❓ Dr. Constable inquires about changes to eligibility for Community Mobility Classes. The Health Department confirms changes, including a referral requirement and a 10-week Healthy Ageing Program, but denies cost savings are the primary driver.
AnsweredQoN 2691Legislative Assembly
QuestionView source ↗
(1) Has the Health Department of Western Australia made changes to the eligibility criteria for participation in the Community Mobility Classes run by physiotherapists?
(2) If yes to (1), what are the new criteria for participation in Community Mobility Classes?
(3) If yes to (1), is the application of the participation criteria at the discretion of each physiotherapist who runs a class?
(4) If yes to (3), has the Health Department of Western Australia issued guidelines to the physiotherapists to indicate the circumstances under which the Department thinks the participation criteria should be implemented?
(5) If no to (3), what are the expected cost savings to the Health Department of Western Australia derived from the exclusion of participants based on the new participation criteria?
(2) If yes to (1), what are the new criteria for participation in Community Mobility Classes?
(3) If yes to (1), is the application of the participation criteria at the discretion of each physiotherapist who runs a class?
(4) If yes to (3), has the Health Department of Western Australia issued guidelines to the physiotherapists to indicate the circumstances under which the Department thinks the participation criteria should be implemented?
(5) If no to (3), what are the expected cost savings to the Health Department of Western Australia derived from the exclusion of participants based on the new participation criteria?
AnswerView source ↗
Answered
8 April 2004
Responded by
Minister for Health
Response time
16 days
2) The entry criteria for the program changed approximately 18 months ago with all participants requiring a referral from a health practitioner. Previously participants were able to self refer. The new criteria for continued participation in the program have been progressively introduced since the beginning of this year. (These do not apply to existing clients.) - Those accepted into the program are offered a 10 week Healthy Ageing Program (HAP). During the 10 week period participants are reviewed and at the end of this period the physiotherapist will discuss their future options. The majority of participants will not require long term support from the Community Physiotherapy Service (CPS) and will be able to make alternative arrangements. Criteria for continued participation - Has completed the 10 week self management course (HAP) and requires ongoing supervision due to medical problems; OR - Has attended the 10 week self-management course and is assessed by the physiotherapist as not cognitively able to self manage but can follow instruction in a group setting. - Has CPS medical form transferred from HAP OR - Has been referred from another CPS program Special consideration is given to clients over 75 years as their options for other community based services may be limited. 3) Yes, in consultation centrally with the CPS. - At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
The new criteria for continued participation in the program have been progressively introduced since the beginning of this year. (These do not apply to existing clients.) - Those accepted into the program are offered a 10 week Healthy Ageing Program (HAP). During the 10 week period participants are reviewed and at the end of this period the physiotherapist will discuss their future options. The majority of participants will not require long term support from the Community Physiotherapy Service (CPS) and will be able to make alternative arrangements. Criteria for continued participation - Has completed the 10 week self management course (HAP) and requires ongoing supervision due to medical problems; OR - Has attended the 10 week self-management course and is assessed by the physiotherapist as not cognitively able to self manage but can follow instruction in a group setting. - Has CPS medical form transferred from HAP OR - Has been referred from another CPS program Special consideration is given to clients over 75 years as their options for other community based services may be limited. 3) Yes, in consultation centrally with the CPS. - At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
Criteria for continued participation - Has completed the 10 week self management course (HAP) and requires ongoing supervision due to medical problems; OR - Has attended the 10 week self-management course and is assessed by the physiotherapist as not cognitively able to self manage but can follow instruction in a group setting. - Has CPS medical form transferred from HAP OR - Has been referred from another CPS program Special consideration is given to clients over 75 years as their options for other community based services may be limited. 3) Yes, in consultation centrally with the CPS. - At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
Special consideration is given to clients over 75 years as their options for other community based services may be limited. 3) Yes, in consultation centrally with the CPS. - At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
3) Yes, in consultation centrally with the CPS. - At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
- At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
- The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
The new criteria for continued participation in the program have been progressively introduced since the beginning of this year. (These do not apply to existing clients.) - Those accepted into the program are offered a 10 week Healthy Ageing Program (HAP). During the 10 week period participants are reviewed and at the end of this period the physiotherapist will discuss their future options. The majority of participants will not require long term support from the Community Physiotherapy Service (CPS) and will be able to make alternative arrangements. Criteria for continued participation - Has completed the 10 week self management course (HAP) and requires ongoing supervision due to medical problems; OR - Has attended the 10 week self-management course and is assessed by the physiotherapist as not cognitively able to self manage but can follow instruction in a group setting. - Has CPS medical form transferred from HAP OR - Has been referred from another CPS program Special consideration is given to clients over 75 years as their options for other community based services may be limited. 3) Yes, in consultation centrally with the CPS. - At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
Criteria for continued participation - Has completed the 10 week self management course (HAP) and requires ongoing supervision due to medical problems; OR - Has attended the 10 week self-management course and is assessed by the physiotherapist as not cognitively able to self manage but can follow instruction in a group setting. - Has CPS medical form transferred from HAP OR - Has been referred from another CPS program Special consideration is given to clients over 75 years as their options for other community based services may be limited. 3) Yes, in consultation centrally with the CPS. - At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
Special consideration is given to clients over 75 years as their options for other community based services may be limited. 3) Yes, in consultation centrally with the CPS. - At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
3) Yes, in consultation centrally with the CPS. - At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
- At the end of the HAP the physiotherapist who runs the class makes a recommendation as to whether a person needs ongoing support. - The final decision and class allocation are made centrally, in consultation with the physiotherapist and the client. 4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
4) Yes. - The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
- The Healthy Ageing Program and the criteria outlined above have been developed by the Community Physiotherapy Services and have been endorsed within the East Metropolitan Health Service. - An ongoing information dissemination process is under way to make sure that clients, physiotherapists and those who refer into the program are aware of the changes. 5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
5) There are no savings to the Department of Health. The changes that have been made are focused on providing increased and equitable accesses to the program while ensuring resources are directed towards patients with a clinical need.
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