8: Other Clinical Services 2011-12 2016-17 Change % Total expenditure (millions) $3.7 $7.1 +92% Total service quantity 44,965 80,024 +78% Total patients 10,564 11,314 +7% Average services per patient 4.3 7.1 +65% Average cost per patient $354 $624 +76% Given other clinical services contains a diverse range of professions, Table 9 shows the relative number of clients, services and costs across the different other clinical provider groups in 2016-17, with social work (general), speech pathology and dietetic numbers showing the greatest increase in expenditure and number of patients, although from a relatively low base. Overall expenditure in this category is low comparative to other allied health provider groups. 9: Diabetes Education Dietetics Social Work Speech Pathology expenditure (millions): 2011-12 2016-17 Change % $0.1 $0.2 +50% $2.6 $5.1 +97% $0.4 $1.2 +222% $0.9 $1.6 +75% Total services: 2011-12 2016-17 Change % 1,823 2,546 +40% 34,397 63,996 +86% 3,906 11,448 +193% 7,589 11,819 +56% Total patients: 2011-12 2016-17 Change % 813 923 +14% 6,622 8,728 +32% 716 1,191 +66% 1,239 1,257 +1% Cost per patient: 2011-12 2016-17 Change % $166 $219 +32% $394 $589 +49% $510 $989 +94% $739 $1,278 +73% Average service per patient: 2011-12 2016-17 Change % 2.2 2.8 +23% 5.2 7.3 +41% 5.5 9.6 +76% 6.1 9.4 +54%
Musculoskeletal Representatives from provider associations and: Australian Medical Association* War Widows’ Guild of Australia Australasian Podiatry Council* Australian Physiotherapy Association* Chiropractors’ Association of Australia* Exercise and Sports Science Australia* Occupational Therapy Australia* Osteopathy Australia* Chiropractors Exercise Physiologists Occupational therapists Osteopaths Physiotherapists Podiatrists Optical Representatives from provider associations and: Vietnam Veterans’ Association of Australia Australian Dispensing Opticians Association* Australian Orthotic Prosthetic Association* Optometry Australia* Orthoptics Australia Optometrists Optical dispensers Orthoptists Other clinical Representatives from provider associations and: Returned and Services League of Australia Australian Association of Social Workers* Australian Diabetes Educators Association* Dietitians Association of Australia* Speech Pathology Australia* Diabetes Educators Dietitians Social Workers (general) Speech Pathologists * Indicates the association made a submission to the Review. Attachment B Potential dental and allied health schedule upgrades This Attachment provides details on: Potential changes to support the implementation of the proposed treatment cycle. Potential upgrades to the dental and allied health fee schedules. Proposed upgrades are subject to change depending on the outcome of the evaluation of the Treatment Cycle and report back to Government, as well as consultation with professional associations. Table 1: Potential changes to support the treatment cycle Professional Category Issue Schedule change Description
Mental health Premium on first consultation in the treatment cycle New item A premium could be assessed for 50+ minute consultations for: Psychology, general clinical & neuro Social work (mental health) Occupational therapy (mental health) This premium would support the implementation of treatment planning for up to 12 sessions & communication with the GP. Mental health Case conferencing for complex cases New item This could provide the capacity for allied providers to case conference with the GP and support the treatment planning for complex care patients. Premium on first consultation in the treatment cycle New item A premium be assessed for an initial consultations for: Exercise physiology Physiotherapy Osteopathy Chiropractic Podiatry Occupational therapy This premium support the implementation of treatment planning for up to 12 sessions & communication with the GP. Case conferencing for complex cases New item This could provide the capacity for allied health providers to case conference with the GP and support the treatment planning for complex care patients. clinical Premium on first consultation in the treatment cycle Premium paid on initial consult A premium could be assessed depending upon the current fee structure in place & whether items are already available for initial client assessments to start the treatment cycle.