Nsw rural health plan issues paper 2013

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Nsw rural health plan issues paper 2013

  1. 1. NSW Rural Health Plan Issues Paper
  2. 2. NSW MINISTRY OF HEALTH 73 Miller Street NORTH SYDNEY NSW 2060 Tel. (02) 9391 9000 Fax. (02) 9391 9101 TTY. (02) 9391 9900 www.health.nsw.gov.au Produced by: Health System Planning and Investment NSW Ministry of Health Tel. (02) 9391 9182 Email. ruralhealth@doh.health.nsw.gov.au This work is copyright. It may be reproduced in whole or in part for study or training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires written permission from the NSW Ministry of Health. Image Credit: Destination NSW (Batlow township and surrounding countryside) © NSW Ministry of Health 2013 SHPN (IC) 130218 ISBN 978 1 74187 874 5 Further copies of this document can be downloaded from the NSW Health website www.health.nsw.gov.au July 2013
  3. 3. NSW Rural Health Plan Issues Paper NSW HealtH PaGe 1 Content Introduction ........................................................................................................2 Improvements in NSW rural health services since 2002 .................................3 NSW rural health in 2013: current initiatives supporting rural health..............5 Rural and remote health issues in 2013............................................................6 Consultation........................................................................................................8 Appendix: Current initiatives supporting rural health in NSW...........................................9
  4. 4. PaGe 2 NSW HealtH NSW Rural Health Plan Issues Paper Just over a quarter of the people in New South Wales live outside the three major cities of Sydney, Newcastle and Wollongong. There has been significant improvement and investment in rural health services since the last rural health plan was released in 2002, including a substantial increase in the rural health workforce and investment in rural health infrastructure. The following information illustrates the improvements to NSW rural health care since 2002: ■ People in rural NSW now receive 87% of their health care within their Local Health District (LHD) compared with 82% in 2002. ■ In 2013, 95% of the NSW population has access to a Cancer Care Centre within 100kms of their residence. In 2002, there was one Cancer Centre in Rural NSW. In 2013, there are six. ■ The NSW Health rural workforce increased by Medical – 59.3%, Nursing – 13.8%, Allied Health – 43.2% from 2007 to 2012. ■ The NSW Government spent $3.56 billion in 2011/12 on rural NSW health services compared with $1.72 in 2002/03. ■ The NSW Government has made a record investment of $1.7 billion in rural and regional health infrastructure in its first term of Government. But despite these improvements, health services and people living in rural and remote NSW still experience some challenges due to a range of factors including: geographic isolation, socioeconomic disadvantage, poorer access to health services, greater exposure to injury risks and Aboriginal populations with a high prevalence of health risk factors and diseases. In November 2012, the Minister for Health and Minister for Medical Research, Jillian Skinner, announced the establishment of a Ministerial Advisory Committee for Rural Health in recognition that issues faced by rural, regional and remote communities in NSW are different to those in metropolitan areas. The Committee, which reports directly to the Minister, will ensure that the voice of rural NSW is heard and provide advice to the Minister about issues of concern to rural communities. The Ministerial Advisory Committee for Rural Health is co-chaired by the Parliamentary Secretary for Regional Health, Melinda Pavey and Associate Professor Austin Curtin, a surgeon from Northern NSW. The membership comprises clinicians, community members and members of Local Health Districts (LHDs) from rural, regional and remote NSW. The committe will also assist in the development of the NSW Rural Health Plan. It is intended that the next rural health plan will identify innovative solutions for rural, regional and remote health in NSW. Noting the considerable new expenditure on health service infrastructure and the devolution of decision making to the Local Health Districts, the plan will focus on initiatives and strategies where further work is required. This Issues Paper has been drafted to support the consultation process that will be sponsored by the Ministerial Advisory Committee as part of the development of the NSW Rural Health Plan. The paper outlines the following: ■ improvements in rural health services in NSW since the release of the last NSW rural health plan in 2002 ■ current issues for rural health in NSW ■ a series of questions for the consideration of stakeholders ■ information on how stakeholders can respond to these questions and provide input into the development of the NSW Rural Health Plan (see page 8). Introduction
