Core Funding After Hours Funding - hneccphn.com.au · Primary Health Networks After Hours Funding ....

HUNTER NEW ENGLANDAND CENTRAL COAST

An Australian Government Initiative

After Hours FundingActivity Work Plan2016 - 2018

HNECC PHN acknowledges the traditional owners and custodians of the land that we liveand work on as the First People of this Country.

Core Funding

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Introduction Overview

The key objectives of Primary Health Networks (PHNs) 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.

Each PHN must make informed choices about how best to use its resources to achieve these objectives.

Together with the PHN Needs Assessment and the PHN Performance Framework, PHNs will outline activities and describe measurable performance indicators to provide the Australian Government and the Australian public with visibility as to the activities of each PHN.

This document, the Activity Work Plan template, captures those activities.

This Activity Work Plan covers the period from 1 July 2016 to 30 June 2018. To assist with PHN planning, each activity nominated in this work plan can be proposed for a period of 12 months or 24 months.

Annual Plan 2016-2018

Annual plans for 2016-2018 must:

provide a coherent guide for PHNs to demonstrate to their communities, general practices, health service organisations, state and territory health services and the Commonwealth Government, what the PHN is going to achieve (through performance indicator targets) and how the PHN plans to achieve these targets;

be developed in consultation with local communities, Clinical Councils, Community Advisory Committees, state/territory governments and Local Hospital Networks as appropriate; and

articulate a set of activities that each PHN will undertake, using the PHN Needs Assessment as evidence, as well as identifying clear and measurable performance indicators and targets to demonstrate improvements.

Activity Planning

The PHN Needs Assessment will identify local priorities which in turn will inform and guide the activities nominated for action in the 2016-2018 Annual Plan. PHNs need to ensure the activities identified in the annual plan also correspond with the PHN Objectives; the actions identified in the PHN Programme Guidelines; the PHN key priorities; and/or the national headline performance indicators.

Primary Health Networks After Hours Funding

From 2016-17, PHNs will have greater flexibility to commission programme specific services, having completed needs assessments for their regions and associated population health planning. PHNs are funded to address gaps in After Hours service provision and improve service integration within their PHN region.

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Strategic Vision During the next 24 month period covering this Activity Work Plan the Hunter New England Central Coast

Primary Health Network will continue to achieve the PHN key objectives in alignment with the PHN

Programme Guidelines and Schedules of Funding. Our plan, consisting of 20 main flexibly funded activities which address priority areas as identified through our Baseline Needs Assessment processes, and 3 key operationally funded activities, will involve a number of approaches, including commissioning, to best deliver and support Primary Care services across our vast geography. In addition to the PHN Programme objectives, and HNECC PHN’s overall strategic direction (see below), our plan has been developed through a Quadruple Aim lens. This lens is applied to each of the activities presented, not only in this Activity Work Plan, but across all program plans and areas of the HNECC PHN.

Our progress within the commissioning of health services has been substantial and we are now at a stage where we will be able to award contracts to service providers in a timely manner upon approval of plans.

Submission of this plan, and others does, not mean that our understanding of health and health needs across this sector is complete. Our ongoing planning and assessment efforts aim to always ensure we are responsive to individual, community, provider and industry needs. Our continued commitment to working with our 3 GP-Led Clinical Councils and Community Advisory Committees and additional consultative structures will further facilitate future planning and innovations to support our objectives.

Our Strategic Plan is presented in full on our website: http://www.hneccphn.com.au

Our Vision Healthy People and Healthy Communities

Our Purpose To deliver innovative, locally relevant solutions that measurably improve the health outcomes of our communities.

Our Values Respect – Innovation – Accountability – Integrity – Cooperation – Recognition.

Our Principles - We will deliver better health outcomes that are efficient, effective, equitable and sustainable by:

having a whole of system focus that puts people and communities first

being responsive to the diversity of, and differences in, our communities and address health inequalities

helping people understand and care for their own health, and supporting them as partners in a better health system

supporting and being guided by GPs and other clinicians as leaders in a better health system

aiming for the best use of health resources, with locally relevant services that are high quality and cost-effective collaborating with other to enable and coordinate timely and appropriate health care, so that people can stay well in their communities

Our Business Fitness - We will:

focus organisational performance on Flagship Innovation, Local Relevance, Leading Delivery, and Strong Evaluation

underpin performance with agile, innovative, efficient, cost effective and robust internal administrative and governance functions

ensure that operations are underpinned by organisational values, clear team-based objectives, staff training and development, effective communication and leadership, and a positive team culture

utilise Community Advisory Committees and GP-led Clinical Councils that effectively enhance the performance and primary care engagement of the organisation.

http://www.hneccphn.com.au/

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Planned activities funded by the flexible funding stream under

the Schedule – Primary Health Networks Core Funding PHNs must use the table below to outline the activities proposed to be undertaken within the period 2016-18. These activities will be funded under the

Flexible Funding stream under the Schedule – Primary Health Networks Core Funding.

HNECC PHN Activity Matrix

Activity Priority Areas From Baseline Needs Assessment 2016

NPFlex 1.0 Health Literacy in Action 1. Health Literacy

14. Service Integration and Coordination

NPFlex 2.0 Directories/ Information Sharing 1. Health Literacy

2. Health Needs and Access Issues of an Aged and Ageing Population

NPFlex 3.0 Mobile X-Ray Service – Central Coast



16. Transport

NPFlex 4.0 Immunisation Service - Wyong 4. Child and Maternal Health

NPFlex 5.0 Health Pathways


6. Mental Health

5. Youth Health

18. Rural Health and Access to Services

NPFlex 6.0 Partnerships


3. Aboriginal and Torres Strait Islander Health and Access to Services

10. Chronic Disease

12. Dementia


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NPFlex 7.0 Priority Allied Health Services (PAHS)


12. Dementia

10. Chronic Disease


6. Mental Health


9. Overweight and Obesity

8. Health Risk Behaviours

NPFlex 8.0 Provision of Accredited Professional Development and Education Programs 12. Dementia

15. Health Workforce

NPFlex 9.0 Workforce: Analysis and Support 15. Health Workforce

NPFlex 10.0 Primary Health Care Nurse Program 18.Rural Health and Access to Services


NPFlex 11.0 General Practice Quality Improvement 15. Health Workforce

4. Child and Maternal Health

10. Chronic Disease

NPFlex 12.0 Cancer Screening Clinic – Wyong 11. Cancer Screening and Incidence

NPFlex 13.0 Aged Care Emergency - Extension 2.Health Needs and Access Issues of an Aged and Ageing Population

13. After Hours

NPFlex 14.0 Health Development Initiatives 9. Overweight and Obesity

19. Innovation


NPFlex 15.0 Community Cancer Screening Participation Strategy 11. Cancer Screening and Incidence

