continuing service provider / contract extension
☐ Direct engagement. If selecting this option, provide justification for
direct engagement, and if applicable, the length of time the commissioned
provider has provided this service, and their performance to date.
☐ Open tender
☐ Expression of Interest (EOI)
Commissioning ☐ Other approach (please provide details)
method and
approach to 2a. Is this activity being co-designed?
market Yes
2b. Is this activity this result of a previous co-design process?
Yes
3a. Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
No
3b. Has this activity previously been co-commissioned or joint-commissioned?
No
1a. Does this activity include any decommissioning of services?
Decommissioning
No
16Proposed Activities
ACTIVITY TITLE CF3.2 Population Health – chronic condition literacy and self-management
Existing Activity
Existing, CF3.2 Population Health – Chronic Condition literacy and self-management
Modified, or New consists of existing activity that appeared in 2018-19 AWP under CF4 “Illness
Activity prevention through health literacy and promotion” and CF 14 “Increasing access to
chronic condition self-management programs”
Program Key Population Health
Priority Area
Chronic Disease and Risk Factors: GEN 4, pages 13-17
Needs
Population Health and Other Factors: GEN 5 & 11, pages 18-22
Assessment
Reducing Potentially Preventable Hospitalisations: GEN 8 & 9, pages 23-25
Priority
The aim of this activity is to ensure rural and remote communities and individuals
have better access to targeted education and information on locally accessible
Aim of Activity services with regards to; chronic disease, risk factors and self-management
strategies that contribute to reducing potentially preventable hospitalisations.
Activities will address a range of national health priorities, PHN headline indicators
and key priority areas. This is achieved by commissioning organisations that
provide promote health risk behaviour modification and provide education and
information for populations with, or at risk of, chronic disease. It facilitates
connections between peak bodies, general practice, allied health, pharmacy and
Local Health Network community health services.
Specific attention is directed to the needs of vulnerable populations and those at
risk of chronic and complex conditions. These activities include, but are not limited
to:
1. Chronic condition literacy and self-management program. This includes a
range of activities commissioned through peak bodies that include, but are not
limited to:
Description of
a. Heart Foundation – cardiovascular risk community awareness program
Activity
b. Diabetes SA – community self-management program
c. Asthma Australia – human-centred asthma and chronic condition care
program
d. Arthritis SA – living with chronic pain: techniques for coping program
e. Cancer Council SA – skin cancer prevention and early detection program
f. “Get screened and get on with living campaign” promoting uptake of
breast, bowel and cervix screening in South Australia
These self-management and condition literacy programs are contractually
connected to other service delivery contracts (where appropriate), to ensure an
integrated approach to disease management. Further commissioning will occur if
need is identified
This activity is targeted towards people with complex and or chronic disease
conditions, vulnerable and disadvantaged populations who will benefit from self-
Target population
management programs and improved literacy in relation to prevention and
cohort
screening programs.
Indigenous No
specific
Coverage Whole of CSAPHN region
17Engagement with appropriate stakeholders is imbedded in the activity of CSAPHN.
CF3.2 Population Health – Chronic Condition literacy and self-management
consultation includes; Heart Foundation, ICCNet (Country Access to Cardiac Health
program), Diabetes SA, Country Health SA Diabetes Unit, Cancer Council SA, SA
Health, Asthma Australia, Arthritis SA, Kidney Health Australia, Lung Foundation,
Beyond Blue, Mental Health Professionals Network, Skylight Mental Health and
Consultation
Health Consumers Alliance SA. This consultation is augmented by consultation with
general practice, RACGP, Clinical Council/s and Community Advisory Committee/s.
Further, commissioned service providers are required to demonstrate their
consultation activities and how service delivery is based on need, feedback and
evaluation.
The peak bodies referred to in CF3.2 Population Health – Chronic Condition literacy
and self-management collaborate with the CSAPHN and between themselves via
the CSAPHN facilitated “Chronic Conditions Collaborative”.
