The Australian general public overwhelming rejected a national medical records database but the Abbott Government is still insisting on gathering every piece of medical data on citizens that is available

On 10 May 2015 the Australian Minister for Health Sussan Ley freely admitted that two years and ten months after the federal government’s national database of personally controlled health records (PCEHR) opened for business as eHealth less-than one-in-ten Australians have decided to opt-in to this scheme.

Less than one-in-ten appears to indicate that an estimated 18 million adults have decided to not hand over their own medical records and those of their children to a federal government agency.

The Abbott Government’s response, to what can only be seen as an overwhelming rejection by both the general public and GPs, is to insist that all citizens now be mandatorily included in this national database which will allegedly have a new opt-out provision.

The reason given for this move to add every citizen to a re-worked national database is a recommendation contained in an ‘independent’ six-week review of eHealth by a three person panel ordered by then Minister for Health Peter Dutton in November 2013.

This recommendation by Messrs. Royle (Australian Private Hospitals Association), Hambleton (Australian Medical Association) & Walduck (Australia Post) was for an opt-out model to be implemented by 1 January 2015 as there was little meaningful use of the existing opt-in eHealth database.

A brief background of the evolution of this national database on North Coast Voices:

Friday, 17 April 2009  So you want to look through my medical records?

Wednesday, 10 June 2009  Federal Labor and Health Minister Roxon crossing a bridge too far

Thursday, 13 August 2009 Hoyden Laurelhed quite rightly expresses disquiet over Federal Government progression of a national e-health data base

Sunday, 24 January 2010 Australian Health Minister Nicola Roxon is not telling the truth about the Medicare e-card 

Thursday, 28 January 2010  e-Health: something's rotten in the State of Kevin

Sunday, 7 March 2010  And these are the people Rudd & Co intend to trust with access to a national database containing all your sensitive personal information?

Monday, 15 March 2010  Who's guarding the guards guarding your personal information?

Wednesday, 9 March 2011 Felling unwell? Take two aspirin and stay away from NSW hospitals

Thursday, 14 April 2011  PCEHR opt-in provision expected to allay privacy concerns. Pull the other one!

Tuesday, 13 December 2011 So you thought the Gillard Government had promised you would control your own e-Health database information?

Tuesday, 7 February 2012 eHealth – when “We told you so” gives no satisfaction

Wednesday, 7 November 2012 e-Health: join at your own risk

Tuesday, 6 May 2014 e-Health PCEHR platform: what is the Abbott Government trying to hide?

Mental health report and recommendations that the Abbott Government didn't want you to see until it had worked out how to pass the buck to the states

Australian Health Minister Sussan Ley has had the four-volume National Review of Mental Health Programmes and Services since 1 December 2014.

Despite the report being leaked to Crikey, she insisted on 15 April 2015 that; there was no sense in releasing the report before the Government had formulated a response.

On 19 April Crikey Insider sent out access links to all four volumes to its readers.

The Abbott Government has now released the full report which can be read at leisure on the Mental Health Commission website.

The report makes 25 recommendations:

Summary of recommendations

1. Set clear roles and accountabilities to shape a person-centred mental health system

Rec 1. Agree the Commonwealth’s role in mental health is through national leadership

and regional integration, including integrated primary and mental health care.

Rec 2. Develop, agree and implement a National Mental Health and Suicide Prevention

Plan with states and territories, in collaboration with people with lived

experience, their families and support people.

Rec 3. Urgently clarify the eligibility criteria for access to the National Disability

Insurance Scheme (NDIS) for people with disability arising from mental illness

and ensure the provision of current funding into the NDIS allows for a significant

Tier 2 system of community supports.

2. Agree and implement national targets and local organisational performance measures

Rec 4. Adopt a small number of important, ambitious and achievable national targets

to guide policy decisions and directions in mental health and suicide prevention.

Rec 5. Make Aboriginal and Torres Strait Islander mental health a national priority and

agree an additional COAG Closing the Gap target specifically for mental health.

