Primary Health Networks

Primary Health Networks Drug and Alcohol Treatment Activity Work Plan 2016-17 to 2018-19 Drug and Alcohol Treatment Budget Gippsland When submitting this Activity Work Plan 2016-2018 to the Department of Health, the PHN must ensure that all internal clearances have been obtained and has been endorsed by the CEO. The Activity Work Plan must be lodged via email victasphn@health.gov.au on or before 6 May 2016. 1

Introduction Overview The activities under the Drug and Alcohol Treatment Services Annexure to the Primary Health Networks Programme Guidelines will contribute to the key objectives of PHN by: Increasing the service delivery capacity of the drug and alcohol treatment sector through improved regional coordination and by targeting areas of need, and Improving the effectiveness of drug and alcohol treatment services for individuals requiring support and treatment by increasing coordination between various sectors, and improving sector efficiency. Each PHN, in accordance with the guidance provided by the Department, must make informed choices about how best to use its resources to achieve these drug and alcohol treatment objectives, contributing to the PHN s key objectives more broadly. Together with the PHN Needs Assessment and the PHN Performance Framework, PHNs will outline activities and describe measurable performance indicators to provide the Australian Government and the Australian public with visibility as to the activities of each PHN. This document, the Activity Work Plan template, captures those activities. This Drug and Alcohol Treatment Activity Work Plan covers the period from 1 July 2016 to 30 June 2019. To assist with PHN planning, each activity nominated in this work plan can be proposed for a period of between 12 months and 36 months. Regardless of the proposed duration for each activity, the Department of Health will require PHNs to submit updates to the Activity Work Plan on an annual basis. This Drug and Alcohol Treatment Activity Work Plan template has the following parts: 1. The Strategic Vision of each PHN, specific to drug and alcohol treatment. 2. The Drug and Alcohol Treatment Services Annual Plan 2016-17 to 2018-2019 which will provide: a) A description of planned activities funded under the Schedule: Drug and Alcohol Treatment Activities, Item B.3 Drug and Alcohol Treatment Services Operational and Flexible Funding b) A description of planned activities funded under the Schedule: Drug and Alcohol Treatment Activities, Item B.4 Drug and Alcohol Treatment Services for Aboriginal and Torres Strait Islander people Flexible Funding 3. The Proposed Operational and Flexible Funding Stream Budgets for 2016-17: a) Budget for Drug and Alcohol Treatment Services Operational and Flexible Funding b) Budget for Drug and Alcohol Treatment Services for Aboriginal and Torres Strait Islander people Flexible Funding 2

Annual Plan 2016-17 to 2018-2019 Annual plans for 2016-17 to 2018-2019 must: Provide a coherent guide for PHNs to demonstrate to their communities, general practices, health service organisations, state and territory health services and the Commonwealth Government, what the PHN is going to achieve (through performance indicator targets) and how the PHN plans to achieve these targets; Be developed in consultation with local communities, Clinical Councils, Community Advisory Committees, state/territory governments and Local Hospital Networks as appropriate; and Articulate a set of activities that each PHN will undertake, using the PHN Needs Assessment as evidence, and measuring performance against Local Performance Indicators (where appropriate) and targets to demonstrate improvements. Activity Planning The PHN Needs Assessment will identify local priorities which in turn will inform and guide the activities nominated for action in the 2016-17 to 2018-19 Annual Plan. PHNs need to ensure the activities identified in the annual plan also correspond with the Activity Objectives and Actions eligible for grant funding identified in Annexure A2 Drug and Alcohol Treatment Services. The Drug and Alcohol Treatment Annual Plan will also need to take into consideration the PHN Objectives and the PHN key priorities. Drug and Alcohol Treatment Services Funding From 2016-17, PHNs will undertake drug and alcohol treatment planning, commissioning and contribution to coordination of services at a regional level, to improve sector efficiency and support better patient management across the continuum of care. Having completed needs assessments for their regions, PHNs will now identify the appropriate service mix and evidence based treatment types suitable to meet the regional need. The Drug and Alcohol Annual Plan will complement the information in the Needs Assessments, and should be used to record the activities you intend to fund. The Commissioning of Drug and Alcohol Treatment Services guidance document will assist you in understanding the Department s expectations in relation to activities that are in scope for funding, and will assist you in translating drug and alcohol treatment evidence into a practical approach. Measuring Improvements to the Health System National headline performance indicators, as outlined in the PHN Performance Framework, represent the Australian Government s national health priorities. PHNs will identify local performance indicators to demonstrate improvements resulting from the activities they undertake in relation to the commissioning of Drug and Alcohol Treatment Services. These will be reported through the Six Month and Twelve Month Performance reports and published as outlined in the PHN Performance Framework. 3

