❓ This parliamentary question probes the Minister for Health regarding the appropriateness, consultation, and evidence base for integrated clinical services, particularly in relation to the Health 2020 plan. The Minister's response defends the initiative, citing clinician involvement and existing literature.
AnsweredQoN 514Legislative Assembly
QuestionView source ↗
514. Ms McHALE to the Minister for Health:
(1) Has there been any recent examination or opinion sought on the appropriateness or otherwise of integrated clinical services as a method of service delivery?
(2) Who was commissioned to provide opinion(s) and why?
(3) What was the nature of the advice received?
(4) Will the Minister table the report(s)?
(5) What action does the Minister intend to take in light of that advice?
(6) Do clinicians agree with the proposed corporate reforms?
(7) If not, what is the basis for their concerns?
(8) Is it true that the original report known as Health 2020 advocating integrated clinical services did not examine other options and lacks evidence in support of the proposals?
(9) What has the Minister done to address concerns over the lack of genuine clinician consultation and involvement?
(10) Has there been any review of the development of the Health 2020 document or the integrated clinical services proposal?
(11) If so, who undertook the review?
(12) What were the conclusions of the review?
(1) Has there been any recent examination or opinion sought on the appropriateness or otherwise of integrated clinical services as a method of service delivery?
(2) Who was commissioned to provide opinion(s) and why?
(3) What was the nature of the advice received?
(4) Will the Minister table the report(s)?
(5) What action does the Minister intend to take in light of that advice?
(6) Do clinicians agree with the proposed corporate reforms?
(7) If not, what is the basis for their concerns?
(8) Is it true that the original report known as Health 2020 advocating integrated clinical services did not examine other options and lacks evidence in support of the proposals?
(9) What has the Minister done to address concerns over the lack of genuine clinician consultation and involvement?
(10) Has there been any review of the development of the Health 2020 document or the integrated clinical services proposal?
(11) If so, who undertook the review?
(12) What were the conclusions of the review?
AnswerView source ↗
Answered
14 November 2000
Response time
91 days
The Minister Replied:
(1) There has been no recent examination or opinion sought on Integrated Clinical Services as a method of service delivery.
(2)-(5) Not applicable.
(6) At an individual level, clinicians have expressed a variety of opinions about Integrated Clinical Services. In excess of 400 expressions of interest were received by the Metropolitan Health Service from clinicians for leadership roles in the Integrated Clinical Services. Mental health services and aged care and rehabilitation services have already accepted and adopted models of metropolitan service integration and generally appear satisfied with the outcome.
(7) One of the concerns expressed by some clinicians in relation to Integrated Clinical Services is that the model will have a negative impact on the hospital system, particularly the Teaching Hospitals. This is not the case and hospitals will continue to be an important and central part of the Western Australian health system. Furthermore, there is considerable scope for different types of service organisation as part of the Integrated Clinical Service model to fit the varying needs of different specialty groups.
(8) Health 2020 examined many different models of service integration and these are outlined in the discussion paper, Health 2020: A Discussion Paper. There is a significant body of literature on the issue of Integration in health service management and service delivery.
(9) There was substantial and genuine clinician consultation during the development of Health 2020. Furthermore, clinical staff are being given an appropriate role in the development and implementation of the Integrated Clinical services model.
(10) There has been no review of the development of Health 2020 or the Integrated Clinical Services proposal.
(11)-(12)Not applicable.
(1) There has been no recent examination or opinion sought on Integrated Clinical Services as a method of service delivery.
(2)-(5) Not applicable.
(6) At an individual level, clinicians have expressed a variety of opinions about Integrated Clinical Services. In excess of 400 expressions of interest were received by the Metropolitan Health Service from clinicians for leadership roles in the Integrated Clinical Services. Mental health services and aged care and rehabilitation services have already accepted and adopted models of metropolitan service integration and generally appear satisfied with the outcome.
(7) One of the concerns expressed by some clinicians in relation to Integrated Clinical Services is that the model will have a negative impact on the hospital system, particularly the Teaching Hospitals. This is not the case and hospitals will continue to be an important and central part of the Western Australian health system. Furthermore, there is considerable scope for different types of service organisation as part of the Integrated Clinical Service model to fit the varying needs of different specialty groups.
(8) Health 2020 examined many different models of service integration and these are outlined in the discussion paper, Health 2020: A Discussion Paper. There is a significant body of literature on the issue of Integration in health service management and service delivery.
(9) There was substantial and genuine clinician consultation during the development of Health 2020. Furthermore, clinical staff are being given an appropriate role in the development and implementation of the Integrated Clinical services model.
(10) There has been no review of the development of Health 2020 or the Integrated Clinical Services proposal.
(11)-(12)Not applicable.
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