NT election outcome signals new era

Follow @rollom38 
A new approach is likely to economic development in remote Aboriginal communities as a result of the resounding victory of the Country Liberal Party (CLP) election held last weekend.
It now looks as though the CLP have won 16 seats in the 25 seat Parliament with one seat held by the Independent Gerry Wood and the balance by the outgoing Labor Party with eights seats – down from the previous 12 seats.

Picture courtesy NT News

The significant element to the result was the success “in the bush” – all those seats outside of Darwin and Alice Springs – now held by CLP members of Parliament and which were previously Labor held seats.
The gains have seen the following significance Aboriginal people being elected to the Parliament:
Alison Anderson – Seat of Namatjiraa - previous Labour Minister under leader and Chief Minister Paul Henderson who defected to the cross benches in 2009 and then joined the CLP. Ms Anderson has been outspoken in her views on the Federal Intervention, that 12 maxi Shires replaced some 80 Community Government Councils and the new Stronger Futures legislation for the next ten years from Canberra.

Francis Xavier Maralampuwi – Seat of Arafura – a local Traditional Aboriginal man from Nguiu, Bathurst Island where he has lived all his life with distinction as a leader in the Community Government Council, Land Council and more recently the Shires. Maralampuwi has a good record in sport as a footballer and in charity work helping people with alcohol and drug problems for the past 30 years. He has won the Seat of Arafura by a 58 seat margin – a seat formerly held for 11 years by popular ALP member Marion Scrymgour who also had a strong local following. It was the people of Nguiu that have put Maralampuwi into Parliament with an 80% support from that polling booth.
Bess Price – Seat of Stuart- has ousted former Henderson Government Minister Karl Hampton. Ms Price has developed her own strong personal profile as a person who will say it as it is and not resort to politically correct verbage when describing how she sees the major issues confronting Aboriginal people in the “bush”. Her views are well known in the National sphere through appearances in shows such as ABC Q & A and SBS Insight. Her margin was a mere 187 votes in an electorate that is larger that most countries in Europe and spans from the centre around Alice Springs through the Tanami Desert to places like Timber Creek on the main highway to WA.
Larissa Lee – Seat of Arnhem – has won from popular Government Minister for Indigenous Affairs Malandari McCarthy – a former ABC journalist in Darwin and well known traditional Aboriginal person from Borroloola. The seat had been uncontested in 2008 and the selection of Larissa as the candidate was a stroke of brilliance by the CLP given her powerful family background being the daughter of the late Jawoyn Aboriginal Elder Robert Lee. An Aboriginal Health Worker from Barunga, Larissa won the seat with a 10.6% margin.

The above four persons have brought about the change in Government and the strength of the effort means that a 100% commitment has been made for doing things better for the “bush”.
One of the key elements of any improvement program will be more jobs and developing real economies in places (towns) that have up until now relied on no competition, welfare handouts and a static work environment with unemployment being the main occupation.

And this is where pharmacy comes in on two fronts.
The first is bringing into the community money that is currently going to the main centres of Alice Springs and Darwin by way of surpluses made on trading with Medicare for the supply of Pharmaceutical Benefits Scheme medicines. This could all be going to these towns with the strategic placement of local pharmacy businesses in the Growth Towns. There are many young pharmacists keen to establish there own businesses and what better or more challenging place to do it than a remote Aboriginal community classified as a “Growth Town” and with the support of a Government committed to creating economies.
The second contribution pharmacy (or pharmacists) can make is the provision of a “point of sale” for all things that will lead to a healthy lifestyle – food, activities, exercise programs, books, DVDs, motivational programs and the many many things that are taken for granted in “mainstream” culture way but denied of these people by a governance that has seen no reason for competition or no more that one store.

A comparison between an Aboriginal Growth Town and a mainstream country town shows that there are 15 retail outlets in the mainstream town compared with five in Aboriginal land and yet a disposable income far higher with the Aboriginals than in mainstream. This is because they pay very little rent for fewer houses and are not likely to own a car. If the cost of these is taken out of a family budget it is not hard to find and extra $500 a fortnight and yet have nothing useful to spend it on. In one store there is 35% of purchases spent on tobacco products and this has increased over the past 20 years by 2%. Quite unlike the downward spiral in mainstream where tobacco products have gone down from around 60 % of the population smoking to 15% in the same period (20 years). Problem – no point of sale for health promotion – just messages through print and media.