Activity Work Plan Reporting Period and Public Accessibility The Drug and Alcohol Treatment Activity Work Plan will cover the period 1 July 2016 to 30 June 2019. A review of the Drug and Alcohol Treatment Activity Work Plan will be undertaken on an annual basis (in both 2017 and 2018) and resubmitted as required in accordance with Item F of the Schedule: Drug and Alcohol Treatment Activities. Once approved by the Department, the Annual Plan component must be made available by the PHN on their website as soon as practicable. The Annual Plan component will also be made available on the Department of Health s website (under the PHN webpage). Sensitive content identified by the PHN will be excluded, subject to the agreement of the Department. It is important to note that while planning may continue following submission of the Activity Work Plan, PHNs can plan but must not execute contracts for any part of the funding related to this Activity Work Plan until it is approved by the Department. Further information The following may assist in the preparation of your Activity Work Plan: PHN Grant Programme Guidelines: Annexure A2 Drug and Alcohol Treatment Services; Guidance for PHNs: Commissioning of Drug and Alcohol Treatment Services; Drug and Alcohol Treatment Services Needs Assessment Toolkit; PHN Needs Assessment Guide; PHN Performance Framework; Primary Health Networks Grant Programme Guidelines. Clause 3, Financial Provisions of the Standard Funding Agreement; Please contact your Grants Officer if you are having any difficulties completing this document. 4

1. Strategic Vision for Drug and Alcohol Treatment Funding The Gippsland PHNs Strategic Objectives underpin all activities commissioned and performed by Gippsland PHN. The strategic objective is defined as Improved health outcomes for people with chronic disease and those patients at risk of poor health outcomes. At a Gippsland PHN level this overall objective will be achieved by improving coordination of care that ensures patients receive the right care in the right place at the right time, a lower prevalence of national and locally prioritised conditions and increased efficiency and effectiveness of medical services and other primary health services. Key Gippsland PHN documents that govern the implementation of our Alcohol and Other Drug (AOD) priorities are: Commissioning Framework Procurement Framework Performance Framework Regional planning and Sector Development Two Mental Health & Alcohol and Other Drug (AOD) program officers will be utilised from the existing Gippsland PHN staffing pool in roles dedicated to effectively implementing the objectives and activities of the Mental Health and AOD programs. These positions will work with all relevant stakeholders on regional drug and alcohol planning, in collaboration with Gippsland PHN teams, and delivering: Work with stakeholders to contribute to a Gippsland drug and alcohol action plan. Contribution to data collection, and market analysis to support understanding of Gippsland system. Participate in sector discussion (including with the Department of Health and Human Services, Catchment Based Planning, local service providers, local hospital networks and Aboriginal Community Controlled Health Organisations) regarding drug and alcohol sector needs including dual diagnosis, service delivery and treatment planning, sector efficiency, and the identification of partnerships in addressing these needs. Identify and contribute to development of referral pathways and resources to support and enable the coordination of services at a regional level including cross sectoral and integrated approaches. Identify key issues, including patient management, data and discussion points for Gippsland PHN to explore with Clinical Councils and Community Advisory Committee. Seek ways to integrate the drug and alcohol continuum of care with digital health and system integration mechanisms (e.g., myhealth record, e-referral, HealthPathways). This position will use current data to determine specific need, although will have a particular focus on Methamphetamines. Increased Service Delivery Capacity Gippsland PHN will utilise our Commissioning, Procurement and Performance Frameworks to commission services to address gaps identified in the Gippsland PHN Needs Assessment following further review, engagement and consultation with regional stakeholders including the Department 5

of Health and Human Services, local service providers, Local Hospital Networks and the Aboriginal Community Controlled Health Organisations. Clear governance arrangements will be in place and include representation from regional stakeholders including Local Hospital Networks, State Government and specialist drug and alcohol service providers. Initial indications of need suggest there is a need for particular focus on: providing support to family and carers of people misusing substances (including methamphetamines); early, timely and brief interventions for specific community groups; culturally appropriate treatment services for Indigenous people residing outside East Gippsland; piloting co location of treatment services within GP practices; and youth outreach to support rural and remote areas not currently supported by existing services. Commissioning of services will support organisations providing evidence based treatment for clients using a range of substances including methamphetamine. This will include flexible support in addition to complementing the stepped care model via provision of short term early intervention services. 6