  5. 5. NSW Rural Health Plan Issues Paper NSW HealtH PaGe 3 Significant progress has been made since the release of the last NSW rural health plan in 2002. Information on the key achievements relating to the initiatives in the 2002 Plan is outlined below (with an emphasis on recent achievements): INITIATIVES PROPOSED IN 2002 KEY ACHIEVEMENTS SINCE 2002 Attracting and keeping doctors, nurses and allied health professionals in rural communities Considerable increases in clinician numbers illustrated by comparisons by financial year of average estimated fulltime equivalent rural staffing of Medical, Nursing, Allied Health & Oral Health and VMO by headcount. CLINICIAN TYPE JUNE 2007 JUNE 2012 VARIATION # VARIATION % Medical 724 1153 429 59.3% Nursing 9018 10259 1241 13.8% Allied Health 1263 1809 546 43.2% Oral Health Practitioners 181 202 21 11.6% Total FTE for above groups 11186 13423 2237 20.0% Visiting Medical Officer (VMO) - Headcount 2311 2778 467 20.2% Note: from 2007 to 2012 the NSW Rural Population increased by 2% There are a significant number of initiatives underway to support, develop and recruit the NSW rural health workforce including: ■ NSW Health Professionals Workforce Plan 2012-2022 ■ NSW Area of Need Program ■ Medical Specialist Outreach Assistance Program. Making health services more accessible for rural people Since 2002 specialist services in rural and remote NSW have expanded considerably: ■ Cardiac Catheterisation Laboratory services in Tamworth, Orange, Coffs Harbour and Lismore. Wagga Wagga has arrangements for this service through a private provider. ■ Specialist cancer services including radiotherapy services in Port Macquarie, Coffs Harbour, Tamworth, Wagga Wagga, Lismore and Orange Hospital. ■ Acute stroke services have been established in Coffs Harbour, Armidale, Port Macquarie, Shoalhaven, Orange, Bathurst, Tweed and Wagga Wagga. The NSW Stroke Reperfusion Program, led by the Agency for Clinical Innovation (ACI), in partnership with the Ambulance Service of NSW and the state’s Local Health Districts commenced in 2013 and is being rolled out across 20 hospitals, including Orange, Bathurst, Wagga Wagga, Tamworth and John Hunter Hospital. ■ Renal Dialysis and Trauma services have also been expanded in rural and remote NSW. ■ Mobile services have been introduced including Mobile Xray services for TB Screening in indigenous communities. The Isolated Patients Travel and Accommodation Assistance Scheme (IPTAAS) has undergone significant reforms to improve transport and accommodation support for rural patients, including: ■ From 1 January 2012, eligibility for travel and accommodation subsidies have been broadened to cover patients travelling at least 200 kilometres per week (cumulative distance). ■ These changes particularly benefit patients, such as renal dialysis and cancer patients, who have to travel regularly to access specialist medical treatment. ■ From 1 January 2013, changes have been introduced to greatly simplify the previously complex IPTAAS application process. Improvements in NSW rural health services since 2002
  6. 6. PaGe 4 NSW HealtH NSW Rural Health Plan Issues Paper INITIATIVES PROPOSED IN 2002 KEY ACHIEVEMENTS SINCE 2002 Securing the future of rural hospitals There has been a significant increase in support for rural health services, including the establishment of the Agency for Clinical Innovation (ACI) and the Health Education and Training Institute (HETI). NSW has an extensive network of telehealth services supporting a wide range of specialist services including a range of diagnostic, treatment and rehabilitation services. Telehealth services are currently available in 396 rural locations. There are numerous telehealth specialist network services operating to link rural and metropolitan facilities. Some examples are: ■ Paediatric Child Health Network linking rural sites for clinical education ■ Rural Stroke Care Co-ordinator Network linking rural stroke units with metro centres to standardise clinical guidelines and care ■ Burns referral services linking rural sites to Concord, RNSH and Westmead for diagnosis and treatment plans ■ Aged Care and Rehabilitation links with Royal Ryde Rehabilitation. The NSW Government rural and regional hospital redevelopment (including Commonwealth Government collaboration projects) schedule includes: ■ Tamworth Base Hospital – $220 million investment. New acute hospital. The project is due for completion early 2016. ■ Wagga Wagga Base Hospital – $270 million investment. Construction of 50 bed mental health unit to be completed late 2013. Hospital construction completion late 2016. ■ Dubbo Base Hospital – $79.8 million investment. Completion scheduled for mid 2015. Hospital upgrade includes Dubbo Mental Health Rehabilitation Unit which was completed February 2013. ■ Port Macquarie Base Hospital – $110 million investment. Due to be completed in 2015. ■ Kempsey Hospital – $80 million investment. Scheduled completion late 2015. ■ Lismore Hospital – $80 million investment. New and expanded emergency department with 31 spaces, plus Emergency Medicine Unit with 12 treatment spaces. Main works to commence 2014. ■ Bega, South East Regional Hospital – $170 million investment. New hospital will include an expanded emergency department, emergency medicine unit and additional operating theatres. Construction due to be completed early 2016. ■ Lachlan Health Service including the Parkes new hospital and Forbes hospital redevelopment. $12.5 million has been allocated in the 2013-14 Budget to progress the development of the Lachlan Health Service. ■ Cancer Centres, including the newly completed North West Regional Cancer Centre and the Shoalhaven Regional Cancer Centre ($10 million project in 2013). ■ As at September 2012, there were a total of 54 Multi Purpose Services operational and a total of 59 services that have been redeveloped and are delivering services under the integrated care approach of the MPS model. Current Multi Purpose