HEALTH ALERT

25 June 2018 Key Judgments...... 2 Judgments...... 3 Commonwealth: Fair Work Commission...... 3 New South Wales ...... 3 Queensland...... 3 South Australia...... 4 Victoria ...... 4 Legislation...... 4 Commonwealth ...... 4 New South Wales ...... 4 Queensland...... 4 South Australia...... 4 Reports ...... 4 Australia: Department of Health...... 4 Australia: Health Practitioner Regulation Agency and the boards (AHPRA) ...... 5 Australia: National Blood Authority...... 5 Australia: National Health and Medical Research Council (NHMRC)...... 5 Australia: Pharmaceutical Benefits Schedule ...... 6 Australia: Therapeutic Goods Administration (TGA)...... 6 Australian Commission on Safety and Quality in Health Care ...... 6 Australian Digital Health Agency ...... 6 Australian Institute of Health and Welfare (AIHW) ...... 6 Australian Capital Territory (ACT): Health Directorate ...... 7 New South Wales (NSW): Ministry of Health...... 7 NSW: Health Care Complaints Commission ...... 9 Northern Territory ...... 9 Queensland: Department of Health...... 9 South Australia (SA): Department for Health & Ageing...... 9 Tasmania: Department of Health & Human Services...... 11 Victoria: Department of Health ...... 11 Victorian Agency for Health Information...... 11 Western Australia (WA): Department of Health ...... 12 New Zealand: Ministry of Health...... 12 UK: Department of Health ...... 13

DLA Piper 1 Australian Medical Association (AuMA)...... 13 About us ...... 14 More information ...... 14

KEY JUDGMENTS 18 June 2018 - Health Care Complaints Commission v CSM [2018] NSWSC 902 - ADMINISTRATIVE LAW – judicial review – appeal on question of law – procedural fairness – protective orders – where Tribunal indicated contentment with proposed orders but then did not make all proposed orders – where procedural fairness was denied – whether certain orders may only be made as a package – statutory interpretation – individual orders may be made to the exclusion of others This decision is an appeal from an earlier disciplinary proceeding in which a nurse admitted to professional misconduct after engaging in a sexual relationship with a psychiatric patient. As part of those proceedings, the practitioner consented to a suite of protective orders. In making its decision however, the Tribunal only made one of the protective orders. The Health Care Complaints Commission (HCCC) appealed alleging errors by the Tribunal relating to inadequate protection orders and further, disputing the Tribunal's decision to withhold the practitioner's name. The nurse argued that no error had been made. The Supreme Court held that whilst it is open to the Tribunal to make some or all of the orders sought, the rules of natural justice required that due process be followed. In the circumstances, the Court held that the HCCC should have been allowed to respond to the question of whether the protective orders ought to have been seen as a package, or whether only some of the orders could be made. As such, the Supreme Court allowed the appeal in part, but held that the suppression order regarding the practitioners name was made in accordance with law. 22 June 2018 - Inquest into the death of Manusiu Amone - CORONIAL LAW – neonatal death, pethidine, squames, persistent pulmonary hypertension of the newborn, gasping respirations, postnatal observations, perinatal and paediatric postmortem examination, NSW Health Pathology 22 June 2018 - Inquest into the death of Jasmine Chiang - CORONIAL LAW – neonatal death, pethidine, persistent pulmonary hypertension of the newborn, perinatal and paediatric postmortem examination, NSW Health Pathology. Two coronial inquests into the deaths of two newborns in Sydney hospitals have been released by the NSW Coroner. The findings were delivered jointly owing to commonalities between the tragic deaths including both mothers having been given the same drug, pethidine, hours before their babies died. Manusiu Amone was born with her umbilical cord wrapped around her neck. Soon thereafter, her ability to breathe became compromised. Narcan was administered, but with nil affect. Doctors continued to treat Manusiu and attempted resuscitation, but at just after two hours past her birth, palliative care was administered. Manusiu died shortly thereafter. Whilst her autopsy report said her death was most likely a result of the 'toxic effects' of Pethidine, the Coroner blamed an intrinsic lung pathology. Similarly, Jasmine Chiang started to develop difficulty breathing shortly after her birth. Whilst doctors attempted to stabilise the baby for seven hours, medical staff were ultimately unable to save her life. The Coroner held Jasmine's death to be due to primary idiopathic pulmonary hypertension, complicated by pulmonary haemorrhage. The Coroner found the care given to both babies to have been appropriate. However, upon considering their autopsies, the Coroner gave recommendations about how post-mortem examinations of newborns ought to be carried out in the future. These recommendations included similar examinations being jointly conducted by a forensic pathologist, and a perinatal and paediatric anatomical pathologist, or alternatively just a perinatal and paediatric anatomical pathologist.

