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Sector Development Forum

Sector Development Forum. Budgets and Health Reform 24 May 2010. ACT Budget 2010-11. Overall impressions of the 2010-11 ACT Budget: “No Frills” few new initiatives and cuts to public sector spending, but no cuts to community sector. Community sector indexation of 3.3%

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Sector Development Forum

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  1. Sector Development Forum Budgets and Health Reform 24 May 2010

  2. ACT Budget 2010-11 • Overall impressions of the 2010-11 ACT Budget: • “No Frills” few new initiatives and cuts to public sector spending, but no cuts to community sector. • Community sector indexation of 3.3% • Return to surplus in 2013/14

  3. ACT Budget – Mental Health • $4.2 million growth funding over 4 years • Part of 2008 election commitment of $14.5 million additional funds to mental health services by 2012 • Split 50/50 between Mental Health ACT and community mental health sector. • For PPEI services, community based recovery and rehabilitation services, clinical services and individual advocacy. • TBA number of mental health sub-acute beds • From the recent National Health Reform Package – 22 beds for the ACT. • A portion will be allocated to mental health. • Possible – new mental health step up/step down facility for people aged 18-25 years.

  4. ACT Budget – Community MH Growth Funding • $2.1 million over 4 years. • Target areas identified include services for young Aboriginal and Torres Strait Islander people, vocational rehabilitation, out-of-hours outreach services and individual advocacy. • Stretched too thin?

  5. ACT Budget – What’s not there • No funding for construction of the Adolescent and Young Adult Inpatient Facility • Mental Health Legal Centre • Enhancement of Supported Accommodation options • No funding for community sector AOD services. • No funding for through-care services for AMC prisoners.

  6. ACT Budget – Other items of interest • $9.468 millon over 4 years for ‘Growth in Home and Community Care Services’. • $424,000 to ‘Carers Advocacy Service’. • $2.5 million over 3 years for ‘A Place to Call Home’ – additional housing for homeless families. • $750,000 in 2010-11 for the ‘Refurbishment of the Early Morning Drop-In-Centre’.

  7. COAG Health Reform Package • National Health and Hospitals Commission report – followed by Federal Government consultation with hospitals and health professionals. • Federal Government intention to take over 60% of funding responsibility for hospitals and 100% for primary health (possibly including community MH). • COAG meeting 19 & 20 April – all states, except WA, agreed to a compromise package involving all hospital funding going to a single authority to be distributed to Local Hospital Networks.

  8. Commonwealth Budget 2010-11 • $7.3 billion for Health and reform – the big ticket item… • $467 million for E-Health • Health funding to deliver: • Capping ED waiting times at four hours • More than 1300 sub-acute beds • Up to 450 new GP super clinics • An extra 5500 GP training places, along with 680 specialist traineeships and 5400 pre-vocational GP training places • GP practices to employ 4600 practice nurses

  9. Mental Health Funding • $78.8 million to deliver up to 30 new headspace services and provide extra funding for the existing 30 headspace sites. • $25.5 million to expand the Early Psychosis Prevention and Intervention Centre model. • $13.0 million over two years to employ 136 specialist mental health nurses. • $58.5 million for care packages to better support up to 25,000 people with severe mental illness in a primary care setting ($2340 per person). • Removal of access to Medicare rebates for new clients accessing social workers and occupational therapists under the Better Access to Mental Health Services Program (replacement program – from April 2011).

  10. Commonwealth Budget – what else? • Extension of income management • Tightening of assessment process for the Disability Support Pension • Weekly income support payments under the Homelessness strategy • $8 million increase in funding to disability employment services for people with intellectual disabilities • $7 million to resource the national disability strategy • $16.7 million for men’s health

  11. Commonwealth Budget - comments • The Government has yet to explain why it is pumping all its precious fuel into acute health while mental health is left to run on fumes”. (Prof Patrick McGorry) • “Mental health consumers and carers would be rightly dissatisfied with this Budget. It falls a long way short of supporting desperately needed mental health reform”. (David Crosbie/MHCA)

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