Strategic Plan 2014 2018 - Family Planning NSW
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2 Family Planning NSW | Strategic Plan | 2014-2018 OUR VISION Our vision is for all people to have high quality reproductive and sexual health. OUR MISSION To enhance the reproductive and sexual health and rights of our communities by supporting all people to have control over and decide freely on all matters related to their reproductive and sexual health throughout their life. OUR VALUES Human rights focus - promoting the rights of all people to reproductive and sexual health Integrity - maintaining a strong ethical base, being accountable and transparent Inclusiveness - valuing and respecting diversity without judgement Equity of access - ensuring access to our services for all, including priority populations Client centred - placing the needs of the whole person at the centre of our work Commitment to excellence - ensuring high standards in all our work OUR PRINCIPLES Focusing on the whole person throughout their lifespan Working in collaboration and through partnerships to strengthen our services and programs Being advocates for the community Developing and using best practice and evidence-based approaches Designing and delivering optimal services to the community Promoting freedom of choice which reflects individual differences and preferences Building the capacity of our organisation, and the skills of other professionals and the community Promoting professionalism and continuous improvement in our ways of working Fostering innovation and creativity in our work
3 Family Planning NSW | Strategic Plan | 2014-2018 CONTENTS Introduction 04 Who we are 06 Strategic Directions 08 Our Goals at a Glace 10 Operating Model 12 Reproductive and Sexual Health Need 14 National and International Context 18 Shaping the Future 20 Organisational Governance and Structure 24 Our Targets 26 Our Implementation Framework 28 Detailed Implementation Plan Focus Area 1: Integrated Clinical Services 30 Focus Area 2: Education and Training 33 Focus Area 3: Research, Monitoring & Evaluation 34 Focus Area 4: International Development 36 Focus Area 5: Corporate Support Services 38
4 Family Planning NSW | Strategic Plan | 2014-2018 INTRODUCTION WELCOME TO OUR STRATEGIC PLAN 2014 - 2018 Since 1926 Family Planning NSW has been committed to the reproductive and sexual health and rights of individuals, families, high need groups and the A broader community. PASSION We fight for priority populations, including young people; those living in rural and remote communities; FOR lesbian, gay, bisexual, transgender and intersex HUMAN (LGBTI) people; Aboriginal and Torres Strait Islanders; people with disability; and people from culturally and RIGHTS linguistically diverse (CALD) backgrounds. Our focus adapts rapidly to areas of emerging need. We have been increasing our services in the Asia Pacific region where reproductive and sexual health needs are great. Working with overseas governments, NGOs and communities, our goal is to see ongoing improvement in reproductive and sexual health policy, services and knowledge across the region as well as build key relationships to assist us in being an effective international partner. In Australia, Family Planning NSW works in active collaboration with a network of community, NGO, private sector and government organisations. We value these and future partnerships, and will continue to invest in their EVOLVING effectiveness to enhance our capacity. OUR Our bar is high to ensure we strengthen our role as a leading provider of APPROACH AND reproductive and sexual health services and a best practice model for NGO service delivery. We must continue to challenge ourselves to be innovative, effective, and focussed on the expectations of the people GROWING OUR REACH and communities we serve and the partners who support us. We attract and retain a high quality workforce and I am humbled by their passion and commitment. Ann Brassil, Chief Executive Officer MA Hons (Clin. Psych), MBA, MAPS, MAICD
6 Family Planning NSW | Strategic Plan | 2014-2018 WHO WE ARE OVERVIEW OF FAMILY PLANNING NSW As an independent, not-for-profit organisation, we recognise that every body in every family should have access to high quality clinical services and information, and we provide a safe place for people to talk about their most intimate and personal issues. Family Planning NSW is the leading provider of Family Planning NSW is committed to excellence in reproductive and sexual health services in NSW. meeting the reproductive and sexual health needs of the community. We are experts in contraception, pregnancy options counselling, We achieve this by providing best sexually transmissible practice, accredited clinical infections (STIs), common services, enhancing the gynaecological problems knowledge and skills of including menstrual service providers, improving disorders, cervical the body of knowledge cancer screening, about reproductive and breast awareness and sexual health through women’s and men’s rigorous research and sexuality and sexual evaluation, and leading function. We respect international development the rights of our clients projects to promote the to make choices about rights of marginalised people their reproductive and in developing countries. sexual health and we treat each and every person with Informed by our vision, mission, respect, dignity and understanding. values and guiding principles, we work to assist poor and disadvantaged communities Family Planning NSW’s education and training in developing countries to increase access to activities are evidence-based, broad-ranging and comprehensive reproductive and sexual health services. include programs for clinicians, disability workers, teachers, parents and carers, and other health We collaborate with organisations at national and education and welfare professionals, both locally international levels to strengthen the ability of local health and internationally. providers to deliver optimal family planning services.
7 Family Planning NSW | Strategic Plan | 2014-2018 OUR POLICY, CLINICAL AND ADVOCACY WORK IS UNDERPINNED BY RIGOROUS RESEARCH AND ANALYSIS
8 Family Planning NSW | Strategic Plan | 2014-2018 STRATEGIC DIRECTIONS OUR FOCUS AREAS FOR THE NEXT FIVE YEARS 1 Expert reproductive and sexual health services to the community through clinical care, health promotion and innovative information service provision INTEGRATED CLINICAL Family Planning NSW is the state’s leading provider of reproductive and sexual health services. We provide accredited expert clinical SERVICES care to clients from priority populations across NSW. Family Planning NSW upholds a commitment to the provision of high quality, confidential services to all clients. 2 Best practice education, training and workforce development to service providers and our priority communities We are a Registered Training Organisation and our education and training activities meet industry standards established by a range of bodies including the Australian Skills Quality Authority, the EDUCATION Royal Australasian College of General Practitioners and the NSW AND TRAINING Institute of Teachers. Our work builds the capacity of doctors, nurses, teachers, disability workers and other health, education and welfare professionals to deliver quality reproductive and sexual health services in communities across NSW. We understand the importance of capacity building and equipping local people with skills and knowledge to meet the needs of rural and remote communities and vulnerable populations.
