2011-2012

Outcome 5 Primary Care

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Access to comprehensive, community-based health care, including through first point of call services for prevention, diagnosis and treatment of ill-health, and for ongoing management of chronic disease.

Table 2.5.1: Resource summary - Outcome 5

	Budget 2011-12 $'000	Revised 2011-12 $'000	Additional estimates $'000	Reduced estimates $'000
Program 5.1: Primary Care Education and Training
Administered expenses
Ordinary annual services (Bill 1/3)	7,812	7,812	-	-
Departmental expenses
Departmental appropriation1	1,475	1,475	-	-
Expenses not requiring appropriation in the budget year2	44	44	-	-
Total for Program 5.1	9,331	9,331	-	-
Program 5.2: Primary Care Financing, Quality and Access3
Administered expenses
Ordinary annual services (Bill 1/3)	582,127	544,744	-	37,383
Departmental expenses
Departmental appropriation1	19,372	19,372	-	-
Expenses not requiring appropriation in the budget year2	572	572	-	-
Total for Program 5.2	602,071	564,688	-	37,383
Program 5.3: Primary Care Practice Incentives
Administered expenses
Ordinary annual services (Bill 1/3)	302,289	302,289	-	-
Departmental expenses
Departmental appropriation1	12,503	12,503	-	-
Expenses not requiring appropriation in the budget year2	369	369	-	-
Total for Program 5.3	315,161	315,161	-	-
Outcome 5 totals by appropriation type
Administered expenses
Ordinary annual services (Bill 1/3)	892,228	854,845	-	37,383
Departmental expenses
Departmental appropriation1	33,350	33,350	-	-
Expenses not requiring appropriation in the budget year2	985	985	-	-
Total for Outcome 5	926,563	889,180	-	37,383

1 - Departmental appropriation combines 'Ordinary annual services (Appropriation Bill No 1)' and 'Revenue from independent sources (s31)'
2 - "Expenses not requiring appropriation in the Budget year" is made up of depreciation expense, amortisation expense, makegood expense and audit fees.
3 - Budget estimates for this program exclude National Partnership funding paid to state and territory governments by the Treasury as part of the Federal Financial Relations (FFR) framework. National partnerships are listed in Section 2 of the 2010-11 Health and Ageing Portfolio Budget Statements under each program. For budget estimates relating to the National Partnership component of the program, please refer to the 2010-11 Mid Year Economic and Fiscal Outlook.

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	Budget 2011-12	Revised 2011-12
Average staffing level (number)	226	226

Table 2.5.2: Variations table - Outcome 5

	2011-12 $'000	2012-13 $'000	2013-14 $'000	2014-15 $'000
Program 5.1: Primary Care Education and Training
Changes to administered appropriations
Appropriation Bill No. 3
Price parameter adjustments1	-	8	8	-
	-	8	8	-
Program 5.2: Primary Care Financing, Quality and Access
Changes to administered appropriations
Appropriation Bill No. 3
GP Super Clinics measure - reprofile of funding	(37,383)	(11,978)	35,933	13,428
Price parameter adjustments1	-	497	538	17
	(37,383)	(11,481)	36,471	13,445
Program 5.3: Primary Care Practice Incentives
Changes to administered appropriations
Appropriation Bill No. 3
Price parameter adjustments1	-	(40)	-	(42)
	-	(40)	-	(42)

1 - See explanation in glossary

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Table 2.5.3: Program expenses table - Outcome 5

	2011-12 Revised budget $'000	2012-13 Forward year 1 $'000	2013-14 Forward year 2 $'000	2014-15 Forward year 3 $'000
Program expenses 5.1: Primary Care Education and Training
Annual administered expenses
Ordinary annual services	7,812	7,968	8,113	8,267
Program support	1,519	1,149	1,125	1,083
Total program expenses	9,331	9,117	9,238	9,350
Program expenses 5.2: Primary Care Financing, Quality and Access1
Annual administered expenses
Ordinary annual services	544,744	640,944	582,471	575,912
Program support	19,944	15,089	14,767	14,228
Total program expenses	564,688	656,033	597,238	590,140
Program expenses 5.3: Primary Care Practice Incentives
Annual administered expenses
Ordinary annual services	302,289	287,523	244,263	248,904
Program support	12,872	9,739	9,532	9,184
Total program expenses	315,161	297,262	253,795	258,088

1 - Budget estimates for this program exclude National Partnership funding paid to state and territory governments by the Treasury as part of the Federal Financial Relations (FFR) framework. National partnerships are listed in Section 2 of the 2011-12 Health and Ageing Portfolio Budget Statements under each program. For budget estimates relating to the National Partnership component of the program, please refer to the 2011-12 Mid Year Economic and Fiscal Outlook.

