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RACMA’s 2017-18 Australian Government Pre-Budget Submission Print E-mail


RACMA has provided a submission to the Australian Government in the lead up to the 2017-18 Budget.  The submission calls for building capabilities to provide a sustainable health system for the future, and to ensure that a standard of care that is both safe and appropriate is consistently achieved across providers, settings and geographies.

The specialisation of medical administration provides medical practitioners with expertise in clinical governance, balancing competing demands of a health system, and driving change through effective clinical and stakeholder engagement.  While medical management is not directly involved in the diagnosis and treatment of patients, the clinical skills and knowledge inherent in medical training combined with management expertise allows specialist medical administrators to work across procedural specialties, balance competing demands in the health system, and to effectively engage and work through stakeholders in order to enact health system change.

It is RACMA’s view that continued growth in health care expenditure is unsustainable, and increased investment needs to be offset by current or future savings.  However, these changes need to be made by harnessing innovative developments in care, and driving change that continues to support access to appropriate care, while not compromising patient safety.  RACMA offers to be actively involved in the discourse with government and its agencies in reform that builds a sustainable health system for the future.

As a specialist medical college, RACMA sets standards and provides professional development and specialist qualifications in medical management.  However, to date there are doctors working in medical management roles who have not received specialist training, and are not affiliated with the College, and so they fall outside the College’s training and review systems.  The consequence is that there are instances where the systems, processes and culture to deliver safe and effective care either doesn’t exist or is poorly implemented. Recent studies and reviews have identified poor clinical engagement and ineffective clinical governance systems as a factor underpinning ineffective and unsafe delivery of health services.

RACMA is supportive of recent initiatives, including initiatives to encourage specialist training in rural and regional centres through the Integrated Rural Training Pipeline program.  However, further investment is required to build medical workforce capability to deliver safe and appropriate care.  Building this capability requires approaching it at three different levels, including developing expertise in the clinician management, specialist medical management roles, and at the board level.  RACMA’s submission calls for:

·         Investing in workforce programs to equip doctors in the systems and processes for improving health system quality and safety as part of their clinician management roles
·         Increasing investment in specialist training posts, particularly in rural areas, to ensure there is adequate supply of specialist management expertise to support and drive safe and effective delivery of care
·         Investing in national skills building of boards to undertake effective clinical governance.


To read RACMA's submission click here.
Last Updated on Wednesday, 18 January 2017 13:21