Primary Health Networks Drug and Alcohol Treatment Activity Work Plan 2016-17 to 2018-19 Drug and Alcohol Treatment Budget Murrumbidgee PHN 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 to <name of Grant Officer> via email <email address> on or before 6 May 2016.
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
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.
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.
1. Strategic Vision for Drug and Alcohol Treatment Funding Please outline, in no more than 300 words, an overview of the PHN s strategic vision for the 36 month period covering this Drug and Alcohol Treatment Activity Work Plan. This Strategic Vision should be in the context of your role in the following activities: Increasing the service delivery capacity of the drug and alcohol treatment sector through the commissioning of additional drug and alcohol treatment services, 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. Vision: A system of services and supports that are more able to meet the demands of the community in preventing alcohol and other drug problems, and providing timely, effective and person-centred treatment services for those who require them, delivered by multi-disciplinary teams, working collaboratively within a regionally integrated model. The MPHN will work towards this vision by: 1. Conducting ongoing joint health and service needs assessment and planning with Murrumbidgee Local Health District (MLHD) 2. Structured co-design with consumers and key stakeholders, and commissioning activities to promote innovation from within general practices, and across all relevant sectors 3. An ongoing commitment to hard to reach groups, and to those people who experience disadvantage when accessing (or attempting to access) services 4. Leading the development of a regional stepped care model, that provides communities and consumers with the necessary mix of service options, is supportive of consumer choice and informed-decision making, and makes the most of existing local infrastructure and workforces 5. Developing the Murrumbidgee Alcohol and Other Drugs Treatment Plan in collaboration with communities, consumers, MLHD, and key stakeholders with commitment to the pooling of resources and effort to address shared priorities 6. Ensuring commissioned services adhere to the highest standards of clinical governance The stepped care framework in Murrumbidgee will work within the commissioned AOD system in the Murrumbidgee, and across the broader system of existing supports. Therefore, the stepped care model will involve two key strategic activities: Facilitating and optimising access to existing Government and Non-Government Services to deliver services across each step (achieving integration and avoiding duplication) through service level agreements; and Commissioning services using flexible AOD pooled funding to ensure the required options within the stepped care framework are locally available (minimising gaps and maximising access) and targeted to priority groups.
MPHN will use commissioning levers to maximise integration and other digital enablers such as digital technologies, shared care planning platforms and healthcare pathways to create efficiencies and improve effectiveness in clinical services delivery. MPHN has established a functional partnership framework to collaborate with local clinicians, communities and stakeholders for an effective and responsive primary health care. Stakeholder engagement through established consortia, Clinical Councils, the Community Advisory Committee and Stakeholder Reference Group will continue to have a pivotal role throughout the commissioning cycle. These formal MPHN governance arrangements are supported by additional mental health and suicide prevention structures- which include the Mental Health and Suicide Prevention Working Party. Importantly, the development of mental health and suicide prevention plans will be overseen by a high-level steering committee to provide the necessary governance and oversight of the planning process. Finally, the MPHN Clinical Governance Committee and Quality Manager will have an ongoing role in the oversight of commissioned programs to ensure they adhere to evidence, have sound clinical processes and policies, undertake quality improvement activities, and appropriate outcome and experience measures.
