The Health Care Workforce

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The Health Care Workforce

• Workforce Reform Redesign,
• SA Health
• Etienne Scheepers
• Executive Director, Workforce Development
• Department of Health

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SA Health Workforce

• SA Health employees over 30,000 people
  representing more than 27,000 full time
  equivalents.

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SA Health Workforce - profile
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SA Health Care Plan - Workforce

• We will
• Build better facilities that our health
  professionals will want to work in.
• Improve safe work practices through consolidation
  of complex services.
• Increase the teaching capacity for health
  professionals within our public health system
• Create new roles
• Reduce the pressure on the acute sector through
  new GP Plus Health Care Centres and
  out-of-hospital strategies.

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Why Reform Build New Roles?
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Changing environment

• Working age population
• Impact of baby boomer retirement
• Shifting patterns of participation
• Changes at national level
• COAG Human Capital Agenda
• National Health Hospitals Reform Commission
• National Registration

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Changing demographics
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Changing workforce numbers - nursing
Registered Nursing Workforce Numbers
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SA Medical Workforce Numbers
Changing workforce numbers medical
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Changing workforce pool

• ABS data (17 Year olds)

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Changing Models of Care
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SA Health Care Planning Principles

• Balance between in-hospital out-of-hospital
  services
• Improve coordination and integration
• Improving early intervention illness prevention
• Achieving national best practice
• Optimising access to elective and emergency
  services
• Providing safe, effective and efficient care
• Providing a consistent approach to service
  delivery
• Focus on the needs of the individual

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National State Workforce Reform
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What is Happening Nationally

• Productivity Commission Report 19 January 2006
• 21 recommendations for reform
• Focused on significant structural reform of
  governance, education and training and funding
  structures
• Emphasis on multidisciplinary approaches

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National health workforce agenda- COAG

• Establishment of a national health workforce
  taskforce
• To identify, evaluate and facilitate nationally
  significant workforce innovations
• Framework based on quality, safety and cost
  effectiveness
• Governance arrangements structured to reflect the
  public interest generally rather than represent
  the interests of particular stakeholders
• Focus on innovations that have national
  significance, including those that involve
  cross-profession collaboration.

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What is happening Locally

• SA Health Workforce Strategy Committee
• Reform Group subcommittees
• Nursing Midwifery
• Allied Health Scientific Complimentary
• Health Support
• Aboriginal Health
• Mental Health
• Medical Dental
• Corporate Workforce
• Workforce Reform Strategy
• Workforce Innovation Fund
• Links to State-wide Services Strategy

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What is Role Redesign
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Reform work design

• Objectives are to
• Reorganise work to minimise duplication of effort
  and make best use of available staff
• Deploy labour as efficiently as possible in
  accordance with skills
• Have quality and appropriate services delivered
  by staff with the necessary competencies rather
  than by any specific profession
• Extend roles commensurate with skills to provide
  greater flexibility and promote job satisfaction
  and retention
• Consider new roles (professional and assisting)
  to better focus the existing workforce

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Role Redesign

• Roles are (re)designed to
• Create new roles that need to be done under a
  coordinated reform process
• Enhance the patient journey
• Respond to declining resources
• Roles are (re)designed based on a combination of
• Service Planning
• Patient Journey assessments
• Competency mapping and skills mix
• Workforce supply

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Current Projects
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Current Role Design Projects

• Allied Health Assistants
• Physician Assistants
• Lifestyle Coordinators
• Pharmacy Assistants
• Nurse Sedationists

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