ACT Health Commissioning Community Sector Update - August 2, 2023
Join the Health System Planning and Evaluation team for the ACT Health Commissioning Community Sector Update on August 2, 2023. The session aims to discuss and showcase health sector reform activities, focus on community health services commissioning, and explore opportunities for quality development. Topics include updates on commissioning cycles, mental health services, and health services planning. Participants can engage with key officials, share feedback, and gain insights into the government's actions to address sector concerns and improve communication. Don't miss this valuable opportunity to stay informed and contribute to the enhancement of community health services in the ACT.
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Presentation Transcript
ACT Government ACT Health Commissioning Community Sector Update Day/Date: Wednesday 2 August 2023 1.00pm-2.30pm Hosted by: Health System Planning and Evaluation
Purpose of these sessions Health Commissioning Sector Updates provide a platform for government and sector partners to come together to: Discuss and showcase health sector reform activities, with a particular focus on the commissioning of community health services delivered by non-government sector partners, build sector commissioning awareness and capability, and reflect on progress and lessons learnt and explore opportunities for process quality development (try, test and learn).
Summary of session content 1. Welcome and Acknowledgement of Country (Jacinta George) 2. What s new (Jamie Droney) 3. What we ve heard lately (Jamie Droney) 4. Cycle updates (Jamie Droney and Commissioning leads) 5. Deep dive into the Mental Health cycle (Wendy Kipling & Adam Brockway) 6. Health Services Planning Update (Tania Dufty and Mariam Anees ) 7. Question and Answers (Jamie Droney)
Whats new New Commissioning Senior Officials Group Executive Branch Manager Health System Planning and Development Luke Worth
What weve heard lately Communication is poor and we don t know what s happening with cycles. The timelines are pushing out and contracts for several cycles are due to expire soon. The tender burden is different across different cycles and we want clarity around how tender and grant responses should be costed. What is the government doing about transitions?
What are we doing about Communications More regular website updates and updating the layout/formatting of the Sectors in Progress pages for a consistent approach A new structure for the Commissioning Conversations newsletter with more case studies and articles included Working more closely with our commissioning business units to share sector concerns so they can be addressed in a timely manner
What we are doing about Timelines We are in discussions with the Minister about cycle timelines as we speak We are looking at how we can commission more efficiently within existing resources, such as: o Through different investment pathways (including more grants) o increased capability building (more tools and resources for commissioners and Working Groups, Communities of Practice, peer learning opportunities) to strengthen commissioning approaches from cycle to cycle o better use of existing data and information (such as Lived Experience data and data obtained by the Health Services Planning Team) to inform Needs Assessment
What we are doing about Tender burden Introducing investment pathways (including more grants) Consistent compliance/governance-type questions for use across all tenders/grants, irrespective of cycle/Directorate Exploring feasibility of a pre-qualification system
What we are doing about Tender burden Approach to market depends on: the history of market testing procurement thresholds (if applicable) specific requirements of a sector or commissioning cycle delegate decision-making Investment pathways available through commissioning include: traditional procurements (including open/competitive tender, select tender and single- select tender procurements) grants (including open or competitive grants, select grants and direct-approach grants) a combination of the above.
What we are doing about Tender burden Procurements Grants Definitions The process of acquiring goods, services, works or property by purchase, lease, rental or exchange and disposing of goods, works or property including by sale. An arrangement where money is provided to a recipient as financial assistance by the Territory for a specified purpose that enables the recipient to achieve goals and objectives that are consistent with Territory policy. Territory entities must pursue value for money in undertaking any procurement activity. The best procurement outcome is not necessarily the cheapest price. For clarity, the following arrangements are not Grants. o The acquisition or disposal of goods, services, works or property as a procurement by a Territory entity Underpinned by the following legislation: o Government Procurement Act o Government Procurement Regulation 2007 o Procurement Policies o Financial Delegations (Contract and Expenditure). o Sponsorship arrangements o Compensation payments made under legislation o Tax concessions or offsets Other payments under the Financial Management Act 1996 including loans, investments, and Acts of Grace payment
ACT Government Cycle updates Presented by: Jamie Droney Senior Director of Branch Operations | Health System Planning and Development
Where were up to Chronic Conditions Mental Health Aboriginal and Torres Strait Islander Health Partnerships Community Support Sexually Transmissible Infections and Blood Borne Viruses Primary Health Services for Young People (transitioning into INVEST phase) Not yet commenced: Aged Care respite, Maternity Support and Primary Care Support Alcohol, Tobacco and Other Drugs
Aboriginal and Torres Strait islander Health partnerships Current commissioning phase: Discover commenced preliminary scoping work and sector engagement to inform the Discover phase of commissioning ACTHD is working with the Aboriginal Service Development team within CSD to explore opportunities to streamline sector consultation and engagement and share data to inform multiple key pieces of work across Directorates.
Chronic Conditions (CC) Current commissioning phase: Strategise Three roundtables held in 2022 Using feedback to finalise Listening report, Needs Assessment and High-level summary of progress to-date. Considering recent developments in primary/integrated care in updating Needs Assessment (e.g. Primary Care Pilot, Urgent Care Centres, HCCA Chronic Conditions Network) Conclude Strategise phase by August/September and move to Design phase. Next Steps: Design phase will develop outcomes and reporting requirements in conjunction with sector partners. CC&PC team finalising plan for Design phase activities, aiming to kick-start communications in next few weeks.