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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 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.) This must reflect a priority as identified in your Needs Assessment. Indicate the priority area here and provide a reference number for the priority. Priority Area 1: Address the increased demand for access to drug and alcohol treatment 1. Increasing the service delivery capacity of the drug and alcohol treatment sector Provide a short description of the activity (no more than 300 words). This may include, but is not limited to: aim of activity; how the activity will address the priority; target population cohort, and must also demonstrate alignment with the PHN objectives. Description of Drug and Alcohol Treatment Activity MPHN will allocate funding and release an RFP seeking proposals from existing specialist AOD treatment providers in the region. The focus of the funding is to extend the capacity of existing AOD treatment providers to provide support and deliver brief interventions to people waiting to access a service and improve post-treatment discharge support. Limited service capacity of local specialist AOD services and high demand, often results in a waiting period for people seeking support for AOD issues. At the point of referral, help-seeking behaviour and motivation is potentially at its highest. An inability to access a service may decrease the likelihood of future help seeking. 8
Collaboration Indigenous Specific Duration Coverage Commissioning approach Performance Indicator Appropriate and sustained support on discharge from residential and day program services is a critical extension of the necessary care continuum. Within existing funding models, the capacity of existing of local specialist AOD treatment services to provide post-discharge aftercare is limited. Outline if this activity will be jointly implemented with any other stakeholders, including Mental Health Services, Local Health Networks, state and territory Governments, or other relevant support services. If yes, provide details including the role of all parties. MPHN will work with MLHD across all activities Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? No Anticipated activity start and completion dates (excluding the planning and procurement cycle). 1 October - ongoing Outline geographic coverage of the activity. i.e. entire PHN region, activity that crosses PHN regions, or area within the PHN region. (Provide the statistical area as defined in the Australian Bureau of Statistics (ABS)). The RFP will be open to existing local specialist AOD treatment providers. Local providers currently have a region-wide catchment. Therefore the activity will be across the entire PHN region. Briefly outline the planned commissioning method and if the process will involve an approach to market, direct engagement or other approach for the activity. E.g. purchased, commissioned, direct delivery. Include a description of how contracted services will be monitored and evaluated. MPHN will undertake a closed Request for Proposals- only existing local specialist AOD treatment providers will be eligible to apply. Commissioned services will be monitored by MPHN via the minimum data set, quarterly reports from the commissioned provider, quality assurance activities (including regular auditing), stakeholder feedback and client experience measures. What local performance indicator, as identified by the Department, will measure the outcome of this activity? Is this a process, output or outcome indicator? If the indicator is a process indicator, describe how the activity will progress to a future output and/or outcome measure. 1.1 Number of people, by principal drug of concern, receiving intervention whilst waiting to access treatment services (Output indicator) 9
Local Performance Indicator target Data source Planned Expenditure (GST exclusive) to match budget Proposed Activities 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.) 1.2 Proportion of people discharged from treatment services receiving post-discharge support. (Output indicator) What performance target will be used (including justification) noting that performance target reporting will cover the 12 month reporting period (e.g. from activity commencement for 12 months for reporting in September 2017). What is the baseline for this indicator target and what is the effective date of this baseline? 1.1 This is new data collection, baseline will be established as part of the activity. 1.2 This is new data collection, baseline will be established as part of the activity. What level of disaggregation will apply to this target and be reported to the Department? (e.g. target group, gender, age) 1.1 Data provided at the level of age, gender, geographical location, Aboriginal and Torres Strait Islander Status, and principle drug of concern 1.2 Data provided at the level of age, gender, Aboriginal and Torres Strait Islander Status Provide details on the data source that will be used to monitor progress against this indicator. Is this indicator sourced from a national data set? If so, what national data set? Where possible, data collection should cover the activity duration period. What is the commencement date of the data collection? 1.1 Local minimum data set. Data collection will commence on Day 1 of service delivery expected to be 1 October 2016 1.2 Local minimum data set. Data collection will commence on Day 1 of service delivery expected to be 1 October 2016 $442,200.28 Commonwealth funding Includes $323,864.62 Flexible funding and $118,335.66 Aboriginal AOD funding $0 Funding from other sources (e.g. private organisations, state and territory governments) This must reflect a priority as identified in your Needs Assessment. Indicate the priority area here and provide a reference number for the priority. Promote quality improvement approaches and support primary health professionals and specialists through education and training 2. Developing the capacity of General Practitioners and primary care providers to facilitate better care for people with AOD issues (GP Liaison) 10