Family Planning NSW has four strategic pillars closely aligned with a strong clinical governance framework INTEGRATED CLINICAL SERVICES EDUCATION AND TRAINING RESEARCH, MONITORING AND EVALUATION INTERNATIONAL DEVELOPMENT INTEGRITY 3 Increasing the body of evidence for reproductive and sexual health, translating research into practice and evaluating project outcomes Our work will continue to be informed and shaped by our RESEARCH, research through the Family Planning NSW Sydney Centre for MONITORING Reproductive Health Research, our published clinical practice AND handbooks on reproductive and sexual health, and our nationally recognised data and evaluation unit. We will maintain EVALUATION our focus on translating research findings into clinical practice and guiding medical professionals, government and other decision-making bodies on best practice reproductive and sexual health service delivery. We will uphold a standard of excellence in the evaluation of our services. 4 Assisting poor and disadvantaged communities to access reproductive and sexual health services, while building the capacity of governments and civil society to improve reproductive and sexual health INTERNATIONAL Family Planning NSW will continue to assist poor and disadvantaged communities in developing countries to DEVELOPMENT improve access to comprehensive reproductive and sexual health services. Our International Program will expand on previously successful partnerships with family planning organisations at national and international levels to promote the reproductive and sexual health rights and well-being of all people in the context of a sustainable environment.
10 Family Planning NSW | Strategic Plan | 2014-2018 OUR GOALS AT A GLANCE INTEGRATED Deliver high quality reproductive and sexual health prevention, screening and management services CLINICAL Build innovative, best practice delivery models Engage with consumers and build partnerships that assist us to SERVICES better serve the needs of priority populations EDUCATION Broaden the range of accredited education and training programs AND Establish a comprehensive education program for schools TRAINING Build our capacity to meet educational demand RESEARCH, Provide leadership in setting reproductive and sexual health MONITORING research priorities Increase our research funding and build our research capacity AND Add to the body of knowledge in reproductive and sexual EVALUATION health research publications Build the capacity of international partners to deliver optimal reproductive and sexual health information, education and clinical INTERNATIONAL services to priority populations Raise our profile as a key collaborator in reproductive and sexual DEVELOPMENT health in the Asia Pacific region Build our capacity to contribute to international development work in reproductive and sexual health in the Asia Pacific
11 Family Planning NSW | Strategic Plan | 2014-2018 • Strengthen leadership in reproductive and sexual health policy and advocacy • Build our profile through enhanced communication and media strategies • Ensure a workforce that enables the achievement of our strategic priorities CORPORATE • Diversify and build sustainable SUPPORT funding sources • Grow through the provision SERVICES of corporate services to other organisations • Enhance technology support for service delivery • Extend our quality framework across all organisational processes • Ensure safe and fit for purpose facilities COMMITMENT TO EXCELLENCE
12 Family Planning NSW | Strategic Plan | 2014-2018 OPERATING MODEL HOW WE DO IT The Family Planning NSW operating model illustrates how we deliver optimal reproductive and sexual health for individuals and populations, in line with strategic priorities. FAMILY PLANNING NSW OPERATIONAL MODEL FOCUS AREAS KEY FUNCTIONS INTEGRATED CLINICAL SERVICES CLINICAL HEALTH PROMOTION SERVICES COMMUNITY EDUCATION PRIORITY POPULATIONS PROFESSIONAL BENCHMARKING EDUCATION EDUCATION COMMUNITY EVIDENCE AND BASED EDUCATION TRAINING CLINICAL TRAINING BEST PRACTICE PARTNERSHIPS CLINICAL NEEDS ANALYSIS POPULATION STUDIES EXTERNAL MONITORING & EVALUATION POLICY DRIVERS RESEARCH, MONITORING TRANSLATING RESEARCH PLANS INTO PRACTICE AND BEST PRACTICE GUIDELINES CONSUMER EVALUATION ENGAGEMENT HEALTH SYSTEM STRENGTHENING PROFESSIONAL INTERNATIONAL EDUCATION DEVELOPMENT CLINICAL EDUCATION SERVICE DEVELOPMENT OPERATIONAL SUPPORT Human Resources, Information Technology, Data Management, Evaluation, Finance, Payroll, Ethics, Quality Management, Library, Rostering, Media and Communications, Accreditation
13 • Family Planning NSW | Strategic Plan | 2014-2018 FOUNDATIONS Within a state, national and international policy context, our services are based on the foundations of thorough needs analysis, sound planning, evidence- based best practice, benchmarking to inform target setting, and strong and effective partnerships. PRIORITY POPULATIONS Our services are targeted to marginalised communities, including people from culturally and linguistically diverse and Aboriginal and Torres Strait Islander OUTCOMES backgrounds, people with disability, young people, LGBTI people and people from rural and remote communities. FOCUS AREAS AND KEY FUNCTIONS Family Planning NSW works in four client-facing areas - our ‘four pillars’. IMPROVED POLICY AND ADVOCACY These are integrated clinical services, education and training, research, INDIVIDUAL monitoring and evaluation and international development. Underpinning AND POPULATION these areas are our operational support HEALTH OUTCOMES and corporate services which provide superior organisational capabilities. IN REPRODUCTIVE Our corporate and operational support also allow us to provide corporate AND SEXUAL services to partner organisations. HEALTH IN LINE POLICY AND ADVOCACY All our key functions are strengthened WITH STRATEGIC through policy and advocacy. We advocate for the reproductive and PRIORITIES sexual health of every body in every family, and support people in our community who are marginalised and vulnerable. As the leading provider of reproductive and sexual health services in NSW, Family Planning NSW is consulted on policies and practices related to our expertise.