2. (a) Planned activities: Drug and Alcohol Treatment Services Operational and Flexible Funding PHNs must use the table below to outline the activities proposed to be undertaken within the period 2016-17 to 2018-19. These activities will be funded under the Schedule: Drug and Alcohol Treatment Activities, Item B.3 Drug and Alcohol Treatment Services Operational and Flexible Funding. Refer to PHN Grant Programme Guidelines: Annexure A2 Drug and Alcohol Treatment Services and Guidance for PHNs: Commissioning of Drug and Alcohol Treatment Services for the list of in-scope activities. It is emphasised that PHNs are to consider strategies to support the workforce in delivering the proposed activities through promoting joined up assessment processes and referral pathways, and supporting continuous quality improvement, evidence based treatment and service integration. Note 1: Please copy and complete the table as many times as necessary to report on each activity. Note 2: Indicate within the duration section of the table the period of time between 2016 and 2019 in which the activity will be undertaken. Proposed Activities Regional Strategy & Sector Development Drug and Alcohol Treatment Services Objectives: Objectives 1, 2, 4, 6 Gippsland PHN AOD Needs Assessment Priorities: Drug and Alcohol Treatment Priority Area / Reference (e.g. Priority Reference 1, 2, 3) Priority 2 - Work closely with peak bodies to develop and implement a collaborative, whole of system approach to AOD treatment in Gippsland. Priority 8 - Develop and implement a no wrong door policy for AOD clients. Priority 9 - Promote the AOD service pathways to general practice. Activity Title / Reference (e.g. Activity 1.1, 2.1, etc.) Description of Drug and Alcohol Treatment Activity 1.1 Regional Strategy & Sector Development Two Mental Health & Alcohol and Other Drug (AOD) program officers will be utilised from the existing Gippsland PHN staffing pool in roles dedicated to Mental Health and AOD programs. These positions will be dedicated to working with all relevant stakeholders on regional drug and alcohol planning, in collaboration with Gippsland PHN teams, and delivering: Contribution to a Gippsland drug and alcohol action plan. 7

Collaboration Indigenous Specific Duration Coverage Commissioning approach Performance Indicator Contribution to data collection, and market analysis to support understanding of Gippsland system. Participate in sector discussion (including with the Department of Health and Human Services, local service providers, local hospital networks and Aboriginal Community Controlled Health Organisations) regarding drug and alcohol sector needs including dual diagnosis, service delivery and treatment planning, sector efficiency, and the identification of partnerships in addressing these needs. Identify and contribute to development of referral pathways and resources to support and enable the coordination of services at a regional level including cross sectoral and integrated approaches, including contributing to the Gippsland HealthPathways Program. Identify key issues, including patient management, data and discussion points for Gippsland PHN to explore with Clinical Councils and Community Advisory Committee. Seek ways to integrate the drug and alcohol continuum of care with digital health and system integration mechanisms (e.g., myhealth record, e-referral, HealthPathways). This position will use current data to determine specific need, although will have a particular focus on Methamphetamines. Gippsland PHN will seek co-investment from local health services, private health insurers, and state Government. This coinvestment is important to ensure best value for funding amounts and demonstrates meaningful collaboration. In addition to the Gippsland Alcohol and Drug Service Providers Alliance we will be actively seeking collaboration from the Aboriginal Community Controlled Health Organisations, Local Hospital Networks, General Practice and specific specialists in key areas, for example the Victorian Pharmacotherapy Network. No July 1 st 2016 - September 30 th 2016: Initial planning October 1 st 2016 - June 30 th 2019: Development work and ongoing planning. Entire PHN region The approach in this instance will be focused on Direct Delivery. Throughout our needs assessment, Gippsland PHN was unable to identify one particular role or organisation within the region that could provide this impartial coordination and collaboration role. The performance indicators for this priority are output indicators: A thorough report detailing needs assessment and data analysis of the Gippsland region. 8