Service projects include: ■ Lockhart MPS – NSW Government commitment of $8 million ■ Gulgong MPS – NSW Government commitment of $7 million ■ Peak Hill MPS – NSW Government commitment of $6 million. A voice for rural NSW The NSW Government has ensured rural communities have a stronger voice, through: ■ Appointment of the Parliamentary Secretary for Regional Health. ■ Establishment of the Ministerial Advisory Committee for Rural Health ■ Greater local decision making through the appointment of Local Health Districts and Governing Boards to allow decisions about health care to be made close to patients by local representatives who know and understand their communities, have control of their budgets and manage their workforce in a way that reflects the needs of patients. ■ Establishment of the ACI’s Rural Health Network supporting rural clinicians and services through further development and improvements to rural models of care.
  7. 7. NSW Rural Health Plan Issues Paper NSW HealtH PaGe 5 NSW rural health in 2013: current initiatives supporting rural health Recommendations and strategies included in the NSW Rural Health Plan will build on the continuing and considerable work that is underway to improve health services in rural areas. The Appendix provides information about initiatives to develop health services in rural NSW that are currently being undertaken by the Ministry of Health, Health Pillar Organisations and other health organisations. The NSW Rural Health Plan will focus on solutions, initiatives and strategies where further work is required or where there is an identified need for further development. It is proposed that the NSW Rural Health Plan build on the goals of The National Strategic Framework for Rural and Remote Health released in 2012. The goals of the Framework are that rural and remote communities will have: ■ Improved access to appropriate and comprehensive health care ■ Effective, appropriate and sustainable health care service delivery ■ An appropriate, skilled and well-supported health workforce ■ Collaborative health service planning and policy development ■ Strong leadership, governance, transparency and accountability
  8. 8. PaGe 6 NSW HealtH NSW Rural Health Plan Issues Paper Prior to the first meeting of the Ministerial Advisory Committee for Rural Health in March 2013, initial consultation was held with Committee members and the Agency for Clinical Innovation Rural Health Network. This consultation identified the following as key issues for rural and regional health: 1. Workforce issues relating to recruitment, retention and training 2. The need to work together and improve the coordination of care 3. The need for better access to specialty services and tailored rural health services models of care 4. Community expectations for health services delivered in their local areas 5. Enhanced Information and Technology 6. Strengthened Administration, Coordination and Research A summary of each of these identified issues is outlined below: 1. Workforce issues relating to recruitment, retention and training The rural health workforce needs to be developed in keeping with cross-disciplinary and generalist requirements which are particularly important in rural areas. In the overall remodelling of health practice in rural and remote areas, inter-professional education and ongoing training is essential. There is a critical need to expand existing scopes of practice and create new roles to optimise workforce capacity and to meet health care needs. The development of more advanced roles for rural General Practitioners, including in obstetrics, surgery and anaesthetics, and nurse practitioners is seen as a useful strategy to strengthen and maintain a skilled rural health workforce. It is also important to consider the roles and scopes of practice of a wide range of other health care workers including remote health workers, nurses, allied health workers, midwives, Indigenous health workers and vocationally trained workers. 2. The need to work together and improve the coordination of care Improving coordination of care and reducing the silos between local service providers such as Local Health Districts, other government agencies, community General Practitioners, Non Government Organisations, Medicare Locals and pharmacies in small rural communities is crucial. This will ensure a reduction in duplication and improved patient care. Examples identified where the coordination of care could be improved include: coordination between community services working within communities such as health and disability; Medicare Locals and their role in working with Local Health Districts in community health/ primary care delivery; improved communication between hospital, General Practitioners and pharmacies; and cross border coordination issues. 3. The need for better access to specialty services and tailored rural health services models of care To achieve better outcomes in access and equity, it is necessary to develop and apply service models and models of care that are appropriate for, and respond to, the unique challenges of delivering quality care in rural and remote settings and that support continuity of care. In NSW, significant investment has been made to improve health services in rural and remote communities and to create better, more flexible approaches to care. Yet there remains scope to apply and expand new and innovative approaches in delivery. Rural and remote health issues in 2013