14 C Family Planning NSW | Strategic Plan | 2014-2018 O REPRODUCTIVE & SEXUAL HEALTH NEED WHAT WE KNOW Effective, safe and affordable contraception CONTRACEPTION provides fertility control, the Half of all pregnancies in Australia are unintended and about one in four pregnancies are terminated. choice of if or when to have The majority of unintended pregnancies result from children and the ability to either not using contraception or using contraception incorrectly. Only a small proportion of unintended manage the number and pregnancies are due to contraceptive failure. To reduce spacing of children. unintended pregnancy rates we must improve awareness and informed uptake of highly effective contraceptive methods, especially long acting reversible contraception (LARC) methods. This means challenging the myths about contraception amongst women and health care providers, providing training for the safe provision of LARC and ensuring that women can access balanced evidence Very few women use highly based information about their contraceptive options in order to effective long acting make an informed choice for their reversible contraception particular circumstances. (LARC) CONTRACEPTION ESTIMATES OF CONTRACEPTIVES USED IN AUSTRALIA Sources: Partner Sterilisation HILDA - Household, Income and Labour Dynamics in Australia 2011, 2008, 2005 ASHR - Australian Study of Health and Relationships 2002 ABS NHS - Australian Bureau of Statistics National Health Survey 2001 Tubal Ligation IUD HILDA 2011 Implant HILDA 2008 HILDA 2005 Contraceptive Injection ASHR 2002 Other inc. Diaphragm ABS NHS 2001 Natural, Rhythm or Male sterilisation Billing Method has declined Withdrawal Method since 2002 Condoms Oral Contraceptives 0 5 10 15 20 25 30 35 40%
HILDA 2011 Implant HILDA 2008 15 HILDA 2005 Contraceptive Injection TOTAL FERTILITY FERTILITY ASHR 2002RATE Family Planning NSW | Strategic Plan | 2014-2018 Other inc. Diaphragm The total fertility rate in Australia is higher (1.9 children per ABS NHS 2001 woman) than the average of 1.7 children per woman for Natural, Rhythm developed countries.orThe total fertility rate for Indigenous Billing Method women is 2.6 children per woman. INDIGENOUS WOMEN INDIGENOUS WOMEN INDIGENOUS WOMEN Withdrawal Method NSW WOMEN NSW WOMEN NSW WOMEN Condoms ALL WOMEN ALL WOMEN ALL WOMEN FERTILITY Oral Contraceptives 0Unintended teenage 5 10 15 20 25 pregnancy is associated 2010 2011 2012 LITY RATE with poorer health TEENAGE FERTILITY RATE outcomes for 18,400 mothers TOTAL FERTILITY RATE 17,000 TEENAGE FERTILITY RATE and 16,200 babies 15,100 16,100 18,400 14,200 17,000 16,200 16,100 INDIGENOUS WOMEN 15,100 14,200 INDIGENOUS WOMEN INDIGENOUS WOMEN INDIGENOUS WOMEN NSW TEENAGERS NSW TEENAGERS NSW TEENAGERS ALL TEENAGERS TEENAGERS ALL TEENAGERS NSW WOMEN NSW WOMEN NSW TEENAGERS NSW TEENAGERS NSW TEENAGERS ALL WOMEN ALL TEENAGERS ALL TEENAGERS ALL TEENAGERS NSW WOMEN NSW WOMEN WOMEN ALL WOMEN ALL WOMEN ALL WOMEN Oral Contraception 27 - 34% ALL NSW 1 2012 2004 2008 2012 2010 2011 2012 2004 2008 2012 Condoms 20 - 23% Vasectomy 8.5 - 11% Tubal Ligation 4.8 - 8.6% Intrauterine 1.2-3.2% LARC 3.8 - 8.4% Injection 0.9-2.1% Implant 1.1-3.6% Use of oral c ontraception and sterilisation was more common in Australia than in other developed countries, Similar to other but use of IUDs developed countries, was much less common. CLIENT the majority of Australian CENTRED women use or have used contraception. For more information on reproductive and sexual health indicators, see our latest publications on the reproductive and sexual health in Australia.
icatio if ot 16 n IA 2002 2011 YD Family Planning NSW | Strategic Plan | 2014-2018 24,400 80,800 CHLAM CHLAMYDIA STIs SEXUALLY TRANSMISSIBLE INFECTIONS 6,400 (STIs) 12,086 GONORRHOEA CHLAMYDIA The often asymptomatic silent nature of some STIs means that treatment, and the 6,900 ications 2011 IS THE MOST individuals are less likely to seek testing and6,700 COMMON NON- if INDIGENOUS true prevalence of STIs is notOTHER accurately known. ot 378 NOTIFIABLE n IA 2002 2011 10,800 4,500 per 100,000 YD 24,400 OTHER 80,800 INDIGENOUS STI IN CHLAM CHLAMYDIA 6,400 12,086 tion s 2011 1342 a AUSTRALIA per 100,000 GONORRHOEA ific ot The Indigenous rate is 3.6 times the rate NON- n 6,700 6,900 of non-Indigenous INDIGENOUS IA OTHER people 2011 378 YD 10,800 4,500 80,800 OTHER INDIGENOUS per 100,000 53 CHLAM 12,086 1342 GONORRHOEA per 100,000 39 36 The Indigenous rate is 32 Rate per 100,000 3.6 times the rate NON- 53 of non-Indigenous 6,900 INDIGENOUSGONORRHOEA 23 people 378 20 39 4,500 per 100,000 32 36 Rate per 100,000 NSW NSW NSW 23 ALL ALL ALL 20 2002 2007 2011 NSW NSW NSW ALL ALL ALL 2002 2007 2011 CANCERS OF THE REPRODUCTIVE TRACT GONORRHOEA 53 AND CERVICAL CANCER SCREENING CANCERS OF THE CANCERS OF THE REPRODUCTIVE TRACT 2007 39 REPRODUCTIVE Australia has lower ratesTRACT of cancer2007 of the ( /100,000 women 36 ) ( /100,000 men) female reproductive tract but higher rates 32 Rate per 100,000 INCIDENCE 6.8 of cancer of the male reproductive tract CERVICAL 23 20 than the developed world 183.9 INCIDENCE average. MORTALITY 1.8 Cervical screening PROSTRATE In 2007, cancer of the reproductive participation rate for MORTALITY tract in Australia accounted for 316 women aged 20-69 years INCIDENCE 11 about 24,000 new cases (22% of NSW NSW NSW ALL ALL ALL OVARIAN MORTALITY 2002 2007 7 2011 AUS 57% INCIDENCE 6.8around 4,400 all cancers) and TESTICULAR deaths (10% of all cancer deaths). UTERINE INCIDENCE 17 NSW 56% MORTALITY 0.3 MORTALITY 2.7 CANCERS OF THE CANCERS OF THE REPRODUCTIVE TRACT 2007 REPRODUCTIVE TRACT 2007 ( /100,000 women ) ( /100,000 men) INCIDENCE 6.8 CERVICAL INCIDENCE 183.9 MORTALITY 1.8 PROSTRATE MORTALITY 316 Early screening, INCIDENCE 11 OVARIAN detection and treatment INCIDENCE 6.8 MORTALITY can save lives7 TESTICULAR MORTALITY 0.3 INCIDENCE 17 UTERINE MORTALITY 2.7