Description of Drug and Alcohol Treatment Activity Collaboration Indigenous Specific Duration Coverage Provide a short description of the activity (no more than 300 words). This may include, but is not limited to: aim of activity; how the activity will address the priority; target population cohort, and must also demonstrate alignment with the PHN objectives. MPHN will engage an AOD GP Liaison. The AOD GP Liaison will: Work with MLHD and the MPHN Clinical Councils to devise a capacity development strategy for AOD in Primary Care (MPHN will facilitate and fund relevant training activities) Provide in-practice training, supervision and support to GPs Work with GPs to support ambulatory withdrawal management Provide consultation (via phone and email) to GPs to improve identification, assessment and management of consumers with AOD issues Provide clinical expertise and guidance regarding the development of processes that enhance referral, team care, and information exchange Promote the use of the digital shared care planning platform Lead development of healthcare pathways for AOD specific needs Promote and disseminate relevant evidence, policies and information The AOD GP Liaison will be supported by the MPHN Provider Support Team to implement these activities Outline if this activity will be jointly implemented with any other stakeholders, including Mental Health Services, Local Health Networks, state and territory Governments, or other relevant support services. If yes, provide details including the role of all parties. This activity will be implemented with the MPHN Clinical Councils and MLHD. MLHD will provide direct support to the AOD GP Liaison to ensure that there is integration across primary care and specialist AOD services. The MPHN Clinical Council will provide expert guidance regarding more detailed design of the initiative and support evaluation. Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? No Anticipated activity start and completion dates (excluding the planning and procurement cycle). 1 July 2016 - ongoing Outline geographic coverage of the activity. i.e. entire PHN region, activity that crosses PHN regions, or area within the PHN region. (Provide the statistical area as defined in the Australian Bureau of Statistics (ABS)). 11
Commissioning approach Performance Indicator Local Performance Indicator target Data source Planned Expenditure (GST exclusive) to match budget Entire PHN region Briefly outline the planned commissioning method and if the process will involve an approach to market, direct engagement or other approach for the activity. E.g. purchased, commissioned, direct delivery. Include a description of how contracted services will be monitored and evaluated. MPHN will directly deliver the service, and employ the AOD GP Liaison. What local performance indicator, as identified by the Department, will measure the outcome of this activity? Is this a process, output or outcome indicator? If the indicator is a process indicator, describe how the activity will progress to a future output and/or outcome measure. 2. Number of GPs and practices with on-site training and supervision, by support/activity type. (Output indicators) What performance target will be used (including justification) noting that performance target reporting will cover the 12 month reporting period (e.g. from activity commencement for 12 months for reporting in September 2017). What is the baseline for this indicator target and what is the effective date of this baseline? 2. This is new data collection, baseline will be established as part of the activity. What level of disaggregation will apply to this target and be reported to the Department? (e.g. target group, gender, age) 2 Geographic location, health profession/discipline. Provide details on the data source that will be used to monitor progress against this indicator. Is this indicator sourced from a national data set? If so, what national data set? Where possible, data collection should cover the activity duration period. What is the commencement date of the data collection? 2. Local minimum data set. Data collection will commence on Day 1 of service delivery (expected to be 1 July 2016). $239,000 Commonwealth funding $0 Funding from other sources (e.g. private organisations, state and territory governments) 12
Proposed Activities 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 Indigenous Specific This must reflect a priority as identified in your Needs Assessment. Indicate the priority area here and provide a reference number for the priority. Promote quality improvement approaches and support primary health professionals and specialists through education and training 3. Developing the capacity of General Practitioners and primary care providers to facilitate better care for people with AOD issues (Training and Development) Provide a short description of the activity (no more than 300 words). This may include, but is not limited to: aim of activity; how the activity will address the priority; target population cohort, and must also demonstrate alignment with the PHN objectives. MPHN will engage suitable training providers and deliver training targeted at GPs, relevant practice staff, mental health clinicians, community workers and frontline staff. The focus of AOD training and development will be in line with the aforementioned capacity development strategy and activities will cover training to develop the requisite skills for: Working effectively with high risk groups including young people, women, Indigenous people, unemployed people, Lesbian, Gay, Bisexual, Transgender or Intersex (LGBTI) people, and Culturally and Linguistically Diverse communities. Ambulatory withdrawal within general practice settings (aimed at GPs and practice nurses) Motivational interviewing and brief solution focussed interventions Identification, history taking, harm minimisation and management Supporting people with more complex presentations (e.g., Comorbidity, pain management, poly-substance abuse, pregnancy) Outline if this activity will be jointly implemented with any other stakeholders, including Mental Health Services, Local Health Networks, state and territory Governments, or other relevant support services. If yes, provide details including the role of all parties. This activity will be implemented with the MPHN Clinical Councils and MLHD. The MPHN Clinical Council will provide expert guidance regarding more detailed design of the initiative and support evaluation. MLHD input will ensure activities are well coordinated, and avoid duplication. Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? No 13