  9. 9. NSW Rural Health Plan Issues Paper NSW HealtH PaGe 7 The infrastructure and care models of Regional Base Hospitals and Multi Purpose Services have been developed considerably over the last ten years. Further consideration of the models of care provided by District Hospitals is required. Rurally based general hospitals with less than 100 beds are District hospitals. Further deliberation on ways to maximise the value of these hospitals to their communities is sought. The nation-wide focus on out-of-hospital care and hospital avoidance strategies has resulted in increased numbers of patients with acute, complex conditions being cared for in the community. This requires an increase in resources and skills for Community Health services, to incorporate and utilise these changing models of care which benefit rural communities. Further solutions in patient transport also need to be considered as an issue affecting rural community access to specialty services. The difference in life expectancy between the general population and Aboriginal people, many of whom live in rural NSW, is estimated to be approximately 7-9 years. The greatest contributors to higher mortality rates and excess deaths experienced by Aboriginal people are chronic disease, in particular cardiovascular disease, mental health, diabetes, cancers, and injury. Additionally access to care (including transport issues) can be a significant issue for Aboriginal people living in rural and remote areas. A continued focus on improving the health of NSW rural Aboriginal people is required. 4. Community expectations for health services delivered in their local areas Community expectations of what services can, or should, be provided in each community was cited as a key issue. Currently, all health services are not able to be provided in all cities and towns in NSW. This is due to a variety of factors including: the viability and sustainability of service delivery; ensuring safety and quality standards; complexity of services; health workforce requirements; limited specialised equipment; and the cost of service provision. Further, ensuring that what services are deliverable is made clear, and the equity and quality n of access, is crucial. 5. Enhanced Information and Technology Improving the use, capacity and availability of technology for training, information management and delivery of health services is an issue for rural health. Further, the use of – eHealth, remote monitoring and Telehealth – as part of a coordinated and integrated service model will assist in achieving improved access and outcomes for rural and regional communities. eHealth services reduce travel time for service users, as medical expertise and advice can be provided remotely. 6. Strengthened Administration, Coordination and Research Improving administration, research capacity and support for rural Local Health Districts, particularly for small and diverse rural Local Health Districts is needed. The Health Pillar agencies and NSW Ministry of Health need to develop programs, policies and clinical guidelines in ways which rural districts can easily roll out as the health problems faced by rural and remote communities are complex and not amenable to simple or short-term solutions. Investing in research is important in developing sustainable long term solutions as outlined in the NSW Government Response to the NSW Health & Medical Research Strategic Review. This will enable the development of a better evidence base for rural health policy and service development.
  10. 10. PaGe 8 NSW HealtH NSW Rural Health Plan Issues Paper This Issues Paper has been developed to facilitate consultation with stakeholders. The following questions are for the consideration of stakeholders: 1. Do the issues outlined in this Issues Paper reflect the key issues for rural and regional health in NSW? 2. How should the delivery of NSW rural health services change in the next five years? 3. What solutions /initiatives should be considered to address the key issues for rural and regional health? 4. Are there other relevant matters which have not been identified in this Issues Paper? Consultation on this Issues Paper and on the development of the NSW Rural Health Plan will include online, written and face-to-face consultation with communities, other agencies and health services/ providers. Further information can be found on the NSW Rural Health Website: http://www.health.nsw.gov.au/rural How to make a Submission NSW Health encourages stakeholders to make submissions on any matters raised in this Issues Paper or in relation to rural health in NSW. It is requested that stakeholders provide submissions by 30 September 2013. To support the involvement of stakeholders in decision making on Government policy, services and projects, the NSW Government has developed a website for agencies and stakeholders to provide feedback. Input into the development of the NSW Rural Health Plan can be made using NSW Government Have Your Say website. Submissions on this Issues Paper may be lodged through the Have Your Say website: http://www.haveyoursay.nsw. gov.au/ Please note that the Have Your Say website is the preferred method for written input into the development of the NSW Rural Health Plan, however submissions can also be made to the contact person below. For more information about the NSW Health Rural Health Plan please contact: Ms Simone Proft, Secretariat Ministerial Advisory Committee for Rural Health NSW Ministry of Health Email. ruralhealth@doh.health.nsw.gov.au sproft@doh.health.nsw.gov.au Phone. (02) 9391 9182 Consultation
