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					                                                         HEALTH WORKFORCE INITIATIVES (Current and proposed) NSW


                                                             (Based on National Health Workforce Strategic Framework)

     Principles &             Activity/Program/Project                Target Occupation /                      Outcome                        Performance               Current Status            Expected   Lead Agency Key Stakeholders Perceived Impediments
      Directions         (Please provide a brief description                Service                                                            Measures                                            project
                           of project, including aims and                                                                                                                                         duration
                                     objectives)

Ensure and sustain self sufficiency in workforce supply
1a Identifying      Workforce projections to 2015, using stock Medical, nursing &               Identification of the number of         Alignment between          Projects completed for:       Reviewed    Health           NSW Health, Health      Technical capacity,
current workforce & and flow analysis or replacement           selected allied health           undergraduate places to meet future     undergraduate places       Medical, nursing , dentistry, annually                     Services,               resources & cost
future workforce    methodologies for key health professions                                    demand                                  and projected demand       pharmacy, physiotherapy                                    Universities, DEST,
requirements                                                                                                                                                       & podiatry                                                 Health Professional



1b                      Annual Labourforce Surveys of registered Medical practitioners,         Provision of detail profiles of these   n/a                        Annual collections          on-going      Health           NSW Health, Health
                        Health Professionals in the public and   nurses, physiotherapists,      registered professions to inform                                                                                              Services,
                        private sectors.                         podiatrist, pharmacists,       workforce policy and planning.                                                                                                Universities, DEST,
                                                                 psychologists, and                                                                                                                                           Health Professional
                                                                 dentists.
1c                      Development of NSW MH 5 year Plan            Medical, nursing and allied Improved health services across an     Improvement across a      Recently published plan.     5 years       Health           NSW Health, Area
                        (NSW: A new direction for Mental Health)     health                      increased range of settings and sub-   number of outcome         Planning under way in                                       Health services,
                                                                                                 specialties to meet the MH needs of    measures, including       each domain                                                 Health professionals,
                                                                                                 the community.                         reduced prevalence of                                                                 Universities,
                                                                                                                                        mental illness in                                                                     Colleges, NGOs,
                                                                                                                                        community, reduced rate                                                               consumers, carers
                                                                                                                                        of suicide, imroved rates
                                                                                                                                        of community follow-up
                                                                                                                                        post discharge.


1d                      Mental Health Nursing Skills Acquisition     Nursing                    Increased numbers of nurses in the      Reduce utilisation of      Position appointed. Project 2 years       NSW Health,      NSW Health, Nurses,
                        Project: Appointment of Principal Advisor,                              MH workforce                            agency and casual          under way                                 Nursing and      Area Health Services,
                        MHN to oversee workforce initiatives to                                                                         nursing staff                                                        Midwifery        Colleges,
                        attract, retain and develop MHN. See                                                                                                                                                 Office, Centre   Universities, Nurses'
                        items 1g, 1h, 1i below.                                                                                                                                                              for MH           Industrial
                                                                                                                                                                                                                              organisation,
                                                                                                                                                                                                                              ANZCMHN, NGOs,
                                                                                                                                                                                                                              consumers



1e                      MHN Connect: Attract nurses (RN and          Nursing                    Increased numbers of nurses in the      Reduce utilisation of      Under way                   2 years       NSW Health,      NSW Health, Nurses Finding sufficient numebrs
                        EN) back into the workforce and into MH                                 MH workforce                            agency and casual                                                    Nursing and                         of nurses. Service
                                                                                                                                        nursing staff                                                        Midwifery                           resistance to supporting
                                                                                                                                                                                                             Office, Centre                      unskilled nurses
1f                      MH Scholarships: Attract, retain and         Nursing                    Increased numbers of nurses             Increased number of        Under way. Another round 2 years          for MH
                                                                                                                                                                                                             NSW Health,      NSW Health, Nurses, Sufficient numbers of
                        develop skilled nurses by offering                                      undertaking training in mental health   nurses with formal         planned for late 2006                     Nursing and      Universities        training places
                        scholarships for post-graduate and                                      specialty and sub-specialty courses,    qualifications in mental                                             Midwifery
                        undergraduate studies (ENs to train as                                  or training to become RNs in MH         health                                                               Office, Centre
                        RNs)                                                                                                                                                                                 for MH