NPFlex 16.0 NSW Ambulance Alternate Pathways Initiative - Continue and Extend 14. Service Integration and Coordination

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NPFlex 17.0 Hospital Avoidance Model Development – Regional/Rural 14. Service Integration and Coordination

10. Chronic Disease


NPFlex 18.0 Aged Care Information Sharing Project – Lead 2. Health Needs and Access Issues of an Aged and Ageing Population

NPFlex 19.0 Healthy Babies – Improving Birthweights 4. Child and Maternal Health

NPFlex 20.0 Electronic Referral Extension 14. Service Integration and Coordination

HNECC PHN Activities

Proposed Activity: NPFlex 1.0 Health Literacy in Action

Priority Area 2. Health Literacy 14. Service Integration and Coordination

Description of Activity

Activity: this activity aims to enhance and support Health Literacy and health integration and coordination across the HNECC PHN region in a few key ways. Firstly, through providing additional resources towards development of the Patient Info website, as aligned with HealthPathways, to better assist consumers in understanding and manage their health and how to navigate the health system. Promotion of the Patient Info website through General Practice is additionally a key factor in addressing this priority area. Secondly, the HNECC PHN will produce a comprehensive Health Literacy Guide which will inform the future way in which we communicate with stakeholders, community and consumers. It is envisaged that all materials coming from HNECC PHN be passed through a Health Literacy filter to effectively remove barriers which sometimes exist when people engage with health information. This approach will be promoted to General Practice and other service providers where possible. Thirdly, the HNECC PHN will develop new promotional material for all new services in-line with the Health Literacy Guide to assist with navigating within and around primary health services in their community.

Aim: Improved provision of health information to consumers, supporting improved health literacy and better self-management.

Indigenous Specific No

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Duration 1/07/2016 – 30/06/2017

Coverage This activity covers the entire HNECC PHN catchment area comprising of 15 SA3s. The Patient Info website will initially support those within the Central Coast portion (2 SA3s) of the PHN with view to extend.

Commissioning approach This activity will not be contracted or commissioned, the Patient Info website portion of the activity it will be managed/delivered by HNECC PHN in collaboration with the LHDs. The rest of this activity will be managed and conducted by HNECC PHN.

Proposed Activity: NPFlex 2.0 Directories / Information Sharing

Priority Area (eg. 1, 2, 3) 1. Health Literacy



Activity: Provide updates to the National Health Services Directory and promote the directory to stakeholders. Maintain Local Health Services Directories. Host the Home Care Package Provider Portal servicing the Central Coast and evaluate the ongoing relevance of the portal in the context of the MyAgedCare portal. The portion of this activity devoted to hosting the Home Care Package Provider Portal continues to support very local identified need on the Central Coast which is outside the scope of the MyAgedCare service. This ‘value-add’ tool compliments the MyAgedCare portal and aims to promote service awareness. Furthermore, previous work and partnership with NEHTA, in supporting and growing the My Health Record, and in developing healthy architecture further add to this activity and promotes ownership of health decisions and health sharing. Aim: Enhanced access to reliable and consistent information about health services for health professionals and consumers. Improved consumer and health professional knowledge and awareness of primary health care services available in the region. Improved access to vacant Home Care Packages for referring health care providers in the Central Coast region.

Indigenous Specific NO

Duration 1/07/2016 – 30/06/2017

Coverage This activity covers the entire HNECC PHN catchment area comprising of 15 SA3s.

Commissioning approach This is not a commissioned or contracted activity, it will be managed/delivered by HNECC PHN.

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Proposed Activity: NPFlex 3.0 Mobile X-Ray Service – Central Coast

Priority Area (eg. 1, 2, 3)



16. Transport


Activity: Commission a Mobile X-ray service visiting Residential Aged Care Facilities in the Central Coast region. Aim: Improved access to high quality diagnostic imaging for: residents in aged care facilities; and residents of Transitional Care Units at Woy Woy and Long Jetty. The need for patients to present to the emergency department for x-rays can be reduced when eligible patients can access mobile imaging at their normal place of residence. A mobile x-ray service can also reduce the number of ambulance transfers within the region for patients who are being transferred to hospital for diagnostic x-rays as a result of referral by their usual care provider.


Duration 1/07/2016 – 30/06/2017

Coverage This activity covers the Central Coast portion of the HNECC PHN catchment comprising the Gosford and Wyong SA3s.

Commissioning approach

This activity is included in the commissioning process, the key stages of which are: open Expression of Interest for providers to deliver services in 2016-17 (with a possible 12 month extension); select request for tender issued; evaluation of submissions; and contract negotiation and execution with successful tenderers.

This activity will be monitored through a comprehensive annual planning and quarterly reporting cycle. The provider will also provide an evaluation report at the completion of the Program, which will include qualitative and quantitative data, clinician and consumer feedback and indicators of the benefit of the Service. This data will inform the PHN’s ongoing Needs Assessment and Commissioning cycle.

Proposed Activity: NPFlex 4.0 Immunisation Service - Wyong

Priority Area (eg. 1, 2, 3) 4. Child and Maternal Health

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Activity: Commission the provision of administrative support to the Childhood Immunisation Service conducted by the Wyong Shire Council as a community support initiative in the Wyong region. Aim: To increase childhood immunisation rates in the Wyong SA3 by conducting free vaccination programs and communicating information about immunization to the public and health professionals.


Duration 1/07/2016 – 30/06/2017

Coverage This Activity covers the Wyong SA3, in the Central Coast portion of the HNECC PHN catchment area.


This activity is included in the commissioning process, the key stages of which are as follows: open Expression of Interest for providers to deliver services in 2016-17 (with a possible 12 month extension); select request for tender issued; evaluation of submissions; and contract negotiation and execution with successful tenderers.

This activity will be monitored through a comprehensive annual planning and quarterly reporting cycle. The provider will also provide an evaluation report at the completion of the Program, which will include qualitative and quantitative data, clinician and consumer feedback and indicators of the benefit of the Service. This data will inform HNECC PHN’s ongoing Needs Assessment and Commissioning cycle.

Proposed Activity: NPFLex 5.0 HealthPathways


5. Youth Health

6. Mental Health




Activity: HealthPathways extended reach projects in the Central Coast and Hunter New England regions are carried out in line with the national priority areas for PHNs and additional priority areas identified in the BNA. The Hunter HealthPathways project will be jointly implemented by HNECC PHN and HNE LHD. The Central Coast HealthPathways project will be jointly implemented by HNECC PHN and CCLHD. Aim: Improved planning of patient care through primary, community and secondary health care systems.