DLA Piper 2 JUDGMENTS Commonwealth: Fair Work Commission 15 June 2018 - Union Aid Abroad-Apheda Staff Agreement 2018-2019 [2018] FWCA 3534 - Application for approval of the Union Aid Abroad-APHEDA Staff Agreement 2018-2019. 18 June 2018 - Challenge Disability Services Workplace Agreement 2009 [2018] FWCA 3508 - Application for termination of the Challenge Disability Services Workplace Agreement 2009. 18 June 2018 - Respect Group Limited Enterprise Agreement 2017 [2018] FWCA 3544 - Application for approval of the Respect Group Limited Enterprise Agreement 2017. 18 June 2018 - Olivet Aged Person’s Home Nurses Enterprise Agreement 2018 [2018] FWCA 3549 - Application for approval of the Olivet Aged Person’s Home Nurses Enterprise Agreement 2018. 18 June 2018 - Women's Health West Incorporated Enterprise Agreement 2017 [2018] FWCA 3560 - Application for approval of the Women's Health West Incorporated Enterprise Agreement 2017. 19 June 2018 - Presbyterian Care Tasmania Incorporated Nurses Enterprise Agreement 2016 [2018] FWCA 3575 - Application for termination of the Presbyterian Care Tasmania incorporated Nurses Enterprise Agreement 2016. 20 June 2018 - Correct Care Australasia Nurses (Victorian Prisons) Enterprise Agreement 2017 [2018] FWCA 3601 - Application for approval of the Correct Care Australasia Nurses (Victorian Prisons) Enterprise Agreement 2017. 20 June 2018 - Croatian, Ukrainian, Belarusian Aged Care Association Nursing Employees (Aged Care) Enterprise Agreement 2018 [2018] FWCA 3641 - Application for approval of the Correct Care Australasia Nurses (Victorian Prisons) Enterprise Agreement 2017. 20 June 2018 - Elmhurst Bush Nursing Centre Nurses Enterprise Agreement 2017 [2018] FWCA 3616 - Application for approval of the Elmhurst Bush Nursing Centre Nurses Enterprise Agreement 2017. New South Wales 22 June 2018 - Health Care Complaints Commission v Dowla (Jurisdiction Application) [2018] NSWCATOD 96 - PROFESSIONS AND TRADES – Health practitioner – registered medical practitioner – where practitioner asserts the inquiry has been terminated because the Presiding Member has vacated office – statutory construction – whether conflict or repugnancy between the Health Practitioner Regulation National Law (NSW) and the Civil and Administrative Tribunal Act 2013 (NSW). 18 June 2018 - Health Care Complaints Commission v CSM [2018] NSWSC 902 - ADMINISTRATIVE LAW – judicial review – appeal on question of law – procedural fairness – protective orders – where Tribunal indicated contentment with proposed orders but then did not make all proposed orders – where procedural fairness was denied – whether certain orders may only be made as a package – statutory interpretation – individual orders may be made to the exclusion of others. Queensland 21 June 2018 - Medical Board of Australia v Blomeley [2018] QCAT 163 - PROFESSIONS AND TRADES – HEALTH CARE PROFESSIONALS – MEDICAL PRACTITIONERS – DISCIPLINARY PROCEEDINGS – PROFESSIONAL MISCONDUCT – where the practitioner had faced prior disciplinary proceedings arising out of a sexual relationship with a former patient – where the practitioner re-engaged in and maintained a personal relationship with that patient – where the Board was notified of the continuance of the personal relationship during the first disciplinary proceedings – where the second notification and resulting investigation was not disclosed to the tribunal in the first disciplinary proceedings – whether the practitioner behaved in a way that constituted professional misconduct – whether the practitioner’s registration should be cancelled – whether the practitioner should be prevented from re- applying for registration – whether the practitioner should pay the costs of the proceedings.

DLA Piper 3 South Australia 21 June 2018 - Department For Health And Ageing V Li [2018] SASCFC 67 - Procedure - Costs - General Rule - Costs Follow The Event - Costs Of Whole Action. Victoria 20 June 2018 - Nursing and Midwifery Board of Australia v Kramarz (Review and Regulation) [2018] VCAT 939 - Application for approval of the Croatian, Ukrainian, Belarusian Aged Care Association Nursing Employees (Aged Care) Enterprise Agreement 2018.

LEGISLATION As a general rule, this bulletin tracks subsidiary legislation at Commonwealth, but not at state level Commonwealth 21 June 2018 - National Health (Weighted average disclosed price – October 2018 reduction day) Determination 2018 (PB 42 of 2018) F2018L00817 as made. 21 June 2018 - Health Insurance (Section 3C Co-Dependent Pathology Services) Determination 2018 F2018L00810 as made. New South Wales 15 June 2018 - Public Health Amendment (Safe Access to Reproductive Health Clinics) Bill 2018 Assent. Queensland 15 June 2018 - Hospital Foundations Regulation 2018 Notification and commencement of Regulations 1 & 2: SIA s 33 - This regulation commences on 1 July 2018: r 2. 15 June 2018 - Hospitals Foundations (HIVFQ) Amendment Regulation 2018 - Commences. South Australia 14 June 2018 - Disability Inclusion Act 2018 - Assent.