1g                      MH Transition Program                        Nursing                    Development of a standardised           Availability of            Development of safe         Ongoing       NSW Health,      NSW Health, Nurses, Availability of skilled
                                                                                                mental health orientation/training      standardised transition    practitioners within 3                    Nursing and      Health Services     nurses/educators to
                                                                                                program to facilitate transition for    program recognised and     months of commencing                      Midwifery                            supervise the
                                                                                                nurses new to MH                        implemented across         employment. Improved                      Office, Centre                       implementation of the
                                                                                                                                        NSW for nurses new to      retention through formal                  for MH                               orientation/training program
                                                                                                                                        MH                         and structured support.                                                        for new nurses




Workforce distribution optimises access and is aligned with need
2a Improving       Discussions progressing with Australian     Primarily focused on the         A more streamlined process to           A more streamlined         In progress                 2005-06       Health           DoHA, DIMIA, NSW
access of overseas Government on removing barriers and         medical and the allied           appoint overseas trained health         process.                                                                              Health, OTD's
health             streamlining visa applications for overseas health workforce                 professionals.
professionals to   health professionals.
work in the health
system
2b Equitable            Cap hospital medical specialist           Medical practitioners         A more equitable distribution of        Review appointments of In progress                     2006-07       Health           NSW Health, AHS's,
distribution of         appointments in areas of adequate supply,                               medical specialist                      medical specialists                                                                   Medical specialists
medical                 to better distribute the workforce.
practitioners
2c                      Work with the Australian Government to       Medical practitioners      A more equitable distribution of        Currently being            In progress                 2006-07       Health           DoHA, NSW Health,
                        explore the introduction of geographically                              medical practitioners                   examined by COAG                                                                      Medical Practitioners
                        based provider numbers as a workforce
                        distribution mechanism.
2d                      In collaboration with the Department of      Medical practitioners      As at 31/08/05, there were an        Uptake of scheme              In progress                 2006-07       Health           DoHA, NSW Health,
                        Health and Ageing, development of a                                     estimated 47 GPs enrolled in the                                                                                              OTD's
                        graded incentive system for overseas                                    scheme providing services to a range
                        trained doctors who wish to work as GPs                                 of remote communities throughout
                        in remote locations, under the 5 years                                  NSW.
                        OTD scheme.




          9/22/2011 4:09 AM                                                                                                                                                                                                                                                      Health d819eb2e-2570-4bb0-b64d-5865ffb5e7be.xls
                                                          HEALTH WORKFORCE INITIATIVES (Current and proposed) NSW


                                                               (Based on National Health Workforce Strategic Framework)

     Principles &             Activity/Program/Project               Target Occupation /                      Outcome                         Performance                 Current Status          Expected     Lead Agency Key Stakeholders Perceived Impediments
      Directions         (Please provide a brief description               Service                                                             Measures                                            project
                           of project, including aims and                                                                                                                                         duration
                                     objectives)

2e                      Ongoing support for the employment of     Overseas Trained Medical Improved employment processes                 Yet to be determined       In progress                2006-07         Health           NSW Health, AHS's
                        overseas trained doctors into areas of    Practitioners                                                                                                                                                 OTD's
                        workforce shortage through the provision
                        of accurate and updated information and a
                        step-by-step guide to apply for jobs.


2f                      Provide opportunities/incentives for nurses Nurses                     3 month voluntary rotations from          Up to 1 FTE per Area       Proposal being developed Ongoing           NSW Health,      NSW Health, Health    Variations in numbers of
                        to undertake work rotatons in rural mental                             metropolitan to rural settings. Ongoing   Health Service allocated                                              Nursing and      Services, Health      staff willing to undertake
                        health services                                                        program across NSW supported by           for rotational position in                                            Midwifery        Professionals,        rotations to rural settings.
                                                                                               funding incentives (yet to be             rural service. Includes                                               Office, Centre   consumers             Challenges to backfilling 1
                                                                                               determined)                               inpatient and community.                                              for MH                                 FTE for 3 months from
                                                                                                                                                                                                                                                      metropolitan service