17 Family Planning NSW | Strategic Plan | 2014-2018 INDUCED ABORTION d out 2% Adopte There is no NSW data collection on the incidence of OF AUSTRALIAN WOMEN induced abortion and estimates are therefore HAVE EXPERIENCED derived from a number of sources. AN UNINTENDED PREGNANCY Lack of data limits the capacity of 18% ed reproductive and sexual health services C to target reductions of unintended pregnancies and to provide services rri on a sc tin for the management of these Mi ued pregnancies. In a survey of 2,000 Australian PROPORTION with pregnanc women, approximately half (51%) experienced an OF WOMEN WHO unintended pregnancy. HAD UNPLANNED n 31% Of those, about half (49%) PREGNANCY continued the pregnancy, o 31% had an abortion, ti y 18% miscarried and or 49 b 2% chose adoption. % a d an Ha Access to safe and reliable methods of fertility regulation enhances the health status of women INFERTILITY AND ASSISTED REPRODUCTIVE TECHNOLOGY (ART) 90 INCREASE IN CLAIMS FOR % ART is indicated for the clinical management of infertility. Published population surveys reveal that 16% to 25% of women have, at some time in their lives, experienced a period of infertility that lasted 12 months or more, and that between 3.4% and 14% were currently infertile. ASSISTED REPRODUCTIVE TECHNOLOGY MEDICARE-FUNDED ART SERVICES % 24 AUSTRALIA 248,056 45yrs 2.4 % 195,552 The likelihood of a live birth MEDICARE-FUNDED ART SERVICES 130,965 from ART treatment NSW 79,348 diminishes as a woman’s 64,635 age increases. 41,778 For more information on reproductive and sexual 2000 2006 2011 2000 2006 2011 health indicators, see our latest publications on the reproductive and sexual health in Australia.
18 Family Planning NSW | Strategic Plan | 2014-2018 NATIONAL & INTERNATIONAL CONTEXT OUR INFLUENCERS & ENVIRONMENT Family Planning NSW adheres to the World Health Organisation (WHO) position that sexual rights are human rights and include the right of all people to: • the highest attainable standard of • decide to be sexually active or not sexual health, including access to sexual • consensual sexual relations and reproductive health care services • consensual marriage • seek, receive and impart information • decide whether or not, and when, to related to sexuality have children • sexuality education • pursue a satisfying, safe and pleasurable • respect for bodily integrity sexual life • choose their partner FAMILY PLANNING AUSTRALIA ALLIANCE (FPAA) Family Planning Australia Alliance is the peak national body representing Family Planning and related reproductive sexual health services across Australia. FPAA is a leader in shaping the reproductive and sexual health agenda nationally and internationally through policy, advocacy and networking. The aim of FPAA is to inform and influence the development of and commitment to action on policies REPRODUCTIVE and services conducive to high quality sexual and reproductive health for all, nationally and internationally. AND SEXUAL FPAA believes that everyone should: HEALTH FOR • have the right to make informed choices about sexual EVERY BODY IN and reproductive health, without harm to others • be free from all forms of discrimination EVERY FAMILY • exercise self-determination in fertility and sexual expression
Family Planning NSW | Strategic Plan | 2014-2018 19 HUMAN RIGHTS FOCUS
20 Family Planning NSW | Strategic Plan | 2014-2018 SHAPING OUR FUTURE OUR ROLE OUR AMBITIONS Influence of Family Planning NSW Family Planning NSW has a long, proud history of PROVIDING advocating for and providing services to the community to ensure the best reproductive and sexual health for all. PROVEN Family Planning NSW is well respected for its balanced OPTIONS representation and the promotion of social equity. We will keep the voice of Family Planning NSW strong TO BOTH and loud through a range of innovative strategies, CLINICIANS ensuring that the rights of all in the community are heard AND CONSUMERS and respected. Promotion of Long Acting Reversible Contraception (LARC) Long acting reversible methods of contraception, which include the contraceptive implant, IUDs and the contraceptive injection, provide women with a highly could include services outside our current direct focus effective and cost effective means to control their fertility on reproductive and sexual health. Family Planning NSW and shape their lives during their reproductive years. stands ready to take up this challenge through evolved LARC methods have a proven impact on reducing the operational models which underpin all our work and rate of unintended pregnancy yet despite their benefits, are well placed to support other health organisations to the uptake of LARC in Australia lags behind other drive efficiency, accountability and transparency. developed countries. Family Planning NSW will promote the informed uptake of LARC to give women more control Enhancing evidence-based cervical cancer over their bodies and their lives. screening Cervical cancer can be effectively prevented by both Implementation of the NSW Ministry of Health organised screening programs and immunisation against ‘Partnerships for Health’ HPV. Early detection of changes to the cervix caused by The Non-Government Organisation (NGO) sector is HPV infection, is a high priority for Family Planning NSW complex which presents significant challenges for its and cervical cancer remains a significant public health integration within the whole of health. Under ‘Partnerships issue, especially in areas of high cervical cancer mortality, for Health’, the NSW Ministry of Health objective is for such as in Aboriginal and Torres Strait Islander women quality and cost effective health services. Under the and in neighbouring Asia Pacific countries. The success banner of contestability, the NSW Government has of the HPV immunisation program for school aged girls indicated it will be seeking high performing NGOs to and boys together with the proposed changes to the provide services traditionally delivered by government. national cervical screening program to enhance its Family Planning NSW is in an excellent position to effectiveness will lead to declining rates of cervical cancer respond strategically. For Family Planning NSW, this over coming years.