Rec 6. Tie receipt of ongoing Commonwealth funding for government, NGO and

privately provided services to demonstrated performance, and use of a single

care plan and eHealth record for those with complex needs.

3. Shift funding priorities from hospitals and income support to community and primary health care services

Rec 7. Reallocate a minimum of $1 billion in Commonwealth acute hospital funding in

the forward estimates over the five years from 2017–18 into more community based

psychosocial, primary and community mental health services.

Rec 8. Extend the scope of Primary Health Networks (renamed Primary and Mental

Health Networks – PMHNs) as the key regional architecture for equitable

planning and purchasing of mental health programmes, services and integrated

care pathways.

Rec 9. Bundle-up programmes and boost the role and capacity of NGOs and other

service providers to provide more comprehensive, integrated and higher-level

mental health services and support for people, their families and supporters.

Rec 10. Improve service equity for rural and remote communities through place-based

models of care.

4. Empower and support self-care and implement a new model of stepped care across Australia

Rec 11. Promote easy access to self-help options to help people, their families and

communities to support themselves and each other, and improve ease of

navigation for stepping through the mental health system.

Rec 12. Strengthen the central role of GPs in mental health care through incentives for

use of evidence-based practice guidelines, changes to the Medicare Benefits

Schedule and staged implementation of Medical Homes for Mental Health.

Rec 13. Enhance access to the Better Access programme for those who need it most

through changed eligibility and payment arrangements and a more equitable

geographical distribution of psychological services.

Rec 14. Introduce incentives to include pharmacists as key members of the mental

health care team.

5. Promote the wellbeing and mental health of the Australian community, beginning with a healthy start to life

Rec 15. Build resilience and targeted interventions for families with children, both

collectively and with those with emerging behavioural issues, distress and

mental health difficulties.

Rec 16. Identify, develop and implement a national framework to support families and

communities in the prevention of trauma from maltreatment during infancy and

early childhood, and to support those impacted by childhood trauma.

Rec 17. Use evidence, evaluation and incentives to reduce stigma, build capacity and

respond to the diversity of needs of different population groups.

6. Expand dedicated mental health and social and emotional wellbeing teams for

Aboriginal and Torres Strait Islander people

Rec 18. Establish mental health and social and emotional wellbeing teams in Indigenous

Primary Health Care Organisations (including Aboriginal Community-Controlled

Services), linked to Aboriginal and Torres Strait Islander specialist mental health

services.

7. Reduce suicides and suicide attempts by 50 per cent over the next decade

Rec 19. Establish 12 regions across Australia as the first wave for nationwide

introduction of sustainable, comprehensive, whole-of-community approaches to

suicide prevention.

8. Build workforce and research capacity to support systems change

Rec 20. Improve research capacity and impact by doubling the share of existing and

future allocations of research funding for mental health over the next five years,

with a priority on supporting strategic research that responds to policy

directions and community needs.

Rec 21. Improve supply, productivity and access for mental health nurses and the

mental health peer workforce.

Rec 22. Improve education and training of the mental health and associated workforce

to deploy evidence-based treatment.

Rec 23. Require evidence-based approaches on mental health and wellbeing to be

adopted in early childhood worker and teacher training and continuing

professional development.

9. Improve access to services and support through innovative technologies

Rec 24. Improve emergency access to the right telephone and internet-based forms of

crisis support and link crisis support services to ongoing online and offline forms

of information/education, monitoring and clinical intervention.

Rec 25. Implement cost-effective second and third generation e-mental health solutions

that build sustained self-help, link to biometric monitoring and provide direct clinical
support strategies or enhance the effectiveness of local services.

Monsanto, Roundup and probability of cancer

East Bay Express 15 April 2015:

On March 20, the International Agency for Research on Cancer (IARC) reclassified glyphosate as a chemical that probably causes cancer. The IARC is a branch of the World Health Organization that focuses on cancer, and it combines the knowledge and expertise of epidemiologists, laboratory scientists, and biostatisticians. The IARC has been engaged in cancer research for more than five decades, and its vast experience in cancer research has led the agency to conclude that "most cancers are, directly or indirectly, linked to environmental factors and thus are preventable."

