Avo iding No Man s L and Ma rk Co rma c k Chie f E xe c utive - - PowerPoint PPT Presentation

T he he alth wor kfor c e of 2025

Avo iding No Man’ s L and

Ma rk Co rma c k Chie f E xe c utive Offic e r, He a lth Wo rkfo rc e Austra lia Unive rsity o f Sydne y 16 Aug ust 2012

Ove r vie w of today’s pr e se ntation

• 1. Ab o ut He a lth Wo rkfo rc e Austra lia
• 2. Wha t we kno w
• 3. Po la ritie s to b e ma na g e d

About He alth Wor kfor c e Austr alia

• A Co mmo nwe alth Go ve rnme nt statuto ry

autho rity e stablishe d unde r a COAG Natio nal Partne rship Ag re e me nt

• Build a sustainable he alth wo rkfo rc e that me e ts the

he althc are ne e ds o f all Australians.

• T

his wo rkfo rc e sho uld have the c apac ity to me e t the g ro wing de mands o n Australia’s he althc are syste m, arising fro m:

• an ag e ing po pulatio n
• g ro wth in c hro nic dise ase
• inc re asing c o mmunity e xpe c tatio n

HWA: How we wor k

• HWA me e ts its aims thro ug h analysis, e vide nc e -base d

planning , and prac tic al, targ e te d re fo rm

• T
• do this, we :
• de ve lo p a so und e vide nc e base to info rm natio nal

po lic y and re fo rm

• de vise po lic y and pro g rams that build wo rkfo rc e

c apac ity & fac ilitate re fo rm

• wo rk ac ro ss jurisdic tio ns, he alth & hig he r e duc atio n

se c to rs

He alth Wor kfor c e 2025

Health Wor kfor c e 2025: Doc tor s, Nur ses and Midwives

Vo lume s 1 and 2

He alth Wor kfor c e 2025

• Re le ase d by Australia’s He alth Ministe r

s o n 27 April 2012

• De taile d mo de lling o n wo rkfo rc e supply, de mand, training

and distributio n fo r do c to rs, nurse s and midwive s

• Pro je c ts numbe rs re quire d be twe e n 2012 and 2025 to

info rm:

• Pro fe ssio nal e ntry stude nts
• Po stg raduate and spe c ialist training
• I

mmig ratio n

• Wo rkfo rc e and wo rkplac e re fo rm

Why did we do it?

• T
• quantify the c urre nt he alth wo rkfo rc e
• T
• pro vide an impe tus and c o nse nsus fo r re fo rm by:
• g athe r

ing the e vide nc e

• sho wing the ne e d fo r ac tio n
• mo de lling the impac ts o f vario us po lic y o ptio ns
• T
• e mbark o n a lo ng te rm pro g ram o f prac tic al re fo rm –

training ; distributio n; immig ratio n and wo rkfo rc e / wo rkplac e re fo rm

HW2025 – Sc e nar io appr

• ac h
• Sc e nario mo de lling – to ide ntify po te ntial are as o f fo c us fo r

inno vatio n and re fo rm

• T

hre e c ate g o rie s o f sc e nario s:

• Innovation and r

efor m sc enar ios – fo r e xample , impac t o n

he alth wo rkfo rc e o f impro ve me nt in pro duc tivity, suc h as thro ug h c hang ing mo de ls o f c are , e xpande d sc o pe o f prac tic e and te c hno lo g y c hang e s

• Immigr

ation sc enar ios – fo r e xample , impac t o f c hang e s in

immig ratio n rate s

• Other

sc enar ios, inc luding hig h de mand, star

ting fro m a po sitio n o f unde rsupply, g raduate g ro wth in re g iste re d nurse s

What did we le ar n? DOCTORS

• Supply / de ma nd o f do c to rs mo ving to wa rds b a la nc e

BUT ma ldistrib utio n c o ntinue s

• By 2016: insuffic ie nt spe c ia list tra ining pla c e s fo r

pro je c te d g ra dua te s

• De pe nde nc e o n immig ra tio n c re a te s o ng o ing risk

What did we le ar

n? NURSES

• Sho rt te rm: supply o f nurse s is sta b le
• L
• ng te rm: sig nific a nt sho rtfa ll (109,490 b y 2025) due to :
• a g e ing wo rkfo rc e
• po o r re te ntio n ra te s
• he a lth utilisa tio n tre nds
• So me a re a s o f nursing a re e spe c ia lly a t risk in te rms o f

supply: me nta l he a lth a nd a g e d c a re

What did we le ar n? GEOGRAPHIC DISTRIBUTION

• Ge o g ra phic distrib utio n o f the wo rkfo rc e re ma ins a

sig nific a nt c o nc e rn, in pa rtic ula r fo r do c to rs

• Vita l tha t the pro je c te d inc re a se s in the supply o f

do c to rs a re distrib ute d to whe re the y a re mo st ne e de d

• Curre nt po lic y se tting s no t c a pa b le o f a c hie ving de sire d

shifts in distrib utio n

What did we le ar n? IMMIGRATION

• Austra lia is hig hly de pe nde nt o n immig ra tio n fo r do c to rs

a nd nurse s

• Cha ng e s to te mpo ra ry mig ra tio n c a n sig nific a ntly

impa c t the sho rt-te rm ne e d fo r he a lth pro fe ssio na ls b y ma na g ing sho rt-te rm fluc tua tio ns in supply