This group facilitates connections and collaborations between peak bodies, general
practice, allied health, pharmacy and Local Health Network community health
services and together with the Adelaide PHN adopts a state-wide approach. It also
allows participants to consider data and regions of need that benefit from self-
Collaboration management programs and condition literacy programs. While the programs are
existing intellectual property of the peak bodies, co-design of the service delivery
occurs between the provider and CSAPHN to ensure priority of region and
population cohort. Where commissioned self-management and condition literacy
programs are linked to commissioned direct clinical service delivery, both service
providers are required to collaborate so that activity is conducted in unison.
Further commissioning will occur if need is identified.
Provide the anticipated activity start and completion dates (including the planning
and procurement cycle):
Activity start date: 1/07/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration
If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
181. Please identify your intended procurement approach for commissioning services
under this activity:
☐ Not yet known
☒ Continuing service provider / contract extension
☐ Direct engagement. If selecting this option, provide justification for direct
engagement, and if applicable, the length of time the commissioned provider
has provided this service, and their performance to date.
☐ Open tender
☐ Expression of Interest (EOI)
☒ Other approach (an MOU is in place between project partners Cancer
Commissioning Council SA, Adelaide PHN and Country SA PHN with regards to the ‘Get screened
method and and get on with living’ campaign)
approach to
market 2a. Is this activity being co-designed?
Yes
2b. Is this activity this result of a previous co-design process?
Yes
3a. Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
Yes
3b. Has this activity previously been co-commissioned or joint-commissioned?
Yes
1a. Does this activity include any decommissioning of services?
Decommissioning No
19Proposed Activities
ACTIVITY TITLE CF3.3 Population Health – sexual health
Existing Activity
Existing,
CF3.3 Population Health – Sexual Health consists of existing activity that
Modified, or New
appeared in 2018-19 AWP under CF1 “Health workforce development and
Activity
support” and CF4 “Illness prevention through health literacy and promotion”
Program Key Population Health
Priority Area
Culturally and Linguistically Diverse Populations: GEN 13, pages 11-12
Chronic Disease and Risk Factors: GEN 4, pages 13-17
Needs Population Health and Other Factors: GEN 5 & 11, pages 18-22
Assessment Reducing Potentially Preventable Hospitalisations: GEN 8 & 9, pages 23-25
Priority Health Workforce: GEN 2, pages 26-29
Health System Integration and Coordination: GEN 6, pages 30-33
The aim of this activity is to ensure rural and remote communities and
individuals have better access to direct frontline service delivery, targeted
Aim of Activity education and information on locally accessible services with regards to sexual
health.
Activities will provide a sexual health screening and outreach service to
improve access and community awareness raising of the importance of
screening for good sexual health. Sexual health counselling and wellness for the
LGBTQI population is included.
Specific attention is directed to the needs of vulnerable populations. These
activities include, but are not limited to:
1. Sexual health screening program. This activity is commission to SHINE SA
and delivers the full scope of sexual and reproductive health screening,
Description of outreach to improve access to service and awareness raising activities for
Activity primary health care workers and communities. This service is available
across the whole of CSAPHN region
2. Sexual health counselling and wellness program. This activity will be
commissioned via expression of interest. It provides direct front line service
delivery to vulnerable populations around; sexual health and safety, coping
strategies and self-harm and suicide prevention. Service currently occurs in
Adelaide Hills and Fleurieu region, but it is planned to extend this to other
areas of need as identified
This activity is targeted towards people with limited access to sexual health
Target population services and will provide services that are inclusive and appropriate to
cohort vulnerable populations
Indigenous No
specific
Refer to details in “Description of Activity”
Coverage
Engagement with appropriate stakeholders is imbedded in the activity of
CSAPHN. CF3.3 Population Health – Sexual Health consultation includes;
Consultation National LGBTI Health Alliance, SHINE SA, SA Mobilisation and Empowerment
for Sexual Health, Australasian Society for HIV, Viral Hepatitis and Sexual Health
Medicine (ASHM), Adelaide Sexual Health Clinic, and Hepatitis SA. This
20consultation is augmented by consultation with Clinical Council/s and
Community Advisory Committee/s. Further, commissioned service providers
are required to demonstrate their consultation activities and how service
delivery is based on need, feedback and evaluation.
1. Sexual health screening program: Co-design of the program occurred
between SHINE SA and CSAPHN
2. Sexual health counselling and wellness program. This activity will be
Collaboration
commissioned via expression of interest and will include collaboration with
the appropriate stakeholders identified in “Consultation”.