Family Planning NSW | Strategic Plan | 2014-2018 21
22 Family Planning NSW | Strategic Plan | 2014-2018 CHAMPIONING THE RIGHTS OF ALL PEOPLE The Commonwealth Medical Services Advisory Committee has made evidence-based recommendations to government to support a change from traditional cytology-based screening to primary HPV testing with implementation from 2016. Our focus on cervical cancer prevention will therefore be threefold: 1. Translating our current clinical services, education and training programs in line with new government guidelines Building our digital interface with the community 2. Supporting the uptake of HPV vaccination in low Communication channels in our world are changing uptake areas and increasing the reach of culturally rapidly. It is foreseeable that we will no longer send or appropriate screening services in these populations receive mail through the post, our electronic clinical systems will interface at the level of the client rather than 3. Working collaboratively with partners to provide the agency, our health promotion will increasingly be accurate information to the community about the delivered through innovative ‘apps’ and eForums, changes to the cervical cancer screening program as our training services will involve less face to face and they arise significantly more use of technologies and our evaluations Expanding our online and distance education will be in real time. Family Planning NSW will adapt to and training these challenges to ensure we are achieving the most Modes of delivery for professional development and effective communication with all our stakeholders. training are evolving rapidly, particularly in online and distance learning. We will build our course content and Education for schools and parents develop innovative learning platforms to ensure we are There is a growing need for parents and schools to better well placed to meet the training and development understand the issues around reproductive and sexual needs of the future both in Australia and internationally. health and well-being. Family Planning NSW has a long history of working with teachers to build their capacity to deliver age appropriate sexuality and relationship education. We will expand our work to develop and deliver programs for teachers, schools and parents. Deepening research capability and partnerships NEVER BEING We will continue to be a significant force in reproductive and sexual health research and evaluation. We will do COMPLACENT this through strengthening and broadening our own research and evaluation capability while simultaneously WITH THE partnering with other organisations such as universities, STATUS QUO the private sector, professional bodies and health services organisations. We will increase our efforts over the next four years to lead national reproductive and sexual health research which includes a major collaborative research program in reproductive and sexual health.
23 Family Planning NSW | Strategic Plan | 2014-2018 Broadening the skill base of our staff and capacity building Family Planning NSW has a unique set of capabilities in reproductive and sexual health. Over the coming years we will focus on developing and broadening the skill base of our staff while contributing to the development of other professionals working in the field. We will continue to explore the role of nurses in clinical practice and support the expansion of their scope of practice, for example in the provision of LARC including contraceptive implants and IUDs. We will continue to equip our staff to work within, and contribute to, our international portfolio. ENSURING LONG TERM VISION CAN BE ACTUALISED
24 Family Planning NSW | Strategic Plan | 2014-2018 PROTECTING THE COMMUNITY WITH PREVENTABLE HEALTH MEASURES OUR PASSIONS Development (ACFID) code of conduct. Over time, we Continuing to address the needs of diverse expect our financial risk profile to evolve as the current priority populations block funding models cease, more of our funding becomes contestable and our cash flow is potentially A primary challenge continues to be addressing the less predictable. We will strive for success in obtaining complex needs of our diverse, geographically dispersed new and potentially diverse service contracts within a priority populations in a consumer centred, high quality strong risk management framework. and efficient manner. Many of our clients such as young people, people with disability, Aboriginal and Torres Strait Fundraising and philanthropy Islanders, LGBTI and CALD populations have complex needs that must be sensitively addressed. Our research Broadening our funding base and attracting philanthropic and data analysis continue to reveal worrying gaps and support offers both opportunities and challenges for inequalities for our priority populations in areas such as Family Planning NSW. We see significant opportunities STIs, cervical cancer mortality and teenage fertility. to attract individual, corporate, foundation and global People in rural and remote regions also experience support for our portfolio of domestic and international difficulties in accessing reproductive and sexual health work. It has been traditionally difficult to obtain services and information. philanthropic dollars to enable us to deliver core services and information to disadvantaged communities and Respectful relationships populations. Over the life of this plan, as we work to diversify our funding, we will grow community awareness A hallmark of the work of Family Planning NSW has of our work, and develop our internal capability in been our long term focus on respectful relationships. fundraising and philanthropy. This is intrinsic to and permeates all of our work. Evidence of this occurs throughout our clinical services, Maintaining a balanced, evidence-based policy the information and coaching we provide to external on pregnancy termination providers in our training programs, in our relationships with funders and partners and through our capacity Family Planning NSW recognises that there are a range building in overseas countries to deliver services of views on this issue but drawing on our core Guiding independently of us. Maintaining and enhancing this focus Principle of “promoting freedom of choice which reflects is essential to our culture, our integrity and our credibility. individual differences and preferences” we believe that maintaining the individual’s right to choose in regard to Refining and developing the way we all aspects of reproductive and sexual health - including manage risk pregnancy termination - is one of our most important Family Planning NSW has a sophisticated risk management challenges. Family Planning NSW will continue to process. We are committed to maintaining accreditation provide accurate, up to date advice and information to against the National Safety and Quality Health Service all our clients and to advocate effectively on this issue. Standards (NSQHS), and Australian Quality Training We know there are great inequities in how women in Framework. We are also committed to our accreditation NSW access these services. Our role is to work to address through the Department of Foreign Affairs and Trade these issues and to be an advocate for those who are (DFAT) and the Australian Council for International marginalised and disadvantaged.