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Proposed Activity: NPFlex 6.0 – Collaborative Approaches to Improve Service Integration and Coordination




10. Chronic Disease

12. Dementia



Activity: Partner in collaborative approaches to improve service integration and coordination, including for example:

The Hunter Alliance - Care in the Last Year of Life, Diabetes, and COPD work streams

The Hunter Aboriginal Health and Wellbeing Alliance – maintain and foster ongoing engagement with key stakeholders

Central Coast Aboriginal Partnership Agreement – maintain and foster ongoing engagement with key stakeholders

Central Coast Integrated Care Program – which includes a Care Coordination pilot in the Peninsula and North Wyong areas; a Diabetes project; a Antenatal Share Care redesign project; and Youth Interagency network

Moree Integrated Health Care Service – with a focus on: perinatal care in the Moree, Collarenebri and Mungindi

communities; chronic kidney disease programs; and Diabetes projects.

Hunter Dementia Alliance

Dementia Partnership Project – development of shared diagnostic tools and resources

GP Collaboration Unit – with joint funding from HNECC PHN and CCLHD, this includes representatives from the CCLHD, HNECC PHN and a cross section of General Practitioners, this Unit facilitates system improvements between primary and tertiary care


Duration 1/07/2016 – 30/06/2017

Coverage This activity covers the entire PHN catchment area comprising of 15 SA3s.

Commissioning approach This activity will not be contracted or commissioned, it will be managed/delivered by HNECC PHN in collaboration with the LHDs.

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Aim: Greater integration and coordination of health services through clinically-led service development and improvement. Health care services are connected in a way that builds on available health care resources and introduces pockets of innovation that are assessed for scalability and cost effectiveness. Health care is person-centred, seamless and delivered close to home. Improvement is seen in patient experience of care, provider experience of care, clinical outcomes, and health outcomes.

Indigenous Specific YES, a number of the partnerships are focused on improving the health of Aboriginal and Torres Strait Islander peoples.

Duration 1/07/2016 – 30/06/2017

Coverage Each partnership encompassed by this activity focus on a sub-region within the HNECC PHN catchment, however the entire HNECC PHN catchment area comprising of 15 SA3s is covered by this activity.

Commissioning approach This is not a commissioned or contracted activity, it is carried out through HNECC PHN involvement in a number of partnerships.

Proposed Activity: NPFlex 7.0 Priority Allied Health Services



6. Mental Health



10. Chronic Disease

12. Dementia




Activity: Commission a range of Allied Health Services throughout the Hunter and New England region through the Priority Allied Health Services Program, including: Diabetes Education; Dietetics; Exercise Physiology; Falls Prevention; Occupational Therapy; Occupational Therapy (Paediatric); Physiotherapy; Podiatry; Psychology; Registered Nurse (Memory Assessment and Community Mental Health Nursing); Speech Pathology; and Speech Pathology (Paediatric).

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Aim: To improve the health and wellbeing of people across the HNECC PHN region by increasing access to a range of primary and allied health services and activities provided in targeted communities and improving the local linkages between allied health and general practice. The activity is primarily focused on residents living in small and more rural locations with identified health needs.


Duration 1/07/2016 – 30/06/2017

Coverage

This Activity covers the Hunter New England portion of the HNECC PHN catchment area, encompassing 13 SA3s, and specifically covering the following locations:

Hunter Region – Aberdeen, Bulahdelah, Dungog, Forster, Gloucester, Karuah, Lake Macquarie (RACF’s), Murrurundi, Muswellbrook, Newcastle (RACF’s), Scone, Singleton, and Taree.

New England Region – Armidale, Ashford, Barraba, Bingara, Boggabri, Boomi, Bundarra, Glen Innes, Gunnedah, Guyra, Inverell, Kootingal, Manilla, Moree, Mungindi, Narrabri, Quirindi, Tamworth, Tenterfield, Tingha, Uralla, Walcha, Warialda, Wee Waa, and Woolbrook.

NB. Not all allied health services will be offered in all locations.




Proposed Activity: NPFlex 8.0 Provision of Accredited Professional Development and Education Programs

Priority Area (eg. 1, 2, 3) 12. Dementia


Description of Activity Activity: Accredited professional development and education programs are tailored to meet the needs of primary care providers and delivered to general practitioners, General Practice staff and other healthcare providers. An example of an

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identified need that will be addressed through this activity is the provision of targeted dementia education to support primary health care providers to gain improved skills and knowledge required to confidently screen, diagnose, and manage patients with dementia. Aim: Health care practitioners are supported to provide access to high quality patient-centred care across the HNECC PHN region. Inputs to education planning include identified national and local health priorities, changes to accreditation or other requirements and consultation with GP groups and other primary health providers via the appropriate advisory groups and the Practice Support Plans. Information regarding courses being run will be provided via email using distribution lists and through the HNECC PHN website.


Duration 1/07/2016 – 30/06/2017

Coverage This Activity covers the entire PHN catchment area comprising of 15 SA3s


Proposed Activity: NPFlex 9.0 Workforce: Analysis and Support

Priority Area (eg. 1, 2, 3) 15. Health Workforce



Activity: This activity will comprise the following key elements: 1. Collection of General Practice workforce data for the HNECC PHN area 2. Development of a workforce vulnerability matrix to enable the allocation of a vulnerability index to each

suburb/town. Key vulnerability indicators will include: town/suburb population against existing workforce FTEs, town/suburb median age, age of existing workforce, registration/provider number access limitations, specialist skills knowledge needed compared against what is available, known workforce intentions (move/retire etc.), distance from next closest service

3. Allocation of the workforce vulnerability index to each town / suburb 4. Use of vulnerability indices to identify and manage areas of immediate vulnerability, while also developing a short-

and longer-term workforce plan

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In addition:

Research into and implementation of an Aboriginal Health Practitioner model of care trial

If successful, formulation of “How To” to use this model across HNECC PHN region or further afield Aims:

Work with all internal and external stakeholders to minimise town/suburb vulnerability across the HNECC PHN region

Trial the effectiveness of an Aboriginal Health Practitioner model of care with a view to advocating implementation of this model in areas in need of culturally appropriate Aboriginal health care

Indigenous Specific YES. The Aboriginal Health Practitioner model of care trial component of this activity is targeted at Aboriginal and Torres Strait Islander people.

Duration 1/07/2016 – 30/06/2017

Coverage This Activity covers the entire PHN catchment area comprising of 15 SA3s. The Aboriginal Health Practitioner trial will be conducted in the Singleton SA3 with a view to rolling the project out to relevant areas of HNECC PHN.


Proposed Activity: NPFlex 10.0 Primary Health Care Nurse Program

Priority Area (eg. 1, 2, 3) 8. Health Risk Behaviours



Activity: Commission the Primary Health Care Nurse Program in the Hunter and New England regions. This activity supports health screening, health education, preventative health and health promotion services, delivered in partnership with the community and other local stakeholders. Aim: Improved health and wellbeing of people living within small rural and remote communities (with a population of less than 2,000), achieved by identifying and addressing local preventative health needs.