Sexually Transmissible Infections and Blood Borne Viruses (STIBBV) Current commissioning phase: Invest Four roundtables held in 2022. Finalising Needs assessment and Listening Report and for publication in the coming weeks closing out the strategise and design phases. Finalising next iteration of Hepatitis B, Hepatitis C, HIV and Sexually Transmissible Infections ACT Statement of Priorities. Preparing Strategic Investment Plan for circulation to the subsector. Next Steps Circulation of Statement of Priorities and Kirby Institute ACT STIBBV surveillance report to subsector stakeholders (projected for late August). Confirmation of contract extensions for existing service providers. PHR team finalising plan for invest phase activities, with the intention to engage with the broader subsector on a Strategic Investment Plan from September 2023.
Primary Health Services for Young People (PHSYP) Current commissioning phase: Invest The draft PHSYP Strategic Investment Plan (SIP) has been released for public consultation It can be found at the PHSYP Commissioning page We would like to apologise for the delay between the Listening Report and the draft SIP being released The finalised SIP will guide the Invest Phase as it progresses Next steps SIP Consultation closes 09 August 2023 An initial approach to market is currently planned for late October 2023
Alcohol Tobacco and Other Drugs (ATOD) Current commissioning phase: Invest 11 NGOs currently funded to deliver a range of specialist and support services in the ATOD sector (ACT NGOs provide approximately 63% of ACT treatment episodes1) Funding available for ATOD commissioning is approximately $17.3 million annually (Inc. 2022-23 and 2023-24 budget measures) Services being commissioned include2: o Specialist treatment services (residential rehabilitation, day programs, counselling, harm reduction, advocacy and peer support, and sobering up shelter) o Tobacco cessation support (inc. Quitline services) o Early learning and care for young dependents of service users Next steps Circulation of Strategic Investment Plan to stakeholders Confirmation of contract extensions for existing core contracts Confirmation of investment approach to market and timeframes Publication of final Strategic Investment Plan Finalisation of service specifications and outcomes framework documentation 1Based on 2022-23 ATODS-NMDS 2Commissioning scope does not include First Nations services, peak bodies and infrastructure upgrades
Community Assistant and Temporary Supports (CATS) Program Current commissioning phase: Invest The Community Assistance and Temporary Supports (CATS) request for tender (RFT) closed on 30 May 2023. Next steps Unsuccessful providers will be advised of the outcome and offered a debrief once contract negotiations are completed, which is anticipated in September 2023. Providers that are successful in the CATS RFT can expect to learn the outcome of their tender in August 2023. The new CATS Program will commence on 1 October 2023. ACT Health Directorate remains committed to implementing the Community Support Subsector (CSS) Central Intake Service on or before 1 July 2024, and more information about this project will be released soon.
ACT Government Deep dive into the Mental Health cycle Presented by: Wendy Kipling | Senior Director | Mental Health Policy and Strategy Adam Brockway | Senior Policy Officer | Mental Health Policy and Strategy
Commissioning for Mental Health The ACT Government is embarking on a new approach to commissioning services provided by Non- Government Organisations (NGO). Total value of contracts: $12.8m in 2022-23 The Mental Health Commissioning process, led by Mental Health Policy and Strategy (MHPS), aims to promote a mental health system that is: o Recovery focussed; o holistic; and o outcomes driven. Contracts with 18 NGOs
The strategic landscape for Mental Health There are a significant number of national and local strategies, plans and reports guiding mental health activity, including: The Office for Mental Health and Wellbeing s, Towards our Vision: Taking a Strategic Approach to Mental Health in the ACT The National Mental Health and Suicide Prevention Agreement The ACT Regional Mental Health and Suicide Prevention Plan The Productivity Commission s Inquiry into Mental Health The ACT Health Services Plan 2022-2030
What we are commissioning for in the Mental Health Sector The services commissioned must range from mental health promotion through to intensive services. Commissioning must also consider service provision for range of cohorts: o Children and Youth o Old People o Aboriginal and Torres Strait Islander o LGBTIQA+ o CALD Estimated distribution in the ACT Well At Risk Mild Mod Severe 272,400 105,043 40,949 21,365 14,243
Where NGOs sit in the system Australian Institute of Health and Welfare: Australia s Mental Health Systems
Commissioning activities to date Established a Commissioning Advisory Group To obtain feedback from the community during the Strategise and Design phases we have engaged in a number of different consultation activities, including workshops and feedback papers. Design Phase activities have included: o Published a Design Phase Blueprint for feedback, including hosting on YourSay o Circulated a series of Feedback Papers on the needs of priority groups to obtain feedback directly from these communities. o Held a series of workshops, including specific webinars and forums for people with lived experience including consumers and carers.
Lessons learnt The Commissioning Advisory Group has been important for ensuring the inclusion of lived experience voices and community expertise throughout the Commissioning Process. We have heard so much already through the workshops, blueprint, and feedback papers. Some emerging themes include: Support services promoting mental health and early intervention Services in human services sector are more collaborative Safe spaces and social connection Connected system that is easy to navigate Sector is appropriately resourced
Next steps Commissioning is complex! To ensure this information can be acted on appropriately, and adequate time is given for follow-up with the sector and community, we have decided to extend the timeframe for our commissioning process. o To facilitate this, all currently funded providers will receive 12 months extension, with a further 6 months to be provided as necessary for transitions. Over the rest of this year, we will: o Negotiate contract extensions o Publish a Listening Report of the Design Phase activities o Continue consultations, including developing Outcomes Framework If you have any questions, please provide them to MentalHealthCommissioning@act.gov.au