Local Performance Indicator target Data source As above. As above. Three identified AOD clinical pathways established regarding referral and treatment via the HealthPathways platform. Proposed Activities - Increased Service Delivery Capacity Drug and Alcohol Treatment Services Objectives: Objectives 1, 2, 3 Gippsland PHN AOD Needs Assessment Priorities: Drug and Alcohol Treatment Priority Area / Reference (e.g. Priority Reference 1, 2, 3) Activity Title / Reference (e.g. Activity 1.1, 2.1, etc.) Priority 1 - Invest in placed based commissioning of AOD treatment services, which are additional to existing funding services and are responsive to the gaps and needs outlined in the AOD Needs Assessment. These needs include family and carer support, early intervention, brief treatment and youth AOD outreach. Priority 11 - Promotion of AOD services to GP s and others and consider piloting co-location of AOD treatment services with GP Clinics to promote a more integrated response. 1.2 Increased Service Delivery Capacity Gippsland PHN will utilise our Commissioning, Procurement and Performance Frameworks to commission services to address gaps identified in the Gippsland PHN Needs Assessment following further review, engagement and consultation with regional stakeholders including the Department of Health and Human Services, local service providers, Local Hospital Networks and the Aboriginal Community Controlled Health Organisations. These activities will have a sole focus on early intervention, treatment and relapse prevention. Description of Drug and Alcohol Treatment Activity Initial indications of need suggest there is a need for particular focus on providing evidence based support to family and carers of people misusing substances (including methamphetamines), early, timely and brief interventions for specific community groups, culturally appropriate treatment services for Indigenous People residing outside East Gippsland, piloting co-location of treatment services within GP practices and youth outreach to support rural and remote areas not currently supported by existing services. Commissioning of services will support organisations providing evidence based treatment for clients using a range of substances including methamphetamine. This will include flexible support in addition to complementing the stepped care model via provision of short term early intervention services. 9

Collaboration Indigenous Specific Duration Gippsland PHN will seek co-investment from local health services, private health insurers, and state Government. This coinvestment is important to ensure best value for funding amounts and demonstrates meaningful collaboration. In addition to the Gippsland Alcohol and Drug Service Providers Alliance we will be actively seeking collaboration from the Aboriginal Community Controlled Health Organisations, Local Hospital Networks, General Practice No Commissioning with services commencing from October 1st 2016 June 30th 2019 Coverage Commissioning approach Performance Indicator Local Performance Indicator target Data source Entire PHN region. Specific commissioning will also be based on the GPHN needs assessment and additional consultation with service providers regarding geographical need. Providers will be commissioned in line with Gippsland PHN Commissioning and Procurement Frameworks. Contracted services will be monitored and evaluated via contract management and in line with the Gippsland PHN Performance Framework and Balanced Scorecard, with reporting of Key Performance Indicators attached to release of funding through the contract period. Performance indicators will initially be output indicators, relevant to clinical service, such as referral numbers and session numbers. Over the three year period, outcome indicators will be developed in collaboration with service providers, consumers and other key stakeholders. Performance targets will be set covering the 12 month reporting period. This will be based on an additional assessment and gathering baseline measures. It is likely that this measurement will be related to clinical needs, service provided, collaboration and demographics. National data sets may be used to set baseline targets and measure progress over the three year funding period. A regional data source may also need to be developed, specific to Gippsland. 10

2. (b) Planned activities: Drug and Alcohol Treatment Services for Aboriginal and Torres Strait Islander people Flexible Funding PHNs must use the table below to outline the activities proposed to be undertaken within the period 2016-17 to 2018-19. These activities will be funded under the Schedule: Drug and Alcohol Treatment Activities, Item B.4 Drug and Alcohol Treatment Services for Aboriginal and Torres Strait Islander people Flexible Funding. Refer to PHN Grant Programme Guidelines: Annexure A2 Drug and Alcohol Treatment Services and Guidance for PHNs: Commissioning of Drug and Alcohol Treatment Services for the list of in-scope activities. It is emphasised that PHNs are to consider strategies to support the workforce in delivering the proposed activities through promoting joined up assessment processes and referral pathways, and supporting continuous quality improvement, evidence based treatment and service integration. Note 1: Please copy and complete the table as many times as necessary to report on each activity. Note 2: Indicate within the duration section of the table the period of time between 2016 and 2019 that the activity will be undertaken. Proposed Activities Regional Strategy and Sector Development Drug and Alcohol Treatment Services Objectives: Objectives 1, 2, 3, 5, 6 Drug and Alcohol Treatment Priority Area / Reference (e.g. Priority Reference 1, 2, 3) Gippsland PHN AOD Needs Assessment Priorities: Priority 6 - The development and implementation of an AOD workforce training strategy for Aboriginal Community Controlled Health Organisations. Priority 2 - Work closely with peak bodies to develop and implement a collaborative, whole of system approach to AOD treatment in Gippsland Activity Title / Reference (e.g. Activity 1.1, 2.1, etc.) Description of Drug and Alcohol Treatment Activity 2.1 Indigenous Regional Strategy and Sector Development In addition to the above mentioned sector-wide work, where the Aboriginal Community Controlled Health Organisations will be heavily involved it is planned that GPHN will: Continue with the existing support from the Aboriginal Community Controlled Health Organisations and Indigenous stakeholders to consult regarding the community need. 11