REPORTS Australia: Department of Health Consultations Media releases 22 June 2018 - Expert Panel to Help Reduce Kidney Transplant Barriers - An expert panel will investigate and identify any barriers faced by First Nations people in need of kidney donations, to help ensure equity of access to lifesaving and life changing transplants. 22 June 2018 - Kalgoorlie to receive Medicare-eligible MRI licence - The Australian Government will provide a Medicare-eligible MRI licence at the Kalgoorlie Health Campus, as the first response to a Parliamentary Inquiry into the availability and accessibility of diagnostic imaging equipment around Australia. 19 June 2018 - Focus on regions at local government assembly - Minister for Rural Health, Sport and Regional Communications Bridget McKenzie said the Australian Government was committed to working with all levels of government to improve health, physical activity and communications outcomes for people living in regional Australia. 18 June 2018 - $2 million in research funding to prevent and better treat cerebral palsy - The Australian Government will provide $2 million in funding to the Cerebral Palsy Alliance Research Foundation to prevent and better treat cerebral palsy.

DLA Piper 4 18 June 2018 - Laughter the Best Medicine for World Continence Week - Aged Care Minister and Indigenous Health Minister Ken Wyatt has called on the one in four Australians affected by incontinence to make sure they seek help and receive the support available to live life to the full and learn to 'laugh without leaking'. 15 June 2018 - Guiding end of life directions for aged care - Providing Australians in all parts of the nation with support and the right advice on palliative care and advance care planning will be easier, thanks to the results of a $15 million investment by the Australian Government. Private Health Insurance Circulars PHI 34/18 Hospital Declaration Australia: Health Practitioner Regulation Agency and the boards (AHPRA) 22 June 2018 - Renew before 1 July to stay on the national registers for nurses and midwives - Nurses and midwives who are yet to renew their registration must do so before 1 July 2018 to keep practising. 21 June 2018 - Counsellor convicted of claiming to be a psychologist and providing false information to AHPRA - A New South Wales court has fined a counsellor $9500 after he was convicted of claiming to be a registered psychologist and providing information to an inspector that was false or misleading. 19 June 2018 - Tribunal suspends nurse for four months for professional misconduct - A tribunal has suspended a nurse for four months after she admitted to professional misconduct concerning misappropriated drugs. 18 June 2018 - Revised registration standard and guidelines for endorsement for scheduled medicines published - The Optometry Board of Australia has published the revised Endorsement for scheduled medicines registration standard and the Guidelines for use of scheduled medicines today. Australia: National Blood Authority 18 June 2018 - BloodSafe eLearning Australia delivers more than one million courses - A new milestone for the BloodSafe eLearning Australia program was reached last week when the number of courses undertaken and completed by users reached one million. The program is now used by more than 500,000 registered users who work or study at more than 1500 hospitals, universities and other organisations across Australia. Australia: National Health and Medical Research Council (NHMRC) 14 June 2018 - Research sector strengthens commitment to research integrity - A new code of conduct will help safeguard the quality and integrity of Australian research. Released today, the new Australian Code for the Responsible Conduct of Research, 2018 (the 2018 Code) and Guide to Managing Potential Breaches of the Australian Code for the Responsible Conduct of Research (the Investigation Guide) demonstrate Australia’s commitment to ensuring the highest quality research in Australia. The 2018 Code provides a new principles-based approach to the responsible conduct of research. Both the 2018 Code and the Investigation Guide are jointly authored by Australia’s premier research funding agencies, the NHMRC and the Australian Research Council, as well as Universities Australia. 1 June 2018 - Guidelines for Guidelines - NHMRC is pleased to introduce the next three draft modules of its 'Guidelines for Guidelines' series which offers practical advice on how to meet NHMRC’s Standards for Guidelines. NHMRC seeks your feedback on the following modules: Scoping the guideline, Equity and Independent review. The closing date for submissions is Wednesday 18 July 2018 5:00pm AEST. 18 June 2018 - NHMRC Tracker