Duration Coverage Commissioning approach Performance Indicator Local Performance Indicator target Data source Anticipated activity start and completion dates (excluding the planning and procurement cycle). 1 July 2016 - ongoing Outline geographic coverage of the activity. i.e. entire PHN region, activity that crosses PHN regions, or area within the PHN region. (Provide the statistical area as defined in the Australian Bureau of Statistics (ABS)). Entire PHN region Briefly outline the planned commissioning method and if the process will involve an approach to market, direct engagement or other approach for the activity. E.g. purchased, commissioned, direct delivery. Include a description of how contracted services will be monitored and evaluated. MPHN will directly engage suitable trainers/training providers to deliver the activities. What local performance indicator, as identified by the Department, will measure the outcome of this activity? Is this a process, output or outcome indicator? If the indicator is a process indicator, describe how the activity will progress to a future output and/or outcome measure. 3.1 Training type, number of participants, participants by health/profession/discipline (output indicators) and training evaluation (outcome indicator). What performance target will be used (including justification) noting that performance target reporting will cover the 12 month reporting period (e.g. from activity commencement for 12 months for reporting in September 2017). What is the baseline for this indicator target and what is the effective date of this baseline? 3.1 This is new data collection, baseline will be established as part of the activity. What level of disaggregation will apply to this target and be reported to the Department? (e.g. target group, gender, age) 3.1 Health profession/discipline, age, gender, level of experience (e.g., practice/experience time) Provide details on the data source that will be used to monitor progress against this indicator. Is this indicator sourced from a national data set? If so, what national data set? Where possible, data collection should cover the activity duration period. What is the commencement date of the data collection? 3.1 Evaluation activities. Data collection will commence from first activity (estimated to begin 1 July 2016 and be ongoing 14
Planned Expenditure (GST exclusive) to match budget Proposed Activities 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 Indigenous Specific Duration Coverage $55,000 Commonwealth funding $0 Funding from other sources (e.g. private organisations, state and territory governments) This must reflect a priority as identified in your Needs Assessment. Indicate the priority area here and provide a reference number for the priority. Support Young People who are engaging in risky substance use or experiencing addiction 4. Expand the scope of headspace centres to provide AOD support to young people with AOD issues Provide a short description of the activity (no more than 300 words). This may include, but is not limited to: aim of activity; how the activity will address the priority; target population cohort, and must also demonstrate alignment with the PHN objectives. MPHN will commission a specialist AOD treatment provider to provide AOD treatment services in to the Wagga and Griffith headspace centres. The commissioned provider will be required to employ an AOD clinician to work as part of the teams in each headspace centre. The focus of the AOD clinician will be twofold. The AOD clinician will support and supervise headspace case managers and Clinicians in providing brief interventions to young people. The AOD clinician will deliver AOD counselling to young people who would benefit from a higher intensity and more specialised intervention. Funding will be made available to engage a 0.6FTE AOD Clinician for headspace Wagga, and 0.4FTE AOD Clinician for headspace Griffith. Outline if this activity will be jointly implemented with any other stakeholders, including Mental Health Services, Local Health Networks, state and territory Governments, or other relevant support services. If yes, provide details including the role of all parties. MPHN will work with the headspace centre lead agencies to implement this activity. The lead agencies will be responsible for ensuring integration with existing headspace centre activities. Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? No Anticipated activity start and completion dates (excluding the planning and procurement cycle). 1 September - ongoing Outline geographic coverage of the activity. i.e. entire PHN region, activity that crosses PHN regions, or area within the 15
Commissioning approach Performance Indicator Local Performance Indicator target Data source PHN region. (Provide the statistical area as defined in the Australian Bureau of Statistics (ABS)). Wagga- Tumut, Temora, West Wyalong, Cootamundra Griffith- Leeton, Narrandera, Hay, Hillston & Lake Cargelligo Briefly outline the planned commissioning method and if the process will involve an approach to market, direct engagement or other approach for the activity. E.g. purchased, commissioned, direct delivery. Include a description of how contracted services will be monitored and evaluated. MPHN is transitioning the lead agency role to a new lead agency. This process will involve an open and competitive RFP process. MPHN will undertake a closed request for proposals from existing local specialist AOD providers. Commissioned services will be monitored by MPHN via the minimum data set, quarterly reports from the commissioned provider, quality assurance activities (including regular auditing), stakeholder feedback and client experience measures. What local performance indicator, as identified by the Department, will measure the outcome of this activity? Is this a process, output or outcome indicator? If the indicator is a process indicator, describe how the activity will progress to a future output and/or outcome measure. 