Activity Work Plan 2018-2019: Core Funding General Practice Support Funding After Hours Funding

 
Activity Work Plan 2018-2019: Core Funding General Practice Support Funding After Hours Funding
Activity Work Plan 2018-2019:
Core Funding
General Practice Support Funding
After Hours Funding

                   North Western Melbourne PHN

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 –
16 April 2018 (D18-634620)
Overview
The key objectives of North Western Melbourne Primary Health Network (PHN) are:
             •    Increasing the efficiency and effectiveness of medical services for patients,
                  particularly those at risk of poor health outcomes; and
             •    Improving coordination of care to ensure patients receive the right care in the right
                  place at the right time.

This Activity Work Plan covers the period from 1 July 2018 to 30 June 2019.

1.       (a) Strategic Vision for PHN

See link: https://nwmphn.org.au/wp-content/uploads/2017/08/NWMPHN_Strategic-Overview-Poster_FINAL-2pp.pdf

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 –
16 April 2018 (D18-634620)
1.      (b) Planned PHN activities
        – Core Flexible Funding Stream 2018-19
 Proposed Activities
                                                        Improve the physical, mental and emotional health and wellbeing of children and families, with early
 Activity Title / Reference (eg. CF 1)
                                                        intervention primary care approaches (CF 1)
 Existing, Modified, or New Activity                    Modified: NP 4.3, NP 4.5, 4.6
                                                        Select one of the following:    Population Health
 Program Key Priority Area

 Needs Assessment Priority Area (eg. 1, 2, 3)           NWMPHN Health Needs Assessment November 2017: Section 4, Priority Area 2, pages 71-72.
                                                        This activity aims to improve health outcomes in childhood and within the family setting to promote
                                                        positive future health outcomes. This includes a strong parental/carer focus to ensure healthy
                                                        behaviours are modelled for children, including supporting the key institutions that children and
 Aim of Activity                                        families access.
                                                        The activity also aims to promote primary care options for paediatric health, to reduce potentially
                                                        preventable hospital presentations and admissions.
                                                        To support children and families receive safe, high quality, integrated and person-centred care in their
                                                        community, NWMPHN will commission for outcomes to:

                                                             •   Promote protective health behaviours in children. This will include the physical and mental
                                                                 health of children and a focus on immunisation rates. For example, commissioning of family
 Description of Activity                                         worker services to respond to the health and social needs of families with young children,
                                                                 and young people between the ages of 12-25 years.
                                                             •   Improve community and primary care provider confidence and capacity in working with
                                                                 children, young people and their families/carers, through expansion of a specialist outreach
                                                                 model in general practice to reduce potentially preventable hospital presentations and
                                                                 admissions.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
•   Support early identification of developmental delays and improve integration of services that
                                                                 target early childhood development with primary health care and other relevant services. For
                                                                 example, re-commissioning the ASPIRE Pilot Project in collaboration with Hume City Council
                                                                 and Good Samaritan Primary School increasing access to allied health services to facilitate
                                                                 early assessment, identification and referral to paediatricians and general practice for
                                                                 developmental delay.
                                                             •   Support primary care and communities to identify and respond appropriately to family
                                                                 violence with a focus on priority locations within the region.
                                                        Following changes to the PHN schedules and guidelines, scoping work is being undertaken to further
                                                        inform the development of service and outcome specifications within the above identified focus
                                                        areas. This will include available data (including monitoring and evaluation of currently funded
                                                        services), contemporary Victorian and National policy and identified service and system barriers
                                                        informed by a broad range of stakeholders, including consumers. Services will be commissioned in
                                                        first and second quarters of 2018-19.
                                                        In addition, the approaches or mechanisms, i.e. enablers, that may be used to implement this activity
                                                        include: care navigation and access, quality improvement, health literacy, workforce development,
                                                        care pathways and e-health. After hours initiatives will also be considered, as appropriate.
                                                             •   Children and families
                                                             •   Priority populations most at risk of poor health outcomes eg children who are
 Target population cohort                                        developmentally vulnerable across five key domains
                                                             •   Identified geographical areas of disadvantage or regional growth, such as Melton, Wyndham
                                                                 and Hume
                                                        NWMPHN utilises a range of mechanisms to facilitate consultation, including through the Community
                                                        Advisory and Clinical Councils. Specific consultation and advice will be sought from a range of
                                                        relevant strategic and local organisations and stakeholders, such as peak and professional bodies,
                                                        State Government and emergency and acute services. Existing NWMPHN Expert Advisory Groups
 Consultation - HSI Component                           may also contribute to this work eg Mental Health. In addition, ongoing consultation with new and
                                                        existing networks will ensure a coordinated approach to planning for priority populations and
                                                        targeted regions of vulnerability.
                                                        Consumers and people with lived experience are core to the work we do. Therefore, significant
                                                        consultation activities will be undertaken to ensure that a full range of relevant stakeholders

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
including community members, community-based organisations, primary care providers, health
                                                        services, local government and community health have genuine input in the design and development
                                                        of interventions that may be generated.
                                                        Collaboration with key stakeholders will occur throughout the commissioning process. Consequently,
                                                        the following stakeholders may be involved in prioritisation, planning, implementation, monitoring and
                                                        evaluation of activities:

                                                             •   NWMPHN regional and strategic partnerships and collaboratives (eg BHP4W and Shared Vision
                                                                 for the North)
                                                             •   General Practice
                                                             •   Aboriginal Community Controlled Organisations
                                                             •   Local Hospital Networks
                                                             •   Community Health Services
 Collaboration - HSI Component
                                                             •   Local Government Maternal Child Health Services
                                                             •   Child First and Family Services
                                                             •   Primary Care Partnerships
                                                             •   Allied Health
                                                             •   Community based organisations
                                                             •   Research institutes
                                                             •   Peak and professional bodies
                                                             •   Victorian Department of Health and Human Services
                                                             •   Other identified providers

                                                        Population Health, Procurement, Planning and Evaluation, General Practice and other primary care
 HSI Component – Other
                                                        support, Care Pathways (including HealthPathways).
 Indigenous Specific                                    NO
                                                        1 July 2018 – 30 June 2019.
 Duration                                               Planning for this activity is occurring currently. Procurement and commencement of delivery will
                                                        likely occur from the second quarter of 2018-19.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
Coverage                                               NWMPHN region, and with a targeted focus on areas of growth such as Melton, Wyndham and Hume
                                                        All of NWMPHN’s activity aligns with the NWMPHN Commissioning Framework. Externally and
                                                        internally delivered services follow the three-stage cycle of: developing insight; plan and deliver, and;
                                                        evaluate and improve. The iteration that occurs within each stage ensures engagement,
                                                        responsiveness to local need and continual improvement. Within this activity, the different
 Commissioning method (if known)                        components that form the activity, are at various stages in the cycle.