Provide the anticipated activity start and completion dates (including the
planning and procurement cycle):
Activity start date: 1/07/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
1. Please identify your intended procurement approach for commissioning
services under this activity:
☐ Not yet known
☒ Continuing service provider / contract extension
☐ Direct engagement. If selecting this option, provide justification for
direct engagement, and if applicable, the length of time the commissioned
provider has provided this service, and their performance to date.
☐ Open tender
Commissioning ☒ Expression of Interest (EOI)
method and ☐ Other approach (please provide details)
approach to 2a. Is this activity being co-designed?
market Yes
2b. Is this activity this result of a previous co-design process?
Yes
3a. Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
No
3b. Has this activity previously been co-commissioned or joint-commissioned?
No
1a. Does this activity include any decommissioning of services?
Decommissioning
No
21Proposed Activities
CF3.4 Population Health – illness prevention through health literacy,
ACTIVITY TITLE
promotion and clinical service
Existing Activity
Existing,
CF3.4 Population Health – Illness prevention through health literacy, promotion
Modified, or New
and clinical service consists of existing activity that appeared in 2018-19 AWP
Activity
under CF4 “Illness prevention through health literacy and promotion”.
Program Key Population Health
Priority Area
Chronic Disease and Risk Factors: GEN 4, pages 13-17
Needs Population Health and Other Factors: GEN 5 & 11, pages 18-22
Assessment Reducing Potentially Preventable Hospitalisations: GEN 8 & 9, pages 23-25
Priority Health Workforce: GEN 2, pages 26-29
The aim of this activity is to ensure rural and remote communities and
individuals have better access to direct frontline service delivery, targeted
education and information on locally accessible services, resources and online
Aim of Activity
supports with regards to; illness prevention, health literacy, health promotion
and associated clinical service
Activities will address a range of national health priorities, PHN headline
indicators and key priority areas. This is achieved by commissioning
organisations that provide direct service delivery, promote health risk
behaviour modification and provide education, information, resources,
promotion and online support for population with, or at risk of, chronic
disease.
Description of
Specific attention is directed to the needs of vulnerable populations and those
Activity
at risk of chronic and complex conditions. These activities include, but are not
limited to chronic disease, screening, immunisation, supports to older persons
and people vulnerable through homelessness and domestic violence. It is
anticipated that expressions of interest / tender responses will be received
from; primary health care service providers, local council, NGOs, general
practice, allied health care and pharmacy.
This activity is targeted towards people with complex and or chronic disease
Target population conditions, vulnerable and disadvantaged populations who will benefit from
cohort illness prevention and health literacy programs and services.
Indigenous No
specific
Whole of CSAPHN region
Coverage
Engagement with appropriate stakeholders is imbedded in the activity of
CSAPHN. CF3.4 Population Health – Illness prevention through health literacy,
promotion and clinical service consultation includes, but is not limited to; peak
Consultation bodies, NGOs, State Health, CHSALHN and Health Advisory Councils, Aboriginal
Health Council SA, Health Consumers Alliance, Rural Doctors Association SA,
AMA SA, Rural Doctors Workforce Agency, Local Government, Universities,
General Practice, Allied Health Care Professionals and Residential Aged Care
22Facilities. This consultation is augmented by consultation with Clinical Council/s
and Community Advisory Committee/s.
Activity under CF3.4 Population Health – Illness prevention through health
literacy, promotion and clinical service will be commissioned via open tender,
expression of interest and direct engagement if required. Applicants will be
encouraged to take a collaborative approach in their applicants. CSAPHN will
Collaboration work with shortlisted applicants to ensure integration of proposal where
appropriate. CSAPHN will engage in co-design with successful applicants where
required. It is anticipated that CSAPHN Clinical Council/s and Community
Advisory Committee/s will be involved in the commissioning of activities.
Provide the anticipated activity start and completion dates (including the
planning and procurement cycle):
Activity start date: 1/07/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
1. Please identify your intended procurement approach for commissioning
services under this activity:
☐ Not yet known
☒ Continuing service provider / contract extension
☒ Direct engagement. It is the intention of CSAPHN to commission
activities under Activity under CF3 Population Health – Illness prevention
through health literacy, promotion and clinical service via open tender and /
or via expressions of interest. Direct engagement will be pursued when
local need is identified and there is an obvious most capable provider to
meet that need.