Duration 1/07/2016 – 30/06/2017.

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Coverage

This Activity covers 5 SA3s in the Hunter New England portion of the HNECC PHN catchment. And specifically, the following locations:

Hunter Region: Karuah and Tilligerry Peninsula.

New England Region: Ashford, Baan Baa, Barraba, Bellata, Bendemeer, Ben Lomond, Bingara, Boggabri, Boomi, Breeza, Bundarra, Burren Junction, Carroll, Coolatai, Croppa Creek, Curlewis, Currabubula, Deepwater, Delungra, Dundee, Duri, Emmaville/Vegetable Creek, Garah, Glencoe, Gravesend, Gwabegar, Kelvin, Kentucky, Kingstown, Maules Creek, Mullaley, Mungindi, Niangala, North Star, Nowendoc, Nundle, Pallamallawa, Pilliga, Premer, Somerton, Spring Ridge, Tingha, Walcha / Summervale (including Weabonga), Warialda, Watson's Creek, Wee Waa, Werris Creek, Woolbrook, Woolomin, Yarrowitch, and Yetman.




Proposed Activity: NPFlex 11.0 General Practice Quality Improvement


4. Child and Maternal Health

10. Chronic Disease



Activity: Make use of aggregated data collected from general practices using the PAT CAT tool to benchmark and identify those practices which would benefit most from intensive quality improvement activities focused on key priority areas, such as childhood immunisation. This will involve extraction of de-identified health data from practices and provision of benchmarking data to practices. These activities will feed into the development and implementation of Practice Support Plans. Refer to OP1.5 for more information regarding Practice Support Plans. Aim: Improved patient outcomes, including improvement in national health priorities such as increased childhood immunisation rates across the HNECC PHN region.

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Proposed Activity: NPFlex 12.0 Cancer Screening – Wyong

Priority Area (eg. 1, 2, 3) 11. Cancer Screening and Incidence


Activity: Commission the provision of administrative support to the bulk-billing Cancer Screening Clinic in the Wyong LGA, which conducts PAP tests and breast checks in partnership with Central Coast Local Health District. Aim: Using the principles and recommendations of NSW Cervical Screening Program and Breast Screen NSW (Cancer Institute), actively targeting and recruiting women aged 20 - 69 years for biennial screening, to facilitate increased access to screening for socially disadvantaged women, and greater early detection of cancer and other abnormalities.


Duration 1/07/2016 – 30/06/2017

Coverage This Activity covers the Wyong SA3 in the Central Coast portion of the HNECC PHN catchment area.




Proposed Activity: NP Flex 13.0 – Aged Care Emergency - Extension


Duration 1/07/2016 – 30/06/2017

Coverage This Activity covers the entire PHN catchment area comprising of 15 SA3s.

Commissioning approach This activity will not be contracted or commissioned, it will be managed/delivered by HNECC PHN.

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Priority Area (eg. 1, 2, 3) 2. Health Needs and Access Issues of an Aged and Ageing Population

13. After Hours


Activity: Extend the Aged Care Emergency (ACE) Program to the New England region. The ACE program is a nurse led model of care that provides support to Residential Aged Care Facilities (RACFs) staff to facilitate residents’ non-life threatening acute care needs being met within the facility and thus avoiding an Emergency Department (ED) presentation. Where an ED presentation is required, the ACE program will enhance the flow and coordination of the care of the patient during their ED visit.

Aim: Reduction in the need for residents of RACFs to present to an ED for non-life-threatening acute care, and where ED presentation are required, to proactively manage the presentation.

Collaboration This activity is a collaboration between HNECC PHN and HNELHD, with the roles of each party yet to be formalised.


Duration 01/07/2016 – 30/06/2017

Coverage This activity will cover part of the New England region of the HNECC PHN catchment, or the SA3’s of: Tamworth-Gunnedah and Armidale.

Commissioning approach The approach to delivering and managing this activity is yet to be formalised with the collaborating LHD.

Proposed Activity: NPFlex 14.0 Health Development Initiatives




19. Innovation


Activity: A number of health development initiatives will be pursued, with the aim of improving health outcomes for priority populations in the region through collective or collaborative innovative endeavours between private, NGO and public organisations. An example of a collaborative project that may be pursued under this activity is the proposed Obesity and Mining Initiative in collaboration with NSW Minerals Council aimed at reducing obesity rates amongst mining personnel within the HNECC PHN region.

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Components of this activity include: INNOV8 Health Development Initiative INNOV8 is HNECC PHN’s initiative to promote and facilitate innovation in health development for the PHN region. It includes the INNOV8 online portal which has now gone live. While the INNOV8 portal is in its infancy, the aim is to continually populate the portal with relevant information, case studies and engaging and interactive content. We envisage it to be an online space for healthcare stakeholders to engage and collaborate. It will serve as a clearing house for local innovative endeavours and provide a platform to host our initiatives, such as the Collaborative Health Innovation Project and Local Innovation Awards (scheduled for the second half of 2016). Collaborative Health Innovation Project The Collaborative Health Innovation Project forms part of HNECC’s INNOV8 health development initiative and incorporates the previously reported ‘dragon’s den concept’. An EOI has been released, calling for organisations throughout the HNECC PHN region who have innovative ideas or are willing to connect with other organisations to develop and test new models of care. We are initially focused on engaging organisations with an interest in supporting those with chronic disease risk factors. Once the EOI period closes on May 6, HNECC will host ‘speed dating’ events throughout the region for EOI participants to connect with each other and establish collaborative networks, with HNECC PHN to facilitate partnerships to test new ideas. These ideas will be pitched to an expert panel for seed funding to develop and/or test these new outcome-focused models of care. HNECC will work with organisations to monitor and measure progress, and report on the outcomes. Better Outcomes in Chronic Disease While utilising guidance from the Clinical Councils and Community Advisory Committees, HNECC PHN will develop initiatives to:

1. Use better data and data systems (linked with LHD data) to assist primary care 2. Model and test payment for better outcomes (potentially to general practice, where this does not confound

trialling of PHCAG bundled care payments, potentially improving: a. Clinical indicator Performance b. Hospital Avoidance

3. Facilitate locally appropriate team-based models of person-centred care, including general practice re-design and Allied Health services (including staff training and practice change management)


Duration 1/07/2016 – 30/06/2017

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Coverage These activities cover the entire PHN catchment area comprising of 15 SA3s.

Commissioning approach These activities will not be contracted or commissioned, they will be managed/delivered by the PHN.