                                                        NWMPHN’s approach to market will be tailored to align with the local procurement context. An
                                                        approach to market may include expression of interest (EOI), request for tender (RFT) or direct
                                                        negotiation.

 Decommissioning                                        Not applicable

 Proposed Activities
 Activity Title / Reference (eg. CF 1)                  Improve the physical and mental health and wellbeing of people with chronic conditions (CF 2)
 Existing, Modified, or New Activity                    New
                                                        Select one of the following:    Population Health
 Program Key Priority Area

 Needs Assessment Priority Area (eg. 1, 2, 3)           NWMPHN Health Needs Assessment November 2017: Section 4, Priority Area 1, pages 70-71.
                                                        The aim of this activity is to improve the physical and mental health and wellbeing of people with
 Aim of Activity                                        chronic conditions in the NWMPHN community, particularly priority populations most at risk of poor
                                                        health outcomes.
                                                        NWMPHN will commission services to deliver the following outcomes:
                                                          • Improved identification, assessment and management of the physical and mental health
 Description of Activity                                     needs of people living with chronic conditions.
                                                          • Improved self-management for patients with chronic conditions.
                                                          • Improved medication adherence for people living with chronic conditions.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
•   Improved integration of care to reduce unplanned hospital presentations or admissions of
                                                                people living with chronic conditions.
                                                        A co-design process with consumers commenced in 2017-18 that will inform the development of
                                                        service and outcome specifications for commissioning in 2018-19 within the above identified focus
                                                        areas. This will complement available data (including monitoring and evaluation of currently funded
                                                        services), contemporary Victorian and National policy and identified service and system barriers to
                                                        ensure alignment with local needs and the 2018-19 PHN guidelines and performance framework.
                                                        Services will be commissioned in the first and second quarters of 2018-19.
                                                        In addition, the approaches or mechanisms, i.e. enablers, that may be used to implement this activity
                                                        include: care navigation and access, quality improvement, health literacy, workforce development,
                                                        care pathways, and e-health. After hours initiatives will also be considered, as appropriate.
                                                            •   People with chronic conditions.
 Target population cohort                                   •   Whole of population.
                                                            •   Identified priority populations.
                                                        NWMPHN utilises a range of mechanisms to facilitate consultation, including through the Community
                                                        Advisory and Clinical Councils. Specific consultation and advice will be sought from a range of relevant
                                                        strategic and local organisations and stakeholders, such as peak and professional bodies, State
                                                        Government and emergency and acute services. Existing NWMPHN Expert Advisory Groups may also
                                                        contribute to this work eg Mental Health.
 Consultation - HSI Component                           Consumers and people with lived experience are core to the work we do. Therefore, significant
                                                        consultation activities are planned and will be completed by October 2018, using co-design and
                                                        patient journey mapping approaches. This will ensure that a full range of relevant stakeholders
                                                        including community members, primary care providers, health services, local government and
                                                        community health have genuine input in the design and development of interventions that may be
                                                        generated.
                                                        Collaboration with key stakeholders will occur throughout the commissioning process. Consequently,
                                                        the following stakeholders may be involved in prioritisation, planning, implementation, monitoring
 Collaboration - HSI Component                          and evaluation of activities:
                                                            •   NWMPHN regional and strategic partnerships and collaboratives
                                                            •   Local Hospital Networks

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
•   Community Health Services
                                                             •   General Practice
                                                             •   Residential Aged Care Facilities
                                                             •   Pharmacy
                                                             •   Allied Health
                                                             •   Community based organisations
                                                             •   Research institutes
                                                             •   Peak and professional bodies
                                                             •   Victorian Department of Health and Human Services
                                                             •   Local government
                                                             •   Other identified providers
                                                        Population Health, Procurement, Planning and Evaluation, General Practice and other primary care
 HSI Component – Other
                                                        support, Care Pathways.
 Indigenous Specific                                    NO
                                                        1 July 2018 – 30 June 2019.
 Duration                                               Planning for this activity is occurring currently. Procurement and commencement of delivery will
                                                        likely occur in the second half of 2018.
 Coverage                                               NWMPHN region, with an initial focus on Wyndham, Hume, Melton.
                                                        All NWMPHN’s activity aligns with the NWMPHN Commissioning Framework. The approach
                                                        will therefore follow the NWMPHN commissioning cycle, including the develop insight, plan and
                                                        deliver and evaluate and improve phases. The iteration that occurs within each stage ensures
                                                        engagement, responsiveness to local need and continual improvement.
 Commissioning method (if known)                        The activity will be commissioned in parts, after the needs of the community are further understood.
                                                        Evaluation of activities commissioned in 2016-2018 will also inform strategic planning, to ensure
                                                        evidence based and locally feasible delivery models continue to be implemented.
                                                        NWMPHN’s approach to market will be tailored to align with the local procurement context. An
                                                        approach to market will be developed and undertaken in line with best practice commissioning

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
principles, and may involve extending or varying an existing contract, EOI, direct negotiation, request
                                                        for quote (RFQ) or RFT.