Family Planning NSW | Strategic Plan | 2014-2018 25 UNDERSTANDING AND EMBRACING DIVERSITY
26 Family Planning NSW | Strategic Plan | 2014-2018 ORGANISATIONAL GOVERNANCE & STRUCTURE Family Planning NSW is a not-for-profit Company Limited by Guarantee, incorporated under the Corporations Act 2001. It is governed by an expertise-based Board of Directors and managed by the CEO. BOARD COMMITTEE STRUCTURE BOARD OF DIRECTORS FINANCE ETHICS CLINICAL FUNDRAISING RESEARCH INTERNATIONAL PEAK & AUDIT COMMITTEE ADVISORY ADVOCACY & ADVISORY PROGRAM CONSUMER COMMITTEE COMMITTEE MARKETING COMMITTEE ADVISORY PARTICIPATION COMMITTEE COMMITTEE COMMITTEE CHIEF EXECUTIVE OFFICER INTEGRATED EDUCATION RESEARCH, CORPORATE CLINICAL AND MONITORING INTERNATIONAL SUPPORT SERVICES TRAINING AND DEVELOPMENT SERVICES EVALUATION ASHFIELD MEDICAL RESEARCH CAPACITY GOVERNMENT & EDUCATION BUILDING COMMUNITY DUBBO AFFAIRS MONITORING & NURSING EVALUATION CLINICAL COMMUNICATIONS FAIRFIELD EDUCATION EDUCATION & MARKETING HUNTER LIBRARY PROFESSIONAL PROFESSIONAL BOOKSHOP EDUCATION EDUCATION PENRITH ETHICS FINANCE STATE HEALTH CLINICAL HEALTH SYSTEMS PROMOTION TRAINING QUALITY STRENGTHENING SYSTEMS HUMAN RESOURCES STATE SOCIAL RESOURCE WORK DATA SYSTEMS & DEVELOPMENT MANAGEMENT INFORMATION TECHNOLOGY TALKLINE
27 Family Planning NSW | Strategic Plan | 2014-2018 ACCESSIBILITY FOR OUR STAKEHOLDERS WHEREVER THEY ARE
28 Family Planning NSW | Strategic Plan | 2014-2018 OUR TARGETS OUR TARGETS OVER THE NEXT FIVE YEARS ARE KEY FOCUS AREA 2018 GOAL ASPIRATIONAL GOAL 112,000 client visits Fee for service capability implemented 45,000 community education participants 10% increase in women receiving a LARC method 400,000 health promotion resources Ante and post natal services provision distributed 10% increase in services to priority populations 5% increase in services to priority populations Pilot of mid-life specialised clinic completed and INTEGRATED evaluated and provides increased income to Family CLINICAL Telemedicine trialled and evaluated Planning NSW SERVICES Consumer engagement framework Telemedicine implemented across Family Planning developed and implemented NSW sites Nurses credentialed to insert and remove implants and IUDs 5,200 course participants with an 80% Family Planning NSW College of RSH well known and pass rate respected 16,000 hours of clinical training Post graduate certificates established for doctors and nurses Electronic clinical placement system implemented 60% of courses accessible online Increased training for teachers, parents New parent sex education course developed and and students implemented to provide additional income to EDUCATION Family Planning NSW Revenue generated through sale of AND program resources Independent and faith based schools provided with TRAINING comprehensive sexual education Safe Schools Coalition Australia implemented in NSW 10% increase in education funding through increased course fees and grants 10% increase in revenue from sale of program resources
29 Family Planning NSW | Strategic Plan | 2014-2018 KEY FOCUS AREA 2018 GOAL ASPIRATIONAL GOAL Research Plan implemented Family Planning NSW Research Institute well known and respected Two national Reproductive and Sexual Health Research forums coordinated National Reproductive and Sexual Health Research Plan developed and implemented New edition of Reproductive and Sexual Health: an Australian clinical practice Participation in at least one clinical trial study per handbook annum RESEARCH, New edition of Contraception: an Australian Family Planning Organisation (FPO) data dictionary MONITORING clinical practice handbook and reporting agreed and distributed to all FPOs AND Twelve grants submitted NSW and National Reproductive and Sexual Health EVALUATION Three MOUs signed with partners Indicator reports updated and published National meeting held to discuss the 10% increase in formal evaluations of service feasibility of FPOs to be involved in delivery Reproductive and Sexual Health Cooperative Research Centre (CRC) or similar At least three new collaborative projects per annum Visiting local and international researcher’s program trialled and evaluated One national research collaboration per annum Scholarship program trialled and evaluated Research internship program established Thirty presentations at conferences Eight peer-reviewed publications Three cervical cancer screening pilots 10% increase in funded capacity building grants completed Outcomes of pilots published in peer review journal Needs assessment completed to inform and presented at international conference program priorities in contraception, disability and men and boys programs Disability pilot implemented and evaluated in one Pacific country Quarterly communication with donors and community stakeholders through Increased awareness of the voice of Family INTERNATIONAL newsletters, reports and social media Planning NSW international development DEVELOPMENT International program fundraising strategy 40% increase in donor funding developed and implemented 10% of international funding from grants other Two grants submitted each year for projects than ANCP funding Demonstrable impact on policy and Fifty submissions and representation on public policy advocacy Statewide communication strategy about Family 10% increase in media hits Planning NSW developed and implemented 10% increase in website hits Statewide communication campaign to promote LARC implemented Increased engagement in social media Corporate services offered to external organisations Suite of corporate services defined and on a fee for service basis marketed to external organisations CORPORATE Family Planning NSW preferred supplier for LHD SUPPORT Four new IT systems implemented funded services SERVICES Decrease in energy consumption per Master client database implemented staff member Enhanced billing system implemented, enabling seamless billing for clients for all Family Planning NSW services Accreditation of clinical, education and international programs and compliance with NHMRC research guidelines achieved Ashfield site renovations completed
30 Family Planning NSW | Strategic Plan | 2014-2018 OUR IMPLEMENTATION FRAMEWORK Family Planning NSW has in place an effective framework to translate our plan into results. The framework underpins the development of a shared understanding across the organisation of how our plan has been developed, and how it will be implemented, executed and reviewed across all our strategic priority areas. The framework is based on a logical four step process of Assess, Plan, Do, Review. Within this framework, key actions provide a check-list of what needs to be considered at each step. W AC E VI CE EVALUATION WHERE ARE WE? RE PROCESSES SS ENVIRONMENTAL ANNUAL AND SCAN QUARTERLY REVIEWS NEEDS AND CLINICAL REVIEW ASSESSMENT OF HEALTH EVALUATION AND OTHER NEEDS FEEDBACK LOOPS STRATEGIC ANALYSIS IMPLEMENTATION STRATEGY DEVELOPMENT BUSINESS PLAN CYCLE SET THE VISION/DIRECTION QUALITY AND RISK ESTABLISH PRIORITIES METRICS DOCUMENT IN PARTNER STRATEGIC AND AND STAKEHOLDER OTHER PLANS ENGAGEMENT P L O A N D D EQUITY OF ACCESS
REPRODUCTIVE 31 AND SEXUAL Family Planning NSW | Strategic Plan | 2014-2018 HEALTH FOR EVERY BODY IN EVERY FAMILY