Proposed Activity: NPFlex 15.0 Community Cancer Screening Participation Strategy

Priority Area (eg. 1, 2, 3) 11. Cancer Screening and Incidence


Activity: Development and implementation of a Community Cancer Screening Participation Strategy under the guidance of the Population Health, Innovation, Research and Service Design sub-committee of the HNECC PHN Board and in consultation with Clinical Councils, Community Advisory Committees, other key stakeholders and community groups. This strategy will lead to the implementation of specific tailored programs aimed at increasing access to and participation in cancer (bowel, breast, cervical) screening programs, and the revision of existing information and referral pathways where required. An example of an initiative proposed under this activity is the development of a data sharing agreement with BreastScreen NSW Hunter New England to undertake initial investigations to: identify general practices not currently engaged in the BreastScreen program; develop a clear understanding of the proportion of under-screened women in general practice; and identify future project opportunities. Aim: Increased Cervical, Breast and Bowel Screening participation rates within targeted populations and/or communities in the HNECC PHN region. Greater collaboration between HNECC PHN, Local Heath Districts and other agencies that have responsibilities in this area.


Duration 1/07/2016 – 30/06/2017

Coverage This activity will target specific SA3s within the HNECC PHN region based on identified need.

Commissioning approach This activity will not be commissioned or contracted, it will be managed/delivered by the PHN.

Proposed Activity: NPFLex 16.0 NSW Ambulance Alternate Pathways Initiative – Continue and Extend

Priority Area (eg. 1, 2, 3) 14. Service Integration and Coordination

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Proposed Activity: NPFlex 17.0 Hospital Avoidance Model Development – Regional/Rural



10. Chronic Disease




Activity: Development of a locally appropriate, team-based hospital avoidance model to be tested in primary care. This model will encompass general practice re-design supported by change management principles. Through staff training, change management and the involvement of allied health professionals it is anticipated that this activity will lead to increased ability to identify patients at risk of health deterioration and an expanded role of general practice in planning care, supporting better in-home monitoring, and improving coordination of health and social services. This activity will be supported by improved data evaluation at a population health and general practice level.

Aim: Improved patient-centred care and increased hospital avoidance for people with chronic disease.


Activity: Continue the NSW Ambulance Alternate Pathways Initiative in the Central Coast and Hunter regions, and extend the initiative to Tamworth in the New England region. Through this Activity, better options are provided to paramedics for timely transfer of low acuity care to a more suitable provider such as the patient’s own general practice or an alternative After Hour Service. Aim: The aim of this activity is to improve health and clinical outcomes for patients, whilst increasing satisfaction for consumers, GPs and NSW Ambulance staff. This initiative will also lead to a reduction in preventable Category 4 and 5 Emergency Department presentations.


Duration 1/07/2016 – 30/6/2017

Coverage This Activity covers the SA3’s of Gosford, Wyong, Maitland, and Tamworth – Gunnedah.

Commissioning approach This activity will not be commissioned or contracted, it will be managed/delivered by HNECC PHN in partnership with NSW Ambulance and Local Heath Districts.

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Duration 1/07/2016 – 30/6/2017

Coverage This Activity covers the Hunter New England portion of the HNECC PHN catchment, comprising of 13 SA3s.


This activity will be included and tested in the commissioning cycle. The key stages for this activity in the 2016/17 financial year include:

Clinical and consumer consultation – Clinical Councils and Consumer Advisory Committees, and regional ‘roadshow’

Identification and allocation of resources – Service/Initiative design, Financial modelling, Executive, Board and budgetary approval, and Departmental approval

Two stage request for tender – open Expression of Interest and selective Request for Tender

Evaluation of tender submission and contract execution

Implementation of model of care and ongoing contract management

Reporting against determined KPIs will occur at six monthly intervals and be included in future Department reporting templates. Formal evaluation of the model will be undertaken at a time that allows for adequate implementation of the model in primary care during the 2017/18 financial year.

Proposed Activity: NPFlex 18.0 Aged Care Information Sharing Project - Lead

Priority Area (eg. 1, 2, 3) 2. Health Needs and Access Issues of an Aged and Ageing Population



Activity: Lead an Aged Care Information Sharing Project in partnership with National eHealth transition Authority (NEHTA), LHDs and local practitioners and providers. Aim: Improved communication between aged care facilities and healthcare providers. Improved upload rate of shared health summaries and greater identification of gaps in health information and/or access to such information.


Duration 1/07/2016 – 30/06/2017

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Coverage This activity covers the Central Coast portion of the PHN catchment comprising the Gosford and Wyong SA3s.

Commissioning approach This activity will not be commissioned or contracted, it will be managed/delivered by HNECC PHN in partnership with NEHTA and CCLHD.

Proposed Activity: NPFlex 19.0 Healthy Babies – Improving Birthweights

Priority Area (eg. 1, 2, 3) 4. Child and Maternal Health


Activity: Develop and implement an integrated strategy for addressing high rates of low-birth weight babies and smoking during pregnancy in areas of high need within the HNECC PHN region in collaboration with key stakeholders, including current providers of antenatal services. Whilst consultation with key stakeholders is underway, it is anticipated that initiatives will focus on improved access and uptake of antenatal care, greater integration of antenatal care, and smoking cessation during pregnancy in populations with high rates of low-birthweight babies. This activity does not duplicate the outcomes and reach of New Directions funding in that this activity aims to address the issue beyond the scope of that program. The HNECC PHN Needs Assessment has indicated that the rates of low-birthweight babies and smoking during pregnancy are evident in locations which do not necessarily have a high proportion of Aboriginal and/or Torres Strait Islander population. Furthermore, the PHN has identified that within this space there is a distinct lack of a cohesive direction to address this issue yet there are many providers who do facilitate antenatal care. This activity aims to pull these efforts together. As mentioned above, further collaboration and consultation is underway and does include the ACCHO’s, both LHD’s, specifically where community health services and initiatives are available, and other key organisations and groups within the welfare and education sector. Aim: In the long term, the aim of this activity is to reduce the number of low-birth weight babies and improve rates of infant mortality.

Indigenous Specific YES, it is likely that this activity will target Aboriginal and Torres Strait Islander people.

Duration 1/07/2016 – 30/06/2017

Coverage This Activity will target SA3’s and specific populations within the HNECC PHN catchment with high rates of low birthweight babies.

Commissioning approach This activity will not be commissioned or contracted, it will be managed/delivered by HNECC PHN.

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Planned core activities funded by the operational funding

stream under the Schedule – Primary Health Networks Core

Funding PHNs must use the table below to outline core activities (excluding administrative and governance related activities) funded under the Operational Funding

stream as described in section 1.5.1 of the PHN Grant Programme Guidelines.