 Decommissioning                                        Not applicable

 Proposed Activities
 Activity Title / Reference (eg. CF 1)                  HealthPathways (CF 3)
 Existing, Modified, or New Activity                    Existing
                                                        Select one of the following:    Workforce
 Program Key Priority Area

 Needs Assessment Priority Area (eg. 1, 2, 3)           NWMPHN Health Needs Assessment November 2017: Section 4, all priorities (pp. 69 to 77).
                                                        The aim of this activity is to ensure readily available access to up-to-date care pathways guidance on
 Aim of Activity                                        the HealthPathways platform, which allows us to achieve health outcomes for our community by
                                                        connecting our consumers and clinicians through seamless pathways of care.
                                                        NWMPHN will continue to commission services to facilitate primary care access to HealthPathways
                                                        Melbourne: an on-line evidence-based guidelines and referral pathways platform, to ensure the right
                                                        care for the patient, in the right place, at the right time.
                                                        Continued development of content for and promotion of the HealthPathways platform to a primary
                                                        care audience allows us to strengthen clinical decision making and simplify transitions of care. This
                                                        activity ensures that learnings arising from the development of care pathways, in collaboration with
 Description of Activity                                sector partners, can be captured and translated for a primary care audience. It also ensures that the
                                                        HealthPathways platform is further developed as a credible source of content, thereby facilitating
                                                        initiatives that underpin transformation of the primary care setting, such as MyHealthRecord and
                                                        MyAgedCare.
                                                        Key content topics of development align with and further support broader training and education of
                                                        practitioners to better meet the needs of Children and Families (CF 1), as well as the Chronic
                                                        Conditions, Mental Health, Alcohol and Other Drugs and Suicide Prevention priority areas.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
Promotion of the HealthPathways platform thereby offers a single channel to support many messages
                                                        directed to the primary care audience, which ultimately aim to improve health outcomes in North
                                                        Western Melbourne.
                                                        As a complement to broader care pathways work, this activity also continues to support the
                                                        development of statewide pathways that align with clinical practice guidelines and broader sectoral
                                                        reforms in partnership with the state government and its departments and agencies.
                                                        This activity complements HSI 3 (Care Pathways and Digital Health).
 Target population cohort                                   •   Whole of population
                                                        NWMPHN utilises a range of mechanisms to facilitate consultation, including through the Community
                                                        Advisory and Clinical Councils. Specific consultation and advice will be sought from a range of relevant
                                                        strategic and local organisations and stakeholders, such as peak and professional bodies, State
                                                        Government and emergency and acute services. Existing NWMPHN Expert Advisory Groups may also
                                                        contribute to this work eg Mental Health and AOD.
 Consultation - HSI Component                           Consumers and people with lived experience are core to the work we do. Therefore, significant
                                                        consultation activities are planned and will be completed by October 2018, using co-design and
                                                        patient journey mapping approaches. This will ensure that a full range of relevant stakeholders
                                                        including community members, primary care providers, health services, local government and
                                                        community health have genuine input in the design and development of interventions that may be
                                                        generated.
                                                        Collaboration will be utilised wherever possible throughout the commissioning cycle as NWMPHN
                                                        recognises that working in this way adds value and strengthens our reach. Mutually meaningful
                                                        collaboration is pursued and maintained in a systematic way across the organisation, which facilitates
                                                        timely access to existing and new collaboration approaches.
                                                        NWMPHN will work with identified stakeholders relevant to the activities outlined, which will include
 Collaboration - HSI Component
                                                        general practice and other primary care providers (including but not limited to allied health), local
                                                        hospital networks, community health organisations, local government, peak and professional bodies.
                                                        Consumers and people with lived experience are core to the work we do. Therefore, consumer
                                                        consultation and co-design methodologies will be employed to ensure service users have genuine
                                                        input in the design and development of interventions that may be generated.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
State government departments and agencies are kept informed, partner with us to fund state-wide
                                                        pathway development and implement reforms at the primary care interface using the
                                                        HealthPathways platform as a key enabler and are becoming increasingly involved in pathway
                                                        development and endorsement of pathways.
                                                        We are working with other Victorian and Tasmanian PHNs implementing HealthPathways to develop
                                                        shared approaches that increase the development efficiency and reach of HealthPathways content.
                                                        Population Health, Procurement, Planning and Evaluation, General Practice and other primary care
 HSI Component – Other
                                                        support, Care Pathways.
 Indigenous Specific                                    NO
 Duration                                               1 July 2018 – 30 June 2019.
 Coverage                                               NWMPHN region
 Commissioning method (if known)                        Direct negotiation

 Decommissioning                                        Not applicable

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
1.      (c) Planned PHN activities
        – Core Operational Funding Stream: Health Systems Improvement 2018-19
        – General Practice Support Funding 2018-19
 Proposed Activities
 Activity Title / Reference (eg. HSI or GPS)          Population Health Planning (HSI 1)
 HSI/GPS Priority Area                                Select one of the following:    Population Health Planning
 Existing, Modified, or New Activity                  Existing Activity, OP 2
                                                      The aim of this activity is to support and deliver integrated population health planning through
                                                      developing a strong and comprehensive approach across the commissioning cycle.
                                                      This will include developing NWMPHN’s capacity to undertake the cyclical process of identifying needs,
                                                      working with others to co-create solutions, directing resources towards these solutions, monitoring and
                                                      reviewing this activity and then re-commencing the cycle.
                                                      More specifically our key objectives are to:
 Aim of Activity                                          1. Support NWMPHN’s organisational strategic and commissioning goals through the provision of
                                                             accurate, timely and relevant population health data, analysis and information
                                                          2. Continue to build organisational capacity and capability regarding population health, evidence
                                                             informed development, data translation, research and evaluation
                                                          3. Continue to build and maintain our data infrastructure (storage, analytics, governance and
                                                             systems) to support population health data quality, integrity, security, reporting and use
                                                          4. Continue to ensure NWMPHN is the leader and key data custodian for population health
                                                             information about our region
                                                      NWMPHN will continue to ensure we have a team with the right skills and abilities to support internal
                                                      and external stakeholders to undertake population health analysis and planning. This includes the
 Description of Activity
                                                      identification of need in the region, supporting the development of evidence based plans, and
                                                      supporting the robust monitoring and evaluation of impact and outcome measures.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
Work that will be undertaken to support the development of this approach includes:
                                                          •   NWMPHN will work with state and local governments, as well as Local Hospital Networks and
                                                              other partners such as community health services and Primary Care Partnerships, to increase
                                                              the alignment of population health data and planning in the North Western Melbourne region.
                                                          •   NWMPHN will continue a partnership with the Department of Health and Human Services
                                                              (DHHS) Regional Offices which includes a shared population health analyst position working
                                                              across both organisations’ offices.
                                                          •   NWMPHN will build its research and evaluation capacity and capability, including progressing
                                                              the collaboration agreement with Monash University through the appointment of a shared role.
                                                          •   NWMPHN will continue to use data to drive quality improvements in primary care, through for
                                                              example better utilising PATCAT General Practice data to support the Quality Improvement
                                                              Practice Incentive Payment (QIPIP) and other initiatives.
                                                          •   NWMPHN will continue to develop and finesse tools and guidance to support evidence based
                                                              program development and delivery across the commissioning cycle. This includes the broader
                                                              processes to identify needs, prioritise and co-create solutions.
                                                      A comprehensive approach to population health analysis and planning contributes to better
                                                      collaboration across primary health care and between primary and secondary care.
 Supporting the primary health care sector
                                                      This will in turn contribute to improved coordination of services and focus of effort on targeted
                                                      populations and areas of need.
                                                      Collaboration will be utilised wherever possible throughout the commissioning cycle as NWMPHN
                                                      recognises that working in this way adds value and strengthens our reach. Mutually meaningful
                                                      collaboration is pursued and maintained in a systematic way across the organisation, which facilitates
                                                      timely access to existing and new collaboration approaches.
                                                      NWMPHN will develop and build on relationships with key stakeholders from across the region to
 Collaboration                                        provide a platform to improve collaboration across the commissioning cycle. As well as ongoing
                                                      engagement activities, this will include one on one consultations with major health service providers,
                                                      and running group engagement activities, with a strong voice for consumers and carers.
                                                      Collaboration will be undertaken with the following key stakeholder to participate in data sharing,
                                                      prioritisation and planning:
                                                          •   Local hospital networks