32 Family Planning NSW | Strategic Plan | 2014-2018 DETAILED IMPLEMENTATION PLAN FOCUS AREA 1: INTEGRATED CLINICAL SERVICES Expert reproductive and sexual health services targeted to marginalised communities, through clinical care and health promotion. RESULTS: SUCCESS ASPIRATIONAL GOAL STRATEGY By 2018 we will have: INDICATOR GOAL Provide high quality Maintain accreditation 112,000 client visits Family Planning NSW achieves clinical services for clinical services and maintains accreditation 45,000 community under the National Quality Increased funding for education participants Standards Deliver high quality clinical service delivery 400,000 health promotion reproductive Fee for service capability resources distributed implemented and sexual health Medicare charging changed prevention, screening to fee for service model and management services Promote and Increased uptake of Increased % of women 10% increase of women provide family planning effective long acting receiving a LARC method receiving a LARC method information, reversible contraceptives contraception and (LARC) No. of contraceptive pregnancy options methods provided by type services Increased access to pregnancy options No. of community education information and clinical activities to at risk groups pathways for unplanned No. of contraceptive and pregnancies pregnancy options resources distributed No. of clients seeking advice on pregnancy options Promote and provide Delivered up to date Increased access to cervical Clinical services lead cervical cancer evidence-based cervical cancer screening services implementation of DNA prevention, screening cancer prevention by at-risk groups HPV screening program and referral services information, screening protocols and referral services to No. of tests provided by at-risk groups, including target group full implementation of No. of community education the guidelines of the sessions by target group renewal of the National Cervical Cancer No. of cervical cancer Screening Program prevention resources distributed
33 Family Planning NSW | Strategic Plan | 2014-2018 RESULTS: SUCCESS ASPIRATIONAL GOAL STRATEGY By 2018 we will have: INDICATOR GOAL Deliver high quality Promote and provide Increased STI screening Increased number of Condom credit card reproductive STI prevention, testing tests (opportunistic Condom Credit Card holders implemented across NSW and sexual health and treatment services and targeted) provided prevention, screening to at risk groups to at risk groups No. of STI tests performed and management by type and age range services Treatment/referral pathways provided to % clients under 25 years people diagnosed with tested for chlamydia and an STI other STIs % clients managed and/or referred to an external service provider following a positive STI result No. of STI resources distributed Provide information, Provided services to No. of clients managed 10% increase in consultations diagnosis, management target populations of and/or referred to external about sub-fertility and referral women and men with service provider for services for common common gynaecological, gynaecological problems reproductive and sexual subfertility or sexual health function problems No. of clients given issues across the throughout the information on sub-fertility reproductive life span reproductive lifespan or sexual function issues No. of clients managed and/or referred to external service provider for subfertility or sexual function problems Broaden services Increased ante-and No. of clients who were Ante and post natal services into ante-natal and post-natal services given advice on ante and provision post-natal support post natal issues Provide and promote Increased reach of Number of calls and 10% increase in Family reproductive and sexual Family Planning NSW emails answered by Family Planning NSW Talkline reach health information and Talkline services Planning NSW Talkline referral service Improve responses to Improved identification Domestic violence routine 8% increase in domestic sexual, domestic and of clients at risk of sexual, screening compliance in line violence screening family violence domestic and family with NSW Health policies and violence procedures No. of clients who had domestic violence screening No. clients provided support and/or referred to external service provider Increase services and Clinical services and Increase in proportion of 10% increase in priority programs to priority programs targeted to client visits by priority population clients populations priority populations populations No. of community education sessions by target group No. of resources distributed per target group No. of partnerships developed and maintained in each of the priority areas
34 FOCUS AREA 1: INTEGRATED CLINICAL SERVICES Expert reproductive and sexual health services targeted to marginalised communities, through clinical care and health promotion. RESULTS: SUCCESS ASPIRATIONAL GOAL STRATEGY By 2018 we will have: INDICATOR GOAL Explore alternative Piloted alternative clinical Expanded reach into Pilot mid-life specialised clinic clinical service models service models to reach priority populations completed and evaluated and and staff mix to provide priority population groups provides increased income to reproductive and Family Planning NSW sexual health clinical services Build innovative, best-practice delivery Pilot innovative Piloted telemedicine Telemedicine trialled and Telemedicine implemented models uses of information initiatives for remote and evaluated across Family Planning NSW technology to priority population groups sites provide efficient and Innovative use of effective service delivery technology and online platforms trialled and evaluated Expand the role of Nurses credentialed No. of nurses credentialed to: Nurses credentialed to nurses in clinical with extended scope insert and remove implants service delivery of reproductive and • implement Standing Orders and IUDs sexual health practice • provide clinical training • insert and remove IUDs • insert and remove contraceptive implants No. of IUDs/implants inserted and removed by nurses Engage with Provide outreach Effective collaborations No. and profile of partners 10% increase in services to consumers and build services to build and partnerships to priority populations the capacity of increase service delivery No. of partnerships per partnerships priority population group local providers to priority populations that assist us 5% increase in services to to better serve the priority populations needs of priority populations
35 Family Planning NSW | Strategic Plan | 2014-2018 FOCUS AREA 2: EDUCATION AND TRAINING Best practice education, training and workforce development to service providers and our target communities. RESULTS: SUCCESS ASPIRATIONAL GOAL STRATEGY By 2018 we will have: INDICATOR GOAL Deliver targeted All education delivered 5,200 course participants Tertiary-level accredited courses for doctors, under the AQF national with an 80% pass rate program in reproductive and nurses, disability, framework sexual health that meets post health and welfare Increased targeted graduate standards professionals vocational training Rebrand our Education Broaden the Services as a College that range of accredited has a strong reputation in education and its own right and as part of training programs Family Planning NSW Implement blended Expanded education Increase in number of online 60% of all courses can be and online courses reach courses and enrolments accessed online Increase education Education services NDIS funding for targeted Funding for targeted services to support developed to support education services explored education services achieved priority population the NDIS Increase in knowledge, groups Increased in knowledge skills and confidence of and confidence of course participants professionals supporting No. of courses completed priority populations per priority population group Review current programs Increased confidence No. courses completed New Parent Sex Education for teacher, parent and and knowledge of for teachers, parents and course developed and student education to teachers and parents students implemented and provides align with national to discuss sexuality additional income to curriculum education Family Planning NSW Establish a comprehensive education program Expand reach of An active relationship No. schools engaged in Independent and faith sexuality education with independent schools sexuality education based schools provide for schools in schools to comprehensive sexual independent and education faith based schools Provide targeted Increased awareness Increase in engagement Safe Schools Coalition programs to reduce of homophobia and about sexual and gender implemented in NSW homophobia and transphobia in schools diversity for teachers and transphobia in schools students Provide targeted Balanced clinical service and 16,000 clinical training 10% increase in education clinical training for clinic education resourcing hours provided funding through increased course participants Increased educational Electronic clinical placement course fees and grants funding system implemented Build our capacity to meet educational demand Develop saleable Income producing Revenue generated through 10% increase in revenue from resources aligned resources available across sale of program resources sale of program resources to each education all education programs program