The IARC had previously designated glyphosate as possibly carcinogenic. Monsanto, a leading producer of glyphosate under the trade name Roundup, immediately issued a press release challenging the new IARC designation and contending that Roundup is safe. But Monsanto has a tremendous amount at stake. Half of the corporation's revenues come from sales of Roundup and Roundup Ready seeds, which can tolerate the herbicide. Monsanto advocates that farmers spray their fields heavily and repeatedly with Roundup in order to kill unwanted weeds, and Monsanto's corporate strategy is based on the assumption that Roundup is safe. If Roundup is found to be toxic, the entire house of cards comes tumbling down, and with it, Monsanto and biotech agriculture. The banning of glyphosate could mean bankruptcy for Monsanto.

IARC Monographs Volume 112: evaluation of five organophosphate insecticides and herbicidesonograph

Suicide is still the leading cause of premature death in Australia yet it took the Abbott Government ten months before it blinked over mental health funding cuts

In the May 2014 budget papers Australian Prime Minister Tony Abbott, along with Treasurer Joe Hockey and Finance Minster Mathias Cormann, wielded an ideological razor on health funding provided by the Commonwealth .

It has taken the Abbott Government ten long months to realise that the mental health sector, a traditionally underfunded area, could only respond to mooted federal funding cuts by reducing services or closing agencies.

The Minister for Health Sussan Ley finally announced a funding extension for a further twelve months on 2 April 2015 - two days after an Australian Bureau of Statistics media release which confirmed that suicide was still the leading cause of premature death in Australia.

It's almost as though someone in the Prime Minister's office finally put two and two together and realised that there was a public relations disaster of monumental proportions in the offing.

BRIEF BACKGROUND

Excerpt from an Australian Bureau of Statistics media release on 24 July 2010: New South Wales was found to have the lowest suicide rate at 8.6 deaths per 100,000 people for the period 2006-2010.

NSW Government Suicide by Local Health District and year:

The suicide rate for Northern NSW in 2010 was 10.7 deaths per 100,000 people and for the Mid-North Coast the rate was 6.2 per 100,000 people.

By 2013 New South Wales had a suicide rate of 9.1 per 100,000 people for 2009-2013.

In 2012-13 hospitalisation of young people aged between 15 and 24 years for intentional self-harm was significantly higher than the state average in Ballina, Byron, Clarence Valley and Coffs Harbour local government areas and, on par with the state average in Kyogle, Lismore, Tweed and Richmond Valley local government areas.

ABS 3303.0 - Causes of Death, Australia, 2013:

 There were 2,522 deaths in Australia from intentional self-harm in 2013.

(a) All causes of death data from 2006 are subject to a revisions process - once data for a reference year are 'final', they are no longer revised. Affected data in this table are: 2009-2011 (final), 2012 (revised), 2013 (preliminary). See Explanatory Notes 52-54 and Technical Note, Causes of Death Revisions, 2011 and 2012. (b) Includes ICD-10 codes X60-X84 and Y87.0. Care needs to be taken in interpreting figures relating to suicide. See Explanatory Notes 87-93. (c) Age-specific rates of deaths are the number of deaths per 100,000 population. See Glossary and Data used in calculating death rates (Technical Note) for further information. (d) The age-specific rates published in this table are calculated for the 2009-2013 reference period. As such, they may differ from age-specific rates published elsewhere in Causes of Death, which are calculated for a single year.  (e) Includes deaths of persons whose age was not stated.

