PCIG Notes 8 & 15 September

Department of Health – Primary Health Care COVID-19 Response Teleconference 8 & 15 September  2021 – Meeting notes from Dr Maria Boulton

The Primary Care Implementation Group (PCIG) is an online meeting that includes most primary healthcare peak bodies. It is convened weekly by the Department of Health as part of the COVID-19 response.

Dr Maria Boulton attends on behalf of the AGPA.

8 September PCIG Meeting

General discussion included:

  • the management of patients with long COVID.
  • workforce issues.
  • Pilot of home quarantine for people returning from overseas underway in South Australia.
  • POP up mental health clinics in Sydney-went […]

Over 24M Vaccine Doses Administered

24.4 M vaccines have been administered at 17 September 2021

13.1  Vaccines have been  administered by Commonwealth supported Primary Health Care  12.57M by GP

The full progress report to 17 September is here

COVID Update Briefs – 18 September

These are some  updates to the vaccination program that we have found over the  weeks.  If you need more information please contact the AGPA Secretariat.

Eligibility Checker and Vaccine Clinic Finder updates:  the Eligibility checker is to become a single page on the front of the Vaccine Clinic Finder.  In future this will be referred to as the ‘Vaccine Clinic Finder’. This release is planned for Sunday 19 September 2021. Included in this release:

  •  12-18 year-olds will be presented with the option of Moderna or Pfizer and shown all clinics administering whichever vaccine they choose
  •  Patients under 12  will be advised that COVID-19 vaccines are not currently approved for those under 12 years.
  •  Non Medicare eligible patients will be directed to Commonwealth, State and Territory Clinics and Pharmacies.
  • Community pharmacies in tranche 1 for Moderna will start to appear in the Vaccine Clinic Finder from Monday 20 September.

ATAGI  Update 15 September:  An update from the Australian Technical Advisory Group on Immunisation (ATAGI) following their weekly meeting on 15 September 2021  is available here.

Pfizer eligibility (14 September) :

Vaccination providers can administer Pfizer to all individuals aged 12 to 59.

Vaccination providers can also administer Pfizer to people aged 60 and over with:
• past history of cerebral venous sinus thrombosis (CVST)
• past history of Heparin-induced thrombocytopenia (HIT)
• past history of idiopathic splanchnic (mesenteric, portal, splenic) vein thrombosis

PCIG Response: Use of Medical Students in COVID Vaccine Delivery

Over the last few weeks Dr Maria Boulton has asked a number of questions at the PCIG and directly to the task force. Some of these have now been answered.

A question and response are below:

How can a general practice employ health students to participate in COVID vaccine delivery when it’s not part of their formal clinical placement in similar ways that the jurisdictions are doing it?

Response:

We broadly support the engagement of students in primary care settings to assist with the COVID-19 response. There are a number of regulatory and employment arrangements, addition to whether such work should count towards professional experience placement (PEP) hours, that we encourage you to explore to enable such opportunities.

We further encourage you to liaise with all relevant jurisdictions on such a proposal, especially those that have not recognised students in their poisons legislation.

PCIG Responses : Who can Provide Vaccination under MBS?

Over the last few weeks Dr Maria Boulton has asked a number of questions at the PCIG and directly to the task force. Some of these have now been answered.

A question and response are below:

Who can provide vaccination services under MBS?

Response:

Activities associated with the claiming of the COVID-19 MBS vaccine suitability assessment items may also be undertaken by a suitably qualified health professional who is working within their scope of practice.

Where a vaccination-related service is to be provided on behalf of a medical practitioner by a suitably qualified health professional, the medical practitioner must first consider whether the service is in accordance with accepted medical practice. This includes assessing if the suitably qualified health professional has the appropriate skills and training to administer the vaccine.

Important Note: Medical practitioners are prohibited from acting in the role of “suitably qualified health professional” on behalf of another medical practitioner. Under sub-section 3(17)(a) of the Health Insurance Act 1973, a service is taken to be rendered on behalf of a medical practitioner if, and only if, it is rendered by another person who is not a medical practitioner, and who provides the service, in accordance with accepted medical practice, under the supervision of the medical practitioner.

A suitably qualified health professional may assist a GP or Other Medical Practitioner (OMP) to provide a COVID-19 vaccine to a patient provided all of the following conditions are met:

  • the health professional is in a professional category regulated under the Health Practitioner Regulation National Law and listed on the website to the Australian Health Practitioner Regulation Agency.
  • the provision of vaccinations is within the health professional’s scope of practice.
  • the health professional is qualified and trained to provide vaccinations safely, and has completed all mandatory Australian Government training associated with the delivery of COVID-19 vaccination services.
  • the health professional meets all relevant state or territory government rules and standards governing immunisation services.
  • the supervising GP or OMP, under whose care the vaccination is provided, is satisfied that the health professional meets all rules and standards set by the Australian Government and the state or territory government within whose jurisdiction the vaccination service is provided.
  • the supervising GP or OMP is physically present at the location at which the vaccine suitability assessment service is undertaken and accepts full responsibility for the service. Note: services rendered under the vaccine suitability assessment services only attract a Medicare rebate where the service is billed in the name of the supervising GP or OMP.