36 FOCUS AREA 3: RESEARCH, MONITORING AND EVALUATION Increasing the body of evidence for reproductive and sexual health, translating research into practice and evaluating project outcomes. RESULTS: SUCCESS ASPIRATIONAL GOAL STRATEGY By 2018 we will have: INDICATOR GOAL Provide national Family Planning NSW Research Plan implemented National Reproductive and leadership in Research Plan implemented Sexual Health Research Plan reproductive and sexual Coordinate one national developed and implemented health research Two National reproductive Reproductive and Sexual and sexual health research Health Research forum per Rebrand our Research pillar forums coordinated annum as an ‘Institute’ in its own Provide leadership right and as part of Family in setting reproductive Reproductive and sexual At least one research priority Planning NSW and sexual health health priorities identified topic identified per annum research priorities and agreed Provide leadership Participation in relevant Number of clinical trial Participation in at least one in fertility management clinical trials participants required by clinical trial study per annum and contraception sponsor met research Expanded external networks and partnerships At least one new research MOU relating to fertility New research management and collaborations developed contraception signed per with research institutions, annum pharmaceutical companies and universities Provide leadership Population research and New edition of Reproductive Family Planning Organisation in population health data translated into policy and Sexual Health: an data dictionary and reporting research and clinical practice Australian clinical practice agreed and distributed to all handbook FPOs Family Planning Organisations data New edition of Contraception: NSW and National dictionary and reporting an Australian clinical practice Reproductive and Sexual framework defined handbook Health Indicator reports updated and published Published state and Contraception and other national reproductive and reproductive and sexual sexual health data reports health factsheets updated to inform planning and available to public Provide leadership in Service delivery reflects Clinical policies, advocacy, 10% increase in formal evaluating health service relevant research findings education and materials evaluations of service delivery delivery and programs reviewed and updated to reflect research findings and feedback from clinic clients, course participants and community education participants
37 RESULTS: SUCCESS ASPIRATIONAL GOAL STRATEGY By 2018 we will have: INDICATOR GOAL Expand our research Comprehensive list of 12 grants submitted At least three collaborative funding tender and grant programs projects per annum updated and maintained Three MOUs signed with other partners Other research funding Increase our opportunities explored research funding and build our Build collaborations Participation in national National reproductive One national research research capacity with research and international research and sexual health network collaboration per annum partners collaborations established Partnerships with International research universities and research collaborations explored institutions to expand research infrastructure National meeting held to developed discuss the feasibility of FPOs to be involved in Reproductive and Sexual Reproductive and Sexual Health Cooperative Health Cooperative Research Research Centre explored Centre (CRC) or similar Strengthen our research Trialled visiting local and Visiting local and Research internship program workforce international researcher’s international researcher’s established program program trialled and evaluated Partnership developed with Universities to Scholarship program trialled increase post graduate and evaluated student placements Improve our research Data systems support Data systems in place Data informs all service infrastructure integrated service support research, operations planning decisions with delivery and other organisational NSW Ministry of Health and needs other partners Strengthen our Research Advisory Research Advisory Committee Low/Negligible ethics approval research governance Committee established meets biannually process incorporated in and strategies to and meets regularly Family Planning NSW research communicate findings to Research, evaluation, ethics governance the broader community Research and ethics and data management governance in line with governance reviewed and Eight peer-reviewed best practice guidelines updated publications Ethics approval process 90% of ethics submission in place for the review approved per annum of Low/Negligible Risk Projects No. of ethics submissions per annum Promote our research excellence Two published Family Planning NSW reports Thirty presentations at conferences Fifteen journal club/research seminars conducted Research excellence promoted through newsletters and media
38 FOCUS AREA 4: INTERNATIONAL DEVELOPMENT Working to assist poor and disadvantaged communities in the Asia Pacific region to access comprehensive reproductive and sexual health services. RESULTS: SUCCESS ASPIRATIONAL GOAL STRATEGY By 2018 we will have: INDICATOR GOAL Provide capacity building Projects implemented to No. projects completed and 10% increase in funded and support to enable support the achievement evaluated capacity building grants Build partners to deliver of universal access to the capacity of high quality family family planning services international partners planning services to deliver optimal reproductive and sexual Increased skills, knowledge % increase in skills, 10% increase in funded health information, and confidence of knowledge and confidence capacity building grants education and clinical clinicians providing family with clinicians trained planning services services to priority populations Increased capacity to No. projects completed and 10% increase in funded deliver community based evaluated capacity building grants programs to priority groups Provide leadership Expansion of cervical Three cervical cancer Outcomes of pilot published and support to improve cancer screening programs screening pilots completed in peer review journal and cervical cancer in areas of defined need presented at international prevention and in the Pacific conference screening program delivery Explore our role in Planned and coordinated Needs assessment Disability pilot implemented supporting people with approach to supporting completed to define and evaluated in one Pacific disability to access people with disability to disability pilot country optimal reproductive access optimal reproductive and sexual health and sexual health services services in the Pacific in the Pacific Ensure evidence based Current projects expand Needs assessment completed Evidence base used as basis programmatic approach to other countries of to inform program priorities for further program priorities to international projects defined need Outcomes of projects disseminated through reports, conference presentations and publications in peer review journals
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