Participate in sector discussion (Lead by the Aboriginal Community Controlled Health Organisations with other stakeholders including the Department of Health and Human Services, local service providers and local hospital networks) regarding the Indigenous drug and alcohol sector needs including dual diagnosis, service delivery and treatment planning, sector efficiency, and the identification of partnerships in addressing these needs. Develop a workforce training strategy for people working with Indigenous clients. This will also include three training events per year (Note: The Gippsland PHN AOD Needs assessment has taken into account state based plans, strategies and frameworks. There is currently a significant gap in training offered to ACCHOs for AOD) Contribution to data collection, service mapping, and market analysis to support understanding of Gippsland Indigenous AOD service system. Collaboration Indigenous Specific Duration Coverage Commissioning approach Performance Indicator Local Performance Indicator target Gippsland PHN will seek co-investment from local health services, private health insurers, and State Government. This coinvestment is important to ensure best value for funding amounts and demonstrates meaningful collaboration. This activity will be completed in partnership with the Aboriginal Community Controlled Health Organisations throughout Gippsland. YES July 1 st 2016 - September 30 th 2016: Initial planning October 1 st 2016 - June 30 th 2019: Development work and ongoing planning. Entire PHN region with a focus on East Gippsland, Wellington and Latrobe Local Government Areas. The approach in this instance will be focused on Direct Delivery. Throughout our needs assessment, Gippsland PHN was unable to identify one particular role or organisation within the region that could provide this impartial coordination and collaboration role. The performance indicators for this priority are: A thorough report detailing needs assessment, data analysis and service map of culturally appropriate Indigenous AOD services within the Gippsland region. The development and implementation of an AOD workforce training strategy for Aboriginal Community Controlled Health Organisations, including delivery of three training events per year. Performance targets will be set covering the 12 month reporting period. This will be based on an additional assessment and 12

Data source gathering baseline measures. It is likely that this measurement will be related to target group, engagement and location. The data source will need to be developed internally, specific to Gippsland. Proposed Activities Increased Service Delivery Capacity Drug and Alcohol Treatment Services Objectives: Objectives 1, 2, 3, 5 Drug and Alcohol Treatment Priority Area / Reference (e.g. Priority Reference 1, 2, 3) Activity Title / Reference (e.g. Activity 1.1, 2.1, etc.) Description of Drug and Alcohol Treatment Activity Collaboration Gippsland PHN AOD Needs Assessment Priorities: Priority 1 - Invest in placed based commissioning of AOD treatment services, which are additional to existing funding services and are responsive to the gaps and needs outlined in the AOD Needs Assessment. These needs include Indigenous Specific AOD services in areas other than East Gippsland Local Government Area. 2.2 Indigenous Increased Service Delivery Capacity Gippsland PHN will utilise our commissioning, procurement and performance framework to commission services to address gaps for Indigenous people identified in the Gippsland PHN Needs Assessment following further review, engagement and consultation with regional stakeholders including the Department of Health and Human Services, local service providers, Local Hospital Networks and the Aboriginal Community Controlled Health Organisations. These activities will have a sole focus on early intervention, treatment and relapse prevention. This is in accordance with the current support received by the Indigenous health sector. Initial indications of need suggest there is a need for a particular focus on providing support for culturally appropriate AOD treatment services for Indigenous people residing outside East Gippsland Local Government Area. Commissioning of services will support organisations providing evidence based treatment for clients using a range of substances including methamphetamine. This will include flexible support in addition to complimenting the stepped care model via provision of short term early intervention services. All commissioning for this project will ensure culturally appropriate services. Gippsland PHN will seek co-investment from local health services, private health insurers, and State Government. This coinvestment is important to ensure best value for funding amounts and demonstrates meaningful collaboration. 13

Indigenous Specific Duration Coverage Commissioning approach Performance Indicator Local Performance Indicator target Data source This activity will be completed in partnership with the Aboriginal Community Controlled Health Organisations throughout Gippsland. YES Commissioning with service commencing from October 1st 2016 and run through to June 30th 2019 Entire PHN region although initial needs assessment suggests priority should focus on Local Government Areas outside East Gippsland. Providers will be commissioned via an approach to market and in line with Gippsland PHN Commissioning and Procurement Frameworks. Contracted services will be monitored and evaluated via contract management and in line with the Gippsland PHN Performance Framework and Balanced Scorecard, with reporting of Key Performance Indicators attached to release of funding through the contract period. It is likely that this measurement will be related to clinical needs, service provided, collaboration and demographics. Performance targets will be set covering the 12 month reporting period. This will be based on an additional assessment and gathering baseline measures. It is likely that this measurement will be related to clinical needs, service provided, collaboration and demographics. The data source will need to be developed internally, specific to Gippsland. 14