(a) All causes of death data from 2006 are subject to a revisions process - once data for a reference year are 'final', they are no longer revised. Affected data in this table are: 2009-2011 (final), 2012 (revised), 2013 (preliminary). See Explanatory Notes 52-54 and Technical Notes, Causes of Death Revisions, 2011 and 2012. (b) Cells with small values have been randomly assigned to protect the confidentiality of individuals. As a result, some totals will not equal the sum of their components. Cells with a zero value have not been affected by confidentialisation. (c) Includes ICD-10 codes X60-X84 and Y87.0. Care needs to be taken in interpreting figures relating to suicide. See Explanatory Notes 87-93. (d) Includes 'other territories'. (e) Includes deaths of persons whose age was not stated.

np not available for publication but included in totals where applicable, unless otherwise indicated.

The Sydney Morning Herald 8 December 2014:

Mental health organisations are cutting services and shedding staff because of uncertainty about their funding, according to the sector's peak body.

Forty per cent of mental health agencies say they have already lost staff as a result of the uncertainty, while more than half report a reduction in services to their clients, according to a survey of 75 organisations which receive Commonwealth funding, conducted by Mental Health Australia.

Almost half of those surveyed reported difficulty in attracting new staff, and 81 per cent reported a decline in staff morale.

Fifty six per cent of organisations said they had not had communications with the government regarding the future of their Commonwealth funding after June next year, and 85 per cent reported a loss of trust in government among management and staff.

Mental Health Australia chief executive Frank Quinlan said the typically short-term funding cycles for mental health programs, a lack of clarity about how the National Disability Insurance Scheme would affect funding arrangements, and a national review of existing mental health programs had combined to create a "perfect storm of indecision."

"Nobody argues about the need for these programs but at the moment we just can't seem to find anybody to own the future of that problem," Mr Quinlan said.

Health Minister Peter Dutton is considering the review of existing services, conducted by the National Mental Health Commission, after receiving the report late last month….

Excerpt from Australian Bureau of Statistics (ABS) media release, 31 March 2015:

Suicide was once again the leading cause of death for Australian's aged 15 to 44. Suicide accounted for 2,520 deaths in 2013 at a standardised death rate of 10.7 per 100,000 people. The median age at death for suicides is lower than for many other causes at 44.5 years of age. As a result, suicide accounted for over 85,000 years of life lost making it the leading cause of premature death in Australia. [my red bolding]

ABC News 2 April 2015:

In a move worth $300 million, mental health services will have their funding renewed for a further 12 months.

The announcement made today by Health Minister Sussan Ley follows a campaign by Mental Health Australia, after some mental health services began to shut down, unsure of future funding.

Hundreds of contracts were due to end on June 30.

Ms Ley said the 12-month extension would allow services to continue to be delivered while work continued on the current Mental Health Review.

Will 'grey power' be a factor as New South Wales goes to the polls on Saturday?

COTA NEW SOUTH WALES

MEDIA RELEASE

Monday 23 March 2015

POLL SHOWS OLDER VOTERS CAN NO LONGER BE TAKEN FOR GRANTED 

IN NSW ELECTION

A poll conducted by COTA NSW during Seniors Week showed that 65% of respondents do not believe that they’re a priority for politicians in the run up to the New South Wales (NSW) election on 28 March.

“We surveyed hundreds of people attending Seniors Week events and found a high level of dissatisfaction among older voters. For too long the major parties have tended to assume that older voters are ‘rusted on’, and their votes can be taken for granted. This is no longer the case.”

Over 43% of the State’s electorate is aged 50 and over, which translates to almost 2.5 million people.

“Once again we’ve seen few election commitments targeting older voters,” said Mr Day. “We were pleased to see the Premier commit $343 million to extend vital concessions for seniors. But aside from this, we’ve seen little focus on older people’s needs.”

“Older voters helped make NSW the great state it is. They want to continue to be able to participate in the society and the economy. This means they want politicians to tell them what they’ll do so they can continue to participate in paid employment, and to have access to appropriate housing in well-planned communities. They want to know how politicians envisage a transport system that will meet the needs of all voters, and a health system that recognises the needs of people at every life stage.”