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
•   Community health organisations
                                                          •   Local Government Authorities
                                                          •   Primary Care Partnerships
                                                          •   Aboriginal community controlled health agencies
                                                          •   Consumer and carer representative agencies
                                                          •   General Practice
                                                      Population Health Planning is a continuous and iterative enabling activity supporting work across the
                                                      organisation and region. The Health Needs Assessment (HNA) is one key tool developed annually to
                                                      support our planning and commissioning. Below are the steps involved in its development, consultation
                                                      and delivery.
 Duration
                                                          •   2018 Health Needs Assessment (HNA) planning and development – July/August
                                                          •   2018 HNA consultation and engagement – Sept/October
                                                          •   2018 HNA submission – November
                                                          •   HNA dissemination and development of specific related collateral – Jan-Mar 2019
                                                      NWMPHN region, with a focus on priority populations that may be most at risk of poor health
 Coverage                                             outcomes, such as refugee and asylum seekers, homeless people, Aboriginal and Torres Strait Islanders
                                                      as well as our significant culturally and linguistically diverse (CALD) communities.
                                                      Population health planning aims to support the NWMPHN vision of improved health outcomes for
 Expected Outcome                                     everyone in our community.

 Proposed Activities
 Activity Title / Reference (eg. HSI or GPS)          Stakeholder engagement and collaboration (HSI 2)
                                                      Select one of the following:    System Integration
 HSI/GPS Priority Area
                                                      If Other, please provide details:
 Existing, Modified, or New Activity                  Existing Activity

 Aim of Activity                                      NWMPHN is committed to ensuring collaborative stakeholder engagement is embedded in the culture
                                                      and core functions of the organisation. We recognise that strong and meaningful engagement and

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
collaboration with our stakeholders is critical to achieving our commissioning objectives and our
                                                      mission to strengthen primary health care and connect services across the system. We also believe that
                                                      effective engagement delivers benefits for all participants and will ensure we capitalise on and build
                                                      upon the collective efforts of stakeholders across the health system to improve health outcomes for
                                                      our communities.
                                                      The aim of this activity is to:
                                                           •   Enhance our stakeholder engagement capacity and embed good engagement practice into our
                                                               commissioning approach and core business
                                                           •   Develop and maintain successful collaborative relationships across the health and care sector,
                                                               including with service providers, peak and professional bodies, local and state government,
                                                               and with consumers and local communities.
                                                           •   Build robust sub-regional health system collaborations to leverage resources across the
                                                               primary and acute care interface and local, state and commonwealth governments to achieve
                                                               improvements against the quadruple aim and greater impact for the communities of North
                                                               Western Melbourne.
                                                      NWMPHN has a strong commitment to ensuring the involvement and engagement of diverse and
                                                      priority populations. This includes ensuring those whose voices may be seldom heard are included in
                                                      our processes. Priority populations include Aboriginal and Torres Strait Islander People, Culturally and
                                                      Linguistically Diverse communities, including refugees and asylum seekers, and LGBTIQ communities.
                                                      NWMPHN will build on a strong history of multi-faceted stakeholder engagement, established trusted
                                                      relationships and robust partnerships. Prioritised activity in 2018-19 will include:
                                                      Stakeholder engagement and relationship development:
                                                          •    Ongoing broad mapping and analysis of stakeholders, utilising insight gained to support
 Description of Activity                                       stakeholder management approaches.
                                                          •    Ongoing enhancement of our Clinical and Community Advisory Councils and expert advisory
                                                               groups, to ensure meaningful input in our commissioning strategy and decision making.
                                                          •    Targeted stakeholder engagement and co-design on chronic conditions and mental health
                                                               needs, and scoping to inform local strategies to support implementation of children's and
                                                               families’ activity.
                                                          •    Consultation on the health needs assessment and activity work plans.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
•   Producing a quarterly commissioning communiqué outlining commissioning intentions,
                                                              procurement plans and progress of commissioning processes. This will be a key tool to
                                                              communicate with our provider market and other stakeholders.
                                                      Regional Collaborations:
                                                          •   Continued auspice of strategic sub-regional collaborations, including:
                                                                 o The Collaborative, a partnership between The Royal Melbourne Hospital, two
                                                                      community health services and NWMPHN, working to improve health outcomes for
                                                                      people with chronic illness in inner north west Melbourne. The priority for 2018-19 is to
                                                                      reduce avoidable hospital utilisation through improved integration and community-
                                                                      based models of care.
                                                                 o The Better Health Plan for the West, which utilises a collective impact approach to build
                                                                      a strong health system in Melbourne’s west to deliver better health and improved
                                                                      wellbeing for local people. The priority area for 2018-19 is children and families, with a
                                                                      focus on the first 1000 days. Subsequent priority areas include mental health and
                                                                      chronic conditions
                                                          •   Ongoing participation in formal networks and collaborations, including The Victorian
                                                              Community Care Advisory Committee, the Melbourne Ageing Research Centre, Better Health
                                                              North East and Shared Vision for the North.
                                                          •   Ongoing participation in local government health and wellbeing plan consultations and local
                                                              hospital network Primary Care and Population Health Advisory Committees.
                                                      The NWMPHN approach supports the primary health care sector as it:
                                                          •   Allows relevant parties to be part of the solution
                                                          •   Enhances risk management practices
                                                          •   Ensures initiatives are aligned to local need, resulting in better planned, targeted and
                                                              informed commissioning activities
 Supporting the primary health care sector
                                                          •   Improves decision-making
                                                      It also provides:
                                                          •   Greater transparency and therefore understanding of decision-making processes
                                                          •   Improved collaboration and opportunities for partnership
                                                          •   Opportunities to leverage existing community skills and expertise

