The Tasmanian Medical Workforce Project

Medical workforce planning dynamics Demand side  Ageing health consumer  Declining fertility rate  Increasing burden of disease  New treatments and technologies (including pharmaceuticals)  Changing models of care  Financial constraints Supply side Aging workforce Maldistribution Rural shortages Workforce ‘casualisation’ Generational change More graduates

DHHS Strategic Context Our vision High quality, safe services for the people of Tasmania when they need them, so they can live well and live longer. Our mission Improve the health and wellbeing of patients, clients and the Tasmanian community through a sustainable, high quality and safe health and human services system. Project Aim “To enhance Tasmania’s ability to provide effective, appropriately resourced medical healthcare services to all Tasmanians”

Project Objectives  Profile Tasmania’s medical workforce composition, distribution and demographic attributes of Tasmania’s medical workforce, including participation trends  Inform efforts to ensure Evidence base to inform decision making and the sustainability of Tasmania’s medical workforce.  Make recommendations by WHEN?  Workforce profile template for DHHS

Scope Critical analysis of existing and available quantitative and qualitative data sources Review of relevant literature Stakeholder consultation Benchmarking Recommendations (Dec 2014)

Relevant local work DHHS Health Workforce Strategic Framework  DHHS Nursing workforce planning project  DHHS Allied Health Practitioner workforce planning project UTAS Medical graduates outcomes research/ Rural Clinical School graduate research Medicare locals: GP census reporting

Information Sources  Australian Health Practitioner Regulation Agency (AHPRA)  Medical Board Australia (MBA)  Health Workforce Australia (HWA)  DHHS HR Systems

Consultation process  Invitation extended to key stakeholders both in public and private sector.  Extensive consultation process  Identification of key themes and issues including;  Current Workforce  Training  Future Opportunities  Quality & Safety  Reform

Medical Practitioners: % Principal place of practice

Tasmanian Medical Practitioners: Age & Gender 2012

Medical Practitioners: Age range & Gender 2012 *Tasmanian figures have been multiplied by 100 for scaling purposes

Tasmanian Medical Practitioners: Principal role & Gender Source- HWA database enquiry 2012

Principal Area and Gender, 2012 (%)

Tasmanian Registered Specialists, 2012

Tasmanian Health Organisations Total registered medical practitioners Total Medical Workforce: 246 Total Medical Workforce: 537 Total Medical Workforce: 1169

Benchmarking: South Australia SATASAustralia Medical Practitioner7,4032,12895,690 Population ABS ('000)1, Pop/MP Population per number of Medical Practitioners, ABS and AHPRA Data 2012/2013 Note: Headcount is not adequate as a tool to assess workforce supply.

Average Hours Tasmania 41 Hours Per week MalesFemales 4338 * Based on self reported information obtained thought the medical workforce survey based on reporting over a 1 week period. Please consider data with caution. SA 42 Hours Per week Males Females 4537

Outputs A critical analysis of best available data Comprehensive reporting and profiling on the medical workforce in Tasmania Benchmarking based on best available information and data Critical analysis of approaches to workforce modelling Outcomes and analysis of issues from stakeholder consultations Recommendations

Outcomes Strategic medical workforce modelling Evidence-informed policy and planning Potential for productivity gains Medical workforce intelligence Better understanding of regional issues Better supported workforce Better health outcomes

Your ideas? What are the main considerations affecting future medical workforce? What ideas could impact positively on medical workforce?