☒ Open tender
Commissioning
method and ☒ Expression of Interest (EOI)
approach to ☐ Other approach (please provide details)
market
2a. Is this activity being co-designed?
Yes
2b. Is this activity this result of a previous co-design process?
Yes
3a. Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
No
3b. Has this activity previously been co-commissioned or joint-commissioned?
No
1a. Does this activity include any decommissioning of services?
Decommissioning No
23Proposed Activities
ACTIVITY TITLE CF3.5 Population Health - Immunisation
Existing Activity
Existing,
Modified, or New CF3.5 Population Health – Immunisation consists of existing activity that
Activity appeared in 2018-19 AWP under CF5 “Immunisation in country”
Program Key Population Health
Priority Area
Population Health and Other Factors: GEN 5 & 11, pages 18-22
Needs
Reducing Potentially Preventable Hospitalisations: GEN 8 & 9, pages 23-25
Assessment
Health Workforce: GEN 2, pages 26-29
Priority
The aim of this activity is to ensure rural and remote communities and
individuals have better access to direct frontline service delivery, targeted
education and information on locally accessible services with regards to; the
Aim of Activity
benefits of immunisation; reducing the incidence of vaccine preventable
disease and reduce hospitalisations from vaccine preventable disease.
This activity is commissioned to the Immunisation Hub and conducted in
partnership with Adelaide PHN. This contributes to a state-wide approach to
the headline indicator of improving immunisation rates. Activities include but
are not limited to:
1. Targeting geographic regions of low vaccination compliance with a focus on
vulnerable populations
2. Commissioning clinical activity via general practice to increase the uptake
of Meningococcal B vaccine in the 0 – 4 year old cohort
Description of 3. Strategizing in partnership with SA Health to respond to provider issues
Activity and emergency department presentations related to low or under-
immunisation children
4. Supporting the skill base of immunisation providers with commissioned
targeted vaccine education to support frontline service delivery of
immunisations
5. Providing information and resources that promote vaccine awareness,
address vaccine hesitancy and information on access to services, including
after-hours service and home immunisation services
Immunisation providers, all children overdue for immunisation and all
Target population individuals (specifically those with medical risk factors) who risk significant
cohort illness from vaccine preventable disease.
Indigenous No
specific
Whole of CSAPHN region
Coverage
Engagement with appropriate stakeholders is imbedded in the activity of
CSAPHN. CF3.5 Population Health – Immunisation consultation includes, but is
not limited to; Immunisation Hub, State Health, Country Health SA, Adelaide
PHN, Aboriginal Health Council SA, local Aboriginal Community Controlled
Consultation
Health Organisations, immunisation providers, general practice and pharmacy.
This consultation is augmented by consultation with Clinical Council/s and
Community Advisory Committee/s.
24Immunisation Hub, State Health, Country Health SA and Adelaide PHN.
Collaboration
Provide the anticipated activity start and completion dates (including the
planning and procurement cycle):
Activity start date: 1/07/2019
Activity end date: 30/06/2021
Activity milestone
details/ Duration If applicable, provide anticipated service delivery start and completion dates
(excluding the planning and procurement cycle):
Service delivery start date: July 2019
Service delivery end date: June 2021
1. Please identify your intended procurement approach for commissioning
services under this activity:
☐ Not yet known
☒ Continuing service provider / contract extension
☐ Direct engagement. If selecting this option, provide justification for
direct engagement, and if applicable, the length of time the commissioned
provider has provided this service, and their performance to date.
☐ Open tender
☐ Expression of Interest (EOI)
Commissioning ☐ Other approach (please provide details)
method and
approach to 2a. Is this activity being co-designed?
market Yes
2b. Is this activity this result of a previous co-design process?
Yes
3a. Do you plan to implement this activity using co-commissioning or joint-
commissioning arrangements?
Yes
3b. Has this activity previously been co-commissioned or joint-commissioned?
Yes
1a. Does this activity include any decommissioning of services?
Decommissioning
No
25You can also read
