Wednesday, September 14, 2011

SSWAHS = SWSLHD + SLHD and the Medicare Locals - 54

AGPN blasted for role in ML reforms


TWO of AGPN’s highest profile directors have broken ranks with the divisions body, using their board re-election bids to launch a stinging criticism of its role in the controversial change to Medicare Locals (MLs).

NSW GP Dr Arn Sprogis and South Australian GP Dr Rod Pearce, both proponents of the $417 million ML scheme and both up for re-election this week, told MO that AGPN had so far failed to press the government effectively on primary care spending.

Votes for the board elections, cast by representatives from individual divisions, were being counted as MO went to press.

Dr Sprogis’s candidate statement, published on AGPN’s website with those of Dr Pearce and four other contenders, says the organisation “must do much more to encourage a significantly increased investment in the ML process in real time.”

“I don’t accept that the outcomes and resources negotiated to this point are sufficient to meet the needs of the ML process,” Dr Sprogis wrote.

“For our communities to see real outcomes, greater government commitment is required.”

Dr Sprogis told MO that AGPN “should have argued, taken a much tougher line” to ensure the government built the ML network with the same “clear deliverables” as hospitals.

“It’s been very bad for the government that we haven’t put a stronger case, argued for it and [been] prepared to hold the line on it,” he said.

“It’s all about the organisations and organisational structure, and it doesn’t have anywhere enough about – and nothing that is clear enough about – doing things for our community and our patients. That’s the thing the reform process is missing.”

Dr Pearce’s candidate statement supported MLs, but he told MO he was concerned AGPN had been seen so far as a “mouthpiece for the government, rather than specifically putting forward what the grassroots GPs and grassroots divisions were saying”.

He said the organisation, which the government has invited to set up a new national body to oversee MLs, must listen “to what is needed from the grassroots”.

The new body must also “implement healthy dialogue... rather than it just being an agent for the department [of health] or an agent for the government”.

AMA president Dr Steve Hambleton, who is visiting MLs around Australia, said healthcare professionals in the first MLs were concerned their location-specific needs would not be addressed and that they had not been told about their role in the new system.

“The information isn’t getting through,” he said from South Australia’s Country North ML, which is bigger than the state of NSW and borders WA, NT, Queensland and NSW.

“Everybody’s concerned about the lack of GP input as well.”

The AGPN declined to comment on board election matters.

A spokesperson for Health Minister Nicola Roxon denied the suggestion the government was not adequately funding the reform, saying it “clearly ignores the approximately $2 billion the Gillard government is investing in this sector”.

abbhus
6th Sep 2011
8:14pm
What were these members doing when the initial negotiation was going. Why break rank now. How can you expect the new body to listen to GP's when the AGPN itself
ignored us when it was supposed to represent GP's. Looking for re election ?
Solidarity
7th Sep 2011
12:33am
It would be nice to find a couple of candidates for anything who came out and said that Medicare Locals were actually a bad thing, that the money allocated is already being wasted like money spent on many other Federal Government "initiatives", and who admitted that many GPs already think the same. How many of you docs reading here think this money grows on trees and is not related to taxation and wise use of national funds in an economy where everything is failing or falling to pieces except mining by largely foreign companies?
khanGP
7th Sep 2011
11:54am
' abbhus ' is spot on. Exactly what were you both doing, when the concept of MLs was floated - did you ever attempt to send a simple Fax - back / e-mail-back Survey to the GPs in your Divisions ( who you purport to be representing ) with a Simple Question - Do you want your Division involved with MLs ? - answer with a ' yes ' or ' no '.
If either of you have the courage to do so, do this Survey now.
We Grass-roots GPs do not want MLs & we do not want AGPN to lie in bed with the Govt. & betray us hard-working GPs. Have either of you got the guts to stand up to this Govt.'s sinister Plans to downgrade GPs & upgrade Non-MBBSs ???
Dr. Ahad Khan - GP
Prog
7th Sep 2011
2:10pm
I am worried that the MLs might lead to the introduction of US Style or UK Style managed care into Australia. Could MLs be sold in the future to global corporates that make profits out of managed care ?