4.1 Service utilisation of people accessing AOD counselling services. (Output indicator) What performance target will be used (including justification) noting that performance target reporting will cover the 12 month reporting period (e.g. from activity commencement for 12 months for reporting in September 2017). What is the baseline for this indicator target and what is the effective date of this baseline? 4.1 This is new data collection, baseline will be established as part of the activity. What level of disaggregation will apply to this target and be reported to the Department? (e.g. target group, gender, age) 4.1 Service data provided at the level of geographical location, gender, age, Aboriginal and Torres Strait Islander Status Provide details on the data source that will be used to monitor progress against this indicator. Is this indicator sourced from a national data set? If so, what national data set? Where possible, data collection should cover the activity duration period. What is the commencement date of the data collection? 4.1 Local minimum data set. Data collection will commence from day 1 of service delivery (1 September 2016). 16
$293,333 Commonwealth funding Planned Expenditure (GST exclusive) to match budget Proposed Activities 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 Indigenous Specific Duration Coverage $xx Funding from other sources (e.g. private organisations, state and territory governments) This must reflect a priority as identified in your Needs Assessment. Indicate the priority area here and provide a reference number for the priority. Improved capacity within health and social care sectors to support and respond to consumers engaging in risky AOD use or addiction 5. Evidence-based innovation Provide a short description of the activity (no more than 300 words). This may include, but is not limited to: aim of activity; how the activity will address the priority; target population cohort, and must also demonstrate alignment with the PHN objectives. MPHN will release an RFP calling for proposals for rapid-cycle and evidence based quality improvement activities and enhancements that build the capacity of local service providers to better meet the needs of known high-risk groups. These groups include young people, women, Indigenous people, unemployed people, Lesbian, Gay, Bisexual, Transgender or Intersex (LGBTI) people, and Culturally and Linguistically Diverse communities, pregnant women and new mothers, and children of parents who have AOD issues. Activities must demonstrate significant sustainability and be easily incorporated in to existing service offerings. Participating providers must be able to demonstrate intentions and ability to disseminate learnings and resources developed in the duration of the program and beyond. Outline if this activity will be jointly implemented with any other stakeholders, including Mental Health Services, Local Health Networks, state and territory Governments, or other relevant support services. If yes, provide details including the role of all parties. MPHN will work with MLHD across all activities Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? No Anticipated activity start and completion dates (excluding the planning and procurement cycle). 1 October - 30 June 2017 Outline geographic coverage of the activity. i.e. entire PHN region, activity that crosses PHN regions, or area within the 17
Commissioning approach Performance Indicator Local Performance Indicator target Data source Planned Expenditure (GST exclusive) to match budget PHN region. (Provide the statistical area as defined in the Australian Bureau of Statistics (ABS)). Entire PHN region Briefly outline the planned commissioning method and if the process will involve an approach to market, direct engagement or other approach for the activity. E.g. purchased, commissioned, direct delivery. Include a description of how contracted services will be monitored and evaluated. This process will involve an open and competitive RFP process. The target group will be defined, however through the commissioning process MPHN will seek innovation regarding the activity. Commissioned services will be monitored by MPHN via monthly reports from the commissioned provider, and evaluation. What local performance indicator, as identified by the Department, will measure the outcome of this activity? Is this a process, output or outcome indicator? If the indicator is a process indicator, describe how the activity will progress to a future output and/or outcome measure. Performance measures will vary based on proposed models (at least one quantitative measure will be required). Service providers must provide evidence of capacity building and sustainability implementation measures. Indicators will be a combination of output and outcome measures. What performance target will be used (including justification) noting that performance target reporting will cover the 12 month reporting period (e.g. from activity commencement for 12 months for reporting in September 2017). What is the baseline for this indicator target and what is the effective date of this baseline? What level of disaggregation will apply to this target and be reported to the Department? (e.g. target group, gender, age) This is new data collection, targets and baselines will be established as part of the activity. Provide details on the data source that will be used to monitor progress against this indicator. Is this indicator sourced from a national data set? If so, what national data set? Where possible, data collection should cover the activity duration period. What is the commencement date of the data collection? Local minimum data sets. Data collection will commence from day 1 of service delivery (expected 1 October 2016). $151,430 Commonwealth funding 18