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
•   Increased capacity to innovate
                                                          •   Greater community understanding of NWMPHN’s role in primary health care and sector
                                                              reform, and
                                                          •   Formalised, open, consistent and transparent communication channels.
                                                      The approach to strategic sub-regional collaborations aims to strengthen primary care to improve the
                                                      health outcomes of people in the community. The partnership work primarily focusses on preventive
                                                      and integrated care programs, connecting services across the health system and allowing people to
                                                      receive care close to home to avoid unplanned hospital presentations and admissions.
                                                      Collaboration will be utilised wherever possible throughout the commissioning cycle as NWMPHN
                                                      recognises that working in this way adds value and strengthens our reach. Mutually meaningful
                                                      collaboration is pursued and maintained in a systematic way across the organisation, which facilitates
                                                      timely access to existing and new collaboration approaches.
                                                      Consumers and people with lived experience are core to the work we do. Therefore, consumer
                                                      consultation and co-design methodologies will be employed to ensure service users have genuine input
                                                      in the design and development of interventions that may be generated.
                                                      NWMPHN approach to collaboration and engagement is underpinned by the IAP2 model. Best practice
                                                      in public engagement is now influenced by the Spectrum of Public Participation developed by the
                                                      International Association of Public Participation. This spectrum includes five levels of participation,
 Collaboration                                        Inform, Consult, Involve, Collaborate and Empower. These are each identified below.
                                                      Healthcare Professionals - General Practice Staff, Allied Health Providers, Specialists, Other healthcare
                                                      providers [Inform, Consult, Involve, Collaborate and Empower]
                                                      Government and Funding Bodies - Ministers/Politicians, Commonwealth Government Departments,
                                                      State Government Departments, Local Councils, Philanthropic Organisations, Corporate Entities
                                                      [Inform, Consult, Involve and Collaborate]
                                                      Research, Evaluation and Policy - Academic Institutions Research Organisations, Consultancy Firms,
                                                      Think Tanks [Inform, Consult and Collaborate]
                                                      Governance - Clinical Council, Community Advisory Council, Expert Advisory Groups [Collaborate and
                                                      Empower]

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
Community Participants - Consumers, Patients, Carers, People with lived experience, Priority
                                                      Populations, Community Leaders [Inform, Consult, Involve, Collaborate and Empower]
                                                      Community Organisations and Networks - Non-Government Organisations, Peak Bodies, Primary Care
                                                      Partnerships, Regional Collaborations, Corporate Providers, Advocacy Groups [Inform, Consult, Involve,
                                                      Collaborate and Empower]
                                                      Corporate Stakeholders - Regulatory bodies, Auditors, Accreditation Providers, External Support
                                                      Providers, Contractors and suppliers [Inform and Consult]
                                                      Health and Residential Services - Public Health Services/Local Hospital Networks, Private Hospitals,
                                                      Community Health Services, ACCHOs, Residential Aged Care Facilities, Rehabilitation Facilities [Inform,
                                                      Consult, Involve, Collaborate and Empower]
                                                      Media - Print, Online, Radio [Inform].
 Duration                                             1 July 2018 – 30 June 2019
                                                      NWMPHN region. While there is a significant focus on sub-regional collaborations to drive a population
                                                      health approach to achieving our objectives, it should also be noted that national engagement is also a
 Coverage
                                                      core feature of this work as we have key relationships with national peak and professional agencies and
                                                      sector leaders.
                                                      The expected outcome of this activity is continued enhancement of the reach and depth of our
                                                      engagement and relationships with stakeholders. We will monitor:
                                                          •   Intersectoral planning and collaboration.
 Expected Outcome                                         •   Increased ability to implement shared approaches and initiatives.
                                                          •   Increased use of consistent targets and outcomes for improvement in the care of the shared
                                                              community.
                                                          •   Participation in networking and shared events.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
Proposed Activities
 Activity Title / Reference (eg. HSI or GPS)           Care Pathways and Digital Health (HSI 3)
                                                       Select one of the following:    System Integration
 HSI/GPS Priority Area
                                                       If Other, please provide details:
 Existing, Modified, or New Activity                   Modified NP 6.3 and NP 6.4
                                                       To maintain and further develop care pathways to enable improved integration and primary care capacity
                                                       to optimise health outcomes and patient experience. This includes providing alternatives to hospital-
 Aim of Activity                                       based care, contributing to a reduction in potentially preventable hospitalisations. These pathways of
                                                       care will operate across the acute and primary care interface and be supported by technical solutions and
                                                       digital health technologies.
                                                       NWMPHN will build on previous care pathways and digital health activities to:
                                                           •   Understand current integrated and person-centred care needs of local communities, informed by
                                                               the Health Needs Assessment and sector and community consultation.
                                                           •   Understand sub-optimal service utilisation, including primary care type presentations to
                                                               Emergency Departments and potentially preventable hospitalisations.
                                                           •   Use co-design methodologies to further develop and redesign technology supported pathways of
                                                               care to address areas of need within the community where care can be safely provided close to
 Description of Activity                                       the person’s home, improving quality of care across the system, increasing efficiency and
                                                               improving patient and provider experience.
                                                           •   Document pathways of care on the HealthPathways platform, making locally agreed, consistent
                                                               and evidence-based pathways of care readily accessible to clinicians across the acute and primary
                                                               care interface.
                                                           •   Implement strategies to enable or reinforce evidence-based pathways of care, such as primary
                                                               care capacity building and driving meaningful use of digital health technology to improve decision
                                                               making and timely information sharing.
                                                       Implementation of technology supported evidence-based pathways of care builds primary care capacity
                                                       and supports providers to navigate the complex local health system.
 Supporting the primary health care sector
                                                       Care pathways will be primary care-led, working in partnership with key stakeholders across the acute
                                                       and primary care interface and informed by consumer experience. This will ensure primary care and