2g                      Aboriginal mental health workforce          Aboriginal health workers Aboriginal mental health trainees will TBD                            Planning                   5 years         NSW Health,      NSW Health, Health    Insufficient numbers of
                        program (traineeship program)                                         be placed in mainstream community                                                                                Nursing and      Services, Health      Aboriginal people wishing to
                                                                                              mental health teams to address the                                                                               Midwifery        Professionals,        undertake traineeships
                                                                                              high and complex needs of Aboriginal                                                                             Office, Centre   Aboriginal workers,
                                                                                              people, and to better engage with                                                                                for MH           Aboriginal
                                                                                              mental health services                                                                                                            communities,
                                                                                                                                                                                                                                consumers

2h                 Development of MHN Workload Tool in         Nurses                          Tool is implemented and data              Staffing levels are able to Preliminary trials have   Ongoing         NSW Health,      NSW Health, Health
                   response to Reasonable Workloads                                            collected                                 accommodate varying         taken place                               Nursing and      Services, Health
                   Clause (53) in Public Health System                                                                                   levels of acuity in MHS.                                              Midwifery        Professionals,
                   Nurses' and Midwives (State) Award:Tool                                                                               Tool is accepted by MHN                                               Office, Centre   consumers
                   to measure variations in inpatient workload                                                                           as a viable measure of                                                for MH
                   over time and enable flexible rostering                                                                               workload.
                   according to peaks in demand across a
                   range of service types (acute/non-
                   acute/rehab)
Ensure attractiveness of workplaces
3a Standardised         Develop a 'toolkit' to assist Area Health   All health professionals   Standardised and streamlined              Under development          In progress                2006-07         Health           NSW Health, AHS's .
recruitment             Services attract, recruit and retain both                              approach to recruitment                                                                                                          OTD's
                        local and overseas trained graduates.
3b                      Discussions continuing to achieve a State   Primarily medical          Improve recruitment processes             Under development          In progress                2006-07         Health           NSW Health, AHS's,
                        agency for overseas recruitment.            practitioners                                                                                                                                               OTD's
3c                      Ensure access to childcare and eldercare    All salaried health        Extra 195 childcare places established Increase in child acre        In progress                2006-07         Health           NSW Health, AHS's,
                        services to support recruitment and         professionals              in 2004/05 with an extra 161 under     places available                                                                          AHS employees
                        retention.                                                             negotiation. Approval received for
                                                                                               capital allocation for re-commissioned
                                                                                               Child Care Centre at Mt Druitt
                                                                                               Hospital. Two new vacation care
                                                                                               programs are in recruitment and set
                                                                                               up phase.
3d                      Review of marketing/promotional material    Students, general          Marketing/promotion of nursing career Increased enrolments in Launch in mid 2006                2006-2007       Nursing and      NSW Health, Nurses Competing with other
                        for nursing & midwifery, including mental   community, Nurses          opportunities, including MHN, to a    university and TAFE                                                       Midwifery                           agencies such as Police
                        health nursing roles.                                                  broad audience                        programs, with                                                            Office                              Force, who are currently
                                                                                                                                     commensurate increase                                                                                         undertaking professional
                                                                                                                                     in nurses choosing                                                                                            recruitment campaign
                                                                                                                                     mental health as a
                                                                                                                                     specialisation

Ensure workforce is skilled and competent
4a Skilled        Review of National Health Training                Allied Health, Health      Qualifications align with identified      Short term- Health         Draft 2 released for       June 2006       Health           NSW Health,          Complexity of professional
Workforce         Package (HTP) - provided a coordinated            Support, Dental and        workforce needs                           Training Package           comment                    Review complete                  Community Services regulation; Cost of training
                  NSW Health response to the Health                 Diagnostic support;                                                  qualifications reflect the                                                             & Health Industry
                  Training package to ensure that the               enrolled nurses &                                                    workplace skills                                                                       Skills Council, AHS,
                  national qualifications in the vocational         ambulance staff                                                      development need of
                  education and training sector reflect the                                                                              NSW Health. Longer
                  current and future workforce needs.                                                                                    term - NSW Health
                                                                                                                                         increases it up-take of
                                                                                                                                         Health Training Package
                                                                                                                                         qualification and uses the
                                                                                                                                         qualifications to support
                                                                                                                                         up-skilling of the exist
                                                                                                                                         workforce for changing
                                                                                                                                         job roles




          9/22/2011 4:09 AM                                                                                                                                                                                                                                                          Health d819eb2e-2570-4bb0-b64d-5865ffb5e7be.xls
                                                             HEALTH WORKFORCE INITIATIVES (Current and proposed) NSW


