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 o 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 o Po stg raduate and spe c ialist training o I mmig ratio n o Wo rkfo rc e and wo rkplac e re fo rm o

Why did we do it?  T o quantify the c urre nt he alth wo rkfo rc e  T o pro vide an impe tus and c o nse nsus fo r re fo rm by: o g athe r ing the e vide nc e o sho wing the ne e d fo r ac tio n o mo de lling the impac ts o f vario us po lic y o ptio ns  T o 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 oac 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:  ios – fo r e xample , impac t o n Innovation and r efor m sc enar 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  ios – fo r e xample , impac t o f c hang e s in Immigr ation sc enar immig ratio n rate s  ios , inc luding hig h de mand, star ting fro m a Other sc enar 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 o ng te rm: sig nific a nt sho rtfa ll (109,490 b y 2025) due to : o a g e ing wo rkfo rc e o po o r re te ntio n ra te s o 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 o 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

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

Polar ity 1: Syste m dr ive r s De sig ne d, De sig ne d, o wne d & o wne d & drive n b y drive n b y c o nsume rs 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 I nte rfa c e b y te c hno lo g 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 ofe ssional skills & sc ope Owne d b y Owne d b y o ne g ro up o f pro fe ssio n pro fe ssio ns

Polar ity 4: Pr ofe ssional / wor ke r r ole s Do & de live r De sig n a nd o 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

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