$43M is available to deliver support services to improve palliative and end of life care in Tasmania.
On 15 June 2012, the Minister for Health, the Hon Tanya Plibersek announced a $325 million Tasmanian Health Assistance Package (THAP), outlining a number of significant investments to ease pressures and equip Tasmania’s health system to meet future challenges.
The Better Access to Palliative Care in Tasmania Program is a key element of the THAP. As part of the package, funding of up to $54.95 million (GST inclusive) over four years (2012-13 to 2015-16) will be made available to increase the provision of community based palliative care, with an emphasis on providing patient centred packages of palliative care.
The Better Access to Palliative Care in Tasmania Program supports the intent of the National Health Reform Agreement (NHRA)5, agreed by COAG in August 2011 which recognises that:
- all Australians should have equitable access to high quality health care, including those living in regional and rural areas;
- the effectiveness of the healthcare system requires co-ordination between hospitals, GPs and other primary care, aged care services and other health services; and
- governments should continue to support innovation in the health system, as a crucial mechanism to achieve better outcomes.
The Better Access to Palliative Care in Tasmania Program will further support the intention of the National Palliative Care Strategy 2010 which seeks to:
- build and enhance the capacity of all relevant sectors in health and human services to provide quality palliative care;
- ensure that appropriate and effective palliative care is available to all Australians based on need; and
- support integrated and coordinated models of palliative care service provision.
On 26 July 2013, DoHA announced the following recipients:
- Tasmanian Association for Hospice & Palliative Care – $2,932,172
- Hobart District Nursing Service – $38,784,649
The overall objective of the Better Access to Palliative Care in Tasmania Program is to increase access to community based palliative care for people with life limiting illnesses nearing the end of their lives in Tasmania.
The Better Access to Palliative Care in Tasmania Program will deliver outcomes for patients which are consistent with the Tasmanian government’s commitment to actively improve the palliative care service delivery system for Tasmanians. This will include patient centred, wrap around care focused on encompassing the full suite of palliative care services to provide:
- greater choice regarding palliative and end of life care services for people with life limiting illnesses;
enhanced capacity of private, non-government and public providers to deliver home based
palliative and end of life care services;
improved continuity of care between community, primary and acute care settings; and
reduced demand on in-patient hospital services.
Component 1: Packages of Community Based Palliative Care
The successful applicant(s) will be responsible for the delivery of or arranging access to, either directly or through sub-contracting arrangements, patient centred home based palliative care services to eligible patients across one or more geographic regions of Tasmania.
Successful applicants may provide/arrange (but is not limited to) access to:
- on the ground palliative care clinical services in people’s home/usual place of residence;
- other infrastructure that supports existing services to enhance the delivery of home based care;
- palliative care specialist consultation services;
- after-hours and 24/7 services and support including outreach services in rural/remote areas;
- patient support services, including care navigation/case management services;
- carer/family centred support services, including after-hours advice/support services and limited specified bereavement services;
- respite care; and
- domestic support services.
Component 2: Infrastructure Support and Enablers
Applicants will undertake activities under Component 2 that will enhance the delivery of community based palliative care in Tasmania. It is anticipated that there will be a staged implementation of Component 2 activities to fit with current strategic palliative care service planning framework that is underway in Tasmania.
Activities to commence immediately:
- volunteer training and education, including the development of resources;
- health professional education and training, including but not limited to activities that attract continuing professional development points; and
- other capacity building activities not already identified.
Activities to commence from 2014-15:
- In consultation with DHHS and THOs
- health promotion activities relating to death, dying, end of life care and bereavement including health professional, patient, carer and community awareness raising such as advance care planning; and
- Other health promotion/ healthy dying activities not already identified.
Existing providers of palliative care and associated services are eligible to submit an application for funding including but not limited to:
- Non-profit/charitable organisations.
- For profit organisations.
- Non-government health care providers.
- Aged care providers.
- Aboriginal or Torres Strait Islander organisations.
The total value of funding available under the Better Access to Palliative Care in Tasmania Program, as announced by Minister Plibersek on 15 June 2012, is $54.95 million (GST inclusive) over the period 2012-13 to 2015-16.
Application for the Better Access to Palliative Care in Tasmania Program closes on Thursday 30 May 2013.
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