                                                                  (Based on National Health Workforce Strategic Framework)

     Principles &             Activity/Program/Project                     Target Occupation /                       Outcome                          Performance                  Current Status              Expected       Lead Agency Key Stakeholders Perceived Impediments
      Directions         (Please provide a brief description                     Service                                                               Measures                                                 project
                           of project, including aims and                                                                                                                                                      duration
                                     objectives)

4b                      Clinical Placement Project - Developing a         All health occupations      Consistent Agreement between               Implementation of a          First Draft agreement; Data              Sep-06 Health            AHS, NSW                complexity of current
                        state-wide agreement for Clinical                 requiring clinical          Health services and education              consistent agreement.        being collected on supply                                         universities, TAFE      arrangements; perceived
                        placements for AHS to use with Education          placements to satisfy the   providers that clearly identifies roles,                                and demand.                                                       NSW,                    inequity of access and need
                        Providers. Part of the project is to assess       curriculum requirements.    responsibility and resources.                                                                                                                                     to change.
                        to current demand and supply for clinical
                        placements and identifying existing formal
                        and informal relationships between
                        education providers and Health services.
                        This work will inform further work on to
                        improve the capacity of NSW Health to
                        support clinical education.


4c                      JMO Networks- review of current primary           PGY1 & 2 Junior Medical Better distribution of JMOs especially         Evaluation of Training       Report being finalised                   Jun-06 Institute of      AHS, Department of      Current selection process;
                        Allocation Centres is being finalised.            Officers; Hospital medical in rural and outer metropolitan             outcomes; JMO                                                                Medical           Health, Consumers,      lead time required to
                        Recommendations will impact on the                officer staffing           hospitals; better training outcomes for     vacancies across the                                                         Education &       NSW Medical Board       implement change.
                        current hospital groups for allocation of                                    JMOs                                        state                                                                        Training
                        Postgraduate year 1 & 2 junior medical
                        officers. It is not anticipated that these will
                        be implemented for the 2007 intakes.

4d                      IMET Reviews - vocational specialty               Trainee Physicians,         Better training outcomes and            Evaluation of training;         BPT, BST & Psychiatry         on-going          Institute of      AHS, Consumers,         Lead time to implement
                        training reviews. Three specialty training        surgeons, psychiatrists.    improved distribution of the medical    distribution of the             networks are being                              Medical           Department of           change; complexity of
                        reviews have been completed by IMET               Provision of medical        workforce especially in rural and outer workforce                       implemented.                                    Education &       Health, Medical         issues being addressed.
                        and implemented (Basic Physician                  workforce to hospitals.     metropolitan areas.                                                                                                     Training          Colleges.
                        Training, Basic Surgical Training and
                        Psychiatry. Another 6 reviews are
                        underway. The aim of the reviews to the
                        provide better governance and support for
                        trainees in AHS.

4e                      Management Training - updating                    Medical Staff in            Improved effectiveness as manager in                                    In discussion                 Ongoing           Health            NSW Health, AHS,        Medical Officer working
                                                                          management roles            NSW Health system                                                                                                                                                 hours
4f                      NSW Health Senior Leadership                      NSW Health Senior           Leaders and managers capable of            Framework implemented Steering Group being                                   Health            NSW Health, AHS,        Conflicting priorities.
                        Development Program - Build leadership            Health Executives           delivering the ambitious goals set for     across NSW Health     formed
                        capacity across NSW Health                                                    Health

4g                      Developing sub-specialty post graduate            Registered Nurses           Skilled mental health nursing              Majority of nurses           Proposal being developed 5 years                NSW Health,       NSW Health, Nurses, Sufficient numbers of nurses
                        MH nursing courses in areas of rapid                                          workforce in sub-specialties in MH         working in sub-                                                              Nursing and       Health Services,    wishing to work and train in
                        service expansion, eg. Older Persons                                                                                     specialties in MH will                                                       Midwifery         Colleges,           specialty MH areas
                        Mental Health                                                                                                            have appropriate                                                             Office, Centre    Universities,
                                                                                                                                                 qualifications                                                               for MH            consumers