$xx Funding from other sources (e.g. private organisations, state and territory governments) Proposed Activities 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 Indigenous Specific Duration Coverage This must reflect a priority as identified in your Needs Assessment. Indicate the priority area here and provide a reference number for the priority. Support and treatment for pregnant women and new mothers who are engaging in risky substance use or experiencing addiction 6. Targeted AOD services for pregnant women and new mothers who have AOD issues Provide a short description of the activity (no more than 300 words). This may include, but is not limited to: aim of activity; how the activity will address the priority; target population cohort, and must also demonstrate alignment with the PHN objectives. MPHN will commission a suitable provider of medium-high intensity AOD intervention for pregnant women and new mothers. The medium to high intensity AOD intervention will provide drug education, support and counselling within a family based intervention framework. The focus on pregnant women and new mums necessitates a corresponding focuses on positive parenting and practical parenting skill development. Outline if this activity will be jointly implemented with any other stakeholders, including Mental Health Services, Local Health Networks, state and territory Governments, or other relevant support services. If yes, provide details including the role of all parties. MPHN will work with MLHD and Murrumbidgee Family and Community Services (FACS) to implement the activity and seek co-commissioning opportunities where possible. MLHD and FACS will work with MPHN and the commissioned provider to support implementation, ongoing service delivery, defined referral pathways, and evaluation. Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? No Anticipated activity start and completion dates (excluding the planning and procurement cycle). 15 February 2017 - ongoing Outline geographic coverage of the activity. i.e. entire PHN region, activity that crosses PHN regions, or area within the PHN region. (Provide the statistical area as defined in the Australian Bureau of Statistics (ABS)). 19
Commissioning approach Entire PHN region. Briefly outline the planned commissioning method and if the process will involve an approach to market, direct engagement or other approach for the activity. E.g. purchased, commissioned, direct delivery. Include a description of how contracted services will be monitored and evaluated. This process will involve an open and competitive RFP process. The target group will be defined, however through the commissioning process MPHN will seek innovation regarding the model. Interested applicants will be required to specify a cocontribution to the funding (which may include financial or inkind contributions). Commissioned services will be monitored by MPHN via the minimum data set, quarterly reports from the commissioned provider, quality assurance activities (including regular auditing), stakeholder feedback and client experience measures. Performance Indicator Local Performance Indicator target Data source What local performance indicator, as identified by the Department, will measure the outcome of this activity? Is this a process, output or outcome indicator? If the indicator is a process indicator, describe how the activity will progress to a future output and/or outcome measure. Service utilisation of pregnant women and new mothers accessing medium-high AOD intervention services, by principle drug of concern. (Output indicator) What performance target will be used (including justification) noting that performance target reporting will cover the 12 month reporting period (e.g. from activity commencement for 12 months for reporting in September 2017). What is the baseline for this indicator target and what is the effective date of this baseline? This is new data collection, baseline will be established as part of the activity. What level of disaggregation will apply to this target and be reported to the Department? (e.g. target group, gender, age) Data provided at the level of geographical location, age, Aboriginal and Torres Strait Islander Status, and principle drug of concern Provide details on the data source that will be used to monitor progress against this indicator. Is this indicator sourced from a national data set? If so, what national data set? Where possible, data collection should cover the activity duration period. What is the commencement date of the data collection? 20
Planned Expenditure (GST exclusive) to match budget 6.1 Local minimum data set. Data collection will commence from day 1 of service delivery (expected to be February 2017). $1,295,033 Commonwealth funding $xx Plus establishment funding in year one An additional $279,767 from Aboriginal AOD Funding will also be made available- with clear benchmarks for services to Aboriginal and Torres Strait Islander women Funding from other sources (e.g. private organisations, state and territory governments) Proposed Activities 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 This must reflect a priority as identified in your Needs Assessment. Indicate the priority area here and provide a reference number for the priority. Improved capacity within health and social care sectors to support and respond to consumers engaging in risky AOD use or addiction (integration) 7. AOD Regional Planning and Oversight Committee and developing a Regional Drug and Alcohol Treatment Plan Provide a short description of the activity (no more than 300 words). This may include, but is not limited to: aim of activity; how the activity will address the priority; target population cohort, and must also demonstrate alignment with the PHN objectives. MPHN will lead the establishment of an AOD inter-sectoral regional planning and oversight committee. The committee will include representation from relevant Government and Non- Government agencies. The Committee will undertake a range of functions including: Ongoing, longer term planning Contributing to continual needs assessment Joined up referral and assessment process Integration across services and sectors Streamlined healthcare pathways Promotion and dissemination of information regarding best practice Overseeing the implementation of the AOD capacity development plan Recommend community awareness and education activities MPHN will engage a 0.6FTE AOD Change Management and Planning Officer. Outline if this activity will be jointly implemented with any other stakeholders, including Mental Health Services, Local Health Networks, state and territory Governments, or other 21