Operational Activities

OP 1.1 Stakeholder Management, Engagement and Relationships

Proposed Activity: NPFlex 20.0 Electronic Referral Extension

Priority Area (eg. 1, 2, 3) 14. Service Integration and Coordination


Activity: Electronic-Referral Extension project developed and implemented in the Newcastle region in partnership with HNELHD. In the first instance, this activity will involve piloting the project in 20 general practices, covering 6 specialty areas, and will then be rigorously evaluated to determine health outcomes and effectiveness. Dependent on the outcomes of the evaluation, it is anticipated that the reach of this project will then extend beyond the Newcastle region. Aim: Greater efficiency in referral processes between general practice, specialists and hospitals in the Newcastle region, supporting improvements in efficiency, safety and quality of care.


Duration 1/07/2016 – 30/06/2017

Coverage This Activity covers the Newcastle, Lake Macquarie – East, and Lake Macquarie – West SA3s.

Commissioning approach This activity will not be commissioned or contracted, it will be managed/delivered by HNECC PHN in partnership with HNELHD.

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OP 1.2 PHN Population Health Planning

OP 1.3 Supporting General Practice

Proposed activity: OP 1.1 Stakeholder Management, Engagement and Relationships


HNECC PHN stakeholder management, engagement and building and maintaining relationships is at the forefront of PHN activities. The development of a comprehensive Engagement Plan has occurred and approaches related to specific communities and providers have been identified. HNECC PHN, CCLHD & HNELHD are currently finalising a Memorandum of Understanding (MOU). The MOU provides an overarching framework for a collaborative approach by the three organisations to create a better health care system in Hunter, New England and Central Coast regions and to improve the health of the communities living in these areas. One particular area that provides an ideal opportunity for collaborative work is consumer engagement as the general community rarely differentiates between the various sectors of the health system. In market research consumer panels have long been used to represent the population or specific target groups that organisations wish to survey and the Communication Managers from the three organisations have met and are proposing a joint initiative to develop and operate an online people bank. Innovative plans to enhance the capacity for community and provider consultation by way of ‘People Bank’ and ‘Clinician Bank’ support the governance arrangements within the organisation while enhancing our reach and feedback mechanisms. The people bank would operate as an online community reference panel where community members sign up and are invited to have their say on a variety of health issues that either of the organisations are seeking feedback on. Collaborative relationships continue with a range of stakeholders across the PHN region. In terms of collaboration with the Hunter New England LHD joint work continues on an eReferral trial involving the NSW Ministry of Health, HealthPathways involving further development and dissemination across the region. Collaboration with the Hunter Alliance includes joint activities on Diabetes, COPD and care in the last year of life, joint health planning and information sharing along with the development of shared performance indicators. HNECC PHN is also engaged positively with the Central Coast LHD with shared activity across a number of streams, including: Ambulance Alternative Pathways pilot (with NSW Ambulance); Aged Care Information Sharing Project (along with NeHTA); Central Coast Integrated Care project, common work on HealthPathways, planning and shared performance indicators and clinical and community advisory structures. The Clinical Councils across all three sub regions have held their first meetings with subsequent meetings and initial action items noted. These GP-led councils (Hunter New England Rural, Hunter Metro and Central Coast) also have representation from allied

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health and will provide the PHN Board with locally relevant perspectives on community health issues, provide advice on current and potential initiatives and be a conduit to connect with other local networks for collaboration. The Community Advisory Committees consist of community members who have a keen interest in improving the health of their communities, and an understanding of primary care and the issues which affect health outcomes. They will be committed to improving access and navigation of the health system for the members of the community in which they live. The committees work closely with each LHD, and on the Central Coast, HNECC PHN has joined with CCLHD’s Community and Consumer Engagement Committee to facilitate collaboration and avoid duplication. A Practice Support framework is being rolled out across the region, primarily to general practice using a model of practice support plans that incorporate practice data, clinical quality and outcomes and the development of patient centred models of care. A Continuing Professional Development program to further engage GPs is being supported and rolled out in the Hunter and New England subregions. Overarching all activities is the HNECC PHN stakeholder engagement framework, which is in development to assist HNECC PHN staff to development meaningful engagements across the entire stakeholder spectrum, including IAP2 mapping and continuous improvement processes. Communication to all stakeholders includes a range of options appropriate to the type of engagement required (inform, consult, involve, collaborate or empower) and is outlined on a content and communication calendar. Communication channels include, but are not limited to: web site, fact sheets, EDM newsletter distribution, email alerts, surveys, media releases, focus groups, committee meetings, public and industry forums and social media. To monitor and quantify engagement across the PHN region, a stakeholder database will support the engagement framework so as to map and report on the ‘who, what, where, why and how’ of our stakeholder engagement activities. The database is an online CRM platform that will be able to be segmented across all PHN programs and initiatives, geographic location and representative group. This will allow for the provision of an engagement health-check and to identify potential gaps in engagement activities. Online analytics for website visits, survey responses and email newsletter open rates will also be used to measure engagement and identify gaps.

Duration 1/07/2016 – 30/06/2018

Coverage These activities cover the entire PHN catchment area comprising of 15 SA3s.

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Proposed activity: OP 1.2 PHN Population Health Planning


1. The BNA will be reviewed and refined as new information, data, and learnings gained from the experience of monitoring and evaluating previous activities and investment, becomes available. In addition, further targeted work will be undertaken in Aboriginal health, cancer screening, potentially preventable hospitalisations, and maternal and child health – low birthweight babies. This resource intensive in-depth work will involve, but is not limited to the following:

Further focussed and targeted market analysis

Targeted and focussed community and clinician consultation, guided by the Community Advisory Committees and Clinical Councils

Further data interrogation

Research and literature reviews of the evidence on cost effective strategies to address health needs

Assessing capacity to benefit including Social Return on Investment

Considering available financial resources and strategic investment, and disinvestment, of funds to implement and continue strategies and actions

Joint planning, data sharing and alignment of effort and investment with the LHDs and local health providers. 2. Ongoing development of Health Planning and Commissioning database to improve the depth and quality of our data

collection and analysis. At present the database contains over 7,000 statistics collated from a range of publicly available and internal data sources, representing the most important information population health, workforce, and commissioning statistics needed for the PHN.

3. Analysis (data obtained for PAT CAT) and development of benchmarked GP Reports across the PHN region, with input from Clinical practices.

4. Review of data and identify an approach to addressing priority issues outlined in the Australian Commission on Safety and Quality in Health Care ‘Australian Atlas of Healthcare Variation’. Work with Clinical Council and LHD to identify approach to this.

5. Ongoing involvement in the Shared System Performance Working group – a partnership between HNECC PHN, CCLHD and HNELHD. The purpose of the Shared System Performance Working Group (SSPWG) is to:

Measure the collective impact and outcomes of the health services we provide to our shared communities and inspire and support high quality integrated care together

Determine shared priorities and areas of mutual interest across our organisations, initially focusing on: mental health treatment rates; cancer screening; hospital avoidance; and immunisation rates

Identify specific indicators, and sub-indicators with clear definitions, in areas of shared interest (development of a shared data dictionary)

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Develop and publish the first iteration of a shared performance dashboard – summary reporting format to communicate performance on aligned indicators which represent our shared and common goals.