DLA Piper 5 Australia: Pharmaceutical Benefits Schedule 21 June 2018 - Price Disclosure 2018 October Cycle Outcomes Summary - The summary of price disclosure price reductions for the 2018 October Cycle (Fifth Remove Originator cycle) has now been published on the Price Disclosure (SPD) web page. Australia: Therapeutic Goods Administration (TGA) 22 June 2018 - Electronic submissions - Update of the eCTD document matrix v2.0 to v2.1 is effective from today. 21 June 2018 - Submissions received: Options for the future regulation of 'low risk' products - All submissions that gave permission to be published on the TGA website are now available. 21 June 2018 - The future regulation of low risk products - The TGA response to the future regulation of low risk products has been released. 20 June 2018 - Share your thoughts with us in the 2018 TGA surveys - Our annual survey measures satisfaction with a range of services and activities including our role and performance. 20 June 2018 - Changes to fees and charges effective 1 July 2018 - Important information regarding fees and charges applicable from 1 July 2018. 19 June 2018 - Platinum - Male Enhancer capsules - Platinum - Male Enhancer capsules pose a serious risk to your health and should not be taken. 19 June 2018 - Bulbao Male Enhancer tablets - Bulbao Male Enhancer tablets pose a serious risk to your health and should not be taken. 19 June 2018 - Meltz – Instant Energy For Males tablets - Meltz Instant Energy For Males tablets pose a serious risk to your health and should not be taken. 18 June 2018 - Updates to the Permissible Ingredients Determination for listed medicines - The Therapeutic Goods (Permissible Ingredients) Determination No. 2 of 2018 has been published on the Federal Register of Legislation. 18 June 2018 - Medicine GMP - revised fees and charges effective 1 July 2018 - Changes to Medicine GMP fees and charges will become effective 1 July 2018. Australian Commission on Safety and Quality in Health Care 18 June 2018 - On the Radar Issue 374 (PDF 421KB) (Word 264KB) Australian Digital Health Agency 22 June 2018 - Mums and dads help to shape National Children’s Digital Health Collaborative - Forging ahead with its mission to help make Australia the best place in the world to raise healthy children, and to be raised, the National Children’s Digital Health Collaborative this month held a very successful first workshop for consumer representatives from across the nation. Patients, carers and families are at the heart of the Collaborative’s exploration of how digital health technology can improve the health and wellbeing of children and young people living in Australia. 18 June 2018 - Media release - Industry collaborates to end the era of the fax machine - Out of date and unsecure fax machines are being used to share patient information between healthcare providers, despite other sectors discarding them over a decade ago. Not only do fax machines cause frustration for healthcare providers trying to communicate with each other, they can also cause patient harm. Australian Institute of Health and Welfare (AIHW) 20 June 2018 - Our health report card is in—and here’s what we can learn - Australia is generally a healthy nation but there are some key areas where we could do better, according to the latest report from the AIHW. The two-yearly report card, Australia’s health 2018, was launched today by the Hon. Greg Hunt MP, Minister for Health.

DLA Piper 6 The report shows that Australia sits squarely in the best third of OECD countries when it comes to life expectancy, with girls born in 2016 likely to live 84.6 years, while boys can expect to live to 80.4 years. Fewer of us are smoking or putting ourselves at risk from long-term alcohol use than in the past. More of our children have been immunised and we’re doing well in terms of preventing avoidable deaths. Australian Capital Territory (ACT): Health Directorate 21 June 2018 - Consultation now open on the ACT Drug Strategy Action Plan - A new Drug Strategy Action Plan for the ACT is now open for consultation, with interested members of the community invited to have a say on how we can better prevent harms associated with alcohol, tobacco and other drugs. The ACT Drug Strategy Action Plan 2018-2026 has been developed with input from a range of stakeholders, and summarises the ACT Government’s priority actions in relation to a range of issues. 'The Drug Strategy Action Plan has a clear focus on preventive health, with tobacco smoking and risky alcohol consumption being two of the key risk factors which contribute significantly to the burden of chronic disease in our community,' said Minister for Health and Wellbeing Meegan Fitzharris. 'The ACT Government remains committed to investing in evidence-based responses to alcohol, tobacco and other drugs, and has a track record for innovating in this area as shown by the successful introduction of Australia’s first pill testing trial.' 16 June 2018 - Canberrans welcome into our newest hospital - The newest ACT hospital, the University of Canberra Hospital: Specialist Centre for Rehabilitation, Recovery and Research, opened its doors to the community today before delivering services from July this year. Minister for Health and Wellbeing Meegan Fitzharris and Minister for Mental Health Shane Rattenbury officially opened the hospital, and welcomed Canberrans to tour the hospital, meet staff, see demonstrations of the facilities and equipment, and enjoy a sausage sizzle and live music by University of Canberra student musicians. Minister Fitzharris said today is an important day for the community. 'The University of Canberra Hospital is the first of its kind in Canberra. It will deliver specialised care for people recovering for surgery, illness or injury, or experiencing mental illness,' Minister Fitzharris said. New South Wales (NSW): Ministry of Health 21 June 2018 - A healthier start for Aboriginal kids in NSW - Aboriginal children face a brighter future with the teenage motherhood rate almost halving in 20 years, smoking in pregnancy down by a third, and child vaccination rates among the best in the country. NSW Chief Health Officer Dr Kerry Chant said this year’s Chief Health Officer’s report, Aboriginal Kids – a healthy start to life, showed some very positive trends in Aboriginal children’s health. 'The first five years of a person’s life are the most important for laying foundations for learning, health and wellbeing,' Dr Chant said. 'So I’m very pleased to see the percentage of Aboriginal teenage mothers has almost halved since 1994, down from 23 to 13 per cent.' 19 June 2018 - Bush and regions get more than half a billion dollars for health building blitz - Thousands of construction and health-related jobs will flow into rural and regional NSW thanks to funding of $550 million for health capital works in the NSW Budget 2018. Deputy Premier and Minister for Regional NSW John Barilaro and Minister for Health Brad Hazzard said the investment ensures people can be cared for closer to home. 'This ongoing investment doesn’t just deliver vital health services to regional and rural areas but it also boosts jobs and the economy of local communities,' Mr Hazzard said. 19 June 2018 - World-class health precinct in Liverpool - Liverpool will be home to a new world-class health, research and education precinct with the NSW Government committing $740 million for the project. Treasurer Dominic Perrottet and Health Minister Brad Hazzard said the precinct, to be located at Liverpool Hospital, would help create thousands of jobs.