• I

mpro ving se lf-suffic ie nc y will re q uire c o nc urre nt a dditio na l e ffo rt a nd ne w me a sure s in tra ining a nd wo rkfo rc e re fo rm

What did we le ar n? TRAINING

• By 2016: insuffic ie nt spe c ia list tra ining pla c e s fo r pro je c te d

g ra dua te s

• NOW:
• insuffic ie nt inte rnships fo r ne wly g ra dua ting do c to rs
• insuffic ie nt e mplo yme nt o ppo rtunitie s fo r ne wly g ra dua ting nurse s
• T

ra ining must b e c o me mo re e ffic ie nt while ma inta ining Austra lia ’ s hig h-q ua lity tra ining sta nda rds

• Pro je c te d tra ining re q uire me nts a re de pe nde nt o n po lic y

c ho ic e s ma de in o the r a re a s

• T

ra ining le ve ls c a n b e sig nific a ntly lo we re d thro ug h wo rkfo rc e inno va tio n a nd re fo rm

What did we le ar n? OVERALL

• Curre nt a ppro a c he s to me e ting 2025 wo rkfo rc e de ma nd a re

no t susta ina b le

• Adhe ring to a pro fe ssio n spe c ific vie w o f the future wo rkfo rc e

ha s limita tio ns

• Curre nt po lic y se tting s a re no t a de q ua te to a ddre ss the

c ha lle ng e

• T

he de fa ult po sitio n ( do no thing diffe re ntly and re ly o n immig ratio n) is hig h risk

• Alig nme nt o f he a lth, hig he r e duc a tio n/ tra ining , immig ra tio n

a nd wo rkpla c e o b je c tive s is po o r

• L
• ng le a d time s fo r e sse ntia l c ha ng e me a n ne w po lic y

se tting s a re ne e de d NOW.

What we don’t know…

• Rapid te c hno lo gic al c hang e
• Une xpe c te d e pide mio lo gic al shifts
• Mo ve me nts in the e mplo yme nt industr

ial re latio ns landsc ape

• Adjustme nts in po lic y, funding and po litic al parame te rs –

fo r he alth, e duc atio n and re se arc h

• Variatio ns in c o nsume r e xpe c tatio ns and de mands
• I

mpac ts o f rapid e c o no mic c hang e

What we c an do

• Build e vide nc e – pro je c t with so me le ve l o f c o nfide nc e
• I

de ntify the c hang e we ne e d

• Co mmit to the c hang e – at so me c o st
• E

ng ag e / I nspire o the rs and build partne rships fo r c hang e

• Stay fle xible to re spo nd to fo rc e maje ure and wild c ards
• Atte nd to the e mbe dde rs o f status quo
• Be aware o f po laritie s

Polar itie s to be manage d in shaping the wor kfor c e of 2025

• One o f the big g e st barrie rs to c hang e is po larise d disc o urse

and po sitio ns

• I

n he alth and hig he r e duc atio n se c to rs, the e ntre nc he d po sitio ns are re adily appare nt

• Po laritie s impac t o n ide ntifying bo th the pro ble ms and the

so lutio n.

• Ho w we navig ate the po laritie s is as impo rtant as the po lic y

so lutio ns we ado pt

E ntre nc he d positions No ma n’s la nd

Polar ity 1: Syste m dr ive r s

De sig ne d,

• wne d &

drive n b y c o nsume rs De sig ne d,

• wne d &

drive n b y pro fe ssio na ls

Issue s

I nfo rma tio n e q ua lity; info rme d / he a lth lite ra te c o nsume rs; mo de o f de live ry; wo rk ho urs,

Polar ity 2: Consume r inte r fac e with the syste m

I nte rfa c e b y te c hno lo g y I nte rfa c e b y a huma n pro fe ssio na l

Issue s/ e xample s

Dia g no stic a pps; e -he a lth; te le he a lth; a va ta rs

Polar ity 3: Owne r ship of pr

• fe ssional

skills & sc ope

Owne d b y

• ne

pro fe ssio n Owne d b y g ro up o f pro fe ssio ns

Polar ity 4: Pr

• fe ssional / wor

ke r r

• le s

Do & de live r De sig n a nd

• ve rsig ht

Issue s

Ge ne ra list / spe c ia list; Prima ry / c o nsulting ; de sig ne r; na vig a to r; syste m ma na g e r; de le g a to r / supe rviso r

Polar ity 5: T r aining Dr ive r s

Wo rkpla c e Pro fe ssio n

Conc lusion

• Alig nme nt o f mo de l o f c a re de ve lo pme nt with the

wo rkfo rc e mo de l de ve lo pme nt

• I

de ntify initia l , fruitful syste m re de sig n sta rting po ints e .g .

Hig h vo lume c o nditio ns with pre dic table c are paths and / o r we ll de fine d mo de ls o f c are , and / o r po pulatio n g ro ups with pre dic table risk pro file s

• Build pra c tic a l, func tio na l g o ve rna nc e me c ha nisms fo r

ma na g ing the he a lth syste m : hig he r e duc a tio n inte rfa c e .

• Atte nd to the e mb e dde rs o f the sta tus q uo / e na b le rs o f

the future

• Addre ssing the po laritie s a nd the ir implic a tio ns fo r he a lth

pro fe ssio na l e duc a tio n a nd tra ining

F

• r more informa tion

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