The document discusses improving quality and productivity in healthcare through initiatives like the Quality, Innovation, Productivity and Prevention (QIPP) program. It examines expanding prescribing and medicines supply roles for allied health professionals, including independent prescribing for physiotherapists and podiatrists, and supplementary prescribing for dietitians. The document also outlines existing mechanisms for patient specific directions, patient group directions, and exemptions that some health professionals can currently use for prescribing, supplying, and administering medicines.