PCIG Responses – No Faults Compensation Scheme (Indemnity Program)

Over the last few weeks Dr Maria Boulton has asked a number of questions at the PCIG and directly to the task force. Some of these have now been answered.

A question and response are below:

Indemnity-related question ( No faults compensation scheme).

Response:

On 28 August 2021, the Australian Government announced details of the no fault COVID-19 Vaccine Claims Scheme, following extensive consultation with the peak medical, healthcare, business, and insurance sectors to ensure a comprehensive national Scheme.

The Scheme will provide people with quicker access to compensation where they have suffered an adverse event related to a Therapeutic Goods Administration (TGA) approved COVID-19 vaccination or its administration, irrespective of where the vaccination occurred.

If members are undertaking vaccinator roles using TGA-approved COVID-19 vaccines in private health care settings, this would still be considered within the scope of the Government’s COVID-19 Vaccines Program, and such practitioners’ patients would therefore be covered by the Scheme.

While side effects, or adverse events, from COVID-19 vaccinations can occur, most are mild and last no longer than a couple of days. Serious and life-threatening side effects are very rare. This Scheme provides a safety net to support those affected.

It also ensures that health professionals administering vaccines, including members, will be able to continue with their crucial role in the vaccine roll out with assurance that the claims scheme will offer them protection against time consuming litigation processes.

The Scheme will be administered by Services Australia and will provide people with a single front door to a simple and quick administrative process for compensation. The TGA will provide guidance on recognised adverse reactions as part of their established surveillance program.

The Scheme will cover the costs of injuries $5,000 and above due to a proven adverse reaction to a COVID-19 vaccine or its administration.

The cost of compensation payments under this Scheme will be fully funded by the Commonwealth and is designed to help the small number of people who unfortunately experience a moderate to significant adverse reaction to a COVID-19 vaccine.

The COVID-19 Vaccine Claims Scheme will be backdated to February 2021 and provide Australians with an alternative, administrative option to seek compensation, rather than a complex and costly court process.

AGPA Webinar: Innovative Income Streams for GP

 

Webinar

Tuesday 12 October 2021, 8:00pm AEDT

7:00 pm Queensland, 7:30 pm SA, 5:00 pm WA

AGPA Webinar
Innovative Income Streams for GP

Speakers:
Dr Maria Boulton, Dr Bernard Shiu, Dr Jared Dart

General Practices are usually small businesses which need to be sustainable if they are going to continue to provide the foundation for primary health care in Australia.
General Practice incomes have been under pressure for many years with MBS payments frozen under successive governments and are now significantly lower than they would otherwise have been. This has impacted both bulk billing and mixed billing practices. At the same time other “traditional” sources of alternate income such as rental space for pathology collection centres also been under pressure.
The pandemic has forced Practices to find new ways to operate including the move to telehealth and the subsequent pressure to move this into video consultation.  These changes have brought increased costs without necessarily improving revenue.

This webinar will discuss options and ideas for extending income sources for General Practice. The speakers are all Practice Principals whose businesses are under the same pressures as other General Practices in Australia. They have developed new and innovative sources of income while maintaining the high quality of Primary Care that Australians expect.

Bookings via TryBooking

https://www.trybooking.com/BUGJQ

Places will be limited, preference will be given to AGPA members.

For further information contact the AGPA Secretariat

Download flyer here

20.3 M Vaccine Doses Delivered

 

At 2 September 20, 329 483 doses of COVID-19 Vaccine had been delivered.

10,649,670 had been delivered by General Practice – from 5,347 participating Practices

The full program summary is here

 

COVID Update Briefs

These are some  updates to the vaccination program that we have found over the last week.  If you need more information please contact the AGPA Secretariat.

  • On 19 August 2021, the TGA approved a name change for the  COVID-19 Vaccine AstraZeneca to VAXZEVRIA.
    The name is now consistent with that used overseas, including in the European Union and Canada.
    This is expected to clarify that the vaccine produced by CSL and Seqirus in Melbourne is the same as that produced internationally, and will help facilitate international recognition for Australians who have been vaccinated with the AstraZeneca vaccine.
  • Pfizer rollout – general practices who have expressed an interest in administering the Pfizer vaccine are expected be transitioned to Pfizer over a four-week period in September/October.
    •  All practices have received the same dose allocation.
    • Start dates and allocation are based on available vaccine supply.
  • ATAGI
    •  ATAGI  has recommended a shorter interval of 4 to 8 weeks between the first and second doses of COVID-19 Vaccine AstraZeneca (Vaxzevria) in an outbreak setting (versus the routine 12-week interval that provides optimal longer-term protection) so that maximal protection against COVID-19 can be achieved earlier.
    • ATAGI recommended strategies  includes increasing the interval between first and second doses of Pfizer (Comirnaty) from 3 weeks to 6 weeks, to facilitate earlier access to first doses in areas of greatest risk of COVID-19..
    • The ATAGI statement of 2 August is here

 

PCIG Notes 25 August 2021

Department of Health – Primary Health Care COVID-19 Response Teleconference 25 August  2021 – Meeting notes from Dr Maria Boulton

The Primary Care Implementation Group (PCIG) is an online meeting that includes most primary healthcare peak bodies. It is convened weekly by the Department of Health as part of the COVID-19 response. Dr Maria Boulton attends on behalf of the AGPA. Read more