“Politicians need to appreciate that an ability to recognise the priorities of older voters is a sign of basic political understanding. If you can’t understand 43% of the NSW electorate, whose interests are you serving?”

“Older voters want substance. They want to be presented with long-range plans that set out a vision for an age-inclusive society, where older people are able to continue to participate in every aspect of life.”

“They also want to see Ageing Strategies that indicate political parties have a clear sense of how they would undertake co-ordinated, whole-of-government action to ensure such a society is achieved. Sadly, we’ve seen nothing like this from either major party in the run up to Saturday’s election.”

Letter to the Editor in The Northern Star, 13 March 2015:

Mention dementia

A number of candidates standing at the forthcoming state election have mentioned mental health services and cancer treatment as issues important to their electorates, but I have yet to hear any express an opinion on the subject of dementia.

According to Alzheimer's Australia: "Dementia is the third leading cause of death in Australia".

Dementia prevalence projections by NSW electorates on the Far North Coast expects the number of people suffering from this devastating disease to rise by 2020 to 6,903 [nsw.fightdementia.org.au, August 2014].

Broken down by electorate this comes to Ballina 1623, Clarence 1697, Lismore 1565 and Tweed 2018.

The prevalence projection for the number of people with dementia within North Coast Area Health Service boundaries in 25 year's time is 27,661.

It's time all state election candidates in NSW North Coast electorates considered the social and economic implications of these figures and inform today's voters how they will begin the task of attracting federal and state government funding for increased health and support services in the region.

Because some of today's voters may find themselves in families affected by this devastating disease tomorrow.

Judith M. Melville

Yamba

Haven't heard a word about this from Clarence electorate candidates in the 2015 NSW state election. How about you?

In January 2015 Alzheimer's Australia released its NSW Election Manifesto ahead of the 28 March 2015 state election.

On the 17 February 2015 it sent out a media release titled Call For Support For Dementia Services In The NSW Election. 

It was reported in The Coffs Coast Advocate on 7 March 2015:

ALZHEIMER'S Australia is calling for major political parties to commit to better funding for research into the disease as part of their NSW Election platforms.

Updated dementia prevalence figures have supported the call for a comprehensive state-wide dementia strategy to be implemented in NSW, across health, transport, policing, housing and other government services.

In the state electorates of Coffs Harbour, Oxley and Clarence, it's estimated that a combined total of 4,400 people are already living with dementia.

These numbers are expected to increase to 5,030 by 2020 and 9,450 by 2050.

Alzheimer's Australia NSW chief executive, The Hon John Watkins, said the number of people with dementia in NSW is now estimated to be almost 112,000.

"These figures show dementia is an issue that is only going to get bigger and we really need a whole-of-government approach to appropriately tackle the challenge," Mr Watkins said.

"This means doing things like taking a serious look at how to provide much better care for people with dementia when they need to go to hospital.

"There is a need to increase specialist palliative care for people with dementia and adequately fund health-related transport to support people living with dementia to access health and medical-related appointments.

"With the tragically high level of dementia in Aboriginal communities, we also need to look specifically at dementia care and risk reduction measures for that community…..

A number of candidates standing in the seat of Clarence at the forthcoming state election have mentioned mental health services and cancer treatment as issues important to the electorate, but I have yet to hear any express an opinion on the subject of dementia.

According to Alzheimer's Australia; Dementia is the 3rd leading cause of death in Australia (source: ABS, March 2014).

Dementia prevalence projections by NSW electorate on the Far North Coast expects the number of people suffering from this devastating disease to rise by 2020 to:

Ballina 1,623

Clarence 1,697

Lismore 1,565

Tweed 2,018

TOTAL: 6,903

The prevalence projection for the number of people with dementia within North Coast Area Health Service boundaries in twenty-five years time is 27,661.

It's time all candidates in NSW North Coast electorates considered the social and economic implications of these figure.