Program key performance indicators

The table below outlines changes to performance information within Outcome 5 since the 2011-12 Health and Ageing Portfolio Budget Statements (PBS). Revisions to performance information since the PBS have been highlighted below. Further performance information for Outcome 5 can be found at Page 207 of the PBS.

Primary Care

Program 5.2: Primary care financing, quality and access

Program 5.2: Deliverables

The department will produce the following ‘deliverables’ to achieve the objectives of Program 5.2.
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Table 5.6: Quantitative Deliverables for Program 5.2

Quantitative Deliverables	2010-11 Revised Budget	2011-12 Budget	2012-13 Forward Year 1	2013-14 Forward Year 2	2014-15 Forward Year 3
Percentage of variance between actual and budgeted expenses	≤0.5%	≤0.5%	≤0.5%	≤0.5%	≤0.5%
Establishment of Medicare Locals and creation of the Regionally Tailored Primary Health Care Initiatives through Medicare Locals Fund
Number of funding agreements finalised to establish Medicare Locals1	N/A	37	25	N/A	N/A
Improve primary health care services
Number of eligible organisations within the Divisions of General Practice Network provided with core funding2	118	105	N/A	N/A	N/A
Improve primary health care infrastructure
Number of grants awarded to establish GP Super Clinics3	9	12	8	N/A	N/A
Number of grants awarded to upgrade or extend existing general practices, primary and community care services or Aboriginal Medical Services4	90	240	70	23	N/A

Program 5.2: Key Performance Indicators

The following ‘key performance indicators’ measure the effectiveness of Program 5.2
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Table 5.7: Qualitative Key Performance Indicators for Program 5.2

Qualitative Indicator	2011-12 Reference Point or Target
Establishment of Medicare Locals and creation of the Regionally Tailored Primary Health Care Initiatives through Medicare Locals Fund
Primary and allied health care services delivered through the Regionally Tailored Primary Health Care Initiatives through Medicare Locals Fund meet the needs of local communities	Services are directed in line with annual service delivery plans that reflect the identified priority needs of local communities5
Facilitate effective wind up and transition of Divisions of General Practice to Medicare Locals	Transition guidelines are developed and program administrative processes are in place to allow the introduction of Medicare Locals from 1 July 2011
Health information lines, including the GP After-Hours service and creation of the Single Point of Contact for Health Information, Advice and Counselling Fund
Quality information, counselling and support is provided for people with dementia, their carers and families	Progress reports demonstrate that information, counselling

Table 5.8: Quantitative Key Performance Indicators for Program 5.2

Quantitative Indicators	2010-11 Revised Budget	2011-12 Budget Target	2012-13 Forward Year 1	2013-14 Forward Year 2	2014-15 Forward Year 3
Establishment of Medicare Locals and creation of the Regionally Tailored Primary Health Care Initiatives through Medicare Locals Fund
Percentage of Medicare Locals meeting performance reporting requirements	N/A	100%	100%	100%	100%
Health information lines, including the GP After-Hours service and creation of the Single Point of Contact for Health Information, Advice and Counselling Fund
Number of calls to the National Dementia Helpline6	30,000	29,000	29,500	30,000	30,500
Number of calls to the After Hours GP Helpline7	N/A	150,000	195,000	220,000	240,000
Improve primary health care infrastructure
Number of GP Super Clinics that commence delivery of services, including early services8	12	12	5	12	5

1 - This deliverable has been amended. The Government is establishing 62 Medicare Locals. Thirty-seven Medicare Local will be established in 2011-12, with the remaining 25 in 2012-13.
2 - The number of Divisions receiving core funding in 2011-12 has been reduced as Divisions transition into Medicare Locals. There are no estimates for 2012-13 and beyond as these services will be provided through Medicare Locals.
3 - The number of GP Super Clinics has been amended to account for the variance between the number of clinics funded in the 2010-11 Budget and the number of GP Super Clinics identified in the 2010 election. No grants will be issued after 2012-13.
4 - The estimated number of Primary Care Infrastructure Grants may vary depending on issues such as, weather, availability of construction workforce and individual council planning delays.
5 - Community needs assessments will be completed in May 2012 and will be used to inform service delivery priorities in 2012-13.
6 - The estimated number of calls to the National Dementia Helpline data has been changed to reflect the latest trend in the number of calls. While calls might be lower than expected, the duration of the calls received has increased, as the nature of calls are becoming increasingly complex.
7 - This is a new performance indicator. The After Hours GP Helpline commenced operation in July 2011.
8 - GP Super Clinics have either commenced early services or interim services sooner than anticipated. In addition, the GP Super Clinics health reform measure has been merged with the existing GP Super Clinics measure.

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