The CLP Government comes into office with the following policy commitments:
o The creation of a commercial environment so that businesses can earn decent profits and grow.
o The creation of a strong and growing economy by allowing and encouraging private industry to thrive.
o Expanding the Small Business Advisory Service across the whole Territory will help more Indigenous people in remote communities get into real jobs and off welfare.
o Shires and Regional councils will be assisted to pursue new business opportunities to expand their service and revenue base.
o Regional Councils will give a greater say to local people on where money is spent and how services are delivered in their region.
o The Country Liberals are committed to delivering a stronger local voice, better services and a safer, more prosperous future for our regions.
No better climate could have been created for emerging pharmacy businesses but it is now for the industry to get behind and back such a progression. The present profile in the NT shows that for a population of 220,000 there are 28 pharmacies – one per 7.900 persons compared with a National figure of one per 4,200.
The difference is in the persons in remote communities NOT being served by a pharmacy meaning that the profits from their communities is going to the big stakeholders in Alice Springs and Darwin.
Now is the time to jump and a consortium started that will seize the opportunity and allow many young pharmacists to make a contribution which although not being the most rewarding financially will certainly be rewarding in health outcomes through professional satisfaction.
Ends
Comments welcome to Rollo Manning, PO Box 98 Parap NT or rollom@iinet.net.au or 0411 049 872

Senate inquiry agreed to in Parliament— PBS to remote living Aboriginals to be examined

 

On 24th March 2011 the Senate agreed to a motion from Senator Rachel Siewert (Greens, WA) that the supply of Pharmaceutical Benefits Scheme medicines to remote area Aboriginal Health Services be referred to the Senate Community Affairs Reference Committee. The special  arrangements under Section 100 of the National Health Act have provided a bulk supply scheme with no value added component from a pharmacist.

Three reviews of the scheme in 2004 (Kelaher) 2006 (Urbis) and 2010 (Nova Policy) have failed to produce any significant improvement in the quality use of medicines by Aboriginal clients of health services. 

A matter of equity

The matter to be reviewed by the Senate Committee is a matter of justice, fairness and   equity particularly relevant at a time when Closing the Gap is so much in the headlines and remote living Aboriginal people are dying at such a young age.

After three reviews of the Section 100 supply arrangements little change has occurred. The Senate Inquiry should be able to identify what needs to be   improved and which agency should be responsible for making it happen. The involvement of pharmacists in this process should be a leading principle.

Inequities for remote Aboriginal Health Services (AHS) and the Pharmaceutical Benefits Scheme (PBS) include:

• Over the ten years the scheme has been in place there has been no money made available to the Aboriginal Health Services to develop their own pharmaceutical care program.
• Recording of outgoing supplies (dispensing) by any electronic process incorporating scanning is absent and hand written labels are the norm.
• While the PBS pays a dispensing fee ($6.42) to pharmacies in all situations under Section 85 (mainstream) there is no fee paid for the dispensing  carried out at Aboriginal Health Services.
• The PBS saves $3.68 every time a PBS medicine is dispensed to a remote living Aboriginal person. A handling fee of $2.74 is paid to the supplying Approved Pharmacy for the bulk supply but no dispensing fee is paid to the AHS.
• Mainstream Australians have access to a pharmacist (by law) in every pharmacy in Australia when a PBS prescription is dispensed. No such facility is available to an Aboriginal patient of an AHS or to a  
  person trained by a pharmacist to inform them of the nature of the medicine prescribed.
• No data is analysed to assist in decision making towards improved medicine utilisation across States and regional boundaries. 

Go to the following link for details on the Inquiry and the making of a submission:
http://www.aph.gov.au/Senate/committee/clac_ctte/pbs_medicines/index.htm

Closing date for Submissions is 30th June 2011.

The Terms of Reference seek comment on a  range of issues. The full text of the Motion agreed to by the   Senate follows:

The effectiveness of the special arrangements established in 1999 under section 100 of the National Health Act 1953, for the supply of Pharmaceutical Benefits Scheme (PBS) medicines to remote area Aboriginal Health Services, with particular reference to:

(a) whether these arrangements adequately address barriers experienced by Aboriginal and Torres Strait Islander people living in remote areas of Australia in accessing essential medicines through the PBS;

(b) the clinical outcomes achieved from the measure, in particular to improvements in patient understanding of, and adherence to, prescribed treatment as a  result of the improved access to PBS medicines;

(c) the degree to which the ‘quality use of medicines’ has been achieved including the amount of contact with a pharmacist available to these  patients compared to urban Australians;

(d) the degree to which state/territory legislation has been complied with in respect to the   recording, labelling and monitoring of PBS medicines;

(e) the distribution of funding made available to the program across the Approved Pharmacy network    compared to the Aboriginal Health   Services obtaining the PBS medicines and dispensing them on to its patients;

(f) the extent to which Aboriginal Health Workers in remote communities have sufficient  educational opportunities to take on the  prescribing and dispensing responsibilities given to them by the PBS bulk supply arrangements;

(g) the degree to which recommendations from previous reviews have been implemented and any consultation which has occurred with the community controlled Aboriginal health sector about any changes to the program;

(h) access to PBS generally in remote communities; and

(i) any other related matters.

Question agreed to.

Any person or organisation requiring further background to the Inquiry or assistance with the writing of a submission can contact Rollo Manning at rollom@iinet.net.au or 0411 049 872.