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
consumer needs are met, relationships are developed and maintained and that primary care is supported
                                                       to operate at the top of their scope.
                                                       Collaboration will be utilised wherever possible throughout the commissioning cycle as NWMPHN
                                                       recognises that working in this way adds value and strengthens our reach. Mutually meaningful
                                                       collaboration is pursued and maintained in a systematic way across the organisation, which facilitates
                                                       timely access to existing and new collaboration approaches.
                                                       NWMPHN will work with identified stakeholders relevant to the activities outlined, which will include
 Collaboration
                                                       general practice and other primary care providers, local hospital networks, community health
                                                       organisations, local government, peak and professional bodies.
                                                       Consumers and people with lived experience are core to the work we do. Therefore, consumer
                                                       consultation and co-design methodologies will be employed to ensure service users have genuine input in
                                                       the design and development of interventions that may be generated.
 Duration                                              1 July 2018 – 30 June 2019
 Coverage                                              NWMPHN region.
                                                       The expected outcomes align with the quadruple aim of:
                                                           •   Improving patient outcomes and patient experience, through delivery of technology supported,
 Expected Outcome                                              evidence-based, integrated and person-centred pathways of care
                                                           •   Improving clinician experience, through improved relationships, work flows and role clarity
                                                           •   Lower cost of health care, through a reduction in potentially preventable hospitalisations.

 Proposed Activities
                                                      Primary Care Support: supporting a team-based and integrated approach to delivering person-centred
 Activity Title / Reference (eg. HSI or GPS)
                                                      primary health care (HSI 4)
                                                      Select one of the following:     Other Practice Support
 HSI/GPS Priority Area
                                                      If Other, please provide details:

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
Existing, Modified, or New Activity                  Modified NP 1.1, NP 1.2 and NP 1.3
                                                      The aim of this activity is to improve population health outcomes through supporting a team-based and
                                                      integrated approach to delivering person-centred primary health care across the region. This
                                                      complements the activity within the General Practice Support Schedule to ensure reach to more than
 Aim of Activity                                      550 general practices across the region and by supporting other primary care providers, including allied
                                                      health practitioners.
                                                      Population health and service data will inform this activity, which will be targeted to support identified
                                                      priority health needs and populations.
                                                      NWMPHN is currently undertaking a review of our support to primary care to achieve improved
                                                      population health outcomes, patient experience, care team wellbeing and cost effectiveness. The
                                                      outcome of this work will inform this activity from the second half of 2018-19.
                                                      In the interim, activity will include data driven quality improvement, workforce development and
                                                      capacity building. This will be supported by the development of tools and resources, provision of
                                                      networking, education and training opportunities, as well as identifying and utilising a range of
                                                      communication channels and mechanisms to achieve the stated objectives. The focus will be to:
 Description of Activity                                  •   Build the capacity and capability of primary care providers and care teams to identify and
                                                              respond to lifestyle physical and mental health related risk factors
                                                          •   Build the capacity and capability of primary care providers and care teams to better manage
                                                              chronic and co-morbid conditions
                                                          •   Work to reduce medicine-related problems and potentially preventable hospitalisations
                                                          •   Support and improve the delivery of person-centred care to all patients, including addressing
                                                              the needs of diverse and priority populations, and improving the coordination of care between
                                                              providers and settings.
                                                      This activity is focused solely on supporting the primary health care sector to deliver evidence-based
                                                      integrated and person-centred care. Primary care providers will be consulted as key stakeholders in this
 Supporting the primary health care sector            work. This consultation will provide insight in to the way they wish to be able to provide care for their
                                                      patient populations and contribute to better outcomes by taking a team-based approach to delivering
                                                      person-centred care, and integrating care across the primary health care system.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
Collaboration will be utilised wherever possible throughout the commissioning cycle as NWMPHN
                                                      recognises that working in this way adds value and strengthens our reach. This is critical to driving a
                                                      team-based and integrated approach to delivering person-centred primary care.

 Collaboration                                        Mutually meaningful collaboration is pursued and maintained in a systematic way across the
                                                      organisation, which facilitates timely access to existing and new collaboration approaches. NWMPHN
                                                      will therefore work with identified stakeholders relevant to the activities outlined, which may include
                                                      but not limited to: peak and professional bodies, academic and training institutions, local hospital
                                                      networks and community health organisations.
 Duration                                             1 July 2018 – 30 June 2019
 Coverage                                             NWMPHN region
                                                      The expected long-term outcomes of driving a team-based and integrated approach to delivering
                                                      person-centred primary health care include:
                                                          •   Increased capacity of primary care providers and care teams to identify and respond to lifestyle
                                                              related risk factors
 Expected Outcome                                         •   Increased capacity of primary care providers and care teams to better manage chronic and co-
                                                              morbid chronic conditions
                                                          •   A reduction in medicine-related problems and potentially preventable hospitalisations
                                                          •   Improved coordination of care between settings
                                                          •   Improved workforce capacity to deliver evidence-based integrated and person-centred care.