6. Participate in and contribute to:

PHN state working groups - Data Needs

Central Coast Aboriginal Health Plan Data Working Group

Duration July 2016 – June 2017

Coverage Entire Hunter New England Central Coast Primary Health Network

Proposed activity: OP 1.3 Supporting General Practice


Through this activity, the HNECC PHN Practice Support and Development team supports general practices to maximise their business efficiency and sustainability, and provide high quality, evidence-informed care for their patient community. Each practice across the HNECC PHN Region has been allocated a Practice Support and Development Officer who can offer guidance and assistance in a range of vital areas including:

Practice Management Education / Professional Development Digital Health Quality Improvement / Accreditation Chronic Disease Management Preventative Health Workforce Support Immunisation Practice data extraction and analysis

Practice Support & Development Officers work with general practice staff to develop a unique Practice Support Plan that identifies priorities and key support areas. The plan clearly describes the commitment that HNECC PHN offers to practice viability and efficiency, to the development of practice staff, and to enhanced health outcomes. Practice Support Plans will be developed for 80% of the 423 practices across the region. Plans will be influenced by: national and local health priorities; the current status of practices; and the unique challenges and priorities of those practices

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Using the de-identified health data extracted from GP practices, HNECC PHN will obtain a greater depth of understanding of health priorities at a Local Government and Statistical Local Area level (as covered in NPFlex 11.0), this activity will also provide practices with a greater understanding of their practice data in relation to comparable practices.

Additional, under this activity HNECC PHN aims to improve utilisation of Practice Nurses particularly in areas of workforce shortage and assist Allied Health Providers to adopt Digital Health solutions to improve information sharing across healthcare providers.

Information will be distributed to practices via mechanisms such as the PHN website and newsletters. This information covers a range of topics such as those indicated above and other PHN programs such as eReferrals and HealthPathways.

Practice Support and Development team members will also work with practices to adopt and implement alternate Models of Care which better suit the needs of individual practice populations. Whilst it is expected that General Practices will be supported by their chosen accreditor to achieve accreditation, the activities undertaken by the Practice Support and Development team will assist in this goal.

Duration 1/07/2016 – 30/06/2017

Coverage This activity covers the entire PHN catchment area comprising of 15 SA3s.

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Strategic Vision for After Hours Funding Please note, although PHNs can plan for activities in the 2017-18 financial year, at this stage, current funding

for PHNs After Hours is confirmed until 30 June 2017 only. PHNs must not commit to spend any part of the

funding beyond 30 June 2017.

In order to increase efficiency and effectiveness of After Hours Primary Care across the Hunter, New England

and Central Coast Primary Health Network region, HNECC PHN aims to improve access and implement

innovative locally-tailored solutions using a rigorous commissioning approach. Through comprehensive

consultation with a range of stakeholders, including the Clinical Councils and Community Advisory

Committees, HNECC PHN will utilize sourced data to inform commissioning of After Hours Services. The

ongoing needs assessment will identify gaps in After Hours service provision across the region, and inform

collaborative opportunities to potentially redesign existing services, value-add to existing services and/or

implement innovative pilot models of care to address patient/consumer needs.

To achieve this strategic direction, HNECC PHN will commission service providers to deliver After Hours

Primary Care programs across the region to ensure local solutions are relevant to the population needs. The

objectives of the HNECC Afterhours Primary Health Care program may include, but are not limited to:

Develop innovative solutions to address service gaps and improve access to After Hours Primary

Health Care, ensuring ongoing consideration for vulnerable populations and those populations who

have not been well served by previous After Hours arrangements such as rural and remote

populations;

Address the lack of, or inequity of access to, After Hours Primary Health Care through targeted (and

collaborative) programmes;

Improve patient outcomes through working collaboratively with health professionals and services to

integrate and facilitate a seamless patient experience;

Address fragmentation, increase efficiency and effectiveness and implement systems to support

effective communication and continuity of care across After Hours service providers and a patient’s

regular GP;

Work with key local After Hours stakeholders, including State and Territory governments, to plan,

coordinate, and support population based After Hours Primary Health Care;

Foster local level solutions and enable a greater focus of specific target groups, particularly where

the Practice Incentives Programme (PIP) After Hours Incentive may not reach; and

Increase consumer awareness of After Hours Primary Health Care available in their community and

improve patient health literacy on the appropriate Health Services to access in the After Hours period

The After Hours Primary Care program will commission a range of locally-tailored services to meet the needs

of the population. The modalities of care that will be offered at sites across the region may comprise of:

A phone based patient streaming service (PSS) that assesses and triages calls and directs them to the

appropriate level of care that matches their clinical need

GP Led After Hours Clinics located at multiple sites in the region

On call GPs who provide home visits, including to residential aged care facilities, group homes

and other location that patients/consumers might live

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Patient transport to the nearest clinic, should this be clinically indicated

Nurse led telephone support for Residential Aged Care Facility (RACFs) to support staff and

facilitate residents with non-life threatening acute care needs being met within the facility to

avoid emergency department presentations when clinical appropriate

Nursing support to enhance the flow and coordination of care for the RACF resident during their ED

visit when an emergency department presentation is clinically appropriate

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Planned activities funded by the Primary Health Network Schedule

for After Hours Funding PHNs must use the table below to outline the activities proposed to be undertaken within the period 2016-18. These activities will be funded under the Primary

Health Networks After Hours Funding.

HNECC PHN After Hours Activities

AH 13.1 Small Town After Hours (STAH) Program

AH 13.2 Aged Care Emergency (ACE) Program

AH 13.3 GP After Hours Program – Hunter

AH 13.4 GP After Hours Program – Central Coast

AH 13.5 Innovations Funding/Grants

Proposed Activity: AH 13.1 Small Town After Hours (STAH) Program

Priority Area (eg. 1, 2, 3) 13. After Hours

Description of After Hours Activity

Activity: Extension and continuation of the Small Town After Hours (STAH) Program in the New England region, which provides telephone medical support to local hospitals for patients presenting within Triage Categories 3 - 5 when the usual general practitioner VMO is absent or otherwise unavailable.

Aim: Improved access to After Hours primary medical care for residents of small towns, and improved retention and job satisfaction of GPs working in small towns.

Duration 1/07/2016 – 30/06/2017

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Coverage This activity will cover the New England region of the HNECC PHN catchment, or the Inverell-Tenterfield, Moree-Narrabri, Tamworth-Gunnedah and Armidale SA3’s. More specifically, this activity will be delivered in the following towns: Barraba, Bingara, Boggabri, Emmaville, Manilla, Quirindi, Walcha, Warialda, and Wee Waa.