DLA Piper 7 Mr Perrottet said the precinct will showcase Liverpool as a hub for innovation and emerging technologies, boost the economy and create unprecedented jobs growth. 'The precinct has the potential to double the number of jobs in the health and education sectors to about 30,000 by 2036, representing almost 25 per cent of the local workforce,' Mr Perrottet said 19 June 2018 - $2.1 billion for mental health - People living with mental illness, their families and carers will benefit from a record investment of $2.1 billion in mental health services and infrastructure funding in the NSW Budget 2018. Minister for Mental Health Tanya Davies said this significant increase on last year will ensure critical mental health services meet the needs of people in NSW experiencing mental health issues. 15 June 2018 - NSW Budget: record extra 750 paramedics and call centre staff across the State - The NSW Government has committed to a record paramedic workforce boost, and will deliver an extra 750 paramedics and ambulance call centre staff over the next four years. Premier Gladys Berejiklian, Treasurer Dominic Perrottet and Health Minister Brad Hazzard announced more than $1 billion will be invested in ambulance services and capital in the NSW Budget 2018. 'Providing world-class care for patients is a priority for the NSW Government, and this Budget provides our paramedics with the support they need to deliver even better services for our community,' Ms Berejiklian said. Mr Perrottet said the Budget included $944 million in recurrent expenditure - up $51.3 million from last year’s Budget - and an additional $72 million in capital works. 15 June 2018 - It’s not too late to vaccinate against flu - NSW Health is urging those yet to have their flu shot to do so now, with the latest weekly tally of confirmed flu cases showing the flu season has not yet arrived. Dr Jeremy McAnulty, Director Health Protection NSW Health, said the latest Influenza Surveillance Weekly Report shows just 53 confirmed flu cases for the week ending 10 June, around a quarter of the 404 cases this time last year, and lower than last week’s tally of 80. 'There is still no indication the flu season is starting, with the number of flu cases continuing to fall through June,' Dr McAnulty said. 17 June 2018 - NSW Budget: an extra billion takes health spend to $23 billion - A record $1 billion in new recurrent funding brings the 2018-19 Health Budget to $23 billion, supporting vital hospital and community health services and employing an extra 1370 frontline health workers. Premier Gladys Berejiklian, Treasurer Dominic Perrottet and Health Minister Brad Hazzard announced an extra 950 nurses and midwives, 300 doctors and 120 allied health workers for hospitals and health services across the State. 'The NSW Government is picking up the pieces left behind by Labor and injecting record funding into health to deliver families and individuals the best possible care,' Ms Berejiklian said. 17 June 2018 - NSW Budget: $157 million support package for new families - Expectant mums, new parents and newborns will benefit from a landmark $157 million Parents Package in next week’s State Budget. The funding will boost the number of midwives and family health nurses, invest in testing and treatments for children’s diseases, and provide practical and emotional support to parents. Premier Gladys Berejiklian, Treasurer Dominic Perrottet, Health Minister Brad Hazzard, and Mental Health Minister Tanya Davies announced today that the funding includes 100 more midwives, extra child and family health nurses to support new parents both in hospital and at home, and an optional “Baby Bundle” of essential items for new parents. Information Bulletins, Guidelines and Policy Directives 18 June 2018 - Payment of Infectious Cleaning Allowance - Health Employees' Conditions of Employment (State) Award - Document number: IB2018_021.