 Proposed Activities
 Activity Title / Reference (eg. HSI or GPS)          General Practice Support (GPS)
                                                      Select one of the following:     General Practice Support
 HSI/GPS Priority Area
                                                      If Other, please provide details:
 Existing, Modified, or New Activity                  Existing Activity: OP1
                                                      To encourage continuous improvement and quality of care in general practice whilst improving access
 Aim of Activity
                                                      and population health outcomes across the region.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
To ensure local adoption of best practice methods to support general practice to address the quadruple
                                                      aim in the context of the Australian primary healthcare sector, NWMPHN is undertaking a
                                                      comprehensive review of our current model and approach to providing primary care support. The
                                                      outcome of this work will inform continuous improvement of this activity from the second half of 2018-
                                                      19.
                                                      NWMPHN will:
                                                          •    Provide direct support through a range of engagement methods such as face to face visits,
                                                               education and training (including leadership development) and multi-method communication
                                                               depending on the needs of practices, to promote and improve the uptake of practice
                                                               accreditation and the Practice Incentive Program (PIP). This will be supported by the
                                                               development and implementation of a range of tools and resources for practices to practically
                                                               apply in their local settings.
 Description of Activity                                  • Upskill general practice to better understand and meaningfully use digital health systems to
                                                               improve care delivery by improving processes and use of patient information. This work will be
                                                               complimented by the MyHR expansion program and the QIPIP readiness strategy.
                                                          • Support the development of health information management systems by providing the data,
                                                               tools and training opportunities required to support the collection and application of
                                                               meaningful data to drive quality improvement activity.
                                                          • Implement strategies, making full use of the existing training and funding structures, to
                                                               facilitate networking with general practice and other providers as appropriate to support a data
                                                               driven approach to quality improvement and system integration. This allows for peer
                                                               mentoring, networking and opportunities to share best practice methods to innovate practice.
                                                          • Utilise the resource and experience of the organisation and its identified enablers to build the
                                                               capacity of general practice in delivering evidence-based and optimal care through digital
                                                               health solutions, appropriate care navigation and access, workforce development, care
                                                               pathways and quality improvement in primary care.
                                                      The primary health care sector will be directly supported through a range of engagement methods,
 Supporting the primary health care sector            including but not limited to; face to face in practice support visits, education and training sessions,
                                                      quality improvement activities, communities of practice, networking and peer support groups,
                                                      electronic and telephone support. This will be delivered by both the dedicated primary care support

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
team and staff from across the organisation, as NWMPHN sees this activity as a key enabler to
                                                      achieving the PHN objectives.
                                                      The dedicated primary care support team will use their core skills such as quality and safety (including
                                                      accreditation), data quality and digital health, to strengthen engagement with the primary health care
                                                      sector and improve the quality of care provided to patients.
                                                      Activity will also include where appropriate other primary care providers such as allied health and
                                                      pharmacy to reinforce and influence quality of care and continuous improvement, see Primary Care
                                                      Support: Supporting a team-based and integrated approach to delivering person-centred primary health
                                                      care (HSI 4).
                                                      Collaboration will be utilised wherever possible as NWMPHN recognises that working in this way adds
                                                      value and strengthens our reach. Mutually meaningful collaboration is therefore pursued and
                                                      maintained in a systematic way across the organisation, which facilitates timely access to existing and
                                                      new collaboration approaches.

 Collaboration                                        NWMPHN will continue to collaborate with general practice as a key stakeholder for informing best
                                                      practice methods and developing improvement systems that deliver improved quality of care.
                                                      NWMPHN will also work with other identified stakeholders relevant to the activities outlined, which
                                                      may include but is not limited to: peak and professional bodies, academic and training institutions, local
                                                      hospital networks, local government authorities, community health organisations and consumer and
                                                      carer representative agencies.
 Duration                                             1 July 2018 – 30 June 2019
 Coverage                                             NWMPHN region
                                                      The expected outcomes are:
                                                          •   Improved patient experience – Patients will experience improved quality of care as a result of
                                                              the support provided to general practice to deliver integrated person-centred care and embed
 Expected Outcome                                             best practice continuous quality improvement.
                                                          •   Improved population and patient health outcomes – Improved population health outcomes will
                                                              be demonstrated using data quality tools, the uptake of accreditation and the PIP, and due to
                                                              the support provided in managing local population health needs, such as chronic and co-morbid
                                                              conditions.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
•    Improved value of care – The impact that quality improvement activity has on business
                                                                       development will improve the value of care received by patients, and support reduced
                                                                       potentially preventable hospitalisations.
                                                                  •    Improved primary care provider experience – Relevant and timely engagement and co-design
                                                                       methods, peer support opportunities and workforce development will drive improved general
                                                                       practice experience.

3 HSI funding is to be used to deliver core functions within the PHN program such as population health planning, system integration and stakeholder engagement, as well as support to general
practice which is not funded under the General Practice Support Funding Schedule. PHNs are able to use flexible funding to commission referral or health pathways activities (including non-
staff costs such as ‘Streamliners’) but all associated PHN staff costs must be funded from HSI funding. HealthPathways activity to be undertaken by commissioned services should be
separately identified as a Core Flexible Activity in 1. (b) Planned PHN activities – Core Flexible Funding Stream 2018-19.
PHNs cannot commission frontline services using HSI funding. PHNs may use HSI funding to subcontract specific activities under this stream, for example a health data analyst or consultant
may be contracted to identify priorities for improved care coordination. Contracted or consultant arrangements are particularly appropriate for time-limited and specialist projects.
Practice support is to be provided through HSI funding and must be primarily delivered through PHN employees. Practice support cannot be commissioned out to a third party. Practice
Support includes general practice support not funded under the General Practice Support Funding Schedule and support provided by your PHN to other practices, eg. allied health practices.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
4.      (a) Strategic Vision for After Hours Funding
The aim of the NWMPHN after hours program is to improve the efficiency and effectiveness of after
hours primary health care (AHPHC) for patients, particularly those with limited access to health
services, as well as improving access through effective planning, coordination and support for
population based AHPHC.