  11. 11. NSW Rural Health Plan Issues Paper NSW HealtH PaGe 9 NSW Ministry of Health Aboriginal Health NSW Aboriginal Health Plan 2013-2023 Other Initiatives: The Knockout Health Challenge (linked to obesity and chronic disease prevention initiatives); Aboriginal Injury Prevention Demonstration Projects Program. Health Protection NSW NSW Health Drinking Water Monitoring Program; NSW Health Water Unit Quality Assurance Program (QAP); Housing for Health; Aboriginal Environmental Health Officer (EHO) Training Program. Health System Planning and Investment Rural Capital Program, Rural Adult Emergency Clinical Guidelines; Telehealth (services are currently available through 628 videoconference units across the state, of which 396 are in rural locations); development of Multi Purpose Services. Integrated Care Grants Management Improvement Program (GMIP); HealthOne NSW; Pharmacy Health Check; S19(2) exemptions; NSW Government plan to increase access to Palliative Care 2012-2016; NSW Health Framework for Women’s Health 2013; Policy and Implementation Plan for Healthy Culturally Diverse Communities 2012-2016; NSW Refugee Health Plan 2011-2016; Aged Care Assessment Teams Protocols & Procedures; Home and Community Care Program (HACC); NSW Health Disability Action Plan 2009-2014; Isolated Patients Travel and Accommodation Assistance Scheme. Mental Health Community Engagement & Action Program; Specialist Mental Health Services for Older People; Housing and Accommodation Support Initiative (HASI). Nursing and Midwifery Post Graduate Rural Student Midwifery Scholarships; Rural and Remote Connect Program; Essentials of Care Program – cultural change in hospitals/health care services; Aboriginal Nursing and Midwifery Cadetship Program; Enrolled Nurse Scholarships; Increasing employment of clinical nurse, midwife educators and specialists; Re-entry to Nursing Scholarships; Development of Nursing and Midwifery Leadership Programs (HETI partnership); Intensive Care Best Practice Manual Project. Oral Health Oral Health 2020: A Strategic Framework for Dental Health in NSW including initiatives for workforce incentives, improved education and training opportunities, enhancement of Regional and Rural Oral Health Centres and improved linkages and partnerships with University programs. Voluntary Dental Graduate Year Program; Water Fluoridation Program; NSW Aboriginal Oral Health Program; NSW Oral Health Capital Strategy 2011-2020; Mobile dental vans; School-based dental clinics; Integrated health promotion; Aboriginal Oral Health “Hub and Spoke Program”; Flying Doctor “Tooth” Outreach Dental Service. APPENDIX Current initiatives supporting rural health
  12. 12. PaGe 10 NSW HealtH NSW Rural Health Plan Issues Paper Population Health Preventive Health: Healthy Children Initiative including support for: Munch and Move Program; Live Life Well @ School Program; Go4Fun; Get Healthy Information and Coaching Service® (GHS); Social Marketing to Young People – prevention of lifestyle related chronic disease. HIV & Sexually Transmissible Infections: NSW HIV Strategy: A New Era 2012-2015; NSW Sexually Transmissible Infection (STI) Plan 2013-2016; Needle and Syringe Program (NSP); Hepatitis B & C education and awareness campaigns. Tobacco: NSW Tobacco Strategy 2012-2017, including development of Quit for New Life Program for pregnant Aboriginal women. Falls Prevention: NSW Health Falls Plan – Prevention of Falls and Harm from Falls among Older People 2011-2015 including: Stepping On Program; Active and Healthy Website; Falls Network Rural Forums – with Clinical Excellence Commission, Agency for Clinical Innovation and other partners. Healthy Workers: Healthy Workers Initiative. System Relationships Diseconomies of Scale Project; Locum Review – Rural Strategy; Rural Information Technology (IT) Solutions; Cross border patient flow solutions; Rural Medical Staff Employment initiatives; LHD Diagnostics. Workforce Health Professionals Workforce Plan 2012-2022. Key components of the plan include: Integrated and comprehensive workforce planning; Effective working arrangements; Collaborative health system; Support for local decision making; Effective health professional managers and leaders; Recognition of generalist and specialist skills; Support for a skilled workforce; Effective use of health care workforce Rural Scholarships for Medical Trainees; Area of Need Program. Currently in development NSW State Health Plan; Bilateral Plan: Implementation of National Primary Health Strategic Framework; NSW Health Drug & Alcohol Plan. NSW Health Organisations Ambulance Service of NSW Stroke Reperfusion; Paramedic Connect; Authorised Care; State Cardiac Reperfusion Strategy; Aboriginal Cardiac Education Program; Rural Paramedic Scoping Project; Rural Mental Health Emergency Transport (RMHET) Project; Clinical Emergency Response System Assistance (CERS Assist). HealthShare NSW HealtheNet; Expansion of Electronic Medical Records (EMRs) in NSW; Primary Care Connectivity; Telehealth/ Teleconnectivity; e-Learning; Health Wide Area Network. Sydney Children’s Hospital Network Outreach clinics for remote and rural areas; Videoconferencing between clinicians at tertiary centres and regional sites; locum relief for isolated paediatricians; network support incorporating rural LHD partners to help rural clinicians provide quality care for children and families as close to their homes as possible.