DLA Piper 8 15 June 2018 - Maternity - Resuscitation of the Newborn Infant - Document number: GL2018_016. 15 June 2018 - Employment and Management of Locum Medical Officers by NSW Public Health Organisations - Document number: PD2018_019. 15 June 2018 - Transport of Pathology Specimens to Laboratories - Document number: PD2018_020. NSW: Health Care Complaints Commission 19 June 2018 - Ms Zuriati Bin Goode – Disqualified for professional misconduct 18 June 2018 - Dr Emil Shawky Gayed – Professional misconduct Northern Territory 15 June 2018 - Rotavirus outbreak in the Northern Territory - 'Since late May there have been 23 cases reported, mostly in children from Central Australia, but further spread is likely', Centre for Disease Control Director, Dr Vicki Krause said. 'Rotavirus can cause fever, vomiting and watery diarrhoea. It is spread when objects, hands or foods contaminated with small amounts of faeces from those infected find their way to the mouths of those uninfected and often this is in very young children.' 'Rotavirus mainly affects children under 5 years of age, but adults can also be infected and pass the virus on to others. Very young children are most at risk of becoming severely dehydrated during an infection.' Queensland: Department of Health 21 June 2018 - Minister announces new hybrid theatre for Cairns Hospital - Cairns Hospital will welcome a new $3.68 million hybrid operating theatre that will help reduce waiting times for patients needing vascular procedures. 19 June 2018 - Behind the scenes: what it's like to work as a radiographer for BreastScreen Queensland - Ada has been a radiographer (the person in the room when you get your mammographic screening) for BreastScreen Queensland for 17 years. She spoke with us about her job working to help save the lives of Queensland women. 18 June 2018 - You Can fight cancer at new hub at RBWH - Queensland’s largest hospital will soon be home to the state’s only public specialised adolescent and young adult cancer centre thanks to the collaborative efforts of Sony Foundation and Royal Brisbane and Women’s Hospital. South Australia (SA): Department for Health & Ageing 20 June 2018 - Media release: Salmonella cases linked to alfalfa sprouts - South Australians are being warned not to eat alfalfa sprout products produced by Adelaide business SA Sprouts, after several people became ill with Salmonella havana. SA Health’s Chief Medical Officer and Chief Public Health Officer, Professor Paddy Phillips, said there had been 21 recent confirmed cases of Salmonella havana, including seven people who were hospitalised. 'We are advising anyone who has purchased the recalled SA Sprouts alfalfa sprouts products to return them to the place of purchase for a refund, or throw them away,' Professor Phillips said. 21 June 2018 - Mandatory treatment for young people who are drug dependent - The Marshall Liberal Government will today introduce legislation to provide for the option of mandatory treatment for children and young people dependent on drugs. The Controlled Substance (Youth Treatment Orders) Amendment Bill 2018 will enable parents who have been unable to engage their children in voluntary treatment to legally force their children to attend drug treatment programs in the hope of breaking addiction at the earliest possible time. 'Nobody understands the terrible impact of drug dependence better than a parent struggling to help a child experiencing drug problems,' said Minister for Health and Wellbeing Stephen Wade.

DLA Piper 9 The legislation also recognises that the Youth Court, police officers, youth correction officers and medical practitioners can have important insights into individual cases of young peoples’ drug dependence and enables them to seek an order. 'What is critical is that we intervene in an effective manner to give the young person struggling with an addiction that best possible opportunity to break the addiction,' said Minister Wade. 20 June 2018 - 140 years of caring for families - Hospital, which has today marked 140 years since the laying of the foundation stone. The Governor attended an official function at the Women’s and Children’s Hospital at 11am, exactly 140 years since the foundation stone was laid. 'From its humble beginnings as the 'little charity hospital for the poor', with five nurses and 168 admissions in the first year, the hospital now sees hundreds of thousands of people every year from all over Australia and the South Pacific region,' said Minister for Health and Wellbeing Stephen Wade. 'Over the decades the Women’s and Children’s Hospital has become highly regarded for its commitment to high quality research and teaching, as well as the high level of care it provides some of our youngest and most vulnerable children and babies.' 19 June 2018 - Mental health first aid for older South Australians - A specialised mental health first aid training course for families and carers living and working with older people has been launched in South Australia. An Older Person Mental Health First Aid showcase course begins in Adelaide today to train people to recognise and respond to mental health problems in older South Australians – before they reach crisis point. The SA Mental Health Commission has teamed up with Mental Health First Aid Australia to bring the course to South Australia. Two further showcase courses will be held in Port Lincoln and Mount Gambier next month. The Minister for Mental Health and Wellbeing Stephen Wade welcomed the introduction of the course into SA. 'People may know about physical health problems, but may not understand mental health. Learning the signs and symptoms of common mental health problems and identifying ways to support older people experiencing depression, anxiety, confusion, dementia and psychosis is important knowledge for community groups,' Minister Wade said. 13 June 2018 - First step towards local Health Boards - The Marshall Liberal Government has taken a key step to implement its promised health reforms with the introduction of legislation into Parliament to establish Local Health Network Governing Boards. 'The Marshall Government will deliver a more decentralised public health system, empower local communities and improve patient safety,' said Minister for Health and Wellbeing Stephen Wade. 'There is strong community support, particularly in regional South Australia, for the re-establishment of local health boards.' 18 June 2018 - Media release: Food safety passport trial - Food safety inspection 'passports' are being trialled for local food truck owners and mobile food vendors in an aim to reduce red tape for small business owners while ensuring safe food handling practices. SA Health’s Director of Food and Controlled Drugs Branch, Dr Fay Jenkins, said the passports have been developed by SA Health to make it easier for mobile food vendors to comply with food safety requirements across council areas. 'With the increase in popularity of food trucks and mobile food vendors at events such as local markets, we received a lot of feedback indicating business owners were subject to the red tape of onerous inspections in each council area,' Dr Jenkins said.