That mossie may do more than make you itch

Australian Government Dept. of Health National Notifiable Diseases Surveillance System - current CDNA fortnightly report:

Between 7 and 20 February 2015, there were 1,073 notifications of Ross River virus (RRV) infection, compared with 542 during the previous period and 226 during the same period last year. During the past quarter there were 2,858 notifications, 2.3 times the quarterly rolling mean of 1,226 notifications (Figure 1). Notifications from Queensland account for most of this increase, and comprise 74% (799) of the notifications during the current fortnight.

Barmah Forest virus infection: this reporting period 38 notifications

Dengue virus infection: this reporting period 112 notifications.

UPDATE

The Daily Examiner23 March 2015:

So far this year reported cases of Ross River Fever in the Northern Rivers district have totalled 319. For the same period last year there were 19 reported cases.

These figures have been mirrored across the state with almost 550 reported cases so far this year, compared to just 79 in the same period last year.

Autumn is the prime breeding season for mosquitoes and mosquito-borne viruses such as Ross River Fever and Barmah Forest Fever so the number of reported cases is expected to grow in the coming months.

Baird Government selling off the NSW Home Care Service if it wins 28 March 2015 state election

Over 18,000 people in New South Wales received federally funded high or low care community age care packages enabling them to continue living at home in 2011-12, their median age was 84.2 years.  

Most were women living in their own homes and many lived alone.

The most common reasons for people ceasing to use their age care packages was death or admission to residential age care.

The majority of agencies providing this care are not-for-profit organisations. [Australian Government Institute of Health and Welfare, Aged care packages in the community 2010–11: A statistical overview]

Before accessing this range of packages, a number of these older people would have received short-term or crisis assistance through federal government funded Home and Community Care programs administered by the state via its own Home Care Service of NSW.

This includes services such as personal care, respite care, veterans’ home care, light housework, shopping and in remote areas meals and transport [www.adhc.nsw.gov.au, 2015]. Again, many of these services are run at local levels by not-for-profit organisations.

These are the vulnerable people (along with individuals under 65 years with a disability) within the est. 50,000 Home Care Service client base that the NSW Baird Government appears to be targeting in its announcement that it intends to fully privatise this service in or before July 2016 by sale to one successful bidder.

Seventy-eight per cent of Home Care Service clients are 65 years of age or older and from culturally diverse backgrounds, most receive less than ten hours assistance per week but 2 per cent receive sixty hours or more per week [NSW Family & Community Services, 2014].

Two foreign multinational corporations have expressed an interest in this privatisation.

The first is BUPA which is predominately a private medical insurer with some hospital and age care facilities and the second is SERCO which operates public and private transport and traffic control, aviation, military weapons, detention centres, prisons, non-clinical hospital management & support services and schools on behalf of its current customers.

As the result of two separate investigations SERCO had to repay over £70 million to the U.K. Government in 2013 due to overcharging for justice/prison services and is alleged to have millions more in overcharging for national health services on the books in 2014.

It has also been the subject of a number of human rights abuse allegations and was once described as having a culture of “institutional meanness” by the U.K. Chief Inspector of Prisons [Centre for Policy Development, March 2012].

BUPA has been implicated in “inadequate treatment”/”sub-optimal nursing care” during respite care at one of its facilities on the NSW North Coast [State Coroner’s Court, Inquest 140588, 26-28 March 2014].  

In 2011 its Bexley Aged Care Facility was the scene of “unsatisfactory professional conduct…professional misconduct” including a staff member on more than one occasion making an elderly man beg for a cigarette on his hands and knees [Nursing and Midwifery Tribunal of New South Wales, Matter No: 028/2013].

In 2011-12 the U.K. Care Quality Commission found a Southampton care home run by BUPA & others in oversight partnership was “at risk” of failure two years after opening [Hon John Denham MP, February 2012] and a 2007 U.K. inquest reportedly found BUPA’s level of care provided to the 91-year-old “seriously disturbing” [Watford Observer, “Coroner condemns Bupa nursing home for death”, 23 April 2009].

Media reports state that NSW Disability Services Minister John Ajaka refused to rule out a sale of the Home Care Service to either BUPA or SERCO.