Systematic data analysis and stakeholder consultation is being undertaken to look at AHPHC access
trends and community need. The data analysed so far, including learnings from the 2017 NWMPHN
Health Needs Assessment, has identified the following:

Drivers
    • Melton is anticipated to have the highest population growth in the 15 years between 2016
        and 2031 with a 92.5% increase, followed by Melbourne with 69.3% and Wyndham with
        64.0%. Brimbank is forecasted to have the slowest rate of growth with 13.0% increase.
    • The areas with highest proportion of 0 – 4 year olds are Wyndham, Melton and Hume.
    • Melbourne, with 45%, had the highest proportion of its population born in a predominately
        non-English speaking country. This was followed by Brimbank, with 42.2%, and Maribyrnong
        with 32.5%.
    • Brimbank, Maribyrnong, Hume and Darebin have the largest proportions of people with
        poor English proficiency.
    • Melbourne has the highest proportion of people experiencing homelessness with 18.5%,
        followed by Brimbank (15.8%) and Darebin (10.4%).
    • In comparison to the 2011 Census, the population who were experiencing homelessness in
        Melbourne (LGA) increased by 86.3%.
    • Nine out of the 13 NWMPHN LGAs have rates of psychological distress higher than the
        Victorian average.

Unmet demand
Emergency Department attendances
   • NWMPHN’s region is currently below the Australian average in after hours emergency
      department attendances;
   • There are lower per capita rates of Primary Care Type presentations to emergency
      departments in the peri-urban areas of Macedon Ranges and Moorabool;
   • Hobson’s Bay and Maribyrnong have the highest rates of category 4 and 5 emergency
      department presentations in the after hours period;
   • The inner Melbourne areas have the highest rates of category 4 and 5 emergency
      department attendances. This data has a general inverse correlation to the after hours GP
      usage data;
   • The age groups with the highest percentage of category 4 and 5 after hours emergency
      department attendances are 0 - 4 year olds and 20 – 24 year olds.

Ambulance Victoria data
  • Darebin has the highest rate of non-emergency ambulance calls;
  • The highest rates of non-emergency ambulance calls made across the NWMPHN region are
      made by older adults.

After hours primary health service availability
    • Melbourne had the greatest number of primary health services open in the after hours
        period per 10,000 population in the catchment at 29.5, followed by Yarra (27.3). The lowest
                                                                                                          26
Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 –
16 April 2018 (D18-634620)
number of primary health services open in the after hours period per 10,000 population was
        in Moorabool and Melton, with 6.4 and 8.5, respectively.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 –
16 April 2018 (D18-634620)
4.               (b) Planned PHN Activities
        – After Hours Primary Health Care Funding 2018-19
     Proposed Activities - copy and complete the table as many times as necessary to report on each activity
     Activity Title / Reference (e.g. AH 1)                  AH 1.1: Managing an unwell child in the after hours period
     Existing, Modified, or New Activity                     Modified
                                                             NWMPHN Health Needs Assessment November 2017: Section 4, pages 59 – 77
     Needs Assessment Priority Area (e.g. 1, 2, 3)
                                                             NWMPHN After Hours Gap Analysis and Recommendations: Interim Report
                                                             The aim of this activity is to improve the confidence of parents/caregivers in managing an unwell child
     Aim of Activity
                                                             in the after hours period
                                                             NWMPHN will commission a provider to deliver a program that will improve the ability of
                                                             parents/caregivers to manage an unwell child in the after hours period. This activity will focus on
                                                             parents and caregivers of children aged 0 – 4 years of age.
                                                             The educational/training program delivered by the provider should consider the following elements;
                                                                 • identifying common, low complexity conditions that a child may experience;
                                                                 • describing what interventions can be provided to a child for these conditions (where
                                                                     appropriate); and/or
                                                                 • deciding on an appropriate after hours service (if appropriate); and
     Description of Activity                                     • contacting/accessing after hours services.
                                                             A provider will be expected to design and deliver a program which;
                                                                 • Is sustainable/has sustainable elements (post funding)
                                                                 • Is evidence based
                                                                 • Is outcome focussed
                                                                 • Is accessible for parents/caregivers who have English as an additional language
                                                                 • Can be imbedded/implemented through existing community based groups and/or
                                                                     organisations
                                                                 • Includes appropriately targeted language/training materials
                                                                 • Includes a strong evaluation/monitoring framework

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
Parents and caregivers of children aged 0-4 years
     Target population cohort
                                                             Culturally and Linguistically Diverse (CALD) communities
                                                             NWMPHN utilises a range of mechanisms to facilitate consultation, including through the Community
                                                             Advisory and Clinical Councils, and expert advisory groups.
                                                             Consumers and people with lived experience are core to the work we do. The commissioned gap
                                                             analysis and recommendation work and the after hours community awareness campaign included a
                                                             significant amount of community engagement and consultation. Interviews, focus groups and online
     Consultation
                                                             surveys with community members (parents/caregivers of children aged 0-4 years) and key sectors
                                                             informants (paediatric clinicians) guided development of this activity.
                                                             This activity will also include genuine key stakeholder input in the procurement process. Additionally,
                                                             the commissioned provider(s) will be expected to consult with community members when designing
                                                             and implementing their activity.
                                                             Collaboration with appropriate stakeholders will occur throughout the commissioning process.
                                                             Stakeholders may include community health services, general practice, local hospital networks,
     Collaboration                                           pharmacy, allied health, community-based service providers, Ambulance Victoria, medical deputising
                                                             services, community members/carers, telephone based support services, Department of Health and
                                                             Human Services and other identified providers.
     Indigenous Specific                                     NO
     Duration                                                Planning/Procurement: November 2018 – March 2019
                                                             Contract: April 2019 - October 2020
                                                             Wyndham
     Coverage                                                Melton
                                                             Hume
                                                             All NWMPHN’s activity aligns with the NWMPHN Commissioning Framework. This activity
                                                             will therefore follow the NWMPHN commissioning cycle, including the develop insight, plan and
     Commissioning method (if relevant)
                                                             deliver and evaluate and improve phases. The iteration that occurs within each stage ensures
                                                             engagement, responsiveness to local need and continual improvement.

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Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)
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