Indigenous Specific Duration Coverage Commissioning approach Performance Indicator Local Performance Indicator target Data source relevant support services. If yes, provide details including the role of all parties. Membership will include representatives from MLHD, Murrumbidgee FACS, NSW Department of Education, Department of Premier and Cabinet, NSW Police, NSW Housing Aboriginal Medical Services and specialist AOD providers. Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? No Anticipated activity start and completion dates (excluding the planning and procurement cycle). 1 July 2016-30 June 2017 Outline geographic coverage of the activity. i.e. entire PHN region, activity that crosses PHN regions, or area within the PHN region. (Provide the statistical area as defined in the Australian Bureau of Statistics (ABS)). Entire PHN region Briefly outline the planned commissioning method and if the process will involve an approach to market, direct engagement or other approach for the activity. E.g. purchased, commissioned, direct delivery. Include a description of how contracted services will be monitored and evaluated. N/A What local performance indicator, as identified by the Department, will measure the outcome of this activity? Is this a process, output or outcome indicator? If the indicator is a process indicator, describe how the activity will progress to a future output and/or outcome measure. 7.1 Completion and sign-off of first edition of the plan. (Process) What performance target will be used (including justification) noting that performance target reporting will cover the 12 month reporting period (e.g. from activity commencement for 12 months for reporting in September 2017). What is the baseline for this indicator target and what is the effective date of this baseline? What level of disaggregation will apply to this target and be reported to the Department? (e.g. target group, gender, age) 7.1 First edition completed by 30 June 2017 Provide details on the data source that will be used to monitor progress against this indicator. Is this indicator sourced from a national data set? If so, what national data set? 22
Where possible, data collection should cover the activity duration period. What is the commencement date of the data collection? 7.1 First edition of Regional Drug and Alcohol Treatment Plan $60,000 Commonwealth funding Planned Expenditure (GST exclusive) to match budget $xx Funding from other sources (e.g. private organisations, state and territory governments) 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 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 This must reflect a priority as identified in your Needs Assessment. Indicate the priority area here and provide a reference number for the priority. Support and treatment for pregnant women and new mothers who are engaging in risky substance use or experiencing addiction 8. Targeted AOD services for pregnant Aboriginal and Torres Strait Islander women and new mothers who have AOD issues Provide a short description of the activity (no more than 300 words). This may include, but is not limited to: aim of activity; 23
Collaboration Indigenous Specific Duration Coverage how the activity will address the priority; target population cohort, and must also demonstrate alignment with the PHN objectives. MPHN will commission a suitable provider of medium-high intensity AOD intervention for pregnant women and new mothers. The medium to high intensity AOD intervention will provide drug education, support and counselling within a family based intervention framework. The focus on pregnant women and new mums necessitates a corresponding focuses on positive parenting and practical parenting skill development. Outline if this activity will be jointly implemented with any other stakeholders, including Mental Health Services, Local Health Networks, state and territory Governments, or other relevant support services. If yes, provide details including the role of all parties. MPHN will work with MLHD and Murrumbidgee Family and Community Services (FACS) to implement the activity and seek co-commissioning opportunities where possible. MLHD and FACS will work with MPHN and the commissioned provider to support implementation, ongoing service delivery, defined referral pathways, and evaluation. Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? No. However in commissioning this activity, MPHN will establish clear benchmarks for services to Aboriginal and Torres Strait Islander women, with an expectation that there are quarantined services for Aboriginal and Torres Strait Islander women. Anticipated activity start and completion dates (excluding the planning and procurement cycle). 15 February 2017 - ongoing Outline geographic coverage of the activity. i.e. entire PHN region, activity that crosses PHN regions, or area within the PHN region. (Provide the statistical area as defined in the Australian Bureau of Statistics (ABS)). Entire PHN region Commissioning approach Briefly outline the planned commissioning method and if the process will involve an approach to market, direct engagement or other approach for the activity. E.g. purchased, commissioned, direct delivery. Include a description of how contracted services will be monitored and evaluated. This process will involve an open and competitive RFP process. The target group will be defined, however through the commissioning process MPHN will seek innovation regarding the model. Interested applicants will be required to specify a 24