1.1 Implement voluntary GP nomination, allowing all patients to nominate their preferred or regular GP/General Practice.
- Embed the concept of the patient-centred medical home in Australia.
- Improve the coordination of long-term care for patients, leading to improved healthcare outcomes for patients.
- 80 per cent of all patients have a nominated General Practice by end of 2022.
|1.2 Medicare Benefits Schedule (MBS) rebates for GP telehealth via a patient’s nominated General Practice are available for all clinically appropriate circumstances where a face-to-face visit is not required/possible.
- More flexible access to care for patients.
- Cost and mobility barriers for patients are improved, including the need to take time off work, travel and pay for travel – thus helping the most vulnerable in our society.
- Improved productivity in both General Practice as well as the broader workforce, where telehealth is appropriate and infrastructure provided.
- Number of new telehealth MBS items and their uptake by General Practice.
|1.3 Improve access to GP coordinated community care for patients.
- Link Medicare Chronic Disease Management and health assessment items to voluntary patient nomination from 2021.
- Introduce an extended ‘Level B’ consultation to allow greater routine care of more complex patients without disrupting current routine care.
- Restructure MBS consultation items to remove the current remuneration bias so that longer, more complex consultations are better valued.
- Support patients with hard to heal wounds by funding the costs of dressings for targeted patient groups.
- Improve Medicare funding arrangements for after-hours GP services provided by a patient’s usual/ nominated General Practice.
- Improved management of chronic disease in General Practice.
- Reduction in avoidable hospital admissions.
- Reduction in some preventable presentations at emergency departments.
- Measurable increase in average GP consultation times via an established and agreed methodology and mechanism, noting the loss of the Bettering the Evaluation and Care of Health (BEACH) reporting.
- Increased access to after-hours care by patients.
|1.4 Lift caps on subsidies available through the Commonwealth Department of Health’s Workforce Incentive Program.
- Enhanced access to GP-led team-based care for patients.
- Increased employment of nurses, pharmacists and allied health professionals in General Practices.
|1.5 Improved access to GP care for elderly patients through their usual GP, ensuring continuity of care.
- Greater access to GPs in nursing homes, improved management of health conditions, falls reporting, polypharmacy.
- Significant investment in funding models that better support the delivery of GP services in nursing homes.
|1.6 Introduction of the Single Employer Model for GP trainees, offering competitive remuneration and working conditions for GP trainees.
- General Practice perceived as a more attractive career option for graduating medical students and doctors in training.
- Reverse the decline in recruitment to the GP training program and ensure that Australia has a strong GP-led primary care system.
- GP trainees have equivalent working conditions to their hospital-based colleagues.
- GP training meeting its annual recruitment targets.
- Sustainable growth in GP numbers, matched to community need.
- Increased desire of medical students to choose a General Practice career upon leaving medical school.
- Introduction of the Single Employer Model for GPs in Training by start of 2022 or 2023.
- All Australian General Practice Training (AGPT) spots filled nationally, with surety to prioritise and incentivise rural placements and areas of workforce shortage to meet community needs.
|1.7 General Practice funded and resourced to transform and innovate.
- Targeted annual rounds of infrastructure grant funding to support training and multi-disciplinary care in General Practice.
- Funding support through the Practice Incentive Program and the MBS that enables the adoption of innovative models of care including telehealth, point of care testing and remote monitoring of patients.
- Funding for ACCHOs infrastructure and practice beyond COVID-19 prevention.
- Number and take-up of grant opportunities.
- Adoption of new technology in General Practice including point of care testing, video consultations and remote monitoring.
- Conversion to 50 per cent e-prescriptions by end of 2022.
- Enhanced My Health Record upload rate.
- Increased facilities and infrastructure at ACCHOs.
- Improved access for rural and regional areas and disadvantaged communities.