DLA Piper 10 Tasmania: Department of Health & Human Services 20 June 2018 - Budget confirms strong commitment to health - The Hodgman Liberal Government has a strong record of investing in Tasmania’s health system. The State Budget has confirmed our commitment to continue this investment to build a better health system. More than $370 million of new funding has been allocated over the next four years, but more importantly, we have spelt out exactly how we will deliver our six-year record $757 million health plan. 18 June 2018 - More capacity coming as new 22-bed ward nears completion - The new $7 million ward at the Hobart Repatriation Hospital will be operational within weeks, helping to ease pressure on the Royal Hobart Hospital and deliver more capacity for the health system. The 22 new beds, as part of the Repat upgrade, come on top of the roll out of 298 new beds across the state, outlined in the Budget. The beds will be progressively rolled out as new wards and redevelopments are completed, to deliver the physical space to enable capacity to expand. The Repat Hospital will be welcoming new staff and holding inductions within the next month, with more than 50 staff to operate the unit. On top of these 22 new beds, nine more bed spaces will also become available at the Royal Hobart Hospital by the end of the week to help meet winter demand. Victoria: Department of Health 21 June 2018 - Helping Hospitals Fight The Flu This Winter - The Andrews Labor Government has unveiled a new specialised ward at the Royal Melbourne Hospital to ensure more patients are treated faster during the busy winter period. Premier Daniel Andrews and Minister for Health Jill Hennessy today unveiled 2 West – the $1.2 million new winter flex ward at the Royal Melbourne Hospital that will provide prompt care for patients with the flu. A $50 million funding boost in the Victorian Budget 2018/19 is giving 17 of Victoria’s largest health services the extra funding to get ready for a busy winter so that flu patients get the treatment they need. The Royal Melbourne Hospital has received $3.3 million. Last year, Victoria experienced one of the worst flu seasons on record, with more than 48,000 confirmed cases of influenza and a record number of people presenting to emergency departments each day. 8 June 2018 - Carbon monoxide risk from ‘open-flued’ gas space heaters - There is an increased risk of accidental carbon monoxide poisoning from domestic gas heaters during winter. 'Open-flued' gas heaters, especially Vulcan or Pyrox Heritage gas space heaters, should not be used until serviced, due to possible unsafe levels of carbon monoxide under certain conditions. Inadequate ventilation, or operating bathroom exhaust fans or kitchen range hoods while using the gas heater, can draw carbon monoxide into living areas. The risk is increased if the heater and associated components such as the flue are not regularly serviced. All gas heaters, especially open-flued heaters, should be serviced at least once every two years by a qualified gasfitter. Test for carboxyhemoglobin levels in any cases of suspected carbon monoxide poisoning. Notify the Department of Health and Human Services on 1300 761 874 of any elevated results. Doctors should exercise a high level of suspicion if similar symptoms are occurring in other members of the household, and if the patient reports feeling better when outside the house. Victorian Agency for Health Information 15 June 2018 - Deadline extended | Palliative care and care of older people working groups - Safer Care Victoria is looking for clinicians and consumers to help drive a statewide response to improve health outcomes for older people, and those in palliative care. As part of the Clinical Network expert working groups, members will have the unique opportunity to help identify and implement best practice care and use their expertise and experience to provide leadership and advice to SCV and the department. Applicants must have lived or clinical experience relevant to the expert working group aims.

DLA Piper 11 Western Australia (WA): Department of Health 20 June 2018 - Minister for Mental Health: Act-Belong-Commit helps improve mental health in WA for a decade - For a decade, the groundbreaking message of Act-Belong-Commit has been encouraging Western Australians to look after their mental health, and research proves it is working with more people evaluating their mental wellbeing since the public health campaign was introduced. 19 June 2018 - Minister for Health and Mental Health: Funding boost to sexual assault services - Sexual Assault Resource Centre clients will benefit from more counselling and outreach services after an $800,000 funding boost from the McGowan Government. 19 June 2018 - Evaluating the WA Disability Health Framework 2015–2025 and Disability Toolkit for Change - The Disability Health Network invites you to share your experiences of using the WA Disability Health Framework 2015–2025 and the Disability Toolkit for Change. 18 June 2018 - Increased mosquito-borne disease risk in central and northern Western Australia - The Department of Health is warning residents and travellers in central and northern Western Australia, particularly in coastal areas, to take precautions to avoid mosquito bites. 15 June 2018 - Minister for Health and Mental Health: Have your say on the future of men's health in WA - Western Australians are urged to get involved and have their say on the State's first policy to improve the health and wellbeing of men. Men are over-represented in most preventable causes of death - including suicide, cancer, heart disease, lung diseases and stroke - and have an average life expectancy nearly five years lower than women. The WA Men's Health and Wellbeing Policy was an election commitment to address the high number of WA males dying from common, preventable health conditions. A two-month community consultation period for the policy is open, which will include two metropolitan community consultations, 14 regional forums and an online survey. Materials are also available to support organisations that wish to run their own mini forums with staff or consumers. New Zealand: Ministry of Health 20 June 2018 - Top Tips for Improving Your Acute Demand Management - This document is designed to identify gaps in local acute service delivery. It provides tips on how to implement strategies for teams, departments and organisations wanting to see improved practice and improved health outcomes for their patients. 20 June 2018 - Molecular Testing of Colorectal Cancers in New Zealand: Minimum standards for molecular testing of newly diagnosed colorectal cancers - The molecular testing standards set out the expected level of testing for patients who have received a new diagnosis of colorectal cancer 20 June 2018 - National Travel Assistance Scheme Review: Summary of surveys - This report is a summary of the feedback received from participants in two surveys about the National Travel Assistance Scheme. Those surveyed were patients, their support people, and others working with the Scheme. The report provides some of the key statistics from each survey question, but the main focus is on summarising responders' comments and providing direct quotes as examples of the views expressed. 20 June 2018 - Report on the biological monitoring of selected chemicals of concern - This report presents the results of the first comprehensive national biological monitoring programme for selected chemicals of concern in New Zealand. 15 June 2018 - SNOMED CT Subset Development for National Patient Flow: general paediatrics and child developmental services - Draft SNOMED subsets (subsets) have been developed for general paediatrics and child developmental services to support enhanced reporting within National Patient Flow and are now available for wider comment. You are invited to comment on the content included in these subsets.