  13. 13. NSW Rural Health Plan Issues Paper NSW HealtH PaGe 11 NSW Health Pillars Agency for Clinical Innovation (ACI) ACI has 29 Clinical Networks, Taskforces and Institutes providing forums for health professions and consumers to design and support implementation of models of care and innovation. The ACI Clinical Networks are: Aged Health; Anaesthesia Perioperative Care; Blood and Marrow Transplant; Brain Injury Rehabilitation; Burn Injury; Cardiac; Emergency Care Institute; Endocrine; Gastroenterology; Gynaecological Oncology; Institute of Trauma and Injury Management; Intellectual Disability; Intensive Care Coordination and Monitoring Unit; Musculoskeletal; Neurosurgery; Nuclear Medicine; Nutrition; Ophthalmology; Pain Management; Palliative Care; Radiology; Rehabilitation; Renal; Respiratory; Rural Health; Spinal Cord Injury; Stroke; Transition Care; Urology. There are 18 models of care that will be further developed in 2013. Cancer Institute NSW Anti-tobacco campaign; investment in cancer research; increase in access to multidisciplinary cancer teams in rural and regional areas of NSW; online tool ‘eviQ’ which provides up-to-date treatment information includes an Opioid Conversion Calculator for clinicians to safely convert one opioid regimen to an equianalgesic dose of another regimen. Clinical Excellence Commission (CEC) CEC Strategic Plan, 2012 – 2015 Between the Flags Program; Blood Watch Program; Chartbook Program; Collaborating Hospitals Audit of Surgical Mortality; Central Line Associated Bacteraemia in Intensive Care Units project; Clinical Leadership Program; Clinical Practice Improvement Training Program; NSW Falls Prevention Program; National Hand Hygiene Initiative; In Safe Hands Program; Medication Safety and Quality Program; Paediatric Clinical Practice Guidelines Audit Project; Partnering with Patients Program; Patient Safety Program; Quality Systems Assessment Program; Quality Use of Antimicrobials in Intensive Care Units Project; Special Committee Investigating Deaths under Anaesthesia; Severe Infection and Sepsis Project; Special Reviews; Undergraduate Education Program. Health Education and Training Institute (HETI) District Health Education and Training Institute Online Programs Rural Generalist Training Programs (RGTP), Rural Preferential Recruitment Program (RPR), People Management Skills Framework (PMSF), Financial Management Education Program (FMEP), Inter Professional Education (IPE), Clinicians and Executives Team Leadership (CETL) Program, NSW Rural & Remote Scholarship Program, Sister Alison Bush Mobile Simulation Centre (MSC), Rural Health and Research Congress NSW Kids & Families A strategic plan is currently being developed. Child & Youth Health: NSW Youth Health Policy 2011- 2016: Healthy bodies, healthy minds, vibrant futures; Youth Health Forums; Sustaining NSW Families; Specific Child Health Network projects: RESUS4KIDS; Allied Health Education and Support project; Development of paediatric capacity across the Northern Child Health Network (NCHN); Obesity program (in Orange). Aboriginal Child Health: Aboriginal Maternal and Infant Health Service (AMIHS) program. Building Strong Foundations for Aboriginal Children, Families and Communities (BSF).
  14. 14. PaGe 12 NSW HealtH NSW Rural Health Plan Issues Paper
  15. 15. SHPN (IC) 130218

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