4h                      Continuation of mandatory training                Medical, Nursing, Allied    Training in target areas in place          All staff receive training   Under way                     Ongoing           NSW Health,       NSW Health, Nurses, Maintaining database at
                        programs (eg. Aggression management,              Health                      across all service settings and            in priority areas                                                            Centre for MH     medical, allied     local levels to ensure all
                        suicide risk assessment, child protection)                                    professional disciplines                                                                                                                  professionals       staff receive training.
                                                                                                                                                                                                                                                                    Sustainability of trainers



4i                      Develop MH major in undergraduate                 Nursing                     MH major is available in                   More nurses choosing         Under development in a        2 years           Universities      NSW Health, Nurses,
                        nursing programs                                                              undergraduate nursing programs             MH major at                  number of universities                                            Health Services,
                                                                                                                                                 undergraduate level                                                                            Universities




Optimal use of skills and workforce adaptability
5a Retention of     The Mature Workers Demonstration                      Nurses 45 yrs +. Three      Strategies to encourage older workers Development of            12 months project to    Dec-06                          NSW Office of NSW Office of
Older Workers       Project jointly funded by the Office for              pilot sites - Ambulance     to continue contributing in the       recruitment and retention conclude December 2006.                                 Ageing        Ageing, NSW
                    Ageing and Premiers Department                        Service NSW, Greater        workforce.                            strategies.                                                                                     Primer's Dept, NSW
                                                                          Western and Northern                                                                                                                                              Health
                                                                          Sydney & Central Coast
                                                                          Area Health Services
5b                      Review and promote the scope of the               Enrolled Nurses             Increased numbers of ENs working in Skillmix reflects       Under way                                 2 years           Industry Skills   NSW Health, ENs,        Acceptance by Area Health
                        Enrolled Nurse role in MH. Develop                                            MH, and who have undertaken         increased numbers of                                                                Council           TAFE, Area Health       Services of ENs in extended
                        specialised MH training programs for ENs,                                     specialist MH training              ENs working in extended                                                                               Services                practice roles
                        including distance education.                                                                                     practice roles.


5c                      Nurse Practitioner positions to be                Nurse Practitioners         60 additional Nurse Practitioners          More effective and           Planning under way            5 years           NSW Health,       NSW Health, NPs,        Availability of sufficient
                        increased in MH across broad range of                                         working in a wide range of service         efficient service delivery                                                   Nursing and       Health Services,        numbers of nurses wishing
                        service types                                                                 types in MH                                                                                                             Midwifery         consumers               to undertake NP
                                                                                                                                                                                                                              Office                                    authorisation


5d                      Implementation of Accredited Person's             Nurses and allied           Increasing numbers of MH clinicians        Safer and more efficient In place                          Ongoing           Centre for        NSW Health, Nurses,
                        role and training program: Amendment to           professionals               becoming Accredited Persons.               enactment of the MH Act                                                      Mental Health     Health Services,
                        legislation to enable Health professionals                                                                                                                                                                              Training
                        other than medical who can complete                                                                                                                                                                                     organisations,
                        documentation to detain a person under                                                                                                                                                                                  medical
                        the MH Act                                                                                                                                                                                                              professionals, allied
                                                                                                                                                                                                                                                professionals
          9/22/2011 4:09 AM                                                                                                                                                                                                                                                                           Health d819eb2e-2570-4bb0-b64d-5865ffb5e7be.xls
                                                   HEALTH WORKFORCE INITIATIVES (Current and proposed) NSW


                                                      (Based on National Health Workforce Strategic Framework)

  Principles &              Activity/Program/Project          Target Occupation /               Outcome                      Performance         Current Status           Expected        Lead Agency Key Stakeholders Perceived Impediments
   Directions          (Please provide a brief description          Service                                                   Measures                                     project
                         of project, including aims and                                                                                                                   duration
                                   objectives)

Workforce Research
6a               Conduct climate surveys in each Area        All NSW Health Staff   To use survey information to improve To be determined   A number of Area Health     Rolling program   Health      NSW Health, AHS's
                 Health Service on a regular basis to                               retention, recruitment & satisfaction of                Services have climate
                 monitor trends in staff attitudes and                              Health staff.                                           surveys in place with plans
                 satisfaction.                                                                                                              to expand in 2005/2006.

Stakeholders to work collaboratively
Involvement of consumers in workforce activities
Involvement of carers in workforce activities




        9/22/2011 4:09 AM                                                                                                                                                                                                                      Health d819eb2e-2570-4bb0-b64d-5865ffb5e7be.xls

				
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