I fear this privatisation move by the Baird Government will not end well for people living in the Clarence electorate and elsewhere in the Northern Rivers region.

Preliminary investigation into proximity to natural gas wells and reported health status in Washington County, Pennsylvania

http://ehp.niehs.nih.gov/wp-content/uploads/123/1/ehp.1307732.t003.html

A U.S. peer-reviewed preliminary investigation into Proximity to Natural Gas Wells and Reported Health Status, January 2015.

And we wonder how Tony Abbott gets away with it?

For those among us still wondering how Australian Prime Minister Tony Abbott manages to convince Coalition backbenchers to toe the line with regard to his punitive policies, here is the answer – by and large they are stupid.

Take Kevin Hogan the Nationals MP for a large federal electorate on the NSW North Coast, who on the morning of 15 January 2015 was quoted in The Daily Examiner:

Member for Page Kevin Hogan said the policy would not affect Clarence Valley residents because, in the majority of cases, doctors in the region saw patients for over 10 minutes.

"I don't support the city-based corporate six-minute medicine model of healthcare where doctors churn through 10 patients every hour as a policy," Mr Hogan said.

The policy to reduce the Medicare refund by $20.10 for GP visits under 10 minutes duration would not affect Clarence Valley residents?

The estimated resident population of the Clarence Valley is in excess of 51,000 persons.

Research done at the Family Medicine Research Centre in conjunction with the Sydney School of Public Health, University of Sydney reviewed data from BEACH (a continuous national study of GP activity) and reported in June 2014 that between 1 April 2012 to 31 March 2013 only 10% of GP visits were timed as 6 minutes or less while a total of 12% were less than 10 minutes duration1.

So if every person visited the doctor only once a year it is likely that an estimated 6,120 visits to local doctors in the Clarence Valley would have been short consultations – leaving non-concessional patient(s) around $33-$38 out-of-pocket on each of these visits.

Across the entire Page electorate those GP consultations affected would have numbered over 15,994. More if one considers that Australians go to the doctor on average between 3.73 to 3.78 times a year and in NSW the figure is probably slightly higher.

Even leaving aside concessional patients within those 15,994 plus visits, that’s possibly in excess of $200,000 extra per annum that people in the electorate would have been paying from 19 January 2015 - before national outrage forced a government backdown on 15 January.

This backdown didn’t include the planned $5 across the board Medicare rebate cut for all visits to the local doctor from 1 July 2015.

This measure will see in excess of $765,000 come out of combined local pockets each year for GP visits within the Page electorate. Across the Northern Rivers region it will total an est $4.7 million per annum.

The Member for Page is clearly wrong in his assumptions.

Of course the Clarence Valley is affected by the Abbott Government’s attempts to dismantle Medicare and the health care universal safety net. His entire electorate will suffer.

Given the the last national census revealed that the Clarence Valley continues to have a higher proportion of households with incomes below $600 per week (33.8%) than New South Wales (21.7%) or Australia (21.1%) it is possible that this area will be affected more than most.

Kevin Hogan has obviously taken the Prime Minister’s word as gospel and not bothered to do any independent research himself, which given the prime minister’s track record, makes the Member for Page a very stupid politician.

1. Australia-wide in 2013-14 only 8 doctors referred to the Professional Services Review by the Department of Human Services (DHS) were the subject of "inappropriate practice" findings. In that financial year no referrals to DHS for suspected fraud were recorded.

Abbott Government health funding cuts will hit home on the NSW North Coast

New South Wales residents can expect the state public hospital system to experience a further strain on service delivery in 2015 courtesy of both federal Abbott Coalition and state Baird Coalition governments' health policies.

On 5 June 2014 The Sydney Morning Herald reported:

The Bureau of Health Information report released on Thursday shows that from January to March more than 600,000 people visited NSW public hospital emergency departments, a 2 per cent jump compared to the same time last year.