This activity is directly contracted.

This activity will be monitored through a comprehensive annual planning and quarterly reporting cycle. The provider will also provide an evaluation report at the completion of the funding cycle, which will include qualitative and quantitative data, clinician and consumer feedback and indicators of the benefit of the Service including the impact on local Emergency Departments. This data will inform the PHN’s ongoing Needs Assessment and Commissioning cycle.

Proposed Activity: AH 13.2 Aged Care Emergency (ACE) Program



Activity: Commission the After Hours – Aged Care Emergency (ACE) Program in the Hunter region. The ACE program is a nurse led model of care that provides support to Residential Aged Care Facilities (RACFs) staff to facilitate residents’ non-life threatening acute care needs being met within the facility and thus avoiding an Emergency Department (ED) presentation. Where an ED presentation is required, the ACE program will enhance the flow and coordination of the care of the patient during their ED visit.

Aim: Reduction in the need for residents of RACFs to present to an ED for non-life-threatening acute care, and where ED presentation are required, to proactively manage the presentation.

Duration 1/07/2016 – 30/06/2017

Coverage This activity will cover the Hunter region of the HNECC PHN catchment, or the SA3’s of: Newcastle; Lake Macquarie-East; and Lake Macquarie-West.



This activity will be monitored through a comprehensive annual planning and quarterly reporting cycle. The provider will also provide an evaluation report at the completion of the Program, which will include qualitative

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and quantitative data, clinician and consumer feedback and indicators of the benefit of the Service including the impact on local Emergency Departments. This data will inform the PHN’s ongoing Needs Assessment and Commissioning cycle.

Proposed Activity: AH 13.3 GP After Hours Program – Hunter



Activity: Commission a comprehensive After Hours Primary Care Service in the Hunter region. This activity may include the following components:

Phone based Assessment Service

A phone based service that assesses and triages callers and directs them to the appropriate level of care that matches their clinical need. This would consist of a call centre which is staffed by a mix of Registered and Enrolled Nurses and call takers. Service Hours are:

o Monday to Friday 5.30pm (4pm for RACF calls only) to 8am the following day

o Weekends: 12MD Saturdays till 8am Mondays

o On Public Holidays, the service will be operational for 24 hours/day The call centre staff will use evidence based algorithms to assess callers and to triage them to the most appropriate care. Referral options available to call centre staff would include:

o Health Direct o The nearest ED, o A clinic with an appointment time, o An on call GP, o NSW Ambulance, via its 000 or booked patient transport services

GP Led After Hours Clinics located at up to five sites in the Hunter region operating in the hours of:

o Monday to Friday: 6pm to 11pm o Saturday 1pm – 10pm o Sunday 9.00am to 10.00pm

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On call GPs who provide home visits, including to residential aged care facilities, group homes and other location

that patients/consumers might live

Patient transport to the nearest clinic, should this be clinically indicated

Aim: Improved access to After Hours primary medical care for residents across the Hunter region.

Duration 1/07/2016 – 30/06/2017

Coverage This activity will cover the Hunter region of the PHN catchment, or the SA3’s of: Maitland; Newcastle; Lake Macquarie-East; and Lake Macquarie-West; Port Stephens; Lower Hunter; Great Lakes; Taree-Gloucester; and Upper Hunter.



This activity will be monitored through a comprehensive annual planning and quarterly reporting cycle. The provider will also provide an evaluation report at the completion of the Program, which will include qualitative and quantitative data, clinician and consumer feedback and indicators of the benefit of the Service including the impact on local Emergency Departments. This data will inform HNECC PHN’s ongoing Needs Assessment and Commissioning cycle.

Proposed Activity: AH 13.4 GP After Hours Program – Central Coast



Activity: Commission an After Hours Primary Care Service on the Central Coast that includes up to three GP-Led

After Hours Clinics. GP After hours Clinics would be available as follows:

The Erina and Wyong clinic hours:

Monday to Friday: 7.00pm to 10.30pm Saturday 3.00pm to 10.30pm

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Erina: Sunday & Public Holidays 10.00am to 7.00pm

Wyong: Sunday & Public Holidays 1.00pm to 6.00pm

The Woy Woy clinic hours: Monday to Friday: 6.00pm to 11.00pm Saturday: 12.30pm to 11.00pm Sunday & Public Holidays: 8.00am to 11.00pm

Aim: Improved access to After Hours primary medical care for residents across the Central Coast region.

Duration 1/07/2016 – 30/06/2017

Coverage This activity will cover the Central Coast region of the HNECC PHN catchment, or the SA3’s of Wyong and Gosford.



This activity will be monitored through a comprehensive annual planning and quarterly reporting cycle. The provider will also provide an evaluation report at the completion of the Program, which will include qualitative and quantitative data, clinician and consumer feedback and indicators of the benefit of the Service including the impact on local Emergency Departments. This data will inform HNECC PHN’s ongoing Needs Assessment and Commissioning cycle.

Proposed Activity: AH 13.5 AH Innovations Funding



Activity: Commission After Hours Primary Care services that are innovative and address gaps in After Hours service provision, service ‘at risk’ populations or populations with limited access to mainstream After Hours services. Models of care that are successful will demonstrate improved methods of integration and show improved outcomes for the target population. Population groups to benefit from this funding may include:

Residential Aged Care Facilities

Regional and/or remote communities

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Culturally and linguistically diverse populations

Aboriginal and Torres Strait Islander population

Aim: Identify and pilot innovative solutions to address service gaps and improve access to After Hours Primary Health Care access to the population.

Duration 1/07/2016 – 30/06/2017

Coverage The exact coverage of this activity within the HNECC PHN catchment is yet to be determined.


This activity will be included and tested in the commissioning cycle. The key stages for this activity in the 2016/17 financial year include:

Clinical and consumer consultation – Clinical Councils and Consumer Advisory Committees, and regional stakeholder consultation when relevant;

Identification and allocation of resources – Service/Initiative design, Financial modelling, Executive, Board and budgetary approval, and Departmental approval

Two stage request for tender – open Expression of Interest and selective Request for Tender

Evaluation of tender submission and contract execution

Implementation of model of care and ongoing contract management

This activity will be monitored through a comprehensive annual planning and quarterly reporting cycle. The provider will also provide an evaluation report at the completion of the funding cycle, which will include qualitative and quantitative data, clinician and consumer feedback and indicators of the benefit of the Service including the impact on local Emergency Departments. This data will inform HNECC PHN’s ongoing Needs Assessment and Commissioning cycle.

HUNTER NEW ENGLANDAND CENTRAL COAST

An Australian Government Initiative

Core Funding After Hours Funding - hneccphn.com.au · Primary Health Networks After Hours Funding ....

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