DLA Piper 12 UK: Department of Health 20 June 2018 - Independent report Williams review into gross negligence manslaughter in healthcare - A report from Professor Sir Norman Williams looking at gross negligence manslaughter in healthcare. Australian Medical Association (AuMA) 21 June 2018 - AuMA advocacy results in greater clarity on the DSP - AuMA advocacy for greater clarity around the eligibility requirements and assessment process for Disability Support Pension (DSP) applicants has resulted in the Department of Human Services (DHS) publishing an improved and dedicated webpage with information for Health Professionals on the DSP. 21 June 2018 - AMACGP tackling key GP issues this weekend - The AuMA Council of General Practice will be holding a face-to-face meeting in Canberra this weekend. The weekend meeting includes the following topics as key issues: improving primary care; the MBS review; quality improvement; pharmacists in general practice and workforce incentives; Health Care Homes; improving billing assurance and compliance processes; frail aged and palliative care. 21 June 2018 - Access to 30202 retained for GPs - Dr Richard Kidd, AuMA Chair of the Council of General Practice, has written recently in Australian Medicine about the effectiveness of AuMA advocacy in response to the reported MBS Review Taskforce recommendations related to MBS item 30202. It appeared that the Taskforce had recommended GPs be excluded from claiming the cryotherapy item in favour of Australian Medical Council recognised dermatologists and plastic surgeons. Dr Kidd highlights the strong relationships the AuMA has with the Department of Health, allowing us to cut through the bureaucracy and quickly have an obvious error reversed. 21 June 2018 - Reforms to MBS item fee arrangements for GPs under the Stronger Rural Health Budget Strategy - The Stronger Rural Health Strategy announced in the federal government’s 2018-19 Budget has seen reforms to the Medicare Benefits Schedule (MBS) item fee arrangements for GPs. 21 June 2018 - Department of Human Services resources on Indigenous Health services - GPs may be interested in newly released education resources from the Department of Human Services: Your guide to Medicare for Indigenous health services (the guide). The guide is a support tool for staff working in organisations that provide Medicare services to Aboriginal and Torres Strait Islander Australians. It includes simplified advice about Medicare services and programs. 21 June 2018 - Maintain Flu Vaccination vigilance - GPs and practice nurses are reminded to be vigilant in the administration of influenza vaccines, following recent information regarding a number of incorrect influenza vaccines being administered. There are age restrictions on some influenza vaccines, and it is paramount that the correct administration based on age occurs. 19 June 2018 - AuMA Calls for Hazara Man to be Brought From Nauru for Palliative Care - The AuMA today called on the Federal Government to bring an Afghan refugee with advanced lung cancer from Nauru to Australia for palliative care. AuMA President, Dr Tony Bartone, said the AuMA understands that the required treatment is not able to be provided on Nauru and that the 63-year-old man, known as Ali, should be moved to Australia. 'Ali is a member of the persecuted Hazara minority in Afghanistan and has been formally recognised as a refugee,' Dr Bartone said. 'He has advanced lung cancer. He needs significant palliative care services that he cannot receive on the island. This is not in dispute' 13 June 2018 - National Male Health Strategy welcomed - The AuMA welcomes today’s announcement of the establishment of a 10-year National Male Health Strategy that will target the mental and physical health of men and boys. The AuMA called for a major overhaul of men’s health policy in April this year, including a new national strategy to address the different expectations, experiences, and situations facing Australian men.

DLA Piper 13 AuMA President, Dr Tony Bartone, said the AuMA was pleased that the Federal Government recognised that Australian males have poorer health outcomes, on average, than Australian females.

ABOUT US Michael Regos Michael is the head of the DLA Piper health litigation group. He practises in the areas of health law, insurance law, medical negligence, coronial enquiries and clinical trials. He advises a wide range of health organisations in a range of regulatory issues. He represents Victorian public hospitals and their insurer in medical negligence litigation and coronial Inquests and is the solicitor of choice for Australia's second-largest private health operator.

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