About 73 per cent of patients left emergency departments within four hours, up from 66 per cent last year, but still falling far short of the 81 per cent target…..

The new figures show that while about 97 per cent of people are getting surgery on time, some patients are still waiting more than six months.

Median waiting times for ear, nose and throat surgery are now 153 days. Gynaecology, urology and prostate surgery waits increased between seven to 10 per cent.

''NSW still has the longest waiting times for elective surgery in Australia and close to the longest in developed countries,'' said Dr McDonald. ''A 302-day median wait time for a knee replacement is just unacceptable.''

On 11 January 2015The Australian noted:

NSW has abandoned a national target for attending to people who need treatment in hospital emergency departments after the federal government cut reward payments.
Under a national partnership deal struck between the states and the commonwealth in 2011 under the Gillard government, all states were meant to have reached a benchmark of seeing 90 per cent of patients in emergency departments within four hours from January 1 this year.
The agreement included rewards of $50 million a year for reaching this target, but in the federal budget last year the government abolished the payments.
NSW Health Minister Jillian Skinner said, because of that, “there is currently no formal target tied to rewards payments”.
NSW intended to keep to last year’s target of 81 per cent instead of using the new target of 90 per cent, she said.
Although emergency department performance has been improving, it has not met national benchmarks…..

In practice this means that during a year public hospital emergency departments are expected to experience an increase in the number of patients presenting because the Abbott Government has cost-shifted its Medicare rebate cuts onto individuals and families from January 2015¹, its public hospital funding cuts have also made matters worse for those seeking treatment at hospital accident and emergency departments.

The figure below clearly shows the best that the ill or hurt in NSW could expect in late 2014 – an average wait to receive treatment of between 41 minutes and 2 hours 29 minutes for the majority attending A&E departments.

The 95th percentile represents the time period within which most people received the relevant care or treatment.

Hospital Quarterly: Activity and performance in NSW Hospitals July to September 2014

On the NSW Far North Coast this averaged out for the majority of patients seeking treatment as a wait of between 29 minutes and 2 hours 11 minutes:

http://www.bhi.nsw.gov.au/__data/assets/pdf_file/0006/251385/HQ18_EDLHD_Appendix_Tables_031214.pdf

The Australian Medical Association (AMA) is predicting that public hospital emergency department waiting times will now rise not by a factor of minutes but by hours in 2015.

1. Increased GP fees are expected to commence from mid-January 2015 and increase again in July for over 15 million Australians, as Medicare rebates cover less of general practice & specialist doctors standard fees. Many patients will be paying a standard upfront fee of $75 or more for a simple 10 minute visit to their local doctor as fewer medical practices are expected to continue bulk billing. The Medicare rebate formula would have meant that the the federal government met half of that cost for non-concessional patients. However, from 1 July 2015 the medicare rebate on a $75 fee will be reduced to $32.04 leaving the patient $42.95 out-of-pocket.
If a medical practice decides to use the AMA recommended schedule of fees and abandon bulk-billing all together, then concessional patients (such as aged and disability pensioners or children under 16 years) will also have to pay an upfront fee of $75 for a 10 minutes consultation and be $34.95 out-of-pocket.
For non-concessional patients seen by their doctor for between 6 and 10 minutes the rebate reduction will increase their out-of-pocket expense to $20.10 from 19 January rising to $25.10 after 30 June 2015.

UPDATE

A statement that needs to be taken with a grain of salt…….

The Sydney Morning Herald 15 January 2015 at 12:34pm:

The government has capitulated and scrapped its plans to next week cut the Medicare rebate by $20 for short visits to the doctor after a fierce backlash by doctors and non-government Senators, who vowed to veto the measure.

In her first act as the new Health Minister, Sussan Ley broke her holidays to announce on Thursday that the cuts - quietly introduced by her predecessor Peter Dutton late last year - are now "off the table".

Ms Ley said she was still committed to introducing price signals into Medicare including the revised $5 GP co-payment due to start July 1, but